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Veterans Hospital Medical Expenses Increase & Decrease Characteristics and Convergence Phenomenon-Focusing on the implications of the medical support system for national veterans-

  • Yu, Tae Gyu
    • International Journal of Advanced Culture Technology
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    • v.9 no.1
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    • pp.16-21
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    • 2021
  • As the average age of national veterans has increased from 69 years old(2011) to 71 years old(since 2015) over the past five years, the overall medical service cost of veterans has increased by about 20%. The main cause of this phenomenon is 'ultra-aging', which accounts for 67% of veterans, while the proportion of health insurance patients aged 70 or older is 9%. Therefore, it is judged that the analysis of the trend of use of medical services at veterans hospitals in each region that is in charge of severe medical services of national veterans can serve as an opportunity to seek countermeasures for the severe medical system of national veterans. First of all, based on the details of major medical expenses (hospitalization, outpatient, pharmaceutical expenses) by region for the last 10 years(2010-2019), data significance was performed through a chi-square test, and the Central Veterans Hospital and Non-Central Veterans Hospital using EXCEL. 'Expected frequency' was calculated by year. By applying the CHITEST(observation frequency, expected frequency) function again, the p-value(p<0.05) was calculated, and the profit bias of each region's veterans hospital could be determined. The specific research method is for the last 10 years(2010-2019) for state-sponsored patients_outpatient treatment income, state-sponsored patients_hospitalization income, exempt patients_outpatients at the Central Veterans Hospital, Busan Veterans Hospital, Gwangju Veterans Hospital, Daegu Veterans Hospital, and Daejeon Veterans Hospital. A one-way analysis of variance was conducted to verify the significance of the difference between group averages on the status of 5 medical revenues of veterans hospitals in each of the 5 regions, including medical treatment income, reduced patients_hospitalization income, and reduced patients_medicine expenses. It was found to be significant(p<0.05) at all levels, including region and type. Finally, the bias in the profit structure of regional veterans hospitals was the highest in 2017(p=0.0004) and the lowest in 2013(p=0.0349). In addition, in the profit structure of the Veterans Hospital, the year in which the'regional' variable worked the most was 2019, and the year with the least affected was 2010. The order of the former is Jungang(=31,674,713), Busan(=12,314,614), Gwangju(=11,957,038), Daegu(=10,168,015), and Daejeon(=6,991,034), and the order of the latter is Jungang(=57,868,791), and Busan(=19,183,194). Gwangju(=17,904,712), Daegu(=15,656,034), and Daejeon(=14,377,395). In conclusion, the profit bias of veterans hospitals repeatedly raced the lowest(p=0.01986) and highest(p=0.03499) for the past five years(2010-2014) year by year, with the 'regional' variable being the most in the veterans hospital's profit structure It was identified as a major influence factor. On the other hand, for the last 5 years (2015-2019), the influence factors of the'regional' variable every year were in 2015(p=0.02015), 2016(p=0.01741), 2017(p=0.00045), and 2018(p=0.00394). in 2019(p=0.00227), a significant difference was confirmed at a very low level.

An Exploratory Study on Effect of Call Center Representatives' Emotional Intelligence, Organizational Citizenship Behavior and IT Utilization Ability on Job Performance : A Comparative Analysis by Representatives' Career (콜센터 상담원의 감성지능, 조직시민행동과 IT활용능력이 직무 성과에 미치는 영향에 관한 탐색적 연구 : 상담원의 경력 비교)

  • Lee, Byeong-Hoon
    • Journal of Information Technology Services
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    • v.13 no.2
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    • pp.219-250
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    • 2014
  • Corporations look for their competitiveness in many different areas, and one of them is customer call center, which provides professional, special service to the customers. The importance and the value of realization of customer satisfaction at each call center have become significant as it plays a leading role and is responsible for customer recreation and follow-up services. This study held in-depth interviews with 3 groups of professional call representatives (categorized by experience) from popular property and life insurance companies in Korea who operate in and outbound calls. Three variables, emotional quotient, organizational citizenship behavior (OCB), and IT utilization skill, were selected and it was observed how these variables affect the job performance of in and outbound call center representatives. The importance of the relationship between the variables and the key factors in the future direction of improvement of the call center representative organization was analyzed. Emotional quotient refers to the ability to recognize and use the emotion of oneself and others. It was considered it would be effective in enhancing the counseling ability of call center representatives, This study identifies the effect of emotional quotient on job performance and organizational citizenship behavior, which is defined as actions outside of normative roles in the organization. Also, the study aims to prove the effect of emotional quotient on the rapidly developing IT utilization ability in relation to job performance. As a result, it was found that service career (3 months, 3 years, 10 years) had a significant effect on the key factors that affect the organization-emotional quotient, IT utilization skill, and OCB. Especially for OCB, it was considered relatively less important to the new employees, while it greatly affected the job performance, rate of settlement, and sustainment of the working life for those with longer experience. Also, the result of the interview for each variable differed by the service career. Emotional quotient, IT utilization skill, and OCB were close connection for the representatives with longer experience than for those with shorter experience. And the level of intimacy of their relationship with job performance was in proportion to the years of service. Thus, to secure stability for the call center representatives and enhance their job performance continually, the importance of emotional quotient and IT utilization skill shall be reflected in the operation process actively. In particular, in order to lead a organization with outstanding culture, a management system shall apply OCB from the recruitment process.

