• 제목/요약/키워드: Best Practice

검색결과 780건 처리시간 0.029초

한의사의 의료기기 사용과 주의의무에 있어서 한방의료행위의 새로운 이해 (The New Understanding of Korean Medicine Practice in Korean Medicine Doctor's Medical Devices Using and Duty of Care)

  • 박용신
    • 대한예방한의학회지
    • /
    • 제23권2호
    • /
    • pp.117-127
    • /
    • 2019
  • Objectives : Korean medicine practice is not specifically described in medical law, and then has always been a quarrel. So far The criteria for judgment in Korean Medicine Doctor's Medical Devices Using should clinically prove it only by Korean medicine theory and academic Traditionally descending from old ancestors. Comprehensively review of Korean Medicine Doctor's Medical Devices Using and Duty of Care, and then present a new understandings to determine future Korean Medicine Practice. Method : An existing court cases of Korean Medicine Doctor's Medical Devices Using and Duty of Care were reviewed. After reviewing various papers published for several years, various opinions were reviewed and suggested. Results : The range of Korean Medicine Doctor's Medical Devices Using has changed since the 1951 National Medical Law stipulated Korean medicine as medical professionals. The issue of the recent ruling that distinguishes medical practice from Korean medicine practice were condensed into what emphasis to interpret amongst 1) The basic principles of learning, 2) Curriculum and professionalism, 3) Risks. The Constitutional Court's ruling was important in order of 'Risk', 'curriculum and expertise', and 'basic principles of learning.' A duty of Care means an obligation to pay attention to something. A duty of Care does not mean a "highest level," but requires a "best care" and does "best under given conditions." Even in the duty of Care, Because Korean medicine has a purpose to protect and promote the health of the people, Some standards of western medicine have to be adapted to the current general medical technology. Korean Medicine doctors can recognize the duty of care in the "some basic range" of knowledge belonging to western medicine. Conclusions : The interpretation of Korean Medicine practice are currently in compatible the argument that should clearly divide Korean medicine from Western medicine, and that should be changed in light of the changing medical environment. Therefore If Korean medicine's standard is applied to the extent to which Korean Medicine doctors are educated, it is necessary to define a new definition to actively interpret Korean Medical practice. The academic basis of Korean medicine and the level of Korean medicine practice based on the books that are traditionally available, and then current textbooks of Korean Medicine College, Korean Medicine Clinical Care Guidelines, and classification of Korean standard medical practices should be standardized. Increasingly, Korean Medicine practice should be interpreted according to reality, focusing on protecting and promoting the health of the people rather than academic differences.

Appropriate Methods in Determining the Event Mean Concentration and Pollutant Removal Efficiency of a Best Management Practice

  • Maniquiz, Marla C.;Choi, Ji-Yeon;Lee, So-Young;Cho, Hye-Jin;Kim, Lee-Hyung
    • Environmental Engineering Research
    • /
    • 제15권4호
    • /
    • pp.215-223
    • /
    • 2010
  • This study attempted to develop and suggest a more appropriate method for the determination of event mean concentration (EMC) and pollutant removal efficiency of a stormwater best management practice (BMP) considering rainfall. The stormwater runoff and hydrologic data gathered from 22 storm events during a 28-month monitoring period on a swirl and filtration type of BMP were used to evaluate the developed methods. Based on the findings, the modified EMC method resulted in lower (average) values than the overall EMC, although the differences were not significant (P>0.05). By comparison, the developed 'Rainfall Occurrence Ratio' (ROR) method was most significantly correlated (r=0.967 to 988, P<0.009) with the other existing removal efficiency determination methods such as the 'Efficiency Ratio' (ER), 'Summation of Loads' (SOL) and 'Regression of Loads' (ROL) methods. In addition, the ROR method gave the highest efficiency values, with no significant differences with any of the pollutant parameters, unlike the other three methods. These results were obtained because the ROR method integrated both pollutant loading and rainfall, which are not considered by the other three methods. Therefore, this study proved the suitability of the modified EMC and ROR methods for application in other BMP monitoring studies.

