• Title/Summary/Keyword: Utilization

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The effects of insurance coverage on the medical care utilization in public health institutions in a rural area (지역의료보험의 적용이 일부농촌지역 주민의 보건기관 이용에 미친 영향)

  • Choi, Jea-Jun
    • Journal of Preventive Medicine and Public Health
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    • v.24 no.3 s.35
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    • pp.265-278
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    • 1991
  • This study was to examine the effects of insurance coverage on the utilization of public health institutions and to identify the factors associated with the utilization. The data were obtained from household interview surveys conducted twice in Hwachun Gun, Kangwon Do. The time period covered in the first survey was December $17{\sim}31$, 1987, before the implementation of regional medical insurance for the self-employed, and that of the second survey was January 28 $\sim$ Febuary 11, 1990, after its implementation. Major findings emerged from the analysis can be summarized as follows (1) Medical care utilization of rural people markedly increased after they were covered by medical insurance. The insurance coverage increased the utilization of public health institutions as well, and this increase was mainly attributable to the utilization by chronically ill patients. (2) Between 1987 and 1990, the proportion of the utilization of public health institutions over whole medical care utilization decreased. But the proportion increased for chronically ill patients covered by regional medical insurance during the same time span. (3) The results of logistic regression suggested that the rural self-employed utilized public health institutions at an increased rate after they were covered by medical insurance. It was also indicated that the increase resulted from the utilization by chronically ill patients. (4) The relative importance of public health institutions for rural medical care decreased after the implementation of regional medical insurance. But considering that the utilization of public health institutions by chronically ill patients increased after insurance coverage, attention should be directed to improving the capability of public health institutions to control chronic degenerative diseases.

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Effective Implementation Strategies for Co-Utilization Policy of Research Equipments: From the Perspective of Bottom-up Apprach in Policy Implemention (연구장비 공동활용 정책의 집행 효율화 방안: 정책집행의 상향적 접근 중심으로)

  • Yi, Chan-Goo
    • Journal of Korea Technology Innovation Society
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    • v.19 no.2
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    • pp.358-394
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    • 2016
  • In Korea, co-utilization of research equipments has been low, even though co-utilization policies for them have been implemented for a long time. This situation results because the policy formation and implementation for the co-utilization of research equipments have been conducted from the perspectives of the policy maker not from those of the researchers and equipment managers. Therefore, this work has been conducted for analyzing the current state of co-utilization of research equipments as well as for discussing the future developments of its more co-utilization in the basic research programs by adopting the bottom approach in policy implementation theory. The research shows that firstly principal investigators, especially professors in universities, have placed a relatively low priority on the co-utilization of research equipments, secondly implementation resources such as high quality technicians and affordable budget for co-utilization are scare, thirdly incentives for the activation of co-utilization in the stage of daily operation of research equipments are lacking. As a result, the study tries to develop a more economic means and information tools for the promotion of co-utilization of research equipments in the perspectives of bottom-up approach in policy implementation theory.

A Study on the Fire Protection Safety of the Public-utilization Shops (다중이용업소의 소방안전기준에 관한 연구)

  • Kim, Yeob-rae
    • Journal of the Society of Disaster Information
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    • v.5 no.2
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    • pp.10-21
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    • 2009
  • This study contains the fire protection safety of the public-utilization shops. The toll of fires in the public-utilization shops is so heavy in spite the less occurency. The shops are mostly compartmented into small rooms by partition wall which hinders the evacuation of the people on fire. This study provides additional requirements on the fire safety of the public-utilization shops needed for human life and property.

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Advances in Enhancing Nutrient Utilization for Ruminants by Nutritional Manipulation to Reduce Environmental Contamination - Review -

  • Lu, De-xun
    • Asian-Australasian Journal of Animal Sciences
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    • v.14 no.3
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    • pp.395-401
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    • 2001
  • A review of present understanding of the dietary nutrient utilization in ruminant animals is presented. For increasing the utilization of dietary nutrients and reducing environmental contamination, highlighting the development and use of nutritional manipulation technique is suggested.

