• Title/Summary/Keyword: Practical Management

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Comparison of User's Satisfaction between 4-bedroom and 5/6-bedroom in Single General Hospital (일개 종합병원 4인실과 5/6인실 사용자의 만족도 비교)

  • Lee, Chan Hee;Lim, Hyunsun;Yoon, Soojin;Park, Eun-Cheol;Kang, Jung-Gu
    • Korea Journal of Hospital Management
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    • v.21 no.2
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    • pp.13-23
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    • 2016
  • Purpose: The purpose of this study is to compare the user satisfaction between 4-bedrooms and 5/6-bedrooms in a single general hospital. Methodology: To measure and compare multiple-bed ward user satisfaction between 4-bedrooms and 5/6-bedrooms, questionnaires were collected from 916 inpatients and 129 nurses in a single general hospital. The patient satisfaction questionnaire categories included environmental conditions, protection of privacy, and medical services. The nurse satisfaction questionnaire categories included space, infection control, patient safety, work load and psychologic view point. Findings: Satisfaction of patient who admitted in 4-bedroom to the environmental conditions and protection of privacy was higher than that of 5/6-bedroom group (3.91 vs. 3.25, p<0.001). Satisfaction of nurse who worked in 4-bedroom was higher than that of 5/6-bedroom (3.05 vs. 1.92, p<0.001). By the multiple linear regression analysis, patient satisfaction to the environmental conditions and protection of privacy was related with multi-bedroom type and location of beds; 4-bedrooms were higher than 5/6-bedrooms(p<0.001), window side bed were higher than hallway side bed(p=0.001). There was no satisfaction difference in comparing medical services between the two groups. By the multiple linear mixed regression analysis, nurse satisfaction who were assigned for 4-bedrooms were higher than that of 5/6-bedrooms in all categories(p<0.001). Practical Implications: Even though no difference has shown in medical services satisfaction between the two patient groups, multi-bedroom type may affect patient satisfaction in environmental condition, protection of privacy and may also affect overall nurse satisfaction. This result suggests that to improve multi-bedroom user satisfaction, 4-bedroom is recommended over 5/6-bedroom.

Does Market Competition Reduce Hospital Charges & LOS for the Degenerative Lumbar Spinal Disease?: A Two-point Cross Sectional Study (병원시장 경쟁이 퇴행성 요추질환 환자의 진료비 및 재원일수에 미치는 영향)

  • Lee, Joo Eun;Park, Eun-Cheol;Lee, Sang Gyu;Kim, Tae Hyun
    • Korea Journal of Hospital Management
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    • v.22 no.4
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    • pp.33-49
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    • 2017
  • Background: Health care utilizations and costs of the patients with degenerative lumbar spine disease in Korea increased dramatically. We analyzed whether hospital market competition is associated with charges and length of stay for patients with degenerative lumbar spine disease. Methods: We used Medical claims data of 2002 and 2010 from the nationwide representative sample of National Health Insurance Service of Korea. The study subjects were inpatients with degenerative lumbar spine disease (N=24,768) in 2002 and 2010. We employed a multilevel linear mixed model that included patient- and hospital-level variables in hierarchical data. Results: Higher hospital competition was associated with lower charges (${\beta}=57.5$, p<.0001 in 2002; ${\beta}=353.7$, p<.0001 in 2010) and shorter length of stay (${\beta}=0.3$, p<.0001 in 2002; ${\beta}=0.9$, p<.0001 in 2010) in both 2002 and 2010. Compared to 2002, the magnitude of such association became greater in 2010. However, subgroup analyses show that the influence of competition on charges and length of stay differed by hospital size. Conclusions: This study showed that hospital market structure (e.g., hospital competition) affects hospital efficiency (i.e., hospital charges and length of stay). It is necessary to continue to monitor how changing market structure influences hospital outcomes, including more detailed outcomes such as patient satisfaction.

