• 제목/요약/키워드: public service facilities

검색결과 647건 처리시간 0.027초

고혈압 환자의 연간 내원일수, 처방일수 그리고 진료비 (Annual Visit Days, Prescription Days and Medical Expenses of Hypertensive Patients)

  • 천병렬;감신;임정수;박순우;박정한;임부돌
    • Journal of Preventive Medicine and Public Health
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    • 제35권4호
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    • pp.340-350
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    • 2002
  • Objectives : To evaluate the annual visit days, the annual prescription days and the medical costs of hypertensive patients. Methods : The medical insurance records of 40,267 incident patients with the diagnostic code of hypertension from September 1998 through August 1999 in Daegu city were reviewed. Results : The proportion of the most proper medical care pattern group (Group VIII) who visited for 6-15 days with 240 prescription days or more a year was only 6.2%. The proper care group (Group IX) who visited for more than 16 days with 240 prescription days or more a year was 9.3%. The overall proper care group (Group VIII+IX) was therefore 15.5%. The proportion of the insufficient care group (Group I, IV) in both the number of visiting days and prescription days was 57.4%. The mean prescription day of the most proper group (Group VIII) was 29 days; the mean annual medical expenses,453,587won; the mean annual amount paid by patients, 218,013won; and mean medical expenses per prescription day, 1,483won. The proportion of the overall proper care group (Group VIII+IX) was significantly higher in adults aged 50-59, those who were enrolled in industrial workers health insurance as well as government employees and private school teachers health insurance, and those who made a higher contribution per month (p<0.01). According to the type of medical facilities, the proportion of the most proper medical care pattern group was highest in the general hospitals (9.3%) but the overall proper care group was higher in the public health centers (22.1%) and private clinics (17.1%). Conclusions : The management system of hypertension should be reinforced urgently. Therefore, it is necessary to develop guidelines including the number of visiting days per year and prescription days per visit day, and make the system provide medical facilities to more properly care for hypertensive patients.

수목장림 입지 평가기준 설정 연구 (Development of Site Evaluation Criteria for Woodland Burial Grounds)

  • 문창순;이시영
    • 한국조경학회지
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    • 제47권3호
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    • pp.22-30
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    • 2019
  • 수목장을 비롯한 자연장에 대한 관심이 증가됨에 따라 국립수목장림의 수요는 증가할 것으로 예상된다. 수목장림의 입지 선정을 위한 평가요소를 마련하고, 가중치 적용을 통해 수목장림 조성에 도움이 되는 입지 평가기준을 제시하고자 다음과 같이 연구를 진행하였다. 선행연구를 검토해 다른 산림복지시설과 유사한 산림시설, 기타 시설들에 대한 입지선정 검토요소를 분석하여 74개의 예비평가요인을 선정하였다. 이를 토대로 3그룹의 전문가집단(국가 지자체 공공기관 산림복지시설 담당자, 관련분야 연구자, 수목장림 민간 전문가)의 예비평가요인 검토를 거쳐 2개 대분류, 6개 중분류, 22개 소분류의 평가요인을 선정하였다. 선정한 평가요인은 2차 선호도 조사를 위해 계층화 하였다. 먼저 산림환경과 인문환경으로 대분류하고, 각각 3가지 항목으로 중분류 후에 다시 한 번 각각 소분류하여 1차 조사에 참여한 전문가를 대상으로 AHP를 활용해 계층화된 요인별 중요도 차이를 확인하였다. 평가요인을 활용하여 입지평가 기준표를 마련하고, 각 계층별 중요도를 적용하였다. 이를 후보지에 적용하기 위해 기존에 운영하고 있는 국립수목장림과 선행연구에서 국립수목장림 후보지로 검토하였던 9개소 등 10개소를 대상으로 평가하여 비교 분석하였다. 평가 결과, 울산 울주, 전남 순천, 세종 장군의 순으로 나타났다.

