• Title/Summary/Keyword: 질적관리

Search Result 960, Processing Time 0.022 seconds

Study on the Experience and Response of Secondary Disabilities (장애인의 이차장애 발생경험 및 대응에 관한 연구)

  • Jeon, Ji-Hye;Nam, Ji-Hyun
    • Journal of Convergence for Information Technology
    • /
    • v.10 no.4
    • /
    • pp.151-159
    • /
    • 2020
  • The secondary health status of the disabled is more vulnerable due to the aging of the disabled, the nature of primary disabilities, and social and environmental disability suppression and stress. Therefore, this study aimed to examine the experiences of secondary disabilities of the disabled and how they responded when secondary disorders occurred. A total of 13 people with severe disabilities with secondary disabilities were interviewed in a focus group and analyzed by applying phenomenological research methods. As a result of the analysis, people with disabilities were experiencing secondary disorders due to variations in the experiences of aging and primary disorders, management problems and life accidents in the primary disorder, misunderstanding of the labor market for disorders and health, misunderstanding of risks of secondary disorders and lack of prevention. In response, people with disabilities live alternatively between body and work, body and academic, try to prevent worsening of secondary disabilities at the individual level, continue to enter the hospital, or choose a life that puts health first. While experiencing secondary disabilities, people with disabilities experienced the threat of life, recognized life as having to endure and fought to the end, acknowledged the difference between the disabled and non-disabled people, and standed aloof from their ongoing secondary disability. It also requested institutional support. Based on the results of this study, medical-level measures, institutional support measures in the labor market, and social welfare practices were discussed.

Convergence Research on Periodic Changes in the Quality Assessment of Surgical Prophylactic Antibiotics (수술 예방항생제 적정성 평가의 주기별 융합 변화 연구)

  • Yang, Sae-Yie;Kim, Kwang-Hwan
    • Journal of Digital Convergence
    • /
    • v.14 no.6
    • /
    • pp.325-333
    • /
    • 2016
  • This study was conducted to provide the base line for the use of prophylactic antibiotics and the standard of antibiotic use and the evaluation based on analysis of current use, quality assessment and periodic changes of prophylactic antibiotics in a university hospital. We chose the year 2008, 2009, 2010, 2012, and 2014 as the study periods since the primary evaluation on the first year of implementation in 2007. For this study, healthcare benefit quality assessment data from the Health Insurance Review and Assessment Service was used. We analyzed the differences each year of treatment period; one category for initial treatment timing, three categories for selecting antibiotics, and two categories for the length of treatment from multiple evaluation indices of gastric surgeries, colorectal surgeries, and cholecystectomy. The analysis revealed the followings: Regarding length of antibiotics treatment, total days of treatment decreased down to 1.5, 1.5, and 0.6 days in the year 2014, from 13.5, 12.8, and 6.9 days in the year 2007, for gastric surgeries, colorectal surgeries, and cholecystectomy. Based on these outcomes, the efforts to devise efficient delivery and distribution of the recommendations or indices which medical staff could adhere for quality improvement of the prophylactic antibiotics would be necessary. Also implementing monitoring system to help the hospitals to acknowledge their own faults may be helpful.

The Effects of Job Demand in Medical Estheticians on Expertise and Job Satisfaction: A Focus on the Manipulating Role of Job Resources (의료미용 종사자의 직무요구가 전문성 및 직무만족에 미치는 영향: 직무자원의 조절적 역할을 중심으로)

  • Shin, Hyang-Ran;Mo, Jeong-Hee
    • Journal of Digital Convergence
    • /
    • v.16 no.1
    • /
    • pp.453-461
    • /
    • 2018
  • As modern people's needs to be healthy and beautiful are increasing, medical skin care industry is growing both in quantity and quality. Therefore, this study investigated job demand and the moderating effect of job resource in employees who provided medical skin care services and the effects of job demand and job specialty on job satisfaction. The subjects of the study were medical estheticians in Gwangju City and Jeonnam Province and were interviewed with the use of a questionnaire. The data was analysed using SPSS 21.0 and a frequency analysis, a factor analysis, a reliability analysis, a correlation analysis were conducted and the results are presented as follows: The results are presented as follows: First, as for job demand, only cooperation had the moderating effect of job resource. Second, when the effect of job resources on medical skin care specialty was inspected, it was discovered that cooperation and equipment application had a positive effect on the specialty. Third, when the effect of job demand and specialty on job satisfaction was inspected, it was discovered that job tension had a negative effect on satisfaction and workload and specialty had a positive effect on satisfaction.

