• 보건행정학회지
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• 제20권2호
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• pp.128-143
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• 2010

Objectives : This study aims to estimate the oral antihyperglycemic medications adherence among ambulatory care with adult type 2 diabetes patients and to identify factors affecting the medication adherence in Korea. Methods : This study used the Korean National Health Insurance Database. Study population was 40,082 patients who were 20 years of age or older and first diagnosed with type 2 diabetes (ICD-10: E11) in 2004. The patients were followed up for two years in order to measure adherence with oral antihyperglycemic medications. The level of medication adherence was measured by the medication possession ratio (MPR). Results : The average MPR in the study population was 49.5%. The appropriate adherence rate (MPR$\geq$80%) was 29.4% and showed variation according to the characteristics of individual patients. Multiple logistic regression analysis revealed that the odds of appropriate adherence increased with female (OR:1.21, CI:1.14-1.27), older age, increasing ambulatory care visits, health insurance (OR:1.53, CI:1.33-1.76), decreasing ambulatory care providers, using a specialized general hospital as their main attending medical institution (OR:10.08, CI:8.96-11.33), having co-morbidity, using polytherapy (OR:1.07, CI:1.01-1.13). Conclusions : The medications adherence for patient with type 2 diabetes is low in Korea, and shows variation according to the characteristics of patients. For proper management of diabetes, health care policy is expected to be enacted to improve medications adherence continuously. In particular, more intensive management is needed for patients with low medications adherence. Also, health care policy makers need to develop the program to induce health care utilization by a patient to be more concentrated with the same provider.

• 보건행정학회지
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• 제18권1호
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• pp.85-107
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• 2008

This study aims to describe levels and distribution of the continuity of primary care among children and adolescent patients who are 2-19 years old, and analyze the effects of it on the risk of hospitalization. Study population was 2-19 year old child and adolescent patients as of 2002, who had more than three ambulatory care visits in the years of 2002-3 and whose most frequent provider was the primary care practices (189,660 persons). Association of levels of primary care with the risk of hospitalization was evaluated using multiple event survival analysis. Outcome variables were whether the patient had hospitalized or not, and whether the patient had hospitalized due to ambulatory care-sensitive conditions or not. Multiple event survival analysis revealed statistically significant association of the levels of primary care with the risk of hospitalization. Hazard ratio was 1.34 [1.27-1.41] at the medium level of continuity and 1.47 [1.39-1.55] at the lower level where outcome variable was whether the patient had been hospitalized or not. Hazard ratios were 1.35 [1.21-1.50] at the medium level of continuity and 1.60 [1.44-1.78] at the lower level, where outcome variable was whether the patient been had hospitalized due to ambulatory care-sensitive conditions or not. This study produced some evidences on the benefits of continuity of care, which will in turn support the introduction of personal doctor registration program in the future.

• 성인간호학회지
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• 제15권1호
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• pp.94-104
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• 2003

Purpose: This study was performed to identify the factors which affected exercise and the perceived exercise behaviors in women according to Q-methodology and to provide basic strategies for health promotion of middle-aged women in Korea. Method: Q-methodology provides a scientific method for identifying perception structures that exist within certain individuals or groups. Thirty subjects in Seoul, Incheon, Chung-buk classified 35 selected Q-statements in to 9 points standard. The collected data was analyzed by using a QUANL pc program. Result: Principal component analysis identified 3 types of exercise behavior of middle-aged women in Korea and named by the researcher. They are called persistent activity preference type, living-exercise preference type, exercise mania type. In persistent activity preference type, the middle-aged women thought activity was very helpful to achieving health and releasing stress or fatigue. Also, they recognized the relationship between physical health and psychological health. In living-exercise preference type, the middle-aged women preferred maintaining stability or nonactivity to intended exercise or activity for health. In exercise mania type, the middle-aged women thought there was no other way to keep her health than to exercise. Conclusion: The findings of this study will provide the health care provider including nurse with useful information. It's very important to offer appropriate exercise intervention to the middle-aged women of each type by taking into consideration the characteristics of individual types.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2013년도 춘계학술대회
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• pp.620-622
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• 2013

