• Title/Summary/Keyword: Service Review

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Nursing Care Fraud and False Billing - With the Case Study Basis - (요양급여의 허위.부정청구 -사례연구 중심으로-)

  • Huh, Su-Jin
    • The Korean Society of Law and Medicine
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    • v.13 no.1
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    • pp.41-69
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    • 2012
  • First introduced in 1977, Korean health care system reached to national coverage in short period of time never seen before in any other countries, and rated as successful system protecting the health of the public at relatively low price. However, despite those positive evaluations, some of fraudulent medical organizations or pharmacies are hindering the sound development of the national health care system with meticulous false billing exaggerating the number of patients or the days of their treatment. To prevent aforementioned nursing home fraud and false billing, the misconduct should be punished as subject to the criminal law and severally punished for fines and payments which far exceed the expected amount of illicit gains as it is basically violation of criminal fraud, other than the forced return of illicit gains based on civil laws. Furthermore, the Health Insurance Review and Assessment Service should strengthen and complement the fraud investigators, the review process, and the professional training to raise the detection rates. It might also want to review ways to implement whistleblower rewarding system and rewards for evidences of healthcare fraud to overcome the limits of external review.

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A Study on Relationship between Learning participation and Learning Outcomes in Programming Courses

  • Kim, Ji Sim;Kim, Kyoung Ah;Ahn, You Jung;Oh, Suk;Jin, Myung Sook
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.4
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    • pp.113-121
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    • 2019
  • The purpose of the study is to identify the influence of learning participation on learning outcomes in programming courses. Based on the literature review, learning participation is composed of three sub components: participation in preview, class, and review. Learning outcomes are categorized by academic achievement, learning satisfaction, and learning motivation. A survey was conducted with 267 students enrolled in programming courses from three IT departments at Myongji College. Findings revealed that participation in review and participation in class predicted all sub components of learning outcomes. Participation in review was found to have a greater effect on learners' achievement and participation in class was found to have a greater impact on learning satisfaction and motivation. However, the results showed that participation in class was not an influential factor for learning outcomes. Implications for enhancing learning participation and suggestions for future research are also discussed.

Application of Deep Learning: A Review for Firefighting

  • Shaikh, Muhammad Khalid
    • International Journal of Computer Science & Network Security
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    • v.22 no.5
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    • pp.73-78
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    • 2022
  • The aim of this paper is to investigate the prevalence of Deep Learning in the literature on Fire & Rescue Service. It is found that deep learning techniques are only beginning to benefit the firefighters. The popular areas where deep learning techniques are making an impact are situational awareness, decision making, mental stress, injuries, well-being of the firefighter such as his sudden fall, inability to move and breathlessness, path planning by the firefighters while getting to an fire scene, wayfinding, tracking firefighters, firefighter physical fitness, employment, prediction of firefighter intervention, firefighter operations such as object recognition in smoky areas, firefighter efficacy, smart firefighting using edge computing, firefighting in teams, and firefighter clothing and safety. The techniques that were found applied in firefighting were Deep learning, Traditional K-Means clustering with engineered time and frequency domain features, Convolutional autoencoders, Long Short-Term Memory (LSTM), Deep Neural Networks, Simulation, VR, ANN, Deep Q Learning, Deep learning based on conditional generative adversarial networks, Decision Trees, Kalman Filters, Computational models, Partial Least Squares, Logistic Regression, Random Forest, Edge computing, C5 Decision Tree, Restricted Boltzmann Machine, Reinforcement Learning, and Recurrent LSTM. The literature review is centered on Firefighters/firemen not involved in wildland fires. The focus was also not on the fire itself. It must also be noted that several deep learning techniques such as CNN were mostly used in fire behavior, fire imaging and identification as well. Those papers that deal with fire behavior were also not part of this literature review.

Effects of Jakyakkamchobuja-tang on Rheumatoid Arthritis in Rat Model: Systemic Review and Meta-Analysis (류마티스 관절염 백서 모델에서 작약감초부자탕의 효과: 체계적 문헌고찰 및 메타분석)