A Study on Phatic Communication of Korean Community in Residential Life Space (한국적 집단공동체 주거생활공간에서의 친교적 커뮤니케이션 활동고찰)

  • Kim, Man-Ki
    • Journal of Digital Convergence
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    • v.8 no.2
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    • pp.69-87
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    • 2010
  • This research is to investigate phatic communication by puting the purpose in maintaining and strengthening social relationship among people in groups in Korean residential community space. Phatic communication is the activity for friendship, expressing and sharing the tastes, expectations, and common features of residents by inducing the participation of residents in all sorts of events, meetings, and activities in residential space. Through this pathic activity, the range of communication age, the time of communication, the selection of location, and the topic of communication discourse are examined. The investigation methods of this research were taken two ways: First, it carried out the observation of participation and in-depth interview by the participation of researcher in a way of life as a member. In order to prove more objectively, it enhances the reliability of data by adding the questionnaire survey through the convenience sampling of 150 residents of three communities. Moreover, $x^2$; chi-square test was conducted in order to verify the difference in heterogeneous groups. Accordingly, this research will bring about the great development in cultural studies by exploring a way of Korean life, based on the communication of Korea community in residential life space, which can unify the community through sharing the meaning, interacting and delivering the message.

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Case Study on Teaching Practice for Biological Adaptation of Elementary School Teachers: Focus on the Influence of Teacher's Guide and Teachers' Understanding and Belief of Biological Evolution (초등교사의 생물의 적응에 관한 수업에서 나타난 교수실행 사례 연구 -교사용 지도서와 교사의 진화 개념 이해 및 신념의 영향을 중심으로-)

  • Mili, Lim;Heeyoung, Cha;Gill Woo, Shin
    • Journal of The Korean Association For Science Education
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    • v.42 no.6
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    • pp.567-578
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    • 2022
  • In this study, we examine whether the description of the elementary science curriculum guide, the concept of evolution, and the beliefs of teachers affect the teaching practice in classes related to adaptation of elementary school teachers. First, we examined the alternative concept among the sentences described in the bio-adaptation-related unit of the 2009 Elementary Science Curriculum Teacher's Guide and identified the effects of this description on the teaching practice of elementary school teachers. Next, six elementary school teachers were classified according to the results of the evolutionary concept test paper and the evolutionary belief test paper, and based on the class recording data and interview data, whether there is a difference in teaching execution. As a result, it was confirmed that there were a total of 18 descriptions corresponding to the concept of evolutionary alternatives in the analysis of instruction descriptions, and that these descriptions influenced elementary school teachers' adaptation concepts and teaching practice. Next, the group with high and low levels of evolution differ in the areas of "recognition of importance in the unit, distinction between adaptation concepts in the general sense and adaptation concepts in the biological sense, errors in the class," and "recognition of evolutionary education needs in the elementary curriculum." This study is meaningful in that it qualitatively confirms the research on the evolution concept of elementary school teachers, which has been approached quantitatively, and in-depth, confirms how the description, evolution concepts, and evolutionary beliefs affect elementary school teachers' biological adaptation concepts.

