• 한국의료질향상학회지
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• 제17권1호
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• pp.69-78
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• 2011

Objectives : The purpose of this study was to determine whether the published AMI report card could reduce in-patient mortality, 7-day after discharge mortality, and length of stay (LOS). Methods : Interrupted time-series intervention analysis was used to evaluate the impact of the report card for AMI care quality in November 2005 in terms of risk-adjusted in-patient mortality, risk-adjusted 7-day after discharge mortality, and DRGs case-mix LOS using the claim data of Health Insurance Review and Assessment Service. Results : Public disclosure of AMI care quality decreased risk-adjusted in-patient mortality and DRGs case-mix LOS by 0.00050% per month and 0.042 days per month respectively, however there was no effect on risk-adjusted 7-day after discharge mortality. Patterns of effect of public disclosure on AMI outcomes were a fluctuating pattern on risk-adjusted mortalities and a pulse impact for 1 month on DRGs case-mix LOS. Conclusions : We found the public disclosure of AMI care quality had decreasing effects on risk-adjusted in-patient mortality and DRGs case-mix LOS, but the size of the effect was marginal.

• 지역사회간호학회지
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• 제28권4호
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• pp.421-430
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• 2017

Purpose: This study investigates the social network, self-care agency, and quality of life of high-risk beneficiaries in case management of Medicaid and the correlations between these variables. It also identifies influencing factors on their quality of life. Methods: The subjects included 187 individuals chosen from the high-risk beneficiaries in case management of Medicaid in D Metropolitan City. Data was collected through direct interviews based on a structured questionnaire on home visits. Results: The perceived health status was the most influential factor in their quality of life, followed by self-care agency, mutual support network, and natural support network in order. These factors explained 40.6% of their quality of life. Conclusion: These findings raise a need to develop a nursing intervention program to increase the self-care agency of the high-risk beneficiaries in case management of Medicaid.

• 한국건설관리학회논문집
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• 제12권1호
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• pp.141-152
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• 2011

도시재생사업의 시장 규모는 꾸준히 증가하고 있으며, 도시재생 사업에서 큰 비중을 차지하는 입체복합공간 개발사업 역시 증가하는 추세를 보이고 있다. 하지만 기존의 도시재생 관련 연구는 국내외 사례의 비교분석에 기반한 시사점 및 제도의 개선방안 도출이 주를 이루어왔으며, 사업성패여부와 관련 깊은 사업관리 분야의 연구, 특히 사업관리의 기초를 제공하는 성과관리에 대한 연구는 상대적으로 미비한 실정이다. 본 연구는 입체복합공간 개발사업의 성공적인 추진을 위해 공공발주자 관점의 프로그램 성과관리 체계를 구축하는데 목적을 두고 진행되었다. 이를 위해 기존 문헌분석, 전문가 인터뷰 등을 실시하였으며, 입체복합공간 개발사업의 시설물 유형별 성과지표 및 리스크 연계 성과지표를 도출하고, 프로그램 성과점수 통합방법을 제안하였다. 본 연구에서 제안한 성과관리 체계는 기본계획 수립단계에서부터 유지관리단계까지 전 생애주기를 고려하고 있으며, 시설물 유형별 성과를 실시간으로 파악 및 평가가 가능한 구조를 갖추고 있다. 또한 리스크 연계 성과관리 체계는 주요 리스크요인별 대응주체 및 대응방안을 제공함으로써 리스크가 높은 성과지표의 지속적인 추적 및 통제를 가능하게 하였다. 본 연구는 도시재생사업의 전 생애주기에 걸친 성과관리 기술 향상을 통해 해당 분야의 효율성 제고에 기여할 것으로 기대되며, 향후 데이터웨어하우스 기반의 웹기반 성과관리시스템의 기본구조로 활용될 것이다.

• Child Health Nursing Research
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• 제27권1호
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• pp.13-23
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• 2021

Purpose: This study aimed to develop a mobile-based self-management health alarm (MSHA) program for modifying obese children's lifestyle based on the information-motivation-behavioral skills (IMB) model and to test its feasibility. Methods: A methodological study for the development of the MSHA program and pilot study with a one-group pretest-posttest design for feasibility testing was conducted. The MSHA program was designed to provide obesity-related information (I), monitor daily diet and exercise, provide motivational text messages (M), and enhance healthy diet and exercise skills (B) via a mobile-based web platform. In the feasibility test, six obese children participated in the 4-week program, and the number of days per week that they achieved their goals and differences in metabolic components were assessed. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: Participants successfully achieved their diet and exercise goals≥5 days per week. Body mass index (z=-1.99, p=.046), waist circumference (z=-2.20, p=.028), and triglyceride levels (z=-2.21, p=.027) significantly decreased. Conclusion: The MSHA program showed positive effects on health behaviors and metabolic syndrome risk. The program may be effective in improving metabolic syndrome in obese children by promoting self-health management behaviors.

• 한국정보시스템학회지:정보시스템연구
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• 제16권4호
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• pp.243-268
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• 2007

It is critical to manage risks to complete IS(Information Systems) projects successfully. Identifying risk factors would be the first step for the project risk management. Previous research has discussed the issue with various points of view, such as different risk factors based on project types and roles involved in their projects. This paper empirically explored how people perceive different risk factors by project development methodology, between self-developing IS using programming language like C, Visual Basic and adapting software package already developed by software venders like ERP, CRM packages. There are researches regarding project risk factors for project management in the several point of views. And there are also researches regarding comparison between self-developing and adapting software packages methodology in IS project. However, there are no study on project risk factors comparison between self-developing IS using programming language and adapting software packages already developed by software venders in IS project. This research can be differentiated from previous ones, because it was considered both point of project risk management and development methodology in IS project. This research results implied meaningful messages to enterprise company to be planned IS projects and people who involved in IS projects. They should consider and need to prepare differently according to each development methodology for preventing project risks. It makes them reduce project risks in each case and complete successfully IS projects. Especially, if they have no experiences for implementing software packages, they can forecast the project risks and prepare them in advance.

