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도시분석을 위한 인구주택센서스와 GIS의 연계활용방안 연구: 수치지도의 보완과 센서스트랙의 결정 (A Study of Collaboration between the Census and GIS for Urban Analysis: Modification of Digital Maps and Establishment of Census Tracts)

  • 구자문
    • 한국지리정보학회지
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    • 제2권2호
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    • pp.27-44
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    • 1999
  • 한국에서 제작되고 있는 수치지도들은 종류도 다양하고 담고 있는 내용도 매우 많은데, 제작비용과 갱신상의 어려움을 줄이기 위하여 이미 전국적으로 완성된 1:5,000축척의 수치지도를 전국적인 기본도로 하고 포함되어 있는 속성정보를 되도록 많이 축소시켜서 미국의 타이거화일과 같이 간편히 이용될 수 있도록 하는 것이 좋다고 본다. 수치지도에 포함되어 있는 속성정보들은 많은 부분이 토지이용자료라고 볼 수 있는데, 이들은 각 지방자치단체에서 따로 토지이용정보시스템을 구축하여 전산화시키고 자주 갱신시켜서 필요에 따라 수치지도에 결합시키면 더 나을 것이라고 본다. 또한 시대의 흐름에 따라 센서스의 내용, 방법, 종류가 다양화되어야 한다고 보는데, GIS가 센서스와 결합됨으로 인하여 센서스가 좀더 신뢰성있고 효율적으로 이루어 질 수 있다고 보며, 또한 중요한 것은 인구주택총조사의 기본 발표단위를 현재의 읍, 면, 동에서 좀더 세분화된 센서스트랙과 블락그룹으로 결정하고 이용하는 것이 도시분석에 있어서나 공공서비스공급계획 등을 세우는데 있어서 좀 더 유용할 수 있다는 것이다. 이러한 분석단위의 결정은 인구수, 물리적 경계, 경제사회적 요소, 전통 등을 감안하여 신축성있게 결정하되 센서스트랙은 인구를 5,000명, 블락그룹은 1,500명 정도를 기준으로 하고, 한 개의 센서스트랙에 1~9개의 블락그룹이 포함되도록 한다. GIS와 결합되어 도시분석에 이용될 수 있는 자료들은 그 이외에도 각종 경제사회센서스, 행정기관의 각종 토지이용 및 인허가자료, 또한 여러 종류의 표본조사자료가 있을 수 있다. 이러한 자료들이 GIS의 여러 기능과 함께 수치지도와 결합되어 여러 가지로 연산이 되고 표현이 되며 각종 도시분석에 이용될 수 있도록 그 방법들이 많이 개발되고 있는데, 센서스트랙과 블락그룹의 존재는 이러한 도시분석 뿐만이 아니라 공공서비스제공의 효율성을 위해서도 필요하다고 본다.

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자연공원 지속가능성평가에 기반한 군립공원 지속가능성 영향요인 분석 - 경남권역 11개소 군립공원을 대상으로 - (Analysis of Sustainable Management Factors in County Parks Based on the Sustainability Evaluation Framework of Korea Nature Parks - Focus on the 11 County Parks in Gyeongsangnam-do -)

