• Title/Summary/Keyword: Appropriateness studies

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Strategies for Appropriate Patient-centered Care to Decrease the Nationwide Cost of Cancers in Korea (국가 암 비용 감소를 위한 환자중심 진료의 적정성 확보 전략)

  • Bae, Jong-Myon
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.4
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    • pp.217-227
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    • 2017
  • In terms of years of life lost to premature mortality, cancer imposes the highest burden in Korea. In order to reduce the burden of cancer, the Korean government has implemented cancer control programs aiming to reduce cancer incidence, to increase survival rates, and to decrease cancer mortality. However, these programs may paradoxically increase the cost burden. For examples, a cancer screening program for early detection could bring about over-diagnosis and over-treatment, and supplying medical services in a paternalistic manner could lead to defensive medicine or futile care. As a practical measure to reduce the cost burden of cancer, appropriate cancer care should be established. Ensuring appropriateness requires patient-doctor communication to ensure that utility values are shared and that autonomous decisions are made regarding medical services. Thus, strategies for reducing the cost burden of cancer through ensuring appropriate patient-centered care include introducing value-based medicine, conducting cost-utility studies, and developing patient decision aids.

Measurement Issues across Different Cultures

  • Lee, Ju-Hee;Jung, Duk-Yoo
    • Journal of Korean Academy of Nursing
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    • v.36 no.8
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    • pp.1295-1300
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    • 2006
  • Purpose. The purposes of this methodologic paper are to (1) describe theoretical background in conducting research across different cultures; (2) address measurement issues related to instrument administration; and (3) provide strategies to deal with measurement issues. Methods. A thorough review of the literature was conducted. A theoretical background is provided, and examples of administering instrument in studies are described. Results. When applying an instrument to different cultures, both equivalence and bias need to be established. Three levels of equivalence, i.e., construct equivalence, measurement unit equivalence, and full score comparability, need to be explained to maintain the same concept being measured. In this paper, sources of bias in construct, method, and item are discussed. Issues related to instrument administration in a cross-cultural study are described. Conclusion. Researchers need to acknowledge various group differences in concept and/or language that include a specific set of symbols and norms. There is a need to question the philosophical and conceptual appropriateness of an assessment measure that has been conceptualized and operationalized in a different culture. Additionally, testing different response formats such as narrowing response range can be considered to reduce bias.

A Study on the Frequency Bias Setting of the AGC based on Frequency Response in Korea (전력계통 주파수응답 실적 기반의 국내 AGC 주파수 바이어스 설정치 산정에 관한 연구)

  • Kang, Bo-Ram;Kwon, Han-Na;Kook, Kyung-Soo
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.64 no.7
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    • pp.978-983
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    • 2015
  • This paper presents Frequency Bias setting for the adequate AGC(Automatic Generator Control) operation based on the frequency response of power system in Korea. AGC frequency control recovers the frequency up to 60Hz following a primary control when the frequency suddenly drops due to a fault in power system. AGC can compensate an appropriate amount of generation by calculating ACE(Are Control Error) from the frequency deviation with the AGC frequency bias set from the actual frequency response in power systems. An appropriateness of the proposed AGC bias setting is verified through case studies employing the simulation model.

From Skills to Practice: How Does Information Literacy Happen?

  • Lloyd, Annemaree
    • Journal of the Korean Society for Library and Information Science
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    • v.45 no.2
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    • pp.41-60
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    • 2011
  • The use of a practice perspective in the analysis of information literacy represents a shift in attention towards the enactment of information literacy as a social practice, and away from the information skills approach that has dominated information literacy research and education. The sociocultural perspective that underpins a practice-oriented approach highlights the role of practice and co-participation of the community in shaping the production, reproduction and circulation of knowledge, including knowledge about the appropriateness of information skills in relation to the context in which the skills are practised. This emerging view contrasts with the conventional approach to information literacy that has focused on the information skills of individuals as something that can be learned and transferred independently of context. This paper explores two questions: what is information literacy and, how does it happen? It then goes on to identify the implications of this approach for librarians and researchers.

Esthetic Restoration of Deciduous Teeth Using Prefabricated Zirconia Crown in Children with Early Childhood Caries: A Report of Three Cases

  • An, So-Youn;Shim, Youn-Soo
    • Journal of dental hygiene science
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    • v.18 no.3
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    • pp.194-200
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    • 2018
  • Early childhood caries is a widespread condition that requires attention; however, its treatment remains a challenge in terms of child behavior management. This study describes the usefulness of customized zirconia crowns for the restoration of deciduous teeth through the evaluation of some cases. Three cases are described: a 29-month-old girl who presented with severe early childhood caries affecting anterior tooth, a 50-month-old boy who presented with extensive caries of his anterior tooth, and 70-month-old girl who presented with extensive caries of his primary posterior dentition. These prefabricated, zirconium-based ceramic crowns ($Nusmile^{TM}$ NuSmile) are available in various sizes, shapes and colors. Before the treatment, radiographs and intraoral photographs were taken to evaluate the appropriateness of treatment. Our findings indicate that customized zirconia crowns may be appropriate for restoring the deciduous teeth. Further long-term clinical studies are required to clarify the usefulness of this restorative method.

