The medical expenses review system in Korea has developed under fee-for-service system with its own unique structure. The importance of reviewing medical expenses has been emphasized, as the size of medical expenditures moving through the health insurance legal context and its weight in the national economy have increased very rapidly. It is, however, analyzed that the feuds and arguments continue among the stakeholders for the lack of laws supporting the medical expenses review system. The medical expenses review is a series of administrative procedures, deciding whether claims from medical care institutions to the insurer are legal and valid or not. It mainly controls the increase of unnecessarily excessive health insurance claim and prevents fraudulent claim and abuse and checks the less use or unsuitable use of medical resources. It also works a function guarantees medical benefits for the appropriate treatment according to the object of health insurance system as a social insurance scheme. The dispute on legal base of the medical expenses review is about the source of law in the medical expenses review. There are the Health Insurance Act and administrative laws as jus scriptum and the guidelines of review as administrative orders. The medical expenses review should reflect various factors, such as the development of medical healthcare technologies, the health expenditures distribution, the financial situation of the health insurance, and the evaluation on the level of appropriate benefits. It is also likely to adapt to the traits of characters of medicine, and trends and transition, Besides it should judge the legality and the validity of medical benefits expenditures by synthesizing these all factors. And the evaluation system of appropriateness of medical benefits was administrative procedure which was consecutive with reviewing the medical expenses system and it was intended to make up for the result of reviewing the medical expenses in more comprehensive levels.
The purpose of this paper is to examine and analyse the features of plan type and space composition of the Siheyuan(courtyard house) which is one of the most remarkable types of the traditional dwellings in China. With the passage of time this house developed into one of the chinese house style. The technique of Siheyuan's spatial composition goes so far back in the New Stone Age. The relics of this are the colony layout, the system of four sides, the layout type of a palace, the picture of lacquered ware, the pictured brick, the earthenware of house type, the cave painting, the paintings of painters and others. The fundamental spatial conception of it arranges one or more courtyards to compose, sometimes in a very complex way, a general walled compound. The main longitudinal axis is mainly north-south, but the chief buildings, or halls are always placed transversely to it. These rectangular buildings mayor may not connect, by means of open galleries variously planned, with rows of smaller buildings flanking the courtyards on both sides. On this system, enlargement is never carried out by adding to height, but by continual duplication of existing units, and growth in breadth or preferably depth. The need for family security is thought to have led to the development of this rectangular houses with walls mainly blank on the outside, defensible entrances, and public service facilities in the center of the houses.
The issue of how to manage the existing records at an archives is very important from the aspects of principle and practicality in record management since it is deeply related with the system of managing new records. Although there are a few studies on filing and criteria on organizing records, they do not often help in the actual site of record and archives management. Therefore, we need to raise the issues that could develop in actual sites and find the ways or resolving these issues, other than the general criteria proposed. Refiling is a very important task for recovering the original order and needs to be a task that should be done according to the overall system and process of record management at an archives. Furthermore, it is very important to objectify and regulate the contents and methods of the task of refiling through the refiling criteria with the content of criteria being specific. From the arguments presented until now, we could tell that refiling falls in the area of record management at an archive directly related with the department of reproducing records at public organizations. Moreover, the role of archivists relates with the task of refiling is critical. Especially, distinguishing job according to chief object is a critical issue in the status and role of archivists at record and archives institutions. This process is important not only at the level of simple job makeup but also in record management. Archivists should be responsible for preparing refiling criteria, reviewing of problems developed in job process, classifying records for refiling, reviewing and refiling of catalogs and key words, selecting equipment and tools, and establishing various forms.
Journal of Korean Society of Industrial and Systems Engineering
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v.9
no.13
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pp.51-61
/
1986
The management science was concerned about how to use the main point of the management science model and it's technique by the rational primary factors. The problem's definition, estabilished of the model and it's solving. These function are very difficult and important problems, what is more important, are the model of management science's real prosecution to the manager and management scientist. The management science give us a clue to the solution of a business problem. To get needs conclusion and achieving the estabilished object, we must implement a plan, a stratgem, a policy. If we were not implementing the recommended items, we may call the estabilished model and problem solving impractical, ivory-tower theorizing. But, the implementation of management science model is a complicated problem that is involved mutual relations of managers and management scientist, linkage parts member and the resources of organization. And the other problems of implementation are very complicated problems composed of technologic and economic, social and politic, psychological. This paper reports the implementation of a success that possibly studies a fluent and a chief cause to systematic analysis. Then, first of all I will define of implementation and from these, construction of a unity system, I continue with a catch hold of a main point and a fluent for the successful implementation.
The Journal of Asian Finance, Economics and Business
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v.8
no.10
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pp.353-359
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2021
The article analyzes the impact of internal control on the quality of accounting information in Vietnamese paper manufacturing enterprises, providing empirical evidence on factors affecting the quality of accounting information. To analyze the impact of internal control on the quality of accounting information, the researchers used questionnaires to conduct a survey of paper manufacturing companies. Research data is collected through emails and face-to-face interviews with managers, employees working in different positions, managers at all levels, chief accountants, and accountants, of 56 paper manufacturing enterprises in Vietnam. 321 questionnaires were distributed of which only 296 were valid and could be used in this study. Quantitative research was carried out with SPSS 25 software. Research results show that 3 factors have a positive influence on the quality of accounting information including control environment, accounting information system, and internal control procedures in Vietnamese paper manufacturing enterprises. Based on the findings, the author has made recommendations on the control environment, accounting information system, and internal control procedures in order to improve the effectiveness of internal control and the quality of accounting information of paper production enterprises, thereby contributing to improved competitiveness and operational efficiency.
