• 제목/요약/키워드: after-school service

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추나요법 건강보험 급여 적용이 자동차보험 한방의료기관의 추나요법료 및 의료이용에 미치는 영향 (The Effect of the National Health Insurance Coverage of Chuna Therapy on the Costs and Service Uses of Chuna Therapy in Automobile Insurance Oriental Medical Institutions)

  • 김경화;조형경;이광수
    • 보건행정학회지
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    • 제31권3호
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    • pp.344-354
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    • 2021
  • Background: The purpose of this study was to analyze the effect of national health insurance coverage of Chuna therapy in April 2019 on the costs and service uses in automobile insurance. Methods: This study used the claim data from Health Insurance Review and Assessment Service. A total of 189,912 inpatients and 1,550,497 outpatients who received Chuna therapy covered by automobile insurance in oriental medical institutions were included. The analysis period was from July 2018 to December 2019, and a total of 18 months before and after April 2019, when Chuna therapy was covered by national health insurance. Interrupted time series analysis was applied to analyze the impact on the costs and service uses of Chuna therapy in automobile insurance before and after April 2019. Results: From July 2018 to December 2019, for 189,912 inpatients the cost and the number of times for Chuna therapy per capita were increased by 22.0% and decreased by 7.3% respectively right after the implementation of the policy. In the case of 1,550,497 outpatients, the cost of Chuna therapy per capita tends to be increased by 0.4% in overall study periods and increased 28.4% immediately after the implementation of the policy. Meanwhile, the number of times and visits for Chuna therapy per capita tends to be increased by 0.4% in overall study periods but decreased by 0.4% after the implementation of the policy. Conclusion: Results suggest that if the national health insurance coverage of oriental medicine services increases according to the policy stance for benefit expansion in national health insurance, the criteria for providing national health insurance benefits should be considered with the comprehensive impacts on the costs and service uses of automobile insurance.

초등 예비교사의 협력 과학수업이 과학교수효능감 및 과학지식에 미치는 효과 (The Effects of Team Teaching on Science Learning of Pre-Service Teachers on Science Teaching Efficacy Beliefs and Scientific Knowledge)

  • 이용섭;김순식
    • 대한지구과학교육학회지
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    • 제9권3호
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    • pp.341-351
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    • 2016
  • 본 연구의 목적은 '과학과 교재연구' 강좌를 수강하는 초등예비교사들이 실험처치 후 과학교수효능감 및 과학 지식에 미치는 효과를 알아보는 것이다. 이를 위하여 '과학과 교재연구' 강좌를 수강하는 심화과정 4개 반(118명)을 대상으로 9월 초에서 12월까지 실험처치를 하였다. 실험처치는 한 학기의 교재연구 및 교수법에 대해 교육을 하는 것이며, 초등예비교사들이 모둠별 과학협력 수업을 시연하는 것으로 마무리 하였다. 연구의 결과 및 분석은 집단의 전-후 검사에서 대응 표본 t 검정으로 분석하였다. 연구의 결론은 다음과 같다. 첫째, 본 강좌 수강 후 초등 예비교사들은 과학교수효능감에서 효과가 있는 것으로 나타났다. 둘째, 본 강좌 수강 후 초등 예비교사들은 과학지식 습득에 효과가 있는 것으로 나타났다. 셋째, 수업시연에서 예비교사의 수업에 대한 인식은 긍정적인 영향을 미친 것으로 나타났다. 초등예비교사들은 교수설계의 원리에 의한 과제분석으로 과학과 과정안(세안)을 작성하였으며, 수업에 대한 올바른 마인드 함양과 수업에 대한 자신감을 갖는 것으로 나타났다.

A Comparative Analysis on Korean Medical and Western Medical Service Usage Tendency of Rotator Cuff Surgery Patients - Using HIRA's Patients Sample Data

  • Khang, Hyun-jin;Lee, Hye-Yoon;Lee, Se-Yeon;Kim, NamKwen;Song, YunKyung
    • 대한한의학회지
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    • 제42권4호
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    • pp.133-149
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    • 2021
  • Objectives: To lay the foundation for future research into Korean Medicine treatment for Rotator Cuff repair surgery patients by analyzing Korean Medical and Western Medical service utilization and treatment duration. Methods: Data sampling was performed on 2015's HIRA patient data (confidence level of 97%) to analyze patients' Korean Medical and Western Medical service usage tendency. Sampled groups were divided into two groups: i) Patients who completed their treatment within five months after the rotator cuff surgery (termination group), ii) Patients who were treated for more than five months after the surgery (continuation group). Then the patients' Korean Medical and Western Medical service usage tendency was investigated and information of these patients are arranged. Results: Out of 1,453,486 patients who were gathered for sampling, 2,461 patients in total had gone through rotator cuff repair surgery. The termination group had 517 patients and the continuation group had 541 patients. The proportion of patients who visited a Korean Medicine clinic was lower in the termination group than the continuation group. Conclusion: The continuation group received more treatments (both in Western Medicine and Korean Medicine) and spent more on medical expenses compared to the termination group. Further research is highly recommended for more efficient Western Medicine and Korean Medicine treatments and reduced medical expenditure.

