• Health Policy and Management
• /
• v.15 no.3
• /
• pp.94-113
• /
• 2005

The purpose of this study was to determine the level of appropriateness in hospital stays and factors influencing inappropriate hospital stays. The study was conducted at fifteen general care units in a tertiary university hospital. Appropriateness of hospital stay was assessed using Appropriateness Evaluation Protocol by trained head nurses. The total of 447 patient records were reviewed. Among them, 352 patient data were included in the final data set. A unit of observation was patient day. A rate of appropriate hospital stay was calculated per patient as a unit of analysis. Multiple regression analysis was performed to determine the factors affecting inappropriate hospital stay. The eighty-three percent (2030/2651) of hospital stays were evaluated as appropriate. There were significant differences in appropriateness of hospital stay according to patient's age, type of health insurance, medical specialty, and length of stay(p<0.05). In the multiple regression analysis, medical speciality was the most significant factor to predict the inappropriate hospital stay. The study showed a substantial proportion of hospital stay was found to inappropriate. Level of appropriateness was significantly different from medical specialty. Interdepartmental approach should be required to coordinate and improve appropriate resource utilization.

• Korean Journal of Community Nutrition
• /
• v.13 no.4
• /
• pp.510-519
• /
• 2008

This study was conducted to develop and evaluate nutrition education media for breast cancer. The booklet was developed and consisted of breast cancer and diet, breast cancer and nutrition, breast cancer and food safety and Ingredients and recipes for breast cancer. The questionnaire requested information related to demographics, importance and satisfaction of evaluation for nutrition education media, evaluation of each chapter, and satisfaction of educational media. The data were analyzed using SPSS for Windows(version 12.0). The results were summarized as follows. The importance score for nutrition education media was higher than the satisfaction score. As a result of IPA analysis, quadrant I included 'comprehension', 'appropriateness of media', 'emphasis of the point'. Quadrant II classified with 'appropriateness of terms', 'interest', 'authenticity', 'appropriateness of illustrations'. Quadrant III included 'appropriateness of color and calligraphy', 'simplicity'. Quadrant IV classified with 'appropriateness of examples', 'concreteness'.

• Journal of the Korean Society of Costume
• /
• v.51 no.8
• /
• pp.77-91
• /
• 2001

The purpose of this study was to investigate the effects of the perceived facial attractiveness and appropriateness of clothing on the evaluation of task performance of target person mediated by subjects'likability toward and trait evaluation of the target person. The facial attractiveness of the female university students were used as index of physical attractiveness in this study. Three levels of facial attractiveness was manipulated based on the judgements by 30 female university students. Four types of clothes were selected perceived appropriate for two assumed situations by female university students. Three female faces having high. medium, and low attractiveness were simulated with the same body dressed four types of clothing respectively using CAD system, and a total of 12 stimulus persons were created. The design for the experiment was a $3\tiems4\times2$ randomaized factorial. with three levels of facial attractiveness(high, medium, low), and four types attire(formal-masculine, formal-feminine, casual-masculine, casual-feminine), two kinds of context (job interview, dating) in which perceptions were occurred. The subjects of this study was 524 male and female(262 of male, 262 of female) university students from 3 universities in Kwangju, Korea. The data were analysed using factor analysis. descriptive statistics, regression, path analysis. The results were as follows : 1. In bogus job interview. the direct effect of perceived facial attractiveness on task performance evaluation was .175 and the indirect effect mediated by likability and trait evaluation was .285 in path analysis model. The direct effect of perceived appropriateness of clothing on task performance evaluation was .111 and the indirect effect mediated by likability only was .0564 in pass analysis model. 2. In dating situation, the direct effect of perceived facial attractiveness on task performance evaluation was .355, the indirect effect mediated by likability and trait evaluation was .188 in path analysis model. The direct effect of perceived appropriateness of clothing on task performance evaluation was .108, the indirect effect mediated by likability and trait evaluation was .060 in Pass analysis.