민원 자료 분석을 통한 민원 특성별 서비스 관리기준 설정 (Development of Level of Service by Complaints Characteristics through the Analysis of Complaints Data)

  • 박미연;소병춘
    • 한국산학기술학회논문지
    • /
    • 제16권5호
    • /
    • pp.3525-3534
    • /
    • 2015
  • 하수시설 자산관리체계 구축에서 가장 중요한 요건중의 하나는 하수 서비스 공급을 위한 관리 수준을 결정하는 것이다. 하수관련 시설이 건설되고 나면 운영단계에서 발생하는 개 대체 항목의 많은 부분들이 민원이나 사용자의 요구에 의해 이루어지게 된다. 이러한 서비스 수준을 관리하기 위해서 어느 지역에 어떤 민원이 주로 발생하고 있으며 어떤 부분을 개선시킬 것인지를 찾아 서비스 관리 목표를 설정하는 것이다. 본 연구에서는 이러한 점을 반영하여 국내 자산관리 수행이 진행되고 있는 S지역의 하수 민원대장을 분석하였으며 이를 토대로 지역 특성별로 민원발생 대상 시설과 민원 발생 유형을 분석하여 서비스 제공 관리기준을 개발하였다. 이를 선진 하수시설 자산관리 밴치마킹 대상지역과 비교하여 S지역만의 Best Practice 구현을 위한 기준을 설정하였다.

모범거래기준과 영업지역침해: 한국 커피 프랜차이즈 산업을 중심으로 (Radius Restriction and Franchise Encroachment in the Korean Coffee Franchise Industry)

  • 유민희;김지영;최윤정
    • 규제연구
    • /
    • 제27권1호
    • /
    • pp.153-188
    • /
    • 2018
  • 영업지역침해의 문제는 기존 가맹사업자의 영업지역에 가맹본부가 새로운 유통채널을 진입시킴으로써 기존 가맹사업자와 경쟁관계가 형성되는 과정에서 나타난다. 이에 한국 공정거래위원회는 2012년에 프랜차이즈 업종 별로 신규 점포의 개설 시 지켜야 하는 가맹점 간의 최소거리를 설정한 모범거래기준을 제시하였으며, 2014년에는 가맹점의 독점적 영업지역 설정 의무를 가맹사업법 상에 명시하였다. 본 연구는 배타적 영업지역 제한과 영업지역침해에 대한 연구들을 검토하고 선진국의 가맹점법 및 공정거래 정책에서의 변화를 살펴본 후 국내의 제도와 비교하였다. 또한, 국내 영업지역보호 규제의 제 개정이 프랜차이즈의 계약과 관계 및 경쟁상황에 미친 영향에 대해 커피전문점 프랜차이즈 통계자료를 중심으로 간략히 분석하였다. 분석 결과, 모범거래기준 기간 동안 규제를 적용 받은 브랜드 점포의 영업지역 내에서 동일브랜드 점포 수 증가가 정체하였으며, 모범거래기준 시행기간과 가맹법 개정 후 기간에서 진입 후 2년 이내에 퇴출하는 점포의 비중이 감소함을 발견하였다.

Evidence-Based Medicine에 대한 소개 (Introduction to Evidence-based Medicine (EBM))

  • 최재걸
    • 대한핵의학회지
    • /
    • 제35권4호
    • /
    • pp.224-230
    • /
    • 2001
  • EBM is "the conscientious, explicit and judicious use of current best evidence in mating decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research." EBM is the integration of clinical expertise, patient values, and the best evidence into the decision making process for patient care. The practice of EBM is usually triggered by patient encounters which generate questions about the effects of therapy, the utility of diagnostic tests, the prognosis of diseases, or the etiology of disorders. The best evidence is usually found in clinically relevant research that has been conducted using sound methodology. Evidence-based medicine requires new skills of the clinician, including efficient literature-searching, and the application of formal rules of evidence in evaluating the clinical literature. Evidence-based medicine converts the abstract exercise of reading and appraising the literature into the pragmatic process of using the literature to benefit individual patients while simultaneously expanding the clinician's knowledge base. This review will briefly discuss about concepts of evidence medicine and method of critical appraisal of literatures.

