• 제목/요약/키워드: Policy Needs

검색결과 2,528건 처리시간 0.031초

일 의료원의 통합 고충처리센터 접수 내용과 이에 대한 해결방안 분석 (Analysis of the Issues received by Quality Improvement Department and their Management in a Medical Center)

  • 탁관철;박현주;천자혜;강은숙;문주영;최미영;김현주;강진경
    • 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.

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치매노인의 거주형태 및 서비스유형에 따른 간호관리의 효과분석 (A Study on the Effectiveness of Care of Patients with Alzheimer s Disease According to Residence Arrangement and Types of Services)

  • 홍여신;박현애;조남옥
    • 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.

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학교보건(學校保健)의 개선방안(改善方案) 연구(硏究) (A Study of Improvement of School Health in Korea)

  • 이수희
    • 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.

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국민참여형 국가연구개발사업의 의미와 한계: X-프로젝트 사례를 중심으로 (Significance and Limitations of the Public Participatory National R&D Project: A Case Study on X-Project)

  • 박성원;진설아
    • 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.

죽음의 태도에 관한 조사연구 -임종환자의 간호를 위하여- (A Study On The Attitudes Toward Death -For Nursing Care of The Terminally Ill-)

  • 유계주
    • 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.

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구조분해분석을 통한 국내 산업별 에너지 소비 변화요인 연구 (Structural Decomposition Analysis on Changes in Industrial Energy Use in Korea, 1980~2000)

  • 김진수;허은녕
    • 자원ㆍ환경경제연구
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    • 제14권2호
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    • pp.257-290
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    • 2005
  • 1980년~2000년의 기간 동안 우리나라의 산업부문 최종에너지 소비량은 수송 가정 상업 기타부문의 최종에너지 소비량에 비해 더욱 가파르게 상승하였으며 외환위기의 영향도 다른 에너지 소비부문에 비해 적게 받고 있는 것으로 나타나고 있다. 본 연구는 꾸준한 증가추세로 나타난 국내 산업부문의 에너지 소비량의 변화 요인 및 산업계의 에너지 저소비형 산업구조 구축을 위한 노력 여부를 산업별로 분석하기 위하여 Chen and Rose(1990)의 two-tier KLEM모형형 구조분해분석(Structural Decomposition Analysis)모형을 확장하여 총 17가지 요인으로 1980년~2000년의 기간 동안의 국내에너지 소비량의 변화를 분석하였다. 본 연구에서 사용한 산업 분류는 2000년도 산업연관표에서 석탄과 석탄제품, 연료유, 전력, 도시가스의 에너지 부문과 대분류를 기준으로 한 28개 산업부문으로 분류하였으며 개별 산업별로 분석함으로써 산업별 에너지소비구조 변화 요인을 확인하고 의미있는 소비구조 변화가 있었던 전기 전자 제조업, 건설업, 제1차금속 제조업을 대상으로 비교분석을 하였다. 분석결과 에너지를 많이 사용하는 산업인 제1차금속제품 제조업, 화학제품 제조업, 비금속광물제품 제조업 등이 1980년~2000년의 20년간 에너지 소비구조를 개선하기 위한 노력을 가장 많이 했다는 결과를 얻을 수 있었다. 이들 산업은 에너지, 재료의 생산성이나 중간수요 수입, 에너지간 대체, 재료간 대체 효과 등에서 고루 에너지 저소비구조로의 개선 노력이 보이고 있으므로 산업의 특성상 에너지 사용량이 많기는 하지만 에너지를 최대한 효율적으로 사용하기 위한 노력을 기울여 왔다고 할 수 있다. 또한 산업별로 에너지 소비량 변화요인의 패턴이 다르게 나타났으며 전기전자산업과 1차금속산업, 건설산업을 비교했을 경우 전기전자산업은 생산성을, 건설산업은 투입 구조를 에너지 저소비구조로 개선하기 위한 노력이 필요한 것으로 분석되었다. 본 연구를 통해 에너지 다소비산업이 에너지 소비구조를 개선하기 위하여 에너지 생산성과 에너지원 대체 요인을 중심으로 상당한 노력을 하였음을 알 수 있으며 산업별로 에너지 소비량 변화요인의 패턴이 다르므로 에너지소비절약을 위한 정책 역시 산업별로 이루어져야 함을 확인할 수 있다.

