• Title/Summary/Keyword: Acts of Service

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호스피스 전달체계 모형

  • Choe, Hwa-Suk
    • Korean Journal of Hospice Care
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    • v.1 no.1
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    • pp.46-69
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    • 2001
  • Hospice Care is the best way to care for terminally ill patients and their family members. However most of them can not receive the appropriate hospice service because the Korean health delivery system is mainly be focussed on acutly ill patients. This study was carried out to clarify the situation of hospice in Korea and to develop a hospice care delivery system model which is appropriate in the Korean context. The theoretical framework of this study that hospice care delivery system is composed of hospice resources with personnel, facilities, etc., government and non-government hospice organization, hospice finances, hospice management and hospice delivery, was taken from the Health Delivery System of WHO(1984). Data was obtained through data analysis of litreature, interview, questionairs, visiting and Delphi Technique, from October 1998 to April 1999 involving 56 hospices, 1 hospice research center, 3 non-government hospice organizations, 20 experts who have had hospice experience for more than 3 years(mean is 9 years and 5 months) and officials or members of 3 non-government hospice organizations. There are 61 hospices in Korea. Even though hospice personnel have tried to study and to provide qualified hospice serices, there is nor any formal hospice linkage or network in Korea. This is the result of this survey made to clarify the situation of Korean hospice. Results of the study by Delphi Technique were as follows: 1.Hospice Resources: Key hospice personnel were found to be hospice coordinator, doctor, nurse, clergy, social worker, volunteers. Necessary qualifications for all personnel was that they conditions were resulted as have good health, receive hospice education and have communication skills. Education for hospice personnel is divided into (i)basic training and (ii)special education, e.g. palliative medicine course for hospice specialist or palliative care course in master degree for hospice nurse specialist. Hospice facilities could be developed by adding a living room, a space for family members, a prayer room, a church, an interview room, a kitchen, a dining room, a bath facility, a hall for music, art or work therapy, volunteers' room, garden, etc. to hospital facilities. 2.Hospice Organization: Whilst there are three non-government hospice organizations active at present, in the near future an hospice officer in the Health&Welfare Ministry plus a government Hospice body are necessary. However a non-government council to further integrate hospice development is also strongly recommended. 3.Hospice Finances: A New insurance standards, I.e. the charge for hospice care services, public information and tax reduction for donations were found suggested as methods to rise the hospice budget. 4.Hospice Management: Two divisions of hospice management/care were considered to be necessary in future. The role of the hospice officer in the Health & Welfare Ministry would be quality control of hospice teams and facilities involved/associated with hospice insurance standards. New non-government integrating councils role supporting the development of hospice care, not insurance covered. 5.Hospice delivery: Linkage&networking between hospice facilities and first, second, third level medical institutions are needed in order to provide varied and continous hospice care. Hospice Acts need to be established within the limits of medical law with regards to standards for professional staff members, educational programs, etc. The results of this study could be utilizes towards the development to two hospice care delivery system models, A and B. Model A is based on the hospital, especially the hospice unit, because in this setting is more easily available the new medical insurance for hospice care. Therefore a hospice team is organized in the hospital and may operate in the hospice unit and in the home hospice care service. After Model A is set up and operating, Model B will be the next stage, in which medical insurance cover will be extended to home hospice care service. This model(B) is also based on the hospital, but the focus of the hospital hospice unit will be moved to home hospice care which is connected by local physicians, national public health centers, community parties as like churches or volunteer groups. Model B will contribute to the care of terminally ill patients and their family members and also assist hospital administrators in cost-effectiveness.

