• Title/Summary/Keyword: Outcomes research

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Review on Patient Outcomes Research (환자진료결과연구에 대한 고찰 -미국의 PORT 연구를 중심으로-)

  • Park, Eun-Cheol;Kim, Han Joong;Cho, Woo Hyun;Sohn, Myongsei
    • Quality Improvement in Health Care
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    • v.5 no.1
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    • pp.152-165
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    • 1998
  • Background : In this paper patient outcomes research is going to be reviewed and described, to be compared with relevant studies, and to consider the application in Korea. Methods : We compiled and reviewed the articles and materials related to patient outcomes research especially by PORT(Patient Outcomes Research Team) and rearranged them for seeking the main point and comparing with relevant studies. Results : Patient outcomes research emphasizes patient outcomes as well as conventional clinical outcomes. It is prospective study observing effectiveness in real situation instead of efficacy in ideal condition. Patient outcomes research comprises of 6 fields ; literature review and meta-analysis, use of claims data, decision modeling, outcomes assessment, cost of care, dissemination of research findings. SAA(small-area variations analysis), appropriateness study and clinical practice guideline are connected with patient outcomes research. Conclusion : In view of the fact that current medical policy in Korea is shifting its focus from accessibility to the improvement in quality and cost containment, and is stressing patient-based research, patient outcomes research is one direction for which the medicine is accountable and assessable. Considering that the number of patient receiving medical treatment in Korea is higher than the West, patient outcomes research has competitive power as against the West.

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An Exploratory Study on the Project Performance by PMO Capability (PMO 역량에 따른 프로젝트 성과에 관한 연구)

  • Bae, Jae-Kwon;Kim, Jin-Hwa;Kim, Sang-Yeoul
    • Asia pacific journal of information systems
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    • v.18 no.1
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    • pp.53-77
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    • 2008
  • In recent years, although numbers of corporations are bringing in PMO, they seem to be indifferent to PMO performance measurement. This demonstrates that there are also other reasons beside performance measurement of information systems (IS) project being ambiguous by introducing PMO; the lack of acknowledging the concrete function of PMO, and the scarcity of empirical study about the effect of PMO on the project members and project performance. In this sense, this study is aimed at proposing a new research model in which project success factors (i.e., standardization, management advocacy, and staff expertise) affect PMO capability (i.e., knowledge management, resources management, and problem solving competency) positively, leading to project performance (i.e., task outcomes, psychological outcomes, and organizational outcomes) eventually. To empirically test the research model, data are surveyed from PMO department and IS department. To prove the validity of the proposed research model, PLS analysis is applied with valid 132 questionnaires. By employing PLS technique, the measurement reliability and validity of research variables are tested and the path analysis is conducted to do the hypothesis testing. The path analysis results can be organized into 7 ways in large scale. First, standardization of project success factors has a positive association with knowledge management, resources management, and problem solving competency of PMO capabilities. The findings of this result indicate that the multiple or single project management should satisfy standardization in order to operate an effective PMO. Second, management advocacy of project success factors has a positive association with knowledge management, resources management, and problem solving competency. Management advocacy refers to the willingness of management to provide the required resources and authority for project success. There is agreement among researchers regarding the importance of management advocacy for favorable PMO capability. Third, staff expertise of project success factors has a positive association with knowledge management, resources management, and problem solving competency. The findings of this result indicate that the formation of an exceptional consultant or members with a proficient knowledge for staff expertise of project member is the key factor to elevate the PMO capability. Past research suggests that experience and knowledge and the resultant familiarity with the problem faced can be an important determinant of PMO capability. A capable project with appropriate staff expertise means that it enjoys a diversity of abilities and experiences. Fourth, knowledge management competency of PMO capabilities has a positive impact on psychological outcomes but has no direct effect on task outcomes and organizational outcomes. In domestic case of S. Korea, PMO was finally introduced to many other corporations in 2005 though it started bringing in 2000. Therefore, it had neither a significant impact on the task outcomes nor organizational outcomes by lacking the contents and the infrastructure of the knowledge management because the knowledge consolidation and management period of PMO is comparatively shorter by terms than other foreign nations. Fifth, resources management competency of PMO capabilities has a positive association with task outcomes, psychological outcomes, and organizational outcomes. In addition, problem solving competency of PMO capabilities has a positive association with task outcomes, psychological outcomes, and organizational outcomes. Therefore, the findings of this results stress that PMO capabilities has a positive impact on project performance. Sixth, according to the path analysis of the hypothesis, which suggested in this research, problem solving competency is the PMO capability which is the key success factor for task, psychological, and organizational outcomes as an integrated performance model. Further, the analysis reveals that problem solving competency is an important factor for integrated performance model. The finding is in line with past IS research, which affirms that the work of IS projects is essentially a problem solving endeavor. Seventh, in the path analysis of the hypothesis in this research, the path of the management advocacy $\rightarrow$ problem solving competency $\rightarrow$ organizational outcomes appears to be the most important and strongest path. In brief, the finding of this study suggests that project success factors influence PMO capability positively, and project performance as well. From the results, it can be concluded that PMO helped great improve the project success rate and project performance. This study advances research on PMO capability in three important aspects. First, the findings of our study have implications for IS theory and future research. Our study contributes to IS theory by synthesizing concepts from PMO research and project management research with those in IS research. We proposed and tested PMO capability of IS projects and the findings of our investigation provided some preliminary answers to some of the questions raised. Secondly, this thesis does not only help depicting the concept of IT governance but also approaches empirically. It makes a gradual approach to the main content, step by step, in contrary of simple standard, scholastic way of thinking. Finally, we argued that this task-oriented(technical) view is not sufficient to adequately conceptualize IS project performance. Hence, we applied that the research on organization teams, which provides a flip viewpoint to that of project management research in that it gives more weight for psychological outcomes of organizational work groups, can be very helpful in reconceptualizing the IS project performance construct. The limitations of this study are also discussed to provide research directions for future research.

