• Health Policy and Management
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• v.19 no.4
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• pp.78-97
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• 2009

This study examined the factors related to family caregiver satisfaction with institutional care services for beneficiaries under the Public Long-Term Care Insurance(PLTCI) system. Determining what contributes to family caregiver satisfaction is a critical step toward implementing effective quality improvement strategies. A national cross-sectional descriptive survey was conducted from November to December 2008, using proportionate quota sampling based on the location and level of Long-Term Care of the beneficiaries. Total 1,745 family caregivers wrote informed consents and 733 (response rate 42%) completed questionnaires, which included caregiver characteristics, organizational resources, primary objective and subjective stressors, perceived quality of services, and family caregiver satisfaction. Family caregivers were satisfied overall with institutional care. In multiple regression analysis, there was a statistically significant difference in degree of family caregiver satisfaction according to caregiver characteristics(relationship to beneficiary), primary objective stressors (insurance type of beneficiary), perceived quality of services(respect to family caregivers' idea, ADL support, expertness of staff, careful concern of staff, fulfillment of client's requests, and safety of institution's environment). In public long-term care, satisfaction efforts are in an early stage of development. This study is meaningful as the first attempt to measure family caregiver satisfaction with institutional care for beneficiaries under the PLTCI system, and to identify factors affecting the satisfaction. Among the identified factors, the policy makers, the insurer, and the providers need to pay attention to perceived quality of services, in particular, to improve customer satisfaction. Our findings can provide quality care improvement initiatives in the public long-term care setting.

• The Journal of Asian Finance, Economics and Business
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• v.8 no.4
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• pp.21-32
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• 2021

This paper aims to investigate the relationship between country-level institutional quality and public debt in the context of Pakistan. The hypotheses of this study were assessed by using the country-level institutional quality data for Pakistan throughout the years from 1996 to 2018. Data came from the World Databank, IMF and Worldwide Governance Indicators databases. For the analysis, ordinary least square, quantile regression and robust regression were employed to assess the factors influencing the public debt. The results of this study indicate that the factors of voice and accountability, regulatory quality, and control of corruption have a positive and significant relationship with public debt, while political stability, government effectiveness, and the rule of law have a negative and significant effect on public debt. Based on the findings, a weak country-level institutional quality poses a substantial market risk as it signals the existence of an unfavorable economic condition that raises public debt. It was also revealed that an improved performance of country-level institutional quality can lead to the improvement of financial market transparency, hence reduce public debt. In contrast to previous studies, the present study will be breaking ground in enhancing public insight regarding the impact of country-level institutional quality on Pakistan's public debt.

• Journal of the Society of Disaster Information
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• v.13 no.3
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• pp.340-347
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• 2017

This study deducted institutional improvement factors for respond of heavy snowfall disaster and performed AHP analysis for choosing the priority. The result of Analysis, establishment of plan concerned heavy snowfall respond was represented most important factor(Importance : 0.461), this is meaningful establishment of plan is more important than facilities, sources, policies for building system of heavy snowfall respond. Establishment of plan concerned respond was represented most important element(Comprehensive Importance : 0.175) in plan for heavy snowfall respond, it is suggested that establishment of respond plan of heavy snowfall has to need for improving law and institution about heavy snowfall. The result of this study will be useful when the central or local government establish institutional improvement plan for respond of heavy snowfall disaster.

• Journal of the Korean Society for information Management
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• v.30 no.1
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• pp.93-109
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• 2013

This study extracted quality control factors for invigorating Institutional Repository operations, and re-extracted key quality control factors with significant influence among them. Furthermore, this study developed an operating model reflecting an improvement scheme of these key quality control factors, and estimated how much effective the operating model was to the user. As a result of inspecting satisfaction for IR operating model and the general system, it has been found that librarians' satisfaction for them is higher than that of the general user. Korea's universities prefer a proxy submission mode by librarians to a self-archiving submission mode by writers. Therefore, based on the operation model developed by this study, it is suggested that Institutional Repository operation can be actively invigorated with librarians of these universities as central players.

• International Journal of Internet, Broadcasting and Communication
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• v.13 no.4
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• pp.30-38
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• 2021

This research explored methods for improvements to be made within the field of drone usage within the construction industry based on an investigation of factors which limit their efficiency and productivity. Limiting factors and improvement measures were presented in terms of technology, service, law and policy for employing drones at construction sites. Our first suggestion is, from a technical point of view, that companies need to expand professional manpower and infrastructure for systematic management. Second, in terms of service expansion, it is necessary to have management capabilities for operation such as the use of drones with enhanced safety and reinforced on-site education and personal information management. Third, in terms of legal and institutional support measures, it is necessary to prepare a plan for reforming the legal system for revitalization and to expand the training of professional manpower. This study may contribute not only to the development of drone technology, but also to effectively respond to various problems that appear at construction sites.

• Korean Journal of Poultry Science
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• v.47 no.1
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• pp.39-48
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• 2020

The present study intended to analyze and detect any possible shortcomings in the current egg distribution system in Korea through a questionnaire. The institutional system and cases of operation thereof in advanced countries such as the USA, Japan, and Germany for the development of the egg distribution industry in Korea. The results revealed the following issues: absent pricing system, ineffective egg distribution, and difficulty in balancing supply and demand. Suggestions for addressing these issues and the subsequent improvement were based on cases found in the instated systems of advanced countries, and were given as follows: (i) The existing GP Center needs to be separated from the farms of laying hens, and the current institutional system and its operations need to be improved and should be approved by the government. Parallel to the institutional improvement, establishing a distribution system centered on the GP Center would be desirable. (ii) Egg pricing regulations are needed as a standard to determine the price of eggs. (iii) The reinforcing control standards and securing means for egg preservation are pertinent to each stage of egg distribution and should take into account environmental factors such as egg preservation temperature to guarantee high hygiene standards and egg safety.