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한국.중국의 전통의약 교육제도 현황 비교를 통한 시사점 연구 (A Study on Implication by Comparing Current Status of Educational Systems between Korea and China in connection with Traditional Medicine of Each Country)

  • 신현규;배순희
    • 한국한의학연구원논문집
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    • 제11권1호
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    • pp.83-95
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    • 2005
  • Arriving in the '90s, the worldwide trend of longing for naturalism and popularity of complementary and alternative medicine in America has caused traditional Oriental Medicine and medicinal plants markets to develop rapidly. And China has been pursuing the globalization policy of Chinese medicine by the initiation of the society of traditional Chinese medicine. Under this situation, it is a time for us to think about in a serious manner whether existing organization and system of Oriental medicine and the department of Oriental medicine at the schools in Korea reflects reality or whether we should turn it to some different direction. The purpose of this research is to compare the educational systems in relation to the traditional medicine between Korea and China, and to seek and look into its implication, and also to make a contribution to further developments and changes of direction for Oriental medicine education in Korea. 1. I investigated carefully the educational system of the colleges of traditional Chinese medicine, and results from this survey revealed that the academic institutions for the medicinal training in China consists of varied systems, such as 7-year program for medicinal training linking with master degree course, 6-year program, 5-year program (more than 90%), 4-year program, and so on, so then China has been raising the specialists in their traditional medicine arena through those varied academic programs. Such an educational system as the department of Chinese medicine in order to educate and produce specialists or pharmacists specializing in traditional Chinese medicine is operated only by Beijing University of Chinese Medicine in terms of 7-year academic program for medicinal major that linked with master degree course, and the rest of schools run 5-year program or 4-year program (more than 90%). And other human resources required for cultivation of medicinal plants and manufacturing herbal medicines are mostly trained at 3-year course colleges or 2-year course vocational schools. 2. In connection with traditional Chinese medicine, there are a variety of departments in the schools in China other than Chinese Medicine and Pharmacology: i.e. Acupuncture, Moxibustion and Tuina, Preclinical Medicine, Pharmaceuticals, Materials of Medicine, Phrenology and Law, Languages and Literature, etc. Therefore, these programs constitute multi academic system and also an appropriate educational base that fits in varied needs of market. Particularly, the university having 7-year program emphasize, English proficiency so that it can be considered that this academic program is a specialized course in order to achieve globalization of Chinese medicine. 3. In Korea, there are only 11 Oriental medicine schools with 6-year program which have been established by the private foundations and 3 departments of Oriental medicine at 4-year university. Therefore, we need to establish varied departments related to branches of our traditional medicine like China. 4. It is necessary to establish varied new departments related to Oriental Medicine that will be able to take a professional role in the course of pursuing the strategic goals such as scientification, globalization, standardization of Oriental Medicine, also that will meet needs of the world alternative and complementary medicine and herbal medicine markets. In order to achieve such strategic goals, we need to organize an academic system that will be different from existing systems and programs, also we are required to research further on the educational and training programs.

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커뮤니티디자인의 전개와 논의의 특징 (The Development and Features of Discussion about Community Design)