An analysis about the coefficient used to estimate the quay capacity at the container terminal (컨테이너 터미널의 적정 안벽능력 분석에 적용되는 계수들에 대한 분석)

  • 김창곤
    • Journal of Korean Port Research
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    • v.14 no.3
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    • pp.259-267
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    • 2000
  • This study aims to analyse the coefficient used to estimate the quay capacity per year at the container terminal. The capacity of the container terminal is composed of the capacity at the quay side and the other working conditions at the back of the quay side. But when we refer the capacity of the container terminal, generally we used capacity as that of the container terminal. To estimate the quay capacity independently of the working conditions at the back of quay side, we calculate the quay capacity as th product of working hours per year, productivity of container crane and relate other coefficients, such that berth utilization, crane utilization and efficiency. So that coefficients are properly defined to reflect the other working conditions. If we calculate the quay capacity by the product of working hours modified by the berth utilization and crane productivity modified by the crane utilization and efficiency, the meaning of that coefficients must be strictly defined. So there could be no confusion to apply that coefficients to calculate the quay capacity. In this study, we exclusively define the meaning of the berth utilization, crane utilization and efficiency according to the internal-meaning of thats in the function to calculate the quay capacity. And compare each coefficients by decomposing the working hours at the terminal.

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Clinical Nurses' Perception on Barriers to Research Utilization (임상간호사의 연구활용 장애에 대한 인식)

  • Kang, Younhee;Yang, In-Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.22 no.2
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    • pp.198-206
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    • 2015
  • Purpose: Although previous studies reported that actual application of research findings into the clinical setting was still poor, research utilization is a major component for implementation of Evidence-based Nursing Practice (EBNP). This study was conducted to identify the barriers to research utilization in clinical nurses. Methods: A descriptive survey design was used. Participants were 392 clinical nurses who were interviewed using a structured questionnaire. Results: Priority factors of barriers were setting, communication, research, and nurses. Five of the top 10 barriers were related to 'setting.' The first barrier was difficulty in the comprehension of statistical analyses. Nurses who worked in secondary hospitals and regularly read research articles perceived significantly lower barriers to research utilization compared with other nurses. There were statistically differences in research utilization among the groups by level of searching skills related to research documents and degree of understanding of EBNP. Conclusion: The study findings identified the top barriers to research utilization and key factors for nursing administrators and educators to consider in developing strategies to facilitate the utilization of research findings in clinical settings.

The Effects of Case Management for Medicaid on Healthcare Utilization by the Medicaid System (의료급여 사례관리가 본인부담제 및 선택병의원제 적용자의 의료이용에 미치는 영향)

  • Lim, Seung-Joo
    • Research in Community and Public Health Nursing
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    • v.21 no.4
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    • pp.375-385
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    • 2010
  • Purpose: This study examined the effects of case management (CM) for Medicaid on healthcare utilization considering the Medicaid system. Methods: Data were extracted from survey data on "Healthcare utilization and health status of Medicaid beneficiaries" conducted in 2007 and 2008 by the Ministry for Health, Welfare and Family Affairs. This study was designed to compare the effects on healthcare utilization between the CM group and the non-CM group. The subjects were 535 Type I Medicaid beneficiaries who utilized healthcare more than 365 days during 2006. Results: The outpatient days and medication days of the CM group decreased significantly more than those of the non-CM group with the copayment system. There were no significant differences of healthcare utilization between the CM group and the non-CM group with the designated doctor system. Conclusion: CM worked effectively on Medicaid beneficiaries' outpatient healthcare utilization with the copayment system. However, its effects on hospitalization, which is a major cause increasing the total expense, were not observed. Therefore, future studies are needed to develop strategies to reduce hospitalization and Medicaid beneficiaries outpatient healthcare utilization with the designated doctor system.