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An Empirical Study on the Improvment of VTS in Korea (우리나라 선박교통제제도의 개선방안에 관한 실증연구 - 포항항을 중심으로 -)

  • 임을빈;문성혁
    • Journal of the Korean Institute of Navigation
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    • v.21 no.2
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    • pp.47-58
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    • 1997
  • The purpose of this study is to find out the impacts of VTS on the marine safety and users' opinion on the VTS which have been being operated in the port of Pohang for the last 3 years and is to suggest a guideline to the successful operation of VTS in the future. This study is based upon the questionnaire survey and the respondents include 236 masters/mates of merchant vessels who have visited the port of Pohang and 6 pilots who have been working in the port. From the questionnaire results, this study notes the following conclusions related to the VTS operations. (1) A few of the respondents (mainly foreigners) do not understand the entering procedure of the port and the fundamental concept of VTS. Accordingly, the more active VTS services have to be provided for the mariners. (2) It was found that themost dangerous factors in tehvicinity of the port were the floating materials, fishing nets, andillegal fishing activities inthe fairway. Therefore, the proper surveillance, stricter enforcement of Acts and the instructive education for the fishermen are required to avoid the risks. (3) A majority of the respondents agreed the VTS has contributed to the safety of vessel traffic, and they pointed out ' the assiatances in reduced visibililty conditions' is the most important task of VTS. The amount of 75.6% of the respondents answered that they have experienced the assistance from VTS more than 1 time since the system was established in the port of Pohang . Also 44.2% of the respondents considered they were able to avoid marine casualties such as collision, ramming or agrounding with the VTS assistances. (4) 49.2% of the respondents preferred the passive information services , while, 38.8% of them preferred the positive control advices in the case of encountering any potential risks. VTS iperators have to consider seriously when they provide the positive control advices of ship's course and speed. (5) A majority of the respondents confirmed that the prot and its approaches is suitable for the VTS coverge . To extend the service areas of the VTS and to improve radar detecting ability, the use of radar transponders are seen as the ideal method. (6) A minority of the respondents pointed out 'the improper orders or recommendatinos caused by the poor decision making' firstly, ' the language problem(sea-speaking in English)' secondly, as the deficiency of personal qualification. It seems, therefore, theat the personal efforts of the operators and systematic training programmes for them are necessary to solve the problems.

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A Study on the Actual Condition of Temporary Workers in Hospital (병원의 비정규직 실태조사)

  • Moon, Young-Joon;Ahn, In-Whan;Lee, Yong-Kyoon
    • Korea Journal of Hospital Management
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    • v.12 no.3
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    • pp.120-144
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    • 2007
  • In 1997, in the course of overcoming economic crisis caused by the shortage of foreign currency there was a significant phenomenon, the irregularization of human labour resources. There was no exception in hospital, either. Most hospitals put a lot of thought to solve the problem about irregular workers. Between employee and employer the problem of irregular workers has been raised as a main topic of all. The objectives of this study were to inspect the actual state of irregular workers and to understand the positive effect of protecting irregular workers, recently established and revised, on the human resources management of hospitals. After enacting irregular labours protection acts there were many opinions that the labour rules of hospitals would be changed.(56.7%). The plan to solve irregular worker's wage issues would he carried out step by step, but some hospitals have not examined the plan yet,(81.9%). Many hospitals had a plan that irregular worker's wage would be actualized in two or three years.(78.3%) The method, to solve the problem of irregular workers arc as follows: 1) the introduction of functional wage system, 2) the convert from automatic rising wage system to annual wage system, 3) the incentive grade system according to management result, 4) lower functional group wage system, 5) non-term contract wage system. From the point of the opening medical market and securing competitive power of hospitals, it is prospected that irregular works would be increased also in future. So to manage irregular workers effectively would be essential in maintain hospital's competitive power and improve medical service. The result, of this study were a, follow: (1) In hospital, the ratio of irregular workers in hospitals was lower than that of all irregular workers in Korea. (2) In hospital, the wage level of irregular workers was higher than that of irregular workers in Korea. (3) In hospital, the social insurance application ratio of irregular workers was higher than that of all workers in Korea. (4) In hospital, there seems to be no appropriate and active measures to improve labour condition of irregular workers, yet. (5) In many hospitals, the policy of irregular workers would be expected to revised for the law standards. In this study the actual conditions and problems of irregular workers were proposed and it was expected to contribute decisions-making in hospital management, especially when using human resources.