Qualitative Study on Educational Activities in the Area of Dietary Life Using Han-gwa in the Middle School Home Economics Class (중학교 가정과수업에서 한과를 활용한 식생활 영역 교육활동의 질적 연구)

  • Yu, Myoung Suk;Yu, Nan Sook
    • Journal of Korean Home Economics Education Association
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    • v.35 no.4
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    • pp.47-60
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    • 2023
  • The purpose of this study was to examine students' experiences in the dietary life class using traditional Korean desserts in middle school home economics classes. Participatory observation, in-depth interview, and site data collected in this study were analyzed through emic coding, and the results are as follows. First, students had 'expectations about Han-gwa lab classes.' Students were always positive about lab classes, looking forward to eating delicious food and eagerly awaiting their first lab class since entering middle school. Additionally, there were many students who were experiencing Han-gwa for the first time, so expectations about learning about Han-gwa were high. Second, students engaged in 'self-directed learning through the Han-gwa project.' In other words, while creating an activity book about Han-gwa, the students realized self-directed learning about the differences between Han-gwa and Yang-gwa (Western-style sweets), and the scientific principles of cooking Han-gwa. Third, students had 'instilled pride in Han-gwa through lab classes.' The students learned that there was sufficient awareness and change in values to cherish Han-gwa and to inherit its traditions. Fourth, there was a 'potential curriculum effect.' Students who did not experience face-to-face group activities for three years in middle school due to COVID-19 came to recognize the importance of collaboration and even tried making Han-gwa at home. In order for students to have pride in Han-gwa, it was confirmed that it was necessary for home economics teachers at school to actively teach classes on traditional foods and provide students with many opportunities to encounter them.

The Lived Experience of Mothers about Rearing of School Children With Cerebral palsy (뇌성마비 취학아동 어머니의 양육체험)

  • Baek Kyoung-Seon
    • Child Health Nursing Research
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    • v.7 no.4
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    • pp.434-450
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    • 2001
  • This study is designed to understand the meaning and nature of raising children with cerebral palsy. It researches the experience of mothers of schoolchildren with cerebral palsy by the research method of hermeneutic phenomenology. The study was conducted from November 10, 1999 to December 20, 2000. When children with cerebral palsy usually show symptoms in the early stage of cerebral palsy, mothers do not take children to a doctor for diagnosis. And, most of mothers have a difficult time to accept the reality; they usually respond to the initial diagnosis with shock, reproach, and deny. When mothers start recognizing the reality, they consider that their children have cerebral palsy due to the their mismanagement during pregnancy, delivery, nursing, and initial treatment. They shelter their children from view and feel guilty that they cannot afford to try folk remedies for their children. As time passes, mothers face conflicts between families in diverse ways. Families put the blame on genetic effects. Mothers-in-law give their daughters-in-law a hard time, husbands shift the responsibility of raising children onto their wives, and trouble arises between families-in-law and mothers native families. When children grow up, it is physically difficult for mothers to take care their children. In addition, they suffer from all the troubles in family due to childrens handicap. Mothers try the diverse methods of bringing up children. However, they start getting tired of raising children as they experience failures and financial difficulties. Mothers feel collapsed recalling the ways of raising children. They feel anxiety, miserable, lonely, and worrying when they think how children would attend school, make friends, and live in the future. In this stage, mothers do their best to raise their children with hope. They tend to compare their children with others without handicap and spend money and time in attempting all the treatments. When mothers and children join the society at school, they find that the society does not understand disabled people, teachers show inconsiderate attitude, friends avoid them, and children hardly follow classes. Such experiences make mothers feel angry and frustrated. However, when children adapt to school, mothers see the possibility that children could accomplish schoolwork. They appreciate teachers help and others consideration. Mothers place appropriate expectations on their children and help them to prepare for the future. I would make following suggestions based on the results. 1. As a primary basic course of rehabilitation nursing intervention, solution-centered nursing intervention system should be developed. The intervention needs to be based on the understanding of mothers, who raise children with cerebral palsy, through in-depth interview. 2. Advance researches on the development of individual nursing intervention should be conducted. Individual nursing intervention needs to prevent and release actual pain focusing on mothers raising children with cerebral palsy. 3. Integrated curriculum that help children with cerebral palsy lead a normal school life with ordinary children should be developed. 4. Basic research on using of facilities and effective application of service volunteer to help children with cerebral palsy in school needs to be conducted.

