• 제목/요약/키워드: Non-decision Making

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Effects of Advance Care Planning on End-of-Life Decision Making: A Systematic Review and Meta-Analysis

  • Kim, Minju;Lee, Jieun
    • Journal of Hospice and Palliative Care
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    • 제23권2호
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    • pp.71-84
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    • 2020
  • Purpose: The purpose of this systematic review and meta-analysis was to investigate the effects of advance care planning on end-of-life decision-making. Methods: Databases including RISS, KISS, KMbase, KoreaMed, PubMed (MEDLINE), Embase, and CINAHL were searched for studies that examined the effects of advance care planning interventions. The inclusion criteria were original studies in English or Korean; adults ≥18 years of age (population); advance care planning (intervention); completion of advance directives (AD) or advance care planning (ACP) (outcomes); and randomized or non-randomized controlled trials (RCTs and non-RCTs, respectively) (design). Study quality was measured using the checklists of the Joanna Briggs Institute. Meta-analyses were conducted with the Comprehensive Meta-Analysis program. Results: Nine RCTs and nine non-RCTs were selected for the final analysis. The effect sizes (ES) of the outcome variables in nine RCTs were meta-analyzed, and found to range from 0.142 to 0.496 for the completion of AD and ACP (ES=0.496, 95% CI: 0.157~0.836), discussion of end-of-life care (ES=0.429, 95% CI: -0.027~0.885), quality of communication (ES=0.413, 95% CI: 0.008~0.818), decisional conflict (ES=0.349, 95% CI: -0.059~0.758), and congruence between preferences for care and delivered care (ES=0.142, 95% CI: -0.267~0.552). Conclusion: ACP interventions had a positive effect on the completion of AD and ACP. To apply AD or ACP in Korea, it is necessary to develop ACP interventions that reflect aspects of Korean culture.

위험물 수송 최적경로 탐색 알고리즘 개발: Efficient Vector Labeling 방법으로 (An Algorithm for Searching Pareto Optimal Paths of HAZMAT Transportation: Efficient Vector Labeling Approach)

  • 박동주;정성봉;오정택
    • 한국방재학회 논문집
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    • 제11권3호
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    • pp.49-56
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    • 2011
  • 본 연구는 위험물 수송의 최적경로를 결정하는 방법론을 제안하였다. 위험물 차량의 최적경로를 결정할 때에는 위험도 최소화를 목적으로 하는 공공의 입장과 통행시간 최소화를 목적으로 하는 민간기업의 입장이 서로 상충한다. 본 연구에서는 이러한 다기준 의사결정(Multi-criteria decision making)문제 중 하나인 위험물 수송용 최적경로를 탐색하는 방법론으로 Efficient Vector Labeling(이하 EVL) 알고리즘을 제시하였다. EVL 알고리즘은 위험도와 통행시간을 동시에 고려하여 복수의 Pareto optimal 경로(또는 비지배경로)를 탐색하게 한다. 본 연구는 또한 탐색된 비지배경로간의 중복도를 제어할 수 있도록 설계하였다. 개발된 Efficient Vector Labeling 알고리즘을 Test bed network에 적용하여 기존의 경로탐색 방법론과 비교하였다. 적용 결과 새로운 알고리즘이 기존의 알고리즘보다 합리적인 대안경로를 탐색할 수 있는 것으로 분석되었다.

Goal Setting in Multiple Criteria Decision Making

  • Lee, Jae-Kyu
    • 한국경영과학회지
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    • 제11권2호
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    • pp.51-68
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    • 1986
  • The effects of goal setting in the context of Multiple Criteria Making (MCDM) are classified into two types : internal and external. In the internal models, the impact of the changed goal is limited only to the other goals in MCDM model. By contrast, in the external models, the impact is limited to the factors not included in the MCDM model. In fact, most real world examples of goal setting have the nature of mixed models. To assist in the goal setting process, the framework named Goal Setting Support (GSS) is developed. The GSS helps decision-makers for mixed models to 1) make internal trade-offs in a way that guarantees non-dominancy after the trade-ofs, and 2) evaluate achieved goals systematically. The GSS can be used in creating Decision Support Systems that will allow interactive goal setting.

