• 한국보건행정학회:학술대회논문집
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• 한국보건행정학회 2004년도 후기학술대회
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• pp.135-168
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• 2004

• 근관절건강학회지
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• 제8권1호
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• pp.5-26
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• 2001

Many studies have reported that regular aquatic exercise can lead to improvement of health for patients suffering from arthritis. In spite of these benefits, the adherence rate has shown as few as 26% of patients with arthritis who had completed the aquatic exercise education program. Moreover, when patients with arthritis begin an aquatic exercise, 47% withdraw within the first 6 month. No study has been found that constructs model to explain aquatic exercise adherence of patients with arthritis. The purpose of this study were to identify the factors influencing exercise adherence and to construct and test a structural model to explain aquatic exercise adherence of patients with arthritis. Hypothesized model was constructed on the basis of Bandura's social cognitive theory and literature review. Exogenous latent variables included in this model are group cohesion and barrier, endogenous latent variables are self-efficacy, outcome expectancy and self-evaluation. Empirical data used was collected through individual interviews with the structural questionnaire on 249 patients with arthritis who had completed the 6-week aquatic exercise education program of Korean Rheumatology Health Professionals Academy. The interviews were performed from September 6, 1999 through October 8, 1999. A model tested by the covariance structural analysis with LISREL 8.12a program and by descriptive statistics and correlation with SAS 6.12 program. The results are summarized as follows: First, hypothesized model showed a good fit to the empirical data. In the modified model added one new path showed a much better fit. Second, group cohesion had a direct, indirect positive effects, self-efficacy and self evaluation had a direct positive effects on exercise adherence. Barrier had a direct, indirect negative effects on exercise adherence. Outcome expectancy had a direct negative effect, indirect positive effects through self-evaluation on exercise adherence, but total effects was not significant. Total effect size of the variables were group cohesion, self-efficacy, barrier and self evaluation in order. All variables accounted for 54% of the total variance of exercise adherence in the model. In conclusion, this model confirmed to be proper in explaining of aquatic exercise adherence. Group cohesion, self-efficacy, outcome expectancy, self-evaluation, barrier contributed to the aquatic exercise adherence of patients with arthritis. The results of this study suggested that improvement of group cohesion, self-efficacy and self-evaluation, motivation of outcome expectancy through self-evaluation, and reduction of the barrier should be included in the strategy of nursing intervention for the aquatic exercise adherence of patients with arthritis.

• 자원환경지질
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• 제39권6호
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• pp.787-801
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• 2006

본 연구에서는 사적 이익을 추구하는 기업의 연구개발이라기 보다는 민간이 담당하기 어려운 분야인 기초 원천, 공공복지 및 공유성 기술(Generic Technology)의 특성을 가지는 지질자원분야의 특성에 주목하여, 공공연구개발 및 사업의 경제적 파급효과 분석 방법론을 살펴보고 연구성과(outcome)의 관점에서 지질자원 분야의 경제적 파급효과의 적용 방법론 을 제안한다. 경제적 파급효과 분석 방법론으로 먼저 기존에 공공사업의 타당성을 평가하기 위해서 시행되고 있는 비용편익분석 방법론을 살펴보고 연구개발사업의 경제성 분석 이론으로 전통적인 경제 이론에 기반한 방법과 가치평가이론을 살펴보았다. 지질자원 분야를 포함한 공공연구개발의 경제성 파급효과 분석을 위해서는 계량화 할 해당 연구개발의 성과(outcome)를 도출해야 한다. 이를 위해 연구성과 흐름지도(Input-Output-Outcome Roadmap)의 작성을 제안한다. 그리고 경제적 파급효과 분석 방법론을 적용하기 위해서 연구개발의 성과물인 이론 및 방법론의 가치직접 산정하는 방법과 실행 사업과의 연계를 통해 간접적인 방법의 적용 방법론의 고려가 필요하다. 실행 사업과의 연계를 통해 간접적인 방법은 연구개발의 결과 사업이 시행된다는 가정 하에 이후 실시되는 사업으로 발생하는 편익의 일정분으로 연구개발의 편익을 산정하는 방법과 연구개발의 실시 유무와 관계없이 이후 개발사업이 진행된다는 가정하에 사업 시 발생하는 비용의 저감분 및 편익의 증가분으로 연구개발의 편익을 산정하는 방법으로 구분된다.

