• Title/Summary/Keyword: delphi research

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호스피스 전달체계 모형

  • Choe, Hwa-Suk
    • Korean Journal of Hospice Care
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    • v.1 no.1
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    • pp.46-69
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    • 2001
  • Hospice Care is the best way to care for terminally ill patients and their family members. However most of them can not receive the appropriate hospice service because the Korean health delivery system is mainly be focussed on acutly ill patients. This study was carried out to clarify the situation of hospice in Korea and to develop a hospice care delivery system model which is appropriate in the Korean context. The theoretical framework of this study that hospice care delivery system is composed of hospice resources with personnel, facilities, etc., government and non-government hospice organization, hospice finances, hospice management and hospice delivery, was taken from the Health Delivery System of WHO(1984). Data was obtained through data analysis of litreature, interview, questionairs, visiting and Delphi Technique, from October 1998 to April 1999 involving 56 hospices, 1 hospice research center, 3 non-government hospice organizations, 20 experts who have had hospice experience for more than 3 years(mean is 9 years and 5 months) and officials or members of 3 non-government hospice organizations. There are 61 hospices in Korea. Even though hospice personnel have tried to study and to provide qualified hospice serices, there is nor any formal hospice linkage or network in Korea. This is the result of this survey made to clarify the situation of Korean hospice. Results of the study by Delphi Technique were as follows: 1.Hospice Resources: Key hospice personnel were found to be hospice coordinator, doctor, nurse, clergy, social worker, volunteers. Necessary qualifications for all personnel was that they conditions were resulted as have good health, receive hospice education and have communication skills. Education for hospice personnel is divided into (i)basic training and (ii)special education, e.g. palliative medicine course for hospice specialist or palliative care course in master degree for hospice nurse specialist. Hospice facilities could be developed by adding a living room, a space for family members, a prayer room, a church, an interview room, a kitchen, a dining room, a bath facility, a hall for music, art or work therapy, volunteers' room, garden, etc. to hospital facilities. 2.Hospice Organization: Whilst there are three non-government hospice organizations active at present, in the near future an hospice officer in the Health&Welfare Ministry plus a government Hospice body are necessary. However a non-government council to further integrate hospice development is also strongly recommended. 3.Hospice Finances: A New insurance standards, I.e. the charge for hospice care services, public information and tax reduction for donations were found suggested as methods to rise the hospice budget. 4.Hospice Management: Two divisions of hospice management/care were considered to be necessary in future. The role of the hospice officer in the Health & Welfare Ministry would be quality control of hospice teams and facilities involved/associated with hospice insurance standards. New non-government integrating councils role supporting the development of hospice care, not insurance covered. 5.Hospice delivery: Linkage&networking between hospice facilities and first, second, third level medical institutions are needed in order to provide varied and continous hospice care. Hospice Acts need to be established within the limits of medical law with regards to standards for professional staff members, educational programs, etc. The results of this study could be utilizes towards the development to two hospice care delivery system models, A and B. Model A is based on the hospital, especially the hospice unit, because in this setting is more easily available the new medical insurance for hospice care. Therefore a hospice team is organized in the hospital and may operate in the hospice unit and in the home hospice care service. After Model A is set up and operating, Model B will be the next stage, in which medical insurance cover will be extended to home hospice care service. This model(B) is also based on the hospital, but the focus of the hospital hospice unit will be moved to home hospice care which is connected by local physicians, national public health centers, community parties as like churches or volunteer groups. Model B will contribute to the care of terminally ill patients and their family members and also assist hospital administrators in cost-effectiveness.

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Development of Evaluation Indicators for a Children's Dietary Life Safety Index in Korea (한국 어린이 식생활 안전지수의 평가 지표 개발)

