• 제목/요약/키워드: Supplementary Service

검색결과 145건 처리시간 0.027초

한 농촌지역 학교보건의 현황과 개선방안에 관한 연구 (A Study on the Present Condition and Reform Plan of School Health in a Rural Area)

  • 신영전;노학재;최보율;박항배;김현주
    • 한국학교보건학회지
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    • 제9권1호
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    • pp.55-67
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    • 1996
  • This research has incorporated a postal survey from the principals, nurse-charging teachers and nurse-teachers of the fiftyfive elementary, middle and high school in Yang-pyeong county area where its supplementary rate of nurse-teachers is less than adequate. It is to analyse the current status of the school health service in the area and to come out with a plan to improve the school health program through the participations of the health related experts of the local community. The survey was done in the two months of period of April to May of 1994. The result of the survey follows. The student population in the Yang-pyeong county area is 13,998 and the school employee population is 904 which counts for about 19.2% of the whole population of the area. However, the supplementary rate of nurse-teachers is only 10.8% (4 in 55 schools) which is very low in terms of relativity. School health committee only exist in 17% of the whole number of schools in the area and 50 of school health committee answered that their activity do not meet the adequate level. Only 54. 3% of the whole school numbers has included the school health finance in their financial plans and the amount set for the school health finance is about 500,000 wons (100,000-1,600,000 wons). 64.9% of the schools in the Yang-pyeong county area have the permanent nursing room established in the school. But, often than the equipment for a simple physical examinations, their supply of the health related equipments are less than adequate. Particitations of school doctor in the school health service is at only 67.6% which pretty much include only the physical examinations. Nurse-charging teachers consider their utmost important role is to teach health education but, they answered that they spent most of their times and efforts on physical examinations & immunizations. The average number of students visition to the nursing room is 2.5 persons and complains for basic discomfort as headache, concussion, stomachache and indigestion problems and usual pills used are the analgesics and digestives. Physical examination is done in the most schools every year but, 51.4% of nurse-charging teachers answered the physical examination does not really help. About the emergency treatment ability, 75.7% reports that both manpower & equipment are short. The school food services are present in only 8 schools (21.6%) but, 89.2% of nurse-charging teachers answer that there is a definite need of the food service. The survey says that the utmost important environmental health and safety factors are the traffic accidents followed by improper heat system, lighting, the stools and desks that do not consider the student physical status The overall evaluation of school health program reports that there are adequate physical examination, immunization, environmental hygiene, and management of safety but, on the other hand, health education, health councelling & management of nursing room are not managed properly. The principals of the survey pool report shortage of public agency support, lack of understanding of school health, shortage of nursing equipments and school health finance as the barrier factors of school health. The nurse-charging teachers report on the same questions as their less than qualitifying expertise, extraload of work upon the nursing affairs, shortage of nursing equipments & school health finance. The head masters & nurse-charging teachers answered that they are desperate for the meetings of nurse-charging teachers, construction of school health councelling system & training education in order to improve school health and if these are available, they will actively participate in them. After the careful analysis of the survey result, it is apparent that through the relations of the manpowers, establishment of community-oriented school health is definitely in need in rural area where there is low supplementary rate of nurse-teachers and poor school health environment.

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IPA를 활용한 식음료 축제속성의 중요도와 성취도 연구 (Study on the Importance and Performance of Food & Beverage Festival Attributes Using IPA)