Structural Equation Modeling on Case Management Outcomes and Factors Influencing Outcomes in the Community-dwelling Vulnerable Elders (취약계층 재가노인의 사례관리 성과와 영향요인에 관한 구조모형 구축)

  • Moon, Hyunjung;Lee, In-Sook
    • Journal of Korean Academy of Nursing
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    • v.43 no.6
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    • pp.791-800
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    • 2013
  • Purpose: This study was done to test a structural equation modeling of case management outcomes in order to identify parameters affecting case management outcomes for the community-dwelling vulnerable elders. Methods: Data were collected from 309 nurses (case managers) and community-dwelling vulnerable elders (clients) from public health centers. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and covariance structure analysis were performed using SPSS Version 18.0 for Windows and Amos 16.0. Results: The hypothetical model had an acceptable fit: GFI=.97, CFI=.95, RMSEA=.02, SRMR=.05. The factor "case managers' singularity" had the greatest impact on case management outcomes in this model. In addition, the factor "case management practice" influenced case management outcomes; however, client characteristics did not. Case managers' singularity affected case management outcomes directly and indirectly, with case management practice mediating the latter effect. Conclusion: These results suggest that the causal relationship between case management outcomes and factors influencing these outcomes should be clarified through longitudinal research including a variety of client characteristics. In addition, in future studies, analysis of the effects of programs to improve manpower quality and examine the relationships among case management outcomes should be done.

