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이용주,김영주,박다진,Danny Liew,이용주 한국보건의료기술평가학회 2017 보건의료기술평가 Vol.5 No.2
Objectives: Many studies are being conducted around the globe to assess the feasibility of multiple criteria decision analysis (MCDA) in health technology assessment (HTA). In this review, we assessed MCDA methodologies and decision criteria used in HTA. Methods: A total of 35 studies published from 2005−2015 that applied MCDA in HTA were selected and the following areas were reviewed: 1) Context of the decision making: decision making setting, level (e.g., micro, meso, macro), and the assessment target (e.g., healthcare policy, drugs, health program, medical test, medical device, treatment, or surgery), 2) MCDA methodology: type of MCDA technique, weighting method, criteria elicitation method, and the participants, 3) Decision criteria: feasibility, social/population impact, intervention related factors, patient/individual-centered values, budget impact, and quality of evidence, and 4) Transparency of the decision making process: the process was considered transparent if the study disclosed the weight of each criterion, the formula used to calculate the final score or if the weighting/calculation method was well explained to the level considered acceptable by the authors. Results: Of the studies reviewed, 63.9% used MCDA for decision making at a national level, and the type of HT being assessed was most often national/regional healthcare policy (44.1%). The most prevalent method of weighting was direct weighting using scales (40.0%). Most of the studies (80.0%) conducted group discussions for criterion selection, and among the criteria, intervention-related factors such as safety and efficacy (93.9%) were most often observed, followed by budget-impact (81.8%) and patient/individual-centered values (81.8%). Conclusion: Substantial demands for incorporation of patient-centered values into the current HTA process were observed. Additionally, MCDA may be a useful tool in incorporating such values to the HTA decision framework, but unresolved methodological issues remain. Further assessment on the application of MCDA in HTA should be conducted for Korea-specific settings.
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소아 크룹 입원 환자의 병인과 계절적 변동: 6년간의 다기관 후향적 연구(2010–2015년)
이용주,김효빈,김봉성,김창근,김철홍,김형영,김상영,김윤선,박초롱,서주희,설인숙,성명순,송민섭,송대진,안영민,오혜린,유진호,이경석,이 은,이주석,장광천,장윤영,정은희,정혜리,최성민,최윤정,한만용,양현종,심정연,김진택,대한 소아알레르기 호흡기학회 폐렴·호흡기질환 연구회 대한 소아알레르기 호흡기학회 2019 Allergy Asthma & Respiratory Disease Vol.7 No.2
Purpose: Croup is known to have epidemics in seasonal and biennial trends, and to be strongly associated with epidemics of parainfluenza virus. However, seasonal and annual epidemics of croup have not been clearly reported in Korea. This study aimed to examine the seasonal/annual patterns and etiologies of childhood croup in Korea during a consecutive 6-year period. Methods: Pediatric croup data were collected from 23 centers in Korea from 1 January 2010 to 31 December 2015. Electronic medical records, including multiplex reverse transcription polymerase chain reaction (RT-PCR) results, demographics and clinical information were cross-sectionally reviewed and analyzed. Results: Overall, 2,598 childhood croup patients requiring hospitalization were identified during the study period. Among them, a total of 927 who underwent RT-PCR were included in the analysis. Males (61.5%) predominated, and most (63.0%) of them were younger than 2 years of age (median, 19 months; interquartile range, 11–31 months). Peak hospitalization occurred in 2010 and 2012 in even-numbered years, and parainfluenza virus (PIV, 39.7%) was the most common cause of childhood croup requiring hospitalization, followed by respiratory syncytial virus (14.9%), human rhinovirus (12.5%), Mycoplasma pneumonaie (10.6%), and human coronavirus (7.3%). Conclusion: It is concluded that croup hospitalization has a biennial pattern in even-numbered years. PIV may be the most common cause of childhood croup; however, croup epidemics could be attributed to other viruses.
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칼 바르트의 신학과 사회주의의 상관관계에 대한 연구 ― 로마서 주석 2판까지의 시기를 중심으로
이용주 한국조직신학회 2017 한국조직신학논총 Vol.49 No.-
바르트의 신학과 사회주의 간의 상관관계에 대한 탐구는 바르트 연구의 주요 경향 중 제거할 수 없는 중요한 요소이다. 이와 관련된 기존의 논의는 대체로 두 가지 방향에서 진행되어 왔다. 하나는, 로마서 주석에 나타나는 바르트의 고유한 신학이 급진적 사회주의의 영향 아래에서 이루어졌다는 것이고, 다른 하나는 바르트는 로마서 주석에 이르러서는 사회주의에 대한 정치적 관심을 포기하게 되었다는 것이다. 이 같은 입장들은 모두가 바르트의 사상적 발전을 대체로자유주의 신학으로부터의 ‘과격한 단절’이라는 측면에서 이해하는바르트 연구의 매우 고전적인 관점을 기반으로 한다. 하지만 이 같은기존의 연구경향들은 자펜빌 시절을 회고하면서 “나는 아주 자유주의적이었기에… 사회민주주의자가 될 수 있었다”고 한 바르트의 진술과 조화되지 못한다. 이에 반하여 본고는 로마서 주석에 드러나는바르트 신학의 특징적인 형태와 사회주의 수용 등은 모두 그의 자유주의 신학적 관심사의 점진적인 확장의 결과로 이해되어야 한다는것을 보이고자 한다. 이를 통해 로마서 주석에 나타나는 변증법적 사고와 유비적 사고가 이미 자유주의 신학 가운데 형성되어 있었다는것도 함께 살펴보게 될 것이다. The quest for the correlation between Karl Barth's theology and socialism is an important element that can not be removed from the main trends of Karl Barth studies. Conventional discussions on this issue have been conducted in two main directions. One is that Barth's unique theology in the Romans commentary was made under the influence of revolutionary socialism, and the other ist that Barth gave up any political interest in socialism in the Romans commentary. These positions are all based on a classical Barth study, which understands the theological development Barth's in terms of 'radical turn' from liberal theology. However, these previous research trends are not in accordance with Barth's statement, recalling the days of Safenvil: “I became a social democrat ... because I was very liberal.” This thesis tries to show that the characteristic form of Barth's theology in the Romans commentary and his acceptance of socialism should be understood as the result of gradual expansion of his liberal theological interests. It is also to be seen that the dialectics and analogy conceptions have already been in form during his liberal theological period.
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