• 제목/요약/키워드: Reason for the Visit

검색결과 113건 처리시간 0.027초

사업장 보건관리 사업의 형태별 수행성과 분석 -비용편익 분석을 중심으로- (Performance of Occupational Health Services by Type of Service : Cost Benefit Analysis)

  • 조동란;김화중
    • 한국직업건강간호학회지
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    • 제4권호
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    • pp.5-29
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    • 1995
  • Occupational health services in Korea have been operated as dual types : one is operated by occupational health care manager and the other is health care agency without their own personnel. The performance of occupational health service should be different due to the variety of characteristics of health care manager and workplace, qualification of health care manager. This study is to analyze performance of occupational health care services with a particular consideration of job performance shape and efficiency, based on comparing those two types of health care management to show on the basic data for the settlement of more qualitative health care management system at workplace. For this study, total 391 places in Seoul and Inchon city area ; 154 places (39.4%) managed by designated health care manager and 237 places (60.6%) by the agency with their commission are selected as research samples. Tools for data collection are questionnares that have been investigated during the period of 20 September 1993-20 December 1993. Those data are compared with percentiles, mean, standard deviation and B/C ratio using SPSS PC program. Conclusions observed from the tests and each comparison could be summerized as follows : 1. Occupational health care have been accomplished at workplaces with designated people than with agencies people, and coverage rate of the occupational health care services has differences, due to management types. The reason of these results is due to visit only one or two times monthly by the agencies, while their own health care manager obsess, at the workplaces all the times. 2. Most of the expense for environmental control of all health care services expenditures shows that there is almost no fundamental improvement because more expenses are needed for procuring personal protective equipment and measuring work environment instead of environmental improvement. 3. It is investigated how much the cost of occupational health care services needs per worker, and calculated how much the cost needs per service hour per worker. The results from this show that the cost of occupational health services at workplaces with their own managers used less than the cost of health care agencies, eventually the former gives better services with less cost than the latter. 4. Benefit/Cost ratio is also produced by total benefit/total cost. The result from the above way reads 4.57 as a whole, while their own manager having workplaces reads 4.82 and the agencies do l.56. Even if their own manager performing workplaces spent more cost, this system produces more benefit than the agencies management. 5. The B/C ratio for medical organization such as local clinic, health care center and pharmacy shows more than or equal to at the workplaces controlled by the agencies. It is inferred that benefit would be much less than the cost used, with so being inefficient. 6. It is assumed that the efficiency ratio of health education is equal to reduction rate of workers medical organization visit. Estimated reduction rate 5%, 10%, 15%, show that the efficiency ratio of health education have an effect on producing benefits. It is estimated that more benefit can be produced if more qualitative education will be provided for enhancing health care efficiency. 7. Results of this study cannot be generalized because there are large scale of deviation in case of workplaces with less than 300 full time workers, but B/C ratio reads 2.69 as a whole and 3.25 at workplaces with their own health care manager are higher than 1.63 at the workplaces manged by the agencies. Finally, all the benefit concerning health care services could not be quantified, measured and shown on the value of money. This is a reason that a considerable part of benefits are so underestimated. This is also thought that measurement tools should be developed for measuring benefits of health care services with a comprehensive quantification. in the future. It is also expected that efficiency of occupational health care services should be investigated using cost-effectiveness analysis.

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전국 공공도서관 대출규정 조사 연구 (A Study on the Book Circulation Rules of Public Library in Korea)

  • 윤희윤
    • 한국도서관정보학회지
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    • 제51권1호
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    • pp.349-372
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    • 2020
  • 동서양을 불문하고 공공도서관은 장서를 기반으로 지역사회에 다양한 서비스를 제공한다. 지역주민이 공공도서관을 방문하는 결정적인 이유도 자료의 열람과 대출에 있다. 이러한 행위와 서비스를 지원하기 위한 중요한 조건정비가 대출(이용)규정이다. 이에 본 연구는 전국 공공도서관의 대출규정 중에서 회원자격, 대출권수, 대출기간, 예약과 갱신, 재대출, 대출연체에 대한 제재, 분실·파오손 도서의 처리, 비도서자료 대출여부, 사회적 약자인 장애인에 관한 규정을 발췌하여 권역별로 비교·분석하였다, 그리고 주요 선진국의 도서관 사례와 연계하여 상대적 편차를 확인한 후 공공도서관 대출규정의 개선안을 제시하였다. 공공도서관이 대출서비스에 대한 민원과 불만을 최소화하고 회수불능 자료에 대한 감사와 불이익 등 실무자 부담을 해소하려면 대출규정을 충실하게 재정비해야 한다.

