• 교육시설
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• 제7권2호
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• pp.23-35
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• 2000

This study aims at revealing utilization planning by surveying and analyzing unused classrooms of primary schools' facilities between Japan and Korean. Focused on high and multi-functionization, rather qualitative aspect than quantitative. Various and positive utilization planning of unused classrooms are needed. In Japan, unused classrooms of primary schools have already appeared in urban and rural area together. However it has been presented the effective utilization of these facilities even though many schools have tried using those. With these circumstances, Educational Authorities in Japan have researched the utilization methods of these facilities to use as supporting facilities for school education, management and opening to regional communities. Also, they are promoting to refer each school to a guide handbook for unused classrooms. Therefore, this study with some cases between Japan and Korean should be valuable data for effective use and planning of our cases.

• 교육시설
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• 제3권2호
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• pp.5-13
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• 1996

In the course of modernization and industrialization in Korea, the population in rural area has been substantially decreased, as a greate number of people have moved to urban area. Many elementary schools in rural area were destined to be closed as the number of students for each school have been decreased below proper level. And this tendency seems to be continued for the time being. The purpose of this study is to suggest a policy for the effective utilization of closed elementary schools in rural area. Especially this study is focused on the cases of utilization of closed school as art studio. By analysing the actual cases of utilization of closed school facilities as artists' studios and surveying the responses and opinions of local inhabitants as well as the artists, we hereby suggest and propose a related policy as one of effective means to revitalize distressed rural community.

• 한국농촌건축학회논문집
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• 제19권3호
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• pp.1-8
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• 2017

Recently, the number of closed rural schools is increasing due to the decrease in school age population. This study aims to comparative analysis of utilization policies for closed schools in Korea and Japan. The results are as follows. First, Both Korea and Japan was expected to increase the number of closed schools since the standard of abolition of small schools has been strengthened. Second, In Korea, it was possible to know the detailed information of closed schools through 'Eduinfo' website, but it was hard to know the detailed information of utilization cases of closed schools. On the other hand, Japan not only provided information about the unused school facilities but also introduced the utilization cases of closed schools and financial support system for utilization of closed school. It was characterized by linking with the information of unused schools and company, NPO, elderly welfare facility, etc. Third, In korea Superintendent established plans to use closed schools to respond flexibly to local circumstances. Japan simplified the procedures for closed schools to promote the utilization of closed schools. Finally, In Japan, there was various financial support system. But in Korea, it supported the cost of subsidy reduction, free loan, maintenance and management and operation.

• Journal of Preventive Medicine and Public Health
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• 제11권1호
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• pp.41-48
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• 1978

To examine the result of the government Medical Aid Program which began in January, 1977 as a part of social security policy implementation, all the medical records of the clients and official statistics in the year were analysed. The specific objectives this study pursues include the magnitudes and patterns of morbidity and utilization, and the characteristics of clients. One Korean rural area, Koje county was selected as the study area and subsequently all the clinics and hospitals assigned to work out the Aid Program are the subjects for the survey. A brief summary of the sutdy results as follows: a. The clients of Koje county are 6.4% of the total population in the area, more than the average percentage of the clients in Korea. It reflects on low level of economic status of the residents of the area. b. The population structure of the clients indicates that the large proportions of young and old age group are overwhelming, while the middle age group share very small portions. c. The utilization rates for primary care are 2.0 persons, 11.6 visits and 22.6 treatment days per 100 persons per months. Annual hospitalization is rated as 13.7 cases and 164 days per 1,000 persons, The utilization rates are slightly lower than those expected rates during planning period but eventually become higher than those of general population in rural Korea. d. The factors which influence the utilization rates are identified with client group (low income vs indigent), age and sex. e. The utilization pattern for primary care demonstrates seasonal variation similar to the pattern of general rural population in the low income group, but none in the indigent group. f. The most common diseases revealed at the primary care clinics are the acute respiratory infection (26.9%), acute gastritis (10.8%), skin and subcutaneous infection (6.8%). The cases of acute conditions are outnumbered than the cases of chronic condition. 8. The clinics, hospitals and other related health institutions are well cooperated in dealing health care services in their own capacities. Considering the above results Medical Aid Program generated satisfactory results at least in the utilization aspect.

