• Title/Summary/Keyword: Appropriateness criteria

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Priority Areas for National Health Care Quality Evaluation in Korea (의료의 질 평가 우선순위 설정)

  • Shin, Suk-Youn;Park, Choon-Seon;Kim, Sun-Min;Kim, Nam-Soon;Lee, Sang-Il
    • Health Policy and Management
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    • v.19 no.3
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    • pp.1-26
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    • 2009
  • Objectives : To identify target areas and set priorities among those areas identified for national quality evaluation. Methods : Target areas were identified from: i) analysis of the national health insurance claims data, mortality and prevalence data ii) various group surveys, including representatives from 22 medical specialty associations, 19 physician associations, QI staffs in hospital, civil organizations, and commissioners of Health Insurance Review and Assessment Service(HIRA) ⅲ) literature reviews and RAM(RAND/UCLA appropriateness method). The priority areas for national quality evaluation represented the full spectrum of health care and the entire life span. The criteria for selecting the priority areas were impact, improvability, and measurability. The priority areas were divided into three categories : short-term, mid-term, long-term. Results: Based on the group surveys and the data analysis, 46 candidates were selected as quality evaluation priority areas. 13 areas were selected as having a short-term priority areas: tuberculosis, community acquired pneumonia, stroke, ischaemic heart disease, diabetes, hypertension, chronic lower respiratory disease(asthma, chronic obstructive pulmonary disease), intensive care unit, emergency room, nosocomial infection, use of antibiotics, multiple medication and renal failure. This results suggested that we need to enlarge the target priority areas to the chronic diseases in short-term. Conclusions: The priority areas identified from the study will assist healthcare quality associated institutions as well as HIRA in selecting quality evaluation areas. It is required to develope and implement strategies for improving the quality of care within the next 5 years.

Sustainable Development : Issues of Scale and Appropriateness (지속 가능한 개발 : 규모와 적절성의 문제들)

  • Buttimer, Anne
    • Journal of the Korean Geographical Society
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    • v.32 no.4
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    • pp.551-556
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    • 1997
  • Defining sustainable development as the challenge of continuously balanving economic, social and ecological values, a European research project sought lessons from experiences of a forty year period to frame criteria of appropriate scale for contextually-sensitive environmental policy. A network of case studies conducted by partner teams in Gemany, lreland, the Netherlands and Sweden examined changes of scale in the territorial, functional and socio-political contexts of life and landscape between 1950-1990. Themes central to the project included landscape transformations, tensions among area-and sector-based ways of life [genres de vie], and changing horizons of discretionary reach. With illustrations drawn mainly from the lrish case studies in Tipperary, this lecture outlines some regional differences in response to externa-policy and market-driven-influences. Implications for cross-cultural research and the framing of contextually-sensitive environmental policy are outlined, and suggestions made for their modulation through European Union, national, regional, and local levels.

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Local Buckling and Inelastic Behaviour of 800 MPa High-Strength Steel Beams (800MPa급 고강도강 보 부재의 국부좌굴 및 비탄성 거동)

  • Lee, Cheol-Ho;Han, Kyu-Hong;Kim, Dae-Kyung;Park, Chang-Hee;Kim, Jin-Ho;Lee, Seung-Eun;Ha, Tae-Hyu
    • Journal of Korean Society of Steel Construction
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    • v.24 no.4
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    • pp.479-490
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    • 2012
  • Flexural tests on full-scale H-shaped beams, built up from high-strength steels (HSB800 and HSA800) with a nominal tensile strength of 800 MPa, was carried out to study the effect of flange slenderness of high-strength steel on flexural strength and rotation capacity. The primary objective was to investigate the appropriateness of extrapolating current stability criteria (originally developed for ordinary steel) to high-strength steel. The performance of high-strength steel specimens was very satisfactory from the strength, but not from the rotation capacity, perspective. The inferior rotation capacity of high-strength steel beams was shown to be directly attributable to the absence of a distinct yield plateau and the high yield ratio of the material. Residual stress measurements reconfirmed that the magnitude of the residual stress is almost independent of the yield stress of the base metal.

Faculty Performance Evaluation, Annual Salary and Student Course Evaluation (교원업적평가와 성과연봉제 그리고 강의평가)

  • Han, Kyung-Soo
    • The Korean Journal of Applied Statistics
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    • v.24 no.2
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    • pp.435-443
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    • 2011
  • On March 2011, an annual salary plan was applied to new faculty members in National Colleges and Universities. In 2015, all tenured faculty members will receive salaries based on annual performance evaluations. The efforts and accomplishments of faculty are normally assessed according to a standard formula of 40% teaching, 40% research and 20% service. In almost all colleges and universities, student course evaluations may be considered as the only measure of the perceived quality of the courses offered by the faculty member. The mandatory course evaluations are becoming prevalent in Korea. The results of course evaluations do not reflect the fairness and the appropriateness of the quality of the course taught by the faculty member and should not be considered under the teaching evaluation criteria.