산정특례제도가 미충족 의료경험에 미치는 영향: 2·4차 한국의료패널자료를 이용하여 (The Relief Effect of Copayment Decreasing Policy on Unmet Needs in Targeted Diseases)

  • 최재우;김재현;박은철
    • 보건행정학회지
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    • 제24권1호
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    • pp.24-34
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    • 2014
  • Background: Bankrupted households have recently been increased due to excessive medical expenditure in Korea. They have not been protected from economic risk when household's member has severe diseases that need a lot of money for treatment. Purpose of this study examines policy effect by comparing unmet needs' change of policy object households and non-object groups. Methods: We used Korea Health panel 2nd 4th data collected by Korea Institute for Health and Social Affairs and National Health Insurance Service. Analysis subjects were 381 households (pre-policy) and 393 households (post-policy) that had cancer and cardiovascular and cerebrovascular diseases. Since it was major concern that estimates benefit strengthening policy started by certain time, we setup comparing households which had diabetes, hypertension disease. Comparison subjects were 393,247 households, respectively and we evaluated policy effect using difference in difference (DID) model. Results: Although unmet needs of policy object households were higher than non-object groups, policy execution variable affected negative direction. But interaction-term which shows pure effect of policy was not statistically significant. We utilized multi-DID model to examine factors affecting unmet needs causes. Copayment assistance policy did not significantly affect households that responded to 'economic reason,' and 'no have time to visit' for unmet needs causes. Conclusion: The second copayment assistance policy did not significantly give positive effect to beneficiary households than non-beneficiary groups. When we consider that primary purpose of public insurance guarantee high medical expenditure occurred by unexpected events, it needs to deliberate on switch of benefit strengthening policy that can assist vulnerable people. Also, we suggest that government forward a policy covering non-reimbursable medical expenses as well as switch of benefit strengthening direction because benefit policy do not affect non-covered medical cost which accounts for quarter of total health expenditure.

미용실 재방문과 미용 서비스 품질과의 상관관계 (The Correlation Between Revisiting of Beauty Shop and Quality of Beauty Service)

  • 지정훈;최근희
    • 한국패션뷰티학회지
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    • 제3권3호
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    • pp.11-23
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    • 2005
  • This never-ending changes and everlasting challenges under the industrial circumstances induce us to compete against survival or selection. We accordingly need to take steps in order to survive excessive competitions by the various differentiated strategies in Beauty and Cosmetology markets. The purpose of this study aims for making the best use of this actual proof which enables the effective customer management and managerial things of beauty shop through theoretical contemplation in all aspects of managerial beauty shop and the reason why the customers give the second visit(revisit) or choosing the shop again(coming again) by demographic characteristics. The method of this study was surveying 200 re-visited customers at the same beauty shop in GwangJu Metropolitan city for a whole year by questionnaire regarding the correlation between revisiting of the same beauty shop and demographic characteristics. After surveying, we coded these questionnaires finding out its distribution(range) by SPSS statistical package with Frequency Analysis in response to demographic characteristics and also performed ANOVA and Regression. In brief, there is big difference between men and women which explains the second visiting(revisit) originates in technical fact; hair protection. Most women have paid great attention to their hair protection while men mostly have ignored. However, men attached themselves to the hairdressers' appearances and the distance from their house to the beauty shop which did not mean a lot to women. Beside s, there were many differentiation in accordance with marital status, age, education and their business. With this study, we easily generalize the fact that customers revisit a beauty shop not because of beauty shop facilities but because of human interests.?Beautician's service has certain specialties which show the interaction between customer and beautician in the field. Now we can come to this conclusion that we need to endeavor to develop the service spirit and employees' welfare. Their attitudes towards job satisfaction go well with customer ' s satisfaction in this way.

