• Health Policy and Management
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• v.23 no.1
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• pp.3-18
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• 2013

This paper investigates the possibility of expanding pay-for-performance (P4P) program as a provider payment system, in terms of financial, economical, and political sustainability. In order to expand the sustainable P4P, P4P should have usefulness in terms of economic value as well as efficiency in the financial aspects of health care. More importantly, the P4P would be politically sustainable only when both providers and consumers can accept. Korea's healthcare system seems to have logical ground for the P4P program financially and economically. However, how well the P4P can work remains to be proven in its implementation. After 43 tertiary hospitals applied the P4P program for acute myocardial infarction (AMI) and C-section in 2007, the number of hospitals adopting the P4P program for AMI and C-section has increased to 316 in 2011, and an incentive for hospitals applying the P4P has risen to 2% from 1% of health insurance benefits. This shows that the P4P program introduced by Health Insurance Review and Assessment Service is quite successful. In addition, people are aware of the need for improved P4P program and policy alternatives have been already made. Therefore, it is very important to come up with politically supportable strategies that can make providers and consumers accept the P4P program while maintaining the governance of the existing health insurance policy. To this end, there are some tasks to be considered. First, the expansion of the P4P program should be placed on the agenda of the Health Insurance Policy Review Committee, the highest decision-making body, and a separate agency for P4P planning should be established. Second, for more efficient P4P program, the processes of review and assessment, currently carried out separately, should be integrated into a single process. Third, infrastructure to measure the quality of medical services should be sharply expanded. Fourth, the current paradigm for the assessment should be changed. Lastly, a P4P program for consumers should be considered. Given that the consumers in Korea can use medical services freely, the National Health Insurance Corporation could initiate the P4P program for consumers as a means of controlling excessive use of medical services and adjusting consumer's moral hazard.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.7
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• pp.183-191
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• 2018

This paper evaluates the achievement of program outcomes using course-embedded assessment for information security programs. In the case study concerning the development of course-embedded assessment used in this paper, we evaluate program outcomes using various evaluation tools including the course evaluation data. In addition, we consider the evaluation rubric and evaluation procedure for course-embedded program outcomes, set performance criteria, select the probe course with high contribution to the program outcomes according to curriculum flowchart, set course objectives for the probe course, and explain the rubric for each assessment tool to measure achievement level. Subsequently, we perform course-embedded program outcomes assessment, based on tests and projectevaluation tool for each program objectives, and present the achievement levels based analysis results. These results prove the effectiveness of the proposed course-embedded assessment for program outcomes.

• The Journal of the Korea Contents Association
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• v.16 no.7
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• pp.760-770
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• 2016

This study aims to investigate and measure the effectiveness between the value of the reward program and loyalty of the reward program as well as its influential transference effect of the loyalty of the entity (theater or exhibition) via investigating both its behavioral loyalty and attitudinal loyalty effectiveness. As a result, higher value of reward program increases the level of loyalty of the reward program. Key results were found that the behavioral loyalty positively influences the loyalty of the theatre/exhibition -the operator the loyalty program since the behavior loyalty requires participatory engagement, the reward program becoming a stimulator acting as a valuable component to drive consumer's revisit. However the attitudinal loyalty effectiveness was not as effectives as the behavioral loyalty since consumers tend to perceive a reward program as an informative beneficial tool rather than an emotionally engaging platform.

• Journal of muscle and joint health
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• v.9 no.2
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• pp.154-165
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• 2002

Purpose: The purpose of this study was to find out long-term effects of the self-help program including the stretching exercise of patient with fibromyalgia, Our findings will have the way for the nursing intervention for reduction of fibromyalgia symptoms and physical disability. Method: The research design was pre-post test design of an experimental group. 41 subjects with fibromyalgia were subjected to our study. Participants of this program were participated with a group of 8 to 12 members with duration of two and half hours for two years(March. 1998 to January. 2000). The Self-efficacy was measured by the Self-efficacy scale. Symptom was converted to scores based on visual analog scale. Physical disability was measured with questionnaires prepared by researchers of this study. Data were collected by the structured interview using questionnaires after self-help program and after 8 months. Data were analyzed by frequency, $x^2$-test and repeated t-test using SPSS 11.0 for windows. Result: Daily activities were not changed but self-described symptom was changed after 8 months. After 8 months, exercise performance along with taking drugs showed significantly lowering trend with respect to self-help program. Relieved symptom of patient with fibromyalgia has continued until 8months after 6weeks program of self-help. Also Promoted self-efficacy of patient with fibromyalgia continued after 8months. After 8 months, in self-described physical disability has showed significantly worse off than after self-help program. Conclusion: In this study, the long-term effects after self-help program for fibromyalgia have showed all symptoms and self-efficacy except exercise performance and physical disability. Therefore, it will be desirable that application of the follow up program with peer group meeting.

