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입원환자의 비공식적 의료비용 부담에 관한 연구 (A Study on the Informal Cost Burden of the Patients Admitted to the Hospital)

  • 한미현
    • 간호행정학회지
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    • 제7권1호
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    • pp.5-14
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    • 2001
  • To estimate total burden of hospital admission over patient of gamily, we need to know the unofficial private expenses in addition to explicit hospital admission fees. This study was conducted from June 29, 2,000 to August 10, 2,000. Subjects were 104 patient at university hospital located at chungnam province. After thorough explanation of purpose and procedures, notebooks are given to each patient or guardian. They are requested to recorded all relevant expenditures occurred during hospital stay. Incomplete records were filled-up by direct personal contact or phones. Datas were summarized and analyzed using SAS statistical package. P-value less than 0.05 was considered significant. The results of the study are as follows: 1. In 96.1% of the patient, guardians stayed at hospital to take care of patients. In 38,8% one of the family members get work-leave or temporary resting from job. Average date of leave was 7.5days. 2. Average informal cost burden per patient was 204,467 won (14,330 won${\sim}$1,594,870 won). Average hospital cost paid by the patient was 1,061,807 won. The ratio of informal cost burden to hospital cost paid by the patient was 0.327. 3. According to the regression analysis, the relevant factors affection informal cost burdens were distance from home to hospital(p=0.018), and duration of hospitalization(p=0.0001). 4. Informal cost burden was composed of expenses for personal expense of care giver (126, 720 won/patient), meal (86,924 won/patient), transportation (77,648 won/patient), necessaries of life (18,789 won/patient), tests and treatments not covered by insurance (17,289 won/patient), medical supplies not covered by insurance (15,280 won/patient), treat for visitors (14,757 won/patient), TV coin (8,247 won/patient), and others (7,582 won/patient). In addition to the hospital cost paid by the patient for hospital admission, the informal cost burdens should be recognised explicitly because it is not small. Significant proportion of informal cost burden is composed of care-giver's personal expense, transportation, meal. It is suggested that some polices are to be devised and implemented enabling that this portion of informal expenses be directed to formal professional nursing care. Thus we can improve the quality of care and decrease discomfort of patient's relatives.

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대학생이 인식하는 전통음식과 약선음식에 관한 연구 -대구·경북지역 외식계열 전공자 중심으로- (Study on University Student's Awareness of Traditional and Yaksun Foods - Focus on University Students majoring in Culinary Art and Foodservice Daegu and Gyungbuk Area -)

  • 백현영;곽은정;정현숙;정재홍;조연숙
    • 동아시아식생활학회지
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    • 제25권5호
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    • pp.779-790
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    • 2015
  • The purpose of this study was to determine the awareness and preference relating to traditional food and yaksun food by university students majoring in culinary art and foodservice in the Daegu and Gyeongbuk area. This research carried out an investigation on 492 (male 257 and female 235) students. 'Awareness of traditional food' was gained through school education in male students (37.4%) and female students (46.7%). For 'the most-favored traditional food', 260 (male 138 and female 122) students most often responded galbijjim, followed by bibimbap, bulgogi, and kimchi. For 'the part that requires the attention most in improving traditional food', variety of taste received the highest votes by 109 male students (42.4%) and 98 female students (41.7%). For 'awareness for yaksun food', the most popular paths were TV, newspaper and the Internet in 123 male students (47.9%) and 139 female students (59.1%), where as 97 students answered school education (19.7%). For 'the part that requires the attention most in developing yaksun food', variety of taste received the highest votes by 103 male students (43.8%) and 106 female students (41.2%), which was the same result for the development of traditional food. For 'awareness on the possibility of popularization of traditional and yaksun food', needs for food development received the highest score of 3.99 (male 3.99 and female 3.99) by 5-point Likert measurement. In conclusion, high awareness levels of health, traditional food, and yaksun food in university students in Daegu and Gyeongbuk majoring in food-service will contribute to a healthy food culture. Further, this research will have a large impact on development of various convenience foods in the food-service industry as well as home.

