• Health Policy and Management
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• v.7 no.1
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• pp.100-124
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• 1997

In order to suggest the strategies for participation in the PPS(Prospective Payment System), analyses were performed based on variations in utilization pattern and changes in revenues of hospitals in 10 selected KDRGs. The data was collected from the claims data of a tertiary hospital in Kyunggido from September 1, 1995 to August 31, 1996. The studies consisted of 1, 718 inpatients diagnosed for lens procedures, tonsilectomy &/or adenoidectomy, appendectomy with complicated principal diagnosis, Cesarean section, or vaginal delivery without any complications. The resources used in each KDRG were measured including average length of stay, total charges, number of orders, intensity of medical services, frequencies of medical services, the rate of non-reimbursable charges, and the rate of non-reimbursable orders. Then, the changes in hopital revenues due to the composition of medical fee schedules under the PPS were estimated as follows: 1) The variations in average lenght of stay, total charges, number of orders, the intensity of medical services, the frequency of medical services, the rate of non-reimbursable charges, and the rate of non-reimbursable orders among the 10 KDRGs were comparatively small. 2) The average lenght of stay was the longest(6.0 days) for appendectomy with complicated principal diagnosis, while it was the shortest(2.1 days) for two vaginal deliveries. Statistically differences existed in the average length of stay among physicians and among the dates of admission in several KDRGs. 3) The total charges were the highest for lens procedures(1, 716, 000 won), while the lowest charges were for two vaginal deliveries(558, 000 won). Statistically differences in the total charges were found among physicians in several KDRGs: however, there were no differences with the dates of admission. 4) The number of orders was the greatest(155) for appendectomy with complicated principal diagnosis, while it was the smallest(75) for the two vaginal deliveries. Statistical differences in the number of orders did not exist among physicians in the KDRGs. 5) Significant differences were found in the intensity of medical services, and in the frequency of medical services among physicians in the KDRGs. 6) The rate of non-reimbursable charges for each KDRG was not related to the rate of non-reimbursable orders. The rate of non-reimbursable orders was the highest(36.0%) for lens procedures, while the lowest rate(11.6%) was for appendectomy with complicated principal diagnosis. The rate of non-reimbursable charges was the highest(39.4-39.7%) for vaginal deliveries, while the lowest rate(13.1%) was for tonsillectomy &/or adenoidectomy(<17 ages). 7) If the physician's practicing style were not change under the PPS, the hospital revenuses could be increased by 10%, and the portion of patient payment could be decreased by 1.4-22.4%. However, the non-reimbursable charges for showed little change between two reimbursement systems. Based upon the above findings, this hospital could be eligible for participation in the PPS(Prospective Payment Systm). However, the process of diagnosis and treatment should be standardized, inentifying methods to reduce cost and to assure quality of medical care. Furthermore, consideration should be given to finding ways to increase patient volume.

• Research in Community and Public Health Nursing
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• v.5 no.2
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• pp.130-146
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• 1994

Our medical care system is trying to diversify in order to meet the client's needs, and to adjust to a medical environment which is changing very rapidly. Because current nursing theory and practice focus on holistic care, health care management, education, and research, contrary to the traditional emphasis on only assisting a physician, more autonomy and specialization for the implementation of nursing are required. Considering these trends and actual needs, the category of clinical nurse specialist should be established as soon as possible. In order to develop strategies for implementing this new professional specialty, the authors conducted a field survey and literature review of the current system in Korea. As a result, various obstacles and constraints were discovered as follows : 1) There are few accredited educational programs for the training of CNS's. 2) Several hospitals already have staff designated as clinical nurse specialist (CNS) even though the term CNS is not yet standardized or adopted in nationwide. 3) The role of the CNS is not clearly understood by the medical societies, or even nursing societies. A nurse who works in specific nursing areas such as central supply, kidney dialysis, intensive care, coronary care, etc. for a long time, considers herself /himself a CNS. Based upon the above findings, the following alternatives are recommended. 1) The role of the CNS should be defined according to specified functions and authority : professional autonomy ; counselling and educating patients and their familes, nurses, and even other medical personnel ; research on improvement of nursing ; and management of the nursing environment including medical resources, information, and cases. 2) the qualification of CNS should be attained only by a nurse who has an RN license and clinical experience of more than 3 years in a specific nursing field: passes a qualifying examination; and contributes to the professional development of peers, colleagues, and others. A master's degree should only be optional, because of the insufficient of graduate programs which are well designed for the CNS. 3) The CNS should initially be a head nurse rather than line staff in order to deal with as wide an experience base as possible. 4) The nursing specialty could be divided into two areas such as a clinical field and a community field. The clinical field could then be categorized by the Styles' classification such as diseases and pathogenics, systems, ages, acuity, skills/techniques, and function/role ; the community field could be classified according to work site.

