• 제목/요약/키워드: Value measures

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Designing an Effective Pay-for-performance System in the Korean National Health Insurance

  • Jeong, Hyoung-Sun
    • Journal of Preventive Medicine and Public Health
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    • 제45권3호
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    • pp.127-136
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    • 2012
  • The challenge facing the Korean National Health Insurance includes what to spend money on in order to elevate the 'value for money.' This article reviewed the changing issues associated with quality of care in the Korean health insurance system and envisioned a picture of an effective pay-for-performance (P4P) system in Korea taking into consideration quality of care and P4P systems in other countries. A review was made of existing systematic reviews and a recent Organization for Economic Cooperation and Development survey. An effective P4P in Korea was envisioned as containing three features: measures, basis for reward, and reward. The first priority is to develop proper measures for both efficiency and quality. For further improvement of quality indicators, an electronic system for patient history records should be built in the near future. A change in the level or the relative ranking seems more desirable than using absolute level alone for incentives. To stimulate medium- and small-scale hospitals to join the program in the next phase, it is suggested that the scope of application be expanded and the level of incentives adjusted. High-quality indicators of clinical care quality should be mapped out by combining information from medical claims and information from patient registries.

Korean National Health Insurance Value Incentive Program: Achievements and Future Directions

  • Kim, Sun-Min;Jang, Won-Mo;Ahn, Hyun-Ah;Jeong, Hyang;Ahn, Hye-Sook
    • Journal of Preventive Medicine and Public Health
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    • 제45권3호
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    • pp.148-155
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    • 2012
  • Since the reformation of the National Health Insurance Act in 2000, the Health Insurance Review and Assessment Service (HIRA) in the Republic of Korea has performed quality assessments for healthcare providers. The HIRA Value Incentive Program (VIP), established in July 2007, provides incentives for excellent-quality institutions and disincentives for poorquality ones. The program is implemented based on data collected between July 2007 and December 2009. The goal of the VIP is to improve the overall quality of care and decrease the quality gaps among healthcare institutions. Thus far, the VIP has targeted acute myocardial infarction (AMI) and Caesarian section (C-section) care. The incentives and disincentives awarded to the hospitals by their composite quality scores of the AMI and C-section scores. The results of the VIP showed continuous and marked improvement in the composite quality scores of the AMI and C-section measures between 2007 and 2010. With the demonstrated success of the VIP project, the Ministry of Health and Welfare expanded the program in 2011 to include general hospitals. The HIRA VIP was deemed applicable to the Korean healthcare system, but before it can be expanded further, the program must overcome several major concerns, as follows: inclusion of resource use measures, rigorous evaluation of impact, application of the VIP to the changing payment system, and expansion of the VIP to primary care clinics.

Reconsideration of F1 Score as a Performance Measure in Mass Spectrometry-based Metabolomics

  • Jeong, Jaesik;Kim, Han Sol;Kim, Shin June
    • 통합자연과학논문집
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    • 제11권3호
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    • pp.161-164
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    • 2018
  • Over the past decade, mass spectrometry-based metabolomics, especially two dimensional gas chromatography mass spectrometry (GCxGC/TOF-MS), has become a key analytical tool for metabolomics data because of its sensitivity and ability to analyze complex biological or biochemical sample. However, the need to reduce variations within/between experiments has been reported and methodological developments to overcome such problem has long been a critical issue. Along with methodological developments, developing reasonable performance measure has also been studied. Following four numerical measures have been typically used for comparison: sensitivity, specificity, receiver operating characteristic (ROC) curves, and positive predictive value (PPV). However, more recently, such measures are replaced with F1 score in many fields including metabolomics area without any carefulness of its validity. Thus, we want to investigate the validity of F1 score on two examples, with the goal of raising the awareness in choosing appropriate performance comparison measure. We noticed that F1 score itself, as a performance measure, was not good enough. Accordingly, we suggest that F1 score be supplemented with other performance measure such as specificity to improve its validity.

체형의 변이 경향에 대한 연구 -우리나라 19~54세 남성을 대상으로- (A Study on the Trend of Bodytype Change -On the adult male between age 19 and 54-)

  • 김구자;이순원
    • 한국의류학회지
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    • 제20권1호
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    • pp.218-227
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    • 1996
  • The purpose of this study was performed to analyze the trend of bodytype change of adult males. Subjects were 1290 Korean adult males and their age range was from 19 to 54 year, ; old. 75 variables(66 variables from the direct anthropometric data and 9 variables from the multiplication method) in total were applied to analyze. The principal component analysis was applied to the data with orthogonal rotation after extraction of major factors. The high factor loading items extracted by factor analysis were analyzed for the trend of bodytype change by the age group respectively. The result of factor analysis indicated that the first factor was composed with about 30 items, girth, depth and width-measures in 4 age groups and was analysed as form factors. Especially, age-related change was caused by increase of waist girth, depth and width. The second factor was composed with about 23 items, length and height-measures in all age groups. Stature has a constant factor loading value in 4 groups. Front and back waist-height and the navel-height have the highest factor loading value. The third, fourth and fifth factors were composed with different variables among the age groups.

