• Health Policy and Management
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• v.24 no.2
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• pp.181-190
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• 2014

Background: Demands are recently rising for the securement of procedural justification of policy decision-making. This study aims to improve the procedure of making a decision to expand health insurance benefit package from the perspective of building a social consensus. Methods: Major priority principles were firstly derived through literature search. Weights for such principles were calculated through an analytic hierarchy process, based upon the survey conducted for the health policy experts. Priority for 11 non-covered services was assessed by applying the weights as above to the results of the questionnaire survey targeted at people including members of related committees or societies. Results: Weights for priority principles were in the order of 'severity/urgency (0.428)', 'cost-effectiveness (0.318)', 'substitutability (0.164),' and 'accountability (0.090)'. What was obtained by applying these weights to the results of the questionnaire survey was considerably in line with what health experts classified those items into 3 groups depending on their own judgement of service necessity (consistent with 9 services out of 11). Conclusion: Results of the study are suggestive as to how far a brief assessment by experts could be utilized in case there are constraints on time and expenses in implementing all the process to secure procedural justification. Various attempts and endeavors need to be made to secure procedural justification that will not mar efficiency of decision-making in the days to come.

• Korean Journal of Construction Engineering and Management
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• v.15 no.5
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• pp.147-159
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• 2014

After 2008 global financial crisis, Korean housing market has experienced stagnation. So it caused housing market problems like housing price reduction, rising rent cost and so on. For housing market normalization government announced policies but Korean housing market didn't recover from stagnation. So, to understand why Korean housing market couldn't overcome the recession and why the policies didn't be effective, this research analyzed housing market participants (home owner, housing demand) based on the law of supply and demand and the psychological effect on their transaction intention based on behavioral economics(behavioral finance). Based on the analysis this research tested the effectiveness of announced policies using System Dynamics. The result showed that the amount of transaction and mortgage loan was influenced by the length of time to draft policies.

• Journal of Internet Computing and Services
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• v.13 no.2
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• pp.127-136
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• 2012

IT industry is rapidly changing technologies and trends are leading the field. Website also typical of these areas in the field of IT as a sector, technological advances faster, depending on the nature of the IT industry and the emergence of new services, changes in a variety of platforms, and is rapidly rising. In addition, a website containing information in accordance with the social situation changes and exposure of the agenda and vary greatly. Therefore, these changes in terms of B2C websites that can make a difference in the reliability factor looks. From this perspective, in this study to compare data before and after 10 years on the reliability factor by conducting longitudinal studies, most are not addressed in previous studies due to time differences website users to change the reliability of the analyzed factors.

• Quality Improvement in Health Care
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• v.12 no.2
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• pp.75-83
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• 2006

Background : Utilization review has been adopted as a vehicle for cost and utilization control of health care services. Its role was further stressed and expanded through the establishment of Health Insurance Review Agency in 2001. This article is to introduce concept, activities, and effect of utilization review based on the experiences of U.S. and to suggest important characteristics for ideal utilization review activities at the national level in Korea. Method : Twenty-five articles related with utilization review were reviewed after being selected through web site search through Med Line and Richis. Result : Utilization review was introduced mainly for health care expenditure control either by insurer, provider or the third parties under the pressure of increasing health care cost. It's activities can be categorized to prospective, concurrent and retrospective review according to the time of service provision. Based on most of studies, utilization review has been effective in controling rising health care cost and utilization. However it's effectiveness assumes a reimbursement structure of managed care like capitation payment. More worse, it is still unknown it's effectiveness on quality of care. Conclusion : Utilization review should be employed to increase the cost effectiveness of medical care by optimizing quality and patient's outcomes while also attempting to reduce the use of resources. So, it should consider outcomes before expenditures, check for both under and over-use, and construct an structure in which consumption is reduced equitably. Aggressive adoption of utilization review in Korean health care setting with fee-for-service reimbursement structure might not be a cost-effective approach before adoption of prospective payment system such as D.R.G. and capitation.

• Journal of the Korean Society of Safety
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• v.35 no.3
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• pp.96-104
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• 2020

The numerical simulations were conducted to investigate the thermal-fluid phenomena occurred inside the experimental apparatus during a PCCS, used to remove heat released in accidents from a containment of light water nuclear power plant, operation. Numerical simulations of the flow and heat transfer caused by wall condensation inside the containment simulation vessel (CSV), which equipped with 18 vertical heat exchanger tubes, were conducted using the commercial computational fluid dynamics (CFD) software ANSYS-CFX. Shear stress transport (SST) and the wall condensation model were used for turbulence closure and wall condensation, respectively. The simulation using the actual size of the apparatus. However, rather than simulating the whole experimental apparatus in consideration of the experimental cases, calculation resources, and calculation time, the simulation model was prepared only in CSV. Selective simulation was conducted to verify the effects of non-condensable gas(NC gas) concentration, CSV internal pressure, and wall sub-cooling conditions. First, as a result of the internal flow of CSV, it was observed that downward flow due to condensation occurred surface of the vertical tube and upward flow occurred in the distant place. Natural convection occurred actively around the heat exchanger tube. Due to this rising and falling internal flow, natural circulation occurred actively around the heat exchanger tubes. Next, in order to check the performance of built-in condensation model using according to the non-condensable gas concentration, CSV internal flow and wall sub-cooling, the heat flux values were compared with the experimental results. On average, the results were underestimated with and error of about 25%. In addition, the influence of CSV internal pressure and wall sub-cooling was small, but when the condensate was highly generated due to the low non-condensable gas concentration, the error was large compared to the experimental values. This is considered to be due to the nature of the condensation model of the CFX code. However, in spite of the limitations of CFD, it is valid to use the built-in condensation model of CFD for PCCS performance prediction from a conservative perspective.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.23 no.4
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• pp.395-401
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• 2010

