• 제목/요약/키워드: Reporting Choice

검색결과 36건 처리시간 0.025초

Public Reporting of Hospital Level Surgical Volumes: Its Influence on Patient Behavior

  • Han, Kyu-Tae;Park, Eun-Cheol;Nam, Chung-Mo;Kim, Tae-Hyun;Hahm, Myung-Il;Lee, Sang-Gyu
    • 한국의료질향상학회지
    • /
    • 제24권2호
    • /
    • pp.62-75
    • /
    • 2018
  • Purpose: The objective of this study was to publicly report the hospital-level surgical volume for 7 types of surgery including gastrectomy. Also, to investigate the changes in patient behaviors after the public reporting among patients with gastrectomy. Methods: This study used data from the National Health Insurance Service Cohort. The data comprised of 2,214 patients who were diagnosed with gastric cancer and underwent gastrectomy during 2004-2012. An interrupted time series analysis was performed to investigate the association between patients' choice and public reporting. Results: 79.27% of the patients visited a hospital with high surgical volume. The time trend after introduction of public reporting was positively associated with visiting a high volume hospital (per 1 month, RR: 1.004, p=0.0329). However, after adjusting the health policies by reducing copayment, public reporting on surgical volume was not associated with visiting a high volume hospital. Sub-group analyses had also similar results. Conclusion: Patients were more affected by policies on economic support than on public reporting, and the changes in treatment options may have been affected by the increasing preference for large size hospitals. Thus, public reporting did not significantly improve the options available for patients and their decision making on health care utilization.

양성 식도 혈관종 -1례 보고- (Esophageal hemangioma-A case report)

  • 김진국
    • Journal of Chest Surgery
    • /
    • 제23권5호
    • /
    • pp.994-997
    • /
    • 1990
  • We are reporting a case of esophageal hemangioma, which is a very rare disease with only 24 cases having been reported. A 31-year-old male with dysphagia was shown to have a hemangioma of the upper thoracic esophagus and resection of the lesion cured this problem. Once diagnosed in symptomatic patient, treatment should be instituted because of followings; 1. growth potency to large size, 2. possible complications such as hemorrhage and obstruction, and 3. exclusion diagnosis of malignancy. Surgery is the treatment of choice due to its effectiveness and safety, but endoscopic removal may be possible for small tumors and those on a pedicle.

  • PDF

Multidetector computed tomography in preoperative planning for temporomandibular joint ankylosis: A pictorial review and proposed structured reporting format

  • Singh, Rashmi;Bhalla, Ashu Seith;Manchanda, Smita;Roychoudhury, Ajoy
    • Imaging Science in Dentistry
    • /
    • 제51권3호
    • /
    • pp.313-321
    • /
    • 2021
  • Ankylosis of the temporomandibular joint (TMJ) is a disabling disease resulting from fibrous or bony fusion of the mandibular condyle and the glenoid fossa. Early diagnosis and surgical treatment are essential to prevent facial deformity and other complications. Conventional radiography has limitations in demonstrating the true extent of ankylosis. It is important for surgeons to be aware of the size and degree of bony ankylosis in order to perform complete resection of the ankylotic mass. In addition, a detailed evaluation of the relationship with adjacent vital structures such as the internal maxillary artery, inferior alveolar nerve canal, external auditory canal, and skull base are crucial to avoid iatrogenic injury. Multidetector computed tomography (MDCT) is the current imaging modality of choice for preoperative assessments. Herein, the authors propose a structured CT reporting template for TMJ ankylosis to strengthen the value of the preoperative imaging report and to reduce the rates of intraoperative complications and recurrence.

