• 제목/요약/키워드: Enforcement Rate

검색결과 139건 처리시간 0.019초

의무기록 완성도에 대한 병동순회 의무기록사제도의 개입효과 (A Study on the Ward Rounding System of Medical Record Administrator for Improving the Completeness of the Medical Records)

  • 강선희;박훈기;이금순;문옥륜;정풍만
    • 한국의료질향상학회지
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    • 제6권1_2호
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    • pp.80-91
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    • 1999
  • Background : With the CQI concepts, which emphasize doing the right things right the first time, we tried to enhance the timely completion of medical records by changing the review process from retrospective method to concurrent one. Methods : Against the current retrospective QA activity, Medical record administrator did the concurrent QA of the inpatient medical records with the deficiency sheets. One general surgery ward was chosen as a trial one. The deficiency rate of the medical records of the discharged patients was compared before and after the enforcement of the system. Job analysis of the medical record departments was done about four tertiary care hospitals located in Seoul to estimate the cost and the time consumed by current system. Results : There was a little improvement in the completion rate of the medical records after the trial. The new system was effective. And job analysis showed that much money and time were wasted by current retrospective feedback system. Conclusion : Though the result was not so satisfactory, it should be considered that this test was a voluntary one and the interns and residents were not forced to complete the medical records during this trial period. If there be any strong motivation to complete the medical record in time, this system is sure to be succeed. As the DRG system requires the concurrent review of the medical records to confirm severity of the patient's illness and to assure the timely discharge, it is desirable to enforce this method with the DRG system together. DRG coding and reducing deficiency rate of the medical records can be accomplished simultaneously.

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법인의 전기 사내유보가 당기 배당률에 미치는 영향 부채비율의 조절변수 효과 및 DRF & GBM 모델을 통한 검증 (The Effects of the Previous Corporate Internal Reservation on the Current Dividend Rate - Using LEV as a moderating variable & Verification through DRF & GBM model)

  • 유준수;정재연
    • 한국융합학회논문지
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    • 제8권10호
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    • pp.215-223
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    • 2017
  • 본 논문은 법인의 전기 사내유보가 당기 배당률에 미치는 영향을 분석함으로써 미환류 소득세제가 어느 정도 효과를 거두고 있는지 실증분석 하고자 하였으며 추가로 부채비율을 조절변수로 사용하여 정부정책의 유효성도 알아보고자 하였다. 또한 DRF와 GBM 모델을 이용하여 그 효과를 한 번 더 살펴보았다. 실증분석 결과 모형1, 모형2, 모형3에서 모두 현금흐름비율, 자기자본순이익률, 외국인보유비중 변수가 99% 수준에서 유의미함을 확인할 수 있었던 반면 광고선전비 비율, 대주주지분율 변수는 모든 모형에서 유의미하지 않은 결과를 보여주었다. 융합 차원에서 실시한 DRF와 GBM 모형의 분석 결과를 보면 DRF가 depth와 leaves에서 GBM 보다 더 높게 나타났으나 모형의 설명력에 있어서는 GBM이 DRF보다 더 높았다. 앞으로의 과제는 미환류 소득세제의 시행기간인 3년간(2015~2017)의 시계열 분석을 통하여 정부정책의 효과를 살펴볼 필요가 있다.

Using Workers' Compensation Claims Data to Describe Nonfatal Injuries among Workers in Alaska

  • Lucas, Devin L.;Lee, Jennifer R.;Moller, Kyle M.;O'Connor, Mary B.;Syron, Laura N.;Watson, Joanna R.
    • Safety and Health at Work
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    • 제11권2호
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    • pp.165-172
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    • 2020
  • Background: To gain a better understanding of nonfatal injuries in Alaska, underutilized data sources such as workers' compensation claims must be analyzed. The purpose of the current study was to utilize workers' compensation claims data to estimate the risk of nonfatal, work-related injuries among occupations in Alaska, characterize injury patterns, and prioritize future research. Methods: A dataset with information on all submitted claims during 2014-2015 was provided for analysis. Claims were manually reviewed and coded. For inclusion in this study, claims had to represent incidents that resulted in a nonfatal acute traumatic injury, occurred in Alaska during 2014-2015, and were approved for compensation. Results: Construction workers had the highest number of injuries (2,220), but a rate lower than the overall rate (34 per 1,000 construction workers, compared to 40 per 1,000 workers overall). Fire fighters had the highest rate of injuries on the job, with 162 injuries per 1,000 workers, followed by law enforcement officers with 121 injuries per 1,000 workers. The most common types of injuries across all occupations were sprains/strains/tears, contusions, and lacerations. Conclusion: The successful use of Alaska workers' compensation data demonstrates that the information provided in the claims dataset is meaningful for epidemiologic research. The predominance of sprains, strains, and tears among all occupations in Alaska indicates that ergonomic interventions to prevent overexertion are needed. These findings will be used to promote and guide future injury prevention research and interventions.