완화의료 일당정액수가제 시행에 따른 진료비와 진료행태의 변화 (Changes in the Medical Cost and Practice Pattern according to the Implementation of per Diem Payment in Hospice Palliative Care)

  • 임문남;최성우;류소연;한미아
    • 보건행정학회지
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    • 제29권1호
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    • pp.40-48
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    • 2019
  • Background: As of July 2015, per diem payment was changed from fee for service Therefore, this study aims to analyse changes in medical charges and medical services before and after enforcement of the palliative care, targeting palliative care wards in a general hospital, and provide basic data needed for development of per diem payment. Methods: The subjects of the study were a total of 610 cases consisting of 351 patients of service fee who left hospital (died) from July 2014 to June 2016 and 259 ones of per diem payment at Chosun University Hospital in Gwangju Metropolitan City. Results: The results are summarized as follows. First, after the palliative care system was applied, benefit medical service charges and insurance increased significantly (p<0.001). As benefit medical service charges increased, benefit private insurance payment increased significantly (p<0.001). Second, after the per diem payment was applied, total private insurance payment to medical institutes decreased significantly (p=0.050) and non-benefit also decreased significantly (p=0.001). Conclusion: It is suggested that additional rewards in the obligatory palliative care items should be continuously remedied and monitored to provide good quality hospice palliative care.

충남 일부지역 영양(교)사를 대상으로 한 학교급식에서의 친환경농산물 사용에 관한 연구 (A Survey on Use of Environment-Friendly Agricultural Products for School Food Service by Dietitians in Chungnam Province)

  • 이양순;이남옥;고성희
    • 대한지역사회영양학회지
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    • 제14권5호
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    • pp.556-564
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    • 2009
  • The purpose of this study is to analyze the school dietitian's cognition, practical use of environment-friendly agricultural products to provide fundamental information for the qualitative improvement in the school food service. The results of the study are as follows: 1. It was clearly recognized that the subsidy for the school food service is generally insufficient, the amount of additional appropriate subsidy for the school food service was different according to type of school and roughly 300~600 won in each of foods needs to be supported. 2. The environment-friendly agricultural products that were often used in the school food service were vegetables and grains. 3. In the analysis of cognition and problems toward using environment-friendly agricultural products, the dietitians recognized that environment-friendly agricultural products should be appropriately used. A reason that environment-friendly agricultural products were better than general agricultural products was composed of a use of less additive, good ingredient, and good outer condition. 4. In the analysis of countermeasure on increasing environment-friendly agricultural products in the school meal service, the response to that more additional subsidy was necessary for the school food service. The highest and the most positive effects after using environment-friendly agricultural products were students' health improvement and improvement in parents' satisfaction with the school food service.

The Impact of Investment Information Technology-based Fund Attributes on Trust, Satisfaction, Emotional Immersion, and Reinvestment Intentions

  • Seongwon Kim;Jungmann Lee;Hongkeun Kim
    • Journal of Information Technology Applications and Management
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    • 제30권5호
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    • pp.83-105
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    • 2023
  • The purpose of this study was to investigate the impact of investment fund attributes such as fund product characteristics, returns on fund investment (ROI), internal controls, and after service on fund investor behavior based on investment information technology. In addition, we also examined how customers reinvest through emotional immersion, company trust and company satisfaction of investment firms in the context of fund investment. First, empirical results show that fund product characteristics, returns on fund investment, and financial firms' internal controls and after service act as signals to fund investors to shape their reinvestment intentions. Second, while investors are generally perceived to be interested only in investment returns, this study also shows that they consider both fund product characteristics and fund investment returns, which are core attributes of funds, as well as financial firms' internal control and after service, which are non-core attributes. Third, we find that company trust is an important factor in investors' reinvestment intentions, showing that investors are more likely to reinvest in a fund if they perceive the financial firm to be trustworthy and reliable. Finally, these findings emphasize that investors consider not only tangible aspects of fund products, such as fund product characteristics and returns on fund investment, but also intangible factors, such as financial firms' internal control and after service, and trustworthiness. Taken together, another implication is that the more advanced the investment information technology of financial firms, the more trust, satisfaction, immersion, and reinvestment intentions of investors will increase.

Hepatoprotective Effects of Waxy Brown Rice Fermented with Agrocybe cylindracea

  • Lee, Jong-Suk;Lee, Kyung-A;Kim, Han-Sup;Kang, Sung-Moo;Lee, Yoon-Joo;Yoon, Jae-Don;Chung, Min-Wook;Han, Gi-Dong;Lee, Jae-Sung
    • Food Science and Biotechnology
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    • 제15권2호
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    • pp.238-243
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    • 2006
  • The methanol extract of waxy brown rice fermented with Agrocybe cylindracea was prepared. The extract was then freeze dried and fed to rats at the level of 0.5, 1.0, 2.0 g/kg body weight for 14 days, followed by the treatment with carbon tetrachloride for three consecutive days to induce hepatotoxicity. After sacrificing the rats, the enzyme activity of aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), lactate dehydrogenase (LDH), and ${\gamma}$-glutamyl transpeptidase (${\gamma}$-GTP) in serum was determined. Biochemical analysis on serum for albumin, total protein, triglyceride, and total as well as HDL-cholesterol were carried out along with a histopathological study of liver tissues. Based on these data, we suggest that the waxy brown rice cultured with A. cylindracea may exert hepatoprotective activity against hepatotoxicity caused by chemicals such as carbon tetrachloride.