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Railway Governance and Power Structure in China

  • Lee, Jinjing
    • International Journal of Railway
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    • v.1 no.4
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    • pp.129-133
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    • 2008
  • Over the last $15{\sim}20$years, many countries have adopted policies of railway privatization to keep up with increasing competition from road and air transport. Although each country and case has its own history, market characteristics, political context as well as administrative process, railway privatizations (including railway restructure, concession etc.) in the west usually are accompanied with the establishment of new regulatory regimes. Therefore, railway governance has been innovating towards an interaction of government, regulator, industry bodies, user groups, trade unions and other interested groups within the regulatory framework. However, it is not the case in China. Although China had seen a partial privatization in some branch lines and is experiencing a much larger-scale privatization by establishing joint-ventures to build and operate high-speed passenger lines and implementing an asset-based securitization program, administrative control still occupies absolutely dominant position in the railway governance in China. Ministry of Railway (MOR) acts as the administrator, operator as well as regulator. There is no national policy that clearly positions railway in the transportation network and clarifies the role of government in railway development. There is also little participation from interested groups in the railway policy making, pricing, service standard or safety matter. Railway in China is solely governed by the mere executive agency. Efficiency-focused economic perspective explanation is far from satisfaction. A wider research perspective from political and social regime is of great potential to better explain and solve the problem. In the west, separation and constrains of power had long been established as a fundamental rule. In addition to internal separation of political power(legislation, execution and jurisdiction), rise of corporation in the 19th century and association revolution in the 20th century greatly fostered the growth of economic and social power. Therefore, political, social and economic organizations cooperate and compete with each other, which leads to a balanced and resonable power structure. While in China, political power, mainly party-controlled administrative power has been keeping a dominated position since the time of plan economy. Although the economic reform promoted the growth of economic power of enterprises, it is still not strong enough to compete with political power. Furthermore, under rigid political control, social organizations usually are affiliated to government, independent social power is still too weak to function. So, duo to the limited and slow reform in political and social regime in China, there is an unbalanced power structure within which political power is dominant, economic power expanding while social power still absent. Totally different power structure in China determines the fundamental institutional environment of her railway privatization and governance. It is expected that the exploration of who act behind railway governance and their acting strength (a power theory) will present us a better picture of railway governance as a relevant transportation mode. The paper first examines the railway governance in China and preliminarily establishes a linkage between railway governance and its fundamental institutional environment, i.e. power structure in a specific country. Secondly, the reason why there is no national policy in China is explored in the view of political power. In China, legislative power is more symbolic while party-controlled administrative power dominates political process and plays a fundamental role in Chinese railway governance. And then, in the part three railway finance reform is analyzed in the view of economic power, esp. the relationship of political power and economic power.

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Study on the Effect of Life Safety Awareness and Safety Behaviors of Fire Professional Engineers on Life Safety (소방기술사의 안전의식, 안전행동과 인명안전과의 관계 연구)

  • Kim, Myung-Cheol;Ko, Han-Mog;Park, Jae-Kwan;Seo, Hae-Yeol;Yu, Byoung-Sun;Yoo, Chang-Bum;Youn, Hae-Kwon;Joo, Seung-Ho
    • Fire Science and Engineering
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    • v.32 no.5
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    • pp.112-121
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    • 2018
  • In the present study, a group of subjects consisting of "Fire Professional Engineers" was selected to examine the effects of life safety awareness and safety behaviors of the subjects on life safety through an analyses of the descriptive statistics, factors, reliability, and correlation; simple regression and three-stage regression analyses on mediation were also carried out based on the hypotheses developed. The results showed that the degree of safety behavior increased by 72.1% in accordance with the increased safety awareness of fire professional engineers; the life safety was also increased by 61.5% and 64.5% by the increases in safety awareness and safety behavior of fire professional engineers, respectively. In addition, the safety behaviors demonstrated a partial mediatory effect in the relationship between safety awareness and life safety. All hypotheses (H1, H2, H3, H4), established for the present study, were accepted based on statistical verifications that justified an amendment of the Acts pertinent to firefighting service focusing on life safety; the data are expected to be exploited to reflect significance of life safety.