Validation of Nursing Care Sensitive Outcomes related to Knowledge (지식에 관한 간호결과도구의 타당성 조사)

  • 이은주
    • Journal of Korean Academy of Nursing
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    • v.33 no.5
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    • pp.625-632
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    • 2003
  • Purpose: The purpose of this study was to assess the importance and sensitivity to nursing interventions of four nursing sensitive nursing outcomes selected from the Nursing Outcomes Classification (NOC). Outcomes for this study were 'Knowledge: Diet', 'Knowledge: Disease Process', 'Knowledge: Energy Conservation', and 'Knowledge: Health Behaviors'. Method: Data were collected from 183 nurses working in 2 university hospitals. Fehring method was used to estimate outcome and indicators' content and sensitivity validity. Multiple and stepwise regression were used to evaluate relationships between each outcome and its indicators. Result: Results confirmed the importance and nursing sensitivity of outcomes and their indicators. Key indicators of each outcomes were found by multiple regression. 'Knowledge: Diet' was suggested for adding new indicators because the variance explained by indicators was relatively low. Not all of the indicators selected for stepwise regression model were rated for highly in Fehring method. The R² statistics of the stepwise regression models were between 18 and 63% in importance by selected indicators and between 34 and 68% in contribution by selected indicators. Conclusion: This study refined what outcomes and indicators will be useful in clinical practice. Further research will be required for the revision of outcome and indicators of NOC. However, this study refined what outcomes and indicators will be useful in clinical practice.

Analysis of Satisfaction for the Outcomes (학습 성과(outcomes) 만족도 분석 - K대학을 중심으로 -)

  • Kim Myoung-Lang;Yoon Woo-Young;Lee Kyung-Hoon
    • Journal of Engineering Education Research
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    • v.7 no.1
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    • pp.74-78
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    • 2004
  • One of important criteria of an engineering certification is the outcomes. This study proposes a result of satisfaction for twelve's outcomes and improvement of engineering education curriculum to achievement of the outcomes. According to the research, students over 74%s have been satisfied. And we could get the conclusion which the general and design education must be strengthened more to achievement of the outcomes.

KEC2005 Program Outcomes: Sound Interpretation and Understanding (공학인증 학습성과의 올바른 해석과 이해)

  • Park, DongGook;Sim, Chun-Bo;Kim, Chul-Shin
    • Journal of Engineering Education Research
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    • v.18 no.3
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    • pp.33-38
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    • 2015
  • Engineering education accreditation, such as by ABEEK in Korea or ABET in USA, centers around outcomes-based education (OBE). Outcomes are the abilities or competencies which students are expected to achieve by the time of graduation. Engineering programs must design the curriculum, educate their students, and assess the performance of them in accordance with the program outcomes. Consequently, sound understanding of the program outcomes is crucial to the successful implementation of OBE. Most of the 12 outcomes of ABEEK KEC2005 criteria came from ABET criteria written in English. It means that, apart from sound understanding of the outcomes, we need to care about the correct translation of the ABET outcomes from English to Korean. The translation of them as in KEC2005, however, leaves something to be desired. This paper tries to present the correct translation of some program outcomes as well as sound understanding of a few outcomes difficult to define.

A Case Analysis of Program Outcomes Assessment Systems for Engineering Education Accreditation of South Korea and USA (한국과 미국의 프로그램 학습성과 평가체계 사례분석)

  • Jin, Sung-Hee;Cho, Woo-Sug
    • Journal of Engineering Education Research
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    • v.14 no.2
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    • pp.13-20
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    • 2011
  • This study aimed to seek the ways of improving program outcomes assessment systems for engineering education accreditation of South Korea through performing comparative analysis on those of the United States. Case-study research method was implemented to achieve the research goal. Five university programs, which have been well recognized as good practices in engineering education accreditation in the United States, were selected and analyzed. In addition, those of three universities in South Korea were chosen for comparative analysis, which were reformed by university affiliated Engineering Education Innovative Centers. The analysis results indicated that there were differences in each program's program outcomes, assessment level of program outcomes, evaluation methods on program outcomes achievement, and analysis and improvement records. It was drawn up that the evaluation methods on program outcomes achievement should be paid full attention. For better program outcomes assessment system, however, the followings are in more attention. Firstly, to establish program outcomes reflecting program goal. Secondly, to set up the detailed plans for analysis and quality improvement on program outcomes. Thirdly, to keep continuing efforts on curriculum update.