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전문대 여대생의 인터넷쇼핑몰 이용과 구매성향에 관한 연구 (A Study on Usage of Internet Shopping Mall and Purchasing Tendency of Female College Students)

  • 정명희
    • 한국의상디자인학회지
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    • 제18권2호
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    • pp.93-100
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    • 2016
  • This paper aimed to provide the basic data on consumers' purchasing tendency required to start and operate online shopping malls on internet. The survey selected the female college students from 19 to 24 years old majoring fabric and fashion design in colleges in Gyeonggi-do. Total 283 questionnaires were selected for statistical analysis. The analysis results are presented below. The first online shopping was during the middle school times showing the highest responses as 63.54%, followed by high school times, college times and elementary school times in that sequence. Most female college students(97.88%) purchased goods from online shopping malls. The purposes of search in online shopping malls were 'need to purchase goods(47.18%)', 'habit/hobbies(27.57%)', 'need to collect data on goods(20.27%)' and 'to relieve stresses(4.98%)'. About 50% of respondents selected 'I visit mainly several online shopping malls. If there is no goods that I try to find, I search other sites and purchase what I want to buy(46.57%).' For the goods purchased from online shopping malls, everyday wears showed the highest ratio, 85.92%. About the time to purchase goods related to trends, most respondents selected 'purchase whenever it is necessary without respect to trends(87%).' Main considerations when the respondents purchased the goods from online shopping malls were 'design(64.98%)', 'price(18.41%)', 'quality(11.20%)', 'company recognition(2.53%)', 'color(1.44%)', and 'materials (1.44%)' in that sequence. 64.62% of respondents had the experience of returning goods after purchasing from online shopping malls. The reason why the respondents returned goods after purchasing from online shopping malls was mainly 'because of size(52.17%)', the response with the highest ratio. 42.24% responded that they experienced damage by washing the goods purchased from online shopping malls. It was found that the respondents didn't think about the country of manufacturing when purchasing goods from online shopping malls.

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Fatigue and weakness hinder patient social reintegration after liver transplantation

  • Kang, So Hyun;Choi, YoungRok;Han, Ho-Seong;Yoon, Yoo-Seok;Cho, Jai Young;Kim, Sungho;Kim, Kil Hwan;Hyun, In Gun;Shehta, Ahmed
    • 대한간학회지
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    • 제24권4호
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    • pp.402-408
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    • 2018
  • Background/Aims: With improvements in the survival of liver transplantation (LT) recipients, the focus is shifting to patient quality of life (QOL), and employment is an important factor in aiding the social reintegration of LT patients. This study aims to evaluate the current employment status of liver graft recipients and various factors that may hinder reemployment. Methods: Fifty patients above age 18 who underwent either living or deceased donor LT at a single center from March 2009 to July 2016 were interviewed during their visit to the outpatient clinic. The internally developed questionnaire consisted of 10 items. The Karnofsky Performance Scale and EQ-5D were used to evaluate patient function and QOL. Results: A total of 25 (50%) patients returned to work after transplantation (the working group), and 21 (84%) patients in the working group returned to work within the first year after transplantation. In the non-working group (n=25), 17 (68%) answered that their health was the reason for unemployment. Fatigue and weakness were the most frequent symptoms. Conclusions: The data shows that as many as 50% of total patients returned to work after receiving LT. Fatigue and weakness were the most common complaints of the unemployed group, and resolving the causes of these symptoms may help to increase the employment rate.

주부들의 떡에 대한 인식 및 섭취실태에 관한 연구 (A Study on the Housewives Cognition and Consumption Pattern of Korean Rice Cake)