In modern society, there are diverse sorts of VIPs including a king and individuals. Some like a king or president are in need of professional secret services, and others become VIPs by being guarded by a bodyguard company at their own request. The former is called a public guard, and the latter is a private one. In the field of the public guard, the nation should be furnished with a guard system in consideration of political circumstances to protect VIPs. That is, the parliamentary cabinet system and presidential system call for a different guard system, and the guard system's professional features vary to some degree with political situations and cultural climate. If the ultimate goal of guard is to protect the chief of the democratic and open state in a most efficient and safe manner, it's mandatorily necessary to set up a professional and specialized guard organization to provide democratic and efficient secret services. It's desired that the domestic presidential guard division should be staffed with not only expert guards but other personnels dispatched from the military and police. In the police, guard mission is splitted among various guard and security agencies, including the National Police Agency's public security bureau or the Seoul Metropolitan Police Agency's public security division, 101 security unit, mobile police and 22 special guard division. As a chain of command is separated and it's difficult to manage such organizations effectively, the National Police Agency should be exclusively in charge of VIP guard and security. In the area of private guard, the private police system has shared national security task as a middle organization between the private police and private guard. But now its intent has gradually weakened, and its mission should be redefined. In addition, the way people look at private guard should change, and they should be well informed that it could serve to prevent possible crimes, protect them against crimes and get rid of their inconveniences. To make a good impression on people, the guard associations and businesses should put their efforts into reinforcing publicity activities, and the government, academic circles and press should team up with them as well.
Kueh, Ahmad B.H.;Tan, Chun-Yean;Yahya, Mohd Yazid;Wahit, Mat Uzir
Steel and Composite Structures
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v.44
no.1
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pp.105-117
/
2022
Impact resistance efficiency of the newly designed sandwich beam with a laterally arched core as bio-inspired by the woodpecker is numerically investigated. The principal components of the beam comprise a dual-core system sandwiched by the top and bottom laminated CFRP skins. Different materials, including hot melt adhesive, high-density polyethylene (HDPE), acrylonitrile butadiene styrene (ABS), epoxy resin (EPON862), aluminum (Al6061), and mild carbon steel (AISI1018), are considered for the side-arched core layer of the beam for impact efficiency assessment. The aluminum honeycomb takes the role of the second core. Contact force, stress, damage formation, and impact energy for beams equipped with different materials are examined. A diversity in performance superiority is noticed in each of these indicators for different core materials. Therefore, for overall performance appraisal, the impact resistance efficiency index, which covers several chief impact performance parameters, of each sandwich beam is computed and compared. The impact resistance efficiency index of the structure equipped with the AISI1018 core is found to be the highest, about 3-10 times greater than other specimens, thus demonstrating its efficacy as the optimal material for the bio-inspired dual-core sandwich beam system.
Journal of the Korean Data and Information Science Society
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v.23
no.3
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pp.419-446
/
2012
National statistical system in Korea has developed along with national economic agenda such as a government oriented high economic growth and has formed to a typical diversified statistical system. While the national statistics have been produced whenever they are needed, they are facing the critics that production of basic statistics were lack of balance. Grasping the statistical demand properly, enhancing the statistical concurrence with international organization, preventing the production of overlapped and similar statistics, and improving the professionalism of manpower in statistical industry are the structural problems that Korean statistical system has to get over. It is important to strengthen the coordination mechanism and the governance structure of the national statistical system to level up the integrity and credibility of statistical program. The length of Chief Statistician's tenure need to be assured.
A clinical study. related the treatment of Jang-Bu-Peon-Zheng(臟腑辨證), was done in 248 cases of patient who was served in medical service of Oriental medical school in Dong shin University. This study was done in Jeong Do Myun Shin An Gun, Jeonnam. The result obtained were as follows: 1. The ratio between male and female was 1:3.2. and the patients' ages ranged mostly between the fifties and sixthies. 2. When we saw the distribution according to Peon-Zheng(辨證). the syndrom of BiWi system(脾胃系) and Shim system(心系) occupied the highest percentage in the aspect of Jang-Bu(臟腑). In the aspect of syndrome. the Shimhyulher(心血虛) was most numerous. 3. In the distribution of chief complaint. each case showed the difference of prequency. In this fact. we could confirm prequent sign. 4. In the distribution of treatment times. 57 cases out of 248 cases was served in medical service more than three times, which amounts to 23.0%. When we saw the effect of treatment in that 57 cases, 46 cases was more than 'good', which amounts to 80.7%.
Proceedings of the Korea Inteligent Information System Society Conference
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2000.11a
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pp.289-299
/
2000
This study provides an application of datamining approach to CQI(Continuous Quality Improvement) using the discharge summary. First, we found a process variation in hospital infection rate by SPC (Statistical Process Control) technique. Second, importance of factors influencing hospital infection was inferred through the decision tree analysis which is a classification method in data-mining approach. The most important factor was surgery followed by comorbidity and length of operation. Comorbidity was further divided into age and principal diagnosis and the length of operation was further divided into age and chief complaint. 24 rules of hospital infection were generated by the decision tree analysis. Of these, 9 rules with predictive prover greater than 50% were suggested as guidelines for hospital infection control. The optimum range of target group in hospital infection control were Identified through the information gain summary. Association rule, which is another kind of datamining method, was performed to analyze the relationship between principal diagnosis and comorbidity. The confidence score, which measures the decree of association, between urinary tract infection and causal bacillus was the highest, followed by the score between postoperative wound disruption find postoperative wound infection. This study demonstrated how datamining approach could be used to provide information to support prospective surveillance of hospital infection. The datamining technique can also be applied to various areas fur CQI using other hospital databases.
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