• Health Policy and Management
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• v.27 no.3
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• pp.247-255
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• 2017

Background: South Korea has experienced problems with excessive pharmaceutical expenditures. In 2010, the South Korean government introduced an outpatient prescription incentive program to effectively manage pharmaceutical expenditures. Therefore, we examined the relationship between the outpatient prescription incentive program and pharmaceutical expenditures. Methods: We used data from the Korean National Health Insurance claims database, which included medical claims filed for 22,732 clinics from 2011-2014 to evaluate associated pharmaceutical expenditures. We performed multiple regression analysis and Poisson regression analysis using generalized estimating equation models to examine the associations between outpatient prescription incentives and the outcome variables. Results: The data used in this study consisted of 123,392 cases from 22,372 clinics (average 5.4 periods follow-up). Clinics that had received outpatient prescription incentives in the last period had better cost saving and Outpatient Prescribing Costliness Index (OPCI) (received: proportion of cost saving, ${\beta}=6.8179$; p-value < 0.0001; OPCI, ${\beta}=-0.0227$; p-value < 0.0001; reference = non-received). Moreover, these clinics had higher risk in the provision of outpatient prescription incentive (relative risk, 2.772; 95% confidence interval, 2.720 to 2.824). The associations were higher in clinics that had separate prescribing and dispensing programs, or had professional staff. Conclusion: The introduction of an outpatient prescription incentive program for clinics effectively managed problems with rapid increases of pharmaceutical expenditures in South Korea. However, the pharmaceutical expenditures still increased in spite of the positive impact of the outpatient prescription incentive program. Therefore, healthcare professionals and health policy makers should develop more effective alternatives (i.e., for clinics without separate prescribing and dispensing programs) based on our results.

• Journal of Korean Society of Transportation
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• v.25 no.5
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• pp.57-66
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• 2007

This study deals with the rear-end accidents of 4-legged signalized intersections in Cheongju. The objectives are to analyze the characteristics of the accidents and to develop the models which explain the relations among the accidents, traffic volumes and geometric structures. In pursuing the above, the study uses the data 308 rear-end accidents occurred at the 106 intersections (2004). The main results analyzed are as follows. First, the rear-end accidents were analyzed to be serious. because the ratio of severe accidents is 77.6%. Second, the more accidents were occurred of in the night than the daytime and in the approaching sections of intersections. In particular, the accidents of large-size struck vehicles were analyzed to be more serious. Finally, the multiple and Poission regression models developed in this study are all analyzed to be statistically significant.

• International Journal of Highway Engineering
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• v.11 no.4
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• pp.33-40
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• 2009

This study deals with the traffic accidents of elderly drivers. The objectives are to comparatively analyze the characteristics of accident between the elderly and other drivers, and to develop the models of traffic accidents. In pursuing the above, this paper gives particular attentions to testing the differences between the above two groups, and developing the models(Poisson and negative binomial regression) using the data of Cheongju 4-legged signalized intersections. The main results analyzed are as follows. First, the differences between the elderly and other drivers' accidents were clearly defined by the time of day, accident type, etc. Second, 3 accident models which were all statistically significant were developed. Finally, the differences between elderly and other drivers' models were comparatively analyzed using the common and specific variables.

• Safety and Health at Work
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• v.9 no.4
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• pp.408-415
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• 2018

Background: Nursing home resident care is an ongoing topic of public discussion, and there is great interest in improving the quality of resident care. This study investigated the association between nursing home employees' job satisfaction and residents' satisfaction with care and medical outcomes. Methods: Employee and resident satisfaction were measured by questionnaire in 175 skilled nursing facilities in the eastern United States from 2005 to 2009. Facility-level data on residents' pressure ulcers, medically unexplained weight loss, and falls were obtained from the Centers for Medicare and Medicaid Services Long-Term Care Minimum Data Set. The association between employee satisfaction and resident satisfaction was examined with multiple and multilevel linear regression. Associations between employee satisfaction and the rates of pressure ulcers, weight loss, and falls were examined with simple and multilevel Poisson regression. Results: A 1-point increase in overall employee satisfaction was associated with an increase of 17.4 points (scale 0-100) in the satisfaction of residents and family members (p < 0.0001) and a 19% decrease in the incidence of resident falls, weight loss, and pressure ulcers combined (p < 0.0001), after adjusting for staffing ratio and percentage of resident-days paid by Medicaid. Conclusion: Job satisfaction of nursing home employees is associated with lower rates of resident injuries and higher resident satisfaction with care. A supportive work environment may help increase quality of care in the nation's nursing homes.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.46 no.4
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• pp.39-52
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• 2023