의료보험(醫療保險) 실시이후(實施以後) 지역주민(地域住民)의 의료기관이용행태(醫療機關利用行態) 변화(變化) 추이(推移)와 그 요인(要因)에 관한 조사연구(調査硏究) (Analysis on the trends and causes of inhabitant's behavioral changes in medical institutions's utilization after enforcement of regional medical insurance. (pilot-project area of regional medical insurance; mainly Kun-wi and Kwang-hwa county))

  • 박정연
    • 한국보건간호학회지
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    • 제3권2호
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    • pp.47-76
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    • 1989
  • The objectives of this study was to analyze the major causes of decreasing utilization rate of health care institutios in pilot-project area of regional medical insurance, Kwang-hwa and Kun-wi country. After the implementation of medical insurance, utilization rate of health institutions turned out' to be lower than it was estimated, when the pilot-project of regional medical insurance was planned. It might be due to changes in inhabitant's behavioral attitude toward medical insurance. So this study was made to find measures for financial stability by increasing utilization rate of health care institutions and to be available for basic demand-supply program of medical care. The hypothesis of this study was as follows; First. there is difference in understanding health care institutions between Kun-wi and Kwang-hwa. Second. respondesnts of inquiry survey have exact knowledge of their past experience of treatment taken prior to enforcement of medical insurance, Questionaire survey was made as to each 700 household among total 11, 884 households in Kun-wi and 20,919 households in Kwang-hwa. In case of Kun-wi, 70% of inquired households (491) gave their answers. In Kwang-hwa, the number was 560 households (80% of inquireds). Dollected data was processed and analyzed by way of using SPSS batch system. To evaluate facto rs distribution aspects of data and to make comparison between two area, percentage and $X^2$ distribution were applied. The results were as follows; L The utilization rate of health care institutions in Kun-wi and Kwang-hwa was lower than it was estimated. when pilot-project of medical insurance was planned. 2. Prior to the implementation of medical insurance. inhabitants in two area chose the medical institutions considering such factors. First was medical care fee cheap. second in habitant's residence, Third was the institutions conveniently easy of access. 3. After the implementation of medical insurance. 26.1% of inqurieds in Kun-wi and 41.6% in Kwang-hwa, changed medical institutions. In case of Kwn-wi, from health care institution (p 0.05), and in case of Kwang-hwa, vice versa, from general medical institutions to health care institutions. 4. Evaluation by factors were made such as follows. Inquired gave high marks to following facts: In case of Kun-wi, general medical institutions were difficult of access and relation between patients: was not friendly, but burden of medical expenditure was light. Effects of treatment and facilities was good. In case of Kwang-hwa, inquired gave high evaluation marks to the follow ing facts; facilities of medical institutions was not good, but the burden of medical expenditure was light. 5. After the implementation of medical insurance, the services was evaluated as good, but inquired hopec for lessening the burden of medical expenditure. 6. In case of exact understanding of cost-sharing, the evaluation rate in Kwang-hwa was higher than that of Kun-wi (p < 0.005). And positive attitude toward necessity of medical insurance was also good in Kwang-hwa (p < 0.05). 7. In case of inquired's attitude toward medical institutions, Kwang-hwa showed positive response (p < 0.05) 8. In the case of comparison between general medical institution and health care institution, two area showed similar positive response; medical manpower, facilities of medical institutions and effest: of treatement was good. 9. In comprehensive evaluation of benefit-service; the general medical institution's positiveness was higher than that of health care institutions in Kun-wi. But in Kwang-hwa vice-versa. 10. If the medical expenditure of general medical institution and health care institutions was equal 77% of inquireds in Kun-wi and 59.1% in Kwang-hwa answered that they chose general medical insurance. Considering results above mentioned, the conclusion of this study was made as follows. 1. In Kwang-hwa county, where the understanding of health care institutions's was good, the utilization's of health care institutions was shown high. Therefore, in case of Kwang-hwa, betterment: should be made to induce increasing utilization rate for negative factors of health care institutions. 2. In case of Kun-wi, where the understanding of health care institutions was on the decrease, measures for changing such negative factors should be taken by way of strengthening public relations. And cases of Kwang-hwa should also be studied. 3. On the side of financial stabilization and establishing health care delivery system, primary health care should be available. Therefore, the major cause of inhabitant's avoiding health care institutions should be known. And measures for activating that institutions have to be taken. So, the facilities of health care institution have to be improved up to the level of clinic. And supportive measures for securing equipment and improving health care services should also be taken. It is necessary that strategy for public relations should be employed with policy considerations and supports.

