• 한국의료질향상학회지
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• 제13권1호
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• pp.59-67
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• 2007

• 한국의료질향상학회지
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• 제5권2호
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• pp.324-334
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• 1998

Background : Strategic planning is an organizationwide or systemwide, ongoing look into the future usually of 2~3 years, based on objective analysis of the current environment and trends, but it can incorporate both short-term and long-term goals. The strategic planning process includes external analysis, internal analysis, issue analysis, development of mission, vision and values, and lastly development of organizational goals and objectives. As a part of the strategic quality planning process, certain service lines, important organizationwide functions, or key processes supporting these functions can be prioritized to expedite and roll out certain strategic goals. This is called strategic quality initiatives. Methods : We organized a quality improvement team, a subgroup of 21st century vision planning corps of our medical center, and pursued QI activities for improvement of healthcare environment, particularly in the admission setting. We developed a strategic quality initiative based on the results of patient satisfaction surveys, and carried out functions of self-directed work team. Results : The strategic goal was to be the benchmark for peer group hospitals in Korea for providing cost-effective best-practice. The QI team included 3 medical doctors, 1 nurse, 1 social worker, and 1 QI consultant as well as many operational members to support services and quality initiatives met every Tuesday for 18 weeks. Outcome objectives were to improve patient satisfaction score. The issues included in the objectives were comfort, temperature, noise, cleanliness of the admission wards, quality and education of patient meals, matters regarding the admission process, and an appurtenant facility such as restaurant or convenience store. Every issue was discussed and recommendations, conclusions and opportunities were implemented. Conclusions : By developing a strategic quality initiative as a part of the strategic quality planning process, and pursuing a self-directed work team, certain sen/ice lines, important organizationwide functions, or key processes supporting these functions can be improved effectively within a short period. Strategic quality initiatives serve to support, or roll out, certain strategic goals that are relevant to performance improvement and development of specific measurable outcome objectives, and associated performance measure for each initiative. Each strategic quality initiative should include a statement of intent outcome objectives, and performance measures. We will come back with follow up of the strategic quality initiative, for improvement of healthcare environment, and results of patient satisfaction re-survey.

• 한국산학기술학회논문지
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• 제16권12호
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• pp.8297-8305
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• 2015

문화예술공연은 소비자가 경험을 통해 가치를 얻고자 하는 서비스의 한 영역으로서 소비자가 중요하게 판단하는 서비스 품질에 대한 종합적인 연구가 필요하다. 또한 다양한 서비스산업과 분야에서 서비스품질에 관련된 연구들이 활발하게 진행되고 있지만 공연사업에서는 서비스품질과 관련한 연구는 그다지 많지 않다. 이에 공연산업은 고유의 주제를 표현하기 위하여 공연장의 서비스 품질이 많은 영향을 주고 있는데 아직까지 공연예술의 관람객에 대한 이용형태별 공연예술의 선택 속성, 즉, 물리적 환경 품질, 상호작용 품질, 결과품질이 공연 선택에 어떠한 영향을 미치는가에 대한 연구는 이루어지지 않았다. 따라서 본 연구는 합창 공연 이용객을 중심으로 합창 공연 이용형태에 따라 공연 선택 시 고려하는 물리적 환경 품질을 파악하고, 이러한 요인들이 상호작용 품질과 결과 품질, 행동의도에 어떠한 영향을 미치는지 분석하여 향후 마케팅 전략을 수립하는데 시사점을 제공하는데 있다.