  • 홍석환;안로사;톈완팅;허학영;박준효
    • 한국조경학회지
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    • 제48권3호
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    • pp.12-21
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    • 2020
  • 본 연구는 경상남도에 소재한 군립공원을 대상으로 자연공원 지속가능성평가를 통해 관리효과성평가(MEE)를 실시하여 이를 바탕으로 군립공원의 지속가능한 관리를 도모하기 위한 영향요인을 도출하고자 하였다. 자연공원 지속가능성평가 진단표는 2016년 환경부에서 개발한 보호지역 관리효과성평가를 준용하여 소규모 자연공원에 응답할 수 있도록 보완한 평가표이며, 이를 바탕으로 공원이해관계자가 자가진단을 통해 자연공원의 전반적인 관리를 평가하도록 하였으며, 현장조사 및 인터뷰를 통해 이를 보완하였다. 경남권역 군립공원의 11개소 MEE결과를 살펴보면, 과반수의 군립공원에서 '자연생태적 가치(6개소)'를 주요 가치로 인식하고, '역사문화적 가치(4개소)', '여가휴양적 가치(1개소)'순으로 나타났다. 자연공원 관리의 위협요인으로는 '자연재해 및 환경요인(5개소)', '인위적 요인(3개소)'로 나타났으며, 군립공원 3개소에서는 관리를 저해하는 위협요인이 없다고 인지하고 있었다. 관리효과성평가 점수가 양호한 분야는 휴양가치상태, 역사 및 문화자원의 가치상태, 주요 자연자원 등이며, 미흡한 분야는 조사 및 연구프로그램, 멸종위기종 관리, 생태계 교란 동·식물 관리, 관리활동 모니터링 및 평가 수행이 지적되었다. 지속가능하게 관리에 영향을 미치는 지표를 도출하기 위해 관리효과성평가점수와 관리요인 간 회귀분석결과, 연간공원관리투입예산이 관리효과성평가점수와 통계적으로 유의미하였다. 이는 연간 자연공원관리예산의 적정한 집행이 현 시점에서 군립공원 관리에 가장 필요한 요소임을 의미한다. 향후 군립공원 관리계획 이행 시, 평가결과에서 도출된 미흡한 요인의 보완을 위한 예산확보가 시급한 것으로 판단되었다. 관리투입예산을 고려한다면 군립공원 관리의 효과를 높일 수 있을 것으로 기대된다.

대학종합병원 수간호사의 업무분석과 모형연구 (Analysis of the Work of the Head Nurse and a Work Model for the Head Nurse in University Hospitals in Korea)

  • 김인숙
    • 대한간호학회지
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    • 제19권2호
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    • pp.212-222
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    • 1989
  • When the head nurse who is pivotal in the nursing service administration of the hospital performs efficiently as a first-line manager, the effectiveness of the nursing unit, which includes the quality of nursing care, the jab satisfaction of staff members, and the cohesiveness of staff members is increased. With this point of view in mind, the researcher carried out a study to determine the actual work (the content of the work, the work process, the role of the head nurse, the activity media, and the purpose of the work) of the head nurse in a university hospital in Korea. In addition, this study was also carried out for the purpose of preparing an ideal model for the work of the head nurse. The research subjects were 39 head nurses. This included all the head nurses in two university hospitals except those who were working in outpatient care, operating rooms, central supply, nursing administration, in-service education and emergency care. Data were collected from September 24th to October 21th, 1987 and April 4th to 12th, 1988. A work activity record on which the head nurse recorded directly in a chronological narrative form, was used as the research instrument. The 234 work activity records, 39 head nurse's continuous recording over 6 days(from Monday to Saturday) were collected and analysed. The results were as follows ; 1. With regard to the work content for the total daily work of the head nurse, 45.2% of the activities were managerial activities but 58.1% of the head nurse' s time was spent in direct patient care. 2. With regard to the work process of the head nurse, specifically the location, the size and membership of groups contacted, the results were as follows : 1) Of the total daily work activities 92.4% were carried out in the nursing unit and this occupied 84.5% of total daily work time. Direct patient care was generally performed on the nursing unit and managerial work was performed in other areas. 2) Of the total daily work activities, 73% was with one or more persons and 51.2% of total daily work time was spent in groups. 3) A total of 51 persons, working in different capacities were contacted. These included 21 persons giving patient care, 19 persons working in nursing unit management, and 7 persons working in human resource management. 3. With regard to the head nurse's role in work activity, 53.3% of total daily work activities involved the informational role, 26.9%, the interpersonal role and 19.9%, the decisional role. With regard to time, 57.7% was spent in the informational role, 23.9%, in the interpersonal role and 18.3%, in the decisional role. When the head nurse performed managerial work, she gave nearly equal emphasis to all three roles when she gave direct patient care the informational role was increased. 4. With regard to the activity media, the number of unscheduled activities accounted for 27.1% of the activities, scheduled activities, 24.3%, desk work activity, 22.1%, rounds, 12.5% and telephone calls, made or received, 14.0%. In daily total work time managerial work related to desk work and scheduled activities were high, ranging from 29.8% to 29.9% but for direct patient care time, scheduled activities and unscheduled activities were high, ranging from 23.6% to 35.3%. 5. With regard to the purpose of the work performed, 54.4% of the total daily work was concerned with the team and 41.4% was concerned with the agency. The managerial work was concerned mainly with the team and the direct patient care was concerned mainly with the patient. When the frequency of an activity and time were compared no significant difference was found between the days for which the work was recorded for any of the variables : the work content, the work process, the work role, the activity media and purpose of the work. On the basis of this study the following are proposed as an ideal model for head nurse work in Korea : The managerial work should be increased to 70%. The decisional role activities should be increased to 40%. Twenty percent of the work activity should be allocated to agency, community and profession. It is believed that this model for the head nurse's work can contribute to guidelines for job description development. Finally, educational programs, organizational and structural devices, and administrative support are needed for the proper function of the head nurse in this proposed model.

