• Title/Summary/Keyword: 의사결정권한

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Surrogate and Shared Medical Decision Making for Unrepresented Patients (의료행위에 대한 동의에서 환자 보호자의 법적 지위와 역할 - 대행결정권과 공동의사결정을 중심으로 -)

  • Kim, SooJeong
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.43-82
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    • 2019
  • In Korea surrogate medical decision makings happen without legal grounds. The purpose of this article is to research the issues in preparing policies for decision-making on behalf of unrepresented patients. As aspects of comparative law, there are two approaches. One of them is to regulate default surrogate list. If no agent or guardian has been appointed, some legislatures provide that members of patient's family who is reasonably available, in descending order of priority of not, may act as surrogate: (1) the spouse, unless legally separated; (2) an adult child; (3) a parent; or (4) an adult brother or sister. If none of them is eligible to act as surrogate, some legislatures allow close friends to make health-care decisions for adult individuals who lack capacity. On the other hand there are other legislatures which provide no surrogate decision maker list but oblige the responsible authority to determine with advice of family members or friends of the patient. In the end the first approach can not guarantee that the surrogate decision maker like family members or friends will determine in the best interest of the patient.

The Effects of Fiscal Decentralization on Social Overhead Capital Investment (재정분권화가 사회간접자본 투자에 미치는 영향)

  • Kim, Yong-Wook
    • Journal of the Korean Regional Science Association
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    • v.34 no.1
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    • pp.19-30
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    • 2018
  • Social overhead capital(SOC) is an essential element for society to be developed and operated normally. In spite of the increase in the importance of SOC, It is difficult to present the criteria for the appropriate investment of SOC. and The discussion on making SOC investments of local government is insufficient. If the local autonomy has been guaranteed, local government increases investment in regional public goods that residents prefer. Reflection of such residents preferences is the driving force to bring the efficiency of resource allocation in the decentralization theorem. In this study, the authority and autonomy of local governments are measured through local finance. and the decision-making of local governments for SOC investment is examined in point of decentralization theorem. In the empirical analysis, the elasticities of fiscal resources are estimated for facilities(road, water and sewage, irrigation canal and flood control) that local governments are involved in investment. These decisions made by metropolitan cities and provinces were different. The difference was most evident in the effect of per capita local tax on investment. These results show that metropolitan cities and provinces that have different situation made investment decisions differently. It shows that local governments reflect the preferences of the residents in making an investment. The main implication of this study is as follow. In case the role of local government in social overhead capital investment is increased, the increase in efficiency of resource allocation occurs. and The fiscal resources must be raised by local taxes rather than the financial resources from the central government.

Implementation of multi-channel IPCC platform for RBAC based CRM service (RBAC기반의 CRM 서비스를 위한 멀티 채널 IPCC 플랫폼 구현)

  • Ha, Eunsil
    • Journal of Digital Contents Society
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    • v.19 no.9
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    • pp.1751-1758
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    • 2018
  • An integrated medical information system that integrates systems consisting of different environments centered on hospital information systems should be provided as a system that prioritizes the improvement of the quality of medical services, customer satisfaction, and patient safety. The RBAC-based medical information system is granted the access right according to task type, role, and rules. Through this, it is possible to use SMS channel, medical reservation and cancellation, customized statistics, and CRM / EMR interworking service using multi-channel to enable communication service without help of counselor and reduce the default rate of reservation patient, Operational improvement services can be extended to medical staff, patients and their families, as well as expanding to important decisions for patients.

Born Global or Not? It May Depend on Psychological Ownership of Top Executives (중역들의 심리적 소유의식 확대를 통한 중소기업의 글로벌화 가능성에 대한 실증적 고찰)

  • Kim, Young-Kyun
    • Journal of Korea Society of Industrial Information Systems
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    • v.19 no.6
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    • pp.119-130
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    • 2014
  • 'Born Global' is a core value that small to medium sized enterprizes (hereinafter SMEs) in Korea are pursuing due to increasing competitiveness and relatively smaller market size in domestic markets. How can we build capabilities to be born global? This paper seeks to find the answer for the question, and investigates the role of psychological ownership of top executives. Results show that psychological ownership of top executives positively influence the ratio of export in revenue, surrogate for global performance. In addition, the results show that psychological ownership can be built through information access, participation in decision making, and procedural justice.

