개방병원에 환자의 입원을 의뢰한 담당 의사들은 환자들의 상태와 제대로 된 간호서비스를 받고 있는지에 대한 정보를 간호기록을 열람함으로써 확인할 수 있다. 하지만 간호기록은 병원의 내부자료로써 외부기관에 쉽게 공개할 수 없는 자료이고 표준화가 확립되어 있지 않아 병원별로 다르게 작성되고 있어 필요한 정보를 공유하는데 많은 어려움이 따른다. 따라서 본 연구에서는 개방병원 간호기록의 작성과 공유를 지원하기 위한 시스템을 개발하고자 하였다. 본 시스템은 우선 간호기록을 실제로 작성하는 간호사의 편의성을 고려하여 간호기록항목사전을 설정하게 하고 간호사와 의사간의 지능형 에이전트를 이용한 협상으로 작성과 공개의 항목을 확정하도록 하였다. 이 모든 과정은 의료기관간의 네트워킹을 지원할 수 있도록 웹기반시스템으로 설계되었고 실제 구현을 통하여 실현가능성을 확인하였다.
This study is a descriptive analytic research measuring nursing service quality, using SERVQUAL model, to make fundamental data and strategies for nursing service improvement. Data were collected by self-reported questionnaire from 202 patients and 142 nurses, from June 7 to 14, 1999. The reliability of instrument were adequate(Cronbach
The purpose of this study is to survey evaluation of the nurse on the current Performance Appraisal System. the need for future performance of the nurse and the opinions about the job rotation, and suggest the direction of improvement by obtaining basic data to improve personnel management of the nurse in a hosipial, the subject of the investigation. The study was conducted self-reporting questionniare survey of 330 nurses working at C hospital located in Chonbuk Province and the data was collected from May 4. 1999 through May 14. The research used measuring instrument developed by researcher for evalution about the present performance appraisal. the need for the future performanc appraisal system and the opinion of job rotaion. The analysis of the collected data was computerized using SPSS/PC+ program, calculated frequency, percentage, the mean and standard deviation and used Pearson, s Correlation Coefficients, t-test, chi- square test. Major findings are as follows. 1) As for the purpose of the current performanc appraisal, the appraiser recognized it as a security of promotion standard, while the employee saw it as a means for control as guidance and supervison of work. 2) With regard to use the result of the present performance appraisal, appraiser picked ambiguous appraisal standard, employees recognized unilateral evaluation of superior eliminated the participation of them as the highest priority. 3) In relation to the current criteria for promotion of the nurse, both appraisers and employees placed more weight on the length of clinical than performance appraisal score. 4) There is much possibility of the appraiser making an error to evaluate considering the length of performance appraisal. 5) Both appraisers and employees indicated that prospective result of performance appraisal should be used for the ability development & motivation of the individual. 6) Concerning employee's participation for performance appraisal both sides wanted by far more participation. 7) Regarding the most ideal appraisal method, both parties favored most the way added up the evaluation of the head nurse and peer review and followed by the manner the revaluation of the head nurse by considering self-evaluation. 8) As to the individual interview after the appraisal, more than 60% of appraisers responded it's not necessary, while above 88.5% of employees answered it is essential so that it is showed significantly difference between the appraisers and the employees. 9) As far as open of the evaluation result is concerned. 75% of the appraiser were against it but 80% of the employee were for it so that it showed significantly between them. The most principal reason that the employee want is that it motivates the individual's ability development and the fairness of the appraisal increases. 10) Whether the periodical rotation is necessary or not, 80% of appraisers and employees answered it's necessary, however, over 70% of them did not want the rotation. 11) Work-group Cohesiveness level within the nursing unit was attentive different from desire of the rotation, that is, the work group cohesiveness level of nurses wanting rotation was significantly lower than that of the group not desiring it.