• 종양간호연구
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• 제12권3호
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• pp.195-203
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• 2012

Purpose: To summarize and review the methodological quality of the evidence from trials examining the effectiveness of physical exercise in patients undergoing allogeneic hematopoietic stem cell transplantation (Allo-HSCT). Methods: Six randomized clinical trials (RCTs) were identified, reviewed for substantive results, and assessed for methodological quality. Results: Six trials met all methodological criteria on the modified Jadad score above 3 out of 5 points. Failure to blind the outcome assessor, and failure to describe the method of blinding of outcome assessor appropriately were the most prevalent methodological shortcomings. Various exercise modalities have been applied, differing in content, frequency, intensity, and duration. Positive results have been observed in part for a diverse set of outcomes, including physical and psychological performance. Conclusion: The trials reviewed in this study were of moderate methodological quality. They suggest that exercise in patients undergoing Allo-HSCT may be safe and feasible, and in part patients benefit from increased physical performance both during and after transplantation. Future RCTs should use larger samples, appropriate comparison groups, and a standard of outcome measures, and examine what kind of exercise intervention (aerobic vs. resistance vs. combined) is the most effective for Allo-HSCT patients. It would be necessary to define contraindication for exercise to guarantee its safety.

• 의학교육논단
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• 제15권1호
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• pp.1-8
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• 2013

Outcome-Based education (OBE) is reviewed from the institutional perspective. The demand for and international trends in OBE are briefly examined and several term related to OBE, especially educational objective and program outcomes (POs), are introduced. It is stressed that systems for continuous quality improvement and quality assurance should be established to ensure the maintenance of the OBE system. Because the criteria for accreditation contain a criterion regarding the quality assurance related to program outcomes, several critical issues are considered regarding the POs themselves and the reduction of the POs. The core value of OBE is not only to provide appropriate education services to students to prepare them with the minimum skills and abilities for advancing their professional service, but also to guarantee the quality of graduates. In addition, the educational program should be continuously improved by employing the evaluation results acquired during the operation of the OBE systems. It is certain that an OBE system is one important aspect of student-centered education.

• 한국조리학회지
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• 제22권3호
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• pp.183-197
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• 2016

본 연구는 프랜차이즈 분식점 이용객들을 대상으로 프랜차이즈 분식점 방문 시 인지될 수 있는 세 가지 서비스 품질 요인들을 측정하고, 이러한 요인들이 고객들이 지각한 혜택과 가치, 그리고 행동의도에 어떠한 영향을 미치는지 파악하고자 수행되었다. 연구가설 검증을 위하여 총 450부의 설문지를 최근 3개월 이내에 프랜차이즈 분식점 이용 방문객들을 대상으로 배포하여, 이 중 불성실한 응답 39부를 제외한 총 411부의 설문지가 실증분석에 사용되었다. SPSS 20.0과 AMOS 20.0을 사용하여 기술통계, 요인분석 및 신뢰도검증 및 요인들 간의 인과관계를 검증하였다. 연구결과, 서비스 품질의 세 가지 요인 모두가 지각된 혜택에 유의한 영향을 미치는 것으로 분석되었으며, 세 요인 중 결과품질이 지각된 혜택에 가장 높은 영향을 미치는 것으로 나타났다. 지각된 혜택은 가치에 중요한 선행변수임이 검증되었고, 긍정적으로 형성된 가치는 미래행동의도에 직접적 영향을 미치는 것을 입증하였다. 이러한 연구결과는 기존에 여러 선행연구에서 검증되었던 수단-목적 사슬이론을 프랜차이즈 분식점을 대상으로 한 연구분야에 적용시켰다는 것에 의의를 가진다. 본 연구의 결과는 최근 외식산업분야에서 중요한 축으로 자리 잡고 있는 분식점 산업의 활성화와 경쟁우위 전략을 구축을 하는데 현실적이고 논리적인 제언을 해줄 수 있을 것으로 사료된다.