무선신호기반 측정방식을 활용한 문화기반시설 이용자 현황 측정에 관한 연구 (A Study on Counting Measurement of Cultural Infrastructure Visitors: Focused on the Wireless Signal-Based Measurement)

  • 김지학;박근화
    • 예술경영연구
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    • 제59호
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    • pp.73-99
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    • 2021
  • 국민들이 무료로 이용할 수 있도록 점진적 확대된 무료관람정책은 문화시설 이용의 장벽을 낮추고 관람객 수요도 크게 증진시키는 효과를 가져왔다. 하지만 각 시설들이 공개하고 있는 연간 관람인원은 집계 대상에 대한 기준이 상이하고, 측정된 값이 정확하지 않으며, 관람객 '수' 라기 보다 '빈도'에 가까운 수준에 그치고 있는 실정이다. 특히 인원을 계수하는 기존의 기기들은(피플카운터) 모두 중복으로 집계되어 관람인원이 과대추정되고 있다. 따라서 본 연구의 목적은 문화기반시설의 이용객을 정확하게 파악하고 집계하는 방안을 마련하는 것이라고 할 수 있다. 첫 번째로, 모호하게 측정되고 있는 관람객에 대한 정의를 명확하게 함으로써 비교 가능한 관람객 수를 측정하여야 한다. 두 번째로, 현재 가장 문제점으로 대두되고 있는 '중복 집계'의 문제 해결이 필요하다. 세 번째로, 양질의 서비스제공을 위해서는 '관람객 행태 분석'이 선행되어야 하는데, 이를 위해서는 무엇보다 이용자들의 이동동선이나 체류시간과 같은 다양한 행태를 파악하여야 한다. 이러한 문제를 해결하기 위해 새로운 측정 방안을 제시하고자 한다. 이를 위해 최신의 기술을 활용한 무선신호기반 측정방식(해당 방식은 스마트기기의 고유신호값인 MAC address를 수집함으로써, 중복을 제거한 측정이 가능하며, 또한 관람객의 이동동선, 체류시간, 재방문율 등의 파악이 가능하여 다각적인 관람객 행태 분석도 가능)을 제안하며, 이를 활용한 측정 실험을 통해, 해당 측정방식의 가능성과 실효성을 진단하고자 한다.

철도도서관에 관한 고찰 -특히 일제하의 도서관봉사활동을 중심으로- (A study on the railroad library under the Japanese rule)

  • 김포옥
    • 한국도서관정보학회지
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    • 제9권
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    • pp.63-83
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    • 1982
  • Among many open libraries under the rule of the Japanese imperialism, only the railroad library as the character of special library under the control of the Japanese Government General is remarkable for having opened its facilities to outsiders as well as the interior users. This study tries a) To look into what were the colonial background, aim and motive of the establishment of the railroad library under the Japanese rule, b) To analyze its activities and the change of its organization, c) And to find out its vestiges an the effects which it has on our country's library circles. The following are the result: A. The railroad library under the rule of the Japanese imperialism functioned as a public library by the outside book's circulation rather than the interior using. B. The outsiders were qualified to use it only when they got the joint guarantee for the city resident, which means that the o n.0, pportunity of the circulation was not free for the Koreans rather than the Japanese. C. From the aspect of collections, technical books such as natural science, and reference ones tended to be collected, and their whole composition was focused on the materials for the Japan-Korea identification scheme and development of the national spirit as the Japanese empire's subjects. D. In the respect of its organization, all the clerical employees, as well as the chief librarian were composed of the Japanese. Although the Koreans were in principle prohibited from working there, a few of them were employed as guard or servant as the China-Japan War was close to the end. E. The area of the outside book's, circulation service was expanded throughout the whole region along the railroad connecting Pusan with Manchuria. Such a service activity which contained several meanings, was tried by means of culture's books, circuit's books, train's books, hotel's books, mind's development books and reader's reading books etc. F. Such matters as the limitation on book circulating and the quantity of circulation book, the paid circulation and the partial restriction on free circulation mean the wartime system under the rule of the Japanese imperialism and also a n.0, ppeared as a factor of hampering the Koreans from getting accustomed to using library, which has affected them until now. G. The noticeable thing in the service activity is shown in attempting the diversified and positive way of service like free circulation in order to solidify the attitude of the Koreans toward war by organizing mind's development books as well as culture's books with the China-Japan War. H. On the other hand, it can not be passed over that the diversified service activity of the railroad library played a role of bridge in turning of today's library circles of ours to the modernization.

