• 한국지리정보학회지
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• 제27권1호
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• pp.52-66
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• 2024

본 연구는 공간구조의 체계정립 및 계획 실효성 확보를 위하여, 부산광역시를 대상으로 도시기본계획에서 설정된 도시 중심지의 경계를 설정하고 중심지의 역할과 위상을 진단함으로써 중심지의 공간 체계와 특성을 파악하는데 목적이 있다. 이를 위하여 선행연구를 통해 중심지의 특성을 나타내는 4개의 지표를 선정하였고 지리적 경계 분석에 강점이 있는 공간통계기법으로 중심지 경계를 도출하였다. 또한 도출된 중심지 경계를 활용하여 각 중심지가 부산광역시 공간구조에서 가지는 영향력과 잠재력을 진단하기 위해 중심지 특성 지표와 인구잠재력 함수를 이용하였다. 분석 결과 중심지에 따라서 규모의 차이가 크게 발생하였으며, 용도지역상 상업지역이 활성화되지 않은 미활용지역과, 상업지역을 넘어 주거·공업지역으로 확산되는 확장지역이 도시 중심지마다 다르게 나타났다. 중심지의 흡인력을 나타내는 잠재력 측정 결과에서도 인구잠재력이 강한 지역과 약한 지역이 나타났다. 따라서 중심지 기능 강화를 위해서는 중심지 위계특성과 영향력 측정 결과를 기반으로 체계적인 관리 및 계획적인 육성전략이 필요하다. 본 연구에서 분석된 결과는 지속가능한 도시성장체계 구축과 균형발전 및 중심지 기능 강화를 위한 역세권개발계획 및 공간혁신구역과 함께 미래의 다양한 도시계획 수요와 정책의 변화에 대응하기 위한 자료로 활용 가능할 것이다.

• 문화기술의 융합
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• 제10권3호
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• pp.497-502
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• 2024

지역문화는 지역의 전통과 현대의 변화 속에서 가치를 함축하여 브랜드화에 관점으로 접근하여 시민들의 문화 역량을 높이는 역할을 하고 있다. 따라서 본 연구는 지역문화 특성이 문화 브랜드 자산 구성요인에 영향을 분석하기 위하여 지역문화 특성의 지역문화 고유성, 지역문화 정체성, 지역문화 장소성, 지역문화 연대성을 독립변수로, 문화브랜드 자산 구성요인의 브랜드 충성도, 브랜드 재인, 지각된 품질, 브랜드 이미지를 종속변수로 하여 연구모형을 설정하였다. 연구가설을 검정하여 분석한 결과 지역문화 특성이 문화브랜드 자산 구성요인에 영향을 미치고 있어 지역문화에 대한 인식변화와 전통문화의 홍보가 필요한 것으로 나타났다. 그리고 여주시는 세계문화유산 여주 영릉이 브랜드의 재인과 브랜드 이미지를 위한 콘텐츠의 융합과 문화정책의 전문화를 통하여 전통과 지역문화를 융합한 축제를 계획할 필요가 있으며 시민과 함께하는 방향으로 전환하는 것이 시급하다. 그리고 지역문화 애호도에 따른 문화브랜드 자산의 형성에 관한 연구를 확대하는 것이 바람직한 것으로 나타났다.

• 가족자원경영과 정책
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• 제28권1호
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• pp.13-25
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• 2024

