• 제목/요약/키워드: Administrative service utilization

검색결과 37건 처리시간 0.025초

지역 보건서비스의 산출에 영향을 미치는 요인 (Determinants of the Community Health Service Utilization)

  • 송근원;강대창
    • 보건행정학회지
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    • 제13권1호
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    • pp.69-97
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    • 2003
  • This study focuses on the determinants of the community health service utilization. Theories suggest seven models for community health service utilization, which are divided largely into two groups such as Health Service Supply Model and Health Service Demand Model: Supply Model includes Medical Implements Model, Personnel and Budget Model, Management System Model, Staffs' Behavior Model, Service Quality Model; Demand Model includes Area Model and Clients' Characteristics Model. This paper tests how the above models influence on the community health service utilization. After interviewing some administrative staffs of the Community Health Service Center at Pusan, questionnaires were made and mailed to the staffs of 198 Korean Community Health Service Center as a universe, among which from 98 centers we got response. Analyzing the data from the questionnaires, we found "the number of personnels in the health service center" and "demands for medical service" as important variables to affect the utilization of the community health service center. These two variables are typical factors representing Supply Model and Demand Model each. However, the variables selected from Management System Model, Administrative Behavior Model, Service Quality Model and Area model are not significant in a statistical sense. The paper suggests that to recruit the personnels, especially nurses, and to make out the demands of the clients for health service be the precedent conditions to increase the utilization of the Community Health Service Centers in Korea.ce Centers in Korea.

Establishing Required LOD and Positioning Accuracy for Indoor Spatial Information Applications in Public Administrative Works

  • Park, Junho;Lee, Jiyeong
    • 한국측량학회지
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    • 제35권2호
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    • pp.103-112
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    • 2017
  • Due to the large size and high complexity of modern buildings, the interest and the studies about indoor spatial information are increasing. Previous studies related to indoor spatial information were mostly about relevant technologies, and the application of indoor spatial information has been less studied. In the present study, the public administrative work areas where indoor spatial information may be applied were identified by using a modified delphi technique. And the indoor LOD (Level of Detail) and indoor positioning accuracy for indoor spatial information applications considering user requirements was established as standards for efficiently establishing and providing services. The required LOD and positioning accuracy for services was established by reestablishing indoor LOD and positioning accuracy and classifying services with reference to those. The indoor LOD was reestablished from LOD 0 to 4 by focusing on service utilization and general recognition, and the positioning accuracy was reestablished in three levels by considering the accuracy of the present positioning technology and service utilization status.

지역소멸수준과 지역의 총 의료이용 간의 관계 (Relationship between the Level of Local Extinction and Total Medical Service Uses)

  • 박지해;오재환;강제구;정윤지;이광수
    • 보건행정학회지
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    • 제33권3호
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    • pp.253-263
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    • 2023
  • Background: The purpose of this study was to explore the relationship between the local extinction index and total medical service utilization. Methods: A fixed effects model in panel analysis was performed for the 228 administrative districts in Korea. The statistical yearbook on the usage of medical services by region and Korean Statistical Information Service data were used from 2010 to 2019 for analysis. Medical service utilization was represented by the number of visits day, the number of inpatient days, and medical charges. Control variables were selected by using an Anderson model. The local extinction index was calculated using resident registration population data. Results: Descriptive statistics showed that the number of areas at risk of extinction increased from 61 to 95 for the study years. In addition, the number of visits, the number of inpatient days, and medical charges all increased during the study years. After controlling for variables affecting medical service utilization and doing a panel fixed effects model, the result suggested that a one-step increase in the local extinction index was significantly associated with a 12.29% decrease in medical charges of inpatients, a 7.33% decrease in medical charge of outpatient, a 5.21% decrease in the number of inpatient day, and a 5.54% decrease in the number of visits day. Conclusion: This study showed that the higher the region's extinction risks, the higher the region's total medical service utilization. The results of this study suggested that there was a disparity in medical service utilization between areas at risk of extinction and areas not at risk of extinction, so measures should be taken to address this disparity.