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복합환승센터 통합운영시스템 구축방안에 관한 연구 (A Study on Implementation Integrated Operation & Management System for Intermodal Connectivity Center)

  • 김성은;임정실;문영준;오재학;이원영
    • 한국ITS학회 논문지
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    • 제10권4호
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    • pp.24-35
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    • 2011
  • 최근 정부에서는 녹색성장 패러다임에 따른 대중교통 중심의 교통체계 변환을 모색하고 있으며 이에 따라 교통연계 환승 체계의 효율성 향상을 위해 대규모 복합환승센터 구축사업을 적극적으로 추진하고 있다. 그러나 현재 운영 중인 김포공항, 사당역, 광명역 등 중소규모의 환승센터 이용자들의 설문결과 밀집된 시설 및 혼재된 교통수단으로 인해 대중교통 환승에 많은 어려움을 겪고 있는 것으로 나타났다. 새로 구축될 대규모 복합환승센터의 경우 다양한 대중교통의 연계와 여러가지 상업 및 문화 시설의 복합화로 인해 이용자들에게 좀 더 명확하고 효율적인 정보제공이 필요한 것으로 지적되고 있다. 급속한 IT기술의 발달로 실내외 위치측위 및 모바일 기반 정보제공 등의 기술은 이용자들이 원하는 여러 가지 교통정보를 제공할 수 있으나 복합환승센터에서 교통수단과 연계환승시설을 통합하여 개인별 맞춤형 정보화 수준으로는 제공되지 못하고 있는 실정이다. 본 연구에서는 복합환승센터의 대규모 공간적 범위에서 이용자들에게 환승과 관련된 정보를 위치기반 시설정보, 경로안내 등과 융합하여 맞춤형으로 서비스를 제공하기 위한 통합운영시스템의 구축방안을 제안한다. 이를 위해 국내외 환승센터 이용현황과 정보제공서비스를 분석한 후 복합환승센터의 통합운영시스템 구축을 위한 서비스정의, 서브시스템 도출 및 관련 기술을 정의하고 이를 김포공항 국내선 테스트베드에 적용한 예를 제시한다.

소고기의 유통 단계별 병원성 미생물 오염도에 관한 연구 (A study on the contamination level of pathogenic microorganisms in beef distribution stages)

  • 박성도;김용환;고바라다;김철희;윤병철;김조균
    • 한국동물위생학회지
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    • 제25권2호
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    • pp.117-126
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    • 2002
  • Contamination levels of pathogenic microorganisms in 145 cases of beef, which were distributed in Gwangju province, had been investigated in each distributed stage and also monitored by general bacterial count and E coli count index. General bacterial count of beef from the slaughterhouse was 10$^4$cfu/g less than the level of promotion(10 cfu/$\textrm{cm}^2$) and E coli count index was also under the level of 10$^2$cfu/$\textrm{cm}^2$ recommended level of the ministry of agriculture and forestry. Pathogenic microorganisms were detected from 23.2% of samples in the consumption stage, 12.5% in the slaughtering stage and 5.6% in the transporting and processing stage. Staphylococcus aureus was isolated in the largest number and its ratio was 9.0%, listeria monocytogenes 5.5% and salmonella spp 1.4%. There were no samples that bacteria had been detected dually. E coli O157:H7 and campylobacter jejuni were not isolated. In raw and chilled beef, isolation rate of pathogenic microorganisms were 13.3% and 16.5% each. Especially in raw beef, L monocytogenes was. isolated in 3 samples among 30 cases (10%) and S aureus in one sample (3.3%). According to a scale of meat store, isolation rates of pathogenic microorganisms were different. It was 28.6% in the small-scale meat store and 16.7% in the large-scale meat store each. Four cases (16.7%) of S aureus were isolated in the large-scale meat store and seven cases (20.0%) of L monocytogenes and 2 cases (5.7%) of salmonella spp were isolated in the small-scale meat store. S aureus was isolated in two places among 10 feeding facilities of the elementary school. This result shows that the sanitation of elementary school feeding facilities is so poor and more careful policy consideration is needed. Eleven strains of S aureus isolated showed ${\beta}$-hemolysis on blood agar, 1 strain ${\alpha}$-hemolysis, and 1 strain ${\gamma}$-hemolysis. Isolated strains of L monocytogenes were reconfirmed in 560 bp by PCR. Conclusively, these results show that the sanitary condition in the stages of slaughtering, transportation-processing and consumption influences the degree of pathogenic microorganisms contamination in beef severely It is necessary to apply thoroughly hazard analysis critical control point in a process of beef distribution and also to develop rapid test methods for microorganism diagnosis. This effort is very important for the supply of safe and clean meat from farm to table and helpful for the improvement of public health.