  • Chung, Hae-Rang;Kwak, Tong-Kyung;Choi, Young-Sun;Kim, Hye-Young P.;Lee, Jung-Sug;Choi, Jung-Hwa;Yi, Na-Young;Kwon, Se-Hyug;Choi, Youn-Ju;Lee, Soon-Kyu;Kang, Myung-Hee
    • Journal of Nutrition and Health
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    • v.44 no.1
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    • pp.49-60
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    • 2011
  • This study was performed to develop a children's dietary life safety index required by the Special Act on Safety Management of Children's Dietary Life enacted in 2009. An analytical hierarchy process was used to obtain initial weights of dietary life safety evaluation indicators. The Delphi method was applied to develop the weights along with 98 food and nutrition professionals. Three representative policy indicators, nine strategy indicators, 11 main evaluation indicators, and 20 detailed evaluation indicators were selected for the children's dietary life safety assessment. Three policy indicators and nine strategy indicators were the following: children's food safety indicator (support level of children' safety, safety management level of children's favorite foods, and safety management level of institutional food service), children's nutrition safety indicator (management level of missing meals and obesity, nutrition management level of children's favorite foods, and nutrition management level of institutional food service), and children's perception and practice level indicator ("Dietary Life Law" perception level, perception, and practice level for dietary life safety management, perception, and practice level for nutrition management). Weights of 40%, 40%, and 20% were given for the three representative policy indicators. The relative importance of nine strategic indicators, which were determined by the Delphi method is as follows: For children’s food safety, support level of children's safety, safety management level of children's favorite foods, and safety management level of institutional food service were given weights of 12%, 9%, and 19%, respectively. For children's nutrition safety, the missing meals and obesity management level, nutrition management level of children's favorite foods, and the nutrition management level of institutional food service were given weights of 13%, 11%, and 16%, respectively. The "Dietary Life Law" perception level, perception and practice level of dietary life safety management, and perception and practice level of nutrition management were given weights of 4%, 7%, and 9%, respectively.

Priority Analysis of Cause Factors of Safety Valve Failure Mode Using Analytical Hierarchy Process (AHP를 활용한 안전밸브(PSV) 고장모드의 Cause Factors 우선순위 분석)

  • Kim, Myung Chul;Lee, Mi Jeong;Lee, Dong Geon;Baek, Jong-Bae
    • Korean Chemical Engineering Research
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    • v.60 no.3
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    • pp.347-355
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    • 2022
  • The safety valve (PSV) is a safety device that automatically releases a spring when the pressure generated by various causes reaches the set pressure, and is restored to a normal state when the pressure falls below a certain level. Periodic inspection and monitoring of safety valves are essential so that they can operate normally in abnormal conditions such as pressure rise. However, as the current safety inspection is performed only at a set period, it is difficult to ensure the safety of normal operation. Therefore, evaluation items were developed by finding failure modes and causative factors of safety valves required for safety management. In addition, it is intended to provide decision-making information for securing safety by deriving the priority of items. To this end, a Delphi survey was conducted three times to derive evaluation factors that were judged to be important in relation to the Failure Mode Cause Factor (FMCFs) of the safety valve (PSV) targeting 15 experts. As a result, 6 failure modes of the safety valve and 22 evaluation factors of its sub-factors were selected. In order to analyze the priorities of the evaluation factors selected in this way, the hierarchical structure was schematized, and the hierarchical decision-making method (AHP) was applied to the priority calculation. As a result of the analysis, the failure mode priorities of FMCFs were 'Leakage' (0.226), 'Fail to open' (0.201), 'Fail to relieve req'd capacity' (0.152), 'Open above set pressure' (0.149), 'Spuriously' 'open' (0.146) and 'Stuck open' (0.127) were confirmed in the order. The lower priority of FMCFs is 'PSV component rupture' (0.109), 'Fail to PSV size calculation' (0.068), 'PSV Spring aging' (0.065), 'Erratic opening' (0.059), 'Damage caused by improper installation and handling' (0.058), 'Fail to spring' (0.053), etc. were checked in the order. It is expected that through efficient management of FMCFs that have been prioritized, it will be possible to identify vulnerabilities of safety valves and contribute to improving safety.

Integrated Medical Perspective View on Forest Healing Instructor Training Program and Curriculum Development (통합 의료적 관점에서 바라 본 산림치유 지도사 양성 교육과정 개발안)

  • Lee, Min Sun;Baek, Tae Sun;Shin, Hee Sung;Lee, Wang Lim;Park, Su Jin;Park, Chan Woo;Yeo, Sang Hee;Lee, Sung Jae
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.227-234
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    • 2013
  • The purpose of the study is to realize and develop the healing process that applies the Forest Healing Program to complementary and alternative therapies within the integrated medical health care place call ' Healing Forest'. Various healing programs need to develope and distribute to educate tentatively name ' Forest Healing Instructor' whom will be the key roll player on the program. Hereupon, collected the feedback of the program from 20 of professors, health care professionals and complementary alternative related professionals who are deeply related on the dendrology using Delphi examine. The study suggests the professional, who knows on dendrology, base medicine knowledge and healing power, Forest Healing Instructor Course includes education and assessment method base on education subject, course complete scope, instructor curriculum, education goal and education operation process. The Journal of Digital Policy & Management. This space is for the of your study in English.