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Learning Discriminative Fisher Kernel for Image Retrieval

  • Wang, Bin;Li, Xiong;Liu, Yuncai
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제7권3호
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    • pp.522-538
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    • 2013
  • Content based image retrieval has become an increasingly important research topic for its wide application. It is highly challenging when facing to large-scale database with large variance. The retrieval systems rely on a key component, the predefined or learned similarity measures over images. We note that, the similarity measures can be potential improved if the data distribution information is exploited using a more sophisticated way. In this paper, we propose a similarity measure learning approach for image retrieval. The similarity measure, so called Fisher kernel, is derived from the probabilistic distribution of images and is the function over observed data, hidden variable and model parameters, where the hidden variables encode high level information which are powerful in discrimination and are failed to be exploited in previous methods. We further propose a discriminative learning method for the similarity measure, i.e., encouraging the learned similarity to take a large value for a pair of images with the same label and to take a small value for a pair of images with distinct labels. The learned similarity measure, fully exploiting the data distribution, is well adapted to dataset and would improve the retrieval system. We evaluate the proposed method on Corel-1000, Corel5k, Caltech101 and MIRFlickr 25,000 databases. The results show the competitive performance of the proposed method.

Actiwatch 를 이용한 철도소음에 의한 수면방해의 정량적 평가 (Assessment of Sleep Disturbance on Night-time Instantaneous Railway Noise by using Actiwatch)

  • 홍지영;김재환;임창우;김규태;성동원;이수갑
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2006년도 춘계학술대회논문집
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    • pp.759-763
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    • 2006
  • The World Health Organization(WHO) has recommended population of sleep disturbance as one of the environmental health indicators. But the percentage of respondents who felt highly sleep disturbed, that is, %HSD can???thave application to sleep disturbance from instantaneous noise. Therefore, this study has been carried out to present the technique for assessing sleep disturbance on instantaneous noise quantitatively. The study of sleep disturbance on night time instantaneous railway noise has been undertaken. Noise monitor has been in operation from 22 hours to 7 hours during 6 nights at 12 locations. To assess instantaneous noise induced sleep disturbance, it was decided to measure body movement by actiwatch. %motility was used as indicators of sleep disturbance. %motility is the expected value of probability of motility value during 7 epochs (105s) of any noise event. The measures of instantaneous motility have been related to measures of instantaneous railway noise events. The relationship shows that %motility is a good predictor for assessing sleep disturbance and Korean is more sensitive to noise than European although the railway noise have been considered in this study. This study can be extended to assessing long-term sleep disturbance and give a guideline far policy decision.

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사이드스커트와 보트테일을 이용한 대형화물차량의 연비개선 효과 및 온실가스 감축량 추정 (Estimation of GHG Emissions Reduction and Fuel Economy Improvement of Heavy-Duty Trucks by Using Side Skirt and Boat Tail)

  • 허철행;윤병규;김대욱
    • 한국기후변화학회지
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    • 제7권2호
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    • pp.177-184
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    • 2016
  • Recently, the need for technology development of commercial vehicle fuel consumption has emerged. Fuel economy improvement of transport equipment and transportation efficiency, and increasing attention to the logistics cost reduction measures. Increasing attention to the logistics cost reduction measures by fuel economy improvement of transport equipment and transportation efficiency. In this study, we have installed aerodynamic reduction device (side skirt, boat tail) to 14.5 ton cargo trucks and 45 ft tractor-trailers. And the fuel consumption was compared installed before and after. Fuel economy assessment for the aerodynamic reduction value device was tested by modifying the SAE J1321 Joint TMC/SAE Fuel Consumption Test Procedure - Type II test in according domestic situation. Greenhouse gas reductions were calculated in accordance with the scenario, including fuel consumption test results. When the 14.5 ton cargo trucks has been equipped with side skirts and boat tail, it confirmed the improvement in fuel efficiency of 4.72%. One Heavy-duty truck's the annual greenhouse gas reductions value are $6.86ton\;CO_2\;eq$. And if applying the technology to more than 50% of registered 15 ton trucks, greenhouse gas reductions are calculated as $686,826ton\;CO_2\;eq./yr$.

