• Title/Summary/Keyword: Post-package

Search Result 143, Processing Time 0.022 seconds

Public Participation in Healthcare Decision Making : Experience of Citizen Council for Health Insurance (보건의료 정책 의사결정과 시민참여 : 『건강보험 보장성 시민위원회』의 사례)

  • Kwon, Soonman;You, Myoungsoon;Oh, Juhwan;Kim, Soojung;Jeon, Boyoung
    • Health Policy and Management
    • /
    • v.22 no.4
    • /
    • pp.467-496
    • /
    • 2012
  • Public participation in the decision making for scarce health resources is important because health policy requires trust based consensus, which can be achieved by public's understanding and involvement of related policies. In the past, opportunities for interaction between health policy decision makers and lay public were rare in Korea. As political impulses towards public participation in health policy have increased, a few of deliberation methods were attempted. However, there is little research, reporting such cases with a critical examination of relevant theories and previous studies. We first critically review the literature on public participation within theories of democracy, governance, and empowerment. Next, we report a case of a citizen council experiment, which was held to examine public's preferences among different benefit options regarding new drugs and medical technologies. Specifically, in an one-day long citizen council with a total of 28 lay public, twelve questions of whether a drug or a technology should be included in the benefit package of health insurance were asked. Pre- and post-surveys investigated participants' perception of public engagement in health policy. Although it was experimental, the citizen council ensured that lay public could be careful enough to rationally compare the costs and benefits of different options and collectively make decisions. Further, results from pre- and post-survey showed a strong willingness of members to be involved in health care decision making. In the conclusion, we emphasize that better theories and methods need to be developed for more cases of citizen participation in health care policy and management.

Effects of Perceived Parental Attitudes on Children's Views of Smoking

  • Ozturk, Candan;Kahraman, Seniha;Bektas, Murat
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.14 no.4
    • /
    • pp.2615-2619
    • /
    • 2013
  • Background: The aim of this study was to examine the effects of perceived parental attitudes on children's discernment of cigarettes. Materials and Methods: The study sample consisted of 250 children attending grades 6, 7 and 8. Data were collected via a socio-demographic survey questionnaire, the Parental Attitude Scale (PAS) and the Decisional Balance Scale (DBS). Data analysis covered percentages, medians, one-way analysis of variance (ANOVA) and post-hoc tests using a statistical package. Results: There were 250 participants; 117 were male, 133 were female. The mean age was $13.1{\pm}0.98$ for the females and $13.3{\pm}0.88$ for the males. A statistically significant difference was found in the children's mean scores for 'pros' subscale on the Decisional Balance Scale (DBS) according to perceived parental attitudes (F=3.172, p=0.025). There were no statistically significant differences in the DBS 'cons' subscale scores by perceived parental attitudes. Conclusions: It was determined that while perceived parental attitudes affect children's views on advantages of smoking, they have no effect on children's views on its disadvantages.

The Effect of Music Therapy on Anxiety in Neurotic Patients (음악요법이 신경증 환자의 불안에 미치는 영향)

  • 김소야자;한금선
    • Journal of Korean Academy of Nursing
    • /
    • v.26 no.4
    • /
    • pp.889-902
    • /
    • 1996
  • The purpose of this study was to identify the effects of music therapy on anxiety in neurotic patients. The subjects of the study were 41 patients that had been diagnosed as having anxiety disorder, neurotic depression, or somatization disorder and were admitted to one general hospital in Seoul. The 41 research subjects were assigned to an experimental (22 clients) and a control (19clients) group. Data were gathered from September. 25, 1995 to December. 15, 1995 using a questionnaire and physiological measurement tool. Data were analyzed with the SAS package using frequency, t-test, paired t-test and Pearson correlation coefficients. The results of this study are as follows ; 1. There were significant differences between two groups on systolic and diastolic blood pressure, and pulse rate after treatment. In the experimental group, Systolic and diastolic blood pressure, and pulse rate decreased significantly after Music Therapy. 2. There were no significant differences between the two groups on the pre and post psychological anxiety score. But, after music therapy, experimental group had a lower psychological anxiety score than the control group. From these results, it is concluded that the music therapy can be effective in decreasing anxiety in neurotic patients.