The Assessment of Appropriateness of Acupuncture Methodology Based on STRICTA Recommendations;The Discussion of 5 Systematic Reviews and Their Objects 58 Randomized Controlled Trials Using the New Tool (STRICTA 권장안에 기초한 침 연구방법론의 적절성 평가;새로운 평가지수를 이용한 5편 Systematic Review와 그 대상인 58편 무작위대조시험의 고찰)

  • Kim, Woo-Young;Lee, Seung-Deok;Lim, Byung-Mook;Kim, Kap-Sung
    • Journal of Acupuncture Research
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    • v.24 no.5
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    • pp.151-170
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    • 2007
  • Backgraounds : Recent studies provide the evidences that the efficacy of acupuncture may be no better than placebo or inconclusive. These results are very different from those of the actual clinical situations in many acupuncture medical institutions. Objectives : The present study was designed to evaluate the influencing factors which affect the efficacy of acupuncture scale(FEAS) as the methodological assessment tool of acupuncture for examining acupuncture interventions and to demonstrate the importance of it in randomized controlled trials of acupuncture. Data sources : Electronic data were retrieved from NDSL, Pubmed, sciencedirect, LWW, OVID, Black-Well Synergy, Wiley Interscience, EBSCO HOST, springer, PML, and Kluwer. No electronic data were collected from MEDLIS and MEDLAS. Study selection : The inclusion criteria were five systematic reviews included in Alberta study and all randomized controlled trials obtained from their references. Study analysis : The acupuncture rationale, methods of stimulation, treatment regimen, and the practitioner's background were rated by FEAS, and the scores were compared with those by other methodological assessment tools. Results : The number of positive conclusions of high-rank RCTs by FEAS was the same as or higher than that of high-rank RCTs by other methodological assessment tools. Conclusions : We have analysed 5 systematic reviews and their objectives 58 RCTs using FEAS. Practitioner's background has been described slightly in some reviews and studies. It may directly influence the effectiveness of acupuncture negatively in the systematic reviews.

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A Study on the Lighting Plan Characteristics of Office Buildings (오피스 건물의 실내 조명 유형 및 계획특성에 관한 연구)

  • Yi, Yon-Soo;Ha, Mi-Kyoung
    • Korean Institute of Interior Design Journal
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    • v.22 no.1
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    • pp.47-54
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    • 2013
  • For the office work environmental design, the importance of the design management is increased to improve operation efficiency as well as the aesthetic environmental implementation of the function today. Lighting is a required element ineffective operation environment. It has become more important for the aesthetic, economic, and practical reasons, to consider the luminous environment and the lighting of visual tasks separately. When the brightness is insufficient, productivity deteriorates, and the layout of the lighting located by mistake causes the fatigue of eyes. Productivity rises to office in a large number of studies so as satisfaction is low in general in the dark office, and to be bright. Therefore the purpose of this research is to suggest the right direction of lighting design of office building area. 11newly renovated office buildings are selected for this luminous environment research. We could conclusions as following through this research. First, it was planned brighter than the recommended lighting level in the most space. It shows that the accurate lighting design criteria is needed in order to achieve proper lighting environment. Second, the application of the LED lighting fixtures is continuously increased in the recent office lighting environment. It is explained that it is applied for reasons of the electrical energy reduction and the maintenance efficiency with the long life time. Third, the consideration of the lighting plan for the difference of working types is not enough. with various communication configuration through an independent plan, and the effective lighting plan that appropriateness preparation design and energy saving area vailable must be applied. Fourth, the lighting environment of the lobby needs a specialized lighting plan as are presentative space of the building.

Extracting Evaluation Criteria for Evaluating Ontology Quality (온톨로지 품질평가를 위한 평가항목 추출에 관한 연구)

  • Kim, Seonghun;Oh, Sam Gyun
    • Journal of the Korean Society for information Management
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    • v.32 no.2
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    • pp.193-219
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    • 2015
  • The focus of traditional evaluations of ontologies is largely performance-based. A comparison of a new ontology with well-established ones, testing of ontologies in different applications, as well as any judgment of an ontology's appropriateness and relatedness to source data heavily rely on what results that ontology seems to manifest. This study, on the other hand, is an attempt to evaluate the quality of a particular ontology as manifested by its structure, representation, and interoperability. To that end, major categories of quality evaluations were first identified through an extensive survey of literature. Evaluation questions were formulated from these categories using the Delphi method and were validated by ontology experts. The entire process produced a set of 53 evaluation questions, which was then employed to test the quality of a newly-developed smartphone ontology.