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A Study on the Expression Recognition of the Experience of the Sinmyung and the Movement in the Korean Dance of College Students Majoring in Musical: A Qualitative (뮤지컬 전공대학생들의 한국 춤 신명체험(神明體驗)과 움직임 표현인식;질적 접근)

  • Jeong, Tae-seon;Ahn, Byoung-Soon
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.383-393
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    • 2018
  • The purpose of this paper is to study on the elements of the Sinmyung and the expression recognition of body movement in Korean dance of college students majoring in musical. The participants were 12 male and female college students in musical major who experienced in dance, song and acting. The program was composed of the experience of the Sinmyung: recognition of sound and dance, breathing and movement in the Korean dance, 8 hours twice a week for four weeks. As a qualitative approach is the discovery of the center of the process, we carried out an inductive analysis of the area on the basis of observation, in-depth interview and student report. The core of this analysis is to attempt to analyze contents concentrating on the recognition exploration of the Sinmyung sentiment and the body expression through sound and breathing. In conclusion, for college students majoring in musical, the expression recognition of the experience of the Sinmyung and the movement in the Korean dance contributes to the improvement of creative thinking through body perception, and the practical use of the capacity of image expression through concentration of sound and breathing. Finally, the results of this research could articulate with the value of body expression and the creative factors of college students majoring in musical.

A Qualitative Study about the Care-giving Experiences of Grandparents and the Characteristics: Focused on Chung Nam Province (조손가족의 특징과 손자녀 양육지속의사에 관한 질적연구: 충남지역을 중심으로)

  • Park, hyun-sik
    • 한국노년학
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    • v.30 no.3
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    • pp.779-791
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    • 2010
  • This study was to examine the differential impacts of social experiences and conditions on health among men and women aged 65 years or older, using data of the "2004 Survey on living Status of the Korean Elderly". The outcome variables were any disability, self-rated health, multiple morbidity, and self-rated quality of life. Multiple Classification Analysis was used to test the differential exposure to social factors contributes to gender difference in health. Gender differences in vulnerability of each individual socioeconomic, psycho-social, and behavioral factors for health were assessed by comparing logit coefficients in men and women. I found that gender difference in exposure to social factors contribute to inequalities in health between older men and women, however, gender inequalities remained after controlling for differential exposure except in case of quality of life. In addition, gender differences in health were further explained by differential vulnerabilities to social factors between men and women. Findings of this study may affirm the importance of further and deeper investigation of gender differences in health in later life. Gender sensitive approach in health planning and polices for the elderly is also suggested.

A Study on the Experience of Settlement of Elderly North Korean Women Defectors in South Korea (북한이탈여성노인의 남한사회 정착경험에 관한 연구)

  • Lee, Hyen Joo;Oh, Bo Ram;Lee, Eun Hye
    • 한국노년학
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    • v.29 no.4
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    • pp.1501-1520
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    • 2009
  • The aim of this study is to observe the settlement experience among elderly North Korean women defectors who have been living in South Korea, and to understand their experience more fully. In this study, we adopted Colaizzi's phenomenological research method. The research participants consisted of six elderly North Korean women defectors in the age group of 65 to 70 who have settled in South Korea over three years. We utilized the purposed sampling and an in-depth interview for data collection. Data analysis was based on Colaizzi's six specific steps. As a result, eight theme clusters and sixteen themes were deduced from this research. The eight theme clusters are , , , , , , , . Based on these results, we discussed the meaning of elderly North Korean women's settlement experience in South Korea from a socio-cultural aspect and provided social welfare implications and future research suggestions.

A Case Study on Reflection-in-practice in Science Teachers' Teaching Changes (반성적 실천을 통한 과학교사의 교수실행변화에 관한 사례 연구)

  • Choi, Jong-Rim;Lee, Sun-Kyung;Kim, Chan-Jong;Yu, Eun-Jeong;Kim, Je-Heung;Oh, Hyun-Seok
    • Journal of The Korean Association For Science Education
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    • v.29 no.8
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    • pp.793-811
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    • 2009
  • The purpose of this study is to understand how a teacher's teaching can be changed while he or she teaches the same contents in different classes. The qualitative research method was used in this study. Data were collected from classroom observations, several in-depth interviews, and stimulated-recall interviews after each class. All the data were transcribed and analyzed interpretively, and then, the results of the analysis were checked by each participating teacher. The results are as follows: First, changes appeared in each class in terms of the teaching items, tools, sequence, and time, even though the same teacher taught the same contents. It showed that the teacher's teaching practice changed immediately and intuitively in class. Second, teachers tried to implement "exploratory teaching" or "move-testing teaching" to address the emerging problems during their teaching. They then reflected on and modified their own teaching. This type of change, which happened during the teaching practice, can be an example of "Reflection-in-practice." Thus, the results of this study can provide helpful insights into how teachers might adapt and reflect in their teaching. It suggests that teachers need to recognize their subconscious teaching changes and learn "Reflection-in-practice."