• Title/Summary/Keyword: Service Quality Assessment

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The Impacts of Guideline for Digestives on Physicians' Prescription of GI medication (소화기관용약제 처방지침이 의사의 소화기관용약 처방률에 미치는 효과분석)

  • Kim, Dong-Sook;Park, Choon-Seon;Jang, Sun-Mee
    • Korean Journal of Clinical Pharmacy
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    • v.18 no.2
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    • pp.124-131
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    • 2008
  • The impacts of guideline for digestives on physicians' prescription of GI medication Clinical practice guidelines provide benefits to physicians, patients, and researchers. It also helps doctors to make decisions in medical services. In many countries, practice guidelines lead to activities of quality improvement and are developed using evidence based methods. This research was to assess the impacts of Korean Medical Association's guideline for digestives on the change of physicians' behavior. This study was progressed as one-group pre-test post-test quasi-experimental design using health insurance claims data. The unit of analysis was institution. Data was analyzed using paired t-test for change of prescription rate before and after the distribution of practice guidelines. And the multiple regression analysis was performed to examine the independent impact of the guideline on the prescribing rate of GI medication. Prescription rates of GI medication per claim by medical institution increased significantly, 1.98%point (from 50.27% to 52.25%) and multivariate regression analysis showed significant increase in the prescription rate of GI medication after the distribution of guideline (p<0.001). In conclusion, the distribution of guideline for digestive might not have the effects on the change in provider's behavior. Furthermore, to activate the use of practice guideline, it would be necessary to educate the contents to physicians as well as to develop practice guideline.

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Ancillary Service Requirement Assessment Indices for the Load Frequency Control in a Restructured Power System with Redox Flow Batteries

  • Chandrasekar, K.;Paramasivam, B.;Chidambaram, I.A.
    • Journal of Electrical Engineering and Technology
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    • v.11 no.6
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    • pp.1535-1547
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    • 2016
  • This paper proposes various design procedures for computing Power System Ancillary Service Requirement Assessment Indices (PSASRAI) for a Two-Area Thermal Reheat Interconnected Power System (TATRIPS) in a restructured environment. In an interconnected power system, a sudden load perturbation in any area causes the deviation of frequencies of all the areas and also in the tie-line powers. This has to be corrected to ensure the generation and distribution of electric power companies to ensure good quality. A simple Proportional and Integral (PI) controllers have wide usages in controlling the Load Frequency Control (LFC) problems. So the design of the PI controller gains for the restructured power system are obtained using Bacterial Foraging Optimization (BFO) algorithm. From the simulation results, the PSASRAI are calculated based on the settling time and peak over shoot concept of control input deviations of each area for different possible transactions. These Indices are useful for system operator to prepare the power system restoration plans. Moreover, the LFC loop coordinated with Redox Flow Batteries (RFB) has greatly improved the dynamic response and it reduces the control input requirements and to ensure improved PSASRAI, thereby improving the system reliability.

What Pre-service Elementary School Teachers Focus on When Developing Assessment Items: Focusing on the Unit 'Weather and Our Lives' (초등 예비교사가 평가 문항 제작 시 주목하는 것은 무엇인가? : 날씨와 우리 생활 단원을 중심으로)

  • Sung-Man Lim;Seong-Un Kim
    • Journal of the Korean Society of Earth Science Education
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    • v.17 no.2
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    • pp.181-193
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    • 2024
  • Summative assessment provides information on how well students have achieved learning objectives, making the development of high-quality assessment items essential for accurate evaluation. This is one of the competencies that teachers must possess. This study aims to analyze summative assessment items created by pre-service elementary teachers, examining their intentions and the difficulties encountered in the item development process. The study involved 45 second-year students enrolled in an elementary teacher training university. They were grouped into teams of three and tasked with developing ten items, documenting the purpose of each item, the answer key, and the challenges faced during item creation. The collected summative assessment items were analyzed using a two-dimensional purpose classification table that includes Klopfer's taxonomy of educational objectives. The intentions behind the summative assessments and the difficulties faced during item development were inductively organized and analyzed through qualitative data analysis. The results revealed that pre-service elementary teachers adequately reflected scientific content elements but did not evenly cover assessment domains. The most challenging aspect for them was adjusting the difficulty level. Although they considered most factors that should be taken into account during item development, these considerations were not reflected in the actual items. These findings suggest that knowledge and experience are crucial in developing summative assessment items, and systematic lectures are necessary for pre-service elementary teachers.