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K-WAH4.4를 이용한 재난대응기관의 웹 접근성 실태분석 (An Actual Analysis of Web Accessibility of Disaster Response Agencies using K-WAH4.4)

  • 이영식;최철재;장재열;최진식
    • 한국전자통신학회논문지
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    • 제10권1호
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    • pp.149-156
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    • 2015
  • 본 논문은 재난대응과 관련이 있는 기관 및 단체의 웹 접근성을 평가 분석한다. 웹 접근성의 법률적 시행에 따라 재난발생의 위급상황에 직간접으로 관여하는 기관 및 단체의 웹 사이트와 콘텐츠도 기준이상의 웹 접근성의 준수 되어야 하기 때문이다. 재난대응기관 및 유관단체의 구체적인 웹 접근성 준수 실태 파악을 위해 평가 도구로 K-WAH4.4를 적용하였으며, 웹 콘텐츠 접근성 지침 2.0에 따라 해당 웹 사이트의 6개 세부지침에 대한 준수가 61.8%로 저조함을 보이고, 웹 접근성을 높이기 위한 개선의 필요성을 제기한다.

탄소성 최소 제곱 수식화와 이를 이용한 무요소법 (The Meshfree Method Based on the Least-Squares Formulation for Elasto-Plasticity)

  • 윤성기;권기찬
    • 대한기계학회논문집A
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    • 제29권6호
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    • pp.860-875
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    • 2005
  • A new meshfree method for the analysis of elasto-plastic deformations is presented. The method is based on the proposed first-order least-squares formulation, to which the moving least-squares approximation is applied. The least-squares formulation for the classical elasto-plasticity and its extension to an incrementally objective formulation for finite deformations are proposed. In the formulation, the equilibrium equation and flow rule are enforced in least-squares sense, while the hardening law and loading/unloading condition are enforced exactly at each integration point. The closest point projection method for the integration of rate-form constitutive equation is inherently involved in the formulation, and thus the radial-return mapping algorithm is not performed explicitly. Also the penalty schemes for the enforcement of the boundary and frictional contact conditions are devised. The main benefit of the proposed method is that any structure of cells is not used during the whole process of analysis. Through some numerical examples of metal forming processes, the validity and effectiveness of the method are presented.

Sanitation and Tissue Residue Problems in High Quality Pork - Review -

  • Lee, M.H.;Ryu, P.D.
    • Asian-Australasian Journal of Animal Sciences
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    • 제12권2호
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    • pp.233-243
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    • 1999
  • Food safety or sanitation are terms broadly applicable to procedures designed to ensure that food quality is high and free of factors which may adversely affect human health. These factors include zoonotic diseases and acute and chronic effects of ingesting natural and human-made xenobiotics. Use of drugs in animal production for the treatment and control of animal diseases, to promote growth rate, and to improve feed conversion efficiency has expanded year by year, thus increasing the possibilities for occurrences in animal products of residues harmful to humans. Governmental agencies have made efforts to control or prevent residue problems. The Korean Food and Drug Administration (KFDA) is charged with the responsibility of establishing tolerances for veterinary drugs, pesticides, and mycotoxins and other non-pharmaceutical substances. The Department of Veterinary Service is responsible for establishing guidelines regarding withdrawal times of drugs, approval of drugs, their uses, and sanitation enforcement of livestock products. The authors describe the toxicological basis for the establishment of tolerance levels for xenobiotics and the pharmacokinetic basis for establishing withdrawal time for veterinary drugs. The regulatory tolerance levels of chemicals in pork and swine feed, Korean regulations on the use of feed additives, rapid residue test methods, the National Residue Program, and the Food Animal Residue Avoidance Databank are discussed. Rapid EIA methods that are under development for the screening of live animals are described These methods predict tissue residues from an examination of blood samples taken from pigs before they are slaughtered.