• 근관절건강학회지
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• 제23권2호
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• pp.114-124
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• 2016

Purpose: The purpose of this study was to investigate the level of uncertainty, physiological risk factors, self-efficacy, and self-management among stroke patients and to identify factors influencing their self-management. Methods: A descriptive correlational design was used for this study. A convenience sample of 149 patients with stroke were enrolled at C national university hospital from February to April in 2016. Data were collected using a structured questionnaire and electronic medical record. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlations, and multiple regression analysis with the SPSS/WIN 21.0 program. Results: There were significant negative correlations between uncertainty and self-efficacy (r=-.56, p<.001); between uncertainty and self-management (r=-.56, p<.001); and between total cholesterol and self-management (r=-.23, p=.005). There were significant positive correlations between self-efficacy and self-management (r=.78, p<.001); between uncertainty and total cholesterol (r=.24, p=.003). The significant factors influencing self-management were uncertainty and self-efficacy. Theses variables explained 62.7% of the variance in self-management. Conclusion: The results suggest that intervention programs to reduce the level of uncertainty and to increase the level of self-efficacy among patients would improve the self-management of stroke patients.

• 대한안전경영과학회:학술대회논문집
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• 대한안전경영과학회 2003년도 추계학술대회
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• pp.65-69
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• 2003

The study was purposed to know the status of prevention on health obstacle in industries with confined space. The results were as follows: 1. It was found 38% of respondents established health-work program in confined space. The percentage of respondents with instrument of oxygen sampling and equipment of ventilation, operation of safety and health education, posting of watching man and operation of head count were 42%, 35%, 75%, 46% and 56%, respectively. 2. The percentage of awakening of risk, confirm of air condition and operation of emergency training were 36%, 25% and 10%, respectively.

• 한국재난관리표준학회지
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• 제1권1호
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• pp.63-67
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• 2008

본 연구는 위험성 분석 기법을 통해 화학 산업 시설에서 발생 가능한 화학 테러에 대한 원인 을 규명하고, 기존의 테러 대응 방법에 대한 분석 및 평가를 함으로써 효과적 대응 개선 방안을 마련하기 위 한 프로그램 개발이다 테러 위험성 평가 프로그램은 자산 분석(Asset Characterization), 위협 평가(Threat Assessment), 취약성 분석(Vulnerability Analysis), 위험성 평가(Risk Assessment), 대응책 제시(New Countermeasure)의 총 5단계의 순차적 알고리즘으로 구성되어 있다. 개발된 프로그램을 항만에 위치한 석유 저장 및 정제 공정에 적용하여 테러 위험성과 그 원인을 분석함으로써 위험성 평가 프로그램의 효용성과 신뢰성을 검증하였다. 화학 산업 시설에서의 보안 및 테러리즘에 대한 문제성 제기를 통해 그 해결책을 제시하고 테러의 취약점과 원인을 규명함으로써 테러나 재해(extreme event) 발생 시 효과적인 대응책 마련이나 대응 전략 수립에 기여하고자 개발된 프로그램이다.

• 정보처리학회논문지D
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• 제14D권3호
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• pp.303-310
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• 2007

정보시스템 장애는 단순한 소프트웨어 오류에서부터 프로그램 시험 미비, 물리적인 방재시설 미비 등 다양하다. 비록 장애가 사소하더라도 그 결과는 엄청난 피해를 야기 시키기도 한다. 최근에는 이런 문제를 해결하는데 있어 단순한 외부 보안시스템만으로는 어렵게 되었다. 이제는 기업의 전반적인 정보기술에 대해 위험과 관련된 종합적인 대응책 수립과 적절한 대응이 필요한 시점에 도래하였다. 이와 관련하여 본 논문에서는 조직체 내에서 IT자원에 대한 무결성, 가용성, 기밀성을 고려하여 조직 내부와 외부에서 발생할 수 있는 각종 정보 및 시스템과 데이터에 대한 통제는 물론이고 위험에도 대처 할 수 있는 종합적인 위험관리시스템을 모델링하기 위한 특성에 대해 연구하였다.

• 산업경영시스템학회지
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• 제44권2호
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• pp.78-84
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• 2021

In addition to physical risks such as electrical, chemical, and mechanic ones in the workplace, psychosocial risks are also raising as an important issue in recent years in connection with human rights and work-life balance policies. The purpose of this study is to confirm the degree of effect of the psychosocial risk management plan at the workplace on workers through logistic regression analysis. Input data for logistic regression analysis is the results of a survey of 4,558 people conducted by the Institute for Occupational Safety and Health were used. There are 9 independent variables, including the change a workplace and confidential counseling, and the dependent variable is whether the worker feels the effect on the psychosocial risk management plan. As a result of this study, changes in work organization, dispute resolution procedures, provision of education program, notification of the impact of psychosocial risks on safety and health, and the persons in charge of solving psychosocial problems are shown effective in reducing worker's psychosocial risks. This study drives which of the management plans implemented to reduce the psychosocial risk of workers in the workplace are effective, so it can contribute to the development of psychosocial risk management plans in the future.