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부울경 광역도시철도망 구축 필요성에 관한 연구 - 국도 7호선 중심으로 - (A Study on the Construction Demand for Network of Metro Railroad in Busan-Ulsan-Gyeongnam Area - In the place of National Road No.7 -)

  • 최양원
    • 대한토목학회논문집
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    • 제31권6D호
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    • pp.771-778
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    • 2011
  • 근래 양산시와 부산시간의 활발한 이동량에 따라 최근 도시철도 1호선 양산선(노포~북정)의 예비타당성조사가 완료되어 타당성이 있는 것으로 결론되어 짐에 따라 도시철도 서비스가 취약한 웅상지역의 교통문제를 개선하고 광역도시간의 균형발전을 도모할 수 있도록 부울경을 연계하는 광역도시철도망 구축 필요성이 요구되고 있다. 또한 광역도시철도망 구축의 필요성을 강조하기 위해 대상지역 수단별 통행량과 해당지역 도로통행배정을 조사하였고, 노선대안별 수송수요를 예측하여 수단별 통행량과 통행배정 결과에 따라 개략적인 경제적 분석을 위해 설정된 노선대안별 건설비와 편익을 산정하였다. 본 과업의 3개의 대상 노선안 중 효율적인 노선으로 선정된 노선 1안의 건설에 필요한 총 사업비는 7,943.2억원으로 산출되었으며, 사업비중 순공사비가 가장 많은 비용을 차지하고 있으며 다음으로 예비비, 차량구입비, 부대비 순으로 나타났으며 단, 용지보상비는 계상되지 않았다. 특히 노선 1안은 건설시 경제성 분석결과 편익/비용비가(B/C)가 0.584, 순현재가치(NPV)가 -2,174.7억원, 내부수익율(IRR)이 0.604%로 분석되어 현 단계에서는 경제성이 다소 없는 것으로 나타났으나, 장기적으로 노선 3안인 월평~용당의 양산구간만을 건설시 편익/비용비가(B/C)가 0.737로 나타나고 있다. 따라서 도시철도 서비스가 취약한 웅상지역 주민의 편의를 도모하기 위해 부산 도시철도 기본계획 재정비시 기존 신정선을 연장하여 도시철도 관련 상위계획에 본 과업노선을 포함시켜 장래 노선 2안인 부산~양산~울산으로 이어지는 광역도시철도망 체계 구축이 반드시 필요할 것으로 판단되고 있다.