A Study on Countermeasures Against Cyber Infringement Considering CPTED

  • Lim, Heon-Wook
    • International Journal of Advanced Culture Technology
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    • 제9권2호
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    • pp.106-117
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    • 2021
  • The aim is to find cyber measures in consideration of physical CPTED in order to prepare countermeasures for cybercrime prevention. For this, the six applied principles of CPTED were used as the standard. A new control item was created in connection with the control items of ISO27001. A survey was conducted on former and current investigators and security experts. As a result of the reliability analysis, the Kronbar alpha coefficient value was 0.947, indicating the reliability of the statistical value. As a result of factor analysis, it was reduced to six factors. The following are six factors and countermeasures. Nature monitoring blocks opportunities and strengthens business continuity. Access control is based on management system compliance, personnel security. Reinforcement of territoriality is reinforcement of each wife and ethics. Establishment of security policy to enhance readability, security system maintenance. Increasing usability is seeking ways to utilize, periodic incentives. For maintenance, security education is strength and security-related collective cooperation is conducted. The differentiation of this study was to find countermeasures against cybercrime in the psychological part of the past. However, they approached to find in cyber measures. The limitation of the study is to bring the concept of physical CPTED to the cyber concept.

Japan's Export Regulations and Korea's Investment Attraction Strategy: Focusing on the Parts and Materials Industry

  • Lee, Min-Jae;Jung, Jin-Sup;Lee, Jeong-Eun
    • Journal of Korea Trade
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    • 제24권3호
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    • pp.55-72
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    • 2020
  • Purpose - In this paper, we provide recommendations for Korea's long-term direction and strategic measures to attract inward foreign direct investment (FDI) in response to Japan's export regulations. In doing so, we analyze the current situation and characteristics of trade between Korea and Japan, focusing on the parts and materials industry, which is particularly affected by Japan's trade regulations. Design/methodology - Based on the analysis of five successful inward FDI cases (e.g. Toray, IGK, Delkor, GlobalWafers, DuPont) and statistic trend review in the parts and materials industry, we consider various factors pertaining to successful inward FDI in Korea and propose valuable investment attraction strategies. Findings - For a successful investment attraction strategy, we studied some statistical trends in the internal and external environments of the parts and materials industry and successful investment attraction cases in Korea. We have found that in order to increase the probability of success in attracting investment, we need a mid-to long-term strategy considering multiple factors such as "Production-oriented, Demand-linked, Global Value Chain (VGC) linked, and Policy-linked investment attraction." Originality/value - We suggest several specific measures and important strategic implications for the Korean government and firm's managers to attract inward FDI successfully.

공공도서관의 사회적 가치에 대한 이용자와 비이용자의 인식 차이에 관한 연구 - 파주시를 중심으로 - (A Study on the Differences in Awareness of the Social Value of Public Libraries between Public library Users and Non-Users: Focused on Paju City)

  • 오동근;노동조
    • 한국비블리아학회지
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    • 제35권1호
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    • pp.47-71
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    • 2024
  • 본 연구는 공공도서관의 사회적 가치에 대한 이용자/비이용자 집단의 인식비교를 통하여 사회적 가치라는 추상적인 개념을 보다 구체화하여 도서관 현장에 적용 가능한 방안을 제시하였다. 이를 위하여 파주 시민을 대상으로 2023년 5월 7일부터 15일간 대면 또는 온라인 방식으로 설문조사를 하였으며, 유효 응답지 206부를 SPSS 25.0를 활용하여 빈도분석, 요인분석, 독립표본t검정, 일원배치 분산분석을 실시하였다. 본 연구의 결과 첫째, 인구사회적 특성에 따른 공공도서관의 사회적 가치에 대한 인식에서는 연령에 따라 유의한 차이가 있으며, 10대와 40대의 인식이 다른 연령대보다 높았다. 지역사회 개발에 대한 인식에서는 여성이 남성보다 높았고, 직업에 따른 인식에서도 학생, 기타, 주부, 자영업, 직장인 순으로 높았다. 둘째, 공공도서관의 사회적 가치에 대한 인식은 전 영역에서 이용자 집단이 비이용자 집단보다 높았다. 셋째, 도서관 이용 정도에 따른 공공도서관의 사회적 가치에 대한 인식에서는 유의미한 차이가 없었다. 향후 파주시 공공도서관의 사회적 가치에 대한 인식 제고를 위하여 비이용자의 이용자로의 유입과 남성과 60대, 20대를 대상으로 하는 신규 콘텐츠 및 서비스의 개발, 지역사회 활동 강화를 제안하였다.