• Journal of Preventive Medicine and Public Health
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• 제9권1호
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• pp.11-24
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• 1976

This study was a part of large scale of a prospective study on attitudes of professional students in medicine, nursing and teaching toward population related issues in Korea. The study was first conducted in May 1974 and then in May 1975 for the 1974 class cohot using a questionaire consisted of attitude scales and other items developed by Lee. The purpose of stuay was twohold, namely, to determine the difference in students among specializations on one hand and between the first and second years in the 1974 class cohot regarding tile subject matter. A one-way analysis of variance was used for attitude scale, and absolute and relative frequency were computed for the analysis of non-attitude scale items by employing Fishers' Ratio and Duncan's multiple range test at 5% level and chi square test at 5% level as significance tests. The hypothesis 'students in health profession are more likely to have positive attitudes toward population related issues progressively as class year advances than students in teaching profession' was tested and the following results were obtained: 1) Nursing students were more likely to display favarable attitudes toward family planning than medical or teaching students although the class cohot showed slightly negative improvement in the second year. Medical and teaching students apperaed to have slightly improved attitudes in the second year. 2) Respondents in general perceived national family planning program as a means of population control and this tendency was more true among nursing students as the class year advances than two other professional groups of students. Students in teaching profession appeared to perceive it more as a means to improve individual family welfare while health students were likely to see as to improve maternal and child health. This tendency was progressively improved as the class year advanced. 3) The majority of students regardless of their respective specializations believed that family planning program should be directed toward the improvement of individual family welfare. No progressive changes in the class cohot were observed. 4) About the plan to use contraceptives in future, no singnificant differences were observes among different specializations nor in different class years. However, the majority was confirmed to have a plan to use contracepives in future. An increasing proportion of the undecided category was observed, as class year advanced among health students. 5) Students in health profession were found to be more favorable about 'more leisure opportunities' as motive for limiting number of children whereas education students indicated the reasons as 'facilitate ambitions' and 'economic base' The progressive changes toward positive direction in both groups were observed as the class years advanced. 6) Attitudes toward induced abortions of the health students were observed to be positively related to class years while an inverse relationship was found in teaching students who showed much less favor in the subject matter than health students. This phenomenon may be due to the different exposure to learning environments unique to respective specializations. 7) Health students were found to have more favorable attitudes toward population education in general than the teaching students. The teaching students appeared to have changed more to the negative direction when they became the second year while no such development was observed in health students. The teaching students seemed to hold a very conservative position with regard to sex education in schools. 8) About the equality of sexes, the nursing group was found to be most favorable while the reverse was true in the teaching group. A change in the negative direction as the class year advanced was found in the teaching group. 9) About questions related to fertility values-the 10 percent of respondents regardless of specialization indicated that they would maintain their single status in future, however no change was observed in the second year. The desired number of children was found to be two by the majority of students in nursing, medicine and teaching in order of high proportion. No changes in a different class year were observed. The childless marriage was seen by nursing students as a problem more than other students, but a slight change in positive direction was found when the nursing students became the second year. In summing, as data supported in the above, students in health profession demonstrated more favorable attitudes toward population related issues than the teaching students and this tendency became more apparent in the second year. It was noticed that health students were more conscious about the health aspect of population and family planning program while the teaching students gave more attention to the socioeconomic aspect. The sex variable seemed to have operated in the item related to the equality of sexes. In conclusion, as data presented in the above, the hypothesis of this study was accepted except in the few items. It should be noted that the limitation of this study is the short duration of the observation in measuring the possible attitude changes. It should include curriculum analysis for the respective specializations in order to indentify the area of curriculum impact on students in future study.

• 마케팅과학연구
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• 제20권3호
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• pp.269-277
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• 2010