오늘날 웹 브라우저를 이용한 실시간 화상통신기술이 대두되고 있다. 기존의 화상통신 방식은 각각의 서비스 제공사의 특정 서버와 프로그램을 통해 화상통신을 제공하는 방식이었다. 화상통신 솔루션을 제공하는 회사의 서버를 이용하거나, 사용자 집단에서 별도의 화상통신을 이용하는 서버를 별도로 구축하여 이용하거나, 특정 소프트웨어를 사용한 자체네트워크를 사용하여 제한된 환경에서 화상통신을 이용하는 구조였다. 또한, 엑티브엑스(Active-X)나, 플러그인(Plug-in) 등을 별도로 설치해야 서비스의 이용이 가능하였다. 이에 본 논문에서는, HTTP를 활용한 웹상에서 HTML5와 스크립트를 사용하여 별도의 엑티브엑스나 플러그인을 설치하지 않고 웹 기반 실시간 화상통신 기술을 활용하여 웹 브라우저를 통해 실시간으로 인터넷이 가능한 환경에서 화상통신이 가능한 시스템을 구현하였다.

• 한국의료질향상학회지
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• 제10권1호
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• pp.8-19
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• 2003

Background : There have been many studies and efforts about quality management in health services, but there were not founded quality assessment on social services. This study was designed for understood level of quality on social service, identified for correlation factors of quality assessment on social services in general and teaching hospitals in Korea. Methods : The subjects of this survey were 80 leaders of social service units. The survey data from each subjects were measured to evaluate level of quality that service provider perceived of sample hospitals. Social worker's attitude of quality assurance activities, perception of quality assurance system in that hospitals were measured. Under the method of one-way ANOVA, t-test and correlation, associated factors of quality assessment in social work service was analyzed. Results : The major findings were as following ; First, the level of quality perceived showed less score, especially the lowest was the score of quality of outcome. Second, social worker's attitude of quality assurance activities showed high score, but quality assurance system of hospitals showed less score. Third, the level of quality assurance system of hospitals, social worker's attitudes of quality assurance activities. Conclusion : The quality of social work service correlated positive hospitals's quality assurance system, social worker's attitudes of quality assurance activities. Therefore, to assure the proper level of quality, qualified for hospitals system of quality assurance, and needed to a educational program for enhanced social workers's attitudes in quality assurance activities.

• 대한영양사협회학술지
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• 제12권2호
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• pp.157-171
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• 2006

This study was intended to suggest HACCP-based standard recipe for bellflower roots, classified as no thermal cooking process, served in a university foodservice operation. The time-temperature and microbial contamination level in each cooking step were analyzed. The temperatures of bellflower root, peeled garlic and green onion at receiving were at 13.8$\pm$2.8, 12.6$\pm$2.9 and 13.7$\pm$$0.8^\circC$ respectively, which were above the temperature limit. The time consumed for pre-preparation was up to 90 min at room temperature having high microbial growth potential. The levels of total plate counts (TPC) of bellflower root and garlic were over the limit of $10^6$ CFU/g as were the numbers of coliforms in bellflower roots. There were no microbial reductions in pre-preparation and cooking, which resulted in over $10^5$- $10^6$ CFU/g of TPC at service step. Two CCPs identified were washing/sanitation at pre-preparation and service steps. The control measures were washing/sanitation and temperature control. It was verified that CCPs for no cooking process developed in preceding studies were applicable for the microbiological food safety of this menu item. The HACCP-based standard recipe was developed to produce a quantity for 100 servings by observing the critical limits established for CCPs. These results suggest that the selection of proper provider is imperative to control the microbial contamination of raw materials at purchasing step. Also, the sanitary education program should be developed for the employees to understand and comply the HACCP plan and standard recipe.

• 대한화학회지
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• 제62권6호
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• pp.441-452
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• 2018

이 연구는 교수 활동에 어려움을 겪는 초임 중등과학교사를 대상으로 실시한 협력적 멘토링 과정에서 멘토교사의 멘토링 유형이 어떻게 나타나는지 살펴보고, 멘토링이 진행됨에 따라 멘토교사의 멘토링 유형이 어떻게 변화하는지 알아보고자 하였다. 이를 위하여 멘토링에서 수집된 멘토교사와 멘티교사의 일대일 멘토링 대화를 질적으로 분석하였다. 연구 결과, 협력적 멘토링 과정에서 멘토교사는 관찰자, 비판적 동료, 지원자, 지시자, 역할 모델, 평가자, 상담자, 동반자 등 다양한 역할을 수행하였다. 그러나 멘토교사의 멘토링이 멘티교사의 과학교수에 대한 인식 변화를 가져오지 못하는 경우에는 멘티교사의 수업에서 긍정적인 변화가 나타나지 않았다. 따라서 멘토교사는 멘토링을 실시하기 전 멘티교사와 함께 과학교수에 대한 신념, 멘토링 방법 등에 관해 구체적으로 논의하는 시간을 충분히 가져야 할 것이다. 또한 멘토교사는 멘티교사의 수업 전문성 향상을 유도하기 위해 다양한 역할이 존재하고 있음을 인식하고, 자신의 멘토링 과정을 평가하는 데에도 이를 활용할 수 있어야 할 것이다.

