• Health Policy and Management
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• v.19 no.3
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• pp.1-26
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• 2009

Objectives : To identify target areas and set priorities among those areas identified for national quality evaluation. Methods : Target areas were identified from: i) analysis of the national health insurance claims data, mortality and prevalence data ii) various group surveys, including representatives from 22 medical specialty associations, 19 physician associations, QI staffs in hospital, civil organizations, and commissioners of Health Insurance Review and Assessment Service(HIRA) ⅲ) literature reviews and RAM(RAND/UCLA appropriateness method). The priority areas for national quality evaluation represented the full spectrum of health care and the entire life span. The criteria for selecting the priority areas were impact, improvability, and measurability. The priority areas were divided into three categories : short-term, mid-term, long-term. Results: Based on the group surveys and the data analysis, 46 candidates were selected as quality evaluation priority areas. 13 areas were selected as having a short-term priority areas: tuberculosis, community acquired pneumonia, stroke, ischaemic heart disease, diabetes, hypertension, chronic lower respiratory disease(asthma, chronic obstructive pulmonary disease), intensive care unit, emergency room, nosocomial infection, use of antibiotics, multiple medication and renal failure. This results suggested that we need to enlarge the target priority areas to the chronic diseases in short-term. Conclusions: The priority areas identified from the study will assist healthcare quality associated institutions as well as HIRA in selecting quality evaluation areas. It is required to develope and implement strategies for improving the quality of care within the next 5 years.

• Journal of Korean Society of Rural Planning
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• v.25 no.2
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• pp.23-33
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• 2019

The study aims to measure the quality of consulting services for village-building projects in rural areas. To this end, the government wanted to analyze the impact of the quality of service on residents' satisfaction and business performance in villages that are receiving consulting services. As a result of the empirical analysis of the case areas, the five-dimensional tangibles, reliability, assurance and empathy of the quality of consulting services in rural villages had a defining influence on the residents' satisfaction. And the residents' satisfaction of consulting services had a defining influence on the business performance of the village with tangibles, reliability, and assurances. The main implications presented on the basis of these results were analyzed that it was necessary to universalize the assessment of service quality, to strengthen the burden of the village on the cost of consulting services, and to induce participation through a sufficient understanding of the villagers' business.

• Journal of the Korea Institute of Information Security & Cryptology
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• v.26 no.4
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• pp.973-983
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• 2016

It's been almost 6 years since PIA was implemented based on legislation. So I analyzed problems of PIA from the perspective of ITSM 3 elements. I mainly took account of quality improvement of the report when I assessed systems processing personal informations. So, I propose in terms of logical validity improvement of assessment report. The improvements on 4 different outputs for each phase are many cases that I assessed systems processing personal informations. And I propose improvements on qualified assessors having capability of GRC and on process for managing the assessment system. To settle down PIA system as the reasonable and effective assessment system even after 2016, the statutory deadline for completion of PIA, assessors and appointed assessment firms and authorities should cooperate to complete the assessment system.

• Journal of Korean Institute of Industrial Engineers
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• v.41 no.6
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• pp.588-598
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• 2015

In this paper, a simulation model for assessing the impact of alternative field service engineer replenishment policies is introduced. The end-to-end supply chain simulation model is created using a discrete-event and agent-based simulation model, which enables accurate description of key individual entities in the investigated supply chain, such as field service engineers. Once the model is validated with the historical data, it is used to assess the impacts of field service engineer replenishment policies for a major printing equipment manufacturing firm.In the case study, newly proposed replenishment policies for post-sale distribution supply chain are assessed for the level of service improvement to end customers.

• Journal of Environmental Impact Assessment
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• v.3 no.2
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• pp.57-67
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• 1994

The National Park should be preserved as described in the regulation. However, the development has resulted in degrading the environment in the park. Especially, the collective facility area has been developed for the commercial benefit rather than for the preservation. So, it is necessary to figure out the impact of the development plan proposed. Thus, the purpose of this study is to explore the hydrologic effects due to the collective facility area development in the National Park. The study site is the second collective facility area of Mt. Kyeryong National Park. The analysis of hydrologic effects due to the development has been carried out using the GIS in this study. The Rational Method and Soil Conservation Service(SCS) were used to estimate the runoff volume. During this procedure, GIS software, ARC/INFO was used to integrate, manipulate, and calculate the attribute value of a number of ploygons which represen each land use characteristic. A program was written to compute the attribute value of each polygon and to estimate the difference of peaktime runoff volume before and after development.

• Journal of Preventive Medicine and Public Health
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• v.52 no.1
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• pp.21-29
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• 2019

Objectives: The Regional Cardiocerebrovascular Center (RCCVC) Project designated local teaching hospitals as RCCVCs, in order to improve patient outcomes of acute cardiocerebrovascular emergencies by founding a regional system that can adequately transfer and manage patients within 3 hours. We investigated the effects of RCCVC establishment on treatment volume and 30-day mortality. Methods: We constructed a panel dataset by extracting all acute myocardial infarction cases that occurred from 2007 to 2016 from the Health Insurance Review and Assessment Service claims data, a national and representative source. We then used a panel fixed-effect model to estimate the impacts of RCCVC establishment on patient outcomes. Results: We found that the number of cases of acute myocardial infarction that were treated increased chronologically, but when the time effect and other related covariates were controlled for, RCCVCs only significantly increased the number of treatment cases of female in large catchment areas. There was no statistically significant impact on 30-day mortality. Conclusions: The establishment of RCCVCs increased the number of treatment cases of female, without increasing the mortality rate. Therefore, the RCCVCs might have prevented potential untreated deaths by increasing the preparedness and capacity of hospitals to treat acute myocardial infarction patients.