지역사회 장애학생의 게임세계 경험과 또래상호작용 탐구: Giorgi의 현상학적 연구방법을 활용하여 (The Study on the Game World Experience and Peer Interaction of Students with Disabilities in the Community : With Giorgi's Phenomenological Research Method)

  • 유두한;전병진;홍덕기
    • 대한지역사회작업치료학회지
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    • 제2권2호
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    • pp.1-13
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    • 2012
  • 목적 : 본 연구는 지역사회 장애학생의 게임세계에 대한 경험을 통해 또래상호작용을 탐구하여 그들이 겪는 여가활동의 경험에 대한 보다 풍부한 이해를 하고자 하였다. 연구방법 : 본 연구를 위해 2명의 지역사회 장애학생을 대상으로 그들의 게임세계에 대한 경험과 또래상호작용을 탐구하기 위해 Giorgi의 현상학적 연구방법을 사용하였다. 자료수집방법은 심층면담으로 연구 참여자의 상황과 맥락에 대한 이해를 돕기 위해 3회 이상 면담횟수를 설정하였고, 가급적 새로운 자료가 나오지 않을 때까지 자료를 수집하였다. 분석과정은 Giorgi가 제시한 과학적 현상학에서 따라야 하는 4가지 구체적 단계들을 통해 전체적 인식을 바탕으로 의미단위를 구분하였고, 이를 바탕으로 구성요소를 도출하였다. 결과 : 지역사회 장애학생은 신체적 제한과 소외감으로 집에서 대부분 시간을 보내고 있었다. 시간적이며 공간적인 접근성의 제한은 편중된 여가활동의 원인이 되었다. 장애학생은 컴퓨터를 이용한 게임에 재미를 느끼며 소외감을 극복하고 있었지만 게임으로 인한 신체적 고통도 느끼고 있었다. 게임을 통한 또래와의 상호작용은 나타나지 않았고, 대화는 주로 가족과 이루어졌다. 장애학생은 재미에 이끌려 무분별적으로 게임을 하고 있어, 시간 사용에 대한 올바른 사고가 필요하였다. 결론 : 지역사회 장애학생은 신체적이고 심리적인 제한점들로 인해 게임을 접하게 되었고, 몰입을 통한 재미로 즐거움을 느끼고 있었다. 지역사회 장애학생은 게임의 시간 사용에 대한 올바른 교육과 사고가 필요하며, 무분별한 게임 이용과 같은 문제점에 대한 대안이 필요할 것으로 생각된다.

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성인의 초경경험분석에 따른 국민학생을 위한 초경교육의 필요성 제기 (Analysis of Menarche Experience and Raising of Need of Menarche Education)

  • 김정은
    • 여성건강간호학회지
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    • 제1권2호
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    • pp.222-243
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    • 1995
  • The purpose of this study was to develop concrete and in-depth knowledge about menarche and to raise the need of menstrual education. The data were collected from purposively sample 34 women from twenties to forties from April 27 to October 10, 1994. Semi-structured intensive interviews were done and these qualitative data were analysed with "Ethnograph" computer program. The results of the study were as follows : 1. The experience of menarche could be classified into two main groups, which were positive and negative response to menarche. The negative experiences were to be shameful, tearful, scared of the phenomena and thought as a kind of punishment for guilt or confused menarche with other symptoms of diseases. On the contrary, the positive experiences were to be proud of physical maturity and to think that is was wonderful, miraculous and to perceive it as a warm experience. 2. The experience of menarche was influenced by various factors. They were the knowledge about menstruation, the quality and amount of informations, the time of menarche, the environmental factors, the response of significant others toward menarche. The experience of menarche could be positive or negative according to these factors. 3. The previous information sources about menstruation could be significant others, school education and mass-media. The significant others were mothers, sisters, friends and the person in charge of school sex education such as school nurses, home economics, military drill and athletics of teachers. And mass-media included sex education booklets, nursery tales, TV programs, and publicity activities of sanitary napkin companies. 4. The opinions of the subjects about the proper time of menarcheal education could be grossly classified into two groups. The first was active approach toward children when they were in elementary school. The second was passive approach which postponed the time until the child ask about it, because it would be awkward for them to discuss about the topic. 5. The participants thought that the ideal methods of menarche education would be systematic school education programs, open discussion with daughters, audio-visual teachings, or practical education in everyday life. 6. The contents of the menarche education based on the participants' opinions, would be positive details about meanings and functions of menstruation. And it would be desirable if the attitudes of the person in charge of education could be positive, open-hearted, and favorable toward menstruation.