1인가구 증가는 전 세계적 현상으로 한국 또한 1인가구 비중의 증가가 급속히 진행 중이다. 1인가구는 그 형성 계기, 성별, 생애주기 등에 따라 매우 다양한 스펙트럼을 갖고 있으며, 각각의 특성을 반영한 지원이 가능하도록 1인가구 집단을 세분화하여 연구할 필요가 있다. 이 연구는 생애주기에 따라 청년기, 중장년기, 노년기 1인가구 등 세 개의 집단으로 분류하고, 1인가구 건강성 수준에 있어 집단 간 유의한 차이가 있는지, 나아가 건강성에 영향을 미치는 인구사회학적 특성 및 1인가구 삶의 특성에는 어떠한 것들이 있는지 살펴보았다. 분석을 위해 2022년도 김포시 거주 1인가구 237명을 대상으로 설문조사를 통해 수집된 자료를 이용하였고, 기술통계, 평균차이 검증(t-test, ANOVA), 중다회귀분석 등을 실시하였다. 1인가구의 전반적 건강성 수준을 살펴보면 생애주기별로 차이가 있었는데, 청년기 1인가구가 노년기 1인가구에 비해 건강성 수준이 유의하게 높았다. 중다회귀분석 결과, 1인가구 건강성에는 성별, 교육수준, 자발성, 차별경험 여부가 유의한 영향을 미치는 것으로 나타났으며, 건강성을 구성하는 하위영역별로 영향을 미치는 변수에는 차이가 있었다. 생애주기에 따른 1인가구의 건강성 수준에 대한 결과를 토대로 하여 1인가구 정책의 방향성을 논의하고 실천적 함의를 제공하였다.

• Journal of Trauma and Injury
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• 제37권1호
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• pp.60-66
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• 2024

Purpose: This study investigated changes in interpersonal violence and utilization of trauma recovery services during the COVID-19 pandemic. At an urban level I trauma center, trauma recovery services (TRS) provide education, counseling, peer support, and coordination of rehabilitation and recovery to address social and mental health needs. The COVID-19 pandemic prompted considerable changes in hospital services and increases in interpersonal victimization. Methods: A retrospective analysis was conducted between September 6, 2018 and December 20, 2020 for 1,908 victim-of-crime patients, including 574 victims of interpersonal violence. Outcomes included length of stay associated with initial TRS presentation, number of subsequent emergency department visits, number of outpatient appointments, and utilization of specific specialties within the year following the initial traumatic event. Results: Patients were primarily female (59.4%), single (80.1%), non-Hispanic (86.7%), and Black (59.2%). The mean age was 33.0 years, and 247 patients (49.2%) presented due to physical assault, 132 (26.3%) due to gunshot wounds, and 76 (15.1%) due to sexual assault. The perpetrators were primarily partners (27.9%) or strangers (23.3%). During the study period, 266 patients (mean, 14.9 patients per month) presented before the declaration of COVID-19 as a national emergency on March 13, 2020, while 236 patients (mean, 25.9 patients per month) presented afterward, representing a 74.6% increase in victim-of-crime patients treated. Interactions with TRS decreased during the COVID-19 period, with an average of 3.0 interactions per patient before COVID-19 versus 1.9 after emergency declaration (P<0.01). Similarly, reductions in length of stay were noted; the pre-COVID-19 average was 3.6 days, compared to 2.1 days post-COVID-19 (P=0.01). Conclusions: While interpersonal violence increased, TRS interactions decreased during the COVID-19 pandemic, reflecting interruption of services, COVID-19 precautions, and postponement/cancellation of elective visits. Future direction of hospital policy to enable resource and service delivery to this population, despite internal and external challenges, appears warranted.

• 지능정보연구
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• 제19권1호
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• pp.35-55
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• 2013

