• 지역사회간호학회지
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• 제33권4호
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• pp.357-371
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• 2022

Purpose: This study aims to investigate factors related to long-term length of stay (LOS) of patients with chronic diseases in Korean veterans hospitals. Methods: The subjects were 196 elderly patients with chronic disease staying in the hospital for more than 10 days, Data were collected by the survey of patients with structured questionnaires and medical records review by nurses from July 15 to August 10, 2019. Collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The present and desired LOS were 37.78±32.66 days and 60.87±45.95 days, respectively. Factors affecting hospital LOS were found to be main disease (genitourinary) (p<.001), assistance in activities of daily living (p<.001), area of hospital (p<.001), payment of medical fees (p=.026), hospital satisfaction (p=.036) and the explanatory power of these variables was 26.4%. The most common health problems that need to be solved after discharge were symptom alleviation and health promotion. These problems can be solved using community-based facility services or visiting medical-welfare services (especially home care nursing). Conclusion: In order to reduce hospital LOS, the following measures are required: personalized self-management education, provision of transportation services for dialysis therapy of inactive patients, linking patients with visiting medical-welfare services including home care nursing and mobile healthcare services, operation of the case management system including the notice of the discharge date at admission, interim check of patient status, and connecting the patient with community resources or transferring the patient to long-term care facilities at discharge.

• 치위생과학회지
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• 제23권2호
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• pp.154-168
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• 2023

Background: Legal regulations and fees have been established in Korea to provide visiting oral health care services to individuals with long-term care insurance (LTCI). However, beneficiaries of this service are very limited. Therefore, to improve the Korean system we propose a comparative analysis with the Japanese system. Methods: This study is a descriptive analysis based on secondary data, such as statistics, laws, and service record forms from Korea and Japan. The most recent institutional documents were obtained through a Google search. The variables investigated were financial resources of LTCI, co-payment structure, monthly limit of LTCI benefits, care levels of LTCI, service providers, service costs, contents of service, and the number of cases of service. Results: In both Korea and Japan, LTCI is financed through a combination of taxes and insurance premiums. However, the monthly limit for receiving LTCI services in Japan is about 2.4 times higher than in Korea. Visiting medical and dental treatment is also possible in Japan. Furthermore, nursing staff can provide daily oral health care services according to dental hygienists' instruction unlike Korea. Oral health care services in Korea are focused on oral hygiene and prevention of oral diseases, while Japan additionally provides oral function screening, patient education for oral health management, and training for nursing staff to enhance oral function, eating, and swallowing of the patients. Conclusion: We concluded that the possibility of visiting dental treatment, differences in monthly limit of LTCI benefits, oral function assessment and guidance, as well as collaboration with other healthcare professionals contributed to the difference in the frequency of utilization of visiting oral health care services between Korea and Japan.

• 무역상무연구
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• 제37권
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• pp.187-216
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• 2008

Risk regarding the possibility of loss can be especially problematic. If a loss is certain to occur, it may be planned for in advance and treated as a definite, known expense. It is when there is uncertainty about the occurrence of a loss that risk becomes an important problem. The word risk is often used in connection with insurance. No one generally accepted definition of risk exists, however. Of the many definitions, two distinctive ones are commonly used. One defines risk as the variation in possible outcomes of an event based on chance. That is, the greater the number of different outcomes that may occur, the greater the risk. Another way of expressing this concept is to state: The greater the variation around an average expected loss, the greater the risk. The second definition of risk is the uncertainty concerning a possible loss. The definition of risk as a useful one because it focuses attention on the degree of risk in given situations. The degree of risk is a measure of the accuracy with which the outcome of an event based on chance can be predicted. For now, it will serve our purpose to note the more accurate the prediction of the outcome of an event based on chance, the lower the degree of risk. After sources of risks are identified and measured, a decision can be made as to how the risk should be handled. A pure risk that is not identified does not disappear, the business merely loses the opportunity to consciously decide on the best technique for dealing with that risk. The process used to systematically manage risk exposures is known as risk management. Some persons use the term risk management only in connection with businesses, and often the term refers only to the management of pure risks. In this sense, the traditional risk management goal has been to minimize the cost of pure risk to the company. But as firms broaden the ways that they view and manage many different types of risk, the need for new terminology has become apparent. The terms integrated risk management and enterprise risk management reflect the intent to manage all forms of risk, regardless of type. International trade transaction is called between countries has features of globalism, cultural gap, long distance and long terms for the transaction. It is riskier than domestic transaction has its specific risks, such as foreign exchange risk and political risk, and requires various active risk management skills. Risks in relation to the international trade transaction are the contract risk, transit risk and payment risk, etc. The risk management in relation to the international trade transaction is to identify and measure these risks. The purpose of this study is to analyse the practical problems and its solution plan by analyzing various cases related to the risk management of bill of lading in the international trade transaction.