Study on Characteristics of 'Private Gardens' in South Korea ('민간정원'의 현황 및 특성 분석)

  • Cho, Seong-Ah;Sung, Jong-Sang
    • Journal of the Korean Institute of Landscape Architecture
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    • v.47 no.6
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    • pp.129-138
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    • 2019
  • 'Private Garden', is a legal concept that encourages the opening of private gardens to the public. Twenty-five private gardens have registered with the Forest Service since the 2015 policy was enacted. Although it is a positive system in terms of spreading and encouraging garden culture, the exact nature, role, and designation requirements have not been fully discussed. The purpose of this study is to analyze the characteristics of 25 private gardens in Korea. The results of the study noted that the southern region occupied a large part of the geographical distribution of the private gardens, which is due to the natural and climatic conditions, the policies of the local governments, and the discretion of public officials. In addition, the gardens are almost all made up of modern gardens; there was only one house garden from the Joseon Dynasty. The owners of the gardens range from their 50s to 80s in age. The gardens were started because the owner believed it was a good endeavor, but many owners felt that it was difficult to manage the enlarged garden and eventually opened it through as a Private Garden in anticipation of receiving economic support. There are also owners who are willing to revitalize the area. In addition, profits are generated from facilities other than the gardens, and some operate related programs to promote the culture of gardening. For a sustainable Private Garden system, it is necessary to check the registration criteria and establish a clear role in the region. There is also a need for further measures for management and marketing. This study is meaningful as basic research on the Private Garden system that is not yet systematic.

Recommendations of the Korean Society for Health Education and Promotion for Developing the Korean Credentialing Policy of Health Education Specialist (보건교육사 제도정립의 방향)

  • Kim, Kwang-Kee;Kim, Keon-Yeop;Kim, Young-Bok;Kim, Hye-Kyeong;Park, Kyoung-Ok;Park, Chun-Man;Lee, Moo-Sik
    • Korean Journal of Health Education and Promotion
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    • v.25 no.2
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    • pp.73-89
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    • 2008
  • Objectives: This research was conducted to suggest a recommendation for the Korean credentialing policy of health education specialist as the primary human resource in community health promotion activities from the special group perspective of the Korean Society for Health Education and Promotion. Methods: This research was conducted by the professional focus group discussion and descriptive literature review on health education and promotion. Results: This draft recommendation for Korean credentialing system development of health education specialist was based on the four background reasons for modifying health promotion related acts, for developing better policy of health education credentialing, for keeping the public and ethical responsibilities as the competitive professional society, and for improving health promotion activities in Korea. Theoretical background of the four reasons was Ottawa Charter. We classified three credentialing levels of health education specialist based on health education own competencies, coordiating competencies with environmental factors, and research competencies. Furthermore, we developed 10 major roles and categorized 53 sub-roles based on these competencies above. We recommended 10 classes required to take to become Health Education Specialist. These 10 classes were developed based on the credentialing systems in the United States and Japan. These 10 classes were about health education and promotion methods and strategies not health intervention topics. We also built the draft plan for continuing education to keep KCHES based on the NCHEC in the United States. Conclusions: Further research should be conducted to build better health education specialist credentialing systems modifing current communtiy-based health promotion activities in terms of modifying public regulation, developing KCHEC examination system, protecting job security both in public and private sectors, and creating professionalism in KCHEC.