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여자 중.고등학생의 의복구매 의사결정 유형과 관련변인연구 (A Study on the Decision-Making Styles and the Related Variables in the Apparel Purchase of Female Adolescents)

  • 목영숙
    • 대한가정학회지
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    • 제35권1호
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    • pp.357-372
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    • 1997
  • The purpose of this study was to 1) segment female adolescent consumers into consumer groups displaying different consumer decision-making styles 2) to determine the consumer characteristics(clothing involvement information search store patronage and demographic variables) that related to each consumer segment and 3) to identify the interrelationship between the consumer characteristics. Decision-making styles were measured by 32 seven-point Likert type scales adapted from Sproles & Kendall and Shim & Kot A total of 78 statements dealing with three aspects of consumer characteristics was adapted from previous research. Data were collected from 567 2nd grade female middle and high school students in Seoul via self-administered questionnaires. and were analysed by frequency factor analysis ANOVA cluster analysis χ2 -test and Duncan's multiple range test. The results of this study were as follows: As a results of cluster analysis and ANOVA on seven factors of desion-making styles(1. brand-consiousness 2. novelty/fashion-consciousness 3. recreational/hedonis-tic orientation, 4. impulsive/carelessness, 5. price-consciousness/value-for-money, 6. perfectionism/high quality orientation 7. habitual/brand-royal consciousness) three consumer groups were identified and labeled as puality-oriented/non-utlitarian shoppers price-oriented shoppers and apathetic shoppers. Quality-oriented/non-utilitarian shoppers showed the highest clothing involvement scores of all aspects the highest consumer knowledge/experience most active ongoing information search and prepurchase information search. They preferred department store and franchise store for apparel shopping and considered service/reliability atmosphere variety of goods as important store attributes, Price-oriented shoppers showed prepurchase information search and planned purchase behavior actively. They preferred factory outlet store specialty stre and considered price very important as store attributes. Apathetic shoppers showed the lowest scores of all aspects of clothing involvement and most passive behavior in information search activities except showing the highest planned purchase. They preferred regional markets.

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An overview of the national immunization policy making process: the role of the Korea expert committee on immunization practices

  • Cho, Hee-Yeon
    • Clinical and Experimental Pediatrics
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    • 제55권1호
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    • pp.1-5
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    • 2012
  • The need for evidence-based decision making in immunization programs has increased due to the presence of multiple health priorities, limited human resources, expensive vaccines, and limited funds. Countries should establish a group of national experts to advise their Ministries of Health. So far, many nations have formed their own National Immunization Technical Advisory Groups (NITAGs). In the Republic of Korea, the Korea Expert Committee on Immunization Practices (KECIP), established by law in the early 1990s, has made many important technical recommendations to contribute to the decline in vaccine preventable diseases and currently functions as a NITAG. It includes 13 core members and 2 non-core members, including a chairperson. Core members usually come from affiliated organizations in internal medicine, pediatrics, obstetrics, microbiology, preventive medicine, nursing and a representative from a consumer group, all of whom serve two year terms. Non-core members comprise two government officials belonging to the Korea Centers for Disease Control and Prevention (KCDC) and the Korea Food and Drug Administration. Meetings are held as needed, but at least twice a year, and sub-committees are formed as a resource for gathering, analyzing, and preparing information for the KECIP meetings. Once the sub-committees or the KCDC review the available data, the KECIP members discuss each issue in depth and develop recommendations, usually by a consensus in the meeting. The KECIP publishes national guidelines and immunization schedules that are updated regularly. KECIP's role is essentially consultative and the implementation of their recommendations may depend on the budget or current laws.

관제사의 의사결정에 관한 연구

  • 정기남;김종철;김정은
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 2016년도 춘계학술대회
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    • pp.291-293
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    • 2016
  • 해상교통관제사의 업무는 선박교통의 안전과 효율을 목적으로 하는 의사결정의 연속이다. 의사결정은 문제해결과정의 일종으로 가치 판단을 포함한다. 올바른 의사결정을 내리기 위해서는 해상교통상황을 정확히 파악하는 것이 우선되어야 하지만, 상황판단을 제대로 했다하더라도 의사결정을 그르칠 위험이 있다는 측면에서 관제사가 적극적으로 습득하여야 하는 인지과제다. 본고에서는 먼저 관제사에게 필요한 의사결정 이론에 대해서 기술한 뒤, 이를 구체적인 관제과제에 적용할 때 합리적인 의사결정 모델보다는 휴리스틱 또는 재인촉발의사결정 모델을 사용한다는 점을 밝혔다. 또한 관제사의 의사결정 과정에서 발생할 수 있는 실수를 사례 위주로 고찰하였다. 특히 관제사의 업무역량 향상을 위해서 의사결정방법을 어떻게 훈련할 것인가를 제안하였다.