• Journal of Preventive Medicine and Public Health
• /
• v.52 no.5
• /
• pp.316-322
• /
• 2019

Objectives: This study was conducted to assess the applicability of the Appropriateness Evaluation Protocol (AEP) for public hospitals in Korea. Methods: In May 2016, 1500 admission claims were collected from Korean public district hospitals using stratified random sampling. Of these claims, 560 admissions to 37 hospitals were retrieved for analysis. Medical records administrators determined the appropriateness of admission using the criteria detailed in the AEP, and a physician separately assessed the appropriateness of admission based on her clinical judgment. To examine the applicability of the AEP, the concordance of the decisions made between a pair of AEP reviewers and between an AEP reviewer and a physician reviewer was compared. Results: The results showed an almost perfect inter-rater agreement between the AEP reviewers and a moderate agreement between the AEP reviewers and the physician. The sensitivity and specificity of the AEP were calculated as 0.86 and 0.56, respectively. Conclusions: Our findings suggest that the AEP could potentially be applied to Korean public hospitals as a reliable and valid instrument for assessing the appropriateness of admissions.

• Korea Journal of Hospital Management
• /
• v.22 no.2
• /
• pp.17-27
• /
• 2017

Objective: This study was performed to find out the characteristics of nurse administrators and the relationships among their personality types, administrative work appropriateness and job satisfaction. Methods: Participants were 112 nurse administrators who had worked for more than 1 year in a hospital administrative position in Seoul and Gyeonggi area. Data were collected form April 14 to Jun 17, 2016, using questionnaires. For the analysis, SPSS WIN 20.0 program was used. Results: Personality types are related to job satisfaction and administrative work appropriateness. Among big-5 personality types, the neurotic level is negatively related to job satisfaction. However, extroversion is positively related. For the appropriateness of administrative work, the way of transfer and working department show no significant relations but age shows significant relation. The influence of age needs further study. Conclusion: The personalty types are related to nurse administratorsʼ job satisfaction and administrative work appropriateness.

• Journal of Preventive Medicine and Public Health
• /
• v.53 no.2
• /
• pp.82-88
• /
• 2020

Objectives: The objective of this study was to identify individual and institutional factors associated with the prescription of systemic steroids in patients with acute respiratory infections and to investigate the role of a policy measure aimed to reduce inappropriate prescriptions. Methods: We used data from the National Health Insurance Service-National Sample Cohort from 2006 to 2015 and focused on episodes of acute respiratory infection. Descriptive analysis and multiple logistic regression analysis were performed to identify individual-level and institution-level factors associated with the prescription of systemic steroids. In addition, steroid prescription rates were compared with antibiotic prescription rates to assess their serial trends in relation to Health Insurance Review and Assessment Service (HIRA) Prescription Appropriateness Evaluation policy. Results: Among a total of 9 460 552 episodes of respiratory infection, the steroid prescription rate was 6.8%. Defined daily doses/1000 persons/d of steroid increased gradually until 2009, but rose sharply since 2010. The steroid prescription rate was higher among ear, nose and throat specialties (13.0%) than other specialties, and in hospitals (8.0%) than in tertiary hospitals (3.0%) and other types of institutions. Following a prolonged reduction in the steroid prescription rate, this rate increased since the HIRA Prescription Appropriateness Evaluation dropped steroids from its list of evaluation items in 2009. Such a trend reversal was not observed for the prescription rate of antibiotics, which continue to be on the HIRA Prescription Appropriateness Evaluation list. Conclusions: Specialty and type of institution are important correlates of steroid prescriptions in cases of acute respiratory infection. Steroid prescriptions can also be influenced by policy measures, such as the HIRA Prescription Appropriateness Evaluation policy.