• Health Policy and Management
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• v.31 no.3
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• pp.344-354
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• 2021

Background: The purpose of this study was to analyze the effect of national health insurance coverage of Chuna therapy in April 2019 on the costs and service uses in automobile insurance. Methods: This study used the claim data from Health Insurance Review and Assessment Service. A total of 189,912 inpatients and 1,550,497 outpatients who received Chuna therapy covered by automobile insurance in oriental medical institutions were included. The analysis period was from July 2018 to December 2019, and a total of 18 months before and after April 2019, when Chuna therapy was covered by national health insurance. Interrupted time series analysis was applied to analyze the impact on the costs and service uses of Chuna therapy in automobile insurance before and after April 2019. Results: From July 2018 to December 2019, for 189,912 inpatients the cost and the number of times for Chuna therapy per capita were increased by 22.0% and decreased by 7.3% respectively right after the implementation of the policy. In the case of 1,550,497 outpatients, the cost of Chuna therapy per capita tends to be increased by 0.4% in overall study periods and increased 28.4% immediately after the implementation of the policy. Meanwhile, the number of times and visits for Chuna therapy per capita tends to be increased by 0.4% in overall study periods but decreased by 0.4% after the implementation of the policy. Conclusion: Results suggest that if the national health insurance coverage of oriental medicine services increases according to the policy stance for benefit expansion in national health insurance, the criteria for providing national health insurance benefits should be considered with the comprehensive impacts on the costs and service uses of automobile insurance.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.24 no.6
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• pp.67-87
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• 2021

Provisioning service, which is one of the ecosystem service functions, means goods and services such as food and fuel that people get from ecosystem. Provisioning functions are closely related to the primary industry, a sector of economy. Excessive demand and use of human society can cause trade-offs among regulation, cultural, and supporting services. Therefore, it is important to perform evaluation ecosystem services periodically and to monitor the time series fluctuations to identify the impact of provisioning services on other ecosystem services (trade-off) and to maintain sustainable provisioning service. When it comes to the precise assessment of provisioning service, it is necessary to get the statistical data and standardize indicators and methods. In this study, indicators and methods, which are applicable to the spatial level of national-local-protected areas, were derived through literature analysis and expert survey. The result of this study implies that provisioning services measurement by spatial level improve the efficiency of the establishment of environmental conservation plans by whose purpose.

• Journal of Environmental Impact Assessment
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• v.26 no.4
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• pp.242-256
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• 2017

In this paper, dispersion scenarios concerning various meteorological conditions and real urban structures were made to estimate the impacts of hazardous substance leakage accidents and to reduce damages. Based on the scenario of the hazardous substance dispersion, the characteristics of the risk in the pedestrian environment were analyzed in Gangnam, Seoul. The scenarios are composed of 48 cases according to the meteorological conditions of wind direction and wind speed. In order to analyze the dispersion characteristics of the hazardous substances, simulations were conducted using a computational fluid dynamic (CFD) model with hydrogen fluoride releases. The validation for the simulated wind was conducted at a specific period, and all the calculated verification indices were within the valid range. As a result of simulated dispersion field at pedestrian level, it was found that the dispersion pattern was influenced by the flow, which was affected by the artificial obstacles. Also, in the case of the weakest wind speed of the inflow, the dispersion of the hazardous substance appeared in the direction of the windward side at the pedestrian level due to the reverse flow occurred at lower layers. Through this study, it can be seen that the artificial structures forming the city have a major impact on the flow formed in urban areas. The proposed approach can be used to simulate the dispersion of the hazardous substances and to assess the risk to pedestrians in the industrial complexes dealing with actual hazardous substances in the future.

• Journal of Environmental Impact Assessment
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• v.11 no.1
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• pp.25-36
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• 2002

The purpose of this study is to assess the environmental carrying capacity of Chongju City for the environmental management and the urban growth management. The urban environmental carrying capacity assessment of the city by the index of ecological footprint(EF), shows that the ecosystem of the city has been overloaded and most of the deficiencies has come from outside of the city. The EF index, the area of land per capita required for production and consumption in the city, was 1.731 ha per capita in 1989 and 1.901 ha per capita in 1999. On the other side, the ecologically productive land is 0.0175 ha per capita. It means that every citizen owes 1.88 ha per capita to the ecosystem in 1999. The land consumption of the city has increased by 0.1705 ha per capita during the last 10 years. The capacity of infrastructure and the service supply estimated by the Onishi model does not exceed the demand of the city in 1999. But the rapidly increasing population and fast urban growth need the expansion of the capacity. The water supply capacity of the city appears to be sufficient in 1999, but the water supply demand will increase in the future. The capacity of sewage treatment facilities seems to be sufficient, but the higher level of sewage treatment facilities should be adopted for the improvement of water quality as the generation of sewage will increase and its characteristics will also make the wastewater treatment difficult. Due to the decrease of solid waste generated, the land fill capacity for solid waste disposal is not insufficient at present, but the capacity will be saturated in the near future. Therefore, the scientific management system of solid wastes should be introduced. The air quality of the city meets both the national air quality standard and WHO recommendation standard, but the strong regulation and control of automobile emission gas such as CO, $CO_2$, NOx and HC is required for clean air.