  • Che-Yeon Kim;Sang-Hyun Lee;Man-Suk Hwang
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.3
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    • pp.79-96
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    • 2023
  • Objectives This study was designed to review the effect of Jakyakkamchobuja-tang on rat model with rheumatoid arthritis. Methods We used seven databases (PubMed, EMBASE, Cochrane CENTRAL, China National Knowledge Infrastructure, Oriental Medicine Advanced Searching Integrated System, Korean studies Information Service System, National Digital Science Library) from their inception to May 2023 without language restrictions. Systematic Review Centre for Laboratory Animal Experimentation's tool was used to evaluate the risk of bias. RevMan software (V5.4) was used for the meta-analysis. Results Five studies were selected following our inclusion criteria. The arthritis index decreased significantly (standardized mean difference=-2.06; 95% confidence interval=-3.07 to -1.04; p<0.0001) in Jakyakkamchobuja-tang group. Also, serum cytokines in serum and paw swelling degree decreased in Jakyakkamchobuja-tang group. Conclusions Jakyakkamchobuja-tang may be effective in treating rheumatoid arthritis. Although there is a limitation that the design of drug dosage varies between papers, it can be expected to be applied as an alternative to Western medicine, and it is believed to contribute to the standardization of herbal treatment for rheumatoid arthritis.

Innovative Leadership: A Literature Review Paper

  • Alice MOTSI;Samuel GUMBE;Noel MUZONDO
    • The Journal of Industrial Distribution & Business
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    • v.15 no.1
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    • pp.9-18
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    • 2024
  • Purpose: The study aims to develop literature review on innovative leadership in order to study main areas of research and present the status of innovative leadership. The study brings out the importance of innovative leadership given the rate at which the business environment is changing. The development of literature also enhances an understanding of the innovative leadership concept. Research design, data and methodology: The study adopted a desktop research methodology. Empirical and theoretical researches and articles which are relevant to innovative leadership are reviewed and analysed. Only secondary information gathered through those articles and researches is used to analyse and build literature review on innovative leadership. Results: A literature review of both qualitative and quantitative research on innovative leadership as portrayed in literature propose the new research direction that aims at unravelling the importance of adopting innovative leadership as a leadership style. Conclusions: It is evident that innovative leadership is an area which needs more attention especially in contemporary organisations. The service delivery environment is also changing rapidly thereby calling for strategies to match such changes. This paper facilitates improved understanding of innovative leadership, proffering solutions to a number of leadership challenges within various organisations.

Application of Decision Tree Algorithm for Automating Public Survey Performance Review (공공측량 성과심사 자동화를 위한 결정트리 알고리즘의 적용)

  • Mi-Jin Hyeon;Cheol Jin;Myung-Jin Park;Hyun Choi
    • Journal of the Korean Society of Industry Convergence
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    • v.27 no.2_2
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    • pp.333-341
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    • 2024
  • The current public survey performance review extracts samples according to the set screening ratio, and examines the extracted samples to determine the suitability or inadequacy of the survey performance. The examiner directly judges the survey performance submitted by the performer, and extracts it in consideration of various field conditions and topography for each subject. However, it is necessary to secure fairness in the examination as it is extracted with different extraction methods for each subject and the judgment of the examiner. Accordingly, in order to automate sampling for public survey performance review, the detailed sampling criteria of the reviewer were investigated to prepare a volume calculation table, and the automation of sampling using Python was studied. In addition, by reviewing items that can and cannot be automated, the application of the automated decision tree algorithm of sampling was reviewed.

What Do Consumers Expect and Gain from the Sharing Economy? A Systematic Literature Review (2016-2021) on the Antecedents and Outcomes

  • Jeesoo Kim;Soyeong Lee;Zhenghao Tong;Hongjoo Woo
    • Journal of the Korean Society of Clothing and Textiles
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    • v.48 no.2
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    • pp.367-381
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    • 2024
  • The sharing economy (SE) describes an economic system in which consumers share a product or service via collaborative consumption. Reasonably, the SE receives much attention in the fashion industry as a sustainable form of consumption. However, a systematic review of the antecedents and outcomes of consumer participation in SE is limited by researchers' and practitioners' hindered understanding of what consumers expect and gain from the SE. This study offers a systematic review of the SE research conducted from January 2016 to July 2021 and proposes a conceptual model. In terms of antecedents, three factors, composed of nine categories and 153 variables, were identified: 1) consumer factors (80 variables), 2) platform/product factors (69 variables), and 3) environmental factors (4 variables). The outcomes included 14 variables divided into two categories: 1) positive outcomes (8 variables) and 2) negative outcomes (6 variables). The results provide recommendations for future research on applying the SE to the fashion sector. First, to more thoroughly investigating antecedents of consumer participation in fashion sharing, the research must focus on barriers and environmental factors, in addition to demographic and psychological variables. Secondly, research on the outcomes of participating in fashion sharing, including economic and social benefits, is needed.

