• 대한치과교정학회지
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• 제47권5호
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• pp.298-305
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• 2017

Objective: This paper describes changes in the characteristics of patients seeking orthodontic treatment over the past decade and the treatment they received, to identify any seasonal variations or trends. Methods: This single-center retrospective cohort study included all patients who presented to Seoul National University Dental Hospital for orthodontic diagnosis and treatment between January 1, 2005 and December 31, 2015. The study analyzed a set of heterogeneous variables grouped into the following categories: demographic (age, gender, and address), clinical (Angle Classification, anomaly, mode of orthodontic treatment, removable appliances for Phase 1 treatment, fixed appliances for Phase 2 treatment, orthognathic surgery, extraction, mini-plate, mini-implant, and patient transfer) and time-related variables (date of first visit and orthodontic treatment time). Time series analysis was applied to each variable. Results: The sample included 14,510 patients with a median age of 19.5 years. The number of patients and their ages demonstrated a clear seasonal variation, which peaked in the summer and winter. Increasing trends were observed for the proportion of male patients, use of non-extraction treatment modality, use of ceramic brackets, patients from provinces outside the Seoul region at large, patients transferred from private practitioners, and patients who underwent orthognathic surgery performed by university surgeons. Decreasing trends included the use of metal brackets and orthodontic treatment time. Conclusions: Time series analysis revealed a seasonal variation in some characteristics, and several variables showed changing trends over the past decade.

• 한국산업정보학회논문지
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• 제19권3호
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• pp.127-136
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• 2014

경영의 새로운 패러다임으로 기업과 소비자를 넘어 모든 이해관계자들이 함께 공동으로 협력하여 새로운 가치를 창출하는 Co-creation이 부각되고 있다. 공동으로 새로운 가치를 창출하기 위해서는 기업과 다양한 이해관계자들의 소통이 중요하다. 사실 기업은 소비자와의 소통을 위해 인터넷, SNS 등의 IT 기술을 활용하여 보다 효과적으로 Co-creation을 실현하기 위해 노력하고 있다. 그러나 아직까지 Co-creation을 위해 기업마다 개별적인 웹사이트나 SNS를 활용하고 있어 체계적인 관리가 어렵고 IT 기술에 대한 중복투자의 우려도 있다. 이에 본 연구에서는 사례분석을 통해 Co-creation을 더욱 쉽고 편리하게 활용할 수 있도록 Co-creation 플랫폼 개념모델을 제시하였고 이를 전문가 검증을 통해 수정 보완 하였다. 본 연구는 플랫폼에 필요한 요구사항 및 기능들을 제시하여 Co-creation 플랫폼의 설계를 위한 기초자료를 제공하였다는 점에서 공헌도가 있다.

• International Journal of Quality Innovation
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• 제9권1호
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• pp.1-21
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• 2008

A Purpose. As organizations become more team oriented, research on teams continues to increase especially involving how teams contribute to organizational performance and effectiveness. Although there has been existing research on Kaizen teams in the private sector, very little research has included Kaizen teams in the public sector. In this paper, we present a method to study Kaizen teams in a local Spanish government that have been using Kaizen teams for more than ten years. Design/methodology/approach. Quantitative research was adopted for this study. Twenty teams participated in the study by filling out the Team Learning and Development Inventory (TLI) proposed by Lingham (2004). In addition, we interviewed members of the teams in order to clarify and assure our quantitative results. Findings Based on the findings, we propose that Kaizen teams should practice both Continuous (CI) and Process Improvements (PI) in their projects. We also propose that Kaizen teams should not be teams skilled only at developing better improvement processes (both CI and PI) for the organization but that such teams should also be skilled at engaging in team development using both CI and PI processes internally-a Kaizen within Kaizen teams approach. Research limitations. Its based in one case study. However, it is working paper and the research project still is developing. Practical Implications (if possible). Serve as a guide to practitioners (Public managers) who desire to understand how their Kaizen teams involves both internal (conversational spaces) and external (methodology) perspectives that would contribute to both team and organizational effectiveness. In this paper, we focus on the Internal Processes (both CI and PI) using the TLI as an effective method for Kaizen teams to engage in the Kaizen process. Originality/value. This study is one of the first to look at team's performance using Team Learning and Development Inventory in Spain's public sector. It is also the first to mention about the relationship of the team's performance and the implementation of process improvement methodologies in Spain local government environment.

