• Journal of Preventive Medicine and Public Health
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• 제44권1호
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• pp.2-8
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• 2011

Objectives: Public release of and feedback (here after public release) on institutional (clinics and hospitals) cesarean section rates has had the effect of reducing cesarean section rates. However, compared to the isolated intervention, there was scant evidence of the effect of repeated public releases (RPR) on cesarean section rates. The objectives of this study were to evaluate the effect of RPR for reducing cesarean section rates. Methods: From January 2003 to July 2007, the nationwide monthly institutional cesarean section rates data (1 951 303 deliveries at 1194 institutions) were analyzed. We used autoregressive integrated moving average (ARIMA) time-series intervention models to assess the effect of the RPR on cesarean section rates and ordinal logistic regression model to determine the characteristics of the change in cesarean section rates. Results: Among four RPR, we found that only the first one (August 29, 2005) decreased the cesarean section rate (by 0.81 percent) and continued to have an impact period through the last observation in May 2007. Baseline cesarean section rates (OR, 4.7; 95% CI, 3.1 to 7.1) and annual number of deliveries (OR, 2.8; 95% CI, 1.6 to 4.7) of institutions in the upper third of each category at before first intervention had a significant contribution to the decrease of cesarean section rates. Conclusions: We could not found the evidence that RPR has had the significant effect of reducing cesarean section rates. Institutions with upper baseline cesarean section rates and annual number of deliveries were more responsive to RPR.

• 환경생물
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• 제34권4호
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• pp.365-373
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• 2016

환경생태 자료 분석에 사용된 많은 자료가 시간에 따라 얻어지고 있다. 조사된 시점의 수가 적은 경우에는 자료가 충분한 정보를 주지 않기 때문에 반복 측정하거나 여러 지점을 조사하여 종합적인 분석을 수행하게 된다. 이때 사용하는 방법이 경시적 자료 분석(longitudinal data analysis) 또는 혼합모형(mixed model) 분석이다. 그러나 시점의 수가 많아 정보의 양이 충분하다면 반복적인 자료가 필요하지 않으며 이러한 자료는 시계열 분석 기법을 이용하여 분석하게 된다. 특히 현재와 같이 다수의 시점에서 얻어진 자료의 수가 많아지고 있는 상항에서 각 변수 간에 서로 어떤 영향을 주는지 또는 향후 어떤 경향을 띠게 되는지 예측을 원한다면 시계열 분석 기법을 사용하여 자료를 분석해야 한다. 본 연구에서는 단변량 시계열 분석(univariate time series analysis), 개입 분석(intervention time series model), 전이함수 모형 분석(transfer function model), 다변량 시계열 분석(multivariate time series model) 기법을 소개하고 현재까지 진행된 국내외 연구 논문을 살펴보았다. 또한 향후 환경생태 자료 분석에서 중요하게 사용될 수 있는 오차수정 모형(error correction model)을 소개하였다.

• 보건행정학회지
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• 제22권3호
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• pp.297-314
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• 2012

Purpose : The purpose of this study was to analyze the trend of the number of nursing staffs and skill mix and to assess the effectiveness of hospital nurse expansion policies in Korea. Methods : The trend of the number of nursing staffs and skill mix were analyzed using time series data, which composed of yearly series data from 1975 to 2009. The impact of hospital nurse expansion policies was estimated by autoregressive integrated moving average(ARIMA) intervention model. Results : The number of general hospital and hospital nurses per 100 beds was decreased in late 1980s and late 1990s due to rapid growth of beds. As a result of the number of nurse aids per 100 beds decreased, skill mix became high in general hospital but nurse ratio among hospital nursing staffs was about 50%. Expansion of new nurse and revised differentiated inpatient fee were only effective in expansion of hospital nursing staffs. But they had no effect in general hospitals. Conclusion : In Korea, a few policies related to expansion of hospital nurses have an effect on increasing the number of hospital nurse. Nevertheless, level of hospital nursing staffs is inferior to that of general hospital.