现有文献表明, 影响服务业顾客忠诚的最重要因素是服务质量. 然而, 在服务质量是直接还是间接影响顾客忠诚方面, 学者们的观点有着明显的分歧. 目前, 中国国内专门针对移动通信行业服务质量与顾客忠诚之间关系的文章较少. 此外, 以往相关文献多是将顾客忠诚作为一个整体变量进行研究, 没有进一步将其细分为多个维度. 基于此, 本文拟通过实证研究来探析移动通信业服务质量各维度与顾客忠诚各维度之间的直接和间接影响机理, 其中选择顾客满意作为二者关系的中介变量, 希望研究结论能给国内移动通信企业的服务管理提供有效的理论指导. 为了使搜集到的数据有效, 本次调研范围仅限于黑龙江哈尔滨市, 调查对象为移动通信公司的用户. 本次调研采取随机抽样的方式, 共发放问卷350份, 收回问卷325份, 回收率为 92.9%. 剔除无效问卷, 有效问卷为289份, 即有效回收率为82.6%. 本文借鉴国内外现有文献所使用的量表, 这些量表已经在实证研究中得到验证. 本文提出六个假设, 总体而言, 只有四个假设没有得到支持. 为了验证服务质量构成要素量表的合理性, 本文对289份有效样本进行探索性因子分析. 同样, 对顾客忠诚的维度进行检验. 本研究采用Cronbach's ${\alpha}$系数来评价量表的信度. 本研究从内容效度, 结构效度和聚合效度三方面对问卷进行效度检验. 本研究对数据和模型的拟合优度进行检验, 以提高假设检验的准确程度. 通过文献资料的收集, 整理及数据处理, 本文提出了服务质量五维度模型以及服务质量与顾客忠诚度之间相互关系模型, 通过实证分析验证了有形性, 可靠性, 反应性, 保证性和关怀性是服务质量的五个构成要素, 验证了PZB对于服务质量的SERVQUAL的测量方法, 研究了移动通信服务质量各维度对顾客忠诚各维度的直接影响机理, 以及服务质量各维度如何通过顾客满意这一中介变量对顾客忠诚各维度的间接影响机理, 建立了相应的关系模型,并运用结构方程分析方法,对模型进行实证检验, 得出如下研究结论: 第一, 移动通信服务质量由有形性, 可靠性, 响应性, 保证性和移情性五个要素构成, 顾客忠诚由态度忠诚和行为忠诚两个维度构成. 在PZB设计的SERVQUAL量表基础上, 本文针对移动通信行业设计了服务质量测量量表, 通过探索性因子分析得出五个因子. 这五个因子与五构成要素基本一致, 说明服务质量五要素概念适用于移动通信行业. 同样, 对顾客忠诚量表进行因子分析, 得出两个因子, 与本文中的态度忠诚和行为忠诚相一致. 第二, 移动通信服务质量对顾客忠诚存在直接和间接的正向影响作用. 其中, 服务质量对态度忠诚有直接和间接的正向作用, 间接作用是通过顾客满意这一中介变量影响的; 服务质量对行为忠诚有直接和间接的正向作用, 间接作用是通过顾客满意和态度忠诚这两个中介变量影响的. 这说明移动通信服务质量越好, 顾客的满意度越高, 其对服务提供商的态度就越积极, 在行为上就越容易表现出对服务提供商的忠诚. 而且, 服务质量各维度对顾客忠诚各维度的影响机理是不同的, 比如: 有形性对顾客满意有直接的正向作用, 但对顾客忠诚却没有显著的直接作用; 保证性对顾客满意没有显著的直接作用, 但对顾客忠诚有直接和间接的正向作用. 第三, 顾客满意在移动通信服务质量与态度忠诚, 行为忠诚之间的具有显著的中介作用, 这说明服务质量的提高可以增加顾客的满意度, 而满意的顾客更容易成为忠诚的顾客; 而态度忠诚在移动通信服务质量与行为忠诚之间的具有显著的中介作用, 这说明顾客行为上表现出忠诚可能是虚假忠诚, 只有态度和行为都忠诚的顾客才是真正的忠诚顾客. 本文的研究结论对中国及其它国家的电信运营商如何提升服务质量有一定的借鉴意义. 本文存在两方面的局限性: 首先, 本研究仅在黑龙江哈尔滨地区进行问卷调研, 针对移动公司用户, 统计数据会存在一定的抽样误差, 影响最终的统计分析结果. 第二, 本研究主要探讨了服务质量对顾客忠诚的影响关系, 并引入了顾客满意作为中介变量, 但没有考虑其他可能影响顾客忠诚的因素, 例如顾客价值, 消费者特征等.