어린이 급식시설 맞춤형 위생관리 지도서의 개발과 활용 (Development and Utilization of Guidelines for Customized Hygiene Management of Children's Meal Facilities)

  • 최경아;이성현;박혜경
    • 급식외식위생학회지
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    • 제2권1호
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    • pp.36-43
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    • 2021
  • The development of food poisoning prevention guidelines aims to prevent food poisoning in advance and improve the safety of children's meals through hygiene management of children's feeding facilities, especially infants' facilities. Therefore, the composition of the content should be designed so that it can be fully understood from the point of view of the layperson. In terms of meal service management, various standards must be fully reflected and reviewed to increase utilization in the field. Daycare centers and kindergartens have different administrative agencies, similar application laws and guidelines, but different parts exist and various types of facilities, so management standards are often ambiguous. Therefore, such management requires easy guidance, not special guidance, and it should be universally applicable to any facility. Prior studies have shown that the management of meal facilities is the most efficient, but it is difficult to hire and deploy specialists due to the operation of children's meal facilities, so guidance, facilities managers and workers need to voluntarily practice them. It is time to prepare hygiene guidelines that reflect the characteristics of these children's cafeterias, and it is necessary to prepare and utilize guidance suitable for reality until it is institutionalized for the deployment of manpower exclusively for meals.

의약품 처방·조제지원서비스(Drug Utilization Review)사업이 병용금기 처방률에 미치는 영향 (The Effect of Korean Prospective Drug Utilization Review Program on the Prescription Rate of Drug-Drug Interactions)

  • 김동숙;박주희;전하림;박찬미;강현아
    • 보건행정학회지
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    • 제24권2호
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    • pp.120-127
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    • 2014
  • Background: Since December 2010, online computerized prospective drug utilization review (pDUR) has been implemented in Korea. pDUR involves the review of each prescription before the medication is dispensed to the individual patient. The pDUR is performed electronically by Health Insurance Review & Assessment Service (HIRA), which is a Korean governmental agency, and then HIRA provides medical institutions and pharmacies with information that can be helpful to them in preventing potential drug problems such as drug/drug interactions or ingredient duplication. The aim of this study was to assess the impact of the Korean pDUR implementation on the proportion of drug-drug interactions (DDIs) using claims data from HIRA. Methods: A before-after comparison of the prevalence of DDIs between prescription was conducted, using HIRA administrative claims data of medical institution from January 2010 to December 2011. The analysis unit was the prescription issued and pairs before and after. The main outcome measures were the proportion of DDIs within- (control group) or between- physician encounters. To examine the difference, a paired t-test was applied. Results: We found that DDIs proportion between prescription decreased significantly (t=3.04, p=0.0026) after the implementation of pDUR, whereas there is no significant reduction within prescription (t=1.15, p=0.2518). With respect to the prevalence of DDIs between drug groups, the most dramatic reduction was occurred between 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors and anti-fungal agents. Conclusion: It seems effective that giving a direct feedback to prescribers by a prospective DUR. Further research is needed to assess the impact of DUR to final outcomes such as hospitalization.

국제주파수관리제도의 개선방향에 관한 연구 (A Study on the Improvement of International Frequency Administration System)

  • 이진
    • 한국통신학회논문지
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    • 제7권1호
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    • pp.1-9
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    • 1982
  • 本硏究는 1979年世界無線通信主管會議의 主要議題였던 國際周波數管理制度와 主로 放送業務 및 放送衛星業務의 周波數帶分配에 關하여 全面改正한 規定에 注目하고 國際周波數管理制度의 發展과 最近의 國際的動向에 意하여 將來 이들 業務의 計劃에 適應할 수 있는 周波數의 有效한 利用을 圖謀하기 爲하여 周波數帶分配에 關한 問題點과 이에 對한 改善方案을 分析考察하였다.

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행정정보데이터세트의 데이터 품질평가 연구 (A Study on Data Quality Evaluation of Administrative Information Dataset)

  • 송치호;임진희
    • 기록학연구
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    • 제71호
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    • pp.237-272
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    • 2022
  • 2019년부터 국가기록원의 주도로 행정정보데이터세트 기록관리체계 구축 시범사업이 본격적으로 시작되었다. 2021년까지 3년에 걸친 사업의 결과를 바탕으로 개선된 행정정보데이터세트 관리방안이 공공기록물 관련 법령과 지침에 반영될 예정이다. 이를 통해 행정정보데이터세트는 본격적인 공공기록관리의 대상이 된다. 공공기록이 전자문서 중심으로 전환되었고 행정정보시스템의 데이터세트까지 본격적인 공공기록관리의 대상으로 포함되었지만, 기록을 구성하는 원 자료(raw data)로서의 데이터 자체의 품질 요건에 관한 연구는 아직 부족한 상황이다. 데이터 품질이 보장되지 않으면 데이터의 구성체이며 기록의 집합체인 데이터세트는 기록의 4대 속성 전체가 위협받게 된다. 더욱이 표준기록관리시스템의 규격을 고려하지 않고 기관 실무 부서의 다양한 요구를 반영하여 구축된 행정정보시스템의 데이터는 기록관리 관점에서 그 품질에 대한 신뢰성이 부족할 경우 공공기록 자체의 신뢰성을 확보할 수 없을 것이다. 본 연구는 2021년 국가기록원에서 진행한 "행정정보데이터세트 기록정보 서비스 및 활용모형 연구"에서 제시된 행정정보데이터세트 관리방안을 기반으로, 적극적으로 개념이 확장된 평가, 그중에서 데이터 품질평가에 관한 연구를 수행하였다. 범정부적으로 추진되고 있는 다양한 데이터, 특히 공공 데이터 관련 정책과 가이드를 참고하여 기록관리 차원에서의 품질평가 요건을 도출하고, 구체적인 지표를 제시해 보고자 한다. 이를 통해 향후 본격화될 행정정보데이터세트 기록관리에 도움이 되기를 기대한다.