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생잔효과와 다중로짓모형으로 분석한 구매형태별 시장점유율 예측 (Forecasting Future Market Share between Online-and Offline-Shopping Behavior of Korean Consumers with the Application of Double-Cohort and Multinomial Logit Models)

  • 이성우;윤성도
    • 한국유통학회지:유통연구
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    • 제14권1호
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    • pp.45-65
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    • 2009
  • 정보통신기기의 발달과 생활환경의 변화는 소비자의 구매유형을 다양화 시키는 역할을 하였다. 소비자의 구매유형에 따른 시장점유율의 변화는 관련 기업 뿐 아니라 정책 관계자들에 있어서도 매우 주요한 이슈로 떠오르고 있다. 본 연구는 2007년 설문조사 결과를 이용하여, 이중생잔모형을 고려한 다중로짓모형 분석과 구매형태별 시장점유율을 예측하였다. 시장규모 및 점유율에 대한 예측이 다양한 관련 주체의 경제적 효율성 및 형평성의 실현에 있어 중요한 사안임을 감안한다면, 본 연구의 결과 및 연구의의는 다음의 세 가지로 요약될 수 있다. 첫째, 소비자의 구매유형의 선택 형태는 생잔효과(Cohort Effect)를 고려하여야 한다. 연령대별 선호 구매형태 및 충성도가 다르며 또한 생잔효과를 감안한 시장점유율은 매우 유동적일 것으로 판단된다. 둘째, 기존의 온라인의 구매형태의 감소는 빠른 속도로 온라인 구매형태로 이전할 것이며, 동일 온라인 구매형태에 있어서도 온라인, 인터넷, TV 홈쇼핑 및 기타 간의 시장 분할도 2013년 경 안정된 비율을 유지할 것이다. 셋째, 시간의 경과에 따른 연령별 생잔효과의 분석에서 현재의 연령대가 차후 연령으로 진행하더라도 구매방법을 획기적으로 바꾸기보다는 현재의 소비행태를 비슷하게 유지하는 효과가 있는 것으로 판단되며, 이는 나이를 먹는 것(Aging)에도 일종의 사슬효과(Chain Effect)가 있는 것으로 해석할 수 있다. 본 연구는 구매형태를 고려한 시장점유율을 분석할 수 있는 방법론을 적용하였다는 측면과 생잔효과를 고려한 다양한 관련 주체들의 활동에 시사점을 줄 수 있다는 의의를 가진다.

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초등학생의 신체활동, 좌식행동, 식이행동에 대한 권고사항 실천 패턴 및 상호관련성 (Patterns and Interrelationships for Meeting Recommendations of Physical Activity, and Sedentary and Dietary Behavior in Elementary School Students)

  • 김재우;공성아;이온;김성수;김연수
    • 한국지역사회생활과학회지
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    • 제20권1호
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    • pp.81-89
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    • 2009
  • The purpose of this study was to analyze the patterns and interrelationships for meeting recommendations of physical activity, sedentary behavior, and dietary behavior in elementary school students. A cross-sectional design was used to assess 259 students ages 11 to 13 years. Physical activity (moderate to vigorous physical activity $\geqq$60min/day), sedentary behavior (viewing time for TV, computer, DVD, video, etc<3hr/day), and dietary behavior (servings of fruits and vegetables$\geqq$5times/day) were categorized into two levels: meeting recommendations or not meeting recommendations. Parents' health behaviors and home environmental variables were assessed with self-reported measures. Chi-squared tests and independent t-tests were conducted to compare anthropometric variables and the prevalence of students not meeting the recommendation for the three health behaviors. Comparison between males and females and logistic linear regression were used to determine the interrelationships of three health behaviors. 25.9% of students did not meet the physical activity recommendations. 15.4% did not meet sedentary behavior recommendations, and 41.7% did not meet dietary recommendation. Only 39.8% of students met all three recommendations, but 19.0% did not meet over two recommendations. Patterns that simultaneously did not meet two recommendations were: sedentary and dietary behavior in males (8.1%), and physical activity and dietary behavior in females (10.4%). Students who did not meet dietary recommendations were at greater risk of not meeting physical activity (OR 2.76; 95% CI 1.15 to 6.64), and sedentary behavior (OR 3.07; 95% CI 1.15 to 8.16) compared with students who did meet dietary recommendations. The findings of this study support not an independent behavior approach but a multiple behavior approach taking into account gender and interrelationships among the three behaviors.