This study was undertaken in order to estimate the accuracy of disease code of the Korean National Medical Insurance Data and disease the characteristics related to the accuracy. To accomplish these objectives, 2,431 cases coded as notifiable acute communicable diseases (NACD) were randomly selected from 1994 National Medical Insurance data file and family medicine specialists reviewed the medical records to confirm the diagnostic accuracy and investigate the related factors. Major findings obtained from this study are as follows : 1. The accuracy rate of disease code of NACD in National Medical Insurance data was very low, 10.1% (95% C.I. : 8.8-11.4). 2. The reasons of inaccuracy in disease code were 1) claiming process related administrative error by physician and non-physician personnel in medical institutions (41.0%), 2) input error of claims data by key punchers of National Medical Insurer (31.3%) and 3) diagnostic error by physicians (21.7%). 3. Characteristics significantly related with lowering the accuracy of disease code were location and level of the medical institutions in multiple logistic regression analysis. Medical institutions in Seoul showed lower accuracy than those in Kyonngi, and so did general hospitals, hospitals and clinics than tertiary hospitals. Physician related characteristics significantly lowering disease code accuracy of insurance data were sex, age group and specialty. Male physicians showed significantly lower accuracy than female physicians; thirties and fortieg age group also showed significantly lower accuracy than twenties, and so did general physicians and other specialists than internal medicine/pediatric specialists. This study strongly suggests that a series of policies like 1) establishment of peer review organization of National Medical Insurance data, 2) prompt nation-wide expansion of computerized claiming network of National Medical Insurance and 3) establishment and distribution of objective diagnostic criteria to physicians are necessary to set up a national disease surveillance system utilizing National Medical Insurance claims data.
우리의 채란 양계산업은 호당 사육 규모의 확대와 기술개선이 있었음에도 사육 기반은 낙후되었고 자동화 시설이 크게 도입되지 않았으며 영농 기록도 하지 않았다. 이는 아직도 기술 향상과 구조개선에 의해 생산비 절감이 가능함을 보인 것이다. 이 연구에서의 경쟁력 향상을 위해 채란양계 경영 내부에서 무엇이 문제인가를 판단하고 개선방향을 분석하는데 필요한 전산모형을 개발함으로써 그동안 실행되지 못했던 경영진단을 실시할 수 있고, 새로운 경영전략의 도입에 대한 경제적 합리성의 판단을 쉽게 할 수 있게 하였다. 또한 우리 농가의 실정에 적합하도록 입출력 모형을 세웠고, 컴퓨터에 대한 지식이 없는 농가도 쉽게 이용할 수 있도록 한글화시켰으며, 모형을 단순화 하였으면서도 농민이나 연구자들이 필요로 하는 내용은 포함토록 하였다. 우리나라의 개인용 컴퓨터의 보급이 크게 신장되었으나, 아직도 채란계 농가까지 널리 보급되지 않은 상태에서 채란계 농가가 쉽게 이용할 수 있는 이러한 프로그램들이 많이 개발되어야 채란계 농가에 컴퓨터의 보급이 촉진되고, 정보화 시대에 대응할 수 있기 때문에 이 모형은 상당한 유용성을 가진다고 볼 수 있다. 앞으로는 일반관리(사양관리, 방역관리, 사료, 작업관리) 등과 결합된 종합 경영관리 모형이 개발되어 농민이 컴퓨터에 쉽게 접근할 수 있도록 해야 한다.
