• 제목/요약/키워드: 건강계약

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GAO Report 미국 ESCO 사업 케이스 스터디

  • 에너지절약전문기업협회
    • ESCO지
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    • 통권34호
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    • pp.57-67
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    • 2005
  • US GAO(US Government Accountability Office : 미국 회계감사원)는 US정부의 예산을 통합하여 관리하는 임무를 맡고 있다. 하지만 동시에 미국 내$\cdot$외의 정부정책과 활동에 관련된 정책분석, 프로그램 평가, 법적 선택 및 결정에 대한 감사역할도 하고 있다. GAO의 역할은 연방정부가 전세계에서 하고 있는, 건강보험부터 자국 안보까지의 모든 일을 포괄하고 있다. 이러한 GAO는 정부와 국회 증언에 사용될 GAO리포트를 매일 발간해 인터넷에 게시하고 있다. 지난해 12월 GAO는 미국 상원 예산위원회에 제출할 ''파트너쉽계약과 에너지절약수행계약에서의 예산과 문제점의 고찰(Partnership and Energy Savings Performance Contracts Raise Budjecting and Monioring Concerns)''이란 제목의 리포트를 발간했다. ESCO독자들에게 그 내용을 사례위주로 게재한다. 이 리포트의 전문은 미국 GAO홈페이지(www.gao.gov)에서 볼 수 있다.

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건강계약이 편마비 환자의 일상생활동작 수행정도에 미치는 영향 (A Study of the effects of Health Contract on the performance Level for Activity of Daily Living in the Hemiplegic patients)

  • 김병은;이향련
    • 대한간호학회지
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    • 제21권1호
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    • pp.63-78
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    • 1991
  • The purpose of this study was to test the effects of health contract on the performance level for activity of daily living(ADL) in the hemiplegic patients. A quasi - experimental research for health contract, which was approved as an effective method of nursing intervention, was attempted to increase the performance of the hemiplegic patients' ADL. As a purpose sample, 69 hemiplegic patients hospitalized at Oriental medicine hospital of K university were taken and devided into the experimental group and the control group by means of random assignment. After Contracting with the experimental group, they were reinforced everyday for 20 minutes. The experimental group and the control group were observed and interviewed for five times at the in terval of 3~4 days by the trained nurses for this research. The data Collected through above mentioned methods were compute analyzed by t-test and ANOVA according to the purpose of this study. The data collected through above mentioned methods were computer analyzed by t-test and ANOVA according to the purposre of this study. strate increased the performance level for ADL than the Control group” was supported(t=2.96, df=52.76, p= .004). Sub Hypothesis 1,2,4,5 : “The hypothesis that the experimental group with health contract will demonstrate increased the performance level for eating(t=2.29, df=42.70, p= .027), personal hygiene and grooming (t=4.04, df=43.10, p= .000), dressing(t=3.32, df=67, p= .001) and undressing (t=3.47, df=48.44, p= .001) than the control group” was supported. Sub Hypothesis 3.6 : “The hypothesis that the experimental group with health contract will demonstrate increased the performance level for toiletting(t= .19, df=67, p= .849) and mobilization (t= .30, df=67, p= .765) than the control group” was not supported. The conclusion can be that the positive relationship between the nurse and the patient results in the desired performance level for ADL in the hemiplegic patients.

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북한이탈 학령전기 아동을 위한 건강교육 프로그램 개발 및 중재효과 (Development and Effects of a Health Education Program for North Korean Preschool Defectors)

  • 이인숙;박호란
    • 대한간호학회지
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    • 제43권4호
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    • pp.478-485
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    • 2013
  • Purpose: This study was conducted to develop a health education program for preschoolers who have defected from North Korea with their mothers, and to evaluate the effects on health knowledge and behavior. Methods: A non-equivalent control group pre-post test design was used with 58 preschoolers who were assigned to either the experimental or control group (29 for each group). The program was composed of five sessions in health education and contracts. To test the effectiveness of the intervention, health knowledge and behaviors, and total bacterial colony counts on hands were measured at one pretest and two post tests (1 week and 4 weeks after the intervention ended). Data were analyzed using the SAS program. Results: Health knowledge and behavior in the experimental group increased significantly compared to the control group. The effects of the intervention were evident even at 4 weeks after the intervention ended. Total bacterial colony counts in the experimental group decreased significantly at the 1 and 4 week posttest intervention compared to the control group. Conclusion: Results indicate that this program is effective in improving health knowledge and behavior in these children and therefore can be utilized to ensure efficient management their health care.