운영연구(OR)의 도서관응용 -그 몇가지 잠재적응용분야에 대하여- (The Application of Operations Research to Librarianship : Some Research Directions)

  • 최성진
    • 한국문헌정보학회지
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    • 제4권
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    • pp.43-71
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    • 1975
  • Operations research has developed rapidly since its origins in World War II. Practitioners of O. R. have contributed to almost every aspect of government and business. More recently, a number of operations researchers have turned their attention to library and information systems, and the author believes that significant research has resulted. It is the purpose of this essay to introduce the library audience to some of these accomplishments, to present some of the author's hypotheses on the subject of library management to which he belives O. R. has great potential, and to suggest some future research directions. Some problem areas in librianship where O. R. may play a part have been discussed and are summarized below. (1) Library location. It is usually necessary to make balance between accessibility and cost In location problems. Many mathematical methods are available for identifying the optimal locations once the balance between these two criteria has been decided. The major difficulties lie in relating cost to size and in taking future change into account when discriminating possible solutions. (2) Planning new facilities. Standard approaches to using mathematical models for simple investment decisions are well established. If the problem is one of choosing the most economical way of achieving a certain objective, one may compare th althenatives by using one of the discounted cash flow techniques. In other situations it may be necessary to use of cost-benefit approach. (3) Allocating library resources. In order to allocate the resources to best advantage the librarian needs to know how the effectiveness of the services he offers depends on the way he puts his resources. The O. R. approach to the problems is to construct a model representing effectiveness as a mathematical function of levels of different inputs(e.g., numbers of people in different jobs, acquisitions of different types, physical resources). (4) Long term planning. Resource allocation problems are generally concerned with up to one and a half years ahead. The longer term certainly offers both greater freedom of action and greater uncertainty. Thus it is difficult to generalize about long term planning problems. In other fields, however, O. R. has made a significant contribution to long range planning and it is likely to have one to make in librarianship as well. (5) Public relations. It is generally accepted that actual and potential users are too ignorant both of the range of library services provided and of how to make use of them. How should services be brought to the attention of potential users? The answer seems to lie in obtaining empirical evidence by controlled experiments in which a group of libraries participated. (6) Acquisition policy. In comparing alternative policies for acquisition of materials one needs to know the implications of each service which depends on the stock. Second is the relative importance to be ascribed to each service for each class of user. By reducing the level of the first, formal models will allow the librarian to concentrate his attention upon the value judgements which will be necessary for the second. (7) Loan policy. The approach to choosing between loan policies is much the same as the previous approach. (8) Manpower planning. For large library systems one should consider constructing models which will permit the skills necessary in the future with predictions of the skills that will be available, so as to allow informed decisions. (9) Management information system for libraries. A great deal of data can be available in libraries as a by-product of all recording activities. It is particularly tempting when procedures are computerized to make summary statistics available as a management information system. The values of information to particular decisions that may have to be taken future is best assessed in terms of a model of the relevant problem. (10) Management gaming. One of the most common uses of a management game is as a means of developing staff's to take decisions. The value of such exercises depends upon the validity of the computerized model. If the model were sufficiently simple to take the form of a mathematical equation, decision-makers would probably able to learn adequately from a graph. More complex situations require simulation models. (11) Diagnostics tools. Libraries are sufficiently complex systems that it would be useful to have available simple means of telling whether performance could be regarded as satisfactory which, if it could not, would also provide pointers to what was wrong. (12) Data banks. It would appear to be worth considering establishing a bank for certain types of data. It certain items on questionnaires were to take a standard form, a greater pool of data would de available for various analysis. (13) Effectiveness measures. The meaning of a library performance measure is not readily interpreted. Each measure must itself be assessed in relation to the corresponding measures for earlier periods of time and a standard measure that may be a corresponding measure in another library, the 'norm', the 'best practice', or user expectations.

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조직몰입이 이직의도와 사업성과에 미치는 영향: 부산지역 사회복지조직을 중심으로 (A Study on the Impact of Organizational Commitment on Workers' Turnover Intention and Organizational Performance: Based on Analysis of Welfare Organizations in Busan, Korea)