Field Triage of Severely Injured Patients and Transportation by the EMS Rescue Group of Busan and Kyungnam, Korea: Is It Appropriate? (부산·경남 지역에서 전원 의뢰된 중증외상 분석을 통한 119 구급대의 환자 분류와 이송병원 선정에 대한 고찰)

  • Lim, Jong Eon;Yeom, Seok Ran;Cho, Suck Ju;Han, Sang Kyun;Park, Sung Wook;Lee, Sung Hwa
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.145-151
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    • 2012
  • Purpose: The objective of this study was to determine the appropriateness of Emergency Medical Service's (EMS's) triage and transport of severely injured patients in Busan and Kyungnam, Korea. Methods: The medical records of the Emergency Medical Information Center were retrospectively reviewed from January 1, 2010 to December 31, 2010. We identified the number of patients that should have been transferred from a secondary to a tertiary hospital according to the EMS field triage protocol. Results: In a total of 472 cases requests to be transferred to a third hospital were made through the Emergency Medical Information Center. Of these, 207 patients(43.9%) should have been transferred to a tertiary hospital according to the EMS field triage protocol. Among them, thirty-three(15.9%) patients satisfied step 1, 15(7.0%) satisfied step 2, and 117(56.5%) satisfied step 3. Twenty-three(11.1%) patients satisfied both steps 1 and 3. Conclusion: We found the triage by the EMS in the transfer of severely injured patients to a tertiary hospital to be inappropriate and re-education of EMS personnel regarding the EMS field triage protocol is needed. Because many patients are transferred from a secondary to a third hospital, we suggest changing the EMS field triage protocol to expand the severe injury criteria. A need exists to authorize secondary hospitals to transfer severely injured patients directly because there are no trauma centers in Korea.

A Study on the Criteria Appropriateness of Experimental Materials & Facilities in Home Economics Education of Secondary School (중등학교 가정과 실험학습 교구.설비기준의 적정성에 관한 연구)

  • 강혜숙;윤인경
    • Journal of Korean Home Economics Education Association
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    • v.5 no.1
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    • pp.61-85
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    • 1993
  • Because of the specificity of subjects belong to middle school curriculum of Home Economics Education of function training is very important. but it pointed out that the existing standards are out-dated, and because of it , it incongruent to our realities. Therefore, whenever the curriculum o education and the national textbook are reorgrnized periodically, the reform of standards of educational materials & facilities must be followed by it. But in my opinion, in korean middle school, especially in Home Economics Education, educational facilities are not reformed at a proper time. Therefore to enhance the qualities of experimentation/practice of Home Economics Education, in the first place, the preparation for the given conditions of standards of educational materials & facilities are needed. But the educational facilities of Home Economics Education have many problem not only in the qualitative aspect but also in the quantitative aspect. And in addition to it, lost of educational facilities which cannot match contents of national textbook of Home Economics Education are exist. Therefore this thesis aims at examining comprehensively the problem of experimentation /practice of experimental materials & facilities of Home Economics Education connect with contents of Home Economics Education, holding several problems of experimentation/practice of Home Economics Education in middle school, grouping ; the principles and ways concerning the innovation experimental materials & facilities of Home Economics Education by which many teachers and students make sure of more efficient teaching/studying, and obtaining basic data which guarantee the ability of innovation concerning problems of the education of experimentation/practice of Home Economics Education. Method are : 1)grasp our educational realities with my original(question). 2)Integrate/analyse results of 1) 3)check the frequency, percentage with methods of X$^2$-test, T-test, and ‘One-way Analysis of Variances’. 4)suggest my own alternative proposal.

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Evaluation Study of Home Health Care Program Operated in G Public Health Center (인천광역시 일 보건소 대도시 방문보건사업의 평가 연구)

  • Kim, Myung-Soon;Kim, Young-Sook
    • Research in Community and Public Health Nursing
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    • v.15 no.4
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    • pp.539-550
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    • 2004
  • Purpose: The purpose of this study was to evaluate the achievements of the project, and also to find out its strengths and weaknesses. Method: This evaluative study employed system theory and analytic techniques by using criteria which were relevance, appropriateness, adequacy, progress, effectiveness and satisfaction for input, process, output, and outcome of program. Study subjects were participants in the home health care program implemented in G public health center in Inchon metropolitan city in 2003. Results: Input factors including recruitment personnel, and support organization development were not adequately met for the program. However. the goal and objectives of the project were really appropriate for the community needs as well as government's policy. For the Process evaluation, home health care record form and computer data base had not progressed as scheduled, but overall program activities were finished on time. However, cooperation between organizations in the health center during service activity were not supportive. Managerial ability of program charged personnel about coordination and integration of team members was not affirmative. Output and outcome evaluation showed that people improved self care ability were 221 (17.5%). and 71 (5.62%) of subjects were moved into category of possible self-care. Client's satisfaction for this project showed a high degree. Conclusions: Based on the above results support organization and staff personnel for this program should be developed. Also, a community network of resources should be established and case management services should be focused continuously in community based home health care.

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