옥천군 생활문화체육센터 도서관 건립 후 운영 방안을 위한 이용자 인식조사 연구 (A Study on the User Perception for the Operational Plan Following the Establishment of the Okcheon-gun Daily Life Culture and Sports Center Library)

  • 곽승진;노영희;강봉숙;고재민;김정택;곽우정
    • 정보관리학회지
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    • 제39권2호
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    • pp.87-110
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    • 2022
  • 본 연구는 옥천군 생활문화체육센터 도서관 건립 이후 운영 방안을 수립할 필요성을 기반으로 하며, 옥천군 내의 공공도서관 이용자를 대상으로 옥천군 도서관의 기능·역할 및 장서 운영방향, 이용자 서비스 활성화 및 이용현황 조사, 향후 이용 의사 등에 대한 선호도 조사, 희망 서비스에 대한 인식 등을 조사하였다. 인식조사 결과를 기반으로 옥천군민이 도서관에 요구하는 방향성을 파악하였으며, 연구결과는 다음과 같다. 연구 결과, 첫째, 장서 계획 수립 시 이용자의 요구도를 반영하여 자료 유형은 인쇄자료 및 멀티미디어 자료를 기반으로 하고, 문학, 예술, 역사, 기술과학 등의 주제분야를 우선적으로 고려하여 수집할 필요가 있을 것으로 파악되었다. 둘째, 다양한 정보서비스를 제공하기 위해 전반적인 정보서비스 계획 수립이 필요하며, 이와 함께 이용자 선호도에 따른 다양한 정보서비스 개발과 협력형 서비스 제공이 필요할 것으로 파악되었다. 셋째, 옥천군민들의 프로그램에 대한 요구도가 높은 것을 고려하여 향후 다양한 주제 및 각 연령층에 적합한 프로그램을 지속적으로 확대해야 할 것으로 파악되었다. 넷째, 신규건립 및 공간 개선이 필요하며, 전반적으로 열린 공간에 대한 선호도가 높게 나타났다. 문화공간의 경우 청소년 문화시설, 주민편의시설, 무한상상실, (체험)전시관 등에 대한 선호도가 높게 나타났다.

국립병원 간호사의 직무만족과 관련요인 연구 (A Study of Job Satisfaction and Related Factors of the National Hospital Nurses)

  • 서길희;김옥희
    • 한국보건간호학회지
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    • 제7권2호
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    • pp.53-66
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    • 1993
  • By this time, a few of previous studies of factors related to separation from their jobs and job satisfaction only have dealt with the separation rate. the cause of separation and related factors that induce job satisfaction and incentive factors, the actualities of morale some suggestions for reduction of the separation rate. This study is attempted to determine factors that have effect on job satisfaction of national hospital nurses. and to proide information and materials for the development of the administration of nursing through the appreciation of factors influencing on job satisfaction between isolated ward nurses and general ward nurses working at national hospitals. 185 nurses of national hospitals responsed th this study, and were divided into two groups. Group 1: 57 nurses working at isolated wards for tuberculosis patients and Group 2 : 128 nurses at general wards. Relevant data were collected from August, 5, 1992 through August 20, 1992. The questionnaire consisted of 8 genalized items and 4 items concerning job satisfaction. The collected data were processed with SPSS, and the relationship among vaviables was analyzed by means of $X^2-test$, Pearson Correlation, Multiple Regression. The results of this study are as follows: 1. There is no significant difference between two groups in terms of generalized items. Age distributions show $44.3\%$ under the category of less than 34. and $55.7\%$ under the category more than 35, $19.3%$ was single and $74.6\%$ was married respectively. 2. $79.4\%$ of the nurses have the desire to have in-service education under the satisfactory physical environments such as welfare system, accommodating structures and facilities, instruments or management systems of the hospital, but under the category of unsatisfactory circumstances, $60.3\%$ have the intention of having in- service education. The concern in terms of in-service education shows statistically significant difference between two groups $(X^2=8.85,\;p<0. 05)$. This result accepts the hypothesis that good physical environments could intensify interests in service education. 3. The extent of satisfaction related to psychological environments is heightend according to good physical environments. In result, the hypothesis that the extent of satisfaction in terms of physical environments could raise satisfaction about psychological environment is accepted. 4. In the light of the extent of satisfaction about physical environments, $33.3\%$ of isolated ward nurses are satisfied with physical environments, but only $11.7\%$ of general ward nurses are satisfied. $(X^2=10.88,\; p<0.01)$. This result shows that the satisfaction degree about phusicalenvironments of isolated war nurses was higher than that of general ward nurses in spite of high physical and psychological risks due to exposure to infection. Consequently. the hypothesis was rejected that the satisfaction degree about physical environments would be lower in isolated ward nurses than in general ward nurses. 5. The fact that $87.7%$ of isolated ward nurses took interest in service education and $53.19\%$ of general ward nurses took interest in service education demonstrats that isolated ward nurse have more interest in service education than gerneral ward nurses. The result shows that the hypothesis is accepted that isolated ward nurses would have mor interests in service education than general ward nurses. 6. In the extent of satisfaction about physical environments such as morale human relationship promotion, there is no significant difference between two groups in terms of statistics. The hypothesis is rejected that satisfaction about psychologic environments would be high in isolated ward nurses than in general ward nurses. In conclusion. factors influencing on job satisfaction are considered to have effect on. another, and also interdisciplinary amelioration of factors accompanied with systematic inter cooperative investigation is necessary.