  • 서종수
    • 벤처창업연구
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    • 제11권4호
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    • pp.215-225
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    • 2016
  • 비영리조직의 도덕적 해이성에 대한 사회적 문제의 표출과 더불어 서비스 책무성에 대한 사회적 관심의 증가에 따라 비영리조직의 사업성과에 대한 관심이 증가되고 있다. 비영리의 대표적인 영역으로 사회복지를 제시할 수 있으며, 사회복지조직은 사람을 매개로하여 제공되는 휴먼서비스의 특징을 지닌다. 따라서 사회복지조직의 사업성과에 인적자원, 즉 사회복지사의 조직몰입과 같은 요소가 미치는 영향은 크다고 할 수 있다. 그러나 사회복지조직은 부적합한 업무환경과 과다한 업무부담 및 노동강도 그리고 낮은 처우 등으로 인하여 매우 높은 이직률을 나타내고 있다. 이에 본 연구는 부산지역 복지조직의 사회복지사를 대상으로 조직몰입이 이직의도와 사업성과에 미치는 영향을 확인하고자 한다. 자료분석을 위하여 SPSS WIN 18.0을 이용하였으며, 각 변인별 빈도분석 및 기술통계를 통하여 일반적 특성을 파악하고, 주요 변인의 상관관계와 인과관계를 알아보기 위하여 Pearson 상관관계분석 및 다중회귀분석을 실시하였다. 연구결과 사회복지사의 조직몰입은 규범적 몰입 3.36, 지속적 몰입 3.07, 정서적 몰입 2.75순으로 나타났다. 규범적 몰입은 보통보다 조금 높게, 지속적 몰입은 보통, 정서적 몰입은 보통보다 낮은 것으로 나타났다. 사회복지사의 이직의도는 2.71, 사업성과의 경우 2.79로 나타나, 이직의도와 사업성과는 모두 보통보다 조금 낮은 것으로 나타났다. 사회복지사의 이직은 정서적 몰입, 혼인상태, 업무량, 연령 등이 영향을 미치는 것으로 나타났다. 또한 사회복지조직의 사업성과에 정서적 몰입, 성별, 연령 등이 영향을 미치는 것으로 나타났다. 따라서 비영리조직의 경영이나 창업에 있어, 인적자원의 요소 특히, 조직몰입 중 정서적 몰입을 체계적으로 관리함으로써, 이직의도를 감소시키고 사업성과를 향상해야 할 것이다.

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슈퍼슈퍼마켓(SSM)에 대한 개인 슈퍼마켓의 경쟁전략에 관한 연구 (A Study on the Competition Strategy for Private Super Market against Super Super Market)

  • 유승우;이상윤
    • 산경연구논집
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    • 제2권2호
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    • pp.39-45
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    • 2011
  • 한국 유통산업이 무한 경쟁에 박차를 가하고 있다. 저성장시대를 맞으면서 각 소매업태간의 경쟁 중에 힘이 약한 자는 생존의 문제에 직결되기 마련이다. 근 수년간 대형할인마트가 매년 꾸준한 성장세를 보여 왔다. 그러나 점포수의 포화, 신규부지 확보의 어려움, 불경기로 인한 소비자의 소비행태 변화 등의 이유로 고객밀착형의 새로운 업태의 진출을 모색하게 되었다. 이에 따라 최근 대기업은 대기업 계열 기업형 슈퍼마켓을 만들었고 전통시장 상권에 따라서 대형유통업체의 막강한 바잉파워를 배경으로 SSM이라는 신업태에 역량을 집중하여 전국적 다점포화를 공격적으로 전개해 왔다. 이러한 출점은 지역사회에 기반을 둔 중소유통 그중에서도 일정규모이상의 개인 슈퍼마켓에 직격탄을 날리고 있다. 개인 슈퍼마켓과 소매상인들은 낡은 판매시설과 기존 운영방식으로 인하여 사업의 경쟁력을 잃어가고 있다. 최근 대기업 계열 기업형 슈퍼마켓의 전통시장 상권에 대하여 언론, 학계, 업계 등에서 매우 논란이 많고 이와 관련된 세미나와 공청회도 많이 열리고 있다. 이에 따른 규제로 출점 속도를 늦출 수는 있으나 결정적 대안은 아닐 것이다. 기업형 SSM이 최근 급증하는 이유는 정체로 접어든 오프라인 할인마트 업체들의 새로운 성장분야를 찾기 위한 목적이 크다. 이미 대형할인마트 형태로는 전국 대부분의 지리적 요지에 다 입점해 있어 포화상태에 이르렀기 때문이다. 할인마트로 커버하지 못하는 소규모 상권을 공략하기 위해서는 SSM 형태의 사업이 확대가 절실하다. 이에 반하여 개인 슈퍼마켓은 경쟁력을 잃어 간다. 개인 슈퍼마켓의 취약점은 가격적인 면에서 규모의 경제를 실현 할 수 없기에 소량으로 판매 물건을 구입하고 있으며, 이로 인해 구입단가 할인이 어려운 상황이다. 또한 조직화 및 협업화가 부진하고 상인교육이 활성화 되지 못한 부분이 서비스로 직결되기 때문에 힘든 상황이다. 이에 따른 해결책으로 농산물, 청과, 공산품 등의 전문점을 만들어 상권을 형성하는 방법이 있다. 둘째, 개인 슈퍼마켓의 가맹점 가입 추진을 통한 조직화. 협업화를 촉진하여 규모의 경제를 취득함과 동시에 정부에 제안 할 수 있는 하나의 기업형태가 되는 것이다. 셋째, 중소상인 교육의 활성화로 서비스 의식을 고취하고 좋은 서비스로 소비자를 모아야 한다는 점이다. 또한 SSM에서 할 수 없는 심리적 점포 운영으로 소비자의 심리를 자극 하는 것도 하나의 방법이 될 것이다. 일본에는 이미 전일식 체인으로 소상공인들의 생활이 한편 나아졌다. 이에 개인슈퍼마켓을 비롯한 중소유통점들의 취약 부분을 알아보고 경쟁력 강화 방안에 대해 자세히 제안하고자 한다.