• Asia pacific journal of information systems
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• 제20권1호
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• pp.141-170
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• 2010

User created content (UCC) is created and shared by common users on line. From the user's perspective, the increase of UCCs has led to an expansion of alternative means of communications, while from the business perspective UCCs have formed an environment in which an abundant amount of new contents can be produced. Despite outward quantitative growth, however, many aspects of UCCs do not meet the expectations of general users in terms of quality, and this can be observed through pirated contents and user-copied contents. The purpose of this research is to investigate effective methods for fostering production of creative user-generated content. This study proposes two core elements, namely, reward and motivation, which are believed to enhance content creativity as well as the mediating factor and users' committement, which will be effective for bridging the increasing motivation and content creativity. Based on this perspective, this research takes an in-depth look at issues related to constructing the dimensions of reward and motivation in UCC services for creative content product, which are identified in three phases. First, three dimensions of rewards have been proposed: task dimension, social dimension, and organizational dimention. The task dimension rewards are related to the inherent characteristics of a task such as writing blog articles and pasting photos. Four concrete ways of providing task-related rewards in UCC environments are suggested in this study, which include skill variety, task significance, task identity, and autonomy. The social dimensioni rewards are related to the connected relationships among users. The organizational dimension consists of monetary payoff and recognition from others. Second, the two types of motivations are suggested to be affected by the diverse rewards schemes: intrinsic motivation and extrinsic motivation. Intrinsic motivation occurs when people create new UCC contents for its' own sake, whereas extrinsic motivation occurs when people create new contents for other purposes such as fame and money. Third, commitments are suggested to work as important mediating variables between motivation and content creativity. We believe commitments are especially important in online environments because they have been found to exert stronger impacts on the Internet users than other relevant factors do. Two types of commitments are suggested in this study: emotional commitment and continuity commitment. Finally, content creativity is proposed as the final dependent variable in this study. We provide a systematic method to measure the creativity of UCC content based on the prior studies in creativity measurement. The method includes expert evaluation of blog pages posted by the Internet users. In order to test the theoretical model of our study, 133 active blog users were recruited to participate in a group discussion as well as a survey. They were asked to fill out a questionnaire on their commitment, motivation and rewards of creating UCC contents. At the same time, their creativity was measured by independent experts using Torrance Tests of Creative Thinking. Finally, two independent users visited the study participants' blog pages and evaluated their content creativity using the Creative Products Semantic Scale. All the data were compiled and analyzed through structural equation modeling. We first conducted a confirmatory factor analysis to validate the measurement model of our research. It was found that measures used in our study satisfied the requirement of reliability, convergent validity as well as discriminant validity. Given the fact that our measurement model is valid and reliable, we proceeded to conduct a structural model analysis. The results indicated that all the variables in our model had higher than necessary explanatory powers in terms of R-square values. The study results identified several important reward shemes. First of all, skill variety, task importance, task identity, and automony were all found to have significant influences on the intrinsic motivation of creating UCC contents. Also, the relationship with other users was found to have strong influences upon both intrinsic and extrinsic motivation. Finally, the opportunity to get recognition for their UCC work was found to have a significant impact on the extrinsic motivation of UCC users. However, different from our expectation, monetary compensation was found not to have a significant impact on the extrinsic motivation. It was also found that commitment was an important mediating factor in UCC environment between motivation and content creativity. A more fully mediating model was found to have the highest explanation power compared to no-mediation or partially mediated models. This paper ends with implications of the study results. First, from the theoretical perspective this study proposes and empirically validates the commitment as an important mediating factor between motivation and content creativity. This result reflects the characteristics of online environment in which the UCC creation activities occur voluntarily. Second, from the practical perspective this study proposes several concrete reward factors that are germane to the UCC environment, and their effectiveness to the content creativity is estimated. In addition to the quantitive results of relative importance of the reward factrs, this study also proposes concrete ways to provide the rewards in the UCC environment based on the FGI data that are collected after our participants finish asnwering survey questions. Finally, from the methodological perspective, this study suggests and implements a way to measure the UCC content creativity independently from the content generators' creativity, which can be used later by future research on UCC creativity. In sum, this study proposes and validates important reward features and their relations to the motivation, commitment, and the content creativity in UCC environment, which is believed to be one of the most important factors for the success of UCC and Web 2.0. As such, this study can provide significant theoretical as well as practical bases for fostering creativity in UCC contents.

