• 제목/요약/키워드: Intervention Policy

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지역사회 대상의 대사증후군 자가관리 프로그램 중재 효과 - 서울특별시 대사증후군 관리 시범사업 - (Effects of a Self-management Program for Metabolic Syndrome - A Metabolic Syndrome Management Program in Seoul -)

  • 김희선;윤석준;이건세;김형수;오상우;유호신;추진아;이계희;유병욱;이동옥;박동림
    • 보건교육건강증진학회지
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    • 제28권2호
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    • pp.51-62
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    • 2011
  • Objectives: The aim of the study was to identify the effects of a community-level metabolic syndrome self-care management program. Methods: Data included baseline demographics, abdominal circumference, blood pressure, blood sugar, triglyceride, and HDL-cholesterol collected at 15 public health centers in Seoul from January to March, 2010. A data obtained(584 men and 410 women) from Metabolic Syndrome Management Program in Seoul was analyzed using Paired t-test and Linear mixed model. Results: The group with 6-month intervention resulted in significant decrease in abdominal circumference, systolic and diastolic blood pressure, blood sugar, and triglyceride. In moderate intervention group with 3-month follow-up showed tendency that abdominal circumference(-1.27(${\beta}$)) and diastolic blood pressure(-1.66(${\beta}$)) are significantly reduced. In the group with aggressive intervention, the more counseling led to significant reduction in abdominal circumference(-0.22(${\beta}$)). Conclusions: These results indicate that a self-care for metabolic syndrome management can improve metabolic syndrome status over a short-term period. Further structured research is needed to develop a systematic program on health behaviors focusing on exercise, diet, and intervention.

A System Dynamics Model of Alternative Fuel Vehicles Market under the Network Effect

  • Kwon, Tae-Hyeong
    • 한국시스템다이내믹스연구
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    • 제8권2호
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    • pp.5-23
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    • 2007
  • According to the system dynamics model of this study, if there is a significant network effect on vehicle operating costs, it is difficult to achieve the shift to AFV even in the long term without a policy intervention because the car market is locked in to the current structure. Network effect can be caused by an increasing return to scale in fuel supply sector as well as in maintenance service sector. It is also related to the fact that the reliability and awareness of consumers on new products increases with the growth of the market share of the new products. There are several possible policy options to break the 'locked in' structure of car market, such as subsidy on vehicle price (capital cost), subsidy on fuel (operating cost) and niche management policy. Combined policy options would be more effective than relying on a single policy option to increase the market share of AFV.

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혁신체제론의 과학기술정책: 기본 관점과 주요 주제 (The Innovation System Approach and Science and Technology Policy)

  • 송위진
    • 기술혁신학회지
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    • 제5권1호
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    • pp.1-15
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    • 2002
  • This study reviews the new Perspectives of science and technology Policy based on "the innovation system ap-proach" . It examines the theories of innovation and the economic rationale of government intervention of the in-novation system approach and compares them with those of traditional nee-classical approach. It also examines the basic theme of science and technology Policy of "the innovation system approach" It argues that the enhancement of innovating capability, the transformation of innovation system coping with changing technological and econom-ic environments, and the policy learning of the government and innovators are very important and peculiar sub-jects of the science and technology Policy based on "the innovation system approach".ovation system approach".uot;.

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한국 간호사 스트레스 중재 프로그램 동향 (The Trend of Research on Korean Nurses Stress Program Intervention in Korea)

  • 김원순;오수미
    • 한국임상보건과학회지
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    • 제5권2호
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    • pp.864-880
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    • 2017
  • Purpose. The purpose of this study was to investigate the trends of the stress intervention program for domestic nurses. Methods. This study was conducted by analyzing 28 papers, which were selected from three hundred seventeen dissertation theses on Domestic Dissertations and Major Associated Journals on Nursing Stress Intervention by searching the Academic Research Information Service(http://riss4u.net) from 1995 to February 2017. Results. 1. The theses were analyzed by academic field, year, research subject, research program type, research topic, analysis of intervention study method and result variables. 2. The study showed that 15(82.14%) theses are masters', 8(28.57) theses are doctors' and 5(17) are journals. By nurses position, 26(92.86%) theses were about general nurses. By hospital, 21(75.00%) theses were about nurses working at the general hopitals whose wards were more than 300. 3. For research type, 7 theses were about aromatherapy(25.00). For the research subjects, 16 theses were about psychological variables. The study showed that the subjects were $22.62{\pm}7.62$ persons and mean intervention period was $3.8{\pm}2.61$ weeks. For experimental methods, 19 cases (67.86%) were non-equalty control group, which are most. Conclusions. In conclusion, research on nurses stress mediation has been steadily increasing. However, the studies on nurses stress intervention need to be diversified and activated because the intervention methods and types are fragmentary and the research fileds are concentrated on theses.