In this study, project information of government-funded research institute in the food field was collected and analyzed to systematically identify the factors affecting the process of transferring technological achievements of public research institute to the private sector. This study hypothesized that human resources, financial resources, and technological characteristics as input factors of R&D projects affect output factors, such as research papers or patents produced by R&D projects. Moreover, these outputs would serve as drivers of the technology transfer as one of the R&D outcomes. Linear Regression Analysis and Poisson Regression Analysis were conducted to empirically and sequentially investigate the relationship between input factors and output and outcome of R&D projects and the results are as follows: First, the principle investigator's career and participating researcher's size as human resource factors have an influence on both the number of SCI (science citation index) papers and patent registration. Second, the research duration and research expenses for the current year have an influence on the number of SCI papers and patent registrations, which are the main outputs of R&D projects. Third, the technology life cycle affects the number of SCI papers and patent registrations. Lastly, the higher the number of SCI papers and patent registrations, the more it affected the number of technology transfers and the amount of technology transfer contract.

• Annals of Hepato-Biliary-Pancreatic Surgery
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• v.26 no.3
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• pp.235-243
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• 2022

Backgrounds/Aims: Historically, the incidence and prognosis of patients diagnosed with intrahepatic cholangiocarcinoma (ICC) have been inadequately understood. Survival analysis in ICC has yet to be investigated in a population-based study. Methods: We conducted a retrospective cohort study using the Surveillance, Epidemiology, and End Results Program (SEER) 18 Registry. Risk ratios were estimated via Poisson regression. Hazard ratios for 5-year survival were estimated using hierarchical Cox regression models. Results: Males show a higher rate of age-adjusted ICC incidence. Blacks carried a decreased risk of ICC diagnosis than Whites, while Asians revealed a higher risk of ICC diagnosis when compared with Whites. The observed survival rates at 12, 36, and 60 months were 36.3%, 12.8%, and 8.1%, respectively. Compared with Whites, Blacks showed an increased risk of death (p < 0.01). Lymph node resection during surgery was associated with a 64.1% reduced risk of mortality (p < 0.01). A higher T stage at diagnosis was associated with poor survival (p < 0.01). Surgery combined with chemoradiotherapy, radiotherapy, or chemotherapy was associated with a reduced risk of mortality compared with nonsurgical interventions (p < 0.01). Conclusions: ICC incidence has been increasing since 2000, especially in White males. The risk of ICC rises with age. Lymph node removal is associated with better survival. In recent years, survival had worsened, and surgical intervention improved survival compared with nonsurgical management.

• Journal of the Korean Society of Safety
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• v.27 no.2
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• pp.111-116
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• 2012

This study deals with the traffic accidents of circular intersections in Korea. The purposes are to comparatively analyze the characteristics by operational type, and to develop the models using the data of 82 intersections. In pursuing the above, this study gives particular emphasis to modeling such the accidents as the roundabout and rotary in urban area. The main results analyzed are as follows. First, the null hypotheses that the number of accidents are the same in both the urban and rural intersections, and roundabout and rotary in urban area, were analyzed to be rejected. Second, 3 accident models were developed, which were all statistically significant. The independent variables used in the above models are the ADT, number of approach lane, bus stop, parking facilities, and others. This study could be expected to give some implications to the traffic safety policy decision-making.

• The Korean Journal of Applied Statistics
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• v.31 no.4
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• pp.475-484
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• 2018

Gamma generalized linear models are useful for non-negative and skewed responses. However, these models have received less attention than Poisson and binomial generalized linear models. In particular, hypothesis testing for the significance of regression coefficients has not been thoroughly studied. In this paper we assess the performance of various test statistics for gamma generalized linear models based on numerical studies. Our results show that the likelihood ratio test and F-type test are generally recommended and that the partial deviance test should be avoided in practice.

• Journal of the Korean Data and Information Science Society
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• v.20 no.6
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• pp.1119-1127
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• 2009

In PGA golf, total prize money and average score are good response variable related to golf skills such as driving distance, green in regulation and putts per green in regulation. But it's not easy to predict the winner of coming tournament. Thus I applied Neural Networks which has pretty good advantages for non-linear complex modeling to binary data. In neural network architectures, I applied NRBF and MLP architecture model for binary data which represent who had a win or not.

• Journal of Korean Society of Transportation
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• v.29 no.6
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• pp.67-74
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• 2011

This study deals with the traffic accidents data from the Korean rotaries (circular intersections) to verify their characteristics affected by different vehicle types. This paper categorized the data into three groups based on vehicle types, and developed a set of accident models. The paper proposed two ZIP models and one negative binomial model through a statistical analysis for three vehicle types: automobile, truck and van, and others. The differences among those models were then statistically compared.