On the Homotoneity of Species Composition in the Phytosociologically Synthesized Community Tables (식물사회학적 식생자료의 종조성 균질성에 대하여)

  • Kim, Jong-Won;Eom, Byeong-Cheol
    • Korean Journal of Environment and Ecology
    • /
    • v.31 no.5
    • /
    • pp.433-443
    • /
    • 2017
  • Securing the species compositional integrity (typicalness and representativeness) is the essential prerequisite for an integrated management of vegetation resources using the phytosociological $relev\acute{e}s$ and plant communities of the Z.-M. school. This study is intended to develop a tool for qualitative and quantitative evaluation of species compositional homotoneity of a set of $relev\acute{e}s$ per syntaxon. The new homotoneities, actual homotoneity ($H_{act}$), and optimal homotoneity ($H_{opt}$) taking into account the heterogeneous factors of $relev\acute{e}s$ are proposed. The correlations between the floristic variables such as the vegetation type, the new homotoneities, and the previously studied homogeneous measures (e.g. Pfeiffer's homogeneity, basic homotoneity-coefficient, corrected homotoneity-coefficient, and mean floristic similarity) are analyzed by using Spearman's rank correlation coefficient. $H_{act}$ and $H_{opt}$ are effective in determining the difference of inter-synthesized units and of inter-$relev\acute{e}s$, respectively. $H_{act}$ is the homotoneity that is the most independent of the number of $relev\acute{e}s$. On actual vegetation with long-term human impact in the Korean Peninsula, $H_{opt}$ has become an aid to the more precise understanding of $H_{act}$ as substantive homogeneousness of species composition of syntaxa. It is expected that $H_{act}$ and $H_{opt}$ can be used for the selection of a sort of homogeneous vegetation data to build a phytosociological $relev\acute{e}$-database with consistency and objectiveness for national vegetation resources.

Resident Involvement Analysis of New Town Landscape Architecture Construction - Focused on the Gyeonggi GwangGyo District - (택지개발지구 조경공사의 주민관여 분석 - 경기도 광교지구를 중심으로 -)

  • Oh, Jeong-Hak
    • Journal of the Korean Institute of Landscape Architecture
    • /
    • v.44 no.6
    • /
    • pp.51-59
    • /
    • 2016
  • The purpose of this study is to improve interaction with the construction subject by analyzing the contents and contents of users' involvement in landscaping works. For this purpose, this study selected the Gwanggyo Residential Land Development District Public Landscape Project in Suwon, Gyeonggi Province. For four years before and after the completion, the opinions of tenants were used as research data. Both qualitative and quantitative analyses of 412 complaints received by the project implementation office and local government were conducted. As a result, first, the main purpose of suggesting opinions was 'demanding and expressing complaints', and there were many 'parks' and 'rivers'. In terms of content, "quality" was the most pointed out, but many kinds of trees, such as tree planting, ecological river construction, and pavement construction were also mentioned. Second, the extraction of key words from content analysis was the most common method. Followed by 'additional foodstuff' and 'moving to the toilet and management building'. Much of the point of view about dead wood has continued to be conspicuous in the process of waiting to be dealt with at the time of transplanting. Third, the validity of the contents of the complaints was evaluated as a five - point scale. Therefore, the opinions raised were unreasonable, but overall, there were more complaints with certain objectivity.

Effects of a Mind Subtraction Meditation-Based Healing Program on the Ruminations and Posttraumatic Stress Disorder Symptoms of Firefighters (마음빼기명상 기반 힐링프로그램이 소방공무원의 외상 후 스트레스장애 증상과 반추에 미치는 효과)