• 한국병원경영학회지
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• 제2권1호
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• pp.1-21
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• 1997

In order to analyze the shifts in the volume and profits of Computed Tomography(CT) and Magnetic Resonance Imaging(MRI) utilization for a year before and after the implementation of insurance coverage for CT, this study has been undertaken examining CT and MRI cost data from 'Y' University Hospital situated in Seoul, Korea. Following are the results of this study: 1. The medical insurance payment for CT, implemented on January 1, 1996, increased CT utilization from January 1996 to April 1996 due to low insurance premiums: however, from May 1996 the number of CT cases significantly decreased as a result of strengthened medical cost reviews and the new 'Detailed standards for approval of CT' announced near the end of April 1996 by the insurer. 2. Since the implementation of insurance coverage for CT, CT fee reduction rates for reimbursements by the insurer to the hospital were 50% and 40% for January and February, respectively, and 31% and 15% for March and April. A significant point in the lowering of the reduction rate was reached in May at 11%; furthermore, since June the reduction rate fell below the average reduction rate for reimbursements for all procedures. If the 'Detailed standards for approval of CT' had been announced before the implementation of insurance coverage for CT, CT utilization would not have been so high due to the need to meet those 'standards'. In addition, loss of hospital profits resulting from the reduction for reimbursements would not have occurred. 3. The shifts in MRI utilization showed that there was no particular change with the beginning of insurance coverage for CT, and the introduction of the 'Detailed standards for approval of CT' made MRI utilization increase because MRI is free of restrictions imposed by the insurer. 4. The relationship between CT utilization and MRI utilization showed that they were supplementary to each other before insurance coverage for CT, but that CT was substituted for MRI because of strengthened medical cost reviews after t~e beginning of insurance coverage for CT. 5. The shifts in volume by patient characteristics showed that the number of inappropriate case patients, according to the insurer's "Standards for approval", decreased more than the number of appropriate case patients after the introduction of insurance coverage for CT. Therefore, the health insurance fee schemes for CT have influenced patient care. 6. The shifts in profits from CT utilization showed a net profit decrease of 31.6%. In order to match the pre-coverage profit level, 5,471 more cases would need to be seen and productivity would need to be increased by 32.7%. This profit decrease resulted from a decrease of CT utilization and low reimbursements. With insurance coverage, net profits from CT were 24.4%, and a margin of safety ratio was 39.6%. Because of the net profits and margin of safety ratio, CT utilization fees for insured appropriate cases could not be considered inappropriate. 7. The shifts in profits from MRI utilization before and after the introduction of CT coverage showed that in order to match pre-CT coverage profit levels, 2,011 more cases would need to be seen and productivity would need to be increased by 9.2%. The reasons for needing to increase the number of cases and productivity result from cost burdens created by adding new MRI units. But with CT coverage already begun, MRI utilization increased. Combined with a minor increase in the MRI fee schedule, MRI utilization showed a net profit increase of 18.5%. Net profits of 62.8% and a 'margin of safety ratio' of 43.1% for MRI utilization showed that the hospital relied on this non-covered procedure for profits. 8. The shifts in profits from CT and MRI utilization showed the net profits from CT decreased by 2.33billion Won while the net profits from MRI increased by 815.7million Won. Overall, these two together showed a net profit decrease of 1.51billion Won. The shifts in utilization showed a functional substitutionary relationship, but the shifts in profits did not show a substitutionary relationship. From these results, We can conclude that if insurance is to be expanded to include previously uncovered procedures using expensive medical equipment, detailed standards should be prepared in advance. The decrease in profits from the shifts in coverage and changes in fees is a difficult burden that should be shared, not carried by the hospital alone. Also, a new or improved fee schedule system should include revised standards between items listed and the appropriateness of the fee schedule should constantly be ensured. This study focused on one university hospital in Seoul and is therefore limited in general applicability. But it is valuable for considering current issues and problems, such as the influence of CT coverage on hospital management. Future studies will hopefully expand the scope of the issues considered here.

• Journal of Preventive Medicine and Public Health
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• 제52권1호
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• pp.41-50
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• 2019

Objectives: The aim of this study was to investigate cancer patients' utilization of tertiary hospitals in Seoul before and after the benefit expansion policy implemented in 2013. Methods: This was a before-and-after study using claims data of the Korean National Health Insurance Service from 2011 to 2016. The unit of analysis was inpatient episodes, and inpatient episodes involving a malignant neoplasm (International Classification of Diseases, Tenth Revision codes: C00-C97) were included in this study. The total sample (n=5 565 076) was divided into incident cases and prevalent cases according to medical use due to cancer in prior years. The tertiary hospitals in Seoul were divided into two groups (the five largest hospitals and the other tertiary hospitals in Seoul). Results: The proportions of the incident and prevalent episodes occurring in tertiary hospitals in Seoul were 34.9% and 37.2%, respectively, of which more than 70% occurred in the five largest hospitals in Seoul. Utilization of tertiary hospitals in Seoul was higher for inpatient episodes involving cancer surgery, patients with a higher income, patients living in areas close to Seoul, and patients living in areas without a metropolitan city. The utilization of the five largest hospitals increased by 2 percentage points after the policy went into effect. Conclusions: The utilization of tertiary hospitals in Seoul was concentrated among the five largest hospitals. Future research is necessary to identify the consequences of this utilization pattern.

