• Journal of the Korea Convergence Society
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• v.10 no.11
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• pp.543-555
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• 2019

The purpose of this study was to define and clarify the concept of Shared decision-making (SDM) in patients with chronic disease. Walker and Avant's concept analysis process was used to analyze interdisciplinary convergence in SDM. SDM in patients with chronic disease can be defined by the following attributes: acknowledgment patients as 'self-care experts', the rights of self-determination, reversible negotiation, and patient-centered care. The antecedents of SMD consisted of situations where there is a need to make a decision from several treatment options of similar efficacy, decisional conflict, patient, family, and health provider's willingness to participate in the decision-making process, enough time and opportunity for SDM. The consequences occurring as a result of SMD were decrease decisional conflict, improvement health outcome, satisfaction, quality of life, enhancement self-management and self-efficacy with long-term, and living acceptably with the illness. Based on these results, a scale measuring SDM in patients with chronic disease is needed.

• Proceedings of the Korea Association of Information Systems Conference
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• 1997.10a
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• pp.165-181
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• 1997

경영환경과 조직의 분사화의 정도가 증가함에 따라서 의사결정지원시스템 (Decision Support System)에 있어서도 분산화 된 시스템의 요구가 증가되고 있다. 이러한 관점에서 본 연구는 분산화 된 환경인 네트웍을 기반으로 하는 의사결정지원시스템을 대상 으로 사용자간의 정보공유와 사용자의 참여의 효과적인 관리를 위한 기능적 설계를 제시한 다. 정보의 공유는 의사결정지원시스템과 그룹의사결정지원시스템을 차별화 하는 가장 큰 특징이다. 이러한 정보의 공유는 과업을 수행하는 그룹단위(WorkGroup)로 이루어지는 것이 바람직하며, 그룹의 구성원들간의 의사소통과 정보를 저장하는 자료저장소(Data Warehouse)와 서버(Server)의 구축, 보다 사용하기 쉬운 그래픽 사용자 인터페이스 (Graphic User Interface)를 포함하는 전자우편(Electronic Mail), 의사결정에 참여한 사용자 에게 의사결정결과에 대한 구체적인 피드백(Feedback)을 제공할 수 있는 시스템의 구축과 같은 방법을 통해서 보다 효과적인 관리가 이루어질 수 있게 된다. 사용자의 관리는 의사결 정지원시스템이 효과를 결정하는데 중요한 요소의 하나로써 보다 많은 참여는 그륩시너지효 과(Group Synergy Effect)를 가능하게 한다. 또한 완전한 익명성(Anonymity)의 확보는 기존 의 물리적인 제한을 가진 의사결정실 GDSS의 불완전한 익명성을 충분히 대체할 수 있을 것이다. 의사결정과정의 지원에 있어서도 사용자에게 회의의 기록을 자동적으로 제공하는 것과 병행하여 회의 중에 자신이 기록해야 할 사항을 추가적으로 기록할 수 있는 모듈 (Module)을 제공하는 것이 보다 효과적일 것이다. 물론 이러한 모듈은 앞서 언급한 정보의 공유의 관점에서 본다면 참여자 자신의 피드백에 도움을 주며, 또한 유사한 수준의 다른 참 여자에게 있어서 문제에 대한 인식을 다른 사용자와의 비교를 통하여 일정수준으로 동질화 시킬 수 있게 된다.

• Journal of the Korea Convergence Society
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• v.12 no.9
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• pp.361-371
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• 2021

This study aims to identify the moderating effect of patient activation in relation between trust in healthcare professionals and shared decision making in patients with diabetes mellitus. The participants were 186 patients who received treatment for diabetes at the department of endocrinology in the tertiary hospital located in Daejeon and consented to participate in our survey. The results of this study were a significant interaction between trust in healthcare professionals(β=0.32, p=.045) and patient activation(β=0.32, p=.024) was associated with shared decision making. The patient activation had a moderating effect between trust in healthcare professionals and shared decision making in patients with diabetes mellitus(β=0.25, p=.019). Therefore, it is necessary to assess trust in healthcare professionals to improve negative awareness of healthcare professionals and strengthen trust in them. In addition, to promote participation in shared decision making, it is necessary to develop a convergent program to focus patient activation.

• Journal of Hospice and Palliative Care
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• v.17 no.4
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• pp.278-288
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• 2014

Purpose: The purpose of this study is to analyze types of shared medical decision making by health professionals in a decision making position. Methods: The Q-methodology was used. Q sample was constructed with a total of 35 Q-statements that were offered with a 9-point rating scale. The statements were structured to generate answers that would form a shape of a normal distribution. Answers to Q sample were analyzed using a QUANL PC program. Results: Four types of shared medical decision making were identified. Type I is patient-centered decision making, Type II is physician-centered, Type III is health professional-centered and Type IV is patient-family-centered. Conclusion: Study results indicate that it is recommended to develop an education program based on the four types of shared medical decision making so that health professionals can be provided with different approaches according to their decision making style.