최근 기업 경영에 있어 정보기술의 도입 및 전략적인 활용은 선택이 아닌 필수로 자리잡고 있다. 기업의 전략적인 목표와 정보기술 간의 상호 의존은 기업의 생존 및 성장에 중요한 역할을 하고 있으며, 이에 따라 이미 많은 기업이 지속적으로 정보기술에 투자하고 있다. 정보기술 투자 성과 관련해서는 기업 내부의 요인들과 전략들, 기업외부의 고객까지 여러 가지 복합적인 요소들이 서로 상호작용하고 있기 때문에, 각 요인들을 독립적으로 분리하여 정보기술 투자 성과에 미치는 영향력을 분석하는 것이 쉽지 않다. 이에 본 연구는 기존의 연구들을 바탕으로 정보기술 투자성과에 영향을 줄 수 있는 변수들을 도출하여, 각 변수들의 관계를 수리적인 모델링을 통해 단순화시키고, 시뮬레이션 방법론을 이용하여 각 변수들의 변화에 정보기술 투자 성과는 어떻게 달라지는지를 밝혔다. 본 연구의 결과는 정보기술 투자는 서비스의 품질을 증가시켜 경제학적인 성과들에 간접적으로 영향을 주고, 정보기술 투자와 동시에 소비자 잉여는 증가되지만, 큰 투자비용으로 회사의 이익은 감소하게 된다. 그리고 시간이 지남에 따라 품질 증가에 관한 정보가 고객들 사이에 퍼져 나가게 되므로 최종적으로 기업의 수익을 증가시켜준다. 또한, 정보기술 투자 성과 극대화를 위해서는 회사가 제공하는 서비스와 소비자들의 네트워크 효과 등이 고려되어 정보기술 투자 여부를 결정하고, 회사에 맞는 정보기술 투자 전략을 세워야 함을 시뮬레이션 모형을 통해 확인할 수 있었다. 구체적으로, 한 번에 많은 투자를 할 경우는 단기적인 성과는 클 것으로 기대되나, 장기적으로 좋은 성과가 이뤄지지 않는다. 그러나 정보의 확산 속도가 빠르거나 정보의 장벽이 될 수 있는 정보를 받지 못하는 소비자가 적을 경우 단기에 집중 투자 하는 것이 많은 수요를 얻을 수 있다. 또, 여러 번에 걸쳐 투자하는 경우는 적당한 주기를 가지게 될 경우 장기적으로 큰 성과를 낼 수 있음을 확인할 수 있었다. 본 연구는 경제학 모델링과 시뮬레이션을 결합시켜, 각각의 한계를 모두 극복할 수 있는 방법론을 활용했다는 측면과, 정보기술 투자의 성과를 제품 품질의 매개 효과 모형에 적용하여 정보기술 투자와 기업 성과간의 관계를 보여주었다는 측면, 마지막으로 정보기술 투자 전략 및 정보의 확산 효과를 반영하여 정보기술 투자의 성과를 확인할 수 있다는 측면에서 의의가 있다.

• 한국의료질향상학회지
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• 제7권1호
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• pp.118-131
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• 2000

Background : A continuous healthcare quality improvement is needed to provide high quality healthcare service as well as to maintain trust in terms of satisfying the needs of the patients. Recently it also became an essential issue. in hospital management, recognized for it's competitive potentiality among healthcare organization groups. This study was conducted to analyze patient complaints and issues received by the Quality Improvement Department. Its purpose is to improve healthcare qualities within the hospital, as well as establish policies and appropriate strategies in hospital management. Method : From July 1st to September 30th of the year 1999, we analyzed all complaints and issues made by various patients and their families, which were received through 24 hour phone consultation, numerous suggestion boxes, letters and E-mails, The issues were classified into 16 different categories based on a Patient Satisfaction Assessment Tool. All data were segregated according to the departmental frequencies and their contents. To come up with for environmental and patient satisfaction improvement, all complaints or issues were communicated with hospital administrators, medical and nursing staff and employees. Comprehensive customer satisfaction activities including improving phone etiquette were discussed in Customer Satisfaction Team, CQI Team and each Department. All opportunities for improvement were implemented. Feedback actions were discussed. Results : A total of 317 cases were collected. Issues regarding parking and other accommodation facilities were most common complaints that were 14.5% of total. Issues regarding admission rooms (10.7%), admission procedures (10.7%), waiting room environment (8.8%), nurses and nurse assistants (7.6%), physicians (6.6%) and others (23%) followed. Thirteen of 45 departments received more than 8 complaints. The Nursing Department had the most complaint, receiving 9.8% of total complaints. Complaints regarding the Nursing Department were predominantly related to the environment of patient rooms. The Department of Psychiatry for phone etiquette (4.7%), Department of Otolaryngology for the nursing staff's attitude and phone etiquette (4.4%), and the Admission Department followed. As a part of efforts to improve patient satisfaction, a new parking structure was built and reallocation of the parking space was done. Renovation of other accommodation facilities were carried out by hospital administration, Monthly phone call and answering attitude survey was done by QI Department. Based on this survey we made a phone etiquette manual and distributed throughout the hospital. Compare to the last year, Patient Satisfaction Index measured by Korea Productivity Center using National Customer Satisfaction Index was improved 7 points. According to our organization's own study, we confirmed the phone etiquette was improved 11% than last year. Conclusions : Issues related to parking and other accommodation facilities ranked first followed by complaints made regarding the patient care area, the admission and cashier process, and nurses' and doctors' attitude. The Nursing and Psychiatry Departments need improvement regarding phone etiquette. Results were shared and played a vital role in policymaking and strategic planning of the hospital. It is imperative that we keep our database updated by listening to and solving the needs of each patient. The CQI activities can be achieved only by full commitment of the hospital top management supported by related personal.