• The Journal of Industrial Distribution & Business
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• v.9 no.10
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• pp.39-50
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• 2018

Purpose - This study is to propose discriminative management strategies to long-term care facilities based on the empirical analysis after reviewing the effects of social support, perceived by long-term care facility employees, to service orientation. Research design, data, and Methodology - The research model designed social support, job stress, organizational commitment, and service orientation. The survey collected data from 453 customers in a long-term care facility in jeju. The SPSS 18.0 package was used for analysis. Results - First, social support for long-term care facility employees has a negative(-) effect to job stress. Test results, social support factors except appraisal support had a negative impact on job stress. Second, social support has a positive(+) effect to organizational commitment. Test results, informational support, tangible support and appraisal support had significant effects on organizational commitment. However, emotional support had a positive impact on affective commitment and normative commitment. Third, social support has a positive(+) effect to service orientation. Test results had a positive impact. Fourth, job stress has a negative(-) effect to organizational commitment. In the test results, employee's continuance commitment and normative commitment had significant negative effects in job stress. However, affective commitment had no significant impact. Fifth, job stress has a negative(-) effect to service orientation. Test results showed a negative impact. Conclusions - The study implies the following. First, that there should be a change in the social perception of long-term care facilities. 'Long-Term Care Insurance for The Elderly' was enacted to emphasize this responsibility for the elderly problems as a new system. Enactment of this Act was expected to improve the quality of life of the people by stabilizing the elderly life and reducing the burden of families. Therefore, long-term care facility system should be as efficient as possible for making plans for systematic and organizational support. Second, the efforts of facility managers to minimize job stress of employees is necessary. Accordingly, performing spontaneous work is required for a comfortable working environment and management. Third, the systematic education and training to employees for service oriented behavior of the facility will be required in the long term.

• Journal of the Economic Geographical Society of Korea
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• v.21 no.1
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• pp.53-68
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• 2018

Community-based ecotourism (CBE), if well-developed can be a practical approach for promoting socio-economic well-being and sustaining ecological resources. The growth and its development worldwide especially in developing economies is a welcome development. The study aimed at assessing the Boabeng-Fiema Monkey Sanctuary in Ghana, as an example of traditional conservation system of management that has ensured greater community participation, equity, inclusiveness, and multi-level stakeholder partnership. In-depth interviews with key informants and documentary analysis of relevant peer reviewed and grey literature were the main qualitative data collection used. Results revealed that majority of the interviewees support and value the current system of traditional management. The enforcement of rules and regulations and other cultural and religious practices were discussed by key informants. Opportunities for multiple livelihood strategies as a result of the CBE is seen as critical for increasing local's acceptance and participation. The remarkable growth of the sanctuary, as well as the increase in human population, has created a shortage of land for domestic and other commercial purposes which is identified as posing a major challenge to the sustenance of the sanctuary. The study recommends diversification of livelihood opportunities presented by the presence of the sanctuary like the introduction of homestay concept, craft making- wood carving, painting, artisan shops.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.1
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• pp.768-773
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• 2020