A Generous Cooperative Routing Protocol for Vehicle-to-Vehicle Networks

  • Li, Xiaohui;Wang, Junfeng
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제10권11호
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    • pp.5322-5342
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    • 2016
  • In vehicle-to-vehicle (V2V) networks, where selfishness degrades node activity, countermeasures for collaboration enforcement must be provided to enable application of a sage and efficient network environment. Because vehicular networks feature both high mobility and various topologies, selfish behavior judgment and establishment of a stable routing protocol become intensely challenging. In this paper, a two-phase-based generous cooperative routing protocol (called GEC) is presented for V2V networks to provide resistance to selfishness. To detect selfish behaving vehicles, a packet forwarding watchdog and an average connection rate based on the multipath weight method are used, where evidence is gathered from different watchdogs. Then, multihop relay decisions are made using a generous cooperative algorithm based on game theory. Finally, through buffering of the multiple end-to-end paths and judicious choice of optimal cooperative routes, route maintenance phase is capable of dealing with congestion and rapidly exchanging traffic. Specifically, it is proved that the GEC is theoretically subgame perfect. Simulation results show that for V2V networks with inherently selfish nodes, the proposed method isolates uncooperative vehicles and is capable of accommodating both the mobility and congestion circumstances by facilitating information dissemination and reducing end-to-end delay.

품질경쟁력(品質競爭力) 우수기업(優秀企業)의 경영성과(經營成果)에 관한 실증적(實證的) 연구(硏究) (An Empirical Study on the Management Performance of Excellent Quality Competitiveness Enterprise)

  • 유영철;배영주;김광수
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2009년도 추계학술대회
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    • pp.231-249
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    • 2009
  • The 'Excellent Quality Competitive Enterprises' selection system began with the government's selection and announcement of 'Top 100 Excellent Quality Competitive Enterprises' in 1997 in accordance with Article 6 of the Quality Management and Safety Control of Industrial Products Act and Article 5 (Selection of excellent quality management enterprises, etc.) of the Act's Enforcement Decree. The content of the research and analysis results is summarized as follows: 1. The participation and confidence of enterprises in the differentiation of the assessment system for the excellent quality competitive enterprises selection system is high: from the initial year to the present, 10% of enterprises have participated in the system for over 10 years and since 2000 participating enterprises have been on a steady rise. 2. The distribution of participating enterprises is not limited to any specific region but is spread nationwide, while the participation scale and business types also are being evenly distributed. 3. From the perspective of management performance, as compared with the average of domestic manufacturing businesses or that of U.S. manufacturing businesses, an analysis found that among management results, the excellent quality competitive enterprises achieved far higher sales growth and operating profit rate on sales, however their own capital ratio and debt to equity ratio appeared to be slightly higher.

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시장개방 도입기 부패 영향요인 연구 - 미얀마 기업을 대상으로 (A Study on the Factors Influencing Firm Cor ruption at the Beginning of Market Opening : The Case of Myanmar)

  • 임헌진;유천;박현용
    • 한국경영공학회지
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    • 제23권4호
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    • pp.19-31
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    • 2018
  • Corruption is a serious political factor that distorts economic structure and slows economic development. In particular, the transition to the market opening economy increases the corruption incentives due to the transitional situation. The purpose of this study is to investigate the influencing factors on corruption using 2013 Myanmar Enterprise Survey data provided by World Bank. As a result of the analysis, it was found that the manager's willingness to dealing the regulation and the necessity of licensing had a positive relationship with corruption at the level of 90% and 95%, respectively. In the competitive environment factor, the intensity of the competition showed a significant increase at the level of 90%. In the institutional environment, the perception of social corruption and the obstacle of the taxation authorities increased the corruption. On the other hand, the increase in the instability of the political environment and strict enforcement of laws has been shown to reduce corruption. However, there was no significant relationship between managerial capacity, corruption of competitors, tax rate, and administrative environment.