Nutritional Assessment and Management in Long-term Care Insurance's Home Visit Care Service (경기도 일부 노인의 노인장기요양보험 방문요양서비스의 영양상태 평가 및 영양관리 현황)

  • Yoon, Mi-Ock;Moon, Hyun-Kyung;Kim, Seo-Yeon;Kim, Bok-Hee
    • Korean Journal of Community Nutrition
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    • v.18 no.2
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    • pp.142-153
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    • 2013
  • The purpose of the study was to examine nutritional management and nutritional care demands of home-visit care service and the nutritional status of serviced elderly. The survey was carried out from $5^{th}$ to $21^{st}$ of January, 2011 among 37 In-Home Service institutions. The number of elderly surveyed by 143 care helpers was 281. Analysis was performed for 203 subjects (male: 44, female: 159). The age distribution was from 50 to 99 years. The grading by long-term care insuranceshowed 18,2% on level 1 and 2, and 81.8% on level 3. For the disease treatment, the proportion of implementing diet treatment turned out to be very low. The proportion of subjects living with their children was 45.3%, and living alone was 29.1%. The proportion of home-visit care among types of In-Home Service was 70%. Subjects who needed additional necessary diet management service turned out to be 40.9%. Diet management was the most necessary services from all levels. MNA (specifiy MNA) scores were significantly (p < 0.001) associated with BMI, mid-arm circumference (MAC), calf circumference (CC), intake problems, and weight loss during the last 3 months. For studied elderly, 45.3% were malnourished, and 46.8% were at the risk of malnutrition by MNA score. Based on the result of this survey, the nutritional care was not systematic on the In-Home Service. Prevention and management of the disease was much better than the treatment to improve the quality of life. We conclude that nutrition management is necessary for the elderly. To improve nutritional status of elderly in home care services, systematic nutrition management should be implemented.

Researching Quality Assessment of Systematic Reviews in the Journal of Chuna Manual Medicine for Spine & Nerves (척추신경추나의학회지에 게재된 체계적 문헌 고찰의 질 평가 연구)

  • Jung-Sik Park;Hyung-Ho Lim
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.18 no.2
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    • pp.9-21
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    • 2023
  • Objectives This study amied to assess the reporting quality of systematic reviews(SRs) in the Journal of Chuna Manual Medicine for Spine & Nerves (JCMM). Methods SRs in JCMM from January 2000 to June 2023 were selected using the Research Information Sharing Service(RISS) and JCMM homepage. Two independent researchers reviewed SRs and evaluated their reporting quality using AMSTAR 2. Results A total of 51 SRs were included for assessment. The evaluation revealed 21 studies as having critically low quality, and 30 as having low quality the reporting of items in the studies ranged from a maximum of 81.2% to a minimum of 56.3%. On average, SRs reported 11.1 out of the total 16 items for AMSTAR 2 reporting quality. Conclusions To improve the quality of SRs published in JCMM, it is recommended to conduct SRs based on AMSTAR 2 and adhere to PRISMA 2020 guidelines.

A Study of Customer Satisfaction on Mobile Banking Service

  • Ahn, Joong-Ho;Yang, Ji-Youn;Ahn, Jung-Hee
    • Proceedings of the CALSEC Conference
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    • 2005.03a
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    • pp.201-206
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    • 2005
  • Our goal is aimed at positive-analyzing how quality level of mobile banking service is composed of by 22 questions from SERVQUAL of existing PZB. As a result of positive-analysis, 4 different factors-reliability, empathy, tangibilities, assurance- were deduced, different with 5 levels. Responsiveness is absorbed other dimensions. Also, we tried to find out the appropriate method between SERVQUAL method, showing the difference between the consumers' expectations and the assessment of the actual performance, and model of SERVPERF, measuring performance recognized points while dealing with the concept of SERVQUAL to scale the service qualities of mobile banking.

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Development and Applications of Ecological Data Portal Service (EcoBank) for Sharing Ecological Information of Korea (생태정보의 공유를 위한 생태정보 포털서비스 (EcoBank) 구축 및 활용 방안)

  • Sung, Sunyong;Kwon, Yong Su;Kim, Ki Dong
    • Korean Journal of Ecology and Environment
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    • v.51 no.3
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    • pp.212-220
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    • 2018
  • Ecological and ecosystem database is becoming very necessary to understand origins and relationship between human and nature and also to minimize disturbance caused by human activities. An ecological information portal can play important roles as a computing system to collect knowledge, distributed research findings and separated data from researchers. In this study, we designed and developed ecological information portal service (EcoBank 1.0) for collecting and providing ecological information for diverse classes of stakeholders. To reach the goal, we had reviewed related and comparable ecological database portals to design conceptual structure of EcoBank system including database management framework. Then, we developed some functions of ecosystem analysis for each stake-holders (researchers, general public and policy makers). As a result of this study, we successfully designed of EcoBank system covering the functions of Digital Object Identifier(DOI) publishing and data quality management process. Also, we (1) applied ecological indices for calculating biodiversity by administrative boundary for policy makers, (2) provided statistical information of econature map for general public and distribution characteristics of species for researchers. To make a successful establishment of EcoBank, we have to collect and build up related database and offer various and reliable ecological data consistently. We expect that the successful construction of EcoBank will help not only to accomplish sustainable development goals but also to raise the welfare of ecosystem in Korea.