• 대한한방내과학회지
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• 제38권3호
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• pp.319-326
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• 2017

Objective: The purpose of this study was to survey the general perspectives of cancer patients on Korean medicine (KM) treatments. Method: The after focus-group discussion consisted of six cancer patients. The questionnaire items were decided. Fifty randomized cancer patients completed the online survey questionnaire regarding the perspectives of KM in cancer treatment. Results: Cancer patients considered KM to be a treatment performed both by KM doctors (92%) and by others (46%), such as private practitioners. Cancer patients thought of KM treatment as effective (68%) and safe (64%), but not scientific (60%). The answers of the cancer patients regarded whether the KM treatment experiences were different in purpose, satisfaction, and types of KM treatment. The experienced KM cancer patients thought of the optimal purpose of KM as alleviating symptoms or side effects (73.7%). Experienced patients were more satisfied with KM and they preferred acupuncture and moxibustion to thermotherapy. Conclusion: Cancer patients consider KM treatment effective and safe, but not scientific. Cancer patients who are experienced with KM are favorable to KM treatment. The direction of future studies of KM in cancer care should be considered based on these findings.

• 보건행정학회지
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• 제24권3호
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• pp.205-218
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• 2014

Background: Most studies on the national health insurance benefit expansion policy have focused on policy tools or decision-making process. Hence there was not enough understanding on how policies are actually implemented within the specific policy context in Korea which has a national mandatory health insurance system with a dominant proportion of private providers. The main objectives of this study is to understand the implementation process of the benefit coverage expansion policy. Unlike other implementation studies, we tried to examine both the process of implementation and decision making and how they interact with each other. Methods: Interviews were conducted with the ex-members of the Health Insurance Policy Review Committee. Medical doctors who implement the policy at the 'street-level' were also interviewed. To figure out major variables and the degree of their influences, the data were analyzed with Winter's Policy Implementation Model which integrates the decision making and implementation phases. Results: As predicted by the Winter model, problems in the decision making phase, such as conflicts among the members of committee, lack of applicable causal theories application of highly symbolic activities, and limited attention of citizen to the issue are key variables that cause the 'implementation failure.' In the implementation phase, hospitals' own financial interests and practitioners' dependence on the hospitals' guidance were barriers to meeting the policy goals of providing a better coverage for patients. Patients, the target group, tend to prefer physicians who prescribe more treatment and medicine. To note, 'fixers' who can link and fill the gap between the decision-makers and implementers were not present. Conclusion: For achieving the policy goal of providing a better and more coverage to patients, the critical roles of medical providers as street-level implementers should be noted. Also decision making process of benefit package expansion policy should incorporate its influence on the implementation phase.

• 디지털융복합연구
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• 제16권12호
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• pp.317-325
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• 2018

새로운 경제적 가치를 창출하고 국가경쟁력을 강화할 목적으로 세계 각국의 정부와 주요 민간 기업들은 빅데이터에 지속적인 관심과 과감한 투자를 하고 있다. 뉴스와 같이 객관적인 데이터를 수집하기 위해서, 데이터 무결성 및 품질의 확보는 전제되어야 한다. 포털 뉴스와 같이 객관적이고 방대한 데이터를 바탕으로 의사결정이나 트렌드 분석을 하고자 하는 연구자나 실무자의 경우, 기존 크롤러 방식을 이용할 경우 데이터 수집 자체가 차단되는 문제점이 발생한다. 본 연구에서는 Amazon Web Services (AWS)에서 제공하는 클라우드 서비스 플랫폼을 이용하여 기존 크롤러 방식의 문제점을 해결하여 웹 데이터를 수집하는 방법을 구현하였다. 또한 이를 바탕으로 국민의 안전과 직결되는 가스 안전 관련 기사를 수집하여 가스 안전과 관련된 이슈를 분석하였다. 본 연구를 통해 가스 안전을 확보하기 위해 5가지 분류, 즉 사고/발생, 예방, 유지/관리, 정부/정책, 그리고 대상 등을 기준으로 가스 안전을 위한 전략이 수립되고, 체계적으로 운영되어야 함으로 확인하였다.

• 한국치위생학회지
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• 제21권6호
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• pp.773-784
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• 2021

Objectives: This study presents the basic data necessary to explore the methods used of Korean dental hygienists to resolve oral health inequalities in Korea via reviewing the professionalization trend of American dental hygienists. Methods: The supervision levels of American dental hygienists, and system of dental therapists were analyzed using the data published by the relevant associations. Results: In America, dental hygienists help address oral health inequalities. However, due to limitations in the supervision levels and scope of practice of dental hygienists, the autonomy of dental hygienists was expanded, and mid-level practitioner were employed. The autonomy for dental hygiene practice was higher in public than in private in America. Some states have introduced dental therapists as mid-level practitioners. Their practice settings have limitations such as serving low-income, uninsured, and underserved patients or serving in a dental health professional shortage area. Conclusions: It is necessary to expand the autonomy of dental hygienists based on their profession. In particular, it is suggested that they start with the low-risk level practices. Further, it is necessary to introduce a dental hygiene specialist system specialized for fields with high social demands.