• 한국노년학
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• v.38 no.3
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• pp.501-519
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• 2018

The purpose of this study was to explore perception about shared decision making of family caregivers of patients with early dementia (PWED). This study was conducted with a sample of 12 family caregivers (mean age = $71.4{\pm}10.4$) of PWED from three dementia safety centers in Seoul. In-depth interviews were done for each participant about shared decision making and data were analyzed using qualitative content analysis. Six categories and 17 sub-categories identified for participants' perception about shared decision making: means to facilitate communication with patients with dementia, means to secure autonomy of patients, opportunity to facilitate treatment, cause of increasing family caregivers' burden, cause of worsening relationship with patients, and option for choices depending on priority change. The findings of this study can provide a knowledge basis for health care professionals and policy makers to understand how family caregivers of PWED think about shared decision making. It would be of great value to develop educational programs and practical guidelines about shared decision making for PWED and their family, which may contribute to respecting PWED's self-determination right as well as reducing burden of their family.

• Journal of Hospice and Palliative Care
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• v.19 no.4
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• pp.310-321
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• 2016

Purpose: The purpose of this study is to examine the level of understanding of hospice palliative care (HPC) and shared decision making (SDM) among middle-aged adults. Methods: Data were collected from 90 middle-aged adults living in D city using a self-reported questionnaire. The SPSS program was used to analyze the data. Results: Among the participants, 76.7% were aware of the HPC while 82.2% of the participants were not aware of SDM. Among all, 85.6% responded positively for needs of HPC, and 77.8% of participants for SDM. Participants with Christian faith (Protestants and Catholics), high income level and present illness were better aware of HPC than others. The most needed services were nursing care and treatment along with systematic counseling and explanation provided by the medical staff. There was also a significant relationship between the HPC factors, gender, income, current health status and current illness status. Participants with high income level were well aware of SDM. Stronger SDM needs were observed among participants with professional jobs or current illness. Conclusion: For continued discussion on HPC and SDM, it is necessary to implement and promote various education programs for medical staff and the public.

• The Journal of the Korea Contents Association
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• v.11 no.11
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• pp.338-349
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• 2011

The purpose of this study is to provide an innovative way enhancing patient satisfaction in military hospitals by analyzing the impact of shared-decision making on patient satisfaction. The survey questionnaire has been distributed for a month in two hospitals with similar goals, serving for officers and men of the armed forces, and 514 copies has been collected for the study. The study found a positive association between shared-decision making and patient satisfaction. The results of the study suggest the military hospitals should allocate their resources on the fundamental issues such as improving quality of services they provide rather than reimburse the services to compensate the service the armed forces received from private institutions.

• Journal of Digital Convergence
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• v.17 no.11
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• pp.127-136
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• 2019

In the social media, information that users share with service providers can be divided into personal identification information such as gender and age and privacy-related information such as photos and comments. However, previous works on IS and service management have shed relatively little light on the difference of information-sharing decisions depending on the type of information. This study examines information-sharing decisions by separating the two types of information. A structural equation modeling method is used to test the research model based on a sample of 350 Facebook in South Korea. Analysis results show that self-expression, trust, and perceived security had a significant positive effect on both user's intentions to give personal identification information and their intentions to give privacy-related information. However, privacy concerns negatively affected their intentions to give personal identification and intention to give privacy-related information. The analysis results confirm that there was no difference between decision-making processes about sharing personal identification information and ones about sharing privacy-related information.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2021.10a
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• pp.56-58
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• 2021

본 논문에서는 중앙아시아 지역의 물 문제에 따른 관개용수의 효율적 관리를 위한 의사결정지원 시스템에 대하여 제안하고자 한다. 여러 국가간 공유하천의 이용에 있어서 다양한 이해관계가 발생됨에 따라 농업을 근간으로 하는 국가들은 관개용수의 관리가 매우 중요하다. 작물을 재배함에 있어서, 년간 가용할 수 있는 수자원의 량과 기상 변화에 따른 수자원 확보 가능량 등에 대한 데이터 관리가 이루어져야 한다. 또한, 수자원데이타의 취득, 예측, 관리 등을 통하여 작물과 생산면적에 따른 물 공급 계획량을 산정하고, 공급량의 배분에 대한 합리적 의사결정이 이루어져야 한다. 따라서, 본 연구에서는 현재 운영되고 있는 물관리체계를 조사하고, 수자원 공급량에 대한 데이터 분석을 통하여 의사결정 지원체계의 보완 사항을 도출하였다. 그리고, 새로운 의사결정지원시스템 구축에 있어서, 실효성있는 시스템 구현이 가능하도록 설계방안을 제시하고자 하였다.

• 한국IT서비스학회:학술대회논문집
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• 2008.11a
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• pp.204-207
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• 2008

본 논문에서는 효율적인 의사결정 지원을 위해 SHADE 기반의 공유 데이터 접근 활동들에 대한 절차를 제안한다. 먼저 SHADE에 대한 개념 및 기술구조를 제시하고 공유 데이터 접근을 위해 요구되는 핵심 기술, 즉 데이터 디렉토리 서비스 기술, 데이터 미디에이션, 복제 기술에 대한 개념과 특징을 분석한다. 그런 다음 SHADE 기술구조 하에 효율적으로 공유 데이터에 접근할 수 있도록 4개 활동 각각에 대해 절차를 제안한다. 제안한 절차에는 5단계의 디렉토리 서비스 및 4단계의 검색 절차, 데이터 미디에이션을 이용한 5단계의 데이터 중개 절차, 미들웨어를 이용한 7단계의 실시간 데이터 교환 및 4단계의 데이터 복제절차가 각각 포함된다. 향후 제안한 공유 데이터 접근 절차를 통해 정보체계 간 데이터 연결 능력이 향상될 뿐만 아니라 이를 통해 정확하고, 신속한 의사결정 지원에 도움을 줄 것으로 기대한다.