The skyrocketing inflation of medical costs has become a major health problem among most developed countries. Korea, which recently covered the entire population with National Health Insurance, is facing the same problem. The proportion of health expenditure to GNP has increased from 3% to 4.8% during the last decade. This was remarkable, if we consider the rapid economic growth during that time. A few policy analysts began to raise cost containment as an agenda, after recognizing the importance of medical cost inflation. In order to Prepare an appropriate alternative for the agenda, it is necessary to find out reasons for the cost inflation. Then, we should focus on the reasons which are controllable, and those whose control are socially desirable. This study is designed to articulate the theory of medical cost inflation through literature reviews, to find out reasons for cost inflation, by analyzing aggregated data with a deterministic model. Finally to identify determinants of changes in both medical demand and service intensity which are major reasons for cost inflation. The reasons for cost inflation are classified into cost push inflation and demand pull inflation, The former consists of increases in price and intensity of services, while the latter is made of consumer derived demand and supplier induced demand. We used a time series (1983-1987), and cross sectional (over regions) data of health insurance. The deterministic model reveals, that an increase in service intensity is a major cause of inflation in the case of inpatient care, while, more utilization, is a primary attribute in the case of physician visits. Multiple regression analysis shows that an increase in hospital beds is a leading explanatory variable for the increase in hospital care. It also reveals, that an introduction of a deductible clause, an increase in hospital beds and degree of urbanization, are statistically significant variables explaining physician visits. The results are consistent with the existing theory, The magnitude of service intensity is influenced by the level of co-payment, the proportion of old age and an increase in co-payment. In short, an increase in co-payment reduced the utilization, but it induced more intensities or services. We can conclude that the strict fee regulation or increase in the level of co-payment can not be an effective measure for cost containment under the fee for service system. Because the provider can react against the regulation by inducing more services.
Hempel's original intuitions about the raven's paradox are summed up in three ways. The first is known as the paradoxical conclusion: If one observes that an object a - about which nothing is antecedently known - is a non-black non-raven, then this observation confirms that all ravens are black. The second is an intuitive verdict of the misled conclusion of the paradox: If one observes that an object a - which is known to be a non-raven - is non-black (hence, is a non-black non-raven), then this observation does not confirmationally affect that all ravens are black. The third is a comparative claim between the two intuitions: the degree of confirmation appearing in the first intuition is greater than the degree of confirmation in the second intuition. The Standard Bayesian Solution of the paradox is evaluated to fleshed Hempel's intuitions out by establishing the first intuition. However, such an evaluation of this solution should be further analyzed because Hempel's intuition is not the only one. The solution of paradox does not establish the second intuition in a strict sense. However, I think the Bayesian solution will establish the second intuition based on its typical strategy of quantitative vindication. If only quantitative vindication is accepted, this evaluation of the solution remains valid. Nevertheless, the solution fails to establish the third intuition. In this article, I propose a new way to apply the Bayesian method to establish Hempel's intuitions, including the third intuition. If my analysis is correct, the Standard Bayesian Solution of the raven's paradox could indeed flesh Hempel's intuitions out by denying one of the assumptions considered essential.
In this study, mathematical analysis is conducted by focusing to the 'size' of the 'point' and the 'line'. The textbook descriptions of the 'point' and the 'line' in the geometry content area of middle school mathematics 1 by the 2015 revised Korean mathematics curriculum and US geometry textbooks were compared and analyzed between. First, as a result of mathematical analysis of' 'the size of a point and a segment', it was found that the mathematical perspectives could be different according to 1) the size of a point is based on the recognition and exclusion of 'infinitesimal', and 2) the size of the segment is based on the 'measure theory' and 'set theory'. Second, as a result of analyzing textbook descriptions of the 'point' and the 'line', 1) in the geometry content area of middle school mathematics 1 by the 2015 revised Korean mathematics curriculum, after presenting a learning activity that draws a point with 'physical size' or line, it was developed in a way that describes the 'relationship' between points and lines, but 2) most of the US geometry textbooks introduce points and lines as 'undefined terms' and explicitly states that 'points have no size' and 'lines have no thickness'. Since the description of points and lines in the geometry content area of middle school mathematics 1 by the 2015 revised Korean mathematics curriculum may potentially generate mathematical intuitions that do not correspond to the perspective of Euclid geometry, this study suggest that attention is needed in the learning process about points and lines.