  • 김연금;이영범
    • 한국조경학회지
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    • 제40권3호
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    • pp.22-31
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    • 2012
  • 본 연구는 근래 체계적 논의 없이 현장 중심적으로 '커뮤니티디자인'이라는 용어가 사용되고 있는 것을 문제 상황으로 진단하고 다양한 문헌 검토를 통해 커뮤니티디자인의 개념적 특징을 살펴보았다. 커뮤니티디자인은 지리적 접근성이라는 공통점을 가진 개인이 밀집하여 거주하는 지역에 대한 디자인으로서의 커뮤니티디자인, 1960년대 미국에서 사회 운동으로 시작되어 커뮤니티의 참여, 민주적 의사 결정, 소통, 협력 등을 중시하는 커뮤니티디자인, 두 가지로 구분할 수 있는데, 본 연구는 후자를 다룬다. 후자로서의 커뮤니티디자인의 경우, 종합적 계획이론에 대한 대안 중 하나인 '옹호적 계획(advocacyplanning)'의 등장과 맥을 같이 한다. 신도시 건설 및 도로 확장 같은 대규모 개발 계획에 따른 기존 커뮤니티 붕괴는 당시 일었던 시민권리운동의 영향으로 반대 운동을 야기했고, 전문가 집단 내부에서도 약자를 옹호하자는 옹호적 계획과 이의 영향을 받아 디자인 과정에 커뮤니티를 참여시키자는 커뮤니티디자인이 제시되었다. 이후 커뮤니티디자인은 커뮤니티디자인센터를 통해 실천적, 이론적으로 발전해 나갔다. 1980년대 초반부터 시작된 커뮤니티디자인 관련 논의의 특징을 살펴보았을 때, 먼저 커뮤니티디자인은 커뮤니티의 물리적 환경과 지역사회 여러 제반문제와의 관계를 중시한다. 두 번째는 커뮤니티의 참여로 많은 연구들에서 커뮤니티의 참여를 커뮤니티디자인의 핵심으로 본다. 이와 관련해서는 참여의 효과와 단계, 청소년의 참여가 중요하게 논의된다. 세 번째는 소통방식과 관련된 논의다. 1960년대 커뮤니티디자인이 시작된 이후 커뮤니티디자인센터를 중심으로 효과적인 소통 증진을 위한 다양한 참여기법이 개발되었다. 네 번째는 미적인 질을 중시하는 디자이너의 태도와 커뮤니티 요구반영와 관련된 것이다. 이 둘을 길항관계로 보는 경우가 있으며, 이는 촉진자로서의 디자이너의 역할에 대한 논의로 연결되기도 한다. 커뮤니티디자인이 확산되고 있는 시점, 이를 실천할 수 있는 제도적, 정책적 검토가 필요할 것이며, 전문가의 역할과 교육에 대한 검토도 필요할 것이다. 커뮤니티디자인은 비록 운동으로 시작되었지만, 추후 이론화 작업과 다양한 논의를 통해 실천에 의미가 부여되었고, 시대적, 장소적 맥락에 맞는 방향성이 제시되었다. 즉, 실천과 이론이 상호 작용하며 발전적 순환을 이루고 있는 것이다. 이에 본 연구는 우리나라에서의 커뮤니티디자인의 실천과 이론의 선순환에 기여할 수 있으리라 본다.

영재 개별화 교육에 관한 과학영재 지도교사들의 인식 (The Perception of Gifted Science Teachers Regarding a Individualized Instruction for Scientifically Gifted)

  • 김수연;한신;정진우
    • 대한지구과학교육학회지
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    • 제9권2호
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    • pp.199-216
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    • 2016
  • 이 연구의 목적은 과학영재를 위한 개별화 교육과정 및 프로그램의 필요성에 관해 과학영재교육 담당 교사들은 어느 정도 인식하고 있는지를 과학영재 교육기관의 현실에 비추어 심층적으로 탐색하여 문제점들을 짚어보고, 이를 기반으로 하여 앞으로 보다 적극적인 과학영재 개별화 교육과정 및 프로그램의 적용 가능한 방향에 관해 시사점을 도출하는 것이다. 연구 참여자는 과학영재를 지도한 경험이 있고, 영재교육 혹은 과학교과교육 분야로 학위를 가지고 있는 현직 교사를 중심으로 15명을 섭외하여 심층 면담하였다. 연구 결과, 연구 참여자 대부분은 과학영재교육에 있어 이상적인 영재교육은 학생의 성향에 따른 개인적 요구를 이해해야 하고, 학생이 스스로 주도하는 연구방향이어야 한다는 내용으로 개별화 교육의 필요성을 인식하고 있었다. 과학영재 개별화 교육과 관련한 과학영재교육 기관 운영의 문제점으로 교사들은 재정적 지원의 감소를 가장 큰 문제로 들었으며, 교사의 소명의식 및 전문성이 매우 중요한 요소로 언급되었다. 시간, 장소의 제약과 함께 대학입시와 관련된 교육환경의 영향도 무시할 수 없다는 의견이 많았다. 영재교육기관 및 대상자의 과도한 확대와 표준화 된 측정 도구 및 프로그램이 없다는 것, 교사의 일관된 관찰 시스템이 부족하다는 의견도 많았다. 또한, 영재교육기관들의 획일화된 교육과정이 문제점으로 지적되었고, 이미 진행되고 있는 개별화 교육프로그램도 단점이 많고 미미하게 진행되고 있음을 지적하였다. 이에 따라 앞으로 과학영재 개별화 교육을 적용하기 위한 방향으로 교사들은 최적화 된 교육환경과 일관된 정책적 지원을 요구하였으며, 교사의 지속적 관찰이 가능한 시스템이 필요하다는 의견을 피력하였다. 또, 학생 요구에 부합하는 교육과정과 프로그램이 가장 우선시 되어야하며, 협동학습 내에서의 동료학습이 개별화 교육의 대안이 될 수 있다는 응답도 있었다. 이와 함께 개별화 교육에 따른 열등감을 극복하기 위한 처치가 뒤 따라야 한다는 의견도 많았다.