Remodeling Process Model Applying Service Life and Functionality Evaluation for Military Facilities (내용연수와 기능성 평가를 활용한 군 시설물 리모델링 대상 선정 프로세스 모델)

  • Cho, Jongwoo;Lee, Hyun-Soo;Park, Moonseo;Kim, Jaegon;Moon, Hyo-Soo
    • Korean Journal of Construction Engineering and Management
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    • v.16 no.6
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    • pp.41-52
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    • 2015
  • The number of military facilities has been rapidly increased due to growing requirement of modernization and military welfare. However, adequate maintenance has not implemented to these facilities. As a result, they are deteriorated quickly and require performance enhancement treatments. There are two ways of performance enhancement, reconstruction and remodeling. Despite the research result that remodeling within the standard remodeling range is more economical, remodeling of military facilities is not considered equivalent to reconstruction as an option of performance improvement. Therefore, derived from the relationship between performance change during life cycle of building and range of remodeling needs, this study tries to propose Remodeling Process Model(RPM) which uses a method to choose remodeling in a Specific Point of Time(SPT) when remodeling is considered more economical than reconstruction. In addition, this study suggests practical service life and functionality evaluation standard together which require to realize the RPM. This RPM make it possible to avoid the cases that facilities which do not have any problem on structural reliability but have low level of functionality miss appropriate remodeling timing and inevitably choose reconstruction as a performance improvement option. It also present the possibility of simple reconstruction / remodeling decision-making for facility managers who administrate building having various type, compilation and elapsed time. Consequently, this process model focusing on remodeling more may contribute to reduce resource waste caused by reconstruction.

An Analysis of Best Practices for Efficient Utility Relocation and an Inquiry into the Applicability of SUE (효율적인 지하지장물 이설을 위한 모범사례분석 및 SUE 적용에 관한 연구)

  • Lee, Seung-Hyun;Baek, Seung-Ho;Tae, Yong-Ho;Ahn, Bang-Ryul;Park, Hyeon-Yong
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2007.11a
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    • pp.971-976
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    • 2007
  • In the U.S., utility damages or utility delay caused by conflicts during the underground utility relocation is one of the weighty problem in the construction industry. Also, in domestic case, delay and additional cost caused by underground utility(i.e, electricity, communication, gas, water supply and sewerage) relocation has been happened so that there is an increase of claims for responsibility between owners and contractors. However, there is insufficient survey for the recent circumstance of additional cost for delay and design changes caused by utility relocation and shortage of enough research for solving and analyzing of causes and their ripple effect. This research presents a result of the study about the best practices of FHWA(Federal Highway Administration), SHAs(State Highway Agencies) and the utility companies managing utility relocation. Also, it presents the basic concept of SUE(Subsurface Utility Engineering), the most reliable tool of FHWA presented, and investigates the developing status about SUE in Korea. At the end of this paper, this research proposes a practical and more applicable study about the efficient utility relocation focusing on local industry.

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A Report of a Rural Construction with Sight-seeinng Development as Leading Project and Methodical Activities of Inhabitants -The Case of Odaira Hamlet, Oomama Town, Gumma Prefecture- (觀光開發を核としたむらづくりと住民の組織的活動 -大間間町小平集落を事例として-)

  • KANIE, Yoshihiro
    • Journal of the Korean Institute of Rural Architecture
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    • v.1 no.1
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    • pp.3-14
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    • 1999
  • It is a important problem that the adjustment of a rural settlementas a unit of rural community, and many number of researcher tackled its. The aim of this paper is to verificate the process of rural con-struction, that is applied the regional resources, and to introduce the situation of attending inhabitants, and their employments as a results of this planning. We chose Odaira hamlets in Oomama town, it is located in Gunma prefecture as an object of this study. Odaira is a small village in the mauntain, and it is composed only 135 families. Odaira is an underpopulated hamlet. It is engaged no lively farming and forestry. Most of inhabitants are commuting to the cities around here. Inhabitants of Odaira who are conscious of the conditions of declining hamlet organized a group to improve it. This group have investigated all around the hamlet as a system of workshop. And they found the resources for sight-seeing, crops as the regional products, and other resources for rural planning under three keywords ; resources for the sight-seeing, the rigional products, and theimprovement of environments. In many resources, most important thing was the existens of a stalactite cave come down as a legend from old time. Local government of Oomama town and the inhabitants tried to explorate of stalactite cave and succesed to excavate it. They have constructed two facilities for management, parkaround the stalactite cave and these have been a new place of work for inhabitants. Arrangement of the rural constructions developed to other items schemed acording to the master plan, like as a camping ground, bungalows, a wet botanical garden, and a park beside a river. These also produced the new places of work for 54 people as a result of this rural planning. The most of them were the aged peoples and the women of farmer. The highest age was 83 years old, he is working at the camping ground. In the employment system at Odaira, people who desire to work and desire to employ both registrate to a commission of management of Odaira, and this commission arrange them in case of needs.