• 정보관리연구
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• 제42권1호
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• pp.85-111
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• 2011

본 연구의 목적은 빅딜 계약이 큰 비중을 차지하면서 전자저널 컨소시엄 유지를 위한 예산 확보가 학술도서관의 최대 이슈로 자리 잡은 상황에서 빅딜 계약의 대안을 탐색하는 것이다. 이를 위해 빅딜 계약의 현황, 장단점, 문제점에 대한 대응을 토대로 빅딜 계약을 대체하는 다양한 모델을 조사하였다. 문헌연구를 통해 빅딜 계약의 대안을 OA 기반, 이용량 기반, 컨소시엄 개선 기반, 출판사 주도, 기타 등으로 살펴본 후 KESLI를 위해 단기적으로 Cost division 형식이지만 중장기적으로 보다 강화된 컨소시엄을 기반으로 Single(bloc) payment 형식이나 National licene 형식을 지향하는 '컨소시엄 비용 재배분 모델'을 대안으로 제시하였다. '컨소시엄 비용 재배분 모델'은 최근 1년분의 각종 데이터를 기초로 PDF와 HTML 다운은 3배의 가중치를 부여하되 나머지 14개 요소는 각 요소별 0.5점부터 5점까지로 총 100점 만점으로 합산해 자관 총점의 순위에 따라 국가 단위로 협상된 KESLI 총액을 10, 20, 30 등급으로 확정해 최종 협상된 금액에 맞게 다시 배분하여 구독액을 결정하는 방식이다.

• 한국콘텐츠학회논문지
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• 제22권1호
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• pp.99-115
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• 2022

본 연구의 목적은 사회과학 전반에 걸쳐서 수행되고 있는 조세 분야의 대표적인 연구주제로서 조세순응, 납세의식, 성실납세(이하 "조세순응")에 관한 연구의 흐름을 정리함으로써 융합학문으로서 세무학의 지평을 확장하는 것이다. 이에 조세순응에 관한 국내 학술지 논문을 학제적 관점에서 종합적으로 분석하기 위하여 텍스트마이닝의 일환으로 토픽모델링 기법을 적용하였다. 데이터 수집-키워드 전처리-토픽모델 분석의 흐름으로 총 347편의 논문에 연구자가 등록한 조세순응 관련 키워드들로부터 잠재적인 연구주제를 제시하고자 하였다. 본 연구의 분석 결과로 첫째, 키워드 분석에서는 세무조사, 조세회피, 성실신고확인제도 등의 키워드가 단순 빈도 기준으로 상위 5개 키워드에 포함되었고, 키워드의 상대적 중요도를 감안한 TF-IDF 값에서도 상위 5개 키워드에 포함되었다. 한편 탈세라는 키워드는 단순빈도에서 부각되지 않은 것에 비해 TF-IDF 값 기준으로 상위 키워드에 포함되었다. 둘째, 토픽모델링을 통해 잠재적인 8개의 연구주제를 도출하였다. 해당 주제는 (1) 조세공정성과 조세범칙행위의 억제, (2) 조세법의 이념과 조세정책의 타당성, (3) 실질과세원칙과 조세채권의 담보 (4) 납세협력비용과 세무행정 서비스, (5) 신고납세제도와 세무전문가, (6) 조세풍토와 전략적 조세행동, (7) 조세행동의 다면성과 차별적 순응의도, (8) 과세정보시스템과 효율적 세원관리와 같다. 본 연구는 학문 간의 경계를 넘어 조세순응이라는 주제어를 바라보는 다양한 관점을 포괄적으로 조망함으로써 학제간 소통의 기회를 마련하고 합리적인 조세제도를 구축하는데 실천적 시사점을 제시하고자 하였다.