The Study for Cloud-native Application of Public Sector Information System on Considerations during Project Execution (공공부문 정보시스템의 클라우드 네이티브 적용을 위한 적합성 검토방안 및 사업진행 시 고려사항에 대한 연구)

  • Jin Won Choi;Eun Suk Lee
    • Journal of Information Technology Services
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    • v.23 no.1
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    • pp.27-35
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    • 2024
  • In accordance with the cloud conversion of public sector information systems and the implementation of cloud native introduction policies, review items were presented to review the cloud native of information systems for stable and efficient cloud native deployment. By presenting cloud native considerations when promoting a project, we propose a plan to flexibly respond to policy and business changes and improve development quality and productivity to operate cloud services stably. In order for information project managers to switch to a cloud-native-based information system in order to efficiently utilize the cloud as a cloud, they must decide whether to introduce cloud-native through suitability review questions and sufficiently review development and operation costs and efficiency to promote the project. As a result of conducting a focus group interview (FGI) with a council of cloud native experts, there was an opinion that information systems can be operated in a cloud-native manner even with a monolithic structure. By fully considering the circumstances of each system, development quality and productivity, we expect to be able to operate improved to provide a stable cloud service.

Effects of E-review attributes on Purchase Intention for Fashion Products across E-community Types (커뮤니티 유형에 따라 온라인 리뷰속성이 패션제품 구매의도에 미치는 영향)

  • Park, Eun Joo;Kang, Joo Hee
    • Korean Journal of Human Ecology
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    • v.21 no.5
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    • pp.1005-1016
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    • 2012
  • Recently, as growing number of consumers publish product and service reviews on the Internet, e-review has received attention from retailers and researchers. E-review, a form of electronic word-of-mouth (eWOM) which is typically shared between strangers whose identity and credibility are unknown, has become an important product information source as social media has facilitated information exchanges between more consumers. The objective of this study was to investigate the effects of e-review attributes on purchase intention for fashion products, which is mediated by trust of e-review, as well as to explore the differences between consumer communities and cooperative communities. A questionnaire was developed based on previous researches. Data were gathered from adults living in Busan. The results were analyzed by factor analysis, t-test, and regression using SPSS 18.0. The results showed that consumers tended to recognize e-reviews from consumer communities as exaggerated information, while they considered reviews from cooperative communities as reliable information, which gave the latter higher purchase intention. There were significant differences in e-review attributes for fashion products (e.g., Exaggeration, Entertainment, Innocence, and Agreement), purchase intention between consumer communities (e.g: Blog, Internet cafe) and cooperative communities (e.g: general malls and specialty malls). For both communities, purchase intention of fashion products was influenced by its entertainment attributes and perceived trust of e-reviews. These results suggest that e-retailers need to focus on understanding the causes of purchase intention with e-reviews for fashion products. Specifically, e-retailers should recognize that e-reviews of fashion products were associated primarily with entertaining and with consumers' trust. Based on these findings, managerial implications are presented.

Assessing Reliability of Medical Record Reviews for the Detection of Hospital Adverse Events

  • Ock, Minsu;Lee, Sang-il;Jo, Min-Woo;Lee, Jin Yong;Kim, Seon-Ha
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.5
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    • pp.239-248
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    • 2015
  • Objectives: The purpose of this study was to assess the inter-rater reliability and intra-rater reliability of medical record review for the detection of hospital adverse events. Methods: We conducted two stages retrospective medical records review of a random sample of 96 patients from one acute-care general hospital. The first stage was an explicit patient record review by two nurses to detect the presence of 41 screening criteria (SC). The second stage was an implicit structured review by two physicians to identify the occurrence of adverse events from the positive cases on the SC. The inter-rater reliability of two nurses and that of two physicians were assessed. The intra-rater reliability was also evaluated by using test-retest method at approximately two weeks later. Results: In 84.2% of the patient medical records, the nurses agreed as to the necessity for the second stage review (kappa, 0.68; 95% confidence interval [CI], 0.54 to 0.83). In 93.0% of the patient medical records screened by nurses, the physicians agreed about the absence or presence of adverse events (kappa, 0.71; 95% CI, 0.44 to 0.97). When assessing intra-rater reliability, the kappa indices of two nurses were 0.54 (95% CI, 0.31 to 0.77) and 0.67 (95% CI, 0.47 to 0.87), whereas those of two physicians were 0.87 (95% CI, 0.62 to 1.00) and 0.37 (95% CI, -0.16 to 0.89). Conclusions: In this study, the medical record review for detecting adverse events showed intermediate to good level of inter-rater and intra-rater reliability. Well organized training program for reviewers and clearly defining SC are required to get more reliable results in the hospital adverse event study.