• 한국병원경영학회지
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• 제9권1호
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• pp.1-21
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• 2004

The United States has a unique health care system, which is unlikely any other health care systems in the world. The major part of basic functional components of the system -financing, insurance, delivery, and payment- is in private hands. A market-oriented economy invites the participation of numerous private entities that are interested in carrying out the key functions of health systems. Due to this central feature, U.S.health care is not delivered through a network of interrelated components designed to work together coherently. For lack of standardization, the various components of the system fit together only loosely. The involvement of numerous players in the key functions leads to duplication, overlap, inadequacy, inconsistency, and waste, which add to the complexity and also make the system inefficient. Hence, cost containment remains an elusive goals. Moreover, the system falls short of delivering equitable services to all americans, though consumption of health care services is the largest in the world. On the other hand, United States leads the world in the latest and the best in medical technology, medical training, and research. It offers some of the most sophisticated institutions, products, and processes of health care delivery. This article discuss the characteristic features of the U.S. health care system. and its performance, trying to seek its implication on Korean health care system.

• 한국프랜차이즈경영연구
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• 제11권1호
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• pp.7-17
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• 2020

Purpose - As the competition in the foodservice franchise industry and the market becomes fierce and the entry barrier is lowered, the foodservice franchisor and franchisees strive to increase their competitive advantage in the market. Therefore, the franchisor and franchisees use experience management strategies to enhance the positive experiences of customers visiting the stores. In this regard, this study examines the effects of customer-oriented activities (physical-, social-, health-, and service-oriented activities) on utilitarian and hedonic values, and loyalty using stimulus-organism-response (S-O-R) model and value-expectancy theory. Research design, data, methodology - The data were collected from panels of online survey company, who visited a foodservice franchisee within last month. The survey was conducted for about 15 days from March 7, 2019 to March 21, 2019, and about 3,500 e-mails and messages were distributed to ask for the survey. A total 412 responded and completed the questionnaires. Of the 412 completed questionaires, 12 were discarded due to missing and misinformation data and 400 were retained for further data analysis. Results --The results showed that social oriented activities, health oriented activities, and service oriented activities had positive effects on hedonic value, while physical oriented activities did not have a significant effect on hedonic value. Health oriented activities and service oriented activities had positive effects on utilitarian value, while physical oriented activities and social oriented activities had no significant effects on utilitarian value. Hedonic and utilitarian values also have a positive effect on loyalty. Conclusions - First, food service franchises should provide services and menus in consideration of the health of customers. When a customer visits the store, franchisee should provide more health-oriented food or materials and clean and comfortable conditions so as not to threaten the health of the customer. Second, the food service franchise must build a service-oriented system. Foodservice franchisor need to provide continuous service training not only to the franchisees, but also to the employees of the franchisees. Third, franchise should design a store where customers can form social exchanges through providing various information exchange to customers and making the store as a local community center.

• 이베로아메리카
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• 제13권1호
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• pp.69-94
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• 2011

Chile has been the first country in Latin America which has built a two-tiered health care system by partially privatizing the health insurance sector. Despite the intial decrease of health expenditure, more researches now show that health inequality within the Chilean health sector has been augmented with privatization of its insurance system. To explore such inequality, this article looks into the impact of privatization of health insurance on women's health. The author argues that privatization has intensified medicalization of women's body and, consequently, it worsened women's health in Chile. This article contributes to a more comprehensive understanding of market-oriented health care reform by linking it with medicalization process.

• 성인간호학회지
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• 제19권5호
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• pp.56-69
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• 2007

Purpose: This study aimed to explore the discourses and the patterns of problem solving behaviors among the nurse managers. The focus of the study was the difficult situations in caring with patients and their families. Methods: Field study was performed at a for-profit hospital from March, 2004 to March, 2007. The participants of the study were 5 head nurses and 2 nurses in charge. The data were collected with iterative interviews and participant-observations. For the analysis of the data, taxonomy and critical discourse analyzing were applied. Results: The nurse mangers who showed wholistic patterns of behavior took the role of a broker among the client system, professional nursing system, medical system, and other allied health system. The nurse managers whose approach was profession-centered took the role of protector of nursing system. The nurse manager who practiced nurse-oriented pattern of behavior tried not to have harm against other members of health system. The experiences of nurse managers were effected from the discourses of patriarchal and market mechanism. Conclusion: The situation that provoke conflict between clients and nurses become more common with the changes to the health care system and to society. Nurse managers take the role of these conflict problems. The successful solving of conflict in a nursing care setting promotes the quality of care and satisfaction of clients. Programs for enhancing nurse's problem solving competency should anchored be in their practices.

