• 제목/요약/키워드: Composite score

검색결과 183건 처리시간 0.024초

요양병원의 입원급여 적정성 평가 결과에 미치는 영향 요인 분석 (Factors influencing the composite quality score from the quality assessment program for long-term care hospitals)

  • 이상갑;설진주;이광수
    • 한국병원경영학회지
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    • 제25권3호
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    • pp.78-86
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    • 2020
  • Purposes: This study purposed to identify factors influencing the composite quality score from the quality assessment program for long-term care hospitals Methodology: The study variables was obtained from HIRA(Health Insurance Review and Assessment Service): the composite quality scores and hospital variables such as number of doctors, nurses, beds, medical technicians, medical equipments, administrative region, ownerships from 3rd (2010) to 7th (2018) quality assessment program. National Statistical Portal(www.kosis.go.kr) provided the number of senior citizens aged over 65 in city·county·district area. SAS 9.4 was used for the data processing and used to analyze the data. Findings: The results showed that composite quality score increased past 9 years. Hospital variables such as number of doctor, nurse, medical technicians, bed and public hospitals had significant positive relationship with the composite quality score. Administrative region(district) showed higher scores compare to that of city. Compare to the score of quality assessment year(2010), as the assessment year move to 2012, 2013, 2015, 2018, results showed higher significant positive coefficients. Practical Implication: Continuously improve the performance of long-term care hospitals, current quality assessment program are needed to update their system such as adopting indicators measuring the service process, or compensating the cost for quality assessment program. It will enable to provide more reasonable and accurate performance assessment scores.

지역사회 취약계층 아동의 건강행태와 건강관련 삶의 질 (Health Behaviors and Health-related Quality of Life among Vulnerable Children in a Community)

  • 김수연;추진아
    • 지역사회간호학회지
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    • 제26권3호
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    • pp.292-302
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    • 2015
  • Purpose: The purpose of this study was to examine the association between health behaviors and health-related quality of life (HRQOL) among vulnerable children in a community. Methods: Using data from 'The Obesity Prevention Framework for Vulnerable Children', a secondary analysis was conducted for 165 children (ages 8~12 years) and their parents who were recruited from 16 K-gu Community Child Centers in Seoul. Six types of health behaviors related to eating and activity were assessed. Each behavior was categorized into the non-recommended vs. recommended levels. The scores of the recommended levels of the six health behaviors were summed up for the composite score of health behaviors. HRQOL was measured by KIDSCREEN-52. Results: The groups with a non-recommended level of fast food intake and sedentary behavior had a significantly lower total score of KIDSCREEN-52 than those with a recommended level. Moreover, the lower composite score of health behaviors was significantly associated with the lower total score of KIDSCREEN-52. Conclusion: Among the vulnerable children, the six recommended health behaviors and their composite score were in significant positive associations with the HRQOL levels. Therefore, nursing strategies for enhancing the recommended levels of health behaviors are needed for vulnerable children.

어린이 제 1 대구치 복합 레진 수복물의 5년 후 임상평가 (5 YEARS EVALUATION OF COMPOSITE RESIN RESTORATION ON PERMANENT FIRST MOLAR IN CHILDREN)

  • 김인영;김재문;정태성;김신
    • 대한소아치과학회지
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    • 제35권1호
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    • pp.110-117
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    • 2008
  • 치과용 복합레진(Resin-based composite material)의 임상적 결과는 증례의 선택, 기술적인 완성도, 술자의 숙련도등에 따라 다양하게 나타날 수 있다. 특히, 어린이의 제 1 대구치 복합레진 수복은 치아의 맹출 정도와 환아의 협조도 등에 따라 성인의 경우에 비하여 임상적으로 많은 제약을 가지게 된다. 이에 본 연구는 어린이에 시행된 복합 레진 수복물에 대한 5년 후의 평가를 목적으로 시행되었다. 2001년 1월 1일부터 1년 간 부산대학교병원 소아치과에 내원하여 제 1 대구치 복합레진 수복을 받은 16명 환자의 35개 치아에 대하여 modified USPHS criteria에 근거하여 정밀 평가를 시행한 결과, 다음과 같은 결론을 얻었다. 1. 35개 치아 중 6개(17.1%)는 재수복되어 복합 레진 수복물의 5년 후 생존율은 82.9%로 나타났다. 2. 평가기준별 관찰 결과, 색조의 조화, 마모도, 표면 조도, 민감성 혹은 불편감의 측면에서 이상적인 상태인 A등급은 각각 86.2%, 93.1%, 86.2%, 86.2%로 나타났고, 임상적으로 수용가능한 수준인 B등급은 각각 13.8%, 0%, 13.8%, 10.3%를 보였다. 변연적합성과 변연부 변색의 측면에서 A등급은 각각 13.8%, 44.8%를 보였고 B등급은 79.3%, 34.5%로 나타났으며, 이차 우식의 발생율은 20.7%를 나타내었다. 3. 69.1%인 20개 치아는 7개 항목 모두에서 임상적으로 수용 가능한 것으로 나타났다.