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Spatial Decision Support System for Residential Solar Energy Adoption

  • Ahmed O. Alzahrani;Hind Bitar;Abdulrahman Alzahrani;Khalaf O. Alsalem
    • International Journal of Computer Science & Network Security
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    • 제23권6호
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    • pp.49-58
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    • 2023
  • Renewable energy is not a new terminology. One of the fastest growing renewable energies is solar energy. The implementation of solar energy provides several advantages including the reduction of some of the environmental risks of fossil fuel consumption. This research elaborated the importance of the adaption of solar energy by developing a spatial decision support system (SDSS), while the Residential Solar Energy Adoption (RSEA) is an instantiation artifact in the form of an SDSS. As a GIS web-based application, RSEA allows stakeholders (e.g., utility companies, policymakers, service providers homeowners, and researchers) to navigate through locations on a map interactively. The maps highlight locations with high and low solar energy adoption potential that enables decision-makers (e.g., policymakers, solar firms, utility companies, and nonprofit organizations) to make decisions. A combined qualitative and quantitative methodological approach was used to evaluate the application's usability and user experience, and results affirmed the ability of the factors of utility, usefulness, and a positive user experience of the residential solar energy adoption of spatial decision support system (RSEA-SDSS). RSEA-SDSS in improving the decision-making process for potential various stakeholders, in utility, solar installations, policy making, and non-profit renewable energy domains.

사이버쇼핑몰을 위한 웹기반 구매 의사결정지원시스템의 개발 (Development of A Web-based Buying Decision Support System for A Cyber-Shopping Mall)

  • 정병호;김우주;두계웅;이근열;양필수
    • Asia pacific journal of information systems
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    • 제13권2호
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    • pp.105-117
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    • 2003
  • As E-commerce is getting more popular, consumers faces more decision complexity than ever before because they can get greater alternative choices. Futhermore, consumers are sometimes motivated to expand effort in making a good decision in the case of relatively important and non-routine decison, such as buying a house or car. Thus, a buying decision support function is required to help consumers make decisions that have the greatest effects on consumer's lives. We develop a propotype system of a web-based buying decision support system for a cyber shopping mall. A buying decision of a consumer is a multi-attribute decision problem and is supported using analytic hierarchy process model. The system was implemented using HTML, Java, Java applet, JSP.

현재와 미래의 신용카드사용의 의사결정에 따른 가정특성에 관한 비교연구 (A Comparative Study on Characteristics of Household Groups Depending on Decision-making of Current and Planned Credit Card Use)

  • 김정훈
    • 가정과삶의질연구
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    • 제7권2호
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    • pp.61-70
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    • 1989
  • The present study investigated characteristics of Korean hourehelds in the expanding stage of the family life cycle depending on decision-making of current and planned credit card use. Households which were selected for this study had at least one dependent child enrolled in primary, middle, or high school, 1998. Regarding current and planned credit card use, credit card holder (n=379) and non-holder (n=259) households and continuous (n=331) and discontinous (n=47) credit card holder households were compared. Comparisons were perfomed by t-test, one-way ANOVA, and X2-test. Related factors were households demographic characteristics, financial management behavior, perceived financial well-being, and attitudes toward credit cards. Findings indicated that holder households tended to be younger, better educated, white-collar workers, and of a higher economic status than non-holders. In comparison to non-holder households, credit card holder households had more favorable atti udes toward credit cards, reported more financial management practices, experienced less financial unbalance, and were more satisfied with their household finaces. Compared to discontinuous credit card holder households, continuous card holder households tended to be larger, have better educated wives and husbands, and have husbands who were white-collar workers. They were more likely to have higher average monthly income than discontinuous holder households. Continuous card holder households also had more favorable attitudes toward credit cards, and more strongly believed and expected financial improvement of their households, compared to discontinuous card holder households.

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The Relationship between the Control Level of Foreign Subsidiaries and Performance in the Chinese Market

  • Kim, Byoung-Goo;Kim, Gyu-Bae
    • 유통과학연구
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    • 제13권8호
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    • pp.15-25
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    • 2015
  • Purpose - There is a lack of research on how much corporate control is sufficient for effective subsidiary business-related decision making. To address this research gap, this study analyzes the impact of the level of control of a Korean corporation's headquarters on its overseas subsidiary performance. Research design, data, methodology - The study's sample comes from the Overseas Korean Business Directory of KOTRA. A multiple regression analysis empirically confirmed the relationship between the headquarters level of control over the subsidiaries and their performance. Results - The results show that the greater an organization's headquarters control over strategic issues, the greater the subsidiary's non-financial performance. However, quick decision-making through decentralization promotes the rapid selection of successful new products that can provide a competitive advantage. Conclusion - This study shows that the impact of control levels on subsidiary performance depends on the type of control involved. Specifically, while low levels of control over operational issues had a positive (+) influence on subsidiary non-financial performance, high control levels led to improved non-financial performance with regard to strategic issues among the subsidiaries.