한 농촌 지역사회 기반 당뇨병 환자의 등록관리 중재의 효과: 투약순응도에 대한 이중차이분석을 중심으로 (Effect of Community-Based Interventions for Registering and Managing Diabetes Patients in Rural Areas of Korea: Focusing on Medication Adherence by Difference in Difference Regression Analysis)

  • 손효림;박소윤;용희정;채성현;김은정;원은숙;김윤아;배세진;김춘배
    • 보건행정학회지
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    • 제33권1호
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    • pp.3-18
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    • 2023
  • Background: A chronic disease management program including patient education, recall and remind service, and reduction of out-of-pocket payment was implemented in Korea through a chronic care model. This study aimed to assess the effect of a community-based intervention program for improving medication adherence of patients with diabetes mellitus in rural areas of Korea. Methods: We applied a non-equivalent control group design using Korean National Health Insurance Big Data. Hongcheon County has been continuously adopting this program since 2012 as an intervention region. Hoengseong County did not adopt such program. It was used as a control region. Subjects were a cohort of patients with diabetes mellitus aged more than 65 years but less than 85 years among residents for 11 years from 2010 to 2020. After 1:1 matching, there were 368 subjects in the intervention region and 368 in the control region. Indirect indicators were analyzed using the difference-in-difference regression according to Andersen's medical use model. Results: The increasing percent point of diabetic patients who continuously received insurance benefits for more than 240 days from 2010 to 2014 and from 2010 to 2020 were 2.6%p and 2.7%p in the intervention region and 3.0%p and 3.9%p in the control region, respectively. The number of dispensations per prescription of diabetic patient in the intervention region increased by approximately 4.61% by month compared to that in the control region. Conclusion: The intervention program encouraged older people with diabetes mellitus to receive continuous care for overcoming the rule of halves in the community. More research is needed to determine whether further improvement in the continuity of comprehensive care can prevent the progression of cardiovascular diseases.

The New Labour Government Policy and Preschool Education in England

  • Kwon Young-Ihm
    • International Journal of Human Ecology
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    • 제3권1호
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    • pp.21-36
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    • 2002
  • Recently, early childhood education in England has experienced a significant level of government intervention including reforms for improving it. This study examines to what extent new Labour government initiatives impact preschool education in England and how effectively the English government implements its preschool education policies. This empirical study uses a combination of methods, including documentary analysis, questionnaire, and observation. Findings show that recent English government policy, especially the introduction of a national preschool curriculum framework combined with an inspection process and funding mechanism, appears to have had a strong influence on preschool practices.

주택가격지수 예측모형에 관한 비교연구 (A study on the forecasting models using housing price index)

  • 임성식
    • Journal of the Korean Data and Information Science Society
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    • 제25권1호
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    • pp.65-76
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    • 2014
  • 주택가격은 정부의 부동산 정책이나 국내외의 경기상황과 같은 외부충격요인에 따라 많은 영향을 받는다. 본 연구에서는 주택가격지수 예측을 위한 모형구축에서 중요한 요인은 외부충격요인으로 이를 개입효과라 하며, 이 외부요인들이 주택가격지수에 미치는 영향을 파악하고 향후 주택가격지수를 효율적으로 예측하기 위한 시계열모형을 찾는데 있다. 실제 자료를 이용하여 분석한 예측결과 개입모형이 다른 모형에 비해 우수한 것으로 나타났다.