자가간호증진을 위한 건강계약이 고혈압자의 건강행위 이행에 미치는 영향 (A Study of the Effects of Health Contracting on Compliance with Health Behaviors in Clients with Hypertension)

  • 이향련
    • 대한간호학회지
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    • 제17권3호
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    • pp.204-217
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    • 1987
  • It is generally accepted that the delivery of health care is undergoing many changes specially those related to acute, contagious disease care and to the increase of chronic illnesses which can not be cured but are controlable. The health care practitioner can not be soley responsible for the control of their clients' care. Because the clients will play a vital role in controlling their illnesses, long term participation by both the health care provider and the client is necessary. Since most individuals with hypertension do not experience signs or symptoms, the disease is difficult to detect and even when diagnosed, clients do not comply well with their hypertension regimens. The noncompliant client is at increased risk for compliants involving the heart, brain, kidney and other organs. In an effort to explore methods of increasing patient participation in and adherence to treatment programs for hypertension, the researcher used health contracting to promote self care. The research questions are; 1) Will the health contracting increase compliance in health behavior and reduce the blood pressure\ulcorner 2) If clients comply with their regimens will this reduce their blood pressure\ulcorner The research design utilized in this study was a quasi-experimental design. A purposive sample, was abtained from two churches in the 1. area, consisting of 64 clients with hypertension. The data was collected from the middle of January to the 1st of September 1985. Randomization was only of the two church groups into experimental and control groups. Compliance with health behavior related to the hypertensive regimen, blood pressure and body weight were measured, compared and analyzed. In the experimental group measurements were made 6 times; one month before the education program after education program when health contracting was done and 4 more times once a month for 4 months. In the control group measurements were made 3 times; one month before the education program after the education program, and once 4 months later. There was no health contracting. The data were analyzed by t-test, Pearson correlation and ANOVA according to purpose of the study. The result of this study may be summarized as follows: The result related to the hypothesis on the effect of health contracting are as follows: H$_1$; “The hypothesis that the experimental group, with a health contractual agreement will demonstrate increased compliance levels for health behavior than the control group” was supported(t=-5.29, df=62, p=.000). H$_2$; “The hypothesis that the experimental group, with a health contractual agreement, will demonstrate a greater reduction in blood pressure than the control group” was supported (for systolic blood pressure t=2.72, df=62, p=.009, for diastolic blood pressure t=1.95, df=62, p=.050). H$_3$; The hypothesis that the greater the compliance of the client with health behavior the lower the client's blood pressure will be was partially supported (for systolic pressure r=-.2981, p=.008, for diastolic pressure r=-.1720, p=.087). From the examination of the results of this study it can be concluded that the interaction between the nurse and the client, contracting to define goals and reinforcing compliant behavior, leads to improved compliance with health care behaviors and thus to an increase in the effectiveness of nursing care. Further consideration need to be given to the inclusion of the concept of health contracting in primary nursing and to further research in this area.

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스포츠웨어의 국내 및 외국상표 선호도 연구

  • 이명희;이현경
    • 복식문화학회:학술대회논문집
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    • 복식문화학회 2004년도 정기총회 및 춘계학술대회
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    • pp.104-106
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    • 2004
  • 현대사회는 질적인 삶의 추구로 인하여 여가선용 및 건강증진을 위한 스포츠ㆍ레저 활동이 유행을 선도하는 두드러진 사회적 영향중의 하나가 되었으며, 스포츠ㆍ레저 인구의 확대로 인하여 스포츠 상품이 국내 의류업계 시장에 커다란 영향을 주는 품목이 되었다 세계의 유명상표 스포츠웨어가 여러 의류업체나 유통업체를 통해 직수입과 라이센스 계약으로 국내에 반입되고 있으며 국내 스포츠웨어 업계에서도 품질과 세련된 디자인으로 우수한 상표이미지를 나타내려고 여러 각도에서 대응책을 마련하며, 마케팅전략을 세워나가고 있다. (중략)

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건강계약을 적용한 항산화 증진프로그램이 여대생의 식습관, 건강행위, 항산화지표 및 신체조성에 미치는 영향 (Effect of Antioxidant Improvement Program with Health Contract on Antioxidant Indicators and Body Composition in Female College Students)

  • 강소연;채영란
    • Journal of Korean Biological Nursing Science
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    • 제23권3호
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    • pp.188-198
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    • 2021
  • Purpose: This study targeted female university students in their 20s and created an antioxidant improvement program with a health contract, one of the behavioral modification therapies, based on King's (1981) 'goal attainment theory.' The aim of this study is to investigate the effects of physiological indicators, eating habits, dietary attitudes, and health behaviors by conducting a walking exercise and anti-oxidation diet program with reinforcement therapy. Methods: This study had a nonequivalent control group pretestposttest design. There were a total of 50 participants, with 25 participants in the experimental group and 25 participants in the control group and the study period was 10 weeks. The antioxidant improvement program consisted of walking and antioxidant diet education with health contracts. Data analysis was statistically processed using the SPSS/WIN 24.0 program. Results: The program showed a high achievement rate by providing continuous motivation and positive reinforcement during the program, and it affected the eating habits, dietary attitudes, and health behavior. Besides, physiological variables, such as antioxidant indices and body composition showed positive changes. Conclusion: This study, based on the goal attainment theory, confirmed that antioxidant improvement program is an effective nursing intervention for continuous health promotion through interaction and exchange between healthy participants and researchers.