• 서비스연구
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• 제9권1호
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• pp.87-97
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• 2019

IT서비스의 성공의 핵심은 사용자 중심의 전략기획 및 시스템 설계 역량을 확보하여 사용자 마인드를 정확히 읽어내는데 있다. 사용자중심의 서비스를 제공하는 UI/UX전략수립이 안정적으로 구축되기 위해서는 먼저 관련시장의 규모를 추정하여, 성장가능성을 예측하는 것이 우선시 되어야 하나, 이에 대한 연구가 전무한 실정이다. 이에, 본 연구는 'SW시장규모(IDC Worldwide Blackbook'에 근거하여 관련시장을 추정하였다. 금액과 건수를 추정한 결과, UI/UX에 있어 기획 및 설계 영역이 해외 시장규모에 비해 낮은 수치로 형성되고 있으며, 디자인 중심의 관련 기업들의 역량도 기획자와 설계자를 구분하여 전문성을 강화하는 것이 중요하다고 판단된다. 본 연구결과는 지금까지 개인의 역량에 의존하던 UI/UX전략 수립을 체계화시키고, 시스템적으로 접근할 수 있는 계기를 마련하여, UI/UX 에 대한 표준화와 정량화 등으로 경제적 가치 판단이 가능해 지는데 있다. 기존의 인터페이스에 대한 사용자관점을 적용한다는 기술적 측면에서 해당 서비스에 대한 비즈니스적 관점에서 UI/UX에 대한 접근의 계기를 통한 UX전략 경영을 선도할 수 있을 것으로 기대한다. 이는 지식서비스 차원에서 사용자의 니즈를 파악하고, 적용하는 UX전략의 가치를 증명하는데 의의가 있다.

• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.10.1-10.10
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• 2023

The purpose of this paper was to review the problems relating to Korea's occupational health services and suggest ways to improve them. Korea can be classified as a welfare state type of conservative corporatism partially interwoven with liberalism. While experiencing compressed economic growth, the economic sectors of developed (excess areas) and developing (deficient areas) countries are interwoven. Therefore, it is necessary to perfect conservative corporatism along with a complementary reinforcement of liberal contents and to apply a multilayered approach focusing on complementing the deficient areas. It is essential to form a national representative indicator related to occupational health, and a strategy for selection and concentration is needed. The proposed central indicator is the occupational health coverage rate (OHCR), which is the number of workers who have applied for mandatory occupational health services under the Occupational Safety and Health Act in the numerator with the total working population in the denominator. This paper proposes ways to raise the OHCR, which is currently at the level of 25%-40%, to 70%-80%, which is the level of Japan, Germany, and France. To achieve this target, it is necessary to focus on small businesses and vulnerable workers. This is an area of market failure and requires the active input of community-oriented public resources. For access to larger workplaces, the marketability of services should be strengthened and personal intervention using digital health resources should be actively attempted. Taking a national perspective, work environment improvement committees with tripartite (labor, management, and government) participation for improvement of the working environment need to be established at the center and in the regions. Through this, prevention funds linked to industrial accident compensation and prevention could be used efficiently. A national chemical substance management system must be established to monitor the health of workers and the general public.