서울시내 계층별 아파트 주민의 영양실태조사 (Food & Nutrition Survey of Specific Areas in Seoul Kores)

  • 김숙희;정진은;이현경;조성수;이영화
    • Journal of Nutrition and Health
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    • 제7권2호
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    • pp.53-63
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    • 1974
  • 서울시내 아파트중에서 경제적인 수준을 볼 때 상(上), 중상(中上), 중(中), 하(下)의 계등별 특색이 나타날 수 있는 한강 멘숀아파트, KIST 아파트, 문화촌 아파트, 북아현 시민아파트 주민의 일반적인 식새활 현황및 영양과 식품 섭취 실태 조사결과는 다음과 같다. A. 조사대상자(調査對象者)의 일반환경(一般環境) 세대주의 학력이 제일 높은 KIST 아파트가 한강 멘숀 아파트보다 식생활비는 오히려 적은 펀이었으나 가족영양 및 기타 영양문제를 항상 고려하고 계획성 있는 식생활을 하는 경향이었다. 고기류, 생선류의 섭취 빈도는 한강멘숀, KIST, 문화촌 아파트는 하루에 한번 섭취하는 경우가 많은 것으로 나타났다. 조리할 때 조미료나 식품의 양은 대부분 눈짐작으로 하지만, 계량컵, 제량스픈, 저울을 사용하는 경우는 KIST 아파트가 제일 많은 편이었고 식사할 때 개인접시 및 napkin의 사용은 한강 멘숀과 KIST 아파트에서 많은 편이었다. 먹고 남은 음식은 조금 남은 것은 버리는 경우가 대부분이고 냉장고에 식품을 보관할 때는 대개 뚜껑을 덮거나 싸서 넣는 경우가 많았다. B. 영양섭취실태(營養攝取實態) 1인(人) 1일(日) 열량 섭취량은 한강멘숀, KIST, 문화촌, 시민아파트 순으로 경제적인 생활수준과 거의 비슷한 경향을 보여 주었으나 총열량 섭취량중 탄수화물, 지방, 담백질의 비율은 이상 권장량인 탄수화물 65%, 지방 20%, 만백질 15%에 거의 비슷한 경향으로 나타났다. 대체적으로 단백질, Fe, Vit. A, Niacin의 의섭취량은 권장량 이상을 취하고 있으나 Ca, Thiamin, Riboflavin, Vit. C의 섭취량은 권장량에 미달되는 경향이 있었다. C. 식품섭취실태(食品攝取實態) 1인(人) 1일(日) 섭취하는 식품의 양은 북아현 시민아파트가 가장 많고 한강 멘숀아파트가 가장 적게 나타나 경제적인 생활수준 혹은 총 Calorie 섭취량과는 반대되는 경향을 나타내었다. 식품 총 섭취량에 대한 각 식품군의 섭취 비율을 보면 어느 아파트나 곡류의 섭취율이 $45{\sim}50%$로서 가장 높은 수치를 나타냈다. 그외의 식품군 중에는 한강 멘숀과 KIST 아파트는 육류의 성취율이 가장 높았고 문화촌과 북아현 시민아파트는 김치류의 섭취율이 가장 높았다. 채소류와 과일류의 섭취율은 한강 멘숀과 KIST 아파트가 높은 반면 저류의 섭취율은 한강 멘숀아파트가 가장 낮았다. 단백질 급원으로서 한강멘숀과 KIST 아파트는 주로 육류를, 문화촌 아파트에서는 곡류와 생선류를 그리고 북아현 시민 아파트에서는 주로 두류를 많이 섭취하는것으로 나타났다.

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