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Y-Balance Test 시 지지발이 활동발에 미치는 영향 (Effects of support feet on active feet during Y-Balance Test)

  • 우병훈
    • 한국응용과학기술학회지
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    • 제40권6호
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    • pp.1249-1258
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    • 2023
  • 본 연구의 목적은 YBT(Y-balance test) 시 지지발의 COP 변인이 활동발의 상대도달거리와 종합점수에 미치는 영향을 밝히는 것이다. 연구의 대상자로 20대 성인 남성 26명(연령: 24.4±3.0 년, 신장: 171.0±10.5 cm, 체중: 72.1±12.1 kg 다리길이: 88.2±5.8 cm)이 연구에 참여하였다. 연구의 측정도구인 YBT를 통하여 활동발의 상대도달거리, 종합점수, 지지발의 COP 변인들을 좌우발에서 측정하여 결과를 도출하였다. YBT 시 지지발의 COP 변인이 상대도달거리와 종합점수가 미치는 영향을 알아보기 위하여 다중회귀분석을 이용하였다. 이에 따른 연구결과로, YBT 동안 오른발 지지 시 후외측 방향에서 전후, 좌우 COP속도, COP속도의 영향이 크고, 왼발 지지 시 후내측 방향에서 전후, 좌우 COP속도, COP속도의 영향으로 상대도달거리 및 종합점수를 향상시켰다.

Comparison of the National Early Warning Score+Lactate score with the pre-endoscopic Rockall, Glasgow-Blatchford, and AIMS65 scores in patients with upper gastrointestinal bleeding

  • Kim, Daejin;Jo, Sion;Lee, Jae Baek;Jin, Youngho;Jeong, Taeoh;Yoon, Jaechol;Park, Boyoung
    • Clinical and Experimental Emergency Medicine
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    • 제5권4호
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    • pp.219-229
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    • 2018
  • Objective We compared the predictive value of the National Early Warning Score+Lactate (NEWS+L) score with those of other parameters such as the pre-endoscopic Rockall score (PERS), Glasgow-Blatchford score (GBS), and albumin, international normalized ratio, altered mental status, systolic blood pressure, age older than 65 years score (AIMS65) among patients with upper gastrointestinal bleeding (UGIB). Methods We conducted a retrospective study of patients with UGIB during 2 consecutive years. The primary outcome was the composite of in-hospital death, intensive care unit admission, and the need for ${\geq}5$ packs of red blood cell transfusion within 24 hours. Results Among 530 included patients, the composite outcome occurred in 59 patients (19 inhospital deaths, 13 intensive care unit admissions, and 40 transfusions of ${\geq}5$ packs of red blood cells within 24 hours). The area under the receiver operating characteristic curve of the NEWS+L score for the composite outcome was 0.76 (95% confidence interval, 0.70 to 0.82), which demonstrated a significant difference compared to PERS (0.66, 0.59-0.73, P=0.004), but not to GBS (0.70, 0.64-0.77, P=0.141) and AIMS65 (0.76, 0.70-0.83, P=0.999). The sensitivities of NEWS+L scores of 3 (n=34, 6.4%), 4 (n=92, 17.4%), and 5 (n=171, 32.3%) were 100%, 98.3%, and 96.6%, respectively, while the sensitivity of an AIMS65 score of 0 (n=159, 30.0%) was 91.5%. Conclusion The NEWS+L score showed better discriminative performance than the PERS and comparable discriminative performance to the GBS and AIMS65. The NEWS+L score may be used to identify low-risk patients among patients with UGIB.

고온 다습한 환경에서의 주관적 착용 쾌적감 평가도구 개발을 위한 기초 연구 -Fuzzy 이론의 적용방법과 요인분석 방법간의 비교- (A Study of Development of Evaluation Technique for the Subjective Clothing Comfort in Hot-humid Environment -Comparision between the utilization of Fuzzy theory and Factor Analysis-)

  • 김정화;조승식
    • 한국의류학회지
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    • 제20권2호
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    • pp.362-372
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    • 1996
  • Recently, need for the development of the quantification of subjective evaluation is growing for the production of high-touch and high-tech textile products. In this study, Fuzzy theory is utilized for the evaluation of the wear comfort of the various blouses. Result of a new evaluation method and factor scores, validity of the new evalution technique adopted fuzzy theory was crosschecked with the results of fator analysis and factor scores. As results, fuzzy theory was proved to be adequate methodology to objectify the subjective evaluation of the adequacy of clothing which is worn. When DUNCAN'S multiple comparion among median of the fuzzy composite score were compared with the results of factor score, the sensitivity of the test methods tends to increase. Therefore, it is suggested that fuzzy weighted checklist is an alternative evaluation scale for the subjective comparison of the textile products. In addition, individual median of fuzzy composite score value should be treated by statistical for the sensitive analysis of subjective evalution.