  • PDF

미국 중소기업의 SCM전략과 Best Practice 실행 현황조사 연구 (SCM Strategy and Best Practices Implementation in SMEs)

  • 김대수
    • 경영과학
    • /
    • 제23권1호
    • /
    • pp.135-152
    • /
    • 2006
  • Over the last decade, the field of supply chain management (SCM) and e-business has received an enormous amount of attention from practitioners and academicians. However, little has been known about how and to what extent small- to medium-sized enterprises (SMEs) are implementing SCM initiatives and e-business practices. This paper proposes a comprehensive research model and presents the survey results of these practices of SMEs located in Wisconsin and illinois, U.S., In terms of competitive strategy and priority, value chain activity priority, supply chain and e-business integration focus, SCM best practices implementation focus and challenges, and business performance. The analysis reveals several valuable insights into how SMEs should run their businesses in today's volatile, rapidly changing customer economy.

코로나-19 상황에서 간호대학생의 혼합실습 교육 경험-현상학적 연구 (Experience in mixed practice education of nursing college students in the context of COVID-19 - Phenomenological Study)

  • 이윤주;양정하
    • 한국융합학회논문지
    • /
    • 제12권12호
    • /
    • pp.479-490
    • /
    • 2021
  • 본 연구는 코로나-19 상황에서 간호대학생의 임상실습을 대체하는 혼합실습 경험의 본질을 파악하기 위해 시도되었다. 2020년 12월 17일부터 2020년 12월 31일까지 간호대학생 8명을 대상으로 심층 인터뷰를 개별적으로 시행하여 자료 수집을 하였고 Colaizzi의 현상학적 분석 방법론을 적용하여 자료를 분석하였다. 간호대학생의 혼합실습 경험을 통해 '불안 속 수용하기', '전면에 드러난 자율성', '마음을 졸인 비대면 실습', '지식 채워나가기', '목표달성이 가능한 다양한 접근', '아쉬움이 남은 최선의 실습'의 6가지 범주가 나타났다. 감염병 대유행 상황에서 간호대학생은 혼합실습에 대한 불안과 우려를 가지고 임상실습 대체를 받아들였으며, 자기주도적인 학습을 통해 실습 적응 방법을 모색하고 임상실습의 목표를 달성하는 경험을 하였다.

수학과 좋은 수업 사례에 대한 질적 분석 (A Qualitative Analysis on the Characteristics of "Best Practice" in Mathematics)

  • 이대현;최승현
    • 한국학교수학회논문집
    • /
    • 제9권3호
    • /
    • pp.249-263
    • /
    • 2006
  • 이 연구는 수학과 좋은 수업에 대한 사례 관찰과 분석을 통해서 수학과 교사들의 좋은 수업의 특징을 알아보고, 수학과 교육의 내실화 방안을 모색해 보는데 그 목적이 있다. 선정된 6명 교사들의 수업 사례에서 '좋은 수업'이란 교육과정 및 교과서를 재구성한 수업, 실생활 상황을 도입한 수업, ICT를 활용한 수업, 메타인지 학습 전략을 도입한 수업, 동기 유발이 가능한 수학 수업, 수행평가를 도입한 수업, 수준별 소집단 협력 수업 등을 들 수 있다. 그리고 좋은 수업을 운영하고 있는 교사들은 적어도 2개 이상의 특징을 나타내고 있었다. 연구에 참여한 6명의 교사들은 여러 가지 현장의 어려움에도 불구하고, 이를 극복하고 학생들의 학습 수준을 이해하고 학생들이 친숙하게 접할 수 있는 소재에서 출발하여 학생들과 같이 하는 수업을 위해 노력하고 있었다. 6명 교사들의 좋은 수업은 학생들의 학습을 촉진시키고 학생들의 학습 능력을 증진시키기 위한 교사로서의 순수한 열정과 노력의 결과였다. 본 연구에서 제시된 좋은 수업의 특징은 실질적인 수학과 내실화를 꾀할 수 있는 구체적인 방안이라고 할 수 있다. 즉 학교 교육의 내실화는 수업의 내실화가 전제되어야 한다. 최근의 수학교육 동향에 비추어 좋은 수업을 운영하고 있는 교사의 수업을 계속적으로 발굴하고, 이들 수업에서 발견되는 수업의 특징을 새로운 학교 수학 수업의 기준점으로 삼아, 수학교육의 내실화를 위한 현실적인 실천이 이루어지도록 해야 한다.