• 복식
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• 제35권
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• pp.151-166
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• 1997

Firms' utilization of internet is completely changing their business environment. Apparel firms' without exception are using internet as their essential marketing mechanism and as a new media for educating customers. Some apparel firms' at the same time acquire valuable customer information from internet users. These business cases become evident in developed countries. in contrast most domestic appstrl firms' are unable to see the strategic importance of internet. Accordingly their level of internet utilization remains quite low. This paper describes apparel firms' use of internet as electronic commerce mechanism based on cases of pioneering apparel firms' which adopted internet technologies in the first place. We further discuss problems that these

• 동의생리병리학회지
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• 제30권2호
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• pp.124-130
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• 2016

The aim of this study was to suggest the future direction of diagnostic and evaluative pattern identification questionnaire (PIQ) by reviewing the state of development and utilization of PIQ according to Korean classification of disease-U (KCD-U). We surveyed the database of OASIS, NDSL, KISS, DBPIA, and Pub-med to know the kinds of developed and developing PIQ of Korean medicine. We used 'Pattern Identification' and 'Questionnaire' to find suitable papers. The inclusion criteria met 47 cases. The number of PIQ before 2000yrs, between 2001 to 2005, 2006-2010, 2011-2015 were 2, 5, 18, 22cases. The number of PIQ belonged to the disease of Korean medicine, the pathological symptom of korean medicine, the Sasang constitutional pattern identification and etc according to KCD-U were 20(42.6%), 8(17%), 9(19.1%) and 10(21.3%). Twenties among forty seven PIQ were validated, and the rest of them were not validated. The distribution of the numbers of PIQ were significantly different according to KCD-U (p=0.003). The direction of Utilization of PIQ was 36 questionnaires in diagnosing PI, 14 cases in evaluating health state, 4cases in evaluating effects of a treatment and 8 ones in diagnosing Sasang constitutional types. This study reveals the status on validated and non-validated PIQ of Korean medicine and suggests the basic information for the direction of developing PIQ in the future.

• 교육시설
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• 제15권1호
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• pp.53-61
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• 2008

Under recent educational and social backgrounds, alternative education schools are increasing continuously, to compare Japanese example that experience of similar circumstance given before with the investigation of general present condition, specialized education contents, facilities and utilization of 5 schools of Tokyo area, I could know following contents ; First, free schools of Tokyo area were operated by individual education type that consider each student's special quality maximum comparing with Korea's alternative schools which seek community education type. Second, there were not many schools which prescribe school personal allowance per division or class comparing with our cases that operate divides step by equal class with general school and prescribes personal allowance by class, and whole students are generally about $20{\sim}30$. Third, comparing with our cases that are located in mountain and rural area according to profitable locational conditions for environment and experience studying, it was general which islocatedin downtown for the purpose of free attending school of non attending school students. Fourth, usually, comparing with our that unused schools in mountain and rural area are general for alternative school and there were a lot of cases that uses small building of downtown such as lease office, unused warehouse and factory for free school of Tokyo area.

• 한국실내디자인학회논문집
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• 제22권5호
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• pp.51-59
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• 2013

This study aimed to present the possibilities that a variety of conversions can be made in terms of the spatial function through the situation analysis and in-depth case studies, focusing on the cases of the conversion of historic buildings. Literature analysis and case analysis technique were conducted as the research methods. For the literature analysis, the researcher selected 105 cases of conversion-type buildings by recombining and reanalyzing them to space functional changes; the SPSS PC+ 18.0 program was used as the analysis tool to conduct a frequency analysis and cross analysis. In-depth analysis was conducted to investigate the overview of the architecture, building history, spatial functional changes, space program, conservation value, and the conserved parts by selecting 9 cases in Korean and foreign countries that have been recently converted through literature analysis and the results of the study were as follows. 1) As a result of analyzing the changes in function, the highest percentage of the cases was conversion into the cultural function (63.8%). 2) There were cases for conversion into the commercial function, business function, accommodation function and educational function besides cultural function. 3) As a result of spatial program, the attempts to increase the utilization of the building generally by applying the complex space with more than two functions could be seen. 4) The buildings with historical and architectural value were conserved most of the outer wall and some portion of internal parts; the buildings with symbolic value were renovated largely, while preserving symbolic parts; and the buildings with practical value were renovated in a way that maintains the structural parts while changing the interior space to be suitable for their function.