• The Journal of the Convergence on Culture Technology
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• v.10 no.1
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• pp.395-402
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• 2024

The purpose of this study is to verify the effect of the intensive support program for junior college students with low academic performance on students' learning motivation and self-learning efficacy, and to explore its meaning. This study was conducted with 46 students who participated in the JUMP-UP program supported by the D University Teaching and Learning Development Center in Busan for backers and students with low grades. The research question of this study is, first, does the JUMP-UP program affect the reinforcement of the learning motivation of junior college students? Second, does the JUMP-UP program affect the self-learning efficacy of junior college students? As a result of examining the effectiveness by conducting a survey before and after participating in the JUMP-UP program, the JUMP-UP program showed statistically significant changes in all items of participating learners' learning motivation and self-learning efficacy. Through this, it can be seen that an intensive support program such as the JUMP-UP program is valuable as a support program suitable for improving the learning motivation and self-learning efficacy of vocational college students suffering from low academic performance.

• Therapeutic Science for Rehabilitation
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• v.3 no.2
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• pp.49-57
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• 2014

Objective : The purpose of this study was ro identify the effects of an oral stimulation program on premature infant's oral feeding performance. Methods : The subject was one premature infant(25wks). Oran stimulation program consisting of stimulation of the oral structures involved stroking the cheeks, lips, gums, and tongue. Oral feeding performance factors were weight, overall intake per day, overall intake per one time, overall time per one time. Each factors was measured weekly. Results : The subject's weight were higher than pre-intervention. The overall intake per day, overall intake per one time were increased. And overall time per one time was shorter than pre-intervention. Conclusion The results indicate that oral stimulation program for premature infant was helpful oral feeding. Thus oral stimulation program can be use in home and practice setting.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.3
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• pp.1385-1391
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• 2016

Background: To investigate the prevalence of and factors associated with performance of annual mammography by women above 40 years of age. Materials and Methods: This cross-sectional retrospective study was conducted at an oncology reference service in Southern Brazil from October 2013 to October 2014 with 525 women aged 40 years or older. Results: The prevalence of annual mammography was 54.1%; annual mammographic screening was performed for women without private medical insurance, who were under hormone replacement therapy and who had used contraception in the past. An association was found between non-performance of breast clinical and self-examination and non-performance of mammographic screening. Conclusions: Use of mammography for breast cancer screening in the public health care setting proved to be accessible; nevertheless, the proportion of screened women was low, and they exhibited poor adherence to the basic measures of care recommended for breast assessment. Thus, control of breast cancer requires implementing actions targeting the population most vulnerable to non-adherence to screening in addition to continuously monitoring and assessing that population to reduce the prevalence of this disease.

• The Korean Journal of Food And Nutrition
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• v.30 no.1
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• pp.41-50
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• 2017

This study developed a vegetable preference increase program that can be applied at the Center for Children's Foodservice Management (CCFM) for children in child-care facilities and kindergarten and the training performance was evaluated by 192 5-year old children. Teachers considered 'disliked food' ($3.23{\pm}0.85/out$ of 5) as the most serious nutritional problem and typical disliked food was 'vegetables' (54.2%). Based on this finding, to increase the preference for vegetables, a five-phase education program was developed. In this program, each phase was composed of activities to increase children's interest in vegetables by using each sense out of the five senses. Center dieticians had visited and conducted the program in 12 facilities. By using an illustration assessment tool, the training performance was evaluated by comparing the children's knowledge level and their preference changes in vegetables. Consequently, as examined by 10 questions on the knowledge of vegetables, trained children's (in total 192) knowledge of vegetables had considerably increased (p<0.01, p<0.001), and their preference for 15 out of the 16 vegetables, except for carrots, also showed a considerable preference increase after the training (p<0.01, p<0.001). Therefore, this program is considered to have contributed to reducing disliked vegetable eating behaviors.

• Journal of Practical Engineering Education
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• v.6 no.1
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• pp.57-64
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• 2014

KOREATECH has introduced a long-term co-op program called IPP (Industry Professional Practice) to address problems in engineering education of Korea since 2012. In order to evaluate and improve the IPP program, the IPP Center of KOREATECH has developed a comprehensive performance evaluation scheme on the basis of the Kirkpatrick's four stage performance evaluation model for training programs. This study aimed to analyze student questionnaire survey data from the IPP performance evaluation scheme, which was acquired before and after IPP terms in 2013 and measured students' perceptions on the five aspects of major competencies, non-major competencies, perception of and satisfaction with the IPP program and attitudes to occupation. The findings showed that the IPP program was effective to a certain degree at enhancing non-major competencies and attitudes to occupation of students. Participating students were quite satisfied with their jobs and companies. In the last part, several directions for improving the effectiveness of the IPP program were discussed.

• Journal of Engineering Education Research
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• v.12 no.2
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• pp.63-70
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• 2009

In this paper, a process model for assessing, evaluating and improving a program outcome on the cultivation of internationality is proposed by analyzing the present outcome assessment system. By setting up performance scaled levels and specifying the target level for the performance criterion, the proposed model can help programs to demonstrate effectively that each of their graduates meets the required the program outcome levels. By allowing effective Continuous Quality Improvement(CQI) for the performance criterion, the model can help save operational expense associated with running of the program CQI. In addition, it is discussed that one of the most important aspect is logical and objective approaches when establishing the outcome assessment system. It is hoped that the proposed model can ultimately help to meet the program outcomes requirements in the engineering accreditation criteria.