  • 황수영
    • 한국콘텐츠학회논문지
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    • 제19권6호
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    • pp.368-378
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    • 2019
  • 본 연구는 식음료축제의 대표 지역축제인 '2018 대구치맥페스티벌'에 참가한 방문객의 축제속성을 규명하고, 축제속성 요인과 항목들의 중요도와 성취도의 차이를 알아보고자 하였다. 또한 IPA를 활용해 식음료 축제속성의 중요도와 성취도를 동시에 분석함으로써 학문적 및 실무적 개선점 및 시사점을 제시하고자 하였다. '2018 대구치맥페스티벌' 방문객의 식음료 축제속성 요인분석 결과, '위생적 환경', '음식맛과 다양성', '음식품질과 부가서비스', '음식구매편리성' 등 4개의 차원과 22개 항목으로 나타났으며, 실증분석을 통한 연구 결과는 다음과 같다. 첫째, 식음료 축제속성의 22개 항목별 중요도와 성취도의 차이를 알아본 결과, 22개의 축제속성 중 21개의 축제속성 항목에서 중요도와 성취도 간에 통계적으로 유의한 차이를 보였으며, 모든 항목에서 성취도가 중요도보다 높게 나타났다. 둘째, '2018 대구치맥페스티벌' IPA를 실시한 결과, I사분면(유지영역)에서는 4개의 요인 중 '음식구매편리성'과 '음식맛과 다양성' 요인과 이와 연관된 8항목이 포함되어 지속적으로 유지할 축제속성으로 나타났다. II사분면은 "이색적인음식", "음식/음료의 적당한 조리시간" 2항목이 포함되어 더욱 집중해서 성취도를 높일 필요가 있는 것으로 나타났다. 마지막으로, III사분면은 '음식품질과 부가서비스' 요인과 이와 연관된 9항목이 포함되었으며, IV사분면은 '위생적 환경' 요인과 이와 연관된 3개 항목이 포함되었으므로, 중요도가 낮은 속성들은 중요도 인식을 높이고, 성공된 축제를 위해서 성취도 또한 높일 필요가 있을 것이다. 본 연구결과는 앞으로 지역사회의 식음료 축제가 차별화된 지속가능한 경쟁력을 갖춘 축제로 거듭나기 위한 마케팅 자료로 활용될 수 있을 것이다.

응급의료종사자의 소진 영향요인 (부산, 경남 지역 119구급대원 중심으로) (Factors Affecting Burnout of Staff in Emergency Medical Service (Focusing on 119 rescuers in Busan and Gyeongnam))

  • 홍희정;성미혜
    • 한국직업건강간호학회지
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    • 제21권2호
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    • pp.164-173
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    • 2012
  • Purpose: This study aims to investigate the degree of burnout of 119 rescuers, to determine factors influencing their burnout, and to provide basic data for development of intervention programs to prevent the burnout. Methods: Subjects of this study were all 119 rescuers working at fire stations located in Busan and Gyeongnam. The data were collected from May 1, 2010 to June 30, 2010. The collected data were analyzed with SPSS/WIN 17.0. Results: When the difference in the degree of burnout by general characteristics was investigated, the means of burnout were significantly different depending on age, period of service, position, license, annual salary, desire to work continuously and types of working hours. Job stress, job satisfaction, social support, self efficacy and self esteem showed a statistically significant correlation with burnout. The degree of burnout became higher with more job stress and lower job satisfaction, social support, self efficacy and self esteem. As a significant factor affecting the degree of burnout of 119 rescuers, job stress showed 47.3% of explanatory power. The explanatory power of all of job stress, job satisfaction, self efficacy, types of working hours, annual salary and license was 62% and the power of job stress was the highest. Conclusion: From these results, job stress, job satisfaction and self-efficacy were found to be factors affecting the burnout of 119 rescuers. Therefore, intervention programs to reduce job stress and to improve job satisfaction, social support, self efficacy and self esteem should be developed to lower the degree of burnout of 119 rescuers. In addition, further researches to analyze works of 119 rescuers and legal and institutional strategies to improve their treatment are necessary and supplementary training in various practices by different circumstances based on standardized protocols should be conducted.

국민보건의료에 대한 민간의료보험의 영향고찰 : 의료서비스 이용만족을 중심으로 (Effects of Private Health Insurance in National Health Care System)