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DCM(Dementia Care Mapping)을 활용한 한국 요양시설에서의 사람중심케어 실천의 탐색적 연구 (Exploratory Study of Person Centered Care Practice in Korean Long-term Care Facilities using DCM(Dementia Care Mapping) as a tool)

  • 김동선
    • 한국노년학
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    • 제41권2호
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    • pp.197-215
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    • 2021
  • 본 연구는 요양시설거주 치매환자들의 삶의 질을 사정하기 위해 개발된 DCM(Dementai Care Mapping)을 활용, 국내 장기요양시설에서의 사람중심케어 실천 정도 및 특성을 탐색하는 것을 목적으로 한다. DCM은 훈련받은 매퍼가 시설거주 치매노인을 관찰 사정하는 도구이지만 본 연구에서는 장기요양 시설 종사자들의 자기보고식 평가척도로 변용하였다. DCM의 개념을 34개의 문항으로 조작화하였으며 브래포드치매팀의 검토를 거쳐 총화평정척도로 만들었다. 본 척도의 신뢰도는 .88로 신뢰할 만 하며, 이를 국내 시설 종사자 343명을 대상으로 설문조사를 실시한 결과 평균점수는 3.77점(5점 척도)으로 나왔다. DCM의 하위카테고리 별 평균 점수는 애착(4.02), 편안함(3.95), 포용(3.89), 정체성(3.67), 주체성(3.41)으로 나타났다. 국내 요양서비스가 대상자의 안전과 편안함에 초점을 맞춘 신체수발에 주력하며 종사자와 대상자간에 애착이 형성되고 있지만, 개별적 케어(정체성)부족이나 대상자의 삶에서 의미있는 활동이 부족한 점(주체성)에서 사람중심케어가 취약함이 드러났다. 한편, DCM척도에 의한 사람중심케어의 특성을 조직 및 개인 특성에 따라 살펴보면, 시설의 규모가 작을수록 사람중심케어 실천이 높으며 공립과 민간시설간의 차이는 없었다. 또한 시설장과 직접 서비스제공자의 사람중심케어 실천이 높으며 경력이 1~2년인 종사자들의 사람중심케어 점수가 높은 것으로 나타났다. 본 연구는 국내 요양서비스에서 사람중심케어의 실천이 필요하며 이를 위한 구체적인 방안으로 유니트케어의 적용, 시설에서 직접 서비스제공자뿐 아니라 간호, 사회복지사등 전 직원을 대상으로 한 사람중심케어 교육 실시를 제언한다. 국내 요양서비스의 질평가에서도 사람중심케어의 관점이 강화돼야 하며 이를 위해 DCM 또는 직접 관찰이 어려운 상황에서는 대안으로 본 연구에서 개발한 한국형DCM척도의 활용을 제언한다.