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업종별 프랜차이즈 선택결정요인이 가맹점 성과의 만족도와 성공·실패에 미치는 영향연구 (A Study on the Effects of the Characteristics of Franchise Business Members on Affiliate Outcomes)

  • 장재남;강창동;안성식
    • 유통과학연구
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    • 제9권2호
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    • pp.49-59
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    • 2011
  • 한국프랜차이즈산업은 1970년대 도입된 이후, 외식업, 도·소매업, 서비스업 등 광범위한 영역에 국민생활과 밀접한 지식기반서비스산업으로 고성장을 지속하고 있다. 이제 국내 프랜차이즈산업은 양적성장에서 질적 성장으로의 전환을 통한 새로운 도약을 준비해야 할 시기이다. 무엇보다도 중요한 것은 가맹본부와 가맹점 사업자 간의 신뢰구축을 위한 가맹본부와 가맹점사업자의 노력과 실천이다(Stanworth & Kaufmana, 1995). 가맹본부와 가맹점사업자간의 우호적이고 신뢰할 수 있는 관계(Relationship)야 말로 프랜차이즈에 대한 불신을 해소하고 건강한 프랜차이즈시스템을 유지할 수 있는 근간이기도 하다. 가맹사업을 하고자 하는 가맹본부는 프랜차이즈산업의 지속적인 성장과 발전을 위해서 가맹점창업의 성공에 많은 영향을 미치는 항목이 무엇인지를 파악해야 한다. 따라서, 가맹점 사업성과의 만족도와 가맹점 사업성공·실패에 미치는 가맹점의 선택속성이 무엇인지를 파악하고 업종별로 차이가 있다는 것을 밝히려는 연구의 목적이 있다. 본 연구는 가맹사업을 하고 있는 가맹본부나 예비 가맹본부 창업자들이 가맹점 모집뿐만 아니라 가맹점 지원시스템 구축력, 브랜드력, 가맹점의 상권 경쟁력, 교육·훈련 프로그램 수준, 가맹점사업자의 금융비용, 가맹점본부와 가맹점사업자와의 파트너쉽, 마케팅 믹스 관리능력(제품, 가격조건, 물류 및 배송서비스, 프로모션, 슈퍼바이징과 슈퍼바이저, 업무절차·과정, 물리적 증거)에 투자와 활동을 집중해야 가맹점의 성공가능성이 높아진다는 것을 시사하고 있다. 가맹점 예비창업자들이 우수한 가맹본부를 선택하기 위해 가장 크게 고려하는 사항은 가맹본부의 특성이다. 특히 가맹점에 대한 가맹본부의 지원은 가맹점의 사업성과와 만족도를 높이고 결과적으로 적극적인 추천이나 재 계약률을 높일 수 있다.