• 시큐리티연구
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• 제24호
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• pp.53-66
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• 2010

본 연구는 경호무도에서 가장 많이 사용하는 낙법기술 중 인체의 상해를 예방하고, 충격을 최소화 시킬 뿐 아니라 몸을 안전하게 보호할 수 있는 측방낙법에 대한 운동학적 변인을 정량적으로 분석하는데 있다. 이를 위하여 본 연구는 5년 이상 경력을 가진 H 대학 합기도, 유도 우수 선수 3명을 선정하고, 매트에 닿는 시간과 순서 통하여 3차원 영상 분석을 통하여 실험하였다. 본 연구에서는 측방낙법을 5회 반복하였으며 가장 좋은 동작을 선정하여 결과를 처리하였고, 고속 카메라로 촬영된 영상은 DLT 방법에 의한 3차원 좌표 계산과 자료의 스무딩 과정을 거쳐 KWON3D ver. 3.1 프로그램을 이용하여 분석하였다. 분석 결과는 다음과 같다. 1. A, B, C 선수들의 측방낙법 수행 중 나타난 시간 변인은 미세한 차이로 시간적 변인과 신체가 매트에 닿는 순서의 차이를 보였지만 평균값으로는 손이($0.94{\pm}0.20$), 팔꿈치($0.97{\pm}0.17$), 엉덩부위($0.97{\pm}0.18$), 등($0.98{\pm}0.18$), 어깨부위($1.04{\pm}0.16$)의 결과를 보였으며 측방낙법 수행 중 신체가 매트에 닿는 시간 변인은 손, 팔꿈치, 엉덩이 부위 등 어깨부위 순으로 결과가 나타났다. 2. A, B, C 선수의 측방낙법에 대한 이동거리 변인은 손($34.33{\pm}34.59$), 팔꿈치($52.00{\pm}26.06$), 엉덩부위($70.00{\pm}15.72$), 등($153.67{\pm}17.93$), 어깨부위($130.67{\pm}29.02$)의 결과가 나타났다. 본 연구는 측방낙법동작의 원리와 현상을 이해하고 운동시 정확한 동작을 유도하여, 상해 및 기술향상을 기대할 수 있을 것으로 사료된다. 또한 초보자, 선수, 지도자에게 동작의 정확성 및 안전성을 효율적으로 습득, 지도 할 수 있도록 과학적이고 체계적인 기초자료를 제공할 것으로 기대한다. 3. 경호무도 통하여 충동적이고 우발적으로 일어나는 위해상황에서 의 대처능력의 향상과 상해예방에 기여한다.

• 재무관리연구
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• 제25권4호
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• pp.25-51
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• 2008

본 연구는 1986년 1월 1일부터 2007년 12월 31일까지 한국증권선물거래소의 유가증권시장에 상장된 기업을 대상으로 운전자본의 고정자산투자 스무딩효과를 실증분석 하였으며, 주요한 분석결과는 다음과 같다. 재무적 제약기업은 운전자본을 이용하여 고정자산투자를 스무딩할 수 있다. 외부에서 음(-)의 현금흐름 충격이 발생하면, 운전자본의 감소를 통해 고정자산투자를 스무딩하고, 양(+)의 현금흐름 충격이 발생하면, 운전자본의 증가를 통해 잉여현금흐름을 보관한다. 따라서 재무적 제약기업의 경우에, 운전자본은 고정자산투자에 유의한 음(-)의 영향을 미치며, 재무적 제약이 클수록 음(-)의 영향력은 더 커진다. 제무적 제약 정도는 배당지급 수준과 자본시장 접근성을 기준으로 측정할 수 있다. 저배당기업은 고배당기업보다 재무적 제약이 크며, 자본시장 비접근 기업은 접근기업보다 재무적 제약이 크다. 또한, 운전자본과 고정자산투자간의 내생성을 고려하더라도 운전자본의 고정자산투자 스무딩효과는 여전히 존재한다. 따라서 운전자본의 고정자산투자 스무딩효과는 통계적으로나 경제적으로 중요한 의미를 갖는다고 할 수 있다. 결론적으로, 한국증권선물거래소의 유가증권시장에 상장된 기업들은 비대칭정보 하에서 재무적제약을 받을 경우에, 운전자본을 사용하여 고정자산투자를 스무딩한다고 할 수 있다. 특히, 배당지급이 적은 저배당기업이나 자본시장에 접근이 용이하지 않은 비접근기업은 재무적 제약이 더 많기 때문에, 운전자본을 사용하여 고정자산투자를 스무딩 할 가능성이 많다. 따라서 기업 경영자들은 이러한 운전자본의 고정자산투자 스무딩효과를 고려하여 운전자본관리를 실천함으로써 기업가치를 극대화시킬 수 있다고 생각한다.

