• 한국병원경영학회지
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• 제27권1호
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• pp.20-30
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• 2022

Purposes: This study purposed to evaluate the effect of a value incentive program(VIP) on the in-hospital mortality of acute stroke. Methodology: Study period was from January 2010 to December 2018. This study included 63 hospitals for acute hemorrhagic stroke that the mortality rate per month was more than one during study period. Independent variables were time variables and hospital characteristics such as hospital type, district and bed number. Interrupted time series analysis was applied to analyze the data. Findings: In case of general hospitals, the in-hospital mortality rate per month for acute hemorrhagic stroke tends to be increased by 0.03% in overall study periods but decreased by 0.32% after the implementation of the policy. On the other hand, tertiary hospital changes are not statistically meaningful. Conclusion: This study provides evidences how the VIP was effective in improving quality of acute hemorrhagic stroke care. General hospitals showed higher policy effect compare to that of tertiary hospitals.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2009년도 춘계학술대회 논문집
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• pp.636-642
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• 2009

The application of LCC-techniques is being introduced at the on-going procurement programs of various techniques. LCC-techniques have the common characteristic that all are designed to motivate contractors to design, manufacture and deliver equipment with lower life cycle costs. You may believe that savings may be in the acquisition cost component of life cycle costs. However, primary emphasis is generally on reducing and controlling operating and support costs by transferring more responsibility to the contractor for equipment operating and support cost performance. It has been found that life cycle cost procurement provisions must be individually tailored to each program. In this study, the currently identified LCC procurement techniques including a variety of LCC incentive provisions are introduced. Moreover, verification method, a procedural issue and incentive to application of LCC-techniques are examined.

• 지역사회간호학회지
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• 제26권4호
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• pp.405-414
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• 2015

Purpose: The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions. Methods: This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects. Results: Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions. Conclusion: Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.

• 약학회지
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• 제52권2호
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• pp.160-164
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• 2008

This study investigated the current status and drug expenditure of the drug shortage prevention program in Korea. National health insurance claims data from 2001 to 2005 were analyzed for the drugs with inadequate supply, which were designated as shortage prevention drugs (SPDs). Drug use of SPDs have increased every year, but the average increase rate of drug expenditure for SPDs, 13.5% was lower than that for all the reimbursed drugs, 18.6%. Drugs with price increase based on production cost were more actively used than drugs with prescription incentives for doctors.

• 에너지공학
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• 제14권1호
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• pp.46-53
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• 2005

본 논문은 확률적 기법을 적용하여 직접부하제어의 적정한 지원금을 산정하는 새로운 방법론을 제안한다. 직접부하제어의 경제성 분석은 발전기의 고장정지 특성, 직접부하제어 자원의 차단용량 및 차단시간 등을 모두 고려해야 하기 때문에 현실적으로 불가능한 것으로 인식되었다. 따라서 기존의 연구에서는 시나리오 접근법을 사용하여 직접부하제어의 경제성 평가를 수행하였다. 본 논문에서는 몬테카를로 시뮬레이션을 적용하여 직접부하제어의 제어전력량을 확률적으로 추정하고 이를 기반으로 직접부하제어의 지원금을 산정하는 새로운 접근법을 개발하였다. 또한 시뮬레이션의 효율을 향상시키기 위하여 분산감소 기법을 적용하였다. 본 논문에서 제안한 방법론의 유용성을 보이기 위해 IEEE 24-모선 신뢰도 계통에 적용하여 사례연구를 수행하였다.

• 한국건설관리학회논문집
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• 제12권2호
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• pp.41-52
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• 2011

서울의 경우 세계의 초대형도시에 못지않은 막대한 세대수를 보유하고 있으나, 지금까지 기존의 주택을 활용하거나 재이용하기 보다는 새로운 주택을 건설하는 등 성장위주의 주택정책으로 인해 기존 공동주택을 유지하고 재이용하는 정책개발에 대한 노력은 미비하였다. 서울의 아파트 또는 분당, 일산 등 1기 신도시가 건설된 지 약 20년이 되는 등 개보수가 필요한 수선주기가 다가옴에 따라 기존의 품질을 유지하고, 안전하게 활용하기 위해서는 기존 공동주택의 유지관리를 유도할 수 있는 론(loan) 보조금 세금우대프로그램 등 금융지원이 절실한 실정이다. 따라서, 본고에서는 세계적인 거대도시로서 다양한 주거형태를 보이고 있는 뉴욕시와 도쿄도의 론 보조금 세금우대프로그램 등 금융지원체계를 비교 분석하여 국내에 유지관리금융지원방안을 제안하였다.