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가정간호 기록지 분석 - 원주기독병원 가정간호 보건활동을 중심으로 - (An Analysis of Referrals, Nursing Diagnosis, and Nursing Interventions in Home Care - Wonju Christian Hospital Community Health Nursing Service -)

  • 서미혜;허혜경
    • 가정∙방문간호학회지
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    • 제3권
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    • pp.53-66
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    • 1996
  • Home Health Care is one part of the total health care system. It includes health care services that link the hospital to the community. While it is important for early discharge patients, home care is also important for people with chronic illnesses or handicapping conditions. In 1989 the Korean government passed a law that opened the way for formal development of home health care services beginning with education programs to certify nurses for home care, and then demonstration home care services. Part of the mandate of the demonstration projects was evaluation of home care services. This study was done in order to provide basic data that would contribute to the development of records that could be used for evaluation through a retrospective audit and to examine the care that had been given in Home Care at Wonju Christian Hospital over a twenty year period from 1974 to 1994. The purposes of the study were : to identify to characteristics of the clients who had received home care, to identify the reasons for client referrals, to identify the nursing problems of these clients, to identify the nursing care provided to these clients, and to identify differences in these areas over the twenty year period. The study was a descriptive study involving a retrospective audit of the client records. Demographic data on all clients were included : 4,171 clients from 2,564 families. Data on referrals, nursing diagnosis and nursing interventions were from even numbered records which had a patient problem list included in the record, 2,801 clients, Frequencies and ANOVA were used in the analysis. The results of the study showed that the majority of the clients were from Wonju city /county. There were more women than men related to the high number of postpartum clients(1,300). The high number of postparttum clients and newborns was also evident in the age distribution. An the number of maternal-child clients decreased over the 20 years, the mean age of the clients increased significantly. Other factors also contributed to this change ; as increasing number of clients with brain injuries or with cancer, and fewer children with burns, osteomyelitis and tuberculosis. There was a decrease in the mean number of visits and mean length of coverage, reflecting a movement towards a short term acute care model. The number of new clents dropped sharply after 1985. The reasons for this are : the development of other treatment alternatives for clients, the establishment of an active wellbaby clinic, many more options plus a decreasing number of new cases of Hansen's Disase, and insurance that allows people with burns to be kept in hospital until skin grafts are healed. Socioeconomic changes have resulted in an increase in the number of cases of cancer, stroke, head injuries following car accidents, and of diabetes. Of the 2,801 client records, 2,541(60.9%) contained a written referral but for 1,802 it contained only the medical diagnosis. The number of records with a referral requesting specific nursing care was 739(29.1%). Many family members who were identified as in need of nursing care had no written referral. Analysis of the patient problem list showed that 41.9% of the enteries were nursing diagnoses. Others incuded medical diagnosis, symptoms, and plans. The most frequently used diagnoses were alteration in nutrition, less than body requirements(115 entries), alteration in skin integrity(114), knowledge deficit(111), pain(78), self-care deficit(66), and alteration in pattern of urinary elimination(50). These are reflected in the NANDA categories for which the highest number of diagnosis was in the Exchanging pattern(446), followed by Moving(178), Feeling(136) and Knowing (115). Analysis of the frequency of interventions showed that exercise and teaching about exercise was the most frequent intervention, followed by teaching concering the need for follow-up care, checking vital signs, managing nutritional problems, managing catheters, giving emotional support, changing dressings, teaching about medication, teaching (subject not specified), teaching about diet, IM and IV medications or fluid, and skin care, in that order. Recommendations included: development of a record that would allow for efficient recording of frequently used nursing diagnoses and nursing interventions: expansion of the catchment area for Home Care at Wonju Christian Hospital ; expansion of the service to provide complication prevention, rehabilitation services, and support to increase the health maintenance /health promotion of the people being served as well as providing client dentered care ; and development of a clinical record that will allow efficient data collection from records, even though the recording is done by a variety of health care providers.