• 농촌계획
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• 제28권1호
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• pp.37-47
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• 2022

The purpose of this study is to introduce the concept of community resilience to rural society and build an index suitable for the reality of rural areas. Furthermore, by calculating the importance of evaluation factors, it was attempted to present priorities and alternatives for each evaluation factor. By stratifying the derived indicators, a survey was conducted targeting 20 researchers, practitioners, and public officials, three groups of experts working in rural areas who were well aware of the realities and problems of rural areas. In the survey, a pairwise comparison was performed to compare factors 1:1 to calculate the importance, and for rational and consistent decision-making, decisions were made in the 9-grade section. Using the collected data, consistency analysis that can evaluate reliability in the decision-making process and the relative weight of evaluation factors were calculated through AHP analysis. As a result of the analysis, as a result of examining the priority of final importance by summarizing the importance of all evaluation factors, 'Income creation using resources' > 'Population Characteristics' > 'Tolerance' > 'External Support' > 'Social Accessibility' > 'Physical Accessibility' > 'Community Competence' > 'Infrastructure' > 'Leader Competence' > 'Natural Environment' was derived in the order. In the study dealing with urban community resilience indicators, social aspects such as citizen participation, public-private cooperation, and governance were presented as the most important requirements, but this study differs in that the 'income creation' factor is derived as the most important factor. This can be seen through the change in the income difference between rural and urban areas. The income structure of rural areas has changed rapidly, and it is now reaching a very poor level, so it is necessary to prepare alternatives to 'income creation' in the case of rural areas. Unlike urban indicators, 'population characteristics' and 'tolerance' were also derived as important indicators of rural society. However, there are currently no alternatives to supplement the vulnerability by strengthening the resilience of rural communities. Based on the priority indicators derived from the study, we tried to suggest alternatives necessary for rural continuity in the future so that they can be supplemented step by step.

• 한국노년학
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• 제32권2호
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• pp.525-540
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• 2012

본 연구의 목적은 시니어클럽의 현황 전반에 대해 살펴보고, 노인일자리사업을 중심으로 시니어 클럽의 정책과제를 모색함에 있다. 시니어클럽의 현황에서 법적 근거, 조직, 사업 유형, 재원, 사업 성과, 그리고 운영상 어려움(낮은 수익 산출, 높은 노동 강도와 저임금, 부족한 예산 지원, 사업수행의 법적 근거 미약)에 대해 살펴 보았다. 향후 시니어클럽의 정책과제로 1) 시니어클럽의 역할 정립(지역노인일자리사업의 거점, 지역특성에 적합한 시장형 노인일자리사업 수행 주체, 노인인식 증진 및 노인역량 강화를 통한 지역사회 변화의 구심체), 2) 노인일자리의 질적 향상(욕구반영 및 지속 가능한 노인일자리 창출, 노인일자리사업 교육의 내실화, 실무자의 근무여건 향상, 민·관 지원연계 및 파트너십 구축), 3) 노인일자리사업 관련 법 제·개정 등을 제시하였다.

• 한국심리학회지 : 문화 및 사회문제
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• 제16권2호
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• pp.147-164
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• 2010

본 논문에서는 자살예방을 위한 지역공동체 기반의 접근과 자살률 감소를 위한 국가전략에 대해 고찰하고 한국에서의 자살감소를 위한 제안을 하였다. 한국의 경우 여전히 자살의 이해와 예방에 대한 노력은 정신과의사, 심리학자, 정신건강관련기관, 개인기관 등과 같은 특수한 목적을 가진 집단에 의해 상호협조 없이 단독으로 이루어지고 있으며, 각 집단이 개별적으로 활동하고 있기 때문에 궁극적으로는 자살예방에 있어서 별다른 효과가 나타나지 않고 있는 상황이다. 한국에서의 자살을 예방하고 감소시키기 위해서, 지역공동체의 구성원들은 자살과 관련된 충분한 지식을 갖고 다른 영역의 전문가나 기관들과 적극적으로 협력해야 한다. 이러한 노력을 통해, 지역공동체는 정신건강을 증진시킬 수 있는 네트워크를 구축할 수 있게 된다. 자살을 예방하고 자살률을 감소시키는 가장 중요한 요소는 자살과 정신건강에 대한 오명을 제거하고, 도움추구 행동을 증가시키는 것이다. 자살은 자살하려는 사람이 해결할 수 있는 개인적인 문제가 아니라 자살의 인식, 관리 및 예방에 있어 지역공동체가 해결해야 되는 지역공동체의 문제다.