  • Kim, JaeHwan;Lee, Insoo;Yoo, Yang Gyeong
    • Fire Science and Engineering
    • /
    • v.33 no.5
    • /
    • pp.118-129
    • /
    • 2019
  • Firefighters are high-risk group for posttraumatic stress disorder because they are repeatedly exposed to traumatic events. In this study, we examined the effects of a short-term, intensive, Mind subtraction meditation-based healing program on the ruminations and posttraumatic stress disorder symptoms of firefighters. In 2019, we used a survey questionnaire to assess the intrusive ruminations of 80 firefighters at a firefighting headquarters before and after implementing the Mind subtraction meditation-based healing program and personal journals over a period of two nights and three days. The results showed that there was a significant decrease in posttraumatic stress disorder symptoms, from 32.40 (± 14.67) to 30.31 (± 13.76) among the male subjects, and a significant decrease in posttraumatic stress disorder symptoms, from 32.03 (± 13.31) to 27.33 (± 10.68) and intrusive ruminations, from 5.21 (± 7.32) to 3.41 (± 6.30), among the female subjects. In conclusion, the Mind subtraction meditation-based healing program was effective in reducing the posttraumatic stress disorder symptoms and intrusive ruminations of firefighters. Therefore, the Mind subtraction meditation-based healing program could be proposed as a mental health promotion program for firefighters.

Japanese case of community partnership for Healthy City Projects (일본 건강증진사업의 지역사회 자원과의 연대 구축 사례: 건강도시사업을 위한 지역사회 파트너 쉽 형성 사례)

  • Hoshi, Tanji
    • Proceedings of The Korean Society of Health Promotion Conference
    • /
    • 2005.09a
    • /
    • pp.197-230
    • /
    • 2005
  • 일본의 Soyo town에서 진행된 건강도시사업은 건강증진 프로그램 모형을 통하여 건강한 도시를 건설하겠다는 슬로건을 가지고 주민들이 참여하여 자신의 건강관리능력을 함양하고 서로의 장점을 공유하는 것을 사명으로 하고 있다. 또한 삶의 질 향상, 주관적 건강상태 향상, 삶의 만족도 향상, 정서적 유대감 향상, 수입증가 그리고 조기사망의 감소를 구체적 목적으로 설정하고 있다. 이러한 목적을 달성하게 위한 매우 실제적이며 수량화된 목표들이 설정되어 있다. 1992년에 사전조사를 실시하고 1996년과 2002년에 사후 조사를 실시하였다. 프로그램 내용과 과정에는 보건의료전문가와 시설에 대한 정비, 평가에 대한 계획, 학교를 포함한 포괄적인 보건의료시스템이 포함된다. 모든 부문은 자신들이 설정한 보건정책 결과에 대하여 모니터링을 진행하며 적절한 정책을 다시 설정하고 수량화된 목표를 설정하며 프로그램을 수행한다. 프로그램 수행의 가장 중요한 원칙은 사업의 기획, 수행, 평가 과정에 주민이 최우선적으로 참여한다는 점이다. Soyo town은 사업을 위하여 학교 및 지역 내 사조직과 협력하고 모든 사업의 기획과정에 다양한 구성원들을 참여시켰는데 이는 건강자원 개발에 있어 매우 중요하게 실천되어야 하는 문제이다. 특히 모든 Soyo town의 주민들이 참여하는 것을 원칙으로 하였다. 주민들은 건강관련 자원의 배치상태와 과학적 근거를 고려하여 효과적인 사업을 선정하는 것을 포함한 모든 사업의 과정에 참여하였다. 바람직한 생활양식을 향상시키기 위하여 식품회사, 자원단체 그리고 사회적 관계망 그리고 지역의 단체급식시설, 식당 등이 파악되었으며, 요양원, 가사도우미, 공중보건간호사, 방문간호사, 사회사업가로 구성된 보건의료 시설과 인력들이 협력하였다. 사업이 주민의 건강을 향상시켰는가와 건강향상에 사업이 효과적이었는지를 판단하기 위해서 평가가 진행되었는데, 서비스 제공자 뿐 아니라 소비자와 주민들도 평가를 수행하였다. Soyo town의 건강도시사업의 평가 결과, 조기사망률이 1988년 22.1%이 1992년 18.2%로, 1998년 15.6%로 감소하였다. 또한 주관적인 건강상태는 1988년 48%에서 1992년 67.1%로, 1998년 71.5%로 증가하였다. 전반적으로 주관적 건강상태, 사회적 관계망, 보건의료서비스에 대한 접근성은 증가하였으며, 조기사망, 의료비용은 감소하였다. 한편 보건의료부문의 질적인 향상을 가져왔으며, Soyo town은 건강한 도시의 명성을 얻게 되었다. 사업의 효과성을 향상시킨 요인은 주민 개개인들에게 사업의 기획과정에 처음부터 참여할 기회가 주어졌다는 점과 자원개발에 있어 기존자원의 재개발에 우선순위를 두었다는 점이었다. 효과적인 사업의 수행을 위하여 행정부, 주민, 건강관련 단체들은 수단과 방법에 관한 정보를 교환하는 것이 중요하다. 사업의 기획단계에 모든 이해당사자들이 참여하여 각자의 역할분담을 명확히 하는 것이 필요하며, 건강증진은 개인의 노력 뿐 아니라 사회적 환경의 개선과 자원의 개발을 통해서 달성되는 것이므로 주민들은 건강증진을 위한 환경개선을 위해 노력도 병행되어야 한다.

