• 중환자간호학회지
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• 제4권1호
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• pp.51-63
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• 2011

Purpose: This study aimed to examine the effects of extended family visiting hours in the intensive care unit (ICU). Methods: The subjects were 168 ICU patients and their family members. Two 30-minute visits a day were allowed to the control group according to current policy, while four 30-minute visits a day were allowed to the experimental group. Patients' state anxiety was measured at the first day of ICU admission, and on the third day of ICU admission patients' anxiety and family satisfaction were measured. For the infection rate, comparison was made between the experimental and control data-collecting periods. Results: The patients' state anxiety significantly decreased in the experimental group. Family satisfaction of experimental group was significantly higher than that of control group. There was no significant difference in the infection rate. Nurses positively evaluated extension of visiting hours because it could stabilize patients, reduce the number of arrangements for additional visits, and help establish trust relationship with families. Conclusion: Extended family visiting hours in the ICU reduced patients' anxiety and improved family satisfaction but had no effect on the infection rate. Extended family visiting hours in the ICU is expected to improve the quality of critical care.

• Journal of Preventive Medicine and Public Health
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• 제40권6호
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• pp.495-504
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• 2007

Objectives : This study attempts to show how studies using non-experimental data can strengthen causal inferences by applying propensity score and instrumental variable methods based on the counterfactual framework. For illustrative purposes, we examine the effect of having private health insurance on the probability of experiencing at least one hospital admission in the previous year. Methods : Using data from the 4th wave of the Korea Labor and Income Panel Study, we compared the results obtained using propensity score and instrumental variable methods with those from conventional logistic and linear regression models, respectively. Results : While conventional multiple regression analyses fail to identify the effect, the results estimated using propensity score and instrumental variable methods suggest that having private health insurance has positive and statistically significant effects on hospital admission. Conclusions : This study demonstrates that propensity score and instrumental variable methods provide potentially useful alternatives to conventional regression approaches in making causal inferences using non-experimental data.

• 한국교육학연구
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• 제24권1호
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• pp.227-254
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• 2018

본 연구는 특성화고 미래인재전형과 평가기준에 대한 입학사정교사와 지원학생의 인식차이를 살 펴보고 미래인재전형의 학생선발과 평가방향에서 고려할 시사점을 탐구하기 위해 서울특별시교 육청 산하 특성화고 미래인재전형 입학사정교사와 특성화고 1학년생을 대상으로 실시한 미래인 재전형에 관한 실태조사를 분석하였으며. 그 결과를 요약하면 다음과 같다. 첫째, 미래인재전형 제도에 관한 인식의 측면에서 교사들은 그 선발 의도에 대해 공감하면서도 성적블라인드와 전형 방법에 부정적 평가를 하였으나 미래인재전형으로 입학한 학생들의 만족도는 상대적으로 높았다. 둘째, 평가요소의 영향력 측면에서 교사들은 면접과 출석을 가장 중시하며 학업계획서 자기소개서 봉사활동 포트폴리오 순으로 고려하였으나, 학생들은 출석 면접 자기소개서 포트폴리오 학 업계획서 봉사활동 순으로 중시하여 자기소개서와 포트폴리오의 영향력을 높게 인식하였다. 셋째, 학생의 지원사유와 교사의 선발기준 측면에서 학생은 꿈 끼 취업가능성을 중시하였고 교사는 인성과 역량을 중시하였다. 이와 같은 몇 가지 측면의 결과로 볼 때, 선발자인 입학사정교사보다는 지원학생들이 미래인재전형의 선발의도에 상대적으로 부응하고 있는 것으로 나타났다. 미래인 재전형이 설립취지에 부합하기 위해서는 특성화고 별로 원하는 인재상의 정립과 지원학생들과의 전형에 관한 인식의 폭을 줄일 수 있는 평가방향을 정하고, 그에 맞는 평가기준과 선발 전략을 세워, 시대의 요구에 부합하는 인재양성의 기틀을 마련할 필요가 있다.