작업관련성 손상·질병 발생과 손실비용에 따른 예방정책 우선순위 연구 (An Analysis of Policy Priority for Work-Related Injury & illness and Investment Losses of Workplace Safety)

  • 박경돈;이관형
    • 대한안전경영과학회지
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    • 제15권4호
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    • pp.7-16
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    • 2013
  • As workplace incidents has been being declining in Korea, there is criticism of the effectiveness of occupational safety policy implementation. It is unknown that which policy target group needs to be targeted to yield effective injuries prevention. The purpose of this paper is to analyze and reveal the policy intervention group with a high priority in terms of industrial incident prevention and the related investment cost. A Policy Priority Model(PPM) is composed of 6 indicators regarding influences of both the incident reduction and the cost reduction. Z-score analyses are used to confirm the high policy priority area or policy target group. Overall, workplace with worker below 50 persons, construction site with the sales of more than a hundred million won, workplace with relatively small percentage of female employees and relatively higher percentage of older worker should be prioritized to reduce workplace injuries. This paper provides an analytic way that can be used to decide the policy priority workplace in order not only to reduce work-related injuries&illnesses and the related investment cost but to further lessen the related societal costs.

학령기 자녀를 둔 빈곤가족의 스트레스 -일 지역 빈곤가족의 실태와 경험을 중심으로- (A Study on Stress in Poor Families with School Children)

  • 강희경
    • Child Health Nursing Research
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    • 제5권2호
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    • pp.185-197
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    • 1999
  • In the family life cycle, the most important task the families with school children should perform is ‘child education’ and ‘socialization’ However, economic stress on poor families with school children presents multiple problems through the shortage of resources necessary for child education and socialization, inappropriateness of family appraisal, and the insufficiency of the control channels for the efficient management of these confined resources and appropriate appraisal. The objectives of this article are : First, to report research on the actual conditions of the poor families in one area of Cheju and on the relevant health welfare policy, and to examine the appropriateness of the direction and the substance of this policy in terms of the intervention in economic stress on the poor families under the categories of resource management and control of appraisal. Second, to analyze qualitative data extracted from the memoirs of single-parent families living in several areas of Korea under the conceptual framework constructed by literature review in order to get a better understanding of the stress which poor families with school children have experienced. And third, to confirm the factors that can be risk factor but, at the same time, strength to these poor families from presented data and to use them as the basic data from which an intervention model can be developed, based on resource management and control of appraisal. The findings of this article are : First, while the number of absolute poor families in one area of Cheju is increasing and, as a result, the danger of the possibility that multiple problems will occur is also growing, the supporting level of the current policy is no more than a direct resource offer and there is no evidence that resource management is being professionally carried out. When it comes to control of appraisal, due to absence of the professional human resources in this matter, policy performances such as technical education training can have a negative impact. Second, a conceptual framework introduced in this article, ; Economic Pressure → Helplessness → Poor self-esteem → Marital Conflict → Parent-Child financial conflict → Inappropriate socialization → Poor child social competence : is partly verified. And third, judging from the results of the qualitative data, it is confirmed that the healing families, having overcome poverty, show several positive characteristics including : hope, strength, and social support. These findings are identified with the factors of resiliency considered above. According to these results, this article suggests the following. The anti -poverty policy in the future should focus not only on a direct resource offer but also on resource management and the control of appraisal that can magnify its effects. In particular, close attention should be paid to school children since they are in the most crucial period for socialization. Moreover, an emotional labor is such an essential resource for intervention that skilled nurses should play pivotal roles.

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공복혈당장애 폐경여성을 위한 웹기반 건강교육의 혈당과 혈압 개선 효과 (Effects of Web-based Health Education on Blood Glucose and Blood Pressure Improvement in Postmenopausal Women with Impaired Fasting Blood Glucose)

  • 오정아;김희승;박민정;심혜선
    • 대한간호학회지
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    • 제41권5호
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    • pp.724-731
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    • 2011
  • Purpose: The purpose of this study was to investigate the effectiveness of an educational intervention that used both cellular phones and the Internet to provide a short messaging service (SMS) relating to blood glucose, blood pressure, and serum lipid levels in postmenopausal women with impaired fasting glucose (IFG). Methods: Twenty-eight postmenopausal women were assigned to an intervention group and twenty-one postmenopausal women to a control group. The intervention was provided for 12 weeks. Patients in the intervention group were asked to access a web site by using a cellular phone or to use the Internet directly and input their blood glucose and blood pressure levels weekly. Participants were sent the optimal recommendations weekly by both cellular phone and Internet. Results: The intervention group had a mean decrease in systolic blood pressure (SBP) level of 8.1 mmHg but changes for the control group were not significant. There was a significant mean change in diastolic blood pressure (DBP) level for the intervention group (-7.7 mmHg). The mean change in the control group was not significant. Conclusion: This educational intervention using the Internet and a SMS by cellular phone improved levels of SBP and DBP in postmenopausal women with IFG.