  • 이용재
    • 한국콘텐츠학회논문지
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    • 제14권1호
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    • pp.200-208
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    • 2014
  • 본 연구는 민간의료보험이 국민보건의료에 미친 영향과 관련된 오랜 논쟁에 관한 기존연구들을 분석하고, 논의가 부족했던 의료서비스 이용만족에 대한 영향을 확인하여 민간의료보험의 발전적 역할설정에 기여하는 데 목적이 있다. 선행연구 고찰을 통해 민간의료보험이 국민보건의료에 미친 영향을 확인한 결과 민간의 료보험 활성화가 저소득층과 건강상태가 좋지 않은 국민을 배제시키는 국민양극화를 초래할 가능성이 있고, 민간의료보험에 가입한 가입자의 의료이용량이 많아서 건강보험 추가재정지출을 유발할 가능성이 있었다. 그러나 민간의료보험이 의료서비스 질 개선과 의료소비자 만족에 기여하는지는 더 많은 연구가 필요한 상황이었다. 문헌고찰에서 연구가 미진한 것으로 확인된 민간의료보험이 소비자의 의료서비스 만족에 미치는 영향을 국민건강영양조사 자료를 통하여 확인한 결과 민간의료보험가입여부에 따라서 외래의료이용과 입원의료이용에 대한 의료서비스 만족도의 차이가 없었으며, 통계적으로 유의미한 영향관계도 없었다. 즉, 민간의료보험가입이 의료서비스 만족에 영향을 미치지 않는 것이다. 이러한 분석결과에 따라 향후 우리나라의 민간의료보험은 비급여 보충형으로 운영하는 것이 바람직할 것이다.

패스트푸드점 키오스크 품질이 사용자 지속사용 의도에 미치는 영향 (Influence of Fast-Food Kiosk Quality on User Intention of Reuse)

  • 이다미;김민진
    • 한국콘텐츠학회논문지
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    • 제21권11호
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    • pp.350-360
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    • 2021
  • 코로나19와 최저임금의 영향으로 비대면 결제 수단인 키오스크의 도입률이 2018년에 급격하게 상승하였다. 키오스크에 어려움을 가진 사용자가 존재함에도 키오스크는 외식산업에서 꾸준한 성장세를 나타내고 있다. 이에 본 연구는 키오스크의 지속사용에 영향을 미치는 만족도의 선행 요인을 품질 차원에서 확인하고자 하였으며, 가장 널리 활용되고 있는 패스트푸드점 키오스크 이용자 전체를 대상으로 조사를 시행했다. 연구 결과 키오스크의 정보 접근성(환경 품질), 주문 과정 편의성(과정 품질), 부가 서비스 혜택 추가(과정 품질)는 사용자 만족도에 영향을 주어 궁극적으로 지속사용 의도에 영향을 미치는 것으로 나타났으며, 결과품질인 주문결제 용이성은 만족도에 영향을 미치지 않는 것으로 나타났다. 점차 비대면 결제가 일반화/필수화되어가는 시점에서 이루어진 본 연구는, 키오스크 이용자에 대한 지식을 확장하였으며, 이용자의 만족도와 지속사용을 제고할 수 있는 키오스크 품질 요인을 규명하여 궁극적으로 매장의 키오스크 선택 기준을 제시하고 매장 경쟁력을 확보하는 데에 시사점을 제공하고 있다.

우리 나라 농촌지역(農村地域)에 부합하는 1차(次) 보건의료전달체계(保健醫療傳達體系) 정착구현(定着具現)에 관한 연구(硏究) -마을 보건임원(保健任員) 개발(開發)- (A Study on Implementation of Primary Health Care Delivery System meet to Rural Area in Korea -Village Health Voluntary Worker Development-)