• 지능정보연구
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• 제27권3호
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• pp.113-137
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• 2021

모바일뱅킹의 성장세 뚜렷한 가능성에 따라 이와 관련한 연구들이 다수 진행되고 있으나, 국내의 경우 기술적인 요소나 소비자의 이용 의도 및 행동, 만족에 대한 분석으로 집중되어 있는 실정이다. 또한 20대라는 견고한 고객층을 보유하였음에도 이러한 고객 집단을 특정하여 진행된 연구는 거의 찾아볼 수 없다. 모바일뱅킹이 한 단계 도약하기 위해서는 그 자체에 대한 연구뿐만 아니라 모바일뱅킹에 영향을 미치는 외부요인에 대한 연구를 통해 다양한 관점을 확보하는 전략이 필요하다. 따라서 본 연구는 20대의 모바일뱅킹에 유의미한 영향을 미칠 수 있는 다양한 외부요인 중 충동성, 신용카드사용 여부, SNS 중독을 분석하였다. 충동성의 네 가지 하위요인인 부정긴급성, 긍정긴급성, 계획성부족, 지속성부족과 모바일뱅킹 사용률 간의 관계를 검토하고, 여기에 신용카드 사용 여부가 영향을 미치는지 확인하였다. 또한 충동성의 각 하위요인과 SNS 중독의 세 가지 하위요인인 조절실패 및 일상생활장애, 몰입 및 내성, 부정정서회피 간의 관계를 탐색하였다. 이때 모바일 기반의 SNS 중독이 충동성과 모바일뱅킹 사용률 간의 관계에서 어떠한 매개효과를 보이는지 확인하였다. 이러한 분석을 위해 20대 남녀 150명을 대상으로 설문조사를 진행하였고, 수집된 자료는 SPSS Statistics 25 프로그램을 이용하여 연구문제에 따라 상관분석, 회귀분석 등을 실시하였다. 연구결과는 다음과 같다. 첫째, 긍정긴급성은 모바일뱅킹 사용률에 유의한 정적 영향을 미치는 것으로 나타났다. 둘째, 신용카드 사용 여부는 부정긴급성과 모바일뱅킹 사용률의 관계에서 조절효과를 보였다. 셋째, 충동성의 하위요인은 모두 SNS 중독의 하위요인과 유의미한 정적 관계가 있는 것으로 나타났다. 넷째, 긍정긴급성 및 SNS 중독, 모바일뱅킹 사용률의 관계에서 총효과와 직접효과가 나타나는 것으로 확인되었다.

• 한국농림기상학회지
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• 제21권1호
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• pp.65-73
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• 2019

지역이나 전구 규모의 농업 생태계를 감시하기 위해 HDF 형식으로 제공되는 MODIS 원격 탐사자료가 사용되어 왔다. 대개의 경우, 다량의 영상자료들이 처리되어야 하기 때문에, 이들 자료의 처리 성능을 향상시키는 것이 유리하다. 본 연구는 HDF 파일을 처리할 수 있는 GDAL과 같은 라이브러리가 운영 체제나 배포 방식 등에 따른 처리속도의 차이를 확인하여 원격 탐사 자료 처리 시스템 구축을 지원하고자 하였다. 이를 위해, GDAL이 시스템에 설치되는 주요 조건들에 따라 MODIS 영상자료 처리 시간을 측정하고 비교하였다. 운영 체제(Ubuntu 및 openSUSE), 컴파일러(GNU 및 Intel), 설치 옵션 및 바이너리 패키지 조건을 조합하여 GDAL성능 비교가 이루어졌다. 각 조건에 따라 설치된 GDAL을 사용하여 MODIS 영상 중 대기측정 자료(MOD07)의 2차원 변수와 3차원 변수에 해당하는 총 10 종의 자료를 추출하였다. 자료처리에 소요된 구동 시간은 각 변수 값을 시스템 메모리에 저장하는 작업이 끝난 직후 측정되었다. 가장 좋은 성능을 보인 설치 조건은 Ubuntu에서 Intel Compiler를 사용하여 컴파일 된 GDAL을 사용하는 것이었다. OpenSUSE에서는 GNU와 Intel 컴파일러가 각각 2차원 자료와 3차원 자료를 처리하기 위한 작업에 효과적인 것으로 나타났다. 한편 "--with-hdf4=no" 옵션으로 컴파일 된 GDAL과 RPM package manager 버전의 GDAL의 경우, 다른 조건에 비해 상당히 낮은 성능을 보였다. 이러한 결과는 운영 체제나 컴파일러, 설치 옵션 등을 조정하여 원격 탐사자료 처리 도구의 속도를 개선할 수 있다는 것을 암시하였다. 특히, 원격 탐사 자료의 경우 다양한 형식으로 배포되므로, 이를 처리하는 라이브러리들이 최고의 성능을 발휘할 수 있는 조건을 탐색하고 이러한 결과의 공유가 후속연구에서 진행되어야 할 것으로 보인다.