• Journal of Korean Neurosurgical Society
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• 제29권2호
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• pp.196-202
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• 2000

Objective : This study was designed to evaluate the relationship between the initial neurosurgical or psychosocial factors and the psychosocial outcome. Patients and Methods : We analyzed 123 head-injured patients who were referred to the department of psychiatry for the evaluation of psychosocial function. We analyzed initial neurosurgical variables such as Glasgow Coma scale(GCS) score, skull fracture, CT finding, and psychosocial outcomes with regards to psychosis, personality change, depression, anxiety and IQ on Intelligence Scale. Results : Patients with mild head injury(GCS score 13-15, N＝94, 76.4%) had better recovery rate on Glasgow Outcome Scale(GOS), less personality change than those with moderate or severe head injury. However, depression, anxiety and intelligence were not significantly different between two groups. The skull fracture(N＝37, 30.1%) did not influence on the psychosocial outcome with reference to personality change, depression, anxiety and intelligence. The patients with abnormal CT findings(N＝64, 52%) had lower recovery rate on GOS, more frequent tendency in psychosis, personality change and severe depression, less frequent in anxiety and mild depression, than patients with normal CT finding. However, levels of intelligence were not different between two groups. The patients with industrial accidents(IA) had lower educational level, milder head injury, more delay for the psychiatric evaluation (longer treatment period) than those with motor vehicular accidents(MVA). The psychosocial outcome with reference to personality change, depression, anxiety, intelligence were not different between two groups. Conclusion : These findings indicate that the more severe initial trauma, the poorer psychosocial outcome. However, it was frequently observed that patients with mild head injury suffered from mild anxiety and depression. Therefore mild head injury appeared to be more complicated by psychosocial stressors. The patients with IA, despite the fact that initial head injury was mild, required longer treatment period than MVA.

• 의학교육논단
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• 제15권1호
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• pp.9-18
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• 2013

An outcome-based curriculum is perceived to be one alternative educational approach in medical education. Nonetheless, it is difficult for curriculum developers to convert from traditional curriculum to an outcome-based curriculum because research documenting its development process is rare. Therefore, this study aims to introduce the development process and method of outcome-based curriculum. For the purpose of this study, we used diverse data analyses, such as an existing literature search, development model analysis, and case analysis. We identified five phases from the analysis. First, the curriculum developers analyze the physician's job or a high performer in a medical situation. Second, curriculum developers extract outcomes and competencies through developing a curriculum, affinity diagraming, and critical incident interviews. Third, curriculum developers determine the proficiency levels of each outcome and competency evaluation methods. Fourth, curriculum developers conduct curriculum mapping with outcomes and competencies. Fifth, curriculum developers develop an educational system. Also, it is important to develop an assessment system for the curriculum implementation in the process of developing the outcome-based curriculum. An outcome-based curriculum influences all the people concerned with education in a medical school including the professors, students, and administrative staff members. Therefore, curriculum developers should consider not only performance assessment tools for the students but also assessment indicators for checking curriculum implementation and managing curriculum quality.

• 정보관리학회지
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• 제35권3호
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• pp.271-286
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• 2018

본 연구는 공공도서관에서 운영하는 프로그램의 성과를 로직모델을 기반으로 개발된 평가 프레임워크를 적용하여 측정하고자 하였다. 성과 측정을 위해 서울 소재 한 공공도서관에서 운영하는 여러 프로그램 중 어린이 독서 프로그램을 선정하였다. 성과 측정 과정은 어린이 독서 프로그램의 계획, 진행, 평가 등의 업무과정 일체를 분석하여 로직 모델을 구현하였으며 이에 의거하여 예상되는 성과를 측정하였다. 데이터는 KOLAS를 통해 회원정보, 서지정보, 대출정보 등을 수집하였고, 프로그램 운영 현황에 대한 데이터는 프로그램 진행 후 작성된 보고서에서 추출하였다. 측정 결과 어린이 독서 프로그램에 참여한 회원들의 대출빈도가 상승하였고, 프로그램의 주제에 따라 대출 장서의 주제가 변화하는 것을 볼 수 있었다. 본 연구를 통해 독서 프로그램이 갖는 효과와 의미를 확인할 수 있었으며, 성과평가가 도서관에서 운영하는 타 프로그램 및 도서관 업무 등의 효과성을 측정하는데 유용한 도구가 될 수 있음을 보여주었다.

