• Asian Pacific Journal of Cancer Prevention
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• v.14 no.6
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• pp.3785-3792
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• 2013

This study aimed to discover to what extent ethical issues are considered in the reimbursement decision process based on health technology assessment (HTA) in Korea, especially for oncology medications. Public summary documents (PSDs) published by the Health Insurance Review and Assessment Service (HIRA) were analyzed for empirical and normative factors. For external comparison, PSDs presented by corresponding institutions of Australia and the United Kingdom were employed. Furthermore, the opinions of eight expert oncologists were obtained regarding the accountability of the evidence in PSDs. Among 7 oncology drugs, there were differences in the final decisions and empirical factors considered, such as selected comparators and interpretation of evidence between the PSDs from the three institutions. From an ethical viewpoint, the following matters were deficient in the HTA decision-making process for oncology drugs: clear and reasonable standards; identifying and evaluating ethical values; and public accountability for reasonableness about decisions and due process.

• Journal of Korean Medicine Rehabilitation
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• v.25 no.3
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• pp.11-26
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• 2015

Objectives The purpose of this study is to assess the quality of spinal disease focusing on Korean medical hospital admission patients. Methods The disease code related to spinal disease was selected based on the contents of development of clinical quality indicators for spinal disease. The assessment analysis of feasibility was conducted through medical history analysis that targets spinal disease patients, current development of clinical quality indicators for spinal disease, and relevant literature. Results The indicator items of structure, process, and results were classified and selected, and so were the detailed indicator entries. After that, the appropriate reference value was chosen. The final selected quality indicators were 3 items from structure, 9 items from process, 4 items from results, including 3 monitoring items, total 16 items was chosen. Conclusions Clinical research for the adequacy assessment should be conducted and the index entry and indicators should be reassessed through an expert group discussion. Training for the evaluation indicators and association with relevant society will motivate hospitals to voluntarily improve their quality.

• The Korean Society of Law and Medicine
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• v.10 no.2
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• pp.37-82
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• 2009

Korea has gained the much more performances in the fields of pubic health laws and related policies on the basis of the substantial economic achievements. In 1977, the social medical insurance was established for companies with more than 500 employees, and in 1989, Korea successfully achieved the national medical insurance system covering the total population within only 12 years beginning with multiple insurers. There remained some problems, however, to be improved such as both the low level of contribution rates and benefit packages due to the inefficiency in utilizing limited medical resources. In 2000, all insurers were unified into a single insurer (National Health Insurance Corporation), and special independent Health Insurance Review & Assessment Service (HIRA) was also established. From the origin of medical insurance system in 1977, the Korean reimbursement system has been fee-for-service system, and after the establishment of HIRA, it has been providing objective and expert medical cost review services and health quality assessment services.

• The Journal of Korean Physical Therapy
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• v.27 no.1
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• pp.30-37
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• 2015

Purpose: The purpose of this study was to develop a computer access assessment tool for persons with physical disabilities and to evaluate reliability and validity. Methods: We developed a computerized Computer access Assessment Program (CAP) through many kinds of literature review and tools analysis for evaluation of computer access, task analysis of fundamental input devices operation and expert review. The CAP data were obtained from 105 normal university students and 16 students with physical disabilities. The test items of CAP are composed of four timed mouse tasks, four timed keyboard tasks, and a timed scanning task. Thus, the software measures user performance in skills needed for computer interaction, such as keyboard and pointer use, navigating through menus, and scanning. To determine the validity of these measurements, we compared data on CAP reports to a Compass report. Compass software allows an evaluator for assessment of an individual's computer input skills. Results: Results of this study showed that the CAP had high internal consistency, reliability of test-retest, concurrent validity, and convergent validity. Conclusion: Therefore, the CAP is appropriate for evaluation and determination of computer access skill of persons with physical disabilities. It is possible to get clear quantitative data on performance when providing computer access services if you can use the CAP data. Using this quantitative evidence, insights can be gained into the specific nature of any difficulties experienced by persons with physical disabilities and find wise solutions.

• Journal of the Korean Society for Railway
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• v.12 no.2
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• pp.190-198
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• 2009

This study shows the developing process of the risk assessment models for railway casualty accidents. To evaluate the risks of these accidents, the hazardous events and the hazardous factors were identified by the review of the accident history and engineering interpretation of the accident behavior. The frequency of each hazardous event was evaluated from the historical accident data and structured expert judgments by using the Fault Tree Analysis (FTA) technique. In addition, to assess the severity of each hazardous event, the ETA (Event Tree Analysis) technique and other safety techniques were applied. The risk assessment models developed can be effectively utilized in defining the risk reduction measures in connection with the option analysis.