  • PDF

Management Strategies and the Growth Stages Analysis of Local Festival : Cases of Hampyeong Butterfly Festival and Hwacheon Sancheoneo Ice Festival (지역축제의 성장단계별분석과 관리전략 : 함평나비축제와 화천산천어축제를 중심으로)

  • Kim, Hyeonwook
    • The Journal of the Korea Contents Association
    • /
    • v.15 no.5
    • /
    • pp.537-549
    • /
    • 2015
  • The purpose of this study is to analyze the characteristics of two local festivals, already recognized as a successful regional cultural festival, over a period of time to apply the product life cycle theory. As a result of the analysis of the two festivals, in introduction stage, the festival organizers have focused mainly on settling down the festival's core programs and raising awareness on the subject of the festival for the stimulation for basic demands. Second, for maintaining increasing demands, the qualitative improvement of the core program, the development of new programs and the expansion of the programs for the visitors' convenience and safety were focused on. In addition, strategies for promoting awareness of the festival had modified the strategy to promote on the contents and programs of the festival, as well as public relations strategy, not only domestic but also the foreign countries, was established and fulfilled. Lastly, in maturity stage, to overcome declining the number of visitors and economic effect both festivals have showed providing sophisticated programs for the visitors' convenience and safety, improving service quality through the development of the existing programs, providing economic benefits such as admission cuts or giving gift certificates and expanding number of foreign visitors with strengthening the promotion that was implemented in growth stage and enhancing the better image of the festival through the social contribution. Therefore, strategies for the each stage mentioned above present the significant policy implications for festival organizers who were planning to establish a new festival or implementing a festival with experiencing the tepid growth.

Prevalence of allergic and respiratory conditions among residents living near large construction sites in Sejong city: an exploratory study with mixed method approach (세종시 건설현장 인근 주민의 알레르기 및 호흡기 질환 유병 실태: 혼합연구방법론을 적용한 탐색적 연구)

  • Ki, Myung;Shin, Ji-Yeon;Kim, Lahee;Cho, Seong-Sik;An, Ah Reum;Kim, Yeong-Ju
    • Journal of agricultural medicine and community health
    • /
    • v.40 no.2
    • /
    • pp.80-92
    • /
    • 2015
  • Objectives: To clarify the association between dust from large construction sites and allergic and respiratory conditions among residents in Sejong city. Methods: We included 379 individuals older than 50 years from three areas of Sejong city; two areas near construction sites and one area for a comparison. Prevalence of self-reported allergic and respiratory conditions was compared across the three areas using logistic regression to adjust for covariates including age, gender, smoking, and educational attainment. A total of 16 individuals were interviewed to take details of the residents' experiences of construction work. Results: Those living in the nearby areas around construction sites were generally found to have the increased prevalence for all allergic and respiratory conditions. Odds Ratio(OR)s for cough and sneezing among the six symptoms and allergic rhinitis among the three diagnosed diseases reached statistical significance but only OR for cough remained significant after adjustment: adjusted OR for cough was 2.63 (95% CI, 1.07-6.46). Two relevant themes emerged from semi-structured interview were; 1) most residents from the affected area reported a considerable level of exposure to construction dust, 2) about half of them noted that construction dust influences allergic- and respiratory health. Conclusions: General pattern provides suggestive evidence that living close to construction sites may be positively associated with elevated risks of allergic and respiratory conditions. Efforts should be made to establish preventive measures and a comprehensive in-depth health impact assessment on this issue.