• 한국의료질향상학회지
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• 제9권2호
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• pp.134-147
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• 2002

Background : As an empirical study, current research about the quality of social services carried out in general and teaching hospitals across the country. In the flux of health care reforms and market transformation, the quality of social services in the hospital becomes increasingly significant. Methods : A sample of total 80 hospitals, including general hospitals with one social worker at least and single-department hospital with two social workers or more, were identified nationwide through the registry of Korean Association of Medical Social Workers and Korean Association of Hospitals. The subjects of this survey were 80 leaders of social service units. The survey data from each subjects were measured to evaluate level of quality that service provider perceived of sample hospitals. Under the method of one-way ANOVA and multiple regression, the level of quality in social work service was analyzed. Results : The major findings were as following ; First, the level of quality perceived showed less score, especially the lowest was the score of quality of outcome. Second, the key variables of each hospital which turned out significantly different in quality of social work service were the departmental form of social work unit, unit leader's age, educational level, field experience, and job rank. Third, the level of quality of social work service correlated positively with the field experience of unit leader, the size of social work unit, the job rank of the unit leader. Conclusion : The most influential variables to the quality of social work service proved departmental form of social work unit, leader of social work unit. Therefore, to assure the proper level of quality, social work unit in hospital must be structured single, independent department in which entitled social worker is supposed to supervise and manage. And a leadership-development program for leaders in social work unit are strongly recommended.

• 디지털융복합연구
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• 제14권12호
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• pp.345-355
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• 2016

다문화 사회에서 문화적 역량은 간호제공자에게 필수적으로 요구되는 능력으로, 본 연구는 간호대학생의 자아성찰, 비판적 사고성향 및 다문화 경험이 문화적 역량에 미치는 영향을 확인하고자 시도되었다. 연구 대상은 경기도에 소재한 일개 간호대학생 148명이며 문화적 역량에 미치는 영향을 확인하기 위해 상관관계 및 다중회귀분석을 실시하였다. 연구결과 자아성찰, 비판적 사고성향 및 다문화 경험과 문화적 역량 간에 정적 상관관계가 있었고, 비판적 사고성향(${\beta}=0.27$, p=.005)과 자아성찰(${\beta}=0.21$, p=.040)이 문화적 역량에 주요한 영향 요인으로 문화적 역량의 26%를 설명하는 것으로 확인되었다. 따라서 간호대학생의 문화적 역량 향상을 위해서 자아성찰과 비판적 사고성향을 향상시킬 수 있는 내용과 방법들을 융합적으로 다문화 교육 프로그램 개발 및 개선 시 포함할 것과 문화적 역량에 영향을 미치는 다양한 요인을 좀 더 탐색하여 이론적 모델을 수립하는 연구 수행을 제언하고자 한다.

• 디지털융복합연구
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• 제16권10호
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• pp.379-387
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• 2018

돌봄은 간호제공자에게 필수적으로 요구되는 능력으로, 본 연구는 간호대학생의 자아성찰, 자아상태, 변혁적 리더십이 돌봄 능력에 미치는 영향을 확인하고자 시도되었다. 연구 대상은 경기도에 소재한 일개 간호대학생 199명이며 자료분석을 위해 상관관계 및 다중회귀분석을 실시하였다. 연구결과 간호대학생들의 자아성찰(${\beta}=0.10$, p<.05), 변혁적 리더십(${\beta}=0.13$, p<.05), 자아상태별로는 양육적 부모(NP) 자아(${\beta}=0.27$, p<.001)와 자유 어린이(FC) 자아(${\beta}=0.22$, p<.001), 비판적 부모(CP) 자아(${\beta}=-0.24$, p<.001)와 순응적 어린이(AC) 자아(${\beta}=-0.35$, p<.001)가 돌봄 능력에 유의한 영향요인으로 돌봄 능력의 54%를 설명하는 것으로 확인되었다. 이러한 결과는 향후 간호대학생의 돌봄 능력 향상을 위해 자아성찰 촉진, 자아상태의 긍정적 측면 개발 및 변혁적 리더십을 향상시킬 수 있는 융복합적 교육프로그램을 개발에 기초자료로 활용될 수 있을 것으로 기대된다.