• 대한간호학회지
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• 제26권4호
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• pp.768-781
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• 1996

The problem of care of patients and families with Alzheimer's disease has become a conscious raising social policy issue in Korea. The government of the Republic of Korea has become cognizant of the situation and has begun searching for ways to remedy it. Thus, there is a need for a comprehensive under-standing of the situation in which patients and their families are struggling and the enormous problems of care. With a realization of the urgent need, this study was done to investigate the situation and the care needs of families with patients with Alzheimer's Disease, and to compare the effectiveness of services utilized by the families in terms of cost and effects on patient's conditions and on family live. The Subjects for the study were 29 families with hospitalized patients, 25 families utilizing hospital outpatient clinics, 14 families utilizing day care facilities, and 16 families with homebound patients. A total of 84 families were interviewed by four trained interviewers using structured and semistructured questionnaires. The data produced from these interviews included : the patient's stage of Alzheimer's disease, patient's bizarre behavior, hours spent on patient care per day, family burden and quality of life, direct and indirect costs encountered in the care of patients, and the families' evaluation of the effectiveness of the services received. The data were analyzed to determine the relationships between family charactersistics, patient's conditions and services utilization. The effectiveness of each of the service entities was assessed through families evaluation and hoped for service and comparisons were made between services in terms of the cost-effectiveness ratios. After initial comparison of cost-effectiveness ratios, further analysis was done to compare between groups for incremental effectiveness for each incremental unit of cost to determine the most cost-effective service entities. The findings of the study are as fellows : 1. The choice of living arrangement and the types of services are a function of the stage of Alzheimer's condition and the economic status of the family. 2. Comparision of the cost of care showed that most expenses were encountered in by families with hospitalization, families using outpatient services, and families using day care services in that order. The least expense was involved in the care of homebound patients. The economic burden felt by families was in the same order as expenses. 3. The average number of hours spent on daily patient care was 9.9 hours for the outpatient clinic users, 9.7 hours for homebound patients, and 5.4 hours for day care users. 4. There were significant differences in the patient's conditions (CDRL), bizarre behaviors and the families's burden by living arrangement and /or types of service. However, no significant difference was found between groups in the family's quality of life. 5. The families rated the services of day care center as most effective for the care of the patients and families, except for a few families who had experienced some improvement in the patient's conditions. The outpatient clinic users expressed psychological comforts mainly in that the patient was being taken care of. For those hospitalized patients, families expressed the comfort of being relieved of the burden of care and that the patient is being professionally cared for. Form the analysis of the costs, hours of patient care, patient's bizarre behaviors, family's quality of life and burdens, and family's evaluation of services, it is concluded that up to the mid stage of Alzheimer's condition, the utilization of day care center services is found to be the most cost-effective, and toward the end stage of the Alzheimer's disease, it is hoped that there will be a establishment of long term or short term in-patient facilities for the protection of patients and preservation of the integrity of families for less cost. Thus. it was concluded that the family centered system of care is the most effective for Korea with systematic support systems developed for the care of patients and their families according to the needs of families as the patient's condition deteriorates.