• Journal of Korean Neurosurgical Society
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• 제63권6호
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• pp.757-766
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• 2020

Objective : Spinal epidural abscess (SEA) is a severe and life-threatening disease. Although commonly performed, the effect of timing in surgical treatment on patient outcome is still unclear. With this study, we aim to provide evidence for early surgical treatment in patients with SEA. Methods : Patients treated for SEA in the authors' department between 2007 and 2016 were included for analysis and retrospectively analyzed for basic clinical parameters and outcome. Pre- and postoperative neurological status were assessed using the American Spinal Injury Association Impairment Scale (AIS). The self-reported quality of life (QOL) based on the Short-Form Health Survey 36 (SF-36) was assessed prospectively. Surgery was defined as "early", when performed within 12 hours after admission and "late" when performed thereafter. Conservative therapy was preferred and recommend in patients without neurological deficits and in patients denying surgical intervention. Results : One hundred and twenty-three patients were included in this study. Forty-nine patients (39.8%) underwent early, 47 patients (38.2%) delayed surgery and 27 (21.9%) conservative therapy. No significant differences were observed regarding mean age, sex, diabetes, prior history of spinal infection, and bony destruction. Patients undergoing early surgery revealed a significant better clinical outcome before discharge than patients undergoing late surgery (p=0.001) and conservative therapy. QOL based on SF-36 were significantly better in the early surgery cohort in two of four physical items (physical functioning and bodily pain) and in one of four psychological items (role limitation) after a mean follow-up period of 58 months. Readmission to the hospital and failure of conservative therapy were observed more often in patients undergoing conservative therapy. Conclusion : Our data on both clinical outcome and QOL provide evidence for early surgery within 12 hours after admission in patients with SEA.

• 의학교육논단
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• 제15권1호
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• pp.9-18
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• 2013

An outcome-based curriculum is perceived to be one alternative educational approach in medical education. Nonetheless, it is difficult for curriculum developers to convert from traditional curriculum to an outcome-based curriculum because research documenting its development process is rare. Therefore, this study aims to introduce the development process and method of outcome-based curriculum. For the purpose of this study, we used diverse data analyses, such as an existing literature search, development model analysis, and case analysis. We identified five phases from the analysis. First, the curriculum developers analyze the physician's job or a high performer in a medical situation. Second, curriculum developers extract outcomes and competencies through developing a curriculum, affinity diagraming, and critical incident interviews. Third, curriculum developers determine the proficiency levels of each outcome and competency evaluation methods. Fourth, curriculum developers conduct curriculum mapping with outcomes and competencies. Fifth, curriculum developers develop an educational system. Also, it is important to develop an assessment system for the curriculum implementation in the process of developing the outcome-based curriculum. An outcome-based curriculum influences all the people concerned with education in a medical school including the professors, students, and administrative staff members. Therefore, curriculum developers should consider not only performance assessment tools for the students but also assessment indicators for checking curriculum implementation and managing curriculum quality.

• 수산해양교육연구
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• 제24권3호
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• pp.368-377
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• 2012

In this study, a survey was held of m-learning educators in order to find out about the influence given to motivation by the characteristics of m-learning based on the parameters of the learning outcome. As a result of the analysis, it was revealed that the characteristics of m-learning provide a significant effect on the learning outcome and it was shown that the learning outcome provides a significant effect on the learning flow as well. This study aims to provide direction and guidelines for support service for learners for the improvement of the quality of m-learning to bring about enhancement in results and the fulfillment of successful learning by students.

• Educational Technology International
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• 제12권2호
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• pp.1-18
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• 2011

This study intends to examine the effects of motivational scaffolding in Computer-Supported Collaborative Learning (CSCL). This study was focused on the following two questions. Do motivational scaffolding lead to positive effects on the process in CSCL? Do motivational scaffolding lead to positive effects on the outcome in CSCL? In order to identify strategies for motivational scaffolding, we reviewed the "Flow Theory." Based on literature reviews, principles and strategies were drawn for the motivational scaffolding. An experimental study was conducted in order to investigate the effects of motivational scaffolding on process and outcome. In this study, 87 undergraduate students were divided into two different groups (control group, experimental group). Motivational scaffolding was provided to experimental group. The process was analyzed by examining learners' satisfaction in process. The outcome was analyzed by examining learners' satisfaction in product, group coherence, and quality of product. The difference between the two groups was statistically significant. From these results, we concluded that motivational scaffolding led to positive effects on process and outcome in CSCL environment.