  • 강근옥;이현자
    • 한국식품조리과학회지
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    • 제16권6호
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    • pp.505-510
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    • 2000
  • The purpose of this study was conducted to find out the housewives cognition and consumption pattern of Korean rice cake. The subject were 315 housewives lived in mainly the capital region(Seoul and Kyonggi-do). A survey questionnaire consisted of three parts including demographic backgrounds, cognition and consumption pattern of Korean Rice Cake. The results obtained would be summarized as follows; 1. Almost all of the housewives(95.9%) were cognized that Korean rice cake is a traditional food, but their cognition of the Korean rice cake as a important food in present dietary life(habits) was very low(22.5%). 2. Almost all of the housewives(94.0%) were cognized that Korean rice cake is a nutritional food and most of them(75.0%) were answered that there are below 50 kinds of Korean rice cake. 3. Although they could make themselves the Korean rice cake(75.9%), didn't make it at home and they were answered(59.4%) for the reason that the recipe for the Korean rice cake is hard. 4. The results of purchasing frequency rate showed that 62.2% of housewives were purchased one to two months and they were purchased most frequently on the birth day followed by a memorial sacrifice day, a festival day, visit and invitation of quest. 5. 98.4% of respondents were answered that the taste of Korean rice cake is good and 96.5% of them were cognized that its price is expensive. 6. The most preferred kinds of Korean rice cakes showed that Red bean Sirudock, Baekseolgi, Injeolmi, Songpyeon, Yaksik etc.

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호텔레스토랑의 식공간 연출이 고객감정반응과 행동의도에 미치는 영향에 관한 연구 (Effect of the Creating of Hotel Restaurant's Dinning Place on the Customers Emotional Response and Behavior Intension)

  • 안형상;조용범
    • 한국조리학회지
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    • 제21권1호
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    • pp.116-128
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    • 2015
  • 본 연구는 부산 경남권의 호텔레스토랑을 방문하여 이용 중인 고객을 대상으로 식공간 연출이 고객감정반응을 통해 고객 행동의도를 높이는지의 간접효과 및 고객감정반응의 매개효과를 검증하여, 지속적으로 호텔 레스토랑을 방문할 수 있는 마케팅 전략의 기초 자료를 제시하고자 하였으며, 식공간 연출은 고객감정반응을 통해 행동 의도에 긍정적인 효과를 미쳤으며, 식공간 연출과 행동의도 간의 관계에서 고객감정반응은 부분매개효과를 가지는 것으로 나타났다. 이를 통해 파악할 수 있는 시사점은 다음과 같다. 첫째, 호텔 레스토랑을 찾는 고객이 다시 찾거나, 다른 사람에게 홍보할 수 있는 행동을 유도하기 위해서는 기본적으로 레스토랑의 식공간이 미각적, 시각적, 청각적, 촉각적, 후각적으로 좋은 연출이 이루어질 수 있도록 전략을 수립하여야 할 것이다. 둘째, 호텔 레스토랑의 식공간이 미각적, 시각적, 청각적, 촉각적, 후각적으로 좋은 연출이 이루어질 수 있기 위해서는 고객의 감정이 즐겁고, 설레이며, 분위기에 끌려야 하고, 분위기에 압도 당하는 기분이 들어 놀라움을 느낄 수 있도록 해야 한다. 셋째, 고객의 긍정적인 감정 반응을 끌어올리는 식공간 연출은 호텔레스토랑을 다시 찾고, 홍보하는 행동 유도를 극대화 할 수 있다.

Delayed-Onset Methicillin-Resistant Staphylococcus aureus Infection at 18 Months after Absorbable Plate Fixation for Zygomaticomaxillary Complex Fracture

  • Lee, Hyun Rok;Shin, Hea Kyeong;Lee, Dong Lark;Jung, Gyu Yong
    • 대한두개안면성형외과학회지
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    • 제17권4호
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    • pp.229-232
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    • 2016
  • None of the reports of delayed infection mentioned a latent period exceeding 13 months. we report an infection that developed 18 months after implantation of an absorbable plate. A 16-year-old adolescent girl had undergone reduction and fixation with an absorbable plate for Lefort I and zygomaticomaxillary complex fractures 18 months prior at our hospital. In her most recent hospital visit as an outpatient, abscess was observed in periocular area. Computed tomography revealed sinusitis with an abscess above the infraorbital rim. Wound culture yielded methicillin-resistant Staphylococcus aureus. Despite conservative treatments, wound state did not improve. Therefore, our department decided to perform surgery. Absorbable plate had been mostly absorbed but remained a bit. Bony depression of infraorbital rim and mucosal exposure of maxillary sinus anterior wall were observed. After the surgery, the patient recovered. We believe that the reason the wound infection and sinusitis manifested at the same time is because of several factor such as alcohol abuse, smoking, and mucosal exposure of maxillary sinus anterior wall. Absorbable plate takes 9 months to 3 years to be completely absorbed, thus we suggest studies with a follow-up of at least 3 years be undertaken to determine the outcomes of patients with many risk factors.

