• 제목/요약/키워드: Change Management Characteristics

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Geographical Information System 기법을 이용한 방문간호 중재 평가 (Evaluation of Visiting Nursing Care Using Geographical Information System(GIS) Technology)

  • 이숙정;박정모
    • 대한간호학회지
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    • 제36권6호
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    • pp.1042-1054
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    • 2006
  • Purpose: Previous evaluation studies of the visiting nursing program explained an average change of the participants' health status, without considering socio-ecological characteristics and their impacts. However, these factors must affect individual health problems and lifestyles. For effective and appropriate community based programs, the Geographical Information System(GIS) can be utilized. GIS is a computer-based tool for mapping and analyzing things that happen on earth, and integrates statistical analysis with unique visualization. The purpose of this study was to evaluate visiting nursing care and to advocate the usefulness of planning and evaluating visiting nursing programs using Exploratory Spatial Data Analysis(ESDA) with GIS technology. Methods: One hundred eighty-four elderly participants with cerebrovascular risk factors who lived in 13 areas of one community received visiting nursing care. The data analyzed characteristics of pre-post change and autocorrelation by ESDA using GIS technology. Results: Visiting nursing care showed an improvement in the participants' lifestyle habits, and family management ability and stress level, while the improvements were different depending on the regions. The change of family management ability and stress level correlated with neighborhoods (Morgan's I=0.1841, 0.1675). Conclusions: Community health providers need to consider the individual participant's health status as well as socio-ecological factors. Analysis using GIS technology will contribute to the effective monitoring, evaluation and design of a visiting nursing program.

손실함수의 형태를 고려한 생산자 규격한계의 결정 (Decision of Producer's Specification Limits Considering Types of Loss Function)

  • 김동혁;정영배
    • 산업경영시스템학회지
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    • 제41권3호
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    • pp.145-153
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    • 2018
  • Taguchi regarded the concept of quality as 'total loss to society due to fluctuations in quality characteristics from the time of supplied to the customer.' The loss function is a representative tool that can quantitatively convert the loss that occurs due to the deviation of the quality characteristic value from the target value. This has been utilized in various studies with the advantage that it can change the social loss caused by fluctuation of quality characteristics to economic cost. The loss function has also been used extensively in the study of producer specification limits. However, in previous studies, only the second order loss function of Taguchi is used. Therefore, various types of losses that can occur in the process can't be considered. In this study, we divide the types of losses that can occur in the process considering the first and second loss functions and the Spiring's reflected normal loss function, and perform total inspection before delivering the customer to determine the optimal producer specification limit that minimizes the total cost. Also, we will divide the quality policy for the products beyond the specification limits into two. In addition, we will show the illustration of expected loss cost change of each model according to the change of major condition such as customer specifications and maximum loss cost.

도시근교농촌의 토지이용 및 경관의 변화 (Urbanized land-use / landscape patterns in the city's countryside)

  • 김유일;이애란
    • 농촌계획
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    • 제3권2호
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    • pp.71-80
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    • 1997
  • The city's countryside is adjusting to change by urbanization. The recent changes in rural landuse and damages of local landscape characteristics are very serious. But, few studies address the relationship between land-use and quality of landscape for these area. The aim of this study is to clarify causes and problems of the change through investigating changes of landscape as a function of land-use. The results are as follows 1) The change of landscape can be seen as a functional of land-use. Landscapes are characterized by changes of regional environments. These are the urban-rural fringe area which need special consideration for urban development and also for rural landscape quality. 2) 11 types of landscape patterns are found for landscape management. these are Regional commercial area, Apartment development, Recreation & seisure, Golfs, Housing complex, Industrial complex, Vinyl house, Rural village, Evaded facilities, Rivers, Cultural heritages. These landscape types are explained as 'stimuli-responses model'in Bryant's Forces of urbanization. 3) The policy implications of these study are as follows : First is the necessity of landscape management in Grown Management Zone and Natural Reserved Zone in the Metropolitan level, Second is the necessity of development control in semi- agricultural area. The last is the necessary of long range management plan in the urban-rural fringe area.