예비 초등교사들의 도형 문제에 대한 SMK와 PCK 강화를 위한 DGE 활용 (Using DGE for Enhancing SMK and PCK of Pre-service Elementary Teachers for the Figure Problem)

  • 강정기;김민정;정상태;노은환
    • 한국학교수학회논문집
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    • 제17권2호
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    • pp.139-166
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    • 2014
  • 수학 교육에서 교사의 SMK와 PCK에 대한 역량은 대단히 중요하다. 그들의 SMK와 PCK에 대한 현황 파악과 그에 따른 강화방안이 있다면 더 없이 좋을 것이다. 그러나 교사를 대상으로 교수 역량 강화에 대한 연구를 수행하는 것은 현실적으로 많은 어려움이 있다. 이에 본 연구에서는 23명의 예비 초등교사를 대상으로, 이들의 SMK와 PCK에 대한 현황 파악과 그에 따른 강화방안으로 DGE 탐구활동을 활용하였다. 그 결과 3명의 예비 초등교사가 초기 SMK에서 오류를 나타내었으며, 초기 PCK에서는 설명 및 시각적 확인 위주의 교수 방법으로 문제해결에 필요한 성질을 지도하는 것에 중점을 두었다. 또한 DGE 탐구활동의 실제는 역동성 개념 이해 및 구현의 어려움, $75^{\circ}$ 작도에 집착 및 결과의 일반화, '접는 활동'의 수학적 해석의 어려움, 무난한 GSP 구현의 네 가지로 분류되었다. 이후 초기 SMK에서 나타난 하나의 오류가 수정되었으며 PCK의 방법적 측면에서 GSP를 활용한 시각적 확인이 추가되었다. 이러한 결과로부터 DGE가 예비교사의 SMK와 PCK 강화 도구로 활용될 수 있도록 돕는 몇 가지 교수학적 시사점을 추출할 수 있었다.

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Logistics Service Quality, Customer Satisfaction, and Loyalty During the COVID-19 Pandemic in Vietnam

  • NGUYEN, Xuan Hung;TRAN, Thuy Duong;VU, Phan Hoai Diem;DINH, Yen Chi;DUONG, Thi Mai Huong;THAN, Thi Ngoc Hien;NGUYEN, Trung Hieu
    • The Journal of Asian Finance, Economics and Business
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    • 제9권9호
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    • pp.299-307
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    • 2022
  • The goal of the study is to examine and assess how the factors of logistics service quality provided by logistics service providers influence customer loyalty and satisfaction in Vietnam. This study employs samples of the Kansei technique. The article's data was gathered through an online survey of 388 distinct Vietnamese customers who used logistics services before and during the Covid-19 outbreak. After the data was obtained, it was evaluated using SmartPLS 3.0's Cronbach's Alpha test and structural equation model (SEM). Staff service quality, operational service quality, and technical service quality are the three factors that determine the quality of logistics services in the study. Out of the 10 proposed hypotheses, research findings show that five are acceptable. The Covid-19 Pandemic in Vietnam had a significant impact on all dimensions, but it had no effect on how satisfied customers were with the logistics service providers. Nevertheless, loyalty is considerably influenced by only one factor, which is customer satisfaction, and customer trust moderates the relationship between these two factors. As a consequence of that, several managerial implications have been proposed to help logistics service providers improve their services to attract and keep Vietnamese customers using their service in the long term.

방과후 아동지도 (After-School Care and Education)

  • 서영숙;박진옥;서혜전
    • 아동학회지
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    • 제30권6호
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    • pp.281-295
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    • 2009
  • Representative services of the afterschool in Korea are After-Schools of the Ministry of Education, Science and Technology, Community Child Centers, After-school Child Care, and Youth After-school Academy of the Ministry of Health, Welfare and Family. Each service is distinguished with its own founded laws, subject children, specialists, principle management agent, a number of participants, and more. Research issues of afterschool are development of new afterschool programs, evaluatjon of the effectiveness of the afterschool, establishment of policies related to cooperative efforts among the different services of the afterschool, obtainment of legal status, and enhancement of the credential of its personnels. To guarantee the quality of the Afterschool and improve personnels' working conditions, various means are to be implemented. In regard to programatic and policy issues, the afterschool is needed to establish a system for training the afterschool coordinators and of its accreditation and to develop more child-centered afterschool programs. Also, it is needed to legislate fundamental law and consolidate communication system among the services of the Afterschool in pursue of their effective utilization and actual expansion.

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