최종 사용자 전산환경에서의 공동작업이 사용자 만족에 미치는 영향에 관한 연구

  • 문용은;서창갑
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1996.04a
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    • pp.399-402
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    • 1996
  • 정보시스템의 가장 큰 목적은 시스템 사용자의 의사결정에 유용한 정보를 제공하는 것이다. 그리고 정보의 유용성 결정은 사용자들의 판단에 근거하므로 사용자의 참여는 시스템 성공에 매우 중요한 변수로 작용하고 있다. 사용자 참여에 대한 기존 연구는 사용자의 참여에 대한 이점을 설명하고 있기는 하나, 메인프레임 환경의 전통적 시스템 개발방법에 근거하고 있으므로 최종사용자 전산환경에서의 사용자 참여에 대한 새로운 조명이 필요하다. 최종사용자 전산 환경에서는 최종사용자의 책임과 권한, 정보의 내용, 친숙한 개발 도구 등으로 인해 시스템 개발 주기의 일정 단계에서의 제한적 참여가 아닌 주체적 참여가 필수적이다. 이러한 개발 환경은 참여자로서의 역할보다는 오히려 개발자로서의 역할이 훨씬 더 강조되는 개념이다. 따라서, 본 연구에서는 개발자로서의 사용자 참여가 발생하는 새로운 환경을 '공동작업'이라고 제안한다. 결론적으로 본 연구를 통하여, '공동작업'의 결과로 인한 정보시스템의 성과를 어떻게 설명할 수 있는가에 초점을 두고 있다. 즉, '공동작업'이 사용자 만족에 어떠한 영향을 미치는가를 고찰하고자 하는 것이다.

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The Effects of TMT's Cognitive Traits and CEO Factors on R&D Investment (최고경영진의 인지적 특성과 최고경영자 특성이 R&D투자에 미치는 영향)

  • Hyejin Cho;Gahye Hong
    • Knowledge Management Research
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    • v.24 no.2
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    • pp.65-85
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    • 2023
  • This paper investigates how TMT's cognitive traits affect R&D investment. Drawing on the attention-based view, we propose that TMT's future orientation and risk preference increase the level of R&D investment. As R&D activities have long-term goal of generating proprietary knowledge, it is important to understand how TMT's attention toward future and risk affect R&D investment. Also, we test the moderating effect of CEO duality on R&D investment. As the CEO plays a leadership role in the TMT, if the CEO's decision-making authority is highly concentrated, the impact of TMT on R&D may decrease. We measure CEO duality and CEO ownership stake as CEO characteristics. Based on a sample of 837 U.S. manufacturing firms, the results show that when TMT has a higher tolerance for risk and higher future orientation, R&D intensity increases. However, when CEO also serves as chairman of board and CEO has higher ownership, TMT's influence on R&D investment weakens. This implies that TMT and CEO has power dynamic that can change based on CEO power supporting status. Overall, it suggests that TMT's attention and CEO power are important factors to improve longer-term knowledge accumulation of firm.

A Study on IT Governance of Small and Medium sized Enterprises in Korea : With Multiple Contingencies Perspective (중소기업의 IT 거버넌스 구조에 관한 연구: 다중상황관점으로)

  • Sung, Ki-Moon;Ahn, Joong-Ho;Yang, Ji-Youn
    • The Journal of Society for e-Business Studies
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    • v.12 no.3
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    • pp.49-74
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    • 2007
  • As increasing IT investments in corporate decision makers' locus move from application level to organizational level. However, many companies still don't have a structured IT decision makings architecture. According to existing IT governance research, although companies are included in similar environment, size, and industry they have a variety of IT governance modes because of not single contingency factor but multiple contingencies factors. The goal of this study is to suggest key IT activities and contingency factors which affect IT decision makings architecture based on existing IT governance studies, to develop an IT governance research model with multiple contingencies theory, and to articulate IT governance architectures of small or medium sized companies in Korea. Through extracting a desirable IT governance framework, our research is going to help to increase companies' value.