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기후변화의 사회경제적 영향평가 방법론 비교분석과 물관리 부문 적용 필요성에 관한연구 (A Study on Comparative Analysis of Socio-economic Impact Assessment Methods on Climate Change and Necessity of Application for Water Management)

  • 채희문;박두호
    • 한국재난관리표준학회지
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    • 제4권2호
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    • pp.57-64
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    • 2011
  • 최근 우리나라에서 발생한 홍수와 가뭄 등 물 관련 재해가 분명히 과거와는 다른 패턴을 보이는 원인이 인간의 경제활동과정에서 발생하는 엄청난 양의 이산화탄소 때문인지 아니면 태양의 흑점수의 증가 때문인지는 불확실하지만 최근 수자원 관리에 직접적인 영향을 주는 기상이변들의 발생이 증가한 것은 분명한 사실이다. 빈번히 발생하는 기상이변에 의해 각종 재해의 발생빈도가 높아지고 있는 실정이며, 상당한 원인은 기후변화로 보여진다. 이렇듯 기후변화는 반드시 사회적인 비용을 초래하게 된다. 특히 홍수와 가뭄으로 나타나는 수자원분야의 영향이 많은 부분을 차지하고 있다. 따라서 본 연구는 이러한 기후변화에 의해 발생하는 수자원분야 경제적 파급효과 분석을 통한 cost damage를 도출하고 이를 바탕으로 적절한 적응사업 추진을 위한 새로운 경제성 분석기법 정립을 위한 기초연구이다. 기 연구에서 사용된 기후변화 피해 및 감축비용 분석을 위한 모형은 PAGE, DICE, AIM, IMAGE, MERGE 등 다양했으며, 본 연구에서는 각 모델들의 개략적 특성에 대해 정리하였다. 또한 본 연구에서는 우선 비용적 측면에서 접근이 가능할 수 있도록 기후변화의 물분야에 대한 정의가 이루어졌다. 본 연구결과를 통해 기후변화의 사회경제적 영향평가 연구에서 고려할 수 있는 다양한 평가모델들의 선택에 도움을 줄 것이며 이는 최종적으로 기후변화관련 사업의 시공간적 국가 예산투자 우선순위선정에 활용될 수 있을 것이다.

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기후변화에 따른 낙동강 유역 농업용수 영향 분석 (Climate Change Impacts on Agricultural Water in Nakdong-river Watershed)

  • 지용근;이진희;김상단
    • 한국농공학회논문집
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    • 제54권3호
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    • pp.149-157
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    • 2012
  • For the systemic management and planning of future agricultural water resources, deriving and analyzing the various results of climate change are necessary to respond the uncertainties of climate change. This study assessed the impact of climate change on the rainfall, temperature, and agricultural water requirement targeting in the Nakdong-river's basin periodically according to socioeconomic driving factors under the scenarios A1B, A2 and B1 of the Special Report on Emission Scenarios (SRES) through the various IPCC GCMs. As a result of future rainfall change (2011~2100), increasing or decreasing tendency of rainfall change for future periods did not show a clear trend for three rainfall observatories, Daegu, Busan and Gumi. The characteristics of the temperature change consistently show a tendency to increase, and in the case of Daegu observatory, high temperature growth was shown. Especially, it was increased by 93.3 % in the period of future3 (2071~2100) for A2 scenario. According to the scenario and periodic analyses on the agricultural water demand, which was thought to be dependent on rainfall and temperature, the agricultural water demand increased at almost every period except during the Period Future1 (2011~2040) with different increase sizes, and the scenario-specific results were shown to be similar. As for areas, the agricultural water demand showed more changes in the sub-basin located by the branch of Nakdong-river than at the mainstream of the River.

제왕절개 분만율 공표 후 요양기관의 분만행태 변화 (Provider's Behavior Change after the Public Release of the Information on the Cesarean Section Rate)

  • 고수경;신순애;김기영;김창엽
    • 보건행정학회지
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    • 제11권3호
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    • pp.121-150
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    • 2001
  • This study was conducted to investigate provider's behavior change after releasing the information on the Cesarean section rate. Claims data filed at the National Health Insurance Corporation was used for this analysis and the focus of this study was the change of cesarean rate after the public disclosure of information. Average rates of the year 1999 and 2000 were compared, on the institutional basis, and range and coefficient of variation were estimated. For the last decade, Cesarean section rate has been increased dramatically. Clinical or demographic factors could not adequately explain the increase. Instead, nonclinical factors, such as financial incentive, physician's convenience, practice characteristics, etc., were more significant in explaining the increasing rate. Providers' behavior was significantly affected by the public release of information: after the release, average rate was decreased by 10.2%, and variations were also decreased. In particular, the extent of decrease was explained mainly by nonclinical factor rather than clinical ones. The results suggest that disseminating practice information to providers and consumers could contribute to reducing unnecessary medical service.