• Hwankyungkyoyuk
• /
• v.16 no.2
• /
• pp.65-73
• /
• 2003

This study has an aim to construct a reference frame to analyze the appropriateness of environmental education(EE) materials of elementary schools, and to search the basic direction of the scheme for analysis. In addition, this study has an aim to induce what the results of this analysis suggests for the development and reconstruction of EE materials. It was analyzed how truly EE materials reflected contents selected as an analysis scheme, after grasping practical use and features of textbooks, audio-visual materials, and a web-site that are typical materials in EE of elementary schools. The results in textbook analysis were that there were a human-centered environmentalism in the EE unit ("Environmentally Sound National Development", 5th Grade) of Social Studies. The result in analysis of audio-visual materials "Environmental Warrior, Zentaforce" of EBS, were that there are unhealthy environmentalism in that material. In other words, technology itself is considered as a almighty means to solve environmental problems. Finally, the result in web-site analysis were that the "Environmental Class" of Ministry of Environment did not have sound environmentalism. The above result of study shows us that the most important thing in developing and using the environmental education materials is to have sound environmental values and EE perspective, to evaluate EE material with various point of view, to judge its result, and to use it.

• Journal of Technology Innovation
• /
• v.25 no.3
• /
• pp.233-263
• /
• 2017

The purpose of this study is to examine the appropriateness of Regulatory Impact Analysis(RIA) in terms of the technological regulation impact assessment in order to confirm whether the current RIA process reflects the important characteristics of technological regulation. This paper develops a logical framework for analysis of technological regulation and evaluates the appropriateness of the RIA statements submitted by the government departments. From the viewpoint of [technological feasibility of regulation], [synthesis of domestic technological norms], [synthesis of international technological norms], as a result of evaluating the contents of the actual RIA statement on the basis of objective facts, feasibility of alternative analysis, and expert judgment, only 23.4% of the RIA statements were judged "appropriate", and there were no particular differences among the government. As a result of reviewing the appropriateness of RIA statements according to regulatory attributes, the appropriateness of RIA statements on technological regulation with social regulatory and indirect regulatory attributes was rather high. In sum, the level of Korean RIA statements is insufficient to carry out the practical meaning of technological regulation impact assessment. That is, as each government department adopts technological regulation, the understanding of the technological properties of the regulation may not be complete. The RIA statement that does not adequately reflect the technological rationale, hinders the careful review of other regulatory alternatives by exaggerating the feasibility of the technology regulation, at the same time leads to the serious problems that impede the acquisition of competitiveness of companies and the public in the global competition system.

• Hwankyungkyoyuk
• /
• v.24 no.3
• /
• pp.26-33
• /
• 2011

In this study, we discuss ways to environmental values education from sentences on environmental education textbooks. Values education is very important territory in environmental education. But school environmental education has some different idea about how to teach that. One way is to teach directly. The other way is to teach in a roundabout way. These days many researches said that roundabout way is better. The purpose of this study is to find out good ways to values education in environmental education. So we analyzed sentences on four environmental education textbooks of middle school. The analysis is limited body of textbooks. And we found immediate appropriateness expression for values education. The study results are as follows. There are 420 immediate expression in textbooks. That is 11% of whole expressions. And 6 big Units of textbooks have not difference about that expression. Most last sentences of class are immediate expressions. So authors of textbook will have mind about good values education method. One method is to use many interrogative sentences. Interrogative sentences help that student have values of themselves.

• Korean Journal of Human Ecology
• /
• v.9 no.3
• /
• pp.349-362
• /
• 2000

The purpose of this study was to identify the factors affected on the perception of appropriateness and the evaluation of physical state in the public community facilities. The sample of the study were consisted of 381 middle-aged and the aged who were participated in the leisure programs of the public community facilities and were living in Seoul and Daegu. Frequencies, means, one-way ANOVA, and multiple regression were employed for the analysis. The results of the study were as follows: The perception of appropriateness and the evaluation of the physical state in the public community facilities were differed by the type of facilities. The factors affected on the perception of appropriateness of the public community facilities were region, the access of transportation, and leisure attitude of the middle-aged and the aged. The factors had effects on the evaluation of the physical state of the facilities were educational attainment, health status, region, the access of transportation and the leisure participation.