A Basic Study on Effective Adjustment Method for Construction Escalation/De-Escalation Price (건설공사 중 물가변동에 따른 효율적인 계약금액 조정에 관한 기초 연구)

  • Sung, Ju-yong;Kim, Dong-jin;Lee, Min-jae
    • Korean Journal of Construction Engineering and Management
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    • v.20 no.3
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    • pp.3-11
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    • 2019
  • The construction of a facility is an act whereby infrastructure such as roads and railways and other facilities such as housing and office spaces are constructed, and due to the characteristics of the relevant industry where such construction is carried out in a custom order method, it requires a long period of time mostly. While the construction is carried out over a long period of time, fluctuations in the price of raw materials required for the construction occur. Therefore, the cost of the construction also fluctuates inevitably. The fluctuation of the construction cost meshes closely with the profit of a constructor and the efficiency of government spending. Therefore, it is necessary to maintain the construction cost at a reasonable level by adjusting the construction cost rationally in order to secure the required construction quality and spend the budget efficiently. The buffer system for solving such problem is the contract amount adjustment system by fluctuations in prices (Escalation/De-Escalation). In this study, the method combining the escalation method based on the item adjustment method was suggested for an efficient contract amount adjustment method. In addition, it is proposed that there be an investigation and codification of matters not applied to government acts and regulations on contracts related to the adjustment of fluctuations in prices legally.

A Study on The Effect of Justice of Transaction on Customer Performance in manufacturing Outsourcing. ; The Mediation Effect of Partnership (제조 아웃소싱에서 거래공정성이 고객사의 경영성과에 미치는 영향에 관한 연구 ; 파트너십의 매개효과)

  • Park, Sang-Moon;Kim, Gi-Joong;Hyun, Byung-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.228-238
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    • 2019
  • The purpose of this study is to investigate the relationship between transaction justice and customer performance. In this study, data were gathered from questionnaires from customers and suppliers of manufacturing outsourcing service, and reliability, validity, and confirmatory factor analysis (CFA) were conducted and the hypothesis was verified through the structural equation modeling (SEM) analysis. The results of this study are as follows: 1)Transaction justice has a significant positive effect on customer's business performance. Distribution and Interactional justice have a small effect on business performance, but Procedural justice has a significant positive effect. 2)Transaction justice has a positive effect on partnerships. 3)The partnership between the customer and the supplier has a positive effect on the customer's business performance. 4)Partnership has positive effect on customer's management performance through mediating justice. This study is based on the fact that justice acts as a independent variable in the transactional relationship between the customer and the supplier in the manufacturing outsourcing and this is the first case that empirically investigated the effect of the justice on the customer's management performance. In order to effectively cope with a rapidly changing business environment and effectively improve management performance, it is necessary to make efforts to improve justice, especially procedural justice, by utilizing outsourcing effectively in a global competition. In this respect, this study provides important implications for the both academically and practically.

Study on the Development of Environmental Design Checklist at Exhibition Facility Based on Physical Characteristics of the Elderly (고령자의 신체특성을 반영한 전시시설 환경디자인 체크리스트 개발에 관한 연구)

  • Oh, Ji young;Park, Hey kyung
    • Korea Science and Art Forum
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    • v.20
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    • pp.267-277
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    • 2015
  • The whole world enters the ageing era and 'lifelong education' is issued where the elderly can learn knowledge and techniques caused by era-change. Museum is a cultural public-facility and taking roles to provide education with spatial composition of contents and articles at exhibition. Therefore, museum can be a learning space for the elderly, performance of learning, environmental support to museum is required considering their physical characteristics. This study aims to develop a environmental design checklist at museum and to provide a frame for environmental plans to support the elderly for smooth watching of exhibition and education at museum. The environmental design checklist at museum was drawn for the spaces for entry, exhibition, public-service, educational activity and movement at museum, based on physical characteristics of the elderly or the criteria of 'sense (eye-sight, hearing and feeling by tough)' / 'exercise (skeleton, movement, physical strength and muscular strength). The environmental design checklist at museum for the elderly was composed newly by combining existing related acts, manuals, and preceded studies. For future studies, actual survey items at site and questionnaires for the elderly watchers were drawn.