In large-scale land development for the rational use and management of national land resources, the use of geospatial information is essential for the efficient management of projects. Recently, drone LiDAR (Light Detection And Ranging) has attracted attention as an effective geospatial information construction technique for large-scale development areas, such as housing site construction and open-pit mines. Drone LiDAR can be classified into a method using SLAM (Simultaneous Localization And Mapping) technology and a GNSS (Global Navigation Satellite System)/IMU (Inertial Measurement Unit) method. On the other hand, there is a lack of analytical research on the application of drone LiDAR or the characteristics of each method. Therefore, in this study, data acquisition, processing, and analysis using SLAM and GNSS/IMU type drone LiDAR were performed, and the characteristics and utilization of each were evaluated. As a result, the height direction accuracy of drone LiDAR was -0.052~0.044m, which satisfies the allowable accuracy of geospatial information for mapping. In addition, the characteristics of each method were presented through a comparison of data acquisition and processing. Geospatial information constructed through drone LiDAR can be used in several ways, such as measuring the distance, area, and inclination. Based on such information, it is possible to evaluate the safety of large-scale development areas, and this method is expected to be utilized in the future.

• Journal of Korean Society of Forest Science
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• v.104 no.2
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• pp.221-229
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• 2015

The purpose of study was to broaden our knowledge on the productivity and cost of thinning operations which has become increasingly practiced in Korea. The thinning operations were conducted in a 40-year old larch (Larix leptolepis) stand, including chainsaw felling and processing at the stump, followed by yarding tree-length logs using a Koller K301-4 tower yarder. The logs were further processed and sorted into 1.8 m and 3.6 m log piles at the landing. We used a standard time study method to evaluate key variables that affect the productivity of thinning operations. The total stump-to-pile operational cost was $41,707won/m^3$. The highest cost activity was the yarding phase which cost $20,083won/m^3$ (48.2% of the total cost), followed by the costs of processing treelength materials into marketable log lengths ($12,143won/m^3$; 29.1%), and then by the costs of sorting/piling the processed logs ($5,039won/m^3$; 12.1%). It was interesting to see that felling and processing trees at the stump had low costs at $1,315won/m^3$ (3.2%) and $3,127won/m^3$ (7.5%), respectively. We used the detailed time study data to develop regression equations which were to predict yarding productivity. Our analysis showed that harvesting system cost was highly sensitive to the number of logs, yarding distance and lateral distance per turn, respectively.

• Journal of Agricultural Extension & Community Development
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• v.16 no.2
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• pp.363-384
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• 2009

This study aimed at finding directions for Korean agriculture to establish a new paradigm of sustainable development. Various problematic issues and concerns in the environment necessitate the transformation of Korea's development paradigm from unconditional growth to "Green Growth" through new policies on green value and review of various advanced researches. In this research, the environment-friendly agriculture's problems, particularly in agribusiness were analyzed. Drawing from Michael Porter's Value Chain Analysis, this research developed a value chain model in agriculture that reflects the environment and the present situations. Future directions in the agriculture sector were also discussed. Korea realized food self-sufficiency through the green revolution in the early 1970s. However, a lot of problems have also occurred, including ground and water pollution and the destruction of ecosystems as a result of the overuse of pesticides and chemical fertilizers. In the late 1970s, the growing interest on environment-friendly agriculture led to the introduction of sustainable methods and techniques. Unfortunately however, these were not innovative enough to foster environment-friendly agriculture. Thereafter, the consumers' distrust on agricultural products has worsened and concerns about health have increased. In view of this, the Ministry of Food, Agriculture, Forestry and Fisheries introduced in December 1993 a system of Quality-Certified Products for organic and pesticide-free agri-foods. Although a fundamental step toward the sustainability of the global environment, this system was not enough to promote environment-friendly agriculture. In 2008, Korea's vision is for "Low Carbon Green Growth" to move forward while also coping with climate change. But primary sectors in a typical value chain do not consider the green value of their operations nor look at production from an environmental perspective. In order to attain sustainable development, there is a need to use less resources and energy than what is presently used in Korean agricultural and value production. The typical value chain should be transformed into a "closed-loop" such that the beginning and the end of the chain are linked together. Such structure allows the flow of materials, products and even wastes among participants in the chain in a sustained cycle. This may result in a zero-waste sustainable production without destroying the ecosystem.

