• 한국의료질향상학회지
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• 제28권1호
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• pp.2-13
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• 2022

Purpose: This study assessed the status of the Development and Utilization of critical pathways (CP) in South Korea. Methods: We surveyed 195 hospitals obtained on the Korean Hospital Association website. Data were collected using structured questionnaires for staff members in charge of CP management personnel in these hospitals. The questionnaire included CP developed by the institutions, the coverage rates and completion rates of CP in the current year, and management indicators related to CP. The questionnaire also included CP support systems and content within the institutions and questions regarding the advantages of CP utilization and obstacles associated with the CP development process. Results: Analysis of the responses from 70 hospitals (35.9% response rate) showed that a total of 1,370 CP sets were developed. The number of CP related to surgery departments was 365 (26.6%), and CP related to surgery and procedure was 1,093 (79.8%), respectively. The CP coverage rate was the most frequently used indicator to monitor the effect of CP (97.1%), followed by the completion rate (90.0%) and the length of stay in hospital (61.4%). CP managers reported that CP were highly useful for communication (3.39±0.493) and accurate information provision (3.39±0.491). The perception that CP violated doctors' autonomy in treatment was relatively low (2.87±0.645). Conclusion: It is necessary to establish an infrastructure in hospitals for CP. CP can facilitate communication and provide accurate information.

• 기술혁신학회지
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• 제14권3호
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• pp.516-551
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• 2011

우리나라가 이룩한 경제, 과학기술발전에 과학기술 국제협력은 기술확보를 위한 중요한 수단으로서 활용되어 왔으며 향후에도 국가과학기술력 확보에 있어서 중요한 요소로서 영향을 미치게 될 것이다. 그럼에도 불구하고 우리나라의 과학기술 국제협력 정책이 형성된 배경, 변화양상, 변화요인 등에 대해서 역사적으로 검토한 연구결과는 찾아보기 어렵다. 이러한 배정 하에 본 연구는 우리나라의 과학기술 국제협력 정책이 어떠한 과정을 거쳐 제도화되었고, 전화되어 왔는지를 기술수원기, 기술도입기, 호혜협력기, 외연확정기, 협력고도화기로 나누어 분석하였다. 분석결과, 과학기술 국제협력의 제도적 진화는 구조에 의해 발생한 계기에 의해서 시작되고, 점차 다른 제도와의 연계, 행위자인 정부의 전략적 선택 행위로 이어져 발생하게 됨을 알 수 있었다. 이처럼 과학기술 국제협력의 제도적 전화는 단절적으로 발생하는 것이 아니라 제도적 중층성에 의하여 점진적으로 진행되고 있다.

• 한국환경교육학회지:환경교육
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• 제22권2호
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• pp.1-22
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• 2009

Even though climate change is visibly proceeding and public concern about climate change is increasing both nationally and internationally, teenagers' and students' perception of climate change is relatively low in Korea. Since climate change is a problem with long-term effects, it is young people including children and juveniles of the current generation and future generations who are more affected by climate change. They are the most interested party who should know why climate change happens, what kind of impacts will be given, and how to respond to the problem. Based on the aforementioned concern, this study aims to explore the extent and contents of school education with regard to climate change in Korea as well as in other advanced countries and to provide policy suggestions. This study finds that school climate change education requires consideration of multiple aspects including reorganization of school curriculum, revitalization of related programs by school, expansion of teachers' training chances, in which multiple institutions such as the Ministry of Environment, the Ministry of Education, Science and Technology, Offices of Education are related and, consequently, the activation of climate change education program is by no means simple. Therefore, for effective climate change education in schools, cooperation and coordination of related institutions are essential, along with development of diverse school education curriculums and programs and training programs for teachers.

• 한국재난정보학회 논문집
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• 제9권1호
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• pp.87-96
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• 2013

본 연구의 목적은 우리나라의 학교폭력예방을 위한 학생보호인력의 전문화방안을 제시하는 것이다. 이 연구는 학생보호인력의 문제점으로 학생보호인력의 법률적 한계, 전문성의 부족, 채용기준의 적합성 부족, 교육훈련의 미비, 관련기관과의 협력문제, 윤리적 문제가 도출되었다. 이와 같은 문제점을 개선하기 위한 전문화방안은 다음과 같다. 첫째, 학교보호인력관련 법률의 개정 및 제도의 강화이다. 둘째, 학생보호인력의 적합한 채용기준의 마련이다. 셋째, 학생보호인력 전문교육훈련기관의 설립이다. 넷째, 학생보호관련 기관과의 긴밀한 협력체제이다. 다섯째, 학생보호인력의 윤리강령의 제정이다.