A Study on the Improvement of Delay Compensation System in Defense Industry R&D (방위산업 R&D 지체상금 제도 개선방안 연구)

  • Kim, Sun-Young
    • Industry Promotion Research
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    • v.5 no.3
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    • pp.37-44
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    • 2020
  • Currently, the delayed compensation system, which does not reflect the R&D characteristics of the defense industry, is being applied, causing problems such as worsening management of defense companies and delayed power generation. The purpose of this study is to contribute to the development of the defense industry and the efficient promotion of combat capability by studying the improvement plan of the delayed compensation system reflecting the R&D characteristics of the defense industry. The research analyzed the defense industry R&D characteristics, national R&D, delayed compensation rate, reduction and exemption procedures and existing studies. Further, the Delphi technique was applied based on the status of the delayed compensation and the analysis of the cause of delay. It has been studied that it is not appropriate to apply the 'manufacturing and purchasing' standard of commercial products to defense industry R&D where the latest technology is applied and the success is unclear. Four measures were drawn to prevent delays, including the selection of excellent technology companies, and three measures to reduce delay compensation and apply differentials for rational treatment in case of delays. Just as the defense industry R&D is carried out under the Defense Acquisition Program Act due to the nature of the R&D industry, the defense industry will develop if the delayed compensation system is improved to reflect the R&D characteristics of the defense industry, and it will contribute to the acquisition of an efficient and economic weapons system.

Development of Korean Occupational Balance Assessment(K-OBA) Tool (한국형 작업균형 평가도구 개발)

  • Hong, So-Young;Hong, Deok-Gi
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.2
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    • pp.43-58
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    • 2019
  • Objective : The purpose of this study was to develop an assessment tool to measure Korean occupational balance. Methods : From March 2017 to July 2019, preliminary questionnaire was prepared through analysis of previous research and expert focus meeting, and preliminary questions were selected through the Delphi survey. In order to verify the validity of the items, Rash analysis was conducted to analyze the persons and items fitness, the distribution of item difficulty, separation reliability, and the appropriateness of the rating scale. Results : Among 141 subjects, 9 (6.38%) in time use and 11 (7.80%) in the occupation area were inappropriate subjects. As a result of analyzing the appropriateness of the items except for the inappropriate subjects, the 3 items were judged as ineligible items, but 1 item of the occupation characteristics was finally deleted based on the theoretical and clinical grounds. In the analysis of the scale, 4 points were more appropriate than the 5 point scale, and the separation reliability was .86~.94. Finally, 3 categories (time use, occupation area, occupation characteristics) and 18 items were selected. Conclusion : The occupational balance assessment tool was selected three categories and 18 questions finally, three categories and 18 questions, and was developed on a four-point Likert scale. Further research needs to prove the concurrent validity of the K-OBA and to analyze the factors that influence the occupational balance.

A Study on Developing the Index for Forest Sustainability in Korea (산림지속성 지수 개발에 관한 기초연구)

  • Kim, Joon-Soon;Kim, Joong Myung;Sung, Joo Han
    • Journal of Korean Society of Forest Science
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    • v.94 no.3 s.160
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    • pp.183-190
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    • 2005
  • This study was carried out to find out the possibility for developing methodologies on the index for forest sustainability and to assess sustainability indices of metropolitan and provincial districts based on conditions of their forest health and management programmes in Korea. To find out some indicators to be utilized in developing the forest sustainability indices, total 84 possible indicators were selected and combined from 69 major programmes contained in the 4th Forest Development Plan and the Forest Vision for 21st Century and other 15 indicators selected separately from other forest policies. Those candidate indicators were reviewed throughly under evaluation processes and 33 indicators were finally chosen in developing the forest sustainability indices. Those indicators were classified into 3 categories, namely indicators for pressure, state, and response. Forest health could be represented by pressure and state indicators, while forest management programmes could be assessed by response indicators. Scores of importance for each indicator were assigned through Delphi survey and analyzed to project the extra weight value by summing rankings given to each index an applied to the standardized value of each index. Forest sustainability indices of metropolitan and provincial districts were analyzed and compared, based on relevant data of the year 2002. This study was kind a preliminary one in forest sustainability index and the names of metropolitan and provincial districts were not identified in this study. The indices could be very valuable in assessing quantitatively the level of forest health and intensity of forest management programmes in each districts and comparisons could be made among them, if all self-governing districts agree unanimously on the indices of forest sustainability and relevant indicators chosen in the study.