  • PDF

기술혁신 프로세스에 있어서 R&D 베스트 프랙티스의 평가 (Assessing R&D Best Practices in Technological Innovation Process)

  • 홍순욱
    • 산업공학
    • /
    • 제16권2호
    • /
    • pp.125-139
    • /
    • 2003
  • This paper reports an empirical study on assessment of R&D best practices. The principles of quality management and their tools such as best practices or benchmarking have been so prevailing in the operational process that the R&D management recently consider extensive use of them for their innovation process. However, characteristics of the two processes may be different each other. Are the principles or the tools that were effective in the operational field still going to be effective in the innovative field? In order to answer the question, we statistically examine how R&D best practices contribute to the innovative performance. Upon literature review on technological innovation, we present a R&D process model whereby we set forth research hypotheses. Using data from 66 successful R&D efforts carried out among Korean firms mostly between 1999-2001, regression analyses reveal that best practices used in most stages throughout the R&D process are found not to significantly contribute to the innovative performance. Only those in technology strategy and prototyping stages are proven effective for technical and commercial performance respectively. Interestingly, efforts in a problem solving and improvement stage are counterproductive in the case of the innovation process. Discussions on our empirical observations are presented followed by some managerial implications.

간호사의 유방자가검진(Breast Self-Examination) 실천 예측요인 (Predictive Factors of Brest Self-Examination Practice of Clinical Nurse)

  • 태영숙;김종선
    • 종양간호연구
    • /
    • 제3권2호
    • /
    • pp.122-132
    • /
    • 2003
  • Purpose: The purpose of this study was to identify predictive factors of Brest Self-Examination practice of clinical nurses. Method: The subject for this study were 277 nurses in 8 university hospitals in Busan. The data were collected from September 21 to October 20, 2001 by means of a structure questionnaire. The instruments used for this study were Choi's BSE knowledge scale. Kim's BSE attitude scale and Jung's BSE practice scale. The data were analyzed using frequency, percentage, mean, Peason Correlation, t-teat, ANOVA, scheffe's test, and multiple stepwise Regression using SPSS program. Result: 1. The mean score of BSE practice for the total sample was 7. 25${\pm}$4.62. 2. Statistically significant factors influencing the BSE Practice among social demographic characteristics were age(F=2.734, P=0.44), Married status(t=2.598, p=0.010). 3. Statistically significant factors influencing the BSE Practice among BSE relating characteristics were enlisting the help of significant peers(t=3.34, P=0.00), Intention of Practice for BSE(t=10.462, p=0.00), performance of BSE(t=7.800, P=0.00), frequency of performance in BSE(F=13.932, p=0.00), confidence in Knowledge of BSE technique(F=5.350, p=0.00), confidence in finding breast nodule(F=7.204, p=.00), asking client's BSE (t=3.153, P=0.01). 4.The mild correlation between nurse's BSE knowledge and practice was found(r=0.366,p=0.000). 5. There were significant predictors of BSE Practice. Performance of BSE was the best significant predictive factor(R2=.383, p=.000) Another significant predictive factors were knowledge, intension of practice, married status, frequency of performance. Conclusion: Degree of nurses' performance of BSE was average. It is necessary to develope the nurses' educational program for BSE with its focus on above predictive factors of performance of BSE.

  • PDF