• 한국IT서비스학회지
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• 제20권5호
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• pp.119-136
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• 2021

Since the global spread of COVID-19, social distancing and untact service implementation have spread rapidly. With the transition to a non-face-to-face environment such as telework and remote classes, cyber security threats have increased, and a lot of cyber compromises have also occurred. In this study, cyber-attacks and response cases related to COVID-19 are summarized in four aspects: cyber fraud, cyber-attacks on companies related to COVID-19 and healthcare sector, cyber-attacks on untact services such as telework, and preparation of untact services security for post-covid 19. After the outbreak of the COVID-19 pandemic, related events such as vaccination information and payment of national disaster aid continued to be used as bait for smishing and phishing. In the aspect of cyber-attacks on companies related to COVID-19 and healthcare sector, we can see that the damage was rapidly increasing as state-supported hackers attack those companies to obtain research results related to the COVID-19, and hackers chose medical institutions as targets with an efficient ransomware attack approach by changing 'spray and pray' strategy to 'big-game hunting'. Companies using untact services such as telework are experiencing cyber breaches due to insufficient security settings, non-installation of security patches, and vulnerabilities in systems constituting untact services such as VPN. In response to these cyber incidents, as a case of cyber fraud countermeasures, security notices to preventing cyber fraud damage to the public was announced, and security guidelines and ransomware countermeasures were provided to organizations related to COVID-19 and medical institutions. In addition, for companies that use and provide untact services, security vulnerability finding and system development environment security inspection service were provided by Government funding programs. We also looked at the differences in the role of the government and the target of security notices between domestic and overseas response cases. Lastly, considering the development of untact services by industry in preparation for post-COVID-19, supply chain security, cloud security, development security, and IoT security were suggested as common security reinforcement measures.

• 컴퓨터교육학회논문지
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• 제16권2호
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• pp.1-8
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• 2013

청소년들이 올바르게 인터넷을 이용하고 정보통신기술을 활용할 수 있게 하기 위해서는 학교에서의 인터넷윤리 교육이 필요하다. 그러나 학교 현장에 나갈 예비교사들에 대한 인터넷윤리 교육은 제대로 이루어지지 않고 있다. 따라서 교사를 양성하는 교원양성기관에서 인터넷윤리 교과과정을 운영하고 예비교사들에 대한 교육을 담당하는 것이 매우 중요해진다. 본 논문에서 컴퓨터교육 관련 전공을 설치한 교원양성기관에서의 인터넷윤리 교과과정에 대한 운영 실태를 분석한 결과 전체 교원양성기관의 30%도 채안되는 기관에서만이 해당 교육과정을 운영하고 있는 것으로 나타났다. 따라서 이를 해결하기 위해서는 교원양성기관에서 인터넷윤리 교과과정 운영을 강화해야 함은 물론 이를 다른 교과 교육에 대해서도 적용시키는 노력이 필요하다. 또한 현직 교사들에 대한 인터넷윤리 교육에 대한 연수 및 재교육 또한 강화해야 할 필요가 있다.

• 한국비블리아학회지
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• 제24권4호
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• pp.197-215
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• 2013

본 연구는 공공도서관과 지역사회기관 간의 문화프로그램의 중복 현황을 파악해보고, 이러한 중복을 최대한 줄이고 제한된 지역 자원을 활용하여 문화프로그램 제공을 위한 효율적 협력 방안을 제시하고자 하였다. 통계 및 현황 데이터 분석, 설문지 분석 등 다양한 조사방법을 통한 연구결과를 요약하면 다음과 같다. 공공도서관은 다른 기관과는 다르게 인문교양교육 관련 프로그램에 치중하여 운영하고 있었고, 설문결과 이용자들은 '독서 및 문예' 프로그램에 대한 높은 기대감을 가지고 있었다. 또한 사회복지기관의 경우, 특정 연령대인 노년층을 대상으로 프로그램을 집중 운영하고 있어 그 연령대의 만족도 및 선호도가 전반적으로 높았다. 이러한 결과를 통하여 각 기관은 이용자의 선호도나 특정 연령대에 따라 최대의 만족을 이끌어낼 수 있는 특화된 프로그램을 구성해야 함을 알 수 있었다. 특히 공공도서관은 독서, 문예 등의 인문교양교육 분야와 정보화교육 분야에 특성화시킨 프로그램을 제공하는 것이 필요한 것으로 나타났다.

• 보건행정학회지
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• 제32권1호
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• pp.3-13
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• 2022

Health centers provided intensive health care services for local residents according to changes in the times and environment. Public health centers were given various roles such as medical treatment, administration, and service, and the demand for functional reorganization has emerged. We analyzed the literature on the functional restructuring of public health care institutions. In addition, the current status of medical services, which is the main function of institutions, will be analyzed through health insurance statistical data, and detailed contents will be analyzed according to regional types and income levels. As a result of the analysis of medical services at institutions, the total number of patients was 2,238,000, and the number of visits was 11,806 times. Total medical expenses were 169.6 billion won, of which 132 billion won was found to be benefit. When analyzing the number of patients per institution, public health centers had the largest number of 4,326, and the share of benefit was also the highest at public health centers. It should focus on the function of providing local health and medical services related to health promotion and disease prevention in the community. This functional reorganization of public health centers can contribute to forming cooperative relationships with private medical institutions in the local community. For this, first, to establish the role, essential functions for public health centers for preventive health management are established. Secondly, regular manpower expansion and flexible manpower management are required in the human resources sector. Finally, in the organizational sector, it is necessary to establish a step-by-step organizational system according to environmental changes.