• 한국콘텐츠학회논문지
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• 제13권2호
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• pp.378-389
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• 2013

본 연구는 주성분분석을 활용하여 1995-2009년 동안의 보건의료비 지출을 소득수준별로 일인당 지출, 민간부문 지출, 공공부문 지출 및 총지출로 구분하여 사회후생 증대 효과를 분석하였다. 분석결과에 의하면 소득수준별 보건의료비 지출의 사회후생 증대효과는 세계전체 소득과 우리나라의 경우 부문별 지출에 따라 편차가 크고, 중간소득 국가에서 가장 크게 나타났으며, 고소득 국가, 저소득 국가, EU 국가 및 OECD 국가는 낮은 수준의 유사한 형태를 보이고 있다. 한편, 보건의료비 지출을 부문별로 살펴보면 일인당 지출은 소득수준과 무관하게 사회후생 증대효과가 낮은 것으로 나타났고, 민간부문 지출은 부문별 지출 중에서 사회후생 증대효과가 가장 크게 나타났다. 공공부문 지출과 총지출의 경우 중간소득 국가가 크게 나타났으며 소득수준별로 편차가 큰 특징을 나타내고 있다. 결과적으로 보건의료비 지출의 효율성을 제고하여 사회후생 증대에 기여할 수 있는 방안을 모색하는 것이 가장 중요한 현안이라 하겠다. 이를 위해서는 무엇보다도 보건의료비 지출이 공공성의 특성을 벗어나 시장기능에 의한 자원배분을 할 수 있는 제도적 지원 방안이 모색되어야 할 것이다.

• 보건행정학회지
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• 제18권1호
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• pp.63-84
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• 2008

The aim of this study was to analyze the correlation between professional autonomy and ideology among Korean physicians and to investigate how these factors affect job satisfaction like social status satisfaction and economic reward satisfaction. This study utilized a self-administered questionnaire survey and collected data nationwide between July and August, 2003. 211 responses were used for final analysis. SPSS 12.0 was used for a chi-square test, one-way ANOVA, Pearson correlation analysis, independent t-test and hierarchical multiple regression analysis. The results of this study were as follows. First, many variables of ideological factor were related to job satisfaction. Second, physicians expecting the change of political influence has patient-centered attitude. Third, there were many relationships between professional autonomy and ideology variables. Fourth, physicians expecting the change of political influence and customer-centered healthcare system showed more job satisfaction. In conclusion, professional autonomy is related to ideology, and in order to enhance job satisfaction, ideological factor needs more development. In addition, market-oriented healthcare system would contribute to enhance the job satisfaction of physicians expecting the change of political influence and customer-centered healthcare system.

• 마케팅과학연구
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• 제20권1호
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• pp.15-26
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• 2010