초등학생들의 의료기관 이용양상 및 선택 기준에 관한 연구 (A Study on the Status of Utilization and Criteria for Selection of Medical Care Facilities of Elementary School Children)

  • 한승표;김은영;노영일;양은석;박상기;박영봉;문경래
    • Clinical and Experimental Pediatrics
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    • 제45권2호
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    • pp.166-173
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    • 2002
  • 목 적 : 학동기 소아들의 상병상태, 의료기관 이용 양상, 선택기준 및 관련된 요인 조사하여 현재 소아 환자의 진료의 실태와 문제점을 파악하여 향후 대책을 위한 자료를 제공하고자 실시하였다. 방 법 : 학동기 아동의 의료기관 이용율과 그 관련 요인을 조사 분석하기 위하여 1998년 6월 광주시내 초등학교 학부모 2,036명을 대상으로 설문 조사를 하여 자료를 분석하였다. 결 과 : 1) 총응답자는 2,036명, 남자 1,035명, 여자 1,001명이었고, 남녀비 1.03 : 1 평균나이는 10.6세였다. 2) 질환의 유병률은 32.3%였고, 질환을 계통별로 보면 호흡 및 알레르기 질환 64.7%, 소화기 질환 12.8%, 외상, 치과질환, 기타 순이었다. 치료율은 89.9%였으며, 치료하지 않은 이유로 경미한 증상, 경제적 부담, 바쁜 생활 순이었다. 3) 질환에 이환 된 경우 주로 이용하는 의료기관은 소아과 46.7%, 이비인후과 19.8%, 약국 13.2%, 내과 12.2%, 가정의학과 순이었다. 4) 의료기관의 선택이유는 거리의 근접성, 치료효과, 교통의 편리성, 의사의 유명도, 의료인의 친절도 순이었다. 각 의료기관별 선택이유는 소아과의 경우 거리의 근접성, 이비인후과의 경우 치료 효과, 내과의 경우 의사의 평판이 많은 빈도를 차지하였다. 5) 호흡기 증상의 의료기관 이용도를 보면, 기침의 경우 소아과, 약국, 이비인후과, 내과 순이었고, 콧물의 경우 소아과, 약국, 이비인후과, 내과 순이었다. 열이 있는 경우 소아과, 약국, 이비인후과, 내과 순이었다. 6) 소화기 증상의 의료기관 선호도를 보면, 설사의 경우 소아과, 약국, 내과 순이었고, 변비의 경우 소아과, 약국, 내과 순이었다. 복통의 경우 소아과, 내과, 약국 순이었다. 예방접종은 보건소, 소아과, 내과 순이었고 피부 증상이 있는 경우에 소아과, 피부과, 약국, 내과 순이었다. 7) 연령에 따른 의료기관 선호도는 호흡기 질환의 경우 소아과 이용율의 경우 7세 50%가 점차 감소하여 13세 때는 33.8%로 감소한 반면, 이비인후과의 경우 7세 26.7%, 13세 때 22%로 별 변화 없었으나 내과의 경우 7세 6.7%, 13세 때 10.1%로 약간 증가하였다. 소화기 질환의 경우 소아과 이용율은 7세 때 45.4%였으나 13세 때는 20.2%로 크게 감소한 반면, 내과 이용율은 7세 때 25%, 13세 때 34.8%로 증가하였다. 특히 11세경부터 내과 이용율이 소아과의 이용율을 앞서고 있었다. 8) 의료기관선택에 가장 많은 영향을 미치는 사람은 어머니, 아버지, 의사의 추천, 친구 이웃 순이었다. 9) 소아과 진료의 적정연령에 대하여서는 12세까지 47.8%, 10세까지 22.4%, 15세까지 18.5%, 8세까지 10.1% 순이었다. 결 론 : 소아과 진료영역의 많은 부분이 타과에서 쉽게 진료되고 있어 이에 대한 홍보와 대응책이 필요할 것이다. 소아는 성인과 달리 독특한 성장과 발달과정이 있으므로 전문적인 진료 및 적절한 치료기관의 선택이 필요할 것이다.