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Implementation Techniques for the Seafarer's Human Error Assessment Model in a Merchant Ship: Practical Application to a Ship Management Company (상선 선원의 인적과실 평가 모델 구축기법: 선박관리회사 적용 실례)

  • Yim, Jeong-Bin
    • Journal of Navigation and Port Research
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    • v.33 no.3
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    • pp.181-191
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    • 2009
  • In general, seafarer's human error is considered to be the preponderant muse for the majority of maritime transportation accidents in a merchant ship. The implementation techniques for Human Error Model (HEM) to assess possible accident risk by deck officers including captain, chief officer, second mate and third mate are described in this study. The scope of this work is focused to 642 deck officers in the ship management company with 130 vessels. At first, HEM can be constructed through the statistical analysis and expert's brainstorming process with human data to 642 deck officers. Then the variables $\upsilon$ for the human factors, the evaluation level EP($\upsilon$) for $\upsilon$, the weight $\alpha$ of $\upsilon$, and the title weight $\beta$ of each deck officers can be decided. In addition, through the analysis of ship's accident history, the accident causation ratios by human error ${\gamma}_H$ and by external error ${\gamma}_B$ can be found as 0.517(51.7%) and 0.483(48.3%), respectively. The correlation coefficients to $\upsilon$ are also shown significant for a 95% confidence interval (p < 0.05) for each coefficient. And the validity of HEM is also surveyed by the analysis of normal probability distribution of risk level RL to each deck officer.

e-Gov's Big Data utilization plan for social crisis management (사회 위기관리를 위한 전자정부의 빅데이터 활용 방안)

  • Choung, Young-chul;Choy, Ik-su;Bae, Yong-guen
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.2
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    • pp.435-442
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    • 2017
  • Our anxiousness has risen for recent increase in unpredicatable disaster. Accordingly, for the future society's preventing measure in advance against current considerable disasters due to societal crisis, we need to prepare secure measure ahead. Hence, we need to recognize the significance of governmental role and the value of Big Data application as ICT developed country in order to manage social crisis all the time. This manuscript analyzes human anxiety from listed disasters and describes that our government seeks new way to utilize Big Data in public in order to visualize Big Data related issues and its significance and urgency. Also, it suggests domestic/international application trend of Big Data's public sector with new practical approach to Big Data. Then, it emphasizes e-Gov's role for its Big Data application and suggests policies implying governmental use of Big Data for social crisis management by case-studying disaster measures against unpredictable crisis.

An Approach of Cost-Benefit Analysis for GIS Project Evaluations (지리정보 사업의 비용편익 분석의 고찰)

  • Kim, Woo-Gwan;Kim, Young-Hoon
    • Journal of the Korean association of regional geographers
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    • v.4 no.2
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    • pp.79-94
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    • 1998
  • This study begins with emphasis on the approach to public policy development and the extent to which a GIS framework can be used to evaluate projects objectively. This paper relates to public policy making and the use of GIS as a strategic management tool rather than the development of GIS technologies which has been the focus of attention since the advent of the first generation GIS systems in the 1960s. In order to consolidate a view towards public policy, the aim of this study is to show the advantages of using GIS to generate results which could be evaluated by cost and benefit analysis giving options of the alternative methods to estimate the feasibility of projects (both tangible and intangible) in a real public policy scenario. This study also reports that the tangible benefits associated with the GIS projects are better information processing, the easy analysis of data and the cost savings of map updates and printing, whilst the intangible benefits include quality decision making, and precise management of data through computing networks. In GIS context, the task of analysing and evaluating GIS projects is assumed in order to facilitate scientific and quantitative cost-benefit analysis. Previous methods of the cost-benefit analysis has not fully supported the evaluation of the intangible benefits and it has not been possible to make public policy realistic or scientifically understandable limiting decision makers in public domain. With the GIS decision makers are able to explore the potential of projects with this powerful decision supporting tool in practical application. On the basis of its potentials and limitations to cost-benefit analysis, therefore, it can be concluded that more flexible analysis and evaluation methodologies are needed to extend into the intangible benefits. In order to balance the evaluation of both quantitative and qualitative approaches on the cost-benefit analysis new or additional utilities will be required for the next GIS generation appraisal tool.