Adjudication in Australia: A Study of Adjudication Activity in New South Wales for 2013/14

  • Brand, Michael C.;Kim, Jinu
    • 국제학술발표논문집
    • /
    • The 6th International Conference on Construction Engineering and Project Management
    • /
    • pp.396-400
    • /
    • 2015
  • The Building and Construction Industry Security of Payment Act 1999 (NSW) (the NSW Act) is a unique form of statutory regulation for the building and construction industry, which gives virtually all industry participants a statutory right to, and a means of recovering, payments for work done under a construction contract. The research aim is to examine current trends in adjudication applications and determinations under the NSW Act. The data used for this study was the collected by the NSW Office of Finance & Services as part of a regular reporting regime for the period from 1 July 2013 and ending on 30 June 2014. With just over 817 adjudication applications having been made over the 2013/14 period, the data indicates that adjudication is being frequently utilized by stakeholders in the NSW building and construction industry as a means of progress payment recovery. Adjudication is proving to be a popular choice for those making claims of less than AU$250,000. Claimants were awarded about 36% of the total of claimed amounts and claimants are generally successful at adjudication in terms of the proportion of the claimed amounts determined in their favour. This is particularly so in relation to claims of less than $100,000, which represents about 70% of the total applications made over the reporting period. The data indicates that adjudication fees are generally modest enough to conclude that adjudication provides claimants across all claim ranges with a relatively inexpensive means of having disputed progress payments determined by an independent adjudicator.

  • PDF

회계선택이 비대칭적 원가행태에 미치는 영향 - 한국, 일본 제조기업을 중심으로 - (The Impacts of Reporting Choice on Asymmetric Cost Behavior - Focused on Korean and Japanese Manufacturing Firms -)

  • 노길관;김동일
    • 한국산학기술학회논문지
    • /
    • 제20권10호
    • /
    • pp.452-458
    • /
    • 2019
  • 본 논문의 목적은 한국과 일본의 제조기업들을 대상으로 경영자의 회계선택이 비대칭적 원가행태에 어떠한 영향을 미치는지를 분석하는 것이다. 해당 내용을 분석하기 위하여 Shust and Weiss(2014)가 제안한 경제적원가 대용치인 현금영업원가(OC)와 감가상각 전 영업비용(OEBD)을 이용하여 기존연구들의 분석대상이었던 판매관리비, 매출원가, 영업비용과의 원가행태 차별성을 분석하였다. 분석결과 첫째, 영업비용과 현금영업원가의 원가행태간에 차별성이 한일 양국 모두 나타났다. 구체적으로는 영업비용에 비하여 현금영업원가의 하방경직성 정도가 더 높게 나타났다. 특히 한국 기업은 유형고정자산집중도가 높을수록 일본 기업에 비하여 하방경직성이 약화되는 것으로 나타났다. 둘째, 감가상각비의 발생은 한일 양국 모두 원가의 하방경직성을 약화시키는 것으로 나타났다. 또한 한국과 일본의 제조 기업은 시차를 두고 상관성을 가지고 있는 것으로 분석되었으며, 향후 양국의 기업을 분석 및 연구하는데 유용한 지침을 제공할 수 있을 것이다. 그리고 일본기업의 경우 부채비율이 높을수록 원가절감을 보다 적극적으로 하는 것으로 나타났다. 저자들은 한일관계가 냉각된 현 시점에 학계차원에서 본 연구를 통하여 양국 간의 관계 개선에 도움이 되길 기대한다.

하악 구치부 치주조직에 발생한 침윤성 국균증환자의 치험례 (INVASIVE ASPERGILLOSIS ON LOWER MOLAR PERIODONTAL TISSUES : CASE REPORT)

  • 김일규;천세영;오성섭;최진호;장금수
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제28권1호
    • /
    • pp.81-85
    • /
    • 2002
  • This paper describes that invasive aspergillosis was found in oral cavity, especially in lower molar periodontium in a immunocompromised 34-year-old woman who had been admitted in hemato-oncology with the diagnosis of acute myeloid leukemia. Antifungal therapy and surgical excision of involved teeth, bone and gingiva were the treatment of choice. After treatment infected area was healed very well. We would like to report our case because we could not find any paper reporting on invasive aspergillosis occurring in lower molar periodontium.