• 벤처혁신연구
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• 제6권4호
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• pp.23-40
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• 2023

본 연구는 빠른 속도로 디지털화 및 모바일화되는 리테일 산업에서 전통적인 오프라인 리테일러인 백화점을 대상으로 고객 가치 이론을 기반으로 백화점의 모바일 앱 지속 이용 의도에 영향을 미치는 고객 가치 요인을 조사한다. 본 연구에서는 다차원적인 고객 가치를 기능적 가치, 편의적 가치, 그리고 사회적 가치의 세 가지 차원으로 분류하였다. 기능적 가치는 옴니채널 리테일 환경에서의 채널 간 통합과 일관된 고객 경험 제공을 의미하며, 편의적 가치는 고객이 모바일 앱 이용 시 절약할 수 있는 시간과 노력의 절약인 편의성이다. 사회적 가치는 백화점의 모바일 앱 내 친환경 마케팅과 관련하여 제품 또는 서비스 사용으로 인해 발생하는 사회적 승인 또는 사회적 자아 개념의 향상을 뜻한다. 이렇게 세 가지 차원의 고객 가치를 선행변수로 하여 종속변수인 모바일 앱 지속 이용 의도에 미치는 각 영향력을 분석하였다. 국내 신세계 백화점의 모바일 앱 사용 이력이 있는 고객을 대상으로 데이터 수집 후 Smart PLS 4.0을 사용하여 실증 분석하였다. 분석 결과 고객 가치의 세 가지 차원인 기능적 가치, 편의적 가치, 사회적 가치가 모두 고객의 모바일 앱 지속 이용 의도에 정(+)의 영향을 미치는 것으로 나타났으며 기능적 가치의 영향력이 가장 큰 영향을 미친다. 기술의 발전으로인한 옴니채널 리테일 트렌드에서 기능적 가치가 가장 중요한 영향 요인으로 나타남에 따라 오프라인 리테일러인 백화점의 통합된 채널 제공이 중요하다는 점을 시사한다. 백화점 모바일 앱 활성화를 위한 고객 중심 전략 수립 방향에 대한 통찰력을 제공하며, 백화점이 기존 오프라인 채널이 아닌 신규 모바일 채널을 통해 변화하는 고객의 기대 및 요구를 효과적으로 충족할 수 있는 맞춤화된 서비스와 마케팅 활동을 위한 기초적인 분석자료를 시사한다.

• 보건행정학회지
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• 제34권1호
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• pp.38-47
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• 2024