  • PDF

The Influence of Family-of-Origin Differentiation on Marital Intimacy: Mediating Effects of Identity and Attitudes toward Children (원가족 분화경험이 기혼남녀의 부부친밀감에 미치는 영향: 자아정체감과 자녀에 대한 태도를 매개로)

  • Pak, Bong-Sun;Kim, Yeong-Hee
    • Journal of the Korean Home Economics Association
    • /
    • v.48 no.9
    • /
    • pp.1-11
    • /
    • 2010
  • The purpose of this study was to investigate the effects of family-of-origin differentiation, ego identity, and attitudes toward children on marital intimacy among married men and women. The participants of this study were 261 married men and 274 married women whose marital period were less than 14 years, and whose first child was less than 12 years old and who were living in Chungbuk Province. Data were analyzed by frequency, percentages, ttest, F-test with Tukey test for post-hoc test, Cronbach ${\alpha}$ for reliability analysis, factor analysis, and Pearson's correlation using the SPSS program(12.0 version). The model test was done with analysis of correlational matrix by the AMOS 5.0 package using a maximum likelihood estimation. Family of origin differentiation, ego identity, and attitude toward children had different effects on marital intimacy according to gender. Also, ego identity was the strongest predictor of men's marital intimacy whereas attitude was the strongest for women's marital intimacy.

Meta-Analysis of Effects on Smoking Prevention Programs for the Adolescent in Korea (청소년 흡연예방프로그램 효과의 메타분석)

  • Park, In-Hyae;Park, Jung-Soo;Kim, Youn-Kyoung
    • Korean Journal of Health Education and Promotion
    • /
    • v.23 no.3
    • /
    • pp.1-16
    • /
    • 2006
  • Objectives: To analyze the characteristics of smoking prevention programs for the adolescent, and to synthesize the common effect sizes on smoking prevention programs for the adolescent. Methods: Seventeen studies for meta-analysis were selected from dissertations, these, and papers that had been published from 1996 to 2005 and had a randomized or nonequivalent control group in a pre test-post test design. The analysis of the data was computed by using the meta-analysis software package developed by Song(2003). Results: Smoking prevention programs for the adolescent have resulted in a significant effect size on smoking-knowledge( .62), smoking-attitude( .55) of smoking prevention programs for the adolescent showed more than 'medium effect' size. In smoking-knowledge and amount of smoking, the effect size was smoking-attitudes, the effect size was large in the studies which consists of more than 10 sessions of intervention. Conclusion: From the above results, we notice that the smoking prevention programs for the adolescent were effective in increasing the smoking-knowledge, smoking-attitudes, and the intention of smoking-cessation.

The Development of Aquatic Health Exercise Program for the Old (노인 건강운동 프로그램 개발)

  • Choi Jae-Cheong;Han Dong-Wook;Lee Jeong-Woo
    • The Journal of Korean Physical Therapy
    • /
    • v.17 no.2
    • /
    • pp.11-22
    • /
    • 2005
  • Purpose: The purpose of this study was to investigate the effects of aquatic health exercise program for the old. Methods: 20 healthy female with an average age of 71years($71{\pm}4.2$), were participated in this study. The aquatic health exercise program that include warm-up, stretching, strengthening exercise, WATSU and cool-down was performed in the pool two times a week for eight weeks(40min per one session). Body composition, strength of the both knee flexors and extensors, balance ability(sway area and path), whole body reaction time and flexibility(forward reaching test in long sitting) were measured before and after exercise. The data was analyzed with paired t-test to determine significant differences of all suggested factors between pre and post-exercise by make use of the SPSS(ver 10.0) package program. Results: The strength of the both knee flexors and extensors were increased significantly(right knee; p<0.01, left knee; p<0.05). Anteroposterior sway area (p<0.01), and sway path (p<0.001) of both leg were reduced significantly with eyes closed and opened. Whole body reaction time by optical stimulation was increased significantly (p<0.01) but whole body reaction time by auditory stimulation was no significant difference. The flexibility was increased significantly (p<0.01). Conclusion: Aquatic health exercise program can improve muscle strength, balance, whole body reaction, and flexibility.

  • PDF

Knowledge, practice, and awareness toward oral health in the special school teachers (일부 특수학교 교사의 구강보건지식, 실천 및 인식도 조사)

  • Kim, Jung-Hee;Yoo, JA-Hea
    • Journal of Korean society of Dental Hygiene
    • /
    • v.14 no.5
    • /
    • pp.731-738
    • /
    • 2014
  • Objectives : The purpose of this study is to investigate the knowledge, practice, and awareness toward oral health in the special school teachers. Methods : A self-reported questionnaire was filled out by 133 teachers in special education schools in Seoul, Gyeonggi-do, Chungbuk, and Jeonbuk. Data were analyzed using the statistical package SPSS WIN 12.0 for frequency, t-test, one-way ANOVA, Scheffe test(post hoc test), and Pearson's correlation coefficient. Results : In oral health knowledge, the average score of female teachers was 8.31 in comparison to 7.75 in male teachers(p<.05). In oral health practice, the average score of female teachers was 3.71 and that of male teachers was 3.69. In oral health awareness, the average score of female teachers was 4.12 and male teachers had 3.93. The teachers in special schools had a close positive correlation between oral health awareness and practice(r=.448, p<.05). Conclusions : The teachers tended to have better knowledge of oral health but they did not practice the oral health behavior. The teachers have the important role in oral health management for the disabled children by providing the right toothbrushing method.