The vertical members of structures are shortened as time goes on. Because structures have been high-rising and atypical there should be different axial loads among vertical members and it causes differential column shortenings. The differential column shortening add stresses to connections, make slab tilt, and damage to non-structural components. To reduce these influences compensation is need. The rational compensation means the exact expectation of amounts of column shortenings and the reasonable corrections. The expectation of column shortenings are more exact as researched, however, there is little research about the compensation. This paper presents the average correction method and the constraints for differential column shortenings considering errors due to the construction precision. The relations between constraints and the number of correction groups give an objective criterion for decision of constraints.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.9
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• pp.4289-4294
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• 2012

While the incidence of breast cancer (BC) has been relatively low in Asian countries, it has been rising rapidly in Taiwan. Within the last decade, it has replaced cervical cancer as the most diagnosed cancer site for women. Nevertheless, there is a paucity of studies reporting the attitudes and practices of breast cancer screening among Chinese women. The aim of this study is to assess Taiwanese women's knowledge of and attitudes toward BC screening and to identify potential factors that may influence screening behavior. The study population consisted of a sample of 434 Taiwanese women aged 40 and older. Despite access to universal health care for Taiwanese women and the fact that a majority of the women had heard of the breast cancer screening (mammogram, clinical breast exams, etc.), the actual utilization of these screening modalities was relatively low. In the current study, the majority of women had never had mammograms or ultrasound in the past 5 years. The number one most reported barriers were "no time," "forgetfulness," "too cumbersome," and "laziness," followed by the perception of no need to get screened. In addition, the results revealed several areas of misconceptions or incorrect information perceived by study participants. Based on the results from the regression analysis, significant predictors of obtaining repeated screening modalities included age, coverage for screening, barriers, self-efficacy, intention, family/friends diagnosed with breast cancer. The findings from the current study provide the potential to build evidence-based programs to effectively plan and implement policies in order to raise awareness in breast cancer and promote BC screening in order to optimize health outcomes for women affected by this disease.

• Journal of the Korean Arthroscopy Society
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• v.5 no.2
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• pp.135-139
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• 2001

Purpose : Repair of the posterior capsule tear at the time of the operation for the chronic postero-lateral or postero-medial rotary instability has not been reported. We describe the arthroscopic repair of the posterior capsule tear using the posterior trans-septal portal. Method : After conducting basic arthroscopic examination of the knee, postero-medial and postero-lateral portals are secure to make the posterior trans-septal portal, through which the postero-medial and postero-lateral capsule tears are repaired using the suture hook under the arthroscopic guidance. Conclusion : When arthroscopic reconstruction of PCL insufficiency or postero-lateral rotaty instability that accompanies postero-medial or postero-lateral capsular tears. rising the posterior traits-septal portal could ensure better visualization of the capsule and a subsequent more accurate repair of the capsule. Since it significantly lessened instability, it could contribute to an achievement of successful clinical results.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.5 no.1 s.9
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• pp.21-30
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• 2006

For urban highway network, traffic control strategy paradigm has been shifted from the private auto-oriented to the public transit-oriented. Introduction of exclusive median bus lanes (EMBL) in Seoul, Korea, has especially accelerated such changes in transportation policy and thus highway environment. Left-turning movement treatment at signalized intersections where EMBL pass through has been emerged as one of the rising problems associated with a current signal head with 4-signal lens, the Korea standard. This study proposes a new signal phase operation scheme for signal operation at an isolated intersection where EMBL pass through. The authors propose to use of an exclusive bus signal head indicating right-of-way of transits on EMBL only. Based on it, three different phase operation scheme were developed for left-turn treatments for traffic control with (1) traffic responsive control mode and (2) time-of-day traffic control mode. In addition, methodologies to design and develop signal maps for the proposed signal phase schemes are also developed. The proposed operation can only be possible when additional uses of signal state relay boards are allowed.

• The Journal of the Korea Contents Association
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• v.20 no.6
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• pp.640-652
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• 2020

This study identifies the statues of the resource development in residential facilities for people with disabilities to review the current level and propose necessary supporting measures to revitalize resource development in this current time when the importance of resource development is rising for social welfare organizations. Specifically, this study conducted a survey on the current statues and needs for resource development and focus group interviews to acquire in-depth opinions on the need for resource development and supporting measures in 255 nationwide residential facilities for the disabled. The results showed that 50% of the resource development for the residential facilities depended on private donations, while the presence of exclusive workforce made differences among development plans, performance and achievement. Also, their resource development methods were limited around direct requests, such as personal recommendations, as they are faced with challenges such as inadequate related expertise and technologies for resource development, lack of exclusive workforce, and lack of interest in available facilities in the local community. With reference to these findings, this study proposes the following development measures: placement of exclusive workforce, adoption of diverse resource development methods, transparent and reliable resource development, and preparation for systematic step-by-step professional training on resource development.