Importance of Service Factors for Car-Ferry Shipping Companies between Korea and China Routes using Fuzzy Method (퍼지이론을 도입한 한·중 카페리 선사의 서비스 요인 중요도 분석에 관한 연구)

  • Jung, Hyun-Jae;Yeo, Gi-Tae
    • Journal of Navigation and Port Research
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    • v.38 no.3
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    • pp.261-268
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    • 2014
  • The route of Korea and China situates stable shipping market by the agreement on maritime transport between two countries. Epecially, the Car-ferry shipping market between Korea and China is growing up the world's largest markets in this situation. But, the rapid growth of markets have the possibility of imbalance between supply and demand. In addition that heavy competition can be arisen. The aim of this study is to analyze the ways to reinforce competitiveness of Car-ferry shipping companies(CFSCs) between Korea and China routes through suggesting importance weights of service factors. Firstly, evaluating service factors of CFSCs between Korea and China routes are selected by reviewing literatures and Delphi method. Secondly, importance weights of service factors are calculated using Fuzzy method. As a result, Shipper and CFSCs between Korea and China routes select 'agility of loading and unloading', 'agility of customs', and 'punctuality of transportation' as the most important factors. On the other hand, the two groups are shown the perception gaps on the factors such as 'reasonable shipping cost', 'voyage speed', 'multimodal transportation', and 'professionality of manpower'. The implication of this study is that Government of Korea and China Have to cooperate agreement for mutual drive towed trailer and customs to speedy transportation.

A Study of the Development of Green Camp Evaluation Index based on the CIPP Model (CIPP 모형을 활용한 그린캠프 평가지표 연구)

  • Park, Chan Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.3
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    • pp.491-505
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    • 2020
  • The purpose of this study is to develop an evaluation index that can assess the Army training program of Green Camp. The result of the evaluation index phased-developed with the CIPP model is summarized below. First, the literature review with documents relevant to program evaluation, Green Camp field research, and expert discussions were used to select factors considered for evaluation and develop a preliminary evaluation area and item for the four areas within the CIPP evaluation model. Second, an initial survey targeting Green Camp and soldiers in the Capital Defense Command examined the preliminary reliability·validity, and the Focused Group discussions were used to supplement the evaluation index. Third, secondary surveys were conducted in four battalions in Gangwon-do and third surveys targeted officers from twelve different corps and personnels related to the Green Camp which verified descriptive statistics analysis, exploratory factor analysis, and correlation analysis in version SPSS 24. Fourth, with the validation verification procedure, 16 evaluation area and 36 evaluation index was confirmed. Fifth, the 36 evaluation index developed was subdivided into 57 indexes and the Delphi method was applied through the policy expert to formulate 43 generalized indexes. The significance of this phased research approach was considered for the institutionalization of the usage of scientific evaluation(index) and development in policy process.

A Study on Importance Setting of Activation Elements in Domestic Tourist Destinations Regeneration Consequent on the Cause of Stagnation or Decline (정체·쇠퇴원인에 따른 국내 관광지 재생 활성화 요소의 중요도 설정 연구)

  • Kim, Jung Jae;Lee, Kyung Jin
    • Journal of the Korean Institute of Landscape Architecture
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    • v.44 no.6
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    • pp.107-119
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    • 2016
  • Currently, 230 domestic tourist destinations have been designated, established, and operated in accordance with the Tourism Promotion Act. According to the results of preceding research, more than 30% of them have been getting into the stagnation or decline stage. This is becoming a burden to local governments operating and managing tourist destinations, making it necessary to seek resolution measures. Thus, this study determined the activation elements of stagnant/declined tourist destinations regeneration to deal with problems of domestic stagnant or declined tourist destinations and also to regenerate rational and sustainable tourist destinations. This study conducted a survey with experts based on causes for stagnation and decline of domestic tourist destinations suggested by preceding research. Based on the survey results, the activation elements of stagnant/declined tourist destinations regeneration were drawn through the Delphi Technique and Analytic Hierarchy Process. And then the priority and weight of the drawn activation elements of stagnant/declined tourist destinations regeneration were drawn for the sake of reasonable project progress of tour site regeneration. In the results of the analysis, as activation elements of stagnant/declined tourist destinations regeneration, a total of seven upper-attributes, 23 sub-attributes, and 66 detailed-elements were drawn. It would be possible to raise the efficiency of projects and rational decision-making when executing future tourist destinations regeneration projects by using the activation elements drawn. Also, the drawn elements could be applied to the actual tourist destinations regeneration projects as measures for the stagnant/declined domestic tourist destinations' contribution to the vitalization of local economy based on sustainability, prohibition of thoughtless development of domestic tourism projects, and also efficient use of tourism resources.