• Title/Summary/Keyword: Cost-efficacy

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재가 노인의 낙상에 대한 지식, 두려움 및 효능감의 관계 (Relations among Knowledge, Fear and Efficacy of Fall in the Community Dwelling Elderly)

  • 권명순
    • 지역사회간호학회지
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    • 제21권2호
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    • pp.139-147
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    • 2010
  • Purpose: This study was to find out knowledge, fear, and efficacy of fall in the community dwelling elderly and to investigate how the factors were connected to one another. Methods: Data were collected from June to August, 2009 from 101 aged people who aged 65 or older and agreed to participate in this study sampled among elders at 8 halls of the aged in local communities. The subjects were interviewed by a co-researcher and 3 trained assistants in a way of responding to the questionnaire after being read. The data were analyzed through t-test, ANOVA, Turkey's test and Pearson correlation coefficients. Results: Knowledge of fall was affected significantly by whether the living cost was provided or not, fear of fall was affected by sex, level of education, hearing impairment and regular exercise, and efficacy of fall was affected by age, sex, marital status, level of education, hearing impairment, vertigo and regular exercise. The results also showed a negative correlation between fear of fall and efficacy of fall. Conclusion: According to this study, regular exercise can build up knowledge and efficacy of fall and diminish fear of fall. Thus it is highly recommended to include regular exercise in an effective fall-prevention program.

대학 스마트워크 수업 중 스마트워크 이용저항과 수업 외적인 행동 고찰: 동기-위협-능력 프레임워크 관점 (Examining the Smartwork Use Resistance and Non-Class-Related Behavior of Attendees in University Smartwork Class: A Motivation-Threat-Ability Framework Perspective)

  • 이종만
    • 한국콘텐츠학회논문지
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    • 제16권8호
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    • pp.39-47
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    • 2016
  • 본 연구의 목적은 동기-위협-능력 관점에서 대학 스마트워크 수업 중에 수강생들의 스마트워크 이용저항과 수업 외적인 행동에 대하여 조사하는 것이다. 이를 위하여 본 연구에서는 연구모형을 개발하였고, 스마트워크 전환비용, 위협, 자기효능감이 어떻게 스마트워크 이용저항을 거쳐 수업 외적인 행동에 영향을 미치는지를 조사하였다. 또한, 자기효능감과 수업 외적인 행동 간의 관계를 조사하였다. 본 연구를 위해 설문방법을 이용하였고, 분석을 위한 데이터는 대학생을 대상으로 수집한 총 80개의 데이터를 적용하였다. 그리고 자료의 분석은 구조방정식모형을 사용하였다. 실증분석결과는 첫째, 전환비용과 수강위협은 스마트워크 이용저항에 직접적인 영향을 미치는 것으로 나타났다. 둘째, 스마트워크 이용저항은 수업 외적인 행동에 부의 영향을 미치지만, 자기효능감은 수업 외적인 행동에 정의 영향을 미치는 것으로 나타났다. 본 연구의 결과는 스마트워크 서비스의 이용 정책 수립에 있어서 스마트워크 이용저항 동기의 중요성을 제시하였다는데 의의가 있다.

RC 건축물에 적용한 비탈형 영구거푸집의 경제성 평가에 관한 연구 (A Study On Economic Evaluation of Permancet Form For Reinforced Concrete Building)

  • 김형남;김우재;김성식;이복만;정상진
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 1999년도 봄 학술발표회 논문집(I)
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    • pp.475-480
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    • 1999
  • Recently domestic building market in the face of 3D, in addition to construction cost increase, materials lack problems and opening a building market to foreign countries, is trying to find out the efficient ways of overcoming these problems. So the necessity to study the permanent form is urgent to escape the problems of constructing human power economy, cost down, noises problem, environmental prevention and efficacy of form work to technical improvement will contribute a practical permanent form in field through economic evaluation of permanent form. In this paper, we compared wood form cost with permanent form cost(made form polymer or fly ash) for frame work

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병원중심 가정간호 사업의 평가 연구 -외래 관절염 환자를 대상으로 - (Effects of Hospital-based Home Care Demonstration Project on Physical and Emotional Problems and Cost - effectiveness of Patients having Arthritis)