Objectives: The Korean Dizziness Handicap Inventory (KDHI), which includes 25 patient-reported items, has been used to assess self-reported dizziness in Korean patients with Parkinson disease (PD). Nevertheless, few studies have examined the KDHI based on item-response theory within this population. The aim of our study was to address the feasibility and clinimetric properties of the KDHI instrument using polytomous Rasch measurement analysis. Methods: The unidimensionality, scale targeting, separation reliability, item difficulty (severity), and response category utility of the KDHI were statistically assessed based on the Andrich rating scale model. The utilities of the orderedresponse categories of the 3-point Likert scale were analyzed with reference to the probability curves of the response categories. The separation reliability of the KDHI was assessed based on person separation reliability (PSR), which is used to measure the capacity to discriminate among groups of patients with different levels of balance deficits. Results: Principal component analyses of residuals revealed that the KDHI had unidimensionality. The KHDI had satisfactory PSR and there were no disordered thresholds in the 3-point rating scale. However, the KDHI showed several issues for inappropriate scale targeting and misfit items (items 1 and 2) for Rasch model. Conclusions: The KDHI provide unidimensional measures of imbalance symptoms in patients with PD with adequate separation reliability. There was no statistical evidence of disorder in polytomous rating scales. The Rasch analysis results suggest that the KDHI is a reliable scale for measuring the imbalance symptoms in PD patients, and identified parts for possible amendments in order to further improve the linear metric scale.
The purpose of this paper is to figure out T'oegye's philosophy and its characteristics in comparison with Zhuzi's. T'oegye is well-known as the representative of Neo-confucianism in Korea. But his posterior scholars and even contemporary scholars have various viewpoints about his philosophy. So they give him some different evaluation. After Zhuzi's death 300 years later, T'oegye has accepted Zhuzi's philopophical thoughts. In addition, he has added his own philosophical insights on them. First, he indicates concretely the metaphysical activity of li through lidong that Zhuzi has mentioned in some measure. Second, under the ontological aspect of li, he explains that Four beginnings come from li. It implies that li manifests and qi follows. Finally he points out lidao--i.e. li manifests itself, about wuge in his epistemology. Here we can say that whatever his metaphysics/the theory of mind and heart, and epistemology, the whole system of T'oegye's philosophy has its theoretical coherence. He has succeeded Zhuzi's philopophical thoughts thoroughly and furthermore developed Neo-confucian theory in East Asia that has not made before.
Struggle refers to the process of overcoming various difficulties for a goal. The spirit of struggle is a positive attitude and reaction reflected in the process of struggle. Cultivating the spirit of struggle of college students is the call of the new era. In essence, the cultivation of the spirit of struggle is a process of learning, which is in line with Bandura's Observation Learning Theory(Bandura, 1977):Attention, Maintenance, Reproduction and Motivation. The cultivation of College Students' spirit of struggle in the new era is also a learning process of enriched experience. It is necessary to cultivate the spirit of struggle into the soul of college students and make it become a habit of students. Moreover, it is crucial to carry out adaptive transformation of Bandura's observation learning theory. By studying the mechanism of the spirit of struggle of college students, taking innovation and entrepreneurship education as a means, and aiming at cultivating the connotation of President Xi's thought on socialism with Chinese characteristics for a new era, this paper constructs the AIST model for cultivating the spirit of struggle of college students in the new era. This model includes online learning acceptance platform(Acceptance), classroom experience stimulation platform(Inspiration), iterative training solidified platform (Solidification), and competition practice transfer platform(Transfer). The purpose of this model is to provide a practical way for universities to fulfill the fundamental task of moral education and cultivate qualified socialist builders and successors. The number of students using the online learning acceptance platform ranked the first among that of the similar courses in China; The classroom experience stimulation platform and the iterative training solidified platform support each other, with an effective rate of 97%; The competition practice transfer platform has realized the continuous growth of the number of awards won in competitions for three years. The direction of future efforts is to establish the external mechanism of the spirit of struggle, to ensure the effectiveness of classroom experience and iterative training, to cultivate teachers with coaching skills, and to accurately measure the transformation point of external and endogenous motivation.
Purpose: How to build the attitude on brand is very important, because it affects the positive word of mouth and revisit intention. Brand attachment, brand name, and image congruence play important role on consumer behavior in terms of reinforcing consumers' perception of food service companies and differentiating them from competing brands. Following the planned behavior theory, this paper examines the effect of linking brand attitude to word-of-mouth and revisit intentions in the restaurant sector. Research design, data, and methodology: This paper examines the structural relationship among brand attachment, brand name, image congruence, brand attitude, WOM, and revisit intention. In order to test the purposes of this study, research model and hypotheses were developed. The questionnaire items were modified and used according to the content of this study based on previous studies. All constructs were measured by multiple items tested and developed in the previous research. The study is based on the quantitative method and considered 519 questionnaires fulfilled by customers of restaurants. The data were explored employing the partial least square-structural equation modelling (PLS-SEM). Frequency analysis was conducted to identify the general characteristics of the survey subjects. To measure the reliability and validity of the measurement tools, confirmatory factor analysis was conducted. Structural model analysis was conducted to verify the research model. Result: The findings demonstrate that brand attachment and brand name had positive effects on attitude while image congruence did not have. Also, attitude had positive effect on WOM and revisit intention. Conclusions: This study expands the literature about WOM and revisit intentions. This study expands prior research in a similar field to which the theory of planned behavior (TPB) is applied, and reveals that brand attachment, brand name, and brand image congruence play an important role in developing brand attitude that affect revisit intention and WOM. And provide guidelines on how to enhance competitiveness in the restaurant sector based on understanding of linking brand attitude to customer loyalty and repeat business. By putting into practice these suggestions in the restaurant industry, brands can easily build up their attitude and boost a positive WOM and the intention to revisit.