• 한국컴퓨터정보학회논문지
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• 제9권2호
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• pp.139-147
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• 2004

인터넷 QoS를 제공하기 위하여, IETF는 통합 서비스(IntServ)와 차별화 서비스(DiffServ)라는 두 가지 모델을 제안하였다. RSVP에 기반하여 각 패킷 흐름마다 자원 예약과 접근 제어를 수행하는 IntServ와 달리 DiffServ는 개개의 패킷 흐름 대신에 집합적인 패킷 흐름을 지원함으로써 다양한 패킷클래스들에 대하여 차등적인 QoS를 제공할 수 있다. 그러나 DiffServ구조가사용자들의 동적인 QoS변경 요구를 수용하기 위해서는 각 패킷 클래스에 대하여 동적인 QoS를 설정할 수 있는 관리 시스템이 요구된다 따라서 본 논문은 DiffServ 네트워크의 QoS를 효율적으로 관리하고 동적으로 구성하기 위한 정책 기반 QoS 관리 시스템을 설계하고 구현하였다. 또한 테스트베드로 구축된 리눅스 기반 DiffServ 네트워크 상에서의 실험을 통해 구현된 QoS관리 시스템의 타당성을 입증하였다.

• 간호행정학회지
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• 제9권3호
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• pp.391-401
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• 2003

Purpose: This study aimed at curriculum development of master of science in nursing(MSN) and master of business administration(MBA) dual degree program. Method: This study performed a comprehensive review of 36 foreign MSN/MBA dual degree programs and 5 MBA programs in Korea, and analyzed philosophy, objectives, required credits to graduation, core subjects and electives, admission criteria of the programs. Results: The proposal of dual degree program consisted of 60 credits which are divided into 24 nursing credits and 36 business administration credits. Another program for graduate school of nursing are composed of 38 credits which includes consists of 14 nursing credits, 20 management credits, and 4 prerequisites. condusion: The curriculum that was proposed in this study will equip nurses to meet the challenges of future healthcare provision and will be a model to other areas of nursing practice and curriculum development.

• 동아시아경상학회지
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• 제9권3호
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• pp.1-13
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• 2021

Purpose - For many Vietnamese students, the national high school graduation examination is one of the most important exams in their lives, transitioning from high school to tertiary education. Considering that the national examination is exceptionally important for admission of higher education, failure of management system and educational inequalities lead to serious academic concerns. By using the concept of justice and motivation, the current study aimed to explore the effects of justice dimensions and motivation on student satisfaction in the context of education, specifically focusing on the national examination for higher education. Research design, data and methodology - In this regard, this study proposed a conceptual model and conducted an online survey to test relevant hypotheses. Result - The empirical findings of the study found that procedural, distributive justice, and intrinsic motivation affected the level of student satisfaction. The results found that distributive and procedural justice and intrinsic motivation showed significant on satisfaction. Conclusion - The results of this study would be useful for policymakers to make more informed choices and also suggest further programs and projects of the Vietnamese government, aiming to develop the system of university admissions in the future. This study suggests that adoption of better management system and policies will significantly affect academic satisfaction and higher education environment.

• Journal of Preventive Medicine and Public Health
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• 제40권1호
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• pp.36-44
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• 2007

Objectives : There have been few studies examining the differences in health care utilization across social classes during the last year of life. Therefore, in this study we analyzed the quantitative and qualitative differences in health care utilization among cancer patients across educational classes in their last year of life, and derived from it implications for policy. Methods : To evaluate health care utilization by cancer patients in the last year of life, Death certificate data from 2004 were merged with National Health Insurance data (n=60,088). In order to use educational level as a social class index, we selected the individuals aged 40 and over as study subjects (n=57,484). We analyzed the differences in the medical expenditures, admission days, and rates of admission experience across educational classes descriptively. Multiple regression analysis was conducted to evaluate the association between medical expenditures and independent variables such as sex, age, education class, site of death and type of cancer. Results : The upper educational class spent much more on medical expenditures in the last one year of life, particularly during the last month of life, than the lower educational class did. The ratio of monthly medical expenditures per capita between the college class and no education class was 2.5 in the last 6-12 months of life, but the ratio was 1.6 in the last 1 month. Also, the lower the educational class, the higher the proportion of medical expenditures during the last one month of life, compared to total medical expenditures in the last one year of life. The college educational class had a much higher rate of admission experiences in tertiary hospitals within Seoul than the other education classes did. Conclusions : This study shows that the lower educational classes had qualitative and quantitative disadvantages in utilizing health care services for cancer in the last year of life.