Annual Endovascular Thrombectomy Case Volume and Thrombectomy-capable Hospitals of Korea in Acute Stroke Care

  • Eun Hye Park;Seung-sik Hwang;Juhwan Oh;Beom-Joon Kim;Hee-Joon Bae;Ki-Hwa Yang;Ah-Rum Choi;Mi-Yeon Kang;S.V. Subramanian
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.2
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    • pp.145-153
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    • 2023
  • Objectives: Although it is difficult to define the quality of stroke care, acute ischemic stroke (AIS) patients with moderate-to-severe neurological deficits may benefit from thrombectomy-capable hospitals (TCHs) that have a stroke unit, stroke specialists, and a substantial endovascular thrombectomy (EVT) case volume. Methods: From national audit data collected between 2013 and 2016, potential EVT candidates arriving within 24 hours with a baseline National Institutes of Health Stroke Scale score ≥6 were identified. Hospitals were classified as TCHs (≥15 EVT case/y, stroke unit, and stroke specialists), primary stroke hospitals (PSHs) without EVT (PSHs-without-EVT, 0 case/y), and PSHs-with-EVT. Thirty-day and 1-year case-fatality rates (CFRs) were analyzed using random intercept multilevel logistic regression. Results: Out of 35 004 AIS patients, 7954 (22.7%) EVT candidates were included in this study. The average 30-day CFR was 16.3% in PSHs-without-EVT, 14.8% in PSHs-with-EVT, and 11.0% in TCHs. The average 1-year CFR was 37.5% in PSHs-without-EVT, 31.3% in PSHs-with-EVT, and 26.2% in TCHs. In TCHs, a significant reduction was not found in the 30-day CFR (odds ratio [OR], 0.92; 95% confidence interval [CI], 0.76 to 1.12), but was found in the 1-year CFR (OR, 0.84; 95% CI, 0.73 to 0.96). Conclusions: The 1-year CFR was significantly reduced when EVT candidates were treated at TCHs. TCHs are not defined based solely on the number of EVTs, but also based on the presence of a stroke unit and stroke specialists. This supports the need for TCH certification in Korea and suggests that annual EVT case volume could be used to qualify TCHs.

A Study on the Quality of Life for Home Care Nursing Patient (가정간호대상자의 삶의 질에 영향을 미치는 요인)

  • Kwak, Kyung-Sun;Jung, Hye-Sun
    • Journal of Home Health Care Nursing
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    • v.12 no.1
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    • pp.136-154
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    • 2005
  • Purpose : This study purposed to conduct a comprehensive survey of home care nursing clients' quality of life based on the PRECEDE model. Method : This study selected 74 home care nursing clients registered at a university hospital in Incheon and performed face-to-face interviews by structured questionnaire. The research period was two months from the $2^{nd}$ of February to the $30^{th}$ of March in 2004. Result : According to the result of assessment at each stage of the PRECEDE model, home care nursing clients' quality of life was 13.88 out of 25 points, health level 15.22 out of 21, abilities to perform activities of daily living 29.26 out of 100, cognitive abilities 16.00 out of 30, social support 13.68 out of 20, and satisfaction with home care nursing service 33.26 out of 40. According to the result of stepwise regression in order to identify factors influencing home care nursing clients' quality of life, social support and abilities of daily living were found to be significant variables among the characteristics of each assessment stage. Conclusion : It is necessary to develop nursing intervention strategies for strengthening social support and enhancing abilities to perform activities of daily living in order to improve home nursing clients' quality of life.

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Quality Assessment of Performance in the University Foodservice by Students Living in Incheon (인천지역 대학생에 의한 대학급식소의 급식서비스에 대한 품질 평가)

  • 노정옥;우경자;한복진
    • Journal of the East Asian Society of Dietary Life
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    • v.14 no.3
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    • pp.294-301
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    • 2004
  • This study was conducted to investigate the quality assessment of performance of the university foodservice. Self administered questionnaires were collected from 305 students living in Incheon. Statistical data analysis was completed using a SPSS v. 10.0 program. The results were summarized as follows: 61.4% of male students and 48.1% of female students responded to have lunch regularly. Only 23.4% of male students and 14.1% of female students used the university foodservice daily. Reasons for the irregularity of lunch were responded as “lecture”, “eating when I want” and “appointment with friends”, etc. The quantity, temperature, nutritional value, appearance, hygiene, taste and freshness of foods and price of menus were evaluated as appropriate but using seasonal foods, number of side-dishes, etc. as unsatisfactory. Service speed, cloth hygiene, neatness and kindness of employee were evaluated as appropriate. For the facilities of foodservice, counter location, menu board and lighting facilities were evaluated as appropriate but heating facilities, disposition of tables and chairs of dining hall were as unsatisfactory. Sanitation of floors and walls of dining hall, restroom and utensils, etc. was evaluated as low.

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