• Nuclear Engineering and Technology
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• v.49 no.1
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• pp.113-123
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• 2017

In human reliability analysis, dependence assessment is an important issue in risky large complex systems, such as operation of a nuclear power plant. Many existing methods depend on an expert's judgment, which contributes to the subjectivity and restrictions of results. Recently, a computational method, based on the Dempster-Shafer evidence theory and analytic hierarchy process, has been proposed to handle the dependence in human reliability analysis. The model can deal with uncertainty in an analyst's judgment and reduce the subjectivity in the evaluation process. However, the computation is heavy and complicated to some degree. The most important issue is that the existing method is in a positive aspect, which may cause an underestimation of the risk. In this study, a new evidential analytic hierarchy process dependence assessment methodology, based on the improvement of existing methods, has been proposed, which is expected to be easier and more effective.

• Journal of the Korean Society for Aviation and Aeronautics
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• v.29 no.1
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• pp.38-46
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• 2021

The Organization's ability to respond to social disasters has begun to be treated as important through social shock situations that have never been experienced, such as COVID-19. Among them, the ability to respond to unexpected risks and resilience is emerging. Since social disasters such as infectious diseases are periodically repeated, compounded, and enlarged, they develop into a global crisis situation, so this crisis response capability is treated as national competitiveness. Therefore, this study aims to improve the organization's response capability in terms of risk response and resilience under rapid social disasters such as COVID-19. The aviation safety field was taken as an example. From the Safety-II perspective, safety management focuses on the ability to resilience in response to system vulnerabilities in various situations. In this study, I intend to apply RAG(Resilience Assessment Grid) of Respond, Monitor, Learn and Anticipate, the four major potential of resilience engineering. Based on Hollnagel's research, potential elements were classified into four, and items were organized through an expert panel using Delphi techniques. The final configured RAG items are 15 Respond, 15 Monitor, 15 Learn and 11 Anticipate. The RAG was evaluated by 42 experts in the field of aviation safety.

• Health Policy and Management
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• v.32 no.4
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• pp.356-367
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• 2022

Background: The emergence of new infectious diseases threatens public health, increasing socioeconomic damage, and national risks. This study aimed to develop an evidence-based risk assessment tool to quickly respond to new infectious diseases. Methods: The risk elements were extracted by reviewing the risk assessment methods of the World Health Organization, United States, Europe, United Kingdom, and Germany, and the validity and priority of elements were determined through expert meetings and Delphi surveys. Then, the scale and level for each risk element were defined and a final score calculation method according to the risk evaluation result was derived. The developed risk assessment tool was verified using data at the time of domestic transmission of an emerging infectious disease. Results: In case of spread of actual infectious diseases, priority is determined based on the criticality of the elements in each area of transmissibility and severity, from which the weighted score of the risk assessment is derived. Then, the risk score for each element was calculated by multiplying the average value of the risk evaluation by its weight and the evaluation risk assessment score for the two areas was calculated. At last, the final score is plotted in a matrix where the x-axis indicates the transmissibility and the y-axis the severity and plotted on the coordinate plane for time series use. Conclusion: With respect to transmissibility and severity, this risk assessment method to respond to new and re-emerging infectious diseases enables rapid and evidence-based evaluation by quantitatively and qualitatively assessing various risk elements.

• Journal of the Korea Society of Computer and Information
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• v.28 no.9
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• pp.167-176
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• 2023

In this paper, we designed and implemented a graph assessment module that can evaluate graphs in an programming assessment system based on text and numbers. The assessment method of the graph assessment module is self-evaluation that outputs two graphs generated by codes submitted by learners and by answers, automatic-evaluation that converts each graph image into an array, and gives feedback if it is wrong. The data used to generate the graph can be inputted directly or used from external data, and the method of generatng graph that can be evaluated is MATLAB style in matplotlib, and the graph shape that can be evaluated is presented in mathematics and curriculum. Through expert review, it was confirmed that the content elements of the assessment module, the possibility of learning, and the validity of the learner's needs were met. The graph assessment module developed in this study has expanded the evaluation area of the programming automatic asssessment system and is expected to help students learn data visualization.

• Journal of the Ergonomics Society of Korea
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• v.25 no.2
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• pp.205-210
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• 2006