• 노동경제논집
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• 제37권1호
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• pp.29-57
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• 2014

본고는 실업급여와 생애적 차원에서 소비균등화를 도모할 수 있는 대출을 이용하여 근로자에게 실직에 따른 소득감소 보전 및 실직위험에 대한 보험을 효과적으로 제공하는 소득보장 체계를 제시한다. 특히 대출 상환을 추후 근로자 소득과 연계시키는 소득연계식 대출(ICL)과 실업급여를 통해 실직자들의 구직유인 감퇴 효과를 최소화하면서 상태별 혹은 동태적 소비균등화를 효율적으로 도모할 수 있는 실업보조 제도를 분석한다. 또 본고는 소득연계식 대출이 실업자 소득보장 제도뿐 아니라 여타 복지 프로그램에도 적용될 수 있는 일반적인 정책수단이 될 수 있음을 지적하고, 따라서 ICL이 최근의 복지서비스 수요 증대에 효과적으로 대응할 수 있는 새로운 복지정책 패러다임으로서 기능할 수 있음을 밝힌다.

• 한국안전학회지
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• 제20권1호
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• pp.143-147
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• 2005

Immediate responsibilities for occupational health and safety (OHS) management reside in business proprietors and supervisors whose voluntary participation in OHS educational programs, not legal sanctions, may thus lead to safe and pleasant work environments. This study investigates how to promote the effectiveness of OHS educational programs to draw voluntary participations in such programs in Korea To this end, drawbacks of current practices in OHS education are first analyzed, and then OHS related policies in advanced countries in the area of disaster prevention such as United States and Germany, are also scrutinized. Based on the preliminary investigations, the following propositions are made to lay out the foundation for promoting effective OHS educational programs in Korea: improvement of government regulations, revitalizing job training initiatives, on-site OHS education, compensation and incentive programs for OHS education. These propositions may also facilitate the deployment of disaster prevention activities across the organization and prevent various occupational disorders (for example, musculoskeletal disorders). This study emphasizes that monolithic OHS education systems led by regulatory agencies may not be efficient to ensure healthy and safe work environments. Globally competitive OHS educational systems may be established only when they are based on the health and safety requirements specified by proprietors and workers.

• 보건행정학회지
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• 제23권4호
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• pp.427-433
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• 2013

Background: This study was conducted to evaluate the factors affecting adherence in patients with hypertension and type 2 diabetes mellitus before and after a clinic based patient incentive program in Incheon. Methods: An observational follow-up study was done for 28,355 patients in one registered group and 245,598 patients in a non-registered group from March 16th 2009 to December 31th 2010 in Incheon. The registration, mandatory laboratory tests and number of clinic visits were collected by merging the Incheon Chronic Disease Management System data and the National Health Insurance Corporation (NHIC) data. As a measure of patient adherence, we used a variable of prescription days from the NHIC and defined above 80% of average prescription days as an appropriate patient adherence. Repeated measures analysis of variance and logistic regression were used to analyze the differences in patient adherence and factors affecting adherence. Results: The changes in prescription days for the registered group are larger than for the non-registered group. In the logistic regression model, including the variables with sex, age, income status and number of clinic visits, the registered group exhibited a higher Odds ratio in the patient adherence. Conclusion: This study revealed the association between registration and appropriate patient adherence in patients with hypertension or type 2 diabetes mellitus.

• 한국보건간호학회지
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• 제12권1호
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• pp.1-12
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• 1998

This study was conducted to grasp the progress of the health management program in small scale industries with phenomenological approach. The industrial health care system compose of manpower, devices, and facilities such as medical resources, organization, service delivery system, financial resources, payments, and management system is important for the industrial health. Especially health management program should be provided feasible conditions to workers. The data collection period was 2 months from September 1 to October 30, 1997. The indepth interview results for health monitor, labors, and occupational health nurses were analyzed by Giorgis' phenomenological method. The major results were as follows: 1. The workers, health monitors and nurses felt that the subsidiary program of health management in small scale industries were necessary. This project for small-size industry can be set-up through complementary education for health monitors and resolvement of nurses' six suggestions. It is necessary to provide followings ; 1) Properly devision of industry 2) More clear guidance for health management at visiting time 3) Legitimate incentive system 4) Health education materials and devices 5) Change of fee and material payments at visiting 6) Budgets and system for medication and vaccination at visiting 2. Above all, it is suggested that the strategics of the health management program should be developed.