  • 구연철;위자형;황선정;최삼섭
    • Journal of Preventive Medicine and Public Health
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    • 제12권1호
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    • pp.13-23
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    • 1979
  • A study was carried out from October 1977 to September 1978 in order to develope health care delively system which will meet to rural area in Korea. For the study objective a model of health care delivery system of Myun (township) area was developed which is adopted the net-work of village health voluntary worker who will play the role of bridge for communication related with health and illness between families or village people and health subcenter, and :he model health care delivery system net-work was set in the area of Soodong Myun, Yangju Gun. which is the rural health demonstration area of Ewha Womans University since 1972. The activities and attitude of 22 village health voluntary workers were observed and analized. during the study period. The results are as follows; 1. For the field activities of village health voluntary workers. a guide line which is described with specific behavioral objectives was developed and used for not only training of the workers but also evaluation of their field activities. 2. During the study period, the number of 971 village people were served primary health care service by village health voluntary worker and the service was classified largely into symptomatic medications (92%) and preventive measures (8%). 3. Comparative percentage of the number of 894 symptomatic cases cared by village health voluntary workers to 5,695 cases of patient treated by Soodong Health Subcenter during the same period was 15.7%. 4. Annual utility rate of village health voluntary worker by Myun total people was 16.1% but utility rate by Rie was varied from 38.2% to 2.8% which shown there were considerable differences in each Rie. In order to settle the village health care service, the obstructive factors of utility should be detected and their counter measure must be taken. 5. As the health need of village people increases, it is expected that the supplement of drug excluding present sit basic drugs is inevitable, but considering the ability of village health voluntary worker, the selection of additional drugs and education, plan should be carefully studied. 6. It is desirable that a financial resource for supplementary purchase of first aid kit, drugs and materials whould be alloted from village public fund like Saemaeul Women's Club fund, which has already practiced in a few villages in the study area. 7. As pointed out by village health voluntary workers, in order to improve the village health, village leaders should be in the center of it and the cooperation of whole village people is a core of healthful village development, and it is reasonable that the health subcenter backs up these voluntary health activities by village people in techniques. 8. It seems effective that a supplementary education for village health voluntary worker be accomplished by a planned education through regular meetings like worker's monthly meeting and irregular post guide when Myun Health Workers can handle the problems found during the round trip of villages. 9. It is desirable that village health voluntary workers, who are recommended by a civil voluntary organization like Saemael Woman's Club, are charged by natural villagc unit, are given a function of village health care service and used through basic education at health subcenter. 10. It is advisable that the village health voluntary worker's service is compensated not by a form of money, but by other way such as an exemption of medical fee of worker herself or her families in health subcenter can be one method. 11. Daily health activities of each village health voluntary worker should be reported to health subcenter by biweekly or monthly in order to get not only for basic data of the program but also for evaluation the program. It is recomandable that the report form should be simple and clear enough for village health voluntary worker to fill it effectively. 12. Village health care service should be developed into a Saemaeul Movement in which village people actively participate. For this, the appointed function of village health voluntary worker should be absorbed into those of living Environment Betterment Section or Family Planning Section of Saemaeul Women's Club or it is desirable that establish a new section, Village Health Promoting Section and make it involve the appointed functions of those sections mentioned above.

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빛의 굴절에 대한 초등예비교사의 개념이해와 지도계획의 어려움 분석 (Analysis of Elementary Pre-Service Teacher's Difficulties in Conceptual Understanding and Instructional Planning of Light Refraction)

  • 이지원
    • 한국과학교육학회지
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    • 제41권1호
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    • pp.11-18
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    • 2021
  • 이 연구는 초등예비교사가 빛의 굴절 단원의 교사용 지도서를 읽을 때 생성한 질문을 분석함으로써 개념이해에 있어서의 어려움과 지도계획을 세울 때의 어려움에 어떤 것이 있는지를 분석하는 것을 목적으로 한다. 2015 개정 교육과정 6학년 1학기 '빛과 렌즈' 단원의 지도서를 읽고 초등예비교사 283명이 생성한 의미있는 질문은 총 592개였고 이 중 물리 개념이해를 위한 질문은 총 306개, 교육학적 질문은 총 286개였다. 분석 결과, 초등예비교사는 물리 개념이해 측면에서 굴절이 일어나는 원인, 빛을 산란시켜야 하는 이유, 볼록렌즈의 초점거리에 따른 상의 변화 원인 등 교과서에 제시된 현상이 일어난 '원인'의 개념 이해에 어려움을 가지고 있었다. 지도계획 측면에서는 개념의 설명방법에 대한 질문, 즉 초등학생에게 개념에 대한 설명을 하지 못하고 현상만을 지도하여야 하는 것에 대한 질문, 특정 개념에 대한 구체적인 설명방법, 실험 방법 등에 대한 질문 그 뒤를 이었다. 교사용 지도서에는 교사들의 개념이해를 돕기 위한 여러 가지 설명들과 보충자료가 포함되어 있음에도 불구하고 일부 개념에 대해서는 지도서를 읽고서도 의문이 해결되지 않는 초등예비교사가 많이 있다는 것을 알 수 있다. 질문의 빈도가 높은 개념에 대해서는 좀 더 알기 쉽게 지도서를 작성할 필요가 있다. 지도계획에 있어서는 교수법과 실험방법에 대한 질문이 많았기 때문에 교사용 지도서에서 개념의 설명방법에 대한 예시와 구체적 실험방법을 좀 더 제공할 필요가 있다.