• 의료법학
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• 제9권2호
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• pp.181-207
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• 2008

With recent emphasis on evidence based medicine, clinical practice guidelines are seen as a potential mechanism by which unify various managerial and professional approaches to improving the quality of care. The development process of guidelines has been the subject of much research. and it is need translating the medical evidence of research into a clinical practice guidelines. the gathered evidence needs to be interpreted into a clinical, public health, policy, or payment context. The term 'clinical practice guidelines' can evoke a diverse range of responses from healthcare personnel. Clinical practice guidelines are increasingly used in patient management but some clinicians are not familiar with their origin or appropriate applications. Understanding the limitations as well as benefits of CPG could enable clinicians to have clearer view of the place of guidelines in every practice. In the context of increasing complaints and litigation in healthcare, the legal implications of clinical practice guidelines are of increasing importance. Clinical practice guidelines could, in theory, influence the manner in which the courts establish negligence by suggesting the doctor breached the duty of care by failing to provide the required standard of medical care. In several studies, the CPGs were relevent to and played a pivotal role in the proof of negligence. Much depends on the quality of guidelines and the tools developed and the authoritativeness of a guideline. Recently, there are several opinions the court also should review the validity and reliability of expert testimony including medical evidence. and widespread use of guidelines in malpractice lawsuit could lead the physicians to greater compliance with guidelines in the long term. In conclusion, Health care reformers, physicians as well as guidelines developers should understand that guidelines have both medical and legal aspects as a double-edges sword. so clinicians, legal representatives and decision-makers should not defer unduly to guidelines.

• Journal of Acupuncture Research
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• 제29권6호
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• pp.85-89
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• 2012

Objectives : This study is to evaluate the current situation of Japanese tourists for medical tour of Daejeon University hospital and to draw up a plan for better policies. Methods : 59 Japanese tourists visiting oriental medicines hospital of Daejeon University from January 2012 to September 2012, were analysed in the statistics. And 8 of them answer a questionnaire about reasons for selection of Daejeon University hospital, satisfaction for thread embedding therapy and side effects of thread embedding therapy. Results : A total of 59 foreigners visited oriental medicines hospital of Daejeon University for medical service, consisting of 54 females(92 %), the thirties to fifties 71 % by age. The 87.5 % of patients answered that the reason for choosing this hospital was the subsidization of the medical expenses, and 50 % for appropriate payment, 37.5 % for safety, 12.5 % for recommendation of the people who had good experience at this hospital. The 71% of patients selected thread-embedding therapy for treating wrinkles. The degree of satisfaction was evaluated as quite satisfaction of 87.5 %, full satisfaction of 12.5 % showing that a whole number of the patients treated with thread-embedding therapy showed relative satisfaction. This evaluation is, however, a short term survey which should lead to a further term study. For the evaluation of side effects of thread-embedding therapy, 75 % of patients answered as pain occurred during the therapy, 62.5 % as edema, 50 % as hypodermal bleeding. Conclusion : First of all, there should be more constructive promotion and support for medical tour of oriental medicines, ultimately leading to promoting better clusters of oriental medicines. Secondly, support in terms of a medical law should be established for medical disputes, and the best follow-up service should be considered.

• 한국콘텐츠학회논문지
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• 제18권5호
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• pp.167-174
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• 2018