• Journal of Preventive Medicine and Public Health
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• 제31권3호
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• pp.471-480
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• 1998

This study was undertaken in order to estimate the accuracy of disease code of the Korean National Medical Insurance Data and disease the characteristics related to the accuracy. To accomplish these objectives, 2,431 cases coded as notifiable acute communicable diseases (NACD) were randomly selected from 1994 National Medical Insurance data file and family medicine specialists reviewed the medical records to confirm the diagnostic accuracy and investigate the related factors. Major findings obtained from this study are as follows : 1. The accuracy rate of disease code of NACD in National Medical Insurance data was very low, 10.1% (95% C.I. : 8.8-11.4). 2. The reasons of inaccuracy in disease code were 1) claiming process related administrative error by physician and non-physician personnel in medical institutions (41.0%), 2) input error of claims data by key punchers of National Medical Insurer (31.3%) and 3) diagnostic error by physicians (21.7%). 3. Characteristics significantly related with lowering the accuracy of disease code were location and level of the medical institutions in multiple logistic regression analysis. Medical institutions in Seoul showed lower accuracy than those in Kyonngi, and so did general hospitals, hospitals and clinics than tertiary hospitals. Physician related characteristics significantly lowering disease code accuracy of insurance data were sex, age group and specialty. Male physicians showed significantly lower accuracy than female physicians; thirties and fortieg age group also showed significantly lower accuracy than twenties, and so did general physicians and other specialists than internal medicine/pediatric specialists. This study strongly suggests that a series of policies like 1) establishment of peer review organization of National Medical Insurance data, 2) prompt nation-wide expansion of computerized claiming network of National Medical Insurance and 3) establishment and distribution of objective diagnostic criteria to physicians are necessary to set up a national disease surveillance system utilizing National Medical Insurance claims data.

• 보건행정학회지
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• 제9권4호
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• pp.41-64
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• 1999

The major concern for this research is to discuss and to offer some solutions to bring the effectiveness of existing notifiable diseases reporting system over the physicians' attitudes of reporting, the actual condition of performance and the reasons of inertia in notifiable diseases reporting through examining the physicians of medical institutions in nationwide such as pediatrics, internal medicine and family medicine. The actual conditions of notifiable communicable diseases(NCD) reporting was surveyed by mail objectifying an internal medicine, pediatrics and family medicine in nationwide on the basis of stratified random sampling method divided into the classification of medical institutions and areas. As a result of survey. the rate of respondents showed 145 persons from physicians, 105 persons from hospitals. 120 persons from general hospitals, and 51 persons from tertiary hospitals. The total number of respondents were 421 and was rated 59.0 %. The analysis of collected survey went through a descriptive analysis primarily to grasp physicians' attitudes on the notifiable communicable diseases reporting, and then upon the dependent variables. Following are major findings obtained form the data analysis. 1. The results of a descriptive analysis on physicians' attitudes towards reporting NCD were as follows: First, the respondents who didn't know that yellow fever is reporting NCD were 11.0% of clinic, 10.5% of hospital. 5.0% of general hospital. 11.8% of tertiary hospital. and in case of hepatitis B, were 26.9% of clinic, 35.2% of hospital. 35.0% of general hospital. 23.5% of tertiary hospital. Second, The rate of physicians' knowledge on penalties of not reporting the NCD by their medical institution were 35.2% of clinic, 45.7% of hospital. 36.7% of general hospital. 62.7% of tertiary hospital. Third, among the no-reporting physicians in whole, the major reason of not reporting NCD were uncertainty of diagnosis(78.9%), no need to report(46.4%), no adequate actions from PHC(29.1%), no knowledge of the cases being notifiable ones in the order of their frequencies(30.4%), meddling from PHC(29.1%), concerning of patient's privacy(26.3%). 2. To analyze the characteristics related to the physicians' behaviors to report NCD, univariate and multiple logistic regression analyses were applied to the variables related to physician, 4 medical facility, PHC, and reporting system. The result were as follows: First, the result of the univariate analysis on physicians' attitude to report NCD and characteristics related to reporting in odds ratio was in the case of hospital. 3.4 times higher positive responses on physicians' attitude to report NCD came up as compared to the clinic. Second, the result of the univariate analysis on physicians' action of reporting NCD and characteristics related to reporting by the classification of medical institutions showed that the odds ratio of hospital was 2.3 times, the odds ratio of general hospital was 2.0 times, the odds ratio of tertiary was 6.8 times significantly higher than clinic. And the medical institution with significantly higher positive attitudes rate by multiple logistic regression analysis was hospital that rated 2.5 times significantly higher than clinic. Also in the PHC related characteristics of reporting, the rate of action in reporting NCD was significantly higher in medical institution that were endowed with the good condition of reporting. In multiple logistic regression analysis, the medical institution that has a good conditions of reporting showed a significantly higher positive rate on the action of reporting than the others.