• 한국학교보건학회지
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• 제1권2호
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• pp.118-135
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• 1988

This study is designed to analyze the problems of health education in schools and explore the ways of enhancing health education from a historical perspective. It also shed light on the managerial aspect of health education (including medical-check-up for students disease management. school feeding and the health education law and its organization) as well as its educational aspect (including curriculum, teaching & learning, and wishes of teachers). At the same time it attempted to present the ways of resolving the problems in health education as identified her. Its major findings are as follows; I. Colculsion and Summary 1. Despite the importance of health education, the area remains relatively undeveloped. Students spend a greater part of their time in schools. Hence the government should develop a keener awareness of the importance of health education and invest more in it to ensure a healthy, comfortable life for students. 2. At the moment the outcomes of medical-check-up for students, which constitutes the mainstay of health education, are used only as statistical data to report to the relevant authorities. Needless to say they should be used to help improve the wellbeing of students. Specifically, nurse-teachers and home-room teachers should share the outcomes of medical-check-up to help the students wit shortcomings in growth or development or other physical handicaps more clearly recognize their problems and correct them if possible. 3. In the area of disease management, 62.6, 30.3 and 23.0 percent of primary, middle, and highschool students, respectively, were found to suffer from dental ailments. By contrast 2.2, 7.8, and 11.5 percent of primary, middle and highschool students suffered from visual disorders. The incidence of dental ailments decreases while that of visual impairments increases as students grow up. This signifies that students are under tremendous physical strain in their efforts to be admitted by schools of higher grade. Accordingly the relevant authorities should revise the current admission system as well as improve lighting system in classrooms. 4. Budget restraints have often been cited as a major bottleneck to the expansion of school feeding. Nevertheless it should be extended at least, to all primary schools even at the expense of parents to ensure the sound growth of children by improving their diet. 5. The existing health education law should be revised in such a way as to better meet the needs of schools. Also the manpower for health education should be strengthened. 6. Proper curriculum is essential to the effective implementation of health education. Hence it is necessary to remove those parts in the current health education curriculum that overlaps with other subjects. It is also necessary to make health education a compulsory course in teachers' college at the same time the teachers in charge of health education should be given an in-service training. 7. Currently health education is being taught as part of physical education, science, home economics or other courses. However these subjects tend to be overshadowed by English, mathematics, and other subjects which carry heavier weight in admission test. It is necessary among other things, to develop an educational plan specifying the course hours and teaching materials. 8. Health education is carried out by nurse-teachers or home-room teachers. In connection with health education, they expressed the hope that health education will be normalized with newly-developed teaching material, expanded opportunity for in-service training and increased budget, facilities and supply of manpower. These are the mainpoints that the decision-makers should take into account in the formation of future policy for health education. II. Recommendations for the Improvement of Health Education 1. Regular medical check-up for students, which now is the mainstay of health education, should be used as educational data in an appropriate manner. For instance the records of medical check-up could be transferred between schools. 2. School feeding should be expanded at least in primary schools at the expense of the government or even parents. It will help improve the physical wellbeing of youths and the diet for the people. 3. At the moment the health education law is only nominal. Hence the law should be revised in such a way as to ensure the physical wellbeing of students and faculty. 4. Health education should be made a compulsory course in teachers' college. Also the teachers in service should be offered training in health education. 5. The curriculum of health education should be revised. Also the course hours should be extended or readjusted to better meet the needs of students. 6. In the meantime the course hours should be strictly observed, while educational materials should be revised in no time. 7. The government should expand its investment in facilities, budget and personnel for health education in schools at all levels.

• 기술혁신연구
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• 제24권4호
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• pp.55-99
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• 2016