연구배경: 한국의 소아청소년 인구는 최근 10년간 288만 명 감소하였으며 전례 없는 초저출산으로 더욱 감소할 것으로 예상되고 있다. 여기에 코로나19 팬데믹 영향으로 소아청소년과 의원의 수익은 크게 감소하여 폐업이 증가하고 있는 실정이다. 본 연구는 아동인구 감소로 인한 소아청소년과 의원의 수익 악화가 폐업에 실질적으로 영향을 주었는지 분석하였다. 방법: 2011-2022년 건강보험심사평가원의 요양기관현황신고, 건강보험청구자료와 통계청의 주민등록인구현황 자료를 이용하여 2012-2022년 소아청소년과와 그 외 진료과(내과, 이비인후과, 가정의학과) 의원의 연도별 자료를 구축하였다. 종속변수를 폐업 여부로 하였고, 지역의 인구 특성 및 경쟁 정도를 반영하는 변수(전년 대비 아동인구 감소 여부, 허핀달-허쉬만지수 등)와 기관 특성 변수(전년 대비 수익 감소 여부, 연간 수익 등)가 폐업에 영향을 주는지 분석하였다. 기술통계, 카이제곱분석을 실시하였으며 일반화추정방정식(generalized estimating equations, GEE)을 사용하여 변수별 오즈비를 추정하였다. 결과: 소아청소년과 의원의 폐업률은 2.66%-7.04%로 내과·이비인후과·가정의학과 1.81%-2.47%와 비교했을 때 지속적으로 높았으며 코로나19 팬데믹 시기에 7.04%로 가장 높았다. 3개 진료과와 소아청소년과의원의 기관당 진료비 격차는 2012년 126백만 원에서 2019년 245백만 원으로 더 커졌다. GEE 분석결과, 낮은 수익, 전년 대비 수익 감소는 소아청소년과의 폐업을 증가시키는 주요 요인이었으며 수익 관련 변수 보정 후 소아청소년 인구 감소 자체는 폐업을 증가시키지 않는 것으로 분석되었다. 지역 내 동일 진료과 의원 수가 많거나 독과점이 있는 경우 3개 진료과(내과·이비인후과·가정의학과) 의원의 폐업은 증가하였으나 소아청소년과 의원의 폐업에는 영향을 주지 않는 것으로 나타나 차이가 있었다. 결론: 아동인구가 감소하는 상황에서 수익 감소는 소아청소년과 의원의 폐업을 증가시키는 주요 요인이 분명하다. 추후 소아청소년 진료체계를 안정적으로 유지시키기 위한 적극적인 방안이 모색되어야 한다.

• Asia pacific journal of information systems
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• 제19권3호
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• pp.69-98
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• 2009