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Physicochemical Characteristics and Nutrient Release from Sediment in an Urban Stream (도심하천 퇴적물의 이화학적 특성과 영양염 용출)

  • Kim, Tae Hoon;Jung, Jae Hoon;Choi, Sun Hwa;Choi, I Song;Oh, Jong Min
    • Ecology and Resilient Infrastructure
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    • v.2 no.2
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    • pp.167-176
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    • 2015
  • The water quality of the Gulpo Stream flowing through Incheon, Bucheon, Seoul, and Kimpo is getting worse due to a slow flow rate and bank constructions by stream channelization as well as an inflow of pollutants from living-sewages and factory-sewages. Besides, a dry stream phenomenon caused by a lack of maintenance water upstream makes a self-purification system worse, and the water quality of the Gulpo Stream is currently at its lowest level. The accumulated sludge of the streambed is mostly formed by the deposition of particle pollutants due to the slow flow rate and an artificially straightened stream channel. This accumulated sludge adsorbs a great quantity of organic materials and heavy metals. Because of the internal contamination possibility by a re-gushing, even after the pollution source is removed, it can cause future water pollution. Without a total examination as previously recommended, it is considered difficult to accomplish practical efficiency. In conclusion, the management of periodic sediment management such as dredging would be necessary in the Gulpo Stream because sediment could be an internal pollution source of stream water under anaerobic conditions.

The Effects of Knowledge Complementarities and Trust on IT Outsourcing Effectiveness (지식 상호보완성과 신뢰가 IT 아웃소싱 효과에 미치는 영향에 관한 연구)

  • Shin, Ho-Kyoung;Kim, Kyung-Kyu
    • Asia pacific journal of information systems
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    • v.17 no.3
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    • pp.55-78
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    • 2007
  • Increasingly the information technology (IT) outsourcing phenomenon has been a subject of much academic research. Scholars have argued that knowledge complementarities playa crucial role in forming successful IT outsourcing relationships. However, notwithstanding the fast growth of IT outsourcing, prior studies on IT outsourcing have not included knowledge complementarities in their research design as a determining factor for IT outsourcing effectiveness. Further, the understanding of knowledge complementarities itself remains ambiguous. In this study, the concept of knowledge complementarities is explored in the IT outsourcing context at the firm level. Specifically, it addresses the following questions: what is knowledge complementarities? How does it affect IT outsourcing effectiveness? Is the relationship between knowledge complementarities and IT outsourcing effectiveness influenced by organizational trust between the client and the vendor? Grounded in the relevant theories to knowledge management and IT outsourcing, we develop a research model in which both the main effects of knowledge complementarities and organizational trust and the moderating effect of organizational trust on the relationships between knowledge complementarities and IT outsourcing effectiveness are tested. Within this research model, we develop a second order construct of knowledge complementarities, consisting of complementary business knowledge and complementary IT knowledge as the first order constructs. We have used data from a field study of 103 firms in Korea to test the proposed model. Controlling the effects of conflict resolution efforts, our empirical analysis found significant main effects of knowledge complementarities and organizational trust on IT outsourcing effectiveness. The results suggest that knowledge complementarities between the client and vendor positively contribute to IT outsourcing effectiveness. Specifically, the client needs to have enough IT knowledge to assess the quality of IT outsourcing services provided by the vendor. Meanwhile, the vendor should understand the client's business well enough to provide IT services, Contrary to our expectations, the moderating effect of trust on the relationship between knowledge complementarities and IT outsourcing effectiveness was not supported in this study. The results also show that organizational trust between client and vendor significantly influences IT outsourcing effectiveness. As for contributions of this study, we have not only clarified the concept of knowledge complementarities, but also developed an instrument to measure the concept and empirically validated it. Further, we have tested the idea that knowledge complementarities and trust directly influence IT outsourcing effectiveness and trust moderates the relationship between knowledge complementarities and IT outsourcing effectiveness. Out results prescribe the knowledge complementarities of client and vendor as a useful path to IT outsourcing effectiveness. These findings have important theoretical and practical implications, which are discussed in the paper.