The advent of the Internet and related Web technologies has created an easily accessible link between a firm and its customers, and has provided opportunities to a firm to use information technology to support supplementary after-sale services associated with a product or service. It has been widely recognized that supplementary services are an important source of customer value and of competitive advantage as the characteristics of the product itself. Many of these supplementary services are information-based and need not be co-located with the product, so more and more companies are delivering these services electronically. Net-based customer service, which is defined as an Internet-based computerized information system that delivers services to a customer, therefore, is the core infrastructure for supplementary service provision. The importance of net-based customer service in delivering supplementary after-sale services associated with product has been well documented. The strategic advantages of well-implemented net-based customer service are enhanced customer loyalty and higher lock-in of customers, and a resulting reduction in competition and the consequent increase in profits. However, not all customers utilize such net-based customer service. The digital divide is the phenomenon in our society that captures the observation that not all customers have equal access to computers. Socioeconomic factors such as race, gender, and education level are strongly related to Internet accessibility and ability to use. This is due to the differences in the ability to bear the cost of a computer, and the differences in self-efficacy in the use of a technology, among other reasons. This concept, applied to e-commerce, has been called the "e-commerce divide." High Internet penetration is not eradicating the digital divide and e-commerce divide as one would hope. Besides, to accommodate personalized support, a customer must often provide personal information to the firm. This personal information includes not only name and address, but also preferences information and perhaps valuation information. However, many recent studies show that consumers may not be willing to share information about themselves due to concerns about privacy online. Due to the e-commerce divide, and due to privacy and security concerns of the customer for sharing personal information with firms, limited numbers of customers adopt net-based customer service. The limited level of customer adoption of net-based customer service affects the firm profits and the customers' welfare. We use a game-theoretic model in which we model the net-based customer service system as a mechanism to enhance customers' loyalty. We model a market entry scenario where a firm (the incumbent) uses the net-based customer service system in inducing loyalty in its customer base. The firm sells one product through the traditional retailing channels and at a price set for these channels. Another firm (the entrant) enters the market, and having observed the price of the incumbent firm (and after deducing the loyalty levels in the customer base), chooses its price. The profits of the firms and the surplus of the two customers segments (the segment that utilizes net-based customer service and the segment that does not) are analyzed in the Stackelberg leader-follower model of competition between the firms. We find that an increase in adoption of net-based customer service by the customer base is not always desirable for firms. With low effectiveness in enhancing customer loyalty, firms prefer a high level of customer adoption of net-based customer service, because an increase in adoption rate decreases competition and increases profits. A firm in an industry where net-based customer service is highly effective loyalty mechanism, on the other hand, prefers a low level of adoption by customers.
토양정보는 식량생산, 지속적인 토지이용 계획, 종다양성 평가에 사용되는 기본적인 자료이다. 본 논문에서는 우리나라 토양조사의 역사, 다양한 축척의 토양도 구축과 토양검정, 토양도와 토양검정 자료의 특성, 농업환경 변동 모니터링을 통한 일반농경지 및 취약농경지 토양, 토양정보의 전산화에 따른 토양데이터베이스와 토양정보시스템 소개, 구축된 토양정보의 활용과 향후 방향에 대해 논하였다. 40여년 동안 수행되었던 국책 토양조사 사업 결과 두 종류의 토양 데이터베이스가 구축되었는데, 다양한 축척의 토양도(1:250,000, 1:50,000, 1:25,000, 1:5,000)를 GIS DB로 전산화한 수치토양도 DB와 필지단위로 조사된 화학성 위주의 토양분석 성적을 구축한 토양비옥도 DB이다. 최근에는 친환경농업육성법 시행령에 따른 경작형태 및 오염원별 농경지 토양의 이화학성 및 중금속 함량 조사 자료를 GIS DB로 구축하여 공간적인 분포와 시계열적인 변화를 분석하는 자료로 활용하고 있다. 한국토양정보시스템(http://asis.rda.go.kr)에서 제공하는 토양전자지도는 총 89종으로 토성, 경사, 지형, 모재, 배수등급, 자갈함량, 유효토심 등 토양 GIS 주제도 50종, 사과, 배, 마늘, 수박 등 작물 재배적지 39종 이고, 62종의 토양통계 정보를 제공하고 있다. 토양 변동 정보는 농업환경자원 인벤토리에 기반하여 국립농업과학원에서 구축중인 농업환경자원정보시스템을 통하여 일반농경지의 화학성의 공간적인 분포와 시간적인 변화 정보를 제공될 예정이다. 또한, 기존의 자료를 기반으로 최소한의 실측 자료만으로도 토양의 기능과 환경변화를 예측을 할 수 있는 디지털 지도 작성 기술이 절실히 요구되고 있어 정보시스템은 이를 뒷받침할 수 있어야 할 것이다.
The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70
The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70
The author believes that the main task of study in international trade usage and practice is the management of transactional risks involved in international sale of goods. They are foreign exchange risks, transportation risks, credit risk, risk of miscommunication, etc. In most cases, these risks are more serious and enormous than those involved in domestic sales. Historically, the merchant adventurers organized the voyage abroad, secured trade finance, and went around the ocean with their own or consigned cargo until around the