Arc-length and explicit methods for static analysis of prestressed concrete members

  • Mercan, Bulent;Stolarski, Henryk K.;Schultz, Arturo E.
    • Computers and Concrete
    • /
    • v.18 no.1
    • /
    • pp.17-37
    • /
    • 2016
  • This paper compares the arc-length and explicit dynamic solution methods for nonlinear finite element analysis of prestressed concrete members subjected to monotonically increasing loads. The investigations have been conducted using an L-shaped, prestressed concrete spandrel beam, selected as a highly nonlinear problem from the literature to give insight into the advantages and disadvantages of these two solution methods. Convergence problems, computational effort, and quality of the results were investigated using the commercial finite element package ABAQUS. The work in this paper demonstrates that a static analysis procedure, based on the arc-length method, provides more accurate results if it is able to converge on the solution. However, it experiences convergence problems depending upon the choice of mesh configuration and the selection of concrete post-cracking response parameters. The explicit dynamic solution procedure appears to be more robust than the arc-length method in the sense that it provides acceptable solutions in cases when the arc-length approach fails, however solution accuracy may be slightly lower and computational effort may be significantly larger. Furthermore, prestressing forces must be introduced into the finite element model in different ways for the explicit dynamic and arc-length solution procedures.

Exploring customer delight experiences in online shopping malls (온라인 쇼핑몰에서의 고객 감동경험 고찰)

  • Park, Kyungae;Heo, Soonim
    • Korean Journal of Human Ecology
    • /
    • v.22 no.2
    • /
    • pp.301-313
    • /
    • 2013
  • Though customer delight is becoming one of the most important marketing key words, research in a retail setting is limited. With the dramatic growth of online retail shopping, this study explored customer delight experiences in online shopping malls by identifying the delight elements and analyzing the elements by online purchase steps. A total of 124 delight experiences collected from an unstructured questionnaire were content-analyzed. Delight elements in online shopping were categorized into service, product, price, delivery, package, and shopping mall operation in that order. Service related elements including free gifts and letters, recovery efforts for service failure, kind employees, and easy return were most frequently observed. Delights were experienced at the product receiving point, the prior-to-purchase point, the order-to-delivery point, and the post-purchase point in that order. The results revealed that customer delights in online shopping were experienced in various purchase steps by various marketing elements. Based on the results the study provided research propositions exploring the effects of expectation vs surprise, monetary vs non-monetary/emotional benefits/rewards, and core marketing elements vs augmented services on delight experiences.

The Effect of Meridian Points Massage Nursing Intervention on the Recovery of Facial Paralysis (안면경락마사지 간호중재가 뇌졸중 환자의 안면마비 회복에 미치는 영향)

  • 이향련;김병은
    • Journal of Korean Academy of Nursing
    • /
    • v.31 no.6
    • /
    • pp.1044-1054
    • /
    • 2001
  • The purpose of this study was to develop on east-west nursing intervention program. This study was conducted to identify the effectiveness of using facial meridian points for massage nursing intervention on the recovery of facial paralysis for 46 patients (22 for experimental group). All had suffered from strokes, and were also admitted to the division of oriental medicine in K University Hospital. Method: Data was collected from February 1st to December 31st of 2000. This study used a quasi experimental, non-equivalent control group pre-test and post-test design. The recovery of facial paralysis was measured by the difference between left and right facial length, observation and self report on a seven point scale, and facial discomfort by a facial scale after 6-7 facial massages in a two week period. Data was analyzed using the SPSS package program with x2 and t test. Result: The result of this study are as follows; The experimental group who received the facial meridian massage showed higher scores in recovery of facial paralysis (t=2.72, p=.009), and a smaller difference between left and right facial strength than those in control group (t=2.26, p= .29). The discomfort of the facial area in the experimental and control group showed no significant differences. Conclusion: These findings indicate that a facial meridian points massage could be an effective nursing intervention to the recovery of facial paralysis. This study contributes in developing an east-west nursing intervention with the oriental meridian theory and western massage therapy.

  • PDF