• 대한공업교육학회지
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• v.31 no.1
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• pp.146-169
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• 2006

'VEC 2010' is a mid-long term scheme on the development of Vocational Education for Chung-buk which is to be accomplished by 2010. On the basis of this scheme, schools adopt 3-Type curriculum considering their conditions and covert themselves into specialized high school which is associated with local industry cluster. They also establish combined high schools which run various curriculums emphasizing basic vocational abilities so that they can meet the needs of demanders The activation plan of Chung-buk province vocational education is a dualized one which is for both ongoing education for entrance into a school of higher grade and the last education for employment, which is supposed to foster the human resources required by the knowledge-based society in the 21st century. The specific contents of 'VEC 2010' is as follows. First, VEC 2010 presents 2 kinds of mid-long term management system for industrial high schools: general industrial high school, specialized high school(single type, combined type). Second, VEC 2010 arranges and run the 3-Type of curriculum of Chung-buk province industrial high schools: employment-centered type, entering higher school-centered type, inaugurating enterprise-centered type. Third, VEC 2010 divides Chung-buk province industrial high schools into 4 districts and suggests mid-long term reorganization plan of system. Fourth, VEC 2010 suggests the substantial strategies of Chung-buk province vocational education: scholarship improvement in the vocational investigation course of the government-sponsored scholastic aptitude test, education for improving basic vocational abilities, substantial management of joint laboratory, administrative and financial support of development of specialized, licensed textbooks. reenforcement of career education.

• Korean Journal of Comparative Education
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• v.24 no.5
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• pp.27-51
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• 2014

The objective of this study is to analyze problems and needs regarding recent education informatization in China and to seek implications for prospective international education cooperation between Korea and China. Toward this end, 76 individual and team reports submitted by Chinese trainees participated in APEC e-Learning Training Program from 2006 to 2013 were analyzed. The results are as follows. First, the most critical problem related to Chinese education informatization was identified as a lack of educational resources. The next three problems identified were, in order of importance, a lack of motivation to use ICT in education, the absence of a system for management and evaluation, and labor shortages in the supply of teachers and professional personnel. Second, with regard to the changing annual trends in China's education informatization needs, the issues of education/training and organizational environment to activate ICT use in education have been ranked high for the last eight years. In contrast, the matter of infrastructure has not been cited as a problem since 2008. However, more recently, the lack of relevant policy and the management and evaluation system have been raised, emphasizing the need for more systematic and professional policies and administrative systems.

• Journal of Forest and Environmental Science
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• v.27 no.2
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• pp.101-111
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• 2011

The Returning Land for Farming to Forestry Project in China is similar to the 'The 10-year National Greening Project' of Korea, and is one of the great strategic policies that started in order to develop the people, resources and the environment by the central government of China. Using the ecosystem recovery as the slogan, The Returning Land for Farming to Forestry Project of China has a long history of 70 years, but the accomplishments has been insignificant when compared to the long history. The Returning Land for Farming to Forestry Project was not a trend due to the societal and economical issues of China, but with the increasing interest on the environmental protection in the late 1990s the extent of the ecosystem is gradually increasing. The most difficult, yet most important matter of the Returning Land for Farming to Forestry Project, is that it must consider the ecosystem with the economy. The farmers want financial gains in a short term, and the government aims is gaining cost-benefit over a long period which is why a rational the Returning Land for Farming to Forestry Project of the central government in China is most important. In order for the Returning Land for Farming to Forestry Project of China to develop further in the future, the standardization and distinction of the economic compensation policy is most urgent. Other than this, a new policy and the government interest on the livelihood of the farmers after the completion of the Returning Land for Farming to Forestry Project are needed, and there must be a clear and fair policy enactment environment so that the opinions of the farmers can influence the policy in the policy enactments.