由于生产的全球化以及国家之间的文化交流, 东方元素越来越吸引世界的眼球. 在时装界, 一个时装设计师的文化背景往往可以催生新颖的设计理念, 使他卓尔不群. 人们对于东方元素的喜爱, 给传统时装市场带来了巨大的商机, 并且把基于文化的业务拓展到全球时装市场. 然而, 包含韩国传统文化的国际品牌还有待开发. 为了发展有韩国特色的国际品牌, 韩国人首先要在国内服装市场上认同本国文化, 然后才能进军国外市场. 便服非常适合采纳韩国元素, 因为这种衣服有很多用途, 很容易被广泛接受和使用. 而且, 多用途便服和时尚内衣的市场需求越来越大. 尽管便服市场在快速发展, 但是对便服的专门研究尚不多见, 目前在对发展中的现代化传统服装、时尚产品和品牌的研究中, 并不包括对便服的研究. 因此, 本论文调查了韩国的便服市场, 研究了消费者对含有韩国传统时装设计特色的便服的评价. 分析了对于韩国传统时装设计元素有购买意向的先例之间的关系, 并且比较了不同生活群体的消费目标. 产品质量, 零售服务质量, 感受价值以及对拥有韩国传统设计元素的便服的喜好被作为购买意向的先决条件. 同时, 本文设计了一个结构方程模型, 用于探讨它们之间的关系以及它们对购买意图的影响. 产品质量和市场营销中的零售服务质量结合在一起, 成为影响人们对韩国特色便服的偏好和价值感知的因素. 而且, 偏好和价值感知对购买意向的影响可以用同一模型来检验. 通过网上调查系统由女性消费者完成了一共357份的自填式问卷, 并制定了一份调查样本人群的生活方式、对于产品和销售服务的标准、对于韩国特色便服的价值感知、偏好以及购买意向的调查问卷. 此外, 问卷还将调查便服的采购和使用行为, 以便检验韩国便服的市场地位. 并且使用描述性分析, 因素分析, 聚类分析来分析数据, 以及使用AMOS 7.0.来进行方差分析和建立结构方程模型. 对于韩国便服市场地位的调查结果显示, 在我们的样本人群中大多数消费者都购买了便服. 便服在目前被认为是在家里穿的衣服, 是消费者比较而言投入较低的衣服. 在调查中显示, 大多数消费者每年仅仅购买2到3次便服, 花费在10美元以下. 购买便服的消费者们的生活方式共有四类: 传统价值导向的生活方式, 品牌影响的生活方式, 追求休闲的生活方式以及健康导向的生活方式, 这四类共计有12个项目. 基于这些生活方式要素, 便服消费者们又可以分为两类: 安乐派和保守派. 文章估量了对含有韩国传统时尚设计元素的便服的购买行为各组成部分之间的关系, 产品质量和零售服务质量都会影响到购买便服的偏好和价值感知. 这个研究结论证明, 高质量的产品和零售服务会对便服形成积极的优先效应. 价值感知和对便服的偏好会对购买意图产生积极的影响. 这个结果表明, 对便服所含有的韩国传统时尚设计因素的强烈偏好和价值感知能增强购买意图. 在两种不同生活方式的群体(即安乐派和保守派)的模型比较中, 结果显示产品质量和零售服务质量对安乐派群体的偏好和感知价值都有积极影响. 然而, 对保守派来说, 只有零售服务质量对偏好和购买意图有积极的影响. 由于安乐派对购买意图显示出更重大的影响, 包含韩国传统时尚设计因素的便服品牌应该关注安乐派的这些特征. 然而, 保守派对包含韩国传统时尚设计因素的便服在偏好和购买意图的关系中显得更强. 因此对包含韩国传统时尚设计因素的便服品牌来说, 它应该把重点放在如何激发保守群体消费者对便服的积极偏爱上. 这些结果提供了关于韩国便服消费者生活方式的信息, 也对那些计划进入韩国便服市场的时尚品牌, 尤其是那些与现行研究样本相似的, 目标为女性消费者的时尚品牌提供了有用的信息. 这一研究也为便服品牌和那些打算创造含有韩国传统时尚因素的高价值品牌提供了策略和市场洞察力. 考虑到不同生活方式群体的类型和便服或传统时尚商品之间的关系, 品牌设计者和市场策划人员可以运用这一研究成果作为市场定位, 目标设定, 以及市场销售策略的一个参考.

• 한국산업보건학회지
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• 제24권1호
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• pp.59-64
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• 2014

Objectives: The principal aim of this study is to investigate and analyze domestic usage amounts of insecticide in rice cultivation in order to provide fundamental data for establishing a job-exposure matrix(JEM) related to farmers working with agricultural insecticides. Materials and Methods: An investigation of domestic usage amounts of insecticides rice cultivation was performed through two methods. The first method utilized information on agricultural pesticides published annually by the Korea Crop Protection Association(KCPA). The second method made use of area of cultivation of rice as officially determined by Statistics Korea(SK). An estimation of domestic usage of insecticides in rice cultivation through the second method was determined by multiplying the total cultivation area of rice($m^2$) by the optimal spray volume of insecticides for rice cultivation per unit of cultivation area($kg/m^2$). Results: As a result of the analysis of public data regarding insecticides in rice cultivation, it was found that the domestic usage amount has decreased sharply from the first year of market sales(1969) to the final data year(2012). There is little difference in the annual usage trend of insecticides in rice cultivation between shipment and estimation. Also, the annual usage trends of insecticides in rice cultivation based on regional classification were nearly similar to those based on the overall aspect. Conclusions: The region which used the largest volume of insecticide in rice cultivation in Korea was the Jeolla Provinces, followed by the Gyeonsang Provinces, the Chungcheong Provinces, Seoul/Gyeonggi Province, Gangwon Province and Jeju Province. Substantially, the mean ratio of usage amounts of insecticide based on shipments and those based on estimation by cultivation area was $96{\pm}29%$, which indicates that the domestic usage amount of insecticide for rice cultivation corresponded to the optimal spray standard per unit area.