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생명현상의 다양성과 특징에 관한 고찰 - 보건의료에 미치는 영향을 중심으로 - (Diversity and its Characteristics of Life Phenomenon)

  • 이선동
    • 대한예방한의학회지
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    • 제14권1호
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    • pp.1-12
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    • 2010
  • This research was intended to delve into the diversity of life phenomenon and its characteristics. First of all, this research gave real examples to compare the differences in men's health, disease, and longevity in order to confirm the existence of diversity of life phenomenon. In addition, it also studied the process and mechanism of manifestation of life phenomenon, as well as the influence and problems of existing studies' results and implications. The results are as follow. 1. Differences in health, diseases, and longevity were very big and diverse in researches on different races, nations, ages, socioeconomic status, positions, and even (monozygotic) twins. 2. The basic foundation of all organisms is DNA, and environmental factors change DNA methylation and the structure of chromatin by constantly influencing DNA. Due to this, the manifestation, control, and phenotype of DNA change, resulting in diversified life phenomenon. Therefore, it is the environmental factors, not DNA, that has more influence on the diversity of life. 3. Looking at available studies, the most reasonable perspective on human requires focusing on the diversity of life phenomenon, holistic thinking, and reversible change instead of irreversible determinism. Considerable differences in life phenomenon between entities require a change in malformed perspective on life. Public health and medicine deals with live human beings, a more precise and accurate perspective on life is very important. Because management methods of health and disease, such as structure and approaches of medical research, prevention and cure, must be different by life perspectives.

원전 생애주기간 설계기준 정보관리를 위한 요건 분류체계 개발 (Development of Requirement Taxonomy for Design Bases Management during NPP lifecycle)

  • 김종명
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2018년도 추계 학술논문 발표대회
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    • pp.134-135
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    • 2018
  • Nuclear Power Plant consists of about 1.4 million facilities. and the design standards and design requirements for the continuos utilization and safety of facilities are complexly connected with the facilities. When a design change for facilities or design requirements is occurred at the time of construction or operation, there are a lot of facilities, design requirements, and design bases that are affected by the facilities or design bases being changed. The above design changes are so complex that the existing document-bases design change process is time-consuming and may also cause human error. In this study, we developed a design requirement taxonomy that can be applied to the data-centric design bases document that can improve it. To do this, we analyze the design elements from the highest level to the lowest level applied to the nuclear power plant, and classify the design elements according to the characteristics of the design elements.

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민간의료보험 시장 규모 변동에 영향을 미치는 개인 특성 (Individual Characteristics Associated with the Market Size Change of Private Health Insurance Premium in Korea)

  • 유창훈;강성욱;권영대
    • 보건의료산업학회지
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    • 제6권2호
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    • pp.165-177
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    • 2012
  • This study examined market size of private health insurance premium and individual characteristics associated with the market size change in Korea, using wave 1 (2008) and wave 2 (2009) of Korea Health Panel. The market size was 24.4 trillion Korean won in 2008 and 26.9 trillion in 2009. The increase rate of private health insurance premium among those who were the elderly, single, or the poor was higher than that among their counterpart respectively. Health status and utilization were insignificant in determining the increase rate of private health insurance premium. These findings were more obvious among the uninsured in 2008 than among the insured in 2008. The increase of private health insurance premium in Korea imply the increase of willingness-to-pay for health risk through private sector. The authors suggest policy intervention for accessability to health care for the underprivileged and weak through enlargement of Korean social health insurance benefit.

통계적 공간상세화 기법의 시공간적 강우분포 재현성 비교평가 (Comparative Evaluation of Reproducibility for Spatio-temporal Rainfall Distribution Downscaled Using Different Statistical Methods)

  • 정임국;황세운;조재필
    • 한국농공학회논문집
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    • 제65권1호
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    • pp.1-13
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    • 2023
  • Various techniques for bias correction and statistical downscaling have been developed to overcome the limitations related to the spatial and temporal resolution and error of climate change scenario data required in various applied research fields including agriculture and water resources. In this study, the characteristics of three different statistical dowscaling methods (i.e., SQM, SDQDM, and BCSA) provided by AIMS were summarized, and climate change scenarios produced by applying each method were comparatively evaluated. In order to compare the average rainfall characteristics of the past period, an index representing the average rainfall characteristics was used, and the reproducibility of extreme weather conditions was evaluated through the abnormal climate-related index. The reproducibility comparison of spatial distribution and variability was compared through variogram and pattern identification of spatial distribution using the average value of the index of the past period. For temporal reproducibility comparison, the raw data and each detailing technique were compared using the transition probability. The results of the study are presented by quantitatively evaluating the strengths and weaknesses of each method. Through comparison of statistical techniques, we expect that the strengths and weaknesses of each detailing technique can be represented, and the most appropriate statistical detailing technique can be advised for the relevant research.