The Current State and Determinants of Korean Baby-Boomers' Welfare Consciousness

  • Lee, Hyoung-Ha
    • 한국컴퓨터정보학회논문지
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    • 제21권5호
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    • pp.193-200
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    • 2016
  • This study was conducted in order to assess the effect of variables influencing Korean baby-boomers' welfare consciousness. For this purpose, data from the $8^{th}$ supplementary survey of the Korea Welfare Panel in 2013 were analyzed. The subjects of analysis were 2,035 people who were born between 1955 and 1965 whose welfare panel data did not have missing values for the variables of the research model. According to the results of analysis, first, when the descriptive statistics of the major variables were analyzed, those showing a relatively high mean score among the sub-factors of the baby-boomers' welfare consciousness were 'expansion of expenditure for public assistance' (mean 3.65, SD .557), 'expansion of expenditure for social insurance' (mean 3.53, SD .646), and 'expansion of expenditure for social services' (mean 3.26, SD .424). The mean score of the baby-boomers' overall welfare consciousness was relatively high as 3.45 (SD .428), advocating the expansion of welfare expenditure. Second, the independent variables influencing the baby-boomers' welfare consciousness was found to have explanatory power of 12.9%. In the results of regression analysis, variables found to have a significant effect were gender (B=.100, t=2.573, p<.01), personal responsibility for poverty (B=-.151, t=-3.635, p<.01), social responsibility for poverty (B=.149, t=3.437, p<.001), and recipient's laziness (B=.251, t=6.578, p<.001). Based on these results were discussed major relevant policies.

북한이탈의사 교육: 서울의료원에서의 경험을 중심으로 (Medical Education for North Korean Defector Physicians: Experience at the Seoul Medical Center)

  • 최재필
    • 의학교육논단
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    • 제14권2호
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    • pp.95-101
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    • 2012
  • As North Korea passed from the Devotion (Jeongseong) movement to the black market (Jangmadang) system, the medical service system in that country was effectively destroyed. North Korean physicians who have successfully defected to South Korea (North Korean defector physicians, NKDPs) have experienced socio-economic hardships on their way to becoming incorporated into the South Korean medical system due to different medico- social cultures, different (English-based) medical terminology, and the clinical knowledge gap between North and South Korea. Since 2009, we have operated programs at the Seoul Medical Center to help NKDPs prepare for the South Korean medical licensing examination. These programs consist of clinical education at the medical center, personal mentoring, arrangement of educational programs at the medical college, mock tests at the consortium, and administrative aid. Looking forward, we hope to achieve the following: 1) More systematic support plans are needed involving medical education experts, field physicians, and experts on reunification. 2) An evaluation of defector physicians' current medical knowledge may provide information about the areas where supplementary education is most needed and the standards for certificating licenses. 3) In the short term, a customized glossary should be developed to assist defector physicians prepare for the examination. 4) To secure internships and residencies is the most important issue for further sustained training of NKDP physicians to become good clinicians after certification. Hopefully, this short report on the current ongoing educational course will lead to more extensive discussion.

국내 맞춤형 아파트 적용 현황에 관한 연구 (A Study on the Present Condition of the Custom-built Apartment)

  • 한송이;최재규;김재준
    • 한국건설관리학회:학술대회논문집
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    • 한국건설관리학회 2003년도 학술대회지
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    • pp.230-233
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    • 2003
  • 타 산업, 특히 제조업 분야의 경우 급격한 기술 및 인터넷 환경의 발전으로 인해 시장이 세분화 되고 다품종 소량생산의 체제로 변화하였다. 이러한 사회적 변화는 주택 시장에도 변화를 간져와 공급자 중심에서 수요자 중심의 시장으로 변화하고 있으며 주택에 대한 소비자의 요구사항도 날로 다양해지고 있다. 이러한 소비자의 요구에 부응하여 설계 시점부터 소비자와 상담을 통하여 맞춤 서비스를 제공하는 맞춤형 아파트가 도입되었으나 아직 초기 단계이기 때문에 맞춤형 아파트의 운영에 있어 많은 문제점이 드러나고 있다. 따라서 본 연구에서는 향후 맞춤형 아파트의 문제점을 개선하기 위한 전 단계로. 맞춤형 아파트에 대한 개념을 재정립하고 최근의 공동주택 공급 전략 및 맞춤형 아파트의 현황을 파악하였다.

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