일본정부는 급격하게 고령화 되어가는 사회에 대응하기 위해 지속적으로 노인복지를 확대해왔다. 그리고 일본의 노인 복지제도의 바탕을 이루고 있던 조치제도는 2000년에 들어서면서 개호보험이라는 사회보험적 형태의 노인복지 시스템으로 변화, 정착되었고 일본의 노인복지 시스템은 획기적인 변화를 맞게 되었다. 본 연구에서는 이러한 개호보험이 가지는 주요 특징 중에 특별히 주목하는 점은 다음과 같다. 첫째, 개호보험은 사회보험시스템으로서 의무적인 가입을 해야 하며 상당한 양의 보험금과 자기부담금을 부담해야한다. 둘째, 복지제도의 이용자는 소비자로 인식되며, 그들은 다양한 소비자로서의 초이스를 가질 수 있도록 하고, 이를 위해 복지서비스 제공자는 자유시장에서의 경쟁의 원리를 바탕으로 활동하게 된다. 그리고 이전의 조치제도 하의 복지서비스 제공자들이 정부 주도의 시설과 단체들로서 그에 대한 규제가 엄격하였다면, 개호 보험에서의 서비스 제공자들은 훨씬 유화되고 간단해진 관리와 규제를 받게 되었다. 이러한 개호보험의 특징은 재일조선, 한국인 조직들이 재일 고령자라는 소비자에게 일본 복지서비스에서는 찾기 힘든 한민족의 민족적 콘텐츠를 노인 복지 영역에 도입하는 활동을 기획하고 실천하는데 있어 그 동력을 제공하였다. 즉, 한민족 콘텐츠를 복지 서비스의 판매에 유리한 조건(selling point)로서, 동시에 예상되는 복지이용에서의 민족적 불이익에 대한 대안으로 삼음으로써 일본의 노인복지서비스 영역을 다양화하는 결과를 가져왔다.

• 한국작물학회:학술대회논문집
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• 한국작물학회 1999년도 추계 학술대회지
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• pp.25-79
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• 1999

To evaluate the historical changes and future counterplan of food culture in Korea . the following were surveyed : the scale of foodseivice industry. the consumer attitude on functional health food. the fancy and using frequency of fastfood in the growing generation, the actual state on use of imported food. consumer opinions in selecting factor of functional and organic foods. the actual state and consumer attitude on the imported foods, long-term prospect of food service industry in futures. the production of food rubbishes and their reusing rates. the production scales and toxicity problems of agricultural medicines including the postharvest agricultural medicine. the consumer anxiety such as potential environmental and human health risks associated with GMOs (genetically modified organisms) and the import state of GMOs, long-term prospect of population increase in world, and aged population of over 65 years and their social index in Korea, self-supporting rate and national security of food in Korea. the prospect for demand and supply of grains in Korea and world. decrease of the farming population and the decrease problem of agricultural productivity. the problem on the introduction of direct payment system for a farmhouse, and other social problem etc. In cases of 1996, self-supporting rate of food in Korea was the lowest as $26.4{\%}$ in the world but those countries such as USA, UK France, Canada and Denmark were $134.0{\%}\;122.0{\%}$. $190.0{\%}$. $179.0{\%}\;and\;134.0{\%}$, respectively. in 1997 Therefore. our food security appeared as a very serious problem in a viewpoint of the national security That's why this very important Symposium will be held by agriculture-related three Societies to see the last year of 1999 out and the new millennium in.

• 한국인터넷방송통신학회논문지
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• 제23권3호
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• pp.167-173
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• 2023

자금 흐름 일치 문제(CFMP)는 T년도 간 지불해야 할 총액을 전액 현금으로 지불하지 않고 채권이나 은행 예금의 원금과 이자로 지급하여 초기 투자액을 최소화시키는 것이 목적이다. CFMP를 풀 수 있는 방법으로는 선형계획법(LP)이 유일하게 알려져 있다. 선형계획법은 T개의 선형함수를 최적화시키는 문제로 수기 식으로는 해결이 불가하여 선형계획법 해결사인 LINGO 등을 활용하는 실정이다. 본 논문은 LINGO의 도움 없이 오로지 수기 식으로 CFMP의 해를 구하는 알고리즘을 제안한다. 제안된 알고리즘은 만기 도래 일자가 최장기부터 단기의 내림차순으로 해당 채권이 차기 만기 도래 채권의 이전 년도까지 지급액을 커버하는 방법으로 채권 매수 량을 결정한다. 또한 최 단기 채권 만기 도래 이전 년도까지는 은행 예금의 원금과 이자로 충당하는 예금액을 결정하였다. 2개의 실험 데이터에 제안된 알고리즘을 적용한 결과 선형계획법에 비해 보다 정확한 결과를 얻을 수 있음을 보였다.