이 연구는 국가연구개발사업에 국민을 참여시킨 X-프로젝트를 분석, 국민이 국가연구개발사업에 적극적인 관심을 갖게 하는 과정과 실제적 참여, 그리고 사회적 효과와 한계는 무엇인지 논의한다. X-프로젝트는 2015년 12명의 민간 위원이 추진하고 미래창조과학부가 후원하며 과학기술정책연구원이 지원한 사업이다. 국민은 일상에서 겪는 아픔이나 문제를 반영한 6,212개의 질문을 제기했으며, X-프로젝트 위원, 학계와 출연연 전문가, 정부정책담당자가 모여 50개 질문으로 국민의 요청을 연구과제화하고 연구팀을 공모했다. 대학, 정부출연연 연구자뿐 아니라 고등학생, 대학원생, 일반인, 기업인 포함 310개 연구팀이 신청했고 최종 54개 연구팀이 선정됐다. X-프로젝트 참여자, 비참여자 및 전문가 인터뷰 등을 통해 이 연구는 첫째, 국민참여형 국가 연구개발 사업의 필요성과 의미에 대해 광범위한 사회적 공감대를 발견했다. 대중의 아픔, 불편을 해결하기 위한 과학기술 연구의 필요성은 물론 이 연구에 대중의 직접 참여가 가능함을 발견했다. 둘째, 시민들이 생산한 지식이 전문가들의 시각에서도 유용하다는 발견이다. 전문 연구자들은 국민이 제기한 질문이 매우 참신하고 유용하다고 평가했다. 셋째, 국민참여형 국가연구개발 사업의 실행으로 시민들이 과학기술 발전의 수혜자가 아닌 발전에 기여하는 주체로 생각할 수 있는 기회를 인식했다는 발견이다. 그러나 국민의 참여를 지속적으로 이끌어 낼 수 있는 다양한 동기 부여, 국가 연구개발 사업의 아이디어 제기부터 연구에 이르는 전과정에 쉽게 참여할 수 있는 방법의 개선, 일반인 연구자와 전문 연구자가 협업할 수 있는 방법 및 제도의 개선은 앞으로의 과제로 지적되었다.

• 대한간호학회지
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• 제4권1호
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• pp.162-178
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• 1974

The present study is purported to provide a basic information to be utilized by nurses to care and attend effectively for patients nearing the moment of death. Therefore, the primary purpose of the study has been placed upon grasping an understanding of the trends of death in general. For this purpose: 1. By utilizing the schneidman questionnaire, the trend of death has been categorized by 6 parts and analyzed. 2. A search has been conducted to find out dying patient's needs, nurse's attitudes viewed by the patient, and nurse attitudes to dying patient. The followings are itemized results of analysis: 1. Analysis by the schneidman questionnaire. (1) In general concepts of death. the first sighting of the occurrence of death was experienced upon strangers, grandfather and great grandfather. The death is openly discussed among people of all ages and sex. Ages in which the death is mostly feared were from 12 to well over 70 yews old that are evenly distributed regardless of difference in age. (2) As to the attitudes toward death the occurrence of death to most closely associated person influenced most upon the attitude of their own termination of lives. Among the reading materials, the maximum influence was effected by the Bible. In terms of religion, the thoughts of death were Influenced by religions education in case of the believers of the western religions (36%), and by their own health and physical conditions in case of the believers in the oriental religions (35%). In case of non-believer, their attitude toward death were largely determined through their own thinking meditation (45%). People aged 20 or thereunder revealed that they wished to know the day of their own death to be occurred (58%). However, the older the less thor wanted to know. (3) As to the choosing the time of death, 57% preferred senility, and 30% preferred the time in mediately following the prime period of their lives in general. In terms of religion, 85% of the believer in the oriental religion preferred senility, and 67% in the western religion, 58% in others, Therefore. the desiring of their lives to be terminated in earlier stage, not by the natural senility. sequenced as follows : Others, western religions and oriental religions. (4) Referring to the disposal of the corpse under the assumption that it had already occurred, majority desired the burial system. There has been seen a slight tendency to consider the importance of holding funeral services for the sake of survivors. Concerning the life insurance policy, it showed that the nurse had less belief in it than the patient (5) Upon the subject of life-after-death. religion wise, 72% of western religion believers preferred to have an existence of life-after-death: Among the believers of oriental regions, 35% desired this category, 30% did not mind either way. and 35% did not desire the existence of such a life-after-death. In others, 53% did not mind whether or not such a life existed. (6) In general, serious thoughts were not being attended to the commitment of suicide. 37% emphasized that such an act should be prevented. However, 30% insisted that such commitment should not be bothered, and that society possesses no right to prevented it. More male wished to commit suicide (13%) than females (9%). 2. Nurse's attitudes toward terminal patients and patient's needs. In the instance where the patient realized that their death is imminent, most of them showed desire to discuses mainly on the problems of life. When faced a situation of this nature, it is revealed that 40% of nurses could not furnish appropriate care for them.