치과위생사의 보수교육 실태 및 인식에 관한 연구 (A study on the state of inservice education for dental hygienists and their relevant awareness)

  • 정재연;김경미;조명숙;안금선;송경희;최혜정;최윤선;황윤숙
    • 한국치위생학회지
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    • 제7권1호
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    • pp.73-89
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    • 2007
  • The purpose of this study was to examine the reality of inservice education provided to members of Korean Dental Hygienists Association, the state of relevant academic conferences, and the perception of the members about inservice education and academic conference. It's basically meant to help boost their participation in inservice education and their satisfaction with it, and to show some of the right directions for that. The subjects in this study were dental hygienists who attended a symposium on July 1, 2006. After a survey was conducted, the answer sheets from 489 participants were analyzed, and the findings of the study were as follows: 1. General hospitals and university hospitals made up the largest group(91.4%) that gave a monthly leave of absence, and the second largest group was dental hospitals(75.4%), followed by dental clinics(58.3%) and public dental clinics(48.0%). The most common closing time in dental clinics and dental hospitals was 5 p.m., and that was 12 p.m. in general hospitals and university hospitals. The dental hygienists in public dental clinics didn't work on Saturdays. By type of workplace, treatment was the most common duty for the dental hygienists in dental clinics and dental hospitals to perform, and those who worked at general hospitals, university hospitals and public health clinics were in charge of extensive range of jobs. 2. The rates of the dental hygienists who took that education stood at 94.9% in public dental clinics, 78.7% in dental hospitals and 75.3% in dental clinics, general hospitals and university hospitals. Regarding how many marks they got on an yearly basis, those who got eight marks or more made up the largest group(55.6%), followed by four marks or more(11.8%), six marks or more(3.4%), and two marks or more(1.5%). As for the usefulness of inservice education for their job performance, the largest number of the dental hygienists(40.8%) found it to be helpful, and the second greatest group(37.5%) considered its effectiveness to be so-so. The third largest group(8.4%) found it to be of great use, and the fourth biggest group(4.2%) considered it to be of no service. The fifth biggest group(l.3%) thought it was absolutely useless. By type of workplace, the workers in dental clinics, dental hospitals, general hospitals and university hospitals wanted the most to learn how to take care of clinical work(acquisition of up-to-date technology), and those in public health clinics hoped the most to learn about public dental health. By type of workplace, the workers in dental clinics had their sight set on self-development the most, and the dental hygienists in dental hospitals, general hospitals, university hospitals and public health clinics were most in pursuit of acquiring new knowledge. By type of workplace, the specific given conditions at work were most singled out by the dental clinic workers as the reason, and the dental hospital employees pointed out time constraints the most. The dental hygienists in general hospitals and university hospitals cited time constraints and financial burden the most, and the public health clinic personnels mentioned inaccessibility of a place for inservice education as the reason. 3. The public health clinic workers participated in academic conferences the most(90.8%), followed by the general and university hospital personnels(68.8%), dental hospital employees(65.6%) and dental clinic workers(65.5%). By type of workplace, the public health clinic workers(73.5%) expressed the most satisfaction, followed by the general and university hospital employees(67.7%), dental clinic workers(62.3%) and dental hospital personnels(54.1%). By type of workplace, the employees of dental clinics, dental hospitals, general hospitals and university hospitals preferred Saturdays, and the public health clinic workers had a liking for weekdays. As for a favored place, hotels were most preferred, followed by university hospitals, general hospitals, college lecture rooms, district halls and local public institutions. Hotels were most favored regardless of the type of workplace. 4. Regarding outlook on inservice education, they had the highest opinion on the facilities and given conditions of lecture rooms($3.41{\pm}0.83$), followed by the professionalism of lecturers($3.34{\pm}0.83$), procedures of receipt and attendance confirmation($3.34{\pm}0.83$) and class size($3.13{\pm}0.89$). On the contrary, they took the most dismal view of the inaccessibility of a place of inservice education($2.08{\pm}0.92$), followed by limited opportunity and limited date for that education($2.51{\pm}0.99$), extra financial burden($2.53{\pm}1.18$) and high tuition fee($2.57{\pm}0.96$).

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