  • 임난영;김성윤;이은옥;이인숙
    • 근관절건강학회지
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    • 제3권1호
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    • pp.4-22
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    • 1996
  • Purposes of this study were to identify a hospital-based home care model and to improve the physical, emotional and economical effectiveness of arthritic patients through medical and nursing team approach. The design in nonequivalent control group pretest-posttest design with matched samples in terms of age, sex and disease severity. Fifty two patients in each group were assigned in Seoul, Kyunggi, Kangwon and Kwangju. Before and after 6-month period of home care, level of pain, duration of morning stiffness, Richie Index, ADL, self efficacy, depression, cost expenditure were measured. Nine patients were excluded from the control group in the period of study because of denial of participation. Contents of home care provided to the experimental group include mainly distribution of prescribed drugs, 'assessment of patients' condition and side-reactions of drug. All of the information related to the home care patient were reported to the physician. On the bases of these data, the physician prescribe the specific drugs to each patient. Each patient visited the physician every 2 or 3 month for laboratory test. Patients assigned to the control group visited the outpatient clinic once a month as usual. Null hypotheses were selected because physicians concerned about the ineffective change of patients' conditions due to indirect communication with patients through nurses. Level of pain, Richie index, ADL, self-efficacy, depression, duration of morning stiffness and direct medical cost were the home care provided to them. If a family member accompany in a home care group can save 10,676 Won/month in Seoul, 34,000 Won/month in other districts. Other in-direct cost for transportation and meal can also be saved. In conclusion, those patients with low level of ADL, high level of pain and Richie index, living in the remote area definitely need the home care.

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여대생의 자기효능감과 자아존중감에 따른 외모관리행동 (Appearance Management Behaviors of Female University Students by Self-Efficacy and Self-Esteem)

  • 이승희;박길순
    • 복식문화연구
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    • 제19권5호
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    • pp.1075-1087
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    • 2011
  • The purpose of this study was to find discover the effects of self-efficacy and self-esteem on the appearance management behavior of female college students. As for the study method, questionnaire survey sheets on general traits like age, grade year, major and management cost, sense of self-efficacy, self-esteem, and appearance management behavior were distributed to female college students. The responses were measured based on a 5-points Likert scale. The results of this study are as follow: One's sense of social self-efficacy and self-esteem were both found to affect appearance management behavior significantly. In other words, the greater one's sense of social self-efficacy, which represents one's sense of confidence in inter-personal relations, the greater one's appearance management behaviors to enhance her own value. Furthermore, the greater one's self-esteem(the way one feels positively about oneself), the greater one's appearance management behaviors. As a result, it can be judged that the more an individual wants to act more capable in different contexts, the more she tries to make up for her own disadvantage. To highlight her own advantages for the sake of greater positive social activities and inter-personal relation, the more she takes to improve her image through appearance management behaviors. It is anticipated that such an examination of appearance management behavior, sense of self-efficacy and self-esteem among female college students will serve as useful data for appearance-related industries by enabling them to properly under stand their clientele's psychological traits.

Helicobacter pylori 감염 소화성궤양에서 Omeprazole중심 항생요법 (Omeprazole Based Antibiotic Regimens for Helicobacter pylori Infection in Peptic Ulcer Disease)

  • 강현주;강동훈;유종현;이숙향
    • 약학회지
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    • 제44권1호
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    • pp.16-21
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    • 2000
  • Peptic ulcer is involved with Helicobacter pylori infection and antibiotic regimens are primary treatments. An optimal therapeutic regimen for eradication of Helicobacter pylori remains uncertain due to variable efficacy. The objectives of this study were to evaluate the efficacy of omeprazole based antibiotic regimens in bacterial eradication, healing of peptic ulcer and to identify factors affecting efficacy. Seventy-seven patients were enrolled in the prospective, open-trial from November 1997 to Setember 1998. H. pylori infection was identified with endoscopy, H. pylori stain and rapid urease test. The first group (OAC7) received omeprazole 20 mg twice daily for 4 weeks which were the same schedule for all, amoxicillin and clarithromycin 500 mg three times daily for 1 week; the second group (OAC14), for 2 weeks on the same regimen as the first; and the last group (OACD) has taken bismuth in addition to the OAC7 regimen for 1 week. Eradication of H. pylori and healing of peptic ulcer were evaluated with endoscopy and tests for H. pylori before and after treatments. There were no significant differences in eradication rates; 77% in OAC7, 76% in OAC14, 81% in OACD (p=0.935) and healing rates; 82% in OAC7, 71% in OAC14, 95% in OACD (p=0.179), respectively. Compliance had an relationship with eradication rates significantly among regimens (p=0.049). Twenty three cases (29%) complained of the minor side effects. In conclusion, OAC7 was better in convenience of dosing schedule and showed fewer side effects with shorter duration and lower cost while There were no significant differences in efficacy among regimens.