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Meltdown Threat Dynamic Detection Mechanism using Decision-Tree based Machine Learning Method (의사결정트리 기반 머신러닝 기법을 적용한 멜트다운 취약점 동적 탐지 메커니즘)

  • Lee, Jae-Kyu;Lee, Hyung-Woo
    • Journal of Convergence for Information Technology
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    • v.8 no.6
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    • pp.209-215
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    • 2018
  • In this paper, we propose a method to detect and block Meltdown malicious code which is increasing rapidly using dynamic sandbox tool. Although some patches are available for the vulnerability of Meltdown attack, patches are not applied intentionally due to the performance degradation of the system. Therefore, we propose a method to overcome the limitation of existing signature detection method by using machine learning method for infrastructures without active patches. First, to understand the principle of meltdown, we analyze operating system driving methods such as virtual memory, memory privilege check, pipelining and guessing execution, and CPU cache. And then, we extracted data by using Linux strace tool for detecting Meltdown malware. Finally, we implemented a decision tree based dynamic detection mechanism to identify the meltdown malicious code efficiently.

A Study for the Effect of Internal Marketing on Airport Employees' Customer-Oriented Attitude Considering Their Emotional Labor (공항상주직원의 감정노동에 대한 내부마케팅과 고객지향성에 대한 연구)

  • Lee, In-Hwan;Kim, Kee-Woong;Park, Sung-Sik
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.23 no.2
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    • pp.32-39
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    • 2015
  • Airport is not only a public facility but a place where multiple cultural and ethnic groups are visiting. It has been reported though several researches that the level of emotional labor is more heavier than any other job. The more complex our society become, the more frequently emotional labor has been focused. Emotional labor became recently the issue of integrated studies above. Considering the level of emotional labor of airport employees, this paper believes their emotional labor has not been focused compared to such as tourism and service industry. This paper tried to research empirically the impact of internal marketing on airport employees' customer-oriented attitude based on their emotional labor using SEM (Structural Equation Modeling). According to the SEM results, it was proven that 'Autonomy of Airport Employee', a latent variable of internal marketing has a significant negative effect on employees' outside emotion. The outside emotion has also a significant effect on their customer-oriented attitude. It could be concluded the effort to increase decision making authority of employees should be implemented to provide them with deeper customer oriented insight.

Recognition of Advance Directives by Advanced Cancer Patients and Medical Doctors in Hospice Care Ward (호스피스병동 말기 암 환자 및 내과의사의 사전의료지시(서)에 대한 인식)

  • Sun, Der-Sheng;Chun, Yeon-Joo;Lee, Jeong-Hwa;Gil, Sang-Hyun;Shim, Byoung-Yong;Lee, Ok-Kyung;Jung, In-Soon;Kim, Hoon-Kyo
    • Journal of Hospice and Palliative Care
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    • v.12 no.1
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    • pp.20-26
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    • 2009
  • Purpose: We undertook this study to find out the recognitions of terminal cancer patients and doctors about advance directives (ADs), of how they would do in non-response medical conditions and whether ADs could be one of medical options for their dying with dignity. Methods: One hundred thirty four cancer patients in the Hospice Unit, St. Vincent's Hospital, and 97 medical doctors in the Department of Internal Medicine, Catholic Medical Center, were asked about ADs, including Do-Not-Resuscitate (DNR), medical power of attorney, living will and medical options. Results: One hundred thirty patients (97%) and 38 doctors (39.2%) were unfamiliar with ADs, however, 128 patients (95.5%), 95 doctors (97.9%) agreed with it. Seventy nine patients (59.0%) and 96 doctors (99.0%) wanted DNR rather then intensive treatments if they were in non-response medical conditions. Eighty four patients (62.7%) and 75 doctors (77.3%) were agreeable to medical power of attorney. One hundred Thirty four patients (100.0%) and 94 doctors (96.9%) did not want medical options to be in terminal conditions, and hoped to die in peace. Conclusion: Most of patients did not know about ADs and how to make it. However, they showed positive attitudes about it. If we advertise it properly, it is highly likely that a large number of cancer patients would make their living wills easily by ADs. Nevertheless, many legal and ethical problems have to be solved. Doctors should engage their patients in an ongoing communication about the end-of-life. Therefore, let the patients have opportunities to plan their own deaths.

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