This study aims to develop a scale to measure the elderly's intention on home renovation and to verify its validity. As a methodological study based on the theory of planned behavior, this study provides 26 preliminary items in the pre-test. The first main test, performed to verify the content validity of the developed items, was followed by a second test of construct validity and reliability. As the result of the content validity test targeting experts, some of the original 26 items were excluded, while others were combined for a total of 22. As the result of the construct validity test of the scale, targeting the elderly aged 65 and over, the 22 items were narrowed down to 14 items, excluding the items that were unsuitable for communality and Eigen value. After once more conducting a factor analysis, the items were classified into five factors with a total cumulative variance of 72.5% and a Cronbach's α of 0.75. This study will contribute to the discussion of housing for the elderly by giving force to environmental regeneration activities through facilitating the identification of the home owners' intentions to renovate in order to improve the physical environment in decayed areas at a public level.
The task network which is formed of different individuals can be recognized as a social network. Therefore, the way to communicate with people inside or outside the network has considerable influence on their outcome. Moreover, the position on which a member stands in a network shows the different effects of the information systems supporting communication with others. In this paper, it is to be studied how personal CMC (computer-mediated communication) tools affect the mission that those who work for a network perform through diverse task networks. Especially, we focused on synchronicity of CMC. On this score, the perspective of Media Synchronicity Theory was taken that had been suggested by criticizing Media Richness Theory. It is the objective, from this perspective, to find which characteristics of networks make the value of IT supporting synchronicity high. In the research trends of social networks, there have been two traditional perspectives to explain the effect of network: embeddedness and diversity ones. These differ from the aspect which type of social network can provide much more economic benefits. As similar studies have been reported by various researchers, these are also divided into the bonding and bridging views which are based on internal and external tie, respectively, Size, density, and centrality were measured as the characteristics of personal task networks. Size means the level of relationship between members. It is the total number of other colleagues who work with a specific member for a certain project. It means, the larger the size of task network, the more the number of coworkers who interact each other through the job. Density is the ratio of the number of relationships arranged actually to the total number of available ones. In an ego-centered network, it is defined as the ratio of the number of relationship made really to the total number of possible ones between members who are actually involved each other. The higher the level of density, the larger the number of projects on which the members collaborate. Centrality means that his/her position is on the exact center of whole network. There are several methods to measure it. In this research, betweenness centrality was adopted among them. It is measured by the position on which one member stands between others in a network. The determinant to raise its level is the shortest geodesic that represents the shortest distance between members. Centrality also indicates the level of role as a broker among others. To verify the hypotheses, we interviewed and surveyed a group of employees of a nationwide financial organization in which a groupware system is used. They were questioned about two CMC applications: MSN with a higher level of synchronicity and email with a lower one. As a result, the larger the size of his/her own task network, the smaller its density and the higher the level of his/her centrality, the higher the level of the effect using the task network with CMC tools. Above all, this positive effect is verified to be much more produced while using CMC applications with higher-level synchronicity. Among the a variety of situations under which the use of CMC gives more benefits, this research is considered as one of rare cases regarding the characteristics of task network as moderators by focusing ITs for the operation of his/her own task network. It is another contribution of this research to prove empirically that the values of information system depend on the social, or comparative, characteristic of time. Though the same amount of time is shared, the social characteristics of users change its value. In addition, it is significant to examine empirically that the ITs with higher-level synchronicity have the positive effect on productivity. Many businesses are worried about the negative effect of synchronous ITs, for their employees are likely to use them for personal social activities. However. this research can help to dismiss the concern against CMC tools.
Utilization of CCTV in crime prevention for public safety is accepted as the most effective measure in terms of crime prevention and control. Also, it is frequently used as a device that shows evidence of an unexpected situation or record on public social relationship. However, it is rare to find a study that qualitatively accessed the monitoring performance of a certain space depending on the choice and positioning of CCTVs. Thus, this study suggested a technology that can quantitatively compare and assess the monitoring performance of CCTVs depending on view angle and effective sight range of cameras as well as the monitoring performance depending on positioning measures. For the analysis, the concept of 3-dimensional surveillance field in the form of a frustum was suggested while deriving 3-dimensional range of sight and quantitative monitoring performance by applying Isovist theory. For the analysis technology, space of analysis subject, point of view (camera), and target point (measurement node) were installed at a 3-dimensional space and in use of ray-tracing algorithm, the line segment that was visually connected between the point of view and target point was extracted and accumulated. For such verification, analysis application was constructed and then applied to four alternative models on view angle and distance as well as four alternatives on positioning in order to verify its efficacy. Through the experiment, it was possible to compare and assess visibility depending on alternatives while quantifying the results by understanding the shadow areas beyond the monitoring range.
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