Poly-Silicon TFT's on Metal Foil Substrates for Flexible Displays

  • Hatalis, Miltiadis;Troccoli, M.;Chuang, T.;Jamshidi, A.;Reed, G.
    • 한국정보디스플레이학회:학술대회논문집
    • /
    • 한국정보디스플레이학회 2005년도 International Meeting on Information Displayvol.I
    • /
    • pp.692-696
    • /
    • 2005
  • In an attempt to fabricate all inclusive display systems we are presenting a study on several elements that would be used as building blocks for all-on-board integrated applications on stainless steel foils. These systems would include in the same substrate all or many of the components needed to drive a flat panel OLED display. We are reporting results on both digital and analog circuits on stainless steel foils. Shift registers running at speeds greater than 1.0MHz are shown as well as oscillators operating at over 40MHz. Pixel circuits for driving organic light emitting diodes are presented. The device technology of choice is that based on poly-silicon TFT technology as it has the potential of producing circuits with good performance and considerable cost savings over the established processes on quartz or glass substrates (amorphous Silicon a-Si:H or silicon on Insulator SOI).

  • PDF

Strategic Portfolio Building in Donors' Multilateral Institutional Choice

  • Han, Baran
    • East Asian Economic Review
    • /
    • 제25권4호
    • /
    • pp.339-360
    • /
    • 2021
  • More donors are formally assessing their multilateral aid disbursement policies as well as the multilateral institutions that they contribute to. Analyzing OECD Creditor Reporting System data from 2011 to 2019 of 23 donors and 34 multilateral organizations, we find evidence of institutional portfolio building of donors to align multilateral and bilateral aid channels. Such tendency is more pronounced for core-funding than multi-bi funding and much stronger at the recipient country level than at the sectoral level. Smaller donors that operate from a limited multilateral budget show greater preferences for geographical similarity. When donors give to institutions with sectoral specialization, they seek sectoral similarity with their bilateral aid.

환자안전법상 ADR제도 적용을 위한 제언 (Suggestion for the Application of the ADR system under the Patient Safety Act)

  • 최민규
    • 한국중재학회지:중재연구
    • /
    • 제32권4호
    • /
    • pp.3-31
    • /
    • 2022
  • In the past, there has not been a law with the main purpose of preventing or preventing a risk in advance in order to protect the safety of patients in relation to medical services. It is evaluated that the enactment of the Patient Safety Act has a very important meaning in protecting patient safety as the top priority and further improving the quality of medical care. However, looking at the status of patient safety accidents reported to the Patient Safety Reporting System after the Patient Safety Act was enacted and implemented, various types of risk factors for patient safety still exist in the medical field. Meanwhile, Korea Consumer Agency and Korea Medical Dispute Mediation and Arbitration Agency, the existing domestic ADR specialized agencies, have been operating reasonable damage relief procedures such as recommendation of settlement, mediation, and arbitration according to the purpose of their establishment. Therefore, with the aimof broadening the choice of compensation system for patients, we propose the establishment and revision of ADR-related laws to apply the damage relief procedures of both institutions.

난소-자궁부속기 종괴: 다중기법 MR 영상의 임상 적용과 O-RADS MRI (Adnexal Masses: Clinical Application of Multiparametric MR Imaging & O-RADS MRI)

  • 엄소영;나성은
    • 대한영상의학회지
    • /
    • 제82권5호
    • /
    • pp.1066-1082
    • /
    • 2021
  • 초음파에서 우연히 접하는 자궁부속기 병변은 양성 병변이 더 흔하지만, 일부는 악성도가 애매한 병변으로 간주되어 추가적인 평가를 위해 다중매개변수 MRI가 필요하다. 고식적 MRI를 통해 해부학적 모양을 살피고, 지방, 출혈, 섬유성 조직, 고형성 조직 등 병변의 구성성분을 파악하여 많은 양성 종괴들을 정확하게 진단할 수 있다. 또한 추가적인 확산강조영상과 역동적 조영증강 기법의 관류영상으로 양성과 악성의 감별 진단 정확도를 높일 수 있다. 최근 자궁부속기 종괴의 악성 위험도를 평가하고, 각 위험도 군에 대한 적절한 조치를 권고하는데 있어 표준화된 의사소통이 가능하도록 하기 위해 난소-자궁부속기 MRI 보고 및 자료시스템(ovarian-adnexal reporting and data system MRI; 이하 O-RADS MRI)이 발표되었다. 본 종설에서는 자궁부속기 종괴의 악성도 예측 및 감별 진단을 위한 다중매개변수 MRI의 임상 적용과 O-RADS MRI에 대하여 기술하고자 한다.