• Journal of Korean Clinical Nursing Research
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• v.16 no.3
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• pp.25-37
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• 2010

Purpose: The purpose of this study was to examine potential factors related to the management of cancer pain, that is, hospital institutional factors as well as personal aspects of nurses. Methods: This study was a descriptive research study in which 229 RNs working in 2 tertiary medical institutions in Seoul and 4 secondary medical institutions in Seoul, Incheon and Gyeonggi were surveyed. Results: It was found that nurses' knowledge about pain intervention, their working division and their knowledge about the use of analgesics had different effects on their pharmacologic interventions. These 3 variables explained 14.5% of the variance regarding pharmacologic interventions. On the other hand, nurses' knowledge about pain interventions and nursing organization were variables affecting non-pharmacologic interventions by the nurses. These two variables explained 22.1% of the variance regarding non-pharmacologic interventions by the nurses. Conclusion: The findings indicate that nursing organization, one of hospital institutional factors, had significant effects on non-pharmacologic interventions. Therefore, to increase effective pain management by nurses, an organizational system should be established such as placement of nurse practitioners, improvement of nurses' autonomy in pain management, and development and distribution of standardized guidelines.

• Journal of health informatics and statistics
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• v.43 no.4
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• pp.300-306
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• 2018

Objectives: The purpose of this study is to demonstrate empirically through a specialist AHP analysis what factors should be more important in the development of the public health care system. In addition, we will use Analytic Hierarchy Process (AHP) method for experts to achieve research purpose. Methods: The data analysis method of this study is as follows. First, we set up three metrics in order to measure the relative importance between the factors to be improved for the development of the public health care system and each of the sub-factors. A total of nine measurements (items) were set by combining the three measurement criteria for each measurement index. Second, the relative importance and priority analysis use the AHP analysis. Third, the subjects of this study were 15 experts in the field of public health care. The statistical processing was performed using the Expert Choice 2000 statistical program. Results: In order to development of the public health care system, experts ranked the most important as improvement in the systematic aspect of public health care (56%) as the first priority. Next, the relative importance analysis of the measurement items considering the multiple-weights of the sub-factors is as follows. The strengthen institutional improvement (revitalization of secondary public function hospital) was the number one, strengthen cooperation between agencies was the second, and Re-establishing the role of local public health care system was the third place. Conclusions: Considering the relative importance, factors that are considered to be important in the first place may not be improved as the best policy alternative due to limitations in spatial, temporal, financial, and institutional aspects. In this case, we suggest that we should choose the best policy alternative by using prioritization considering relative weights.

• Health Policy and Management
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• v.28 no.4
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• pp.392-401
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• 2018

Background: Physical activity (PA) is critical for maintaining the health and well-being of older people in community and also institutional settings. The purpose of this study was to examine the current status of PA and related individual and organizational factors among older nursing home residents with and without dementia. Methods: This is a secondary data analysis study of a nationwide survey of 92 long-term care facilities in Korea, and the study sample includes older residents with dementia (n= 753) and without dementia (n= 480). The level of PA was measured by PA time and whether or not residents had an outdoor activity over the past 3 days. Multi-variate, multi-level analyses were conducted. Results: More than half of the sample in both groups had no or less than 1 hour of PA. About one out of four older people in our sample had no outdoor activity over the past 3 days regardless of whether or not they had dementia. Among the people without dementia, several individual-level factors were associated with PA, including dependency for activities of daily living, social activity participation, and caregivers' belief in the functional improvement of residents. Unlike the non-dementia group, individual- and organizationallevel factors including staffing level and having the relevant equipment for PA were associated with PA among those with dementia. Conclusion: Study findings provide evidence on the lack of PA among older nursing home residents, and the importance of institutional capacity with regard to human resources and physical equipment for promoting PA among people with dementia, in particular. Policies and supports are needed to promote the implementation of healthy aging programs including PA for older nursing home residents. Such programs should be person-centered with consideration to the physical and cognitive status of individual residents.

• Journal of Korea Entertainment Industry Association
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• v.14 no.1
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• pp.179-186
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• 2020

The purpose of this study is to examine the factors affecting the satisfaction of elderly care service in the elderly living alone and to provide basic data for the improvement of the satisfaction of elderly care service. The subjects of this study were 301 elderly people aged 65 or older who were receiving care services for the elderly in J city, Chungbuk province. Multiple regression analysis was conducted to examine the influencing factors. The results of this study showed that the factors affecting the satisfaction of elderly care service of the elderly living alone were the manager factor, service factor, institutional factor, and income level. This shows that the higher the life manager, service factor, and institution factor, and the elderly living alone with low income level, the higher the satisfaction of the elderly care service. Especially, the factors of life manager had the greatest effect on the satisfaction of elderly care service, followed by institutional factors and service factors. Based on these results, policy proposals are as follows: First, improvement of professionalism and treatment of life managers, second, professional and systematic service support and strengthening of social safety net, and third, improvement of appropriateness, accessibility and persistence for quality improvement of elderly care service.