Validation of the Nursing Outcomes Classification on Cerebrovascular Patients (뇌혈관질환자에게 적용가능한 간호결과 분류체계의 타당성 검증)

  • Kim, Young-Hwa;So, Hyang-Sook;Lee, Eun-Joo;Ko, Eun
    • Korean Journal of Adult Nursing
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    • v.20 no.3
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    • pp.489-499
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    • 2008
  • Purpose: The purpose of this study was to assess the importance and contribution of 9 nursing outcomes and their indicators that could be applied to cerebrovascular patients. Methods: Data were collected from 175 neurosurgical nurses working at two university affiliated hospitals and five secondary hospitals located in Gwang-ju. The Fehring method was used to estimate outcome content validity(OCV) and outcome sensitivity validity(OSV) of nursing outcomes and their indicators. Stepwise regression was used to evaluate relationship between outcome and its indicators. Results: The core outcomes identified by the OCV were Tissue Perfusion: Cerebral, Nutritional Status, Neurological Status, and Wound Healing: Primary Intention, whereas highly supportive outcomes identified by the OSV were Oral Health, Self-Care: ADL, and Nutritional Status. All the critical indicators selected for Fehring method were not included in stepwise regression model. By stepwise regression analysis, the indicators explained outcomes from 19% to 52% in importance and from 21% to 45% in contribution. Conclusion: This study identified core and supportive outcomes and their indicators which could be useful to assess the physical status of cerebrovascular patients. Further research is needed for the revision and development of nursing outcomes and their indicators at neurological nursing area.

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Relationships among Leadership, Communication and Outcomes in Research Teams

  • Oh, Kyoungjo;Kim, Youngbae;Lee, Jinoo
    • Journal of the Korean Operations Research and Management Science Society
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    • v.17 no.1
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    • pp.135-145
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    • 1992
  • The relationships among leadershipm leader-subordinate interpersonal communication and outcomes in research teams were investigated for six research institutes sponsored by the Korean Government, Consideration and initiating structure of leader behavior were used as leadership dimensions. Subordinate satisfaction with supervision and with work, and project success were considered as outcomes in research team. Leader-subordinate interpersonal communication was positively related to both of consideration and initiating structure of leader behavior. Outcomes in a research team were differently related to the communication according to leadership types. Finally, several theoretical and managerial implications are discussed.

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Analyzing the Sentence Structure for Automatic Identification of Metadata Elements based on the Logical Semantic Structure of Research Articles (연구 논문의 의미 구조 기반 메타데이터 항목의 자동 식별 처리를 위한 문장 구조 분석)

  • Song, Min-Sun
    • Journal of the Korean Society for information Management
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    • v.35 no.3
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    • pp.101-121
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    • 2018
  • This study proposes the analysis method in sentence semantics that can be automatically identified and processed as appropriate items in the system according to the composition of the sentences contained in the data corresponding to the logical semantic structure metadata of the research papers. In order to achieve the purpose, the structure of sentences corresponding to 'Research Objectives' and 'Research Outcomes' among the semantic structure metadata was analyzed based on the number of words, the link word types, the role of many-appeared words in sentences, and the end types of a word. As a result of this study, the number of words in the sentences was 38 in 'Research Objectives' and 212 in 'Research Outcomes'. The link word types in 'Research Objectives' were occurred in the order such as Causality, Sequence, Equivalence, In-other-word/Summary relation, and the link word types in 'Research Outcomes' were appeared in the order such as Causality, Equivalence, Sequence, In-other-word/Summary relation. Analysis target words like '역할(Role)', '요인(Factor)' and '관계(Relation)' played a similar role in both purpose and result part, but the role of '연구(Study)' was little different. Finally, the verb endings in sentences were appeared many times such as '~고자', '~였다' in 'Research Objectives', and '~었다', '~있다', '~였다' in 'Research Outcomes'. This study is significant as a fundamental research that can be utilized to automatically identify and input the metadata element reflecting the common logical semantics of research papers in order to support researchers' scholarly sensemaking.