일부 서울지역 대학교 급식 식단의 메뉴분석-직영급식 및 위탁급식 운영 형태별 비교

  • 김진아;박수정;이심열
    • Proceedings of the KSCN Conference
    • /
    • 2003.11a
    • /
    • pp.1083-1084
    • /
    • 2003
  • 사회생활 양식이 점차 복잡해지고 생활전반의 조직이 고도화됨에 따라 대규모 급식의 필요성이 점점 증가되고 있다. 그 동안 단체급식은 자체적으로 운영하는 경우가 많았으나, 최근 들어 위탁운영의 효율성에 대한 인식이 높아짐에 따라 위탁 운영률이 크게 높아지고 있다. 현재까지 대학급식에 관한 연구는 대학식당의 이용실태, 대학 식단의 만족도 평가, 대학급식 메뉴 관리 및 운영 등을 조사한 연구는 많았으나 운영형태에 따른 식단 분석 연구는 미흡한 실정이다. 이에 본 연구에는 서울 시내 일부 대학교의 구내에 있는 5개 식당 23가지 식단에 대하여 직영급식과 위탁급식으로 나누어 학생들에게 제공되는 메뉴를 영양가면과 다양성 면에서 평가하고, 제공된 메뉴를 학생들이 실제 섭취하는 실태를 조사하여 섭취한 식단의 영양가와 음식의 종류를 분석하였다. 본 조사에서 이용한 식단은 총 23가지였고, 그 중에서 직영급식 13가지, 위탁급식 10가지였다. 제공된 상용식단형태는 직영급식은$\ulcorner$밥+국+반찬2+김치1$\lrcorner$, 위탁급식은 $\ulcorner$한그릇+국+반찬1+김치1$\lrcorner$이었으며, 우리나라 전통의 기본패턴을 갖추고 있었다. 제공된 식단 중 한끼 영양소 함량을 평가해본 결과 여자의 경우 1/3 영양권장량을 제공하였으나, 남자의 경우는 부족하였다. 제공되는 식단의 음식군별 제공열량을 살펴보면 밥은 평균 399㎉, 한그릇음식은 425㎉로 한 그릇음식의 경우가 높은 열량을 제공하고 있었다. 반찬의 경우 1가지로부터 얻는 열량은 평균 107㎉였으며 김치의 경우는 9.84 ㎉였다. 직영급식과 위탁급식으로 나누어 살펴보면 한 그릇음식, 반찬, 김치의 제공열량이 위탁급식에서 약간 높은 경향을 보였다. 대상자의 음식의 평균 가짓수는 직영 5.5가지, 위탁 4.3가지였으며, 음식 및 반찬 가짓수가 증가할수록 섭취열량이 증가하였다. 대상자들의 섭취한 식단의 한끼당 섭취한 영양소 함량은 직영급식 524㎉, 위탁급식 494㎉였고, 단백질, 지질, 인, 철, 비타민A, 나이아신 등이 유의적으로 직영급식에서 높았다(p<0.001) 섭취한 식단의 영양소 함량은 인과 비타민C를 제외한 모든 영양소에서 권장량에 미달되었다. 섭취한 식단의 영양소적정섭취비는 대부분 0.4-0.9의 값을 보였고, 평균적정섭취비도 직영, 위탁 모두 0.68로 낮은 값을 보였다. 영양소 밀도의 경우 절대적 섭취에서 직영급식이 대부분의 영양소를 많이 섭취하고 있는 것과는 달리 위탁급식에서 철분의 밀도가 유의적으로 높았다(p<0.01). 총 대상자들이 식단에서 섭취한 열량을 살펴보면, 주식류의 경우 밥은 298㎉, 한 그릇음식은 386㎉로 한 그릇음식이 많은 열량을 제공하고 있었다. 반찬의 경우는 1가지로부터 얻는 열량은 78㎉, 김치는 8㎉였다. 이상의 결과로 볼 때, 제공량은 직영급식에서 많았으나 영양밀도 면에서는 큰 차이가 없는 것으로 보아 위탁급식의 제공량을 늘린다면 급식운영형태별 두 식단의 질적 차이가 크게 줄어들 것으로 보인다. 그러나 두 급식 형태 모두 제공식단의 영양소 함량은 다른 지역이나 연령에 비해 부족한 것으로 나타나 아침 결식 및 불규칙한 식사 등 영양상태가 좋지 못한 대학생들에게 교내 식당에서 질 높은 식사를 제공해야 할 것이다. 또한 식단 작성 시 학생들의 메뉴 기호도를 충분히 반영시키고 다양한 메뉴를 제공하는데 한계가 있다면 주.부식 외에 다양한 후식제공을 통하여 학교 급식에 대한 질을 향상시키는 노력을 해야 할 것이다.

  • PDF