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일본의 건강보험 약가 산정기준에 관한 연구 (A Study for The Pharmaceutical Pricing Standard of the National Health Insurance in Japan)

  • 류정걸
    • 한국병원경영학회지
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    • 제14권4호
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    • pp.52-70
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    • 2009
  • This study is to analyse the reimbursement prices of drugs in Japan. Japan has the world's second-largest pharmaceutical market, and the world's largest price-controlled pharmaceutical market. The reimbursement prices of new drugs in Japan are determined by confidential negotiations between the manufacturer and the Japanese Ministry of Health, Labor, and Welfare. Pharmaceuticals account for a larger share of total healthcare expenditures in Japan than in most other major pharmaceutical markets such as France, Germany, United Kingdom and United States. Prescription drugs' share of total healthcare spending has slightly increased in recent years, from 20.2% in 2000 to 21.5% in 2004, the most recent year for which data are currently available. This trend is attributable to the effect of the Japanese rapidly aging population that stimulates demand for healthcare services. There are several method of price setting for drugs as below. First, on the initial pricing of branded drugs, is the similar-efficacy pricing method and cost calculation method. Second is postmarketing price changes which are biennial price revisions under the rule of National Health Insurance. Third is the rule of the generics price. Recently, the generics market is expanded because there are increasing numbers of hospitals by DPCs(Diagnosis-procedure Combinations).

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Consumer Behavioral Systems to Approach or Avoid Generic Medicine (GM) Consumption in Japan

  • Hosoda, Takefumi;Fraser, Jay R.;Kim, Myung-Sook;Cheon, Hongsik John
    • The Journal of Asian Finance, Economics and Business
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    • 제5권2호
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    • pp.105-118
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    • 2018
  • Generic medicine (GM), which is an alternative drug product for branded medicine (BM), is used less in Japan than in other OECD countries. Therefore, we investigate why the medical consumers of Japan avoid the use of GMs even though the efficacy and safety of the medicines have already been proven. We theorize that effectiveness or risk of GMs are related to the consumer attitude toward GMs is affected by the behavioral approach/activation system (BAS) which promotes actions to reach the desired state, and the behavioral inhibition system (BIS) which suppresses behaviors to avoid negative outcomes. To see which of the BAS and BIS dimensions are related to GM usage, we surveyed 374 Japanese consumers and found that Quality, Efficacy, Safety, & Cost-effectiveness with the BAS, and Functional Risk, Financial Risk, Social Risk, Physical Risk, Psychological Risk, & Time Risk with the BIS had a significant effect on consumer attitude to GMs. These results are important in that they 1), confirm the role of BAS/BIS in attitudes to GMs, 2), provide guidelines when marketing GMs, 3), help governments promote the use of GMs as a cost-saving measure, and 4), guide future surveys regarding consumer attitudes to GMs.

Algorithmic approach to the lymphatic leak after vascular reconstruction: a systematic review

  • Nicksic, Peter John;Condit, Kevin Michael;Nayar, Harry Siva;Michelotti, Brett Foster
    • Archives of Plastic Surgery
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    • 제48권4호
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    • pp.404-409
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    • 2021
  • Background To date, there are no consensus guidelines for management of lymphatic leak in groin vascular reconstruction patients. The goal of this study is to review the relevant literature to determine alternatives for treatment and to design an evidence-based algorithm to minimize cost and morbidity and maximize efficacy. Methods A systematic review of the literature was conducted per Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Two independent reviewers applied agreed-upon inclusion and exclusion criteria to eligible records. Studies that included patients who underwent groin dissection for oncologic diagnoses and level 5 data were excluded. Interventions were then categorized by efficacy using predetermined criteria. Results Our search yielded 333 records, of which eight studies were included. In four studies, the success of lymphatic ligation ranged from 75% to 100%, with average days to resolution ranging from 0 to 9. Conservative management in the form of elevation, compression, and bedrest may prolong time to resolution of lymphatic leak (14-24 days) and therefore cost. Conclusions The majority of patients should be offered early operative intervention in the form of lymphatic ligation with or without a primary muscle flap. If the patient is not an operative candidate, a trial of conservative management should be attempted before other nonsurgical interventions.

보안 정책 준수 동기에 관한 연구:기술 위협 회피 관점에서 (Security Policy Compliance Motivation: From Technology Threat Avoidance Perspective)

  • 임명성
    • 디지털융복합연구
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    • 제19권11호
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    • pp.327-339
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    • 2021
  • 본 연구는 TTAT를 기반으로 정보보안 정책의 관점에서 보안 정책의 특성(정책의 취약성, 정책의 효과성, 정책 준수 비용, 정책 준수 효능감, 사회적 영향력)이 조직의 정보보안 정책 준수 동기에 미치는 영향을 살펴보기 위해 수행되었다. 분석 결과는 다음과 같다. 첫째, 보안 정책의 위협은 정책 준수 동기에 유의한 영향을 미치는 것으로 나타났다. 둘째, 정책의 효과성은 준수 동기에 통계적으로 유의한 영향을 미치지 못하는 것으로 나타났다. 셋째, 정책 준수 비용은 정책 준수 동기에 유의한 영향을 미치는 것으로 나타났다. 넷째, 정책 준수 효능감은 회피 동기에 유의한 영향을 미치지 못하는 것으로 나타났다. 마지막으로, 사회적 영향력은 준수 동기에 유의한 영향을 미치는 것으로 나타났다.