• Title/Summary/Keyword: internal review

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Hospital's Internal Review Procedure of Health Insurance Reimbursement (병원의 진료비 청구 자체심사 과정과 이의신청 사례)

  • Choi, Gil-Lim;Kim, Won-Joong
    • Korea Journal of Hospital Management
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    • v.7 no.3
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    • pp.121-136
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    • 2002
  • The main purpose of this study is to examine the overall procedure of hospital's internal review of health insurance reimbursement, to present the case of protest against reimbursement cut, and hence to provide some information on hospital's management of medical revenue. The object of the case study is 'P' university medical center, possessing 5 different hospitals under its system. Presentation of the case of protest against reimbursement cut has following meanings: Firstly, to the hospitals that already have internal review departments, information on the details of the protest process and results can be exchanged. Secondly, to the Government and National Health Insurance Corporation, useful data are provided for the improvement of the rules and procedures of health insurance reimbursement. Thirdly, to the hospitals without internal review departments, fundamental materials on the internal review process are provided for the effective management of medical revenue.

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Exploring the Distribution of Organizational Risk and Assessing Internal Audit Effectiveness: A Systematic Review

  • Arum ARDIANINGSIH;Doddy SETIAWAN;Wahyu WIDARJO;Payamta PAYAMTA
    • Journal of Distribution Science
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    • v.22 no.4
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    • pp.59-68
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    • 2024
  • Purpose: The function of internal audit is to help achieve company goals and targets by minimizing the impact of business risks. The distribution of internal audit activities in carrying out control and supervision covers all aspects or activities at all levels of management. The aim of the research is to determine the distribution of risk-based internal audit effectiveness assessments in companies. Data and Research Design Methodology: Researchers examined research trends regarding things that could influence the distribution of the effectiveness of the internal audit function from 2007 to 2023.This research used a systematic literature review (SLR) research method. This research used 23 papers sourced from the Scopus database. Results: The distribution of the effectiveness of audit services provided by internal auditors is more influenced by the personal characteristics of internal auditors and has little to do with the leadership of the chief internal auditor, technology, and risk management. Conclusion: The distribution of monitoring services provided by internal auditors covers all levels of departments or divisions of the organization. The assessment of internal audit effectiveness is more influenced by the auditor's personal attributes such as independence, competence, and management support.

A Systematic Review of Herbal Medicine in the Treatment of Cirrhotic Ascites

  • Kim, Seungmo;Lee, Yuri;Cho, Nakyung;Choi, Hongsik;Kim, Kyungsoon
    • The Journal of Korean Medicine
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    • v.42 no.4
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    • pp.222-237
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    • 2021
  • Objectives: The purpose of this study was to investigate the trend in the research on cirrhotic ascites using t herbal medicine. Methods: This review was conducted using six electronic databases(NDSL, KMBASE, Koreantk, KISS, KISTI, KoreaMed) with no restriction in year. The search term was 'liver cirrhosis', 'ascites', or 'cirrhotic ascites', 'herbal medicine', 'traditional Chinese medicine', and 'randomized clinical trial', and there was no restriction in year. The searched studies were analyzed according to the type of research. Results: After scanning the titles and abstracts, 13 articles were ultimately included. Of the outcome measures of 13 studies, effective rate, liver function test, and ascites regression time were included in the meta-analysis, which showed that the effective rate of herbal medicine-supportive treatment combination therapy was 1.27 times higher than that of supportive treatment alone, and the difference was statistically significant. Conclusions: We analyzed the trends of cirrhotic ascites treatment in herbal medicine through this review. It is necessary to conduct further studies, such as well-designed clinical trials based on the results from experimental research.

A Review of Domestic Clinical Studies about Clinical and Subclinical Hypothyroidism Treated with Korean Medical Interventions (현성 및 불현성 갑상선 기능 저하증에 관한 국내 한의학 임상 연구 고찰)

  • Lim, Bo-ra;Kim, Chang-Kyu;Park, Jin-seo;Jeon, Gyeong-ryung;Cho, Jun-ho;Kwon, Do-ick
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.645-661
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    • 2018
  • Objectives: The aim of this paper was to aid Korean clinical practices for determining clinical and subclinical hypothyroidism and to identify further relevant studies by summarizing the present domestic clinical studies. Methods: The research consisted of a review of articles up to July, 2018 found by searching 'Hypothyroidism' and 'Hashimoto's thyroiditis' as keywords in five domestic electronic databases. Results: Only nine studies satisfied the selection criteria and were analyzed. These included six case reports, two controlled clinical trials, and one randomized controlled trial. Of these, Anjeonleejoong-tang was the most frequent herbal medicine used to treat hypothyroidism. Conclusions: Systematic and large-scale research studies are needed to standardize the guidelines for traditional Korean treatment of hypothyroidism.

A Study on the Hypoglycemic Effect and Safety of Combined-Therapy of Baekhogainsam-tang and Hypoglycemic Agent for Type 2 Diabetes Mellitus Patients without Complications: A Systematic Review and Meta-Analysis (합병증을 동반하지 않은 2형 당뇨병 환자에 대한 백호가인삼탕과 혈당강하제 병행치료의 혈당 강하 효과 및 안전성 연구 : 체계적 문헌 고찰과 메타분석)