• Journal of Chest Surgery
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• 제25권12호
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• pp.1416-1421
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• 1992

There are many objective indices of operative outcome of funnel chest, but there has been only a few report about the postoperative change of these indices and which is best correlated with subjective outcome. From January 1989 to December 1991, 74 patients with funnel chest underwent Ravitch operation and radiologic evaluation was performed on the twenty patients whose operative outcome were satisfactory by Humphreys` criteria and postoperative chest X-ray were available. Variable radiologic chest idices such as deformity grade [DG], lower vertebral index [LVI], upper vertebral index [UVI] and configuration index [CI] were measured preoperatively and 1, 6, 12 and 18 months pos-toperatively. The mean value of preoperative DG, LVI, UVI and CI were 5.32, 0.3, 0.26 and 1.01 respectively, and postoperative chages were as follows; DG; 3.13, 3.66, 3, 72, 4.0, LVI: 0.22, 0, 24, 0.25, 0.25 UVI; 0.27, 0.27, 0.27, 0.27 CI; 0.69, 0.77, 0.76, 0.79. The increments of CI were within the 90 percent confidence limit of normogram in most cases, but it was not true for LVI and UVI. And the differences between the observed and expected values of CI did not change significantly through the postoperative periods, which was not the case in LVI. We concluded from these results that 1] DG, LVI and CI were increased slowly during the postoperative follow up periods but the increments of CI were usually within the normal limits and so 2] CI can be used as a objective index of satisfactory outcome.

• 한국간호교육학회지
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• 제14권1호
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• pp.38-45
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• 2008

Purpose: The purpose of this study was to evaluate the overall RN-BSN program, current curriculum, and student outcomes in one nursing college. Method: A cross- sectional survey was used for current students (n=152) and graduates (n=54). Three different instruments were used in this study; K-Regis University RN-BSN Program Evaluation Tool, Curriculum Evaluation Tool, and Outcome Evaluation Tool. Result: Results showed that overall the program was satisfying to current students and graduates. However, curriculum evaluation showed that clinical practicum and nursing skill courses were generally unsatisfying, indicating further changes in these areas. Graduates showed higher leadership and professionalism than current students in the outcome evaluation. Conclusion: The current study indicates a need for further studies such as review of the RN-BSN program philosophy and education method, or program evaluation by periods. Additionally, there is a need for a strategic plan to develop the RN-BSN program in the future.

• Journal of Preventive Medicine and Public Health
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• 제29권4호
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• pp.815-829
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• 1996

A physician survey was done by mailing for the purpose of performing hospital services evaluation and ranking. A slightly over one thousand samples were drawn from the list of professional societies, and 324 physicians(about 32 percent) replied. This study has focused on developing easy and simple method to evaluate hospital services, and providing patients with useful information. Hospital service structure and process were evaluated without outcome evaluation, because it is difficult to obtain reliable data regarding health services outcome indicators. Clinical specialty was targeted to evaluate, and three specialties were chosen, that is obstetrics & gynecology, cardiology, and proctology. Among 16 structural indicators, four indicators were finally chosen in each specialty by respondent specialists. And then using these indicators, structural score was calculated for study hospitals. For process evaluation, physicians were requested to nominate five most famous hospitals. The nomination score and structural score were summed up to produce final score and hospital ranking. This method is very easy to conduct rather than other hospital services evaluation methods prevailing in Korea. And it is more useful for patients to choose hospitals, according to his/her own purpose, because it gives high ranking hospitals with specific clinical specialty.

• 공학교육연구
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• 제15권6호
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• pp.98-102
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• 2012

This paper diagnose subjects and measures the learning ability of students based on the goal of developing an assessment tool for education productivity based on multi-aspect evaluation conducted by ICEE at Honam University. Furthermore, develop an assessment tool for education productivity that provides a motive to bring detailed improvements in teaching methods through the diagnosis. In addition, a method for compensating the issues and improving the quality of subject is suggested to develop learning ability of students through applying the assessment tool. An integrated operated system of CQI is desired to be built along with quality improvement of education through measuring academic quality by studying the methods for enhancing academic and learning ability achievement from analysis of the curriculum provided in the "ABEEK program". Through this study the current state of education productivity is presented through analyzing the difference between students who participated in the "ABEEK program" and who did not participate, and operating a comparison between the student's comprehension on their majors and liberal arts by the multi-aspect evaluation that has been conducted for 2 years.