We investigated what factors motivate gamers to participate in a guild and why they continue to be engaged as members of the guild. We find that, based on the result of focus group interviews with MMORPG gamers, social support and self-esteem factors play important roles. Considering both prior research and the focus group interviews we have conducted, we define social support and character control as independent variables. Character identity, guild identity, and self-esteem are proposed as mediating variables while guild flow and game loyalty as dependent variables. Accordingly, we develop the research model and hypotheses, and verify them empirically. Based on our experiences of playing the WoW game, we proposed a research model and conducted focus-group interviews (FGIs). FGIs involve formulating a hypothesis and then collecting some relevant data. FGIs were conducted face-to-face with students of C University in Korea. We formulated structured interview schedules, and the questions were based on our research variables and personal experiences. The questions for the interviews encompassed the following areas: (a) the demographic characteristics of the focus group; (b) the number of years for which respondents had played online games; (c) the motive for starting a game; (d) the number of game-characters assumed by each gamer; (e) the type of game played; and (f) other issues such as the reasons for involvement in the play, the willingness to reuse the game in case new versions were released, etc. On average, it took two hours to interview each of three groups. A primary set of FGIs was conducted with three groups on the premise that there would be some differences caused by character race (Horde vs. Alliance) or by playable server (Normal vs. Combat). With respect to the manner of playing, we found that guild members shared information, felt a sense of belonging, and played computer games for quite a long time through the guild; however, they did not undergo these experiences when playing alone. Gamers who belonged to a specific guild helped other players without expecting compensation for that, freely shared information about the game, gave away items for free, and more generous with other members who made mistakes. The guild members were aware of the existence other members and experienced a sense of belonging through interactions with, and evaluations from, other players. It was clear that social support was shown within the guild and that it played an important role as a major research variable. Based on the results of the first FGIs, a second set of in-depth FGIs was carried out with a focus on the psychology of the individual within the guild and the social community of the guild. The second set of FGIs also focused on the guild's offline meetings. Gamers, over all, recognize the necessity of joining a community, not only off-line but also online world of the guild. They admit that the guild is important for them to easily and conveniently enjoy playing online computer games. The active behavior and positive attitudes of existing guild members can motivate new members of the guild to adapt themselves to the guild environment. They then adopt the same behaviors and attitudes of established guild members. In this manner, the new members of the guild strengthen the bonds with other gamers while feeling a sense of belonging, and developing social identity, thereby. It was discovered that the interaction among guild members and the social support encouraged new gamers to quickly develop a sense of social identity and increase their self-esteem. The guild seemed to play the role of socializing gamers. Sometimes, even in the real world, the guild members helped one another; therefore, the features of the guild also spilled over to the offline environment. We intend to use self-esteem, which was found through the second set of FGIs, as an important research variable. To collect data, an online survey was designed with a questionnaire to be completed by WoW gamers, who belong to a guild. The survey was registered on the best three domestic game-sites: 'WoW playforum,' 'WoW gamemeca,' and 'Wow invent.' The selected items to be measured in the questionnaire were decided based on prior research and data from FGIs. To verify the content of the questionnaire, we carried out a pilot test with the same participants to point out ambiguous questions as a way to ensure maximum accuracy of the survey result. A total of 244 responses were analyzed from the 250 completed questionnaires. The SEM analysis was used to test goodness-of-fit of the model. As a result, we found important results as follows: First, according to the statistics, social support had statistically significant impacts on character control, character identity, guild identity and self-esteem. Second, character control had significant effects on character identity, guild identity and self-esteem. Third, character identity shows its clear impact on self-esteem and game loyalty. Fourth, guild identity affected self-esteem, guild flow and game loyalty. Fifth, self-esteem had a positive influence on the guild flow. These days, the number of virtual community is rising along with its significance largely because of the nature of the online games. Accordingly, this study is designed to clarify the psychological relationship between gamers within the guild that has been generally established by gamers to play online games together. This study focuses on the relationships in which social support influences guild flow or game loyalty through character control, character identity, guild identity, and self-esteem, which are present within a guild in the MMORPG game environment. The study results are as follows. First, the effects of social support on character control, character identity, guild identity and self-esteem are proven to be statistically significant. It was found that character control improves character identity, guild identity and self-esteem. Among the seven variables, social support, which is derived from FGIs, plays an important role in this study. With the active support of other guild members, gamers can improve their ability to develop good characters and to control them. Second, character identity has a positive effect on self-esteem and game loyalty, while guild identity has a significant effect on self-esteem, guild flow and game loyalty. Self-esteem affects guild flow. It was found that the higher the character and guild identities become, the greater the self-esteem is established. Contrary to the findings of prior research, our study results indicate that the relationship between character identity and guild flow is not significant. Rather, it was found that character identity directly affects game players' loyalty. Even though the character identity had no direct effect on increasing guild flow, it has indirectly affected guild flow through self-esteem. The significant relationship between self-esteem and guild flow indicates that gamers achieve flow, i.e., a feeling of pleasure and excitement through social support. Several important implications of this study should be noted. First, both qualitative and quantitative methods were used to conduct this study. Through FGIs, it was observed that both social support and self-esteem are important variables. Second, because guilds had been rarely studied, this research is expected to play an important role in the online community. Third, according to the result, six hypotheses (H1, H5, H6, H7, H8, and H11) setup based on FGIs, were statistically significant; thus, we can suggest the corresponding relationships among the variables as a guideline for follow-up research. Our research is significant as it has following implications: first, the social support of the guild members is important when establishing character control, character identity, guildidentity and self-esteem. It is also a major variable that affects guild flow and game loyalty. Second, character control when improved by social support shows notable influence on the development of character identity, guild identity and self-esteem. Third, character identity and guild identity are major factors to help establish gamers' own self-esteem. Fourth, character identity affects guild flow through self-esteem and game loyalty. The gamers usually express themselves through characters; the higher character identity is, the more loyalty a gamer has. Fifth, guild identity, established within the guild, has clear effects on self-esteem, guild flow and game loyalty. Sixth, qualitative and quantitative methods are employed to conduct this study. Based on the results of focus group interviews and SEM analysis, we find that the social support by guild members and psychological factors are significant in strengthening the flow of guild and loyalty to the game. As such, game developers should provide some extra functions for guild community, through which gamers can play online games in collaboration with one another. Also, we suggest that positive self-esteem which is built up through social support can help gamers achieve higher level of flow and satisfaction, which will consequently contribute to minimizing the possibility for the players to develop negative attitude toward the guild they belong to.