The Effect of Geographic Units of Analysis on Measuring Geographic Variation in Medical Services Utilization

  • Kim, Agnus M.;Park, Jong Heon;Kang, Sungchan;Hwang, Kyosang;Lee, Taesik;Kim, Yoon
    • Journal of Preventive Medicine and Public Health
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    • 제49권4호
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    • pp.230-239
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    • 2016
  • Objectives: We aimed to evaluate the effect of geographic units of analysis on measuring geographic variation in medical services utilization. For this purpose, we compared geographic variations in the rates of eight major procedures in administrative units (districts) and new areal units organized based on the actual health care use of the population in Korea. Methods: To compare geographic variation in geographic units of analysis, we calculated the age-sex standardized rates of eight major procedures (coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty, surgery after hip fracture, knee-replacement surgery, caesarean section, hysterectomy, computed tomography scan, and magnetic resonance imaging scan) from the National Health Insurance database in Korea for the 2013 period. Using the coefficient of variation, the extremal quotient, and the systematic component of variation, we measured geographic variation for these eight procedures in districts and new areal units. Results: Compared with districts, new areal units showed a reduction in geographic variation. Extremal quotients and inter-decile ratios for the eight procedures were lower in new areal units. While the coefficient of variation was lower for most procedures in new areal units, the pattern of change of the systematic component of variation between districts and new areal units differed among procedures. Conclusions: Geographic variation in medical service utilization could vary according to the geographic unit of analysis. To determine how geographic characteristics such as population size and number of geographic units affect geographic variation, further studies are needed.

수학교사들의 동기유발에 대한 필요성과 활용에 대한 인식 (An analysis of mathematics teachers' perceptions about motivation)

  • 심상길;이강섭
    • 한국수학교육학회지시리즈A:수학교육
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    • 제53권4호
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    • pp.449-462
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    • 2014
  • In this study, mathematics teachers' awareness of the need for motivation and its utilization in the actual classes were analyzed through a survey. As a result, the mathematics teachers answered positive on the need for motivation but the attempts for motivation in actual classes were rather low. In addition, they answered that teacher training for motivation were helpful in actual classes. Among Keller's ARCS, the strategies mathematics teachers recognized necessary and those used frequently in actual classes often showed generally consistent, and the need for motivation and the degree of utilization got highest score in motivation sector. On the other hand, mathematics teachers need to acknowledge specific utilization strategies of ARCS but showed incompetent in utilizing them in actual classes. Thus, in order to efficiently utilize the strategies for motivation in mathematics classes, mathematics teachers needed practical teacher training, specific instruction methods, researches on practical instructional methods and in-service, and administrative supports for the activations of teacher's study group and mentor system.

미국 정부 TIC 3.0을 적용한 국내 공공·행정기관의 안전한 클라우드 연합 모델 연구 (A Study on the Secure Cloud Federation Model of Korean Public and Administrative Institutions based on U.S. TIC 3.0)

  • 이수현;임하늘;배병철;강은성;김형종
    • 인터넷정보학회논문지
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    • 제24권6호
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    • pp.13-21
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    • 2023
  • 최근 코로나19로 인해 분야 간의 경계가 무너지면서 모든 데이터를 연결하고 국민, 기업, 정부 모두가 데이터에 접근 가능하도 록 하는 정부의 목표가 주목받고 있다. 이러한 목표에는 클라우드 기술이 계속해서 언급되어 오고 있으며 클라우드 사용으로 인한 보안 이슈를 피해갈 수 없어, 이와 관련된 다양한 연구가 진행되고 있다. 본 논문에서는 국내 공공·행정기관에서의 클라우드 사용 사례를 분석하고, 이때 발생할 수 있는 보안 이슈를 완화하기 위해 미국 정부 TIC 3.0 개념을 적용한 모델을 제시하고자 한다. 그리고 이를 토대로 TIC 3.0을 적용한 국내 공공·행정기관의 안전한 클라우드 서비스 모델을 제안하고자 한다.