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중국 현지 의료소비자의 특성 및 의료기관 선택 연구 (A Study on the characteristics of Chinese medical care consumers and choice of medical care providers)

  • 김지만;이상규;신재용;송주영;이예슬;김태현
    • 한국병원경영학회지
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    • 제23권1호
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    • pp.78-86
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    • 2018
  • Purposes: This study identifies local Chinese consumers' standard for selecting medical care provider and their standard for choosing medical staff, as well as their expectations and concerns regarding Korean medical care providers. Methodology: A survey was conducted in China, to identify Chinese medical care consumers' standards for selecting a medical provider and the factors that influence their use of general hospitals. A total of 1,500 people across three cities, between the ages 18 and 60 participated in the survey. Moreover, a multiple logistic regression analysis was used to analyze the factors that affect Chinese medical care consumers' use of general hospitals. Findings: A total of 75.5 percent respondents chose general hospitals as their most frequently-used medical provider. Those who have health insurance, visit general hospitals as outpatients or are hospitalized more frequently than those who do not have a health insurance. Furthermore, those who have private insurance visit general hospitals as outpatients or are hospitalized more frequently than those who are not signed up for private insurance. Major standards for selecting a hospital included: the doctor's skills, word-of-mouth regarding the hospital, and distance to the hospital from the respondents' home. Standards for choosing medical personnel included word-of-mouth regarding the medical team, recommendations from family members or acquaintances, and medical team's notoriety. Friends and neighbors, family members, television and other media outlets were the channels for acquiring information on a hospital. It was found that Chinese people mostly visit the cardiovascular department of Korean hospitals for treatment. For using Korean hospitals in China, the majority of respondents answered that they were concerned about the cost. Practical Implications: Backed by highly skilled medical experts and cutting-edge technology, Korean medical care providers are attempting to enter China's medical care market. To succeed in China's medical care market, it is vital to conduct a clear and precise analysis.

라디오 프로그램 <여성시대> 분석 : 여성주의적 공간의 가능성 (Text Analysis of : Possibilities of Feminist Sphere in Radio)

  • 김은정
    • 한국언론정보학보
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    • 제16권
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    • pp.36-70
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    • 2001
  • The purpose of this study is to investigate women's radio talk program and evaluate its possibilities and limitation from the point of feminist perspective. The theoretical framework is based on feminist studies and text analysis of talk show. Existing studies regarding talk show are mainly focused on television. But radio talk show is one of general entertainment and it's influences on minorities are still significant. is the most representative women's radio talk program in Korea. It has been broadcasted over 10 years and very popular among Korean housewives. The audience of this program call themselves schoolfellow, and call the program 'school of women'. The media text of is mainly consisted of letters from women audiences, and they are selected by producers. So the text is made by both audiences and producers. The unique combination of this process produces complicated discourses which contain women's experiences in letters and station's considerations through safekeeping. The problems investigated in this study are as follows: First, What discourses are produced in this program? Second, Alternative possibilities can be seen in this program in feminist perspectives? Text analysis of 1week(2000.9.18-9.24) and interview with producers are accomplished to this purposes. In the text analysis, subject matters, inscribed women's position, values of the letters are revealed. Most of the subject matters are family affairs. Some are socially oriented but family and home are the predominant category of women's letters. And the position of women subject is defined in the domestic network. They are nameless but the mother, wife, daughter, daughter-in-law of other people. In value, family-oriented value and small happiness in everyday life are generally appeared. But these values are essentially coincide with the values of status quo. The answers of the conflict are not public but individualized. And acception the status quo is presented as the wisest decision, But ` has many implications in relation to women's sharing of their experience, and construction of imagined community in media. Women continuously interact each other revealing and discussing their experiences and sometimes their social practices are stirred through this media sphere. So we see the 'emotional union' among women are formed through radio. The limitation of this program is very apparent: it's patriarchic values, acception of status quo, and individualization of the women's problems. But in the same time we can read coexisting it's latent possibilities: the possibilities of women's public sphere. But it is completely alternative women's sphere in feminist perspectives. It renders women opportunities to participate public media and share with other women, and collaborate with their problem.