협회소식

  • 대한설비건설협회
    • 월간 기계설비
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    • 6호통권191호
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    • pp.16-27
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    • 2006
  • 본회(4개 단체와 공동 연명, 국민연금∙건강보험제도 및 임금지급조서 제출제도 개선에 대한 탄원서 제출,국민연금ㆍ건강보험제도및 임금지급조서제출 제도개선탄원서)/ 자동제어협의회(제11차 자동제어설비공사협의회 및 자동제어전문분야 등록업체 간담회 개최, 최동호 상임부회장 취임)/서울특별시회(대표회원 조찬간담회 개최, 지방계약법 해설 강습회 개최, 2006년도 제1차 시공품질 현장점검 실시)/ 부산시회(2006 설비기술 세미나 개최)/ 울산∙경남도회(일용근로자 소득자료 신고 및 4대 보험 관련 간담회 개최)/ 충북도회(가스시설시공업 1종 회원사 간담회 개최)/ 강원도회(저소득층 자녀 학교 급식비 지원금 전달 및 기계설비 분리발주 건의, 제4회 회원 친목 단합대회 개최)

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우리나라 청소년 연기자 보호 제도에 관한 고찰 -2014년 시행 '대중문화예술산업발전법' 분석을 중심으로- (Research for the Legal Protection System of Minor Actors and Actresses -Focused on the Analysis of Popular Culture Art Industrial Development Act-)

  • 김정섭
    • 한국콘텐츠학회논문지
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    • 제15권1호
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    • pp.86-94
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    • 2015
  • 본 연구는 2014년 7월29일 시행된 '대중문화예술산업발전법'의 핵심인 청소년 대중문화예술인의 보호 조항의 적절성 여부를 비판적 관점에서 분석하여 미비점 등 법률 개정 방향을 모색하고자 실시되었다. 분석 결과 이 법률은 성매매 알선, 노예계약, 제3자의 수익 편취 금지 등 논란이 되어온 사회적 요구를 포괄적으로 수용하였다. 그러나 연령별로 노동시간을 차등적으로 규정하지 않은 데다 청소년에게 강요해서는 안 되는 위험한 연기장면의 사례, 수면권 건강권 학습권 보장의 절차와 방법, 위반 시 벌칙(처벌) 조항 등을 충분하게 규정하지 않아 구체성과 적용성을 충족하는 방향으로 보완이 필요한 것으로 나타났다.

효율적 건강보험수가에 기반을 둔 병원 그룹화에 관한 연구 -AHP와 DEA를 이용한 분석- (A Study on the discriminating of the hospitals based on the efficient insurance conversion factor by AHP and DEA)

  • 오동일
    • 한국산학기술학회논문지
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    • 제10권6호
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    • pp.1304-1316
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    • 2009
  • 본 연구는 효율성에 기초한 환산지수의 도입 가능성을 알아보기 위한 기초 연구로 시도되었다. DEA 효율성지표와 환산지수가 전공의 수련교육을 실시하고 있는 60 개 병원을 그룹화하는데 얼마나 유용하게 사용될 수 있는가를 고찰하였다. 이러한 목적을 달성하기 위해 자료수집이 가능한 표본병원의 환산지수와 AHP 개념을 도입해 DEA 모형의 투입변수와 산출변수를 선정하였다. 그 결과 병상규모가 클수록 규모적 비효율성이 큰 것으로 나타났으며 기술적으로 또는 규모적으로 비효율적인 병원일수록 환산지수가 더 큰 것으로 나타났다. 환산지수와 효율성지표는 수련병원을 병원의 종별에 따라 종합전문병원과 종합병원으로 구분하는데 유용하게 사용될 수 있었다. 또한 DEA 효율성을 구하는 과정에서 독립변수로 사용된 투입 산출변수를 판별함수에 도입하였음에도 불구하고 환산지수와 효율성지표는 판별함수를 구성하는 주요 변수로 작용함을 확인하였다. 따라서 만약 모집단을 대표할 수 있는 많은 표본을 기초로 보다 명확한 결과를 얻을 수 있다면 건강보험의 수가계약제 하에서 효율성 개념을 바탕으로 한 환산지수계약의 도입을 신중하게 고려해 볼 수 있다.