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中國通用航空立法若干問題研究 (Some Issues on China General Aviation Legislation)

  • 란상
    • 항공우주정책ㆍ법학회지
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    • 제31권2호
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    • pp.99-143
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    • 2016
  • General aviation and air transport are two wings of the civil aviation industry. Chinese air transport is developing rapidly, and has become the world second air transport system only second to US since 2005. However, Chinese civil aviation is far behind the world average level, and cannot meet requirements of economic construction and social development. The transition and structural adjustment of Chinese economy provide the general aviation with a unprecedented broad market. The prospect of general aviation is promising and anticipated. The development of general aviation industry needs the legislative supports, and the current legislative conditions of Chinese general aviation are undoubtedly far behind the realistic requirements. Accelerating the legislation in Chinese general aviation industry requires scientific legislation concept. First, Legislation must promote development of general aviation industry. The general aviation will serves as a Chinese emerging industry that boosts domestic demand, promotes employment and expedite domestic economic development. We should, based on both the concept of promoting the industrial development of general aviation and national industrial planning, enact and rectify relative laws and regulations. And we should also straighten out the relationship between aviation security and industrial development and promote the revolution of low-altitude airspace management in an all-round way, in order to improve the utilization rate of airspace resources, classify and establish airspace, simplify examination and approval procedure and intensify operation management. In addition, what we should do is to expedite the infrastructure layout construction, guide the differentiated but coordinated development of general aviation industries in various areas, establish a united supervision mechanism of general aviation, redistrict the responsibilities of Chinese Air Control Agency and set up legislation, law enforcement and judicial systems with clarified institutions, clear positioning and classified responsibilities, so as to usher in a new era of the legislative management of Chinese general aviation industry. Second, shift the focus from regulations to both regulations and services. Considering the particularity of the general aviation, we should use American practices for reference and take into account both regulation and service functions when enacting general aviation laws. For example, we should reduce administrative licensing and market supervision, and adopt "criteria" and "approval" management systems for non-commercial and commercial aviation. Furthermore, pay attention to social benefits. Complete social rescuing mechanism through legislation. It should be clarified in legislation that general aviation operators should take the responsibilities of, and ensure to realize social benefits of environmental protection and ecological balance .Finally, rise in line with international standards. Modify Chinese regulations which is inconsistent with international ones to remove barriers to international cooperation. Specify basic legislative principles. One is the principle of coordination. Realize coordination between the civil aviation and general aviation, between military aviation and civil aviation, and among departments. Two is the principle of pertinence. The general aviation has its own rules and specialties, needing to be standardized using specialized laws and regulations. Three is the principle of efficiency. To realize time and space values of general aviation, we should complete rules in aerospace openness, general aviation airport construction, general aviation operations, and regulation enforcement. Four is the principle of security. Balance the maximum use of resources of Chinese airspace and the according potential threats to Chinese national interests and social security, and establish a complete insurance system which functions as security defense and indemnificatory measure. Establish a unified legal system. Currently, the system of Chinese general aviation laws consists of national legislation, administrative laws and regulations and civil aviation regulations (CAR). Some problems exist in three components of the system, including too general content, unclear guarantee measures, incomplete implementation details, and lacking corresponding pertinence and flexibility required by general aviation regulations, stringency of operation management and standards, and uniformity of standards. A law and regulation system, centered on laws and consisting of administrative laws regulations, industrial regulations, implementation details, industrial policies and local laws and regulations, should be established. It is suggested to modify the Civil Aviation Law to make general aviation laws complete, enact the Regulations of General Aviation Development, and accelerate the establishment, modification and abolition of Chinese general aviation laws to intensify the coordination and uniformity of regulations.