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요보호아동의 정보화 실태 분석: 부산지역을 중심으로 (Information Analyses of Child Who Needs Protection in Busan)

  • 김옥희
    • 가정과삶의질연구
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    • 제20권5호
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    • pp.149-166
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    • 2002
  • In this study, 1 have analyzed the state of the use of information technology by the at-risk children who are residing in Husan metropolitan area. The ultimate goal of this study is to help ensure the healthy development of the children and improve the quality of their lives in this information-oriented society. For this research, 1 surveyed 183 children living in an institution or a low-income family in Busan metropolitan area. The survey questionnaire was designed to obtain information on the respondents, socio-demographic characteristics, computer-related conditions of the immediate and social environments, patterns of computer and Internet use, their experience and degree of so called, Net-generation syndrome, Internet addiction disorder, changes in social and familial life caused by Internet use, and exposure to pornographic materials. The results show that 95.9 % of at-risk children in Husan own a computer, 60.9 % of those computers being Pentium Ⅲ. A majority of the children (74.9 %) are connected to Internet at a high-speed, using such devices as LAN, ADSL or cables. About seventy-six percent of the children have used a PC and Internet less than two years. In other words, a majority of them have not used those for a long period of time. The main results of the research are summarized in the following: There is a significant difference among at-risk children in terms of experiences in computer and Internet use according to their grade levels. There is a gender difference in the amount of time spent on computer and Internet. Boys spend more time every week on computer and Internet than girls do. There is a significant difference in the pattern of computer and Internet use, according to the type of their risk, and grade level. The so-called 'Net Generation Syndrome' is not serious in this group. A majority of the at-risk children think that Internet is more interesting than TV. They hardly shop on Internet, and they don think the advertisements on Internet are a serious problem. Also, unlike many people assumptions, their desire to communicate through on-line chatting was very low. They do not tend to buy computer game programs, and Internet Addiction Disorder was not pronounced among them. The at-risk children rarely had an exposure to pornographic materials in the cyber space. However, the exposure was more frequent for institutionalized children than children in low-income families. These results point to a need for a policy to improve the welfare of at-risk children and guarantee their right to information.

T-DMB 하이브리드 데이터 서비스 Part 1: 하이브리드 BIFS 기술 (T-DMB Hybrid Data Service Part 1: Hybrid BIFS Technology)

  • 임영권;김규헌;정제창
    • 방송공학회논문지
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    • 제16권2호
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    • pp.350-359
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    • 2011
  • 1990년대 이후 방송 기술의 눈부신 발전은 고선명 방송 서비스의 도입으로 가정에서의 고화질 방송 서비스 제공을 가능하게 하였을 뿐만 아니라, 이동 방송 서비스의 등장으로 고속으로 이동하는 차량에서도 방송 서비스를 즐길 수 있도록 하였다. Terrestrial Digital Multimedia Broadcasting (T-DMB) 기술은 이동 방송 서비스 제공을 위해 개발된 기술 중 성공적으로 상용화된 기술 중 하나이다. 고속 이동체에서의 안정적인 방송 수신 기능 외에 T-DMB의 기술적 혁신 중 주목할 만한 것으로는 MPEG-4 표준에 기반 한 시스템 프레임워크를 들 수 있다. 이는 장면 기술(Scene Description) 및 그래픽 객체 표현 언어인 Binary Format for Scene (BIFS)와 객체(object) 개념의 멀티미디어 구성 요소 표현 방식인 Object Descriptor (OD) 프레임워크를 통해 대화형 데이터 서비스를 제공할 수 있다. 그런데, T-DMB 대화형 데이터 서비스에는 두 가지 근본적인 제약 사항이 존재한다. 첫 번째 제약 사항은 대화형 서비스를 위한 그래픽 데이터는 비디오 화면을 벗어날 수 없어 항상 비디오 화면 위에 중첩되어 표현되어야 한다는 것이다. 두 번째 제약 사항은 양방향 서비스를 위한 데이터는 항상 방송망을 통해서만 전송되어야 한다는 것이다. 이러한 제약 사항은 단말의 위치 정보나 사용자의 특성 정보를 반영한 개인 맞춤형 서비스 제공의 제약조건이 되고 있다. 본 논문에서는 이러한 제약 사항을 극복하기 위해 기존방송망 및 무선 인터넷 망을 통해 각각 전송되는 장면 기술 정보 뿐만 아니라, 단말의 저장 장치에 저장된 장면 기술 정보를 활용하는 T-DMB 하이브리드 데이터 서비스 방식을 제안하고 기존 T-DMB 데이터 서비스와의 역호환성을 보장하는 하이브리드 BIFS 기술을 제안한다.