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Holstein 젖소의 선형심사형질과 등급형질에 대한 유전변이 추정 (Estimation of Genetic Variations for Linear Type Traits and Composite Traits on Holstein Cows)

  • 이득환
    • Journal of Animal Science and Technology
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    • 제48권2호
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    • pp.161-168
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    • 2006
  • Genetic parameters for linear type and composite traits were estimated by using Bayesian inference via Gibbs sampling with a multiple threshold animal model in Holstein cows. Fifteen linear type traits and 5 composite traits were included to estimate genetic variance and covariance components in the model. In this study, 30,204 records were obtained in the cows from 305 sires. Heritability estimates for linear type traits had the estimates as high as 0.28~0.64. Heritability estimates for composite traits were also high, when the traits were assumed to be categorical traits. Final score was more correlated with the composite traits than with the linear type traits.

정량적 인적오류 분석에서 수행도형성인자를 고려하기 위한 방법 (A Method for Considering Performance Shaping Factors in Quantitative Human Error Analysis)

  • 정광태
    • 한국안전학회지
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    • 제12권1호
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    • pp.113-121
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    • 1997
  • Human reliability attempts to make precise quantitative analyses and predictions of the performance of human-machine(or product) systems. In order to yield more precise human error analysis, precise human error probabilities(HEPs) must be used in the analysis. However, because human behavior is influenced by factors that are called performance shaping factors(PSFs), the effects of PSFs must be considered to obtain precise HEPs, These are called basic HEPs or situation-specific HEPs. This paper presents a theoretical method for obtaining basic HEPs (i.e. , considering PSFs) in quantitative human error analysis. In this method, the weight which characterizes the degree of importance of several PSFs is obtained by the analytic hierarchy process. The quality scores of PSFs in the task situation are obtained by percentile concept. These scores are used in conjunction with the relative Importance weights of PSFs to compute the composite quality percentile score of PSFs in the task situation. Then, a new mapping method of the composite quality percentile score of PSFs into a situation-specific basic HEP is proposed with a numerical example.

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Vasovagal syncope with mild versus moderate autonomic dysfunction: a 13-year single-center experience

  • Lee, Han Eoul;Lee, Dong Won
    • Clinical and Experimental Pediatrics
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    • 제65권1호
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    • pp.47-52
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    • 2022
  • Background: An adequate large-scale pediatric cohort based on nationwide administrative data is lacking in Korea. Purpose: This study aimed to differentiate patients with VVS by autonomic dysfunction severity using the composite autonomic severity score (CASS) and compare the clinical manifestations and prognosis between patient subgroups. Methods: We retrospectively reviewed the medical records of 66 VVS patients divided into 3 groups by CASS. To compare the differences between these groups, we analyzed VVS type, triggers, prodromal symptoms, management of syncope, and prognosis between patients with mild versus moderate autonomic dysfunction. Results: Of our 66 patients with VVS, 41 had mild autonomic dysfunction (62.1%) and 25 had moderate autonomic dysfunction (37.9%). We found no significant intergroup differences in age, sex, inducible factor (P=0.172), prodromal symptoms, laboratory findings, head-up tilt test, type of syncope, or prognosis (P=0.154). Conclusion: We found no evidence that autonomic dysfunction degree is affected by VVS characteristics, test findings, parameters, or prognosis; therefore, no further evaluations are needed to classify autonomic dysfunction severity.

방카슈랑스 확대에 따른 은행의 안전성 및 효율성 변화 분석 (The Effects of Bancassurance on the Stability and Efficiency of Banks: A Simulation Study)

  • 나동민
    • KDI Journal of Economic Policy
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    • 제28권1호
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    • pp.49-93
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    • 2006
  • 본 연구는 은행과 보험 간의 겸업이 은행의 안정성과 효율성에 어떠한 영향을 미치는가를 실증분석하고 있다. 실증분석은 국내 모든 은행과 보험회사의 2000년부터 2004년까지의 5개년 자료를 가지고 Z-score 및 복합함수형태 (composite functional form) 모형을 사용하여 진행하였다. 안정성 분석결과는, 은행이 보험업을 겸영할 경우 겸업비중이 확대될수록 안전성은 저하됨을 보여주고 있다. 효율성 분석에서는, 전체 은행의 경우 은행이 보험업무의 겸업비중을 확대함에 따라 비용효율성은 감소하지만, 수익효율성은 증가하며, 결과적으로 이익효율성은 증대되는 것으로 나타났다.

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