• Journal of Preventive Medicine and Public Health
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• 제7권1호
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• pp.163-173
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• 1974

A study on the health care of Ewha Womans University staff, faculty and families was conducted during the period from March 1973 to August 1974 using designed questionaire. A total of 196 persons who were randomly sampled as 27.3% of the total staff and faculty 789 were studied. The response rates were 96.0%. The results and findings obtained from the study are summerized as follow. 1. The sex ratio of the members the faculty and the staff shows 83.2% and the singles are 37.2% of the total. Their mean family size being 4.6 persons per capita, each family has mean number of 2.3 childeren. 2. The median monthly income of a member of faculty amounts \114,000 and that of a staff \43,077. It amounts \79,333 when the median monthly income of both the members of the faculty and the staff are taken. Consequently, it amounts \91,727\ per family (Assumed mean). 3. 71.4% of the total hold the house of their own. A spouses of 59.4% of them are working for the additional income of the family. 4. Their health condition is rated fair, i. e. 92.3% of them enjoy good health. Out of total members faculty and the staff, 20.6% are cared by family physician. 36.2% of them feel that they are burdened by heavy medical expense. 5. 76.7% of them have affirmatively responded that they would purchase medical insurance policy when they were offered. It reaches 84.0% of the total who consider buying the policy for their dependents. 74.0% of them desire to purchase the policy for their spouse's parents. 6. The monthly prevalence rate reaches 17.0% and the hospital admission rate 4.7%.12.3% of them affirmatively responded that they had chronic diseas. The number of sick call per capita counts 0.2 per month and the hospital admission rate 0.05. 7. To examine the nature of their disease, the respiratory disease is rated to be the top and the gastro-intestinal disease comes to the next. As far as chronic disease is concerned, the gastro-intestinal disease is predominent. 8. As to their treatment, 65.4% of them get the physician's treatment and 17.0% treatment of drug purchasing and 7.7% prefer Chinesedrug. 6.6% of them gets no medical treatment at all. 9. The treatment ratio, including drug purchasing and other means, reaches 93.4%. 60.7% of them affirmatively responded that they did not or could not get physician's treatment at least once even though they thought they had to. It is disclosed that 25.4% of them are caused by economical reason. 10. Average medical expense per case amounts \7,116 and monthly medical expense per capita \1,345. Consequently, average monthly medical expense per family amounts \6,185. 11. The medical expense of a family is rated 7.7% of total earnings of the same period.

• 한국병원경영학회지
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• 제25권4호
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• pp.94-102
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• 2020

Purposes: The purpose of this study was to analyze the trends of hospitalization and emergency room visits of asthma patients over the three years in 25 districts of Seoul. And analyzed the relationship between preventable hospital service uses and number of clinics for asthma patients. Methods: Data was collected from a customized database of the NHI(National Health Insurance) for 2016 to 2018. The number of clinics means Internal Medicine, Pediatrics, Ear-Nose-Throat, and Family Medicine clinics. The hospital service means the number of adults admission for asthma and the number of total asthma emergency visits. This study used kappa analysis to assess the agreements of indicators between years, and structural equation modeling analysis was applied to analyze the relationship. Findings: The kappa value of the number of adults admission for asthma was compared between 2016 and 2017(kappa score=0.68), and was lowered when compared between 2016 and 2018(kappa score=0.26). And the value of kappa in the number of total asthma emergency visits due to asthma between 2016 and 2017(kappa score=0.51) was lower than that of between 2016 and 2018(kappa score=0.60). And the results showed that the number of clinics significantly negatively related to the uses of hospital services in asthmatic patients(β=-0.5, p=0.005). Practical Implication: This research could provide policy implications for strengthening primary care services that can contribute to the reduction of preventable hospital services.

• 기술혁신학회지
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• 제16권1호
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• pp.346-366
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• 2013

최근 도전적이고 창의적인 연구의 중요성이 증가함에 따라, 모험적 연구가 요구되고 있으나 이에 따른 실패의 경우, 이를 보호할 수 있는 제도적 장치가 미비하여 그 정착이 시급한 실정이다. 이러한 문제점을 해소할 수 있도록 '국가연구개발사업의 관리 등에 관한 규정'에서 성실실패제도가 명시되어 있으나, 그 기준이 명확하지 않고 세부적인 규정이 마련되어 있지 않았으며 이로 인해 각 전문기관들이 상이하게 운영하고 있어 연구자들의 혼란이 가중되고 있다. 이에 따라 본 연구는 현재의 성실실패제도와 관련하여 현행 실태와 해외사례 등을 검토하여, 성실여부 판정기준, 평가주체의 상이성, 실패의 인정 및 그에 따른 해당연구 결과의 활용방안의 미비점, 제재감면 범위의 불명확성, 반복적 성실실패에 대한 검증 및 방지 방안의 부족으로 요약되는 문제점들을 도출하여 분석하고, 그에 대한 개선점을 국내외 사례를 비교분석하여 그 안을 제시하였다.