A Development of New Communication Style Mediated by Everyday Things (일상사물을 매개로 하는 새로운 커뮤니케이션 방식 제안에 대한 연구)

  • Park, So-Young;Lee, Woo-Hun
    • Proceedings of the Korea Society of Design Studies Conference
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    • 2005.05a
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    • pp.322-323
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    • 2005
  • Currently, there are varieties of communication media options, such as E-mail, Instant Message, SMS and Computer discussion group. These genres keep expanding with the integration of computers and wireless technologies and even more it allows people to communicate at different time without travelling distances, However, it is mostly impossible the one communication media satisfies the same task demands under different situations. And online communication media can not reach the actual purpose of traditional communication in keeping the interpersonal relationship and richness of communication by sharing time and physical space. Therefore, we researched and examined on the current state of appropriateness communication style in different given situation as affected by requirement and its characteristics. With the result in research and survey, we suggested new communication style mediated by everyday thing through the case study.

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Study of Plans for a Residential Area for Displaced Villagers Considering Sustainability: A Case of Gyodong-village, Pocheon-si, Gyeonggi-do in Korea (지속가능성을 고려한 농촌마을 이주단지 조성계획 연구 -경기도 포천시 교동마을을 대상으로-)

  • Joo, Myoung-Gyu;Cho, Joong-Hyun
    • Journal of Korean Society of Rural Planning
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    • v.18 no.3
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    • pp.175-186
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    • 2012
  • This is a study of a residential area for displaced villagers planned for residents of Gyodo Village who must evacuate their hometown because of flooding due to the Hantan River Dam Project. The study aims to construct a plan for a new residential area for the villagers focusing on reflecting the existing characteristics of their former village and on ensuring sustainability for the new village. Departing from previous practice of focusing on merely physical aspects when planning, the current study is significant in that it presents a new planning process and method for a sustainability-focused plan. While the study has many limitations such as objectivity in the process of deriving the sustainability indicators and the appropriateness of the indicator questions, it is hoped that future studies on sustainability will serve to make up for these limitations and problems.

Strategies to Improve Use of Medicines (의약품의 적정 사용을 위한 전략)

  • Park, Sylvia
    • Quality Improvement in Health Care
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    • v.12 no.2
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    • pp.93-112
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    • 2006
  • This study reviewed published studies on interventions used by hospitals, health insurance programs, or governments to improve use of medicines in foreign countries. Interventions to improve use of medicines are classified into two categories: 1) information strategies-dissemination of educational materials, group education, one-to-one educational outreach, drug utilization review, and feedback; 2) managerial strategies- formularies, prior authorization, and financial incentives. Dissemination of educational materials, which is a common intervention, was unsuccessful in changing physicians' prescribing behaviors. Problem-based small group education was more likely to change behaviors than didactic large group education. One-to-one educational outreach(academic detailing) was among the most effective strategies used to change prescribing behaviors. Prospective drug utilization review (DUR) program was more successful in improving use of medicines than retrospective DUR program. Feedback intervention has been reported to be ineffective to change behaviors. Formularies are frequently used to control medication use by most health insurance programs. Financial incentives provide physicians economic incentives according to appropriateness of prescribing. However, few published studies have assessed the efficacy of formularies or financial incentives. Prior authorization requires physicians to get authorization from health insurers before prescribing a certain group of drugs which is usually of high costs or risk. There is no magic bullet for quality use of medicines. Multifaceted interventions that help to predispose, enable, and reinforce desired behaviors are more likely to be successful.

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Career Competencies and Perceived Work Performance

  • PARK, Yong-Ho
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.6
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    • pp.317-326
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    • 2020
  • Previous studies have suggested that individuals need to invest in the accumulation of career competencies. To demonstrate how to acquire career competencies, a model consisting of the knowing why, knowing how, and knowing whom competencies was actively discussed in the previous studies. This study seeks to identify the relationships among these competencies based on three ways of knowing, and their effects on perceived work performance. Furthermore, this study tried to identify the importance of each of these competencies in predicting perceived individual performance in the business workplace environment. The findings showed that the knowing why, knowing how, and knowing whom competencies all have a statistically significant positive influence on perceived individual work performance. Also, the study results showed the relative importance of the three competencies for perceived work performance. Specifically, the study results showed that the effects of the knowing why and knowing whom competencies are greater than the effect of the knowing how competency. The theoretical and practical implications of the study results were provided, including empirical evidence of the validity of the career capital model, the appropriateness of the career competency model based on the three ways of knowing, and assignment of resources for the acquisition of career competencies.

A Study on the Importance and Satisfaction for the Menu Quality of Japanese Restaurant (일식레스토랑 메뉴품질에 대한 중요도와 만족도에 관한 연구)

  • Lee, Yeon-Jung;Jeong, Woo-Seok;Kim, Hyen-Ryong;Choi, Su-Keun
    • Journal of the Korean Society of Food Culture
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    • v.20 no.5
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    • pp.621-626
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    • 2005
  • This study aimed to analyze the impact of importance and fulfillment(satisfaction) factors of menu quality on customers' intent of revisit of Japanese restaurants, so that it could provide information helpful to build up detailed marketing strategy and present considerations for management's higher sales amount and more efficient business results as well. Importance on menu quality scored higher level than fulfillment on the whole in Japanese restaurants. Notably, in regard to attributes of menu quality, it was found that respondents put higher stress on flavor, nutrition, cleanliness and freshness than anything else. In terms of IPA analysis on Japanese cuisine menu quality, it was noteworthy that the items with high importance but low fulfillment included menu price as an attribute for menu quality, although it was not shown in menu-specific items. In the survey on the associations between fulfillment(customer satisfaction) and intent of revisit, it was found that factors of customer satisfaction included 'trimness of dishes', 'information', 'appropriateness' and 'economic affordable' Out of these factors, it was noted that both 'trimness' and 'economic affordable' had significant effects on customer satisfaction at the significance level ranging from p<0.05 to p<0.001.