  • Shin, Jae-ik;Baek, Ji-soo;Shin, Seon-mi;Cho, Chung-sik
    • The Journal of Internal Korean Medicine
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    • v.42 no.4
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    • pp.672-686
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    • 2021
  • Objectives: The purpose of this study is to assess the efficacy and safety of Baekhogainsam-tang for type 2 diabetes without complications by systemic review and meta-analysis of randomized controlled trials (RCTs). Methods: For a systematic review and meta-analysis, we set a key question in accordance with PICOT-SD. We searched the following up to March 31. 2021: PubMed, EMBASE, The Cochrane Library, CNKI, CiNii, KISS, KMBASE, OASIS, and ScienceON. A meta-analysis was conducted by synthesizing the results, including fasting plasma glucose level, postprandial 2-hour plasma glucose level, and Glycated Hemoglobin (HbA1c). Results: A total of five trials are included in this systemic review. The treatment group (Baekhogainsam-tang plus conventional treatment) showed more statistically significant effect than did the control group (conventional treatment only) in fasting plasma glucose level, postprandial 2-hour plasma glucose level, and glycated hemoglobin (HbA1c). Conclusions: Baekhogainsam-tang showed statistically significant effects in hypoglycemic effect and in improving insulin resistance. However, the number of studies included in the meta-analysis was insufficient, and the BIT used in the included studies was not standardized. This topic requires further attention and more clinical research.

Principles and practices of antimicrobial stewardship programs in Korea

  • Ki Tae Kwon;Shin-Woo Kim
    • The Korean journal of internal medicine
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    • v.39 no.3
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    • pp.373-382
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    • 2024
  • This review addresses the escalating challenge posed by antibiotic resistance, highlighting its profound impact on global public health, including increased mortality rates and healthcare expenditures. The review focuses on the need to adopt the One Health approach to effectively manage antibiotic usage across human, animal, and environmental domains. Antimicrobial stewardship programs (ASPs) are considered as comprehensive strategies that encompass both core and supplementary initiatives aimed at enhancing prudent antibiotic use. The 2021 "Guidelines on Implementing ASP in Korea" introduced such strategies, with a strong emphasis on fostering multidisciplinary and collaborative efforts. Furthermore, the "Core Elements for Implementing ASPs in Korean General Hospitals," established in 2022, provide a structured framework for ASPs, delineating leadership responsibilities, the composition of interdisciplinary ASP teams, a range of interventions, and continuous monitoring and reporting mechanisms. In addition, this review examines patient-centric campaigns such as "Speak Up, Get Smart" and emphasizes the pivotal role of a multidisciplinary approach and international cooperation in addressing the multifaceted challenges associated with antibiotic resistance.

Imaging Technologies for Nondestructive Measurement of Internal Properties of Agricultural Products: A Review

  • Ahmed, Mohammed Raju;Yasmin, Jannat;Lee, Wang-Hee;Mo, Changyeun;Cho, Byoung-Kwan
    • Journal of Biosystems Engineering
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    • v.42 no.3
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    • pp.199-216
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    • 2017
  • Purpose: This study reviewed the major nondestructive measurement techniques used to assess internal properties of agricultural materials that significantly influence the quality, safety, and value of the products in markets. Methods: Imaging technologies are powerful nondestructive analytical tools that possess specific advantages in revealing the internal properties of products. Results: This review was exploring the application of various imaging techniques, specifically, hyperspectral imaging (HSI), magnetic resonance imaging (MRI), soft X-ray, X-ray computed tomography (XRI-CT), thermal imaging (TI), and ultrasound imaging (UI), to investigate the internal properties of agricultural commodities. Conclusions: The basic instruments used in these techniques are discussed in the initial part of the review. In the context of an investigation of the internal properties of agricultural products, including crops, fruits, vegetables, poultry, meat, fish, and seeds, various extant studies are examined to understand the potential of these imaging technologies. Future trends for these imaging techniques are also presented.

A Review of Research Trends in Traditional Korean Medicine for Nonalcoholic Fatty Liver Disease (비알코올 지방간질환에 대한 한의학 연구 동향 보고: 국내 논문을 중심으로)

  • Kim, Na-yeon;Yoon, Mi-jung;Choi, Hong-sik;Kim, Seung-mo;Kim, Sang-chan;Kim, Kyung-soon
    • The Journal of Internal Korean Medicine
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    • v.43 no.4
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    • pp.680-719
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    • 2022
  • Objectives: The aim of this study was to investigate the trends in research on non-alcoholic fatty liver disease (NAFLD) using Korean traditional medicine. Methods: This review included studies related to the treatment of NAFLD, irrespective of the year of publication. The search terms were "nonalcoholic fatty liver disease", "non-alcoholic fatty liver", "nonalcoholic hepatitis", "herb", "herbal medicine", "acupuncture", and "traditional medicine". The studies were analyzed according to the type of research. Results: After screening, 179 studies were selected from the 592 identified by the search. The types of studies were 151 in vivo or in vitro studies, 5 randomized controlled trials, 12 case reports, 2 unspecified clinical studies, 8 review articles, and 1 article that was difficult to classify. Conclusion: Analysis of the trends in Korean traditional medicine treatment by reviewing the studies on NAFLD revealed a focus on experimental studies rather than clinical studies. Therefore, multifaceted and well-designed studies are needed.

A Review of Studies of Tongue Deviations in Korean Stroke Patients (국내 중풍 환자의 설진에 관한 연구 고찰)

  • Park, Young-hwa;Lim, Bo-ra;Cho, Jun-ho;Won, Jeong-yoon;Kwon, Do-ick
    • The Journal of Internal Korean Medicine
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    • v.38 no.2
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    • pp.152-163
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    • 2017
  • Objectives: The aim of this review was to compare the findings of 14 studies of tongue diagnosis in Korean stroke patients. Methods: The purpose, subjects, observation methods, statistical methods, classification of tongue diagnosis, significance, and limitations were analyzed and compared. Results: In Korean stroke patients, tongue diagnosis is significant in pattern identifications, prognosis evaluation, degree of neurological deficit, past history, blood tests, and pulse diagnosis. Interobserver reliability of tongue diagnosis is relatively high.