• 제목/요약/키워드: Outcome quality

검색결과 1,100건 처리시간 0.027초

The Roles of Menopausal-specific Quality of Life on Breast Cancer Screening Beliefs in Menopausal and Postmenopausal Women

  • Cheng, Winnie Lai-Sheung
    • Journal of Menopausal Medicine
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    • 제24권3호
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    • pp.188-195
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    • 2018
  • Objectives: This study investigated the association between menopausal-specific quality of life (MENQOL) and breast cancer screening beliefs among Hong Kong Chinese menopausal and postmenopausal women. Methods: A cross-sectional study was employed to collect data. The questionnaire was distributed to a convenience sample of 218 women aged above 45. The outcome variables were breast cancer screening beliefs and breast examination. Multiple regression analyses were conducted to test the effect of 4 domains in MENQOL (vasomotor, psycho-social, physical, and sexual symptom) and the health behaviors on the 2 outcome variables. Results: This study found that the overall MENQOL scores (in particular psycho-social, and physical aspects) were significantly associated with positive attitudes toward health check-ups and better knowledge and perceptions in breast cancer. Regular exercise was also significantly related to breast examination. Conclusions: MENQOL (especially psycho-social and physical domain) and regular exercise are important factors associated with breast cancer screening beliefs. The results of this study illuminate health care professionals to develop primary health care strategies to improve the quality of life of mid-life women.

서비스 품질이 쇼핑가치와 재이용의도에 미치는 영향: 커피전문점을 중심으로 (The Effects of Service Quality on Shopping Value and Repatronage Intention: The Case of Specialty Coffee Shops)

  • 조현진
    • 유통과학연구
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    • 제10권4호
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    • pp.21-28
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    • 2012
  • 최근 경기침체로 인해 소비심리가 위축된 상황에서도 국내 커피시장은 가파른 성장세를 보여왔다. 커피 애호가들 사이에서 고급 소비패턴이 증가하면서 국내 커피시장은 원두커피를 사용하는 커피전문점의 폭발적인 증가를 불러왔다. 커피전문점 시장은 향후에도 계속 성장할 것으로 기대됨에 따라 기존 업체들의 점포확대와 신규 업체들의 진입이 증가하고 있는 추세이다. 결국 국내 커피전문점 시장은 업체간의 경쟁이 더욱 치열해지면서 차별화된 마케팅을 통해 경쟁우위를 확보해야 하는 과제를 안고 있다. 본 연구는 커피전문점 이용고객을 중심으로 서비스 품질이 쇼핑가치와 재이용 의도에 미치는 영향을 파악하는데 초점이 있다. 성공적인 관계관리를 위해 유용하게 작용하는 서비스 품질요인은 무엇이고 소비자들이 중요하게 평가하는 가치를 확인하는데 그 의의가 있다. 이를 위해 서비스 품질이 쇼핑가치에 미치는 차별적인 영향을 분석하고 실용적 가치와 쾌락적 가치가 재이용 의도에 미치는 영향을 검토하였다. 연구결과는 다음과 같다. 첫째, 상호작용품질과 결과품질은 실용적 가치에 긍정적인 영향을 미치는 반면, 환경품질이 실용적 가치에 미치는 영향은 유의미하지 않게 나타났다. 특히 실용적인 가치에 미치는 상대적인 크기를 고려할 때 결과품질이 상호작용품질보다 더 많은 영향을 미치는 것으로 나타났다. 이는 실용적인 가치를 증대하는데 있어 결과품질의 역할이 가장 중요하다는 것을 보여주고 있다. 둘째, 결과품질과 환경품질은 쾌락적 가치에 긍정적인 영향을 미치고 있지만, 상호작용품질이 쾌락적 가치를 증가시키는 영향은 유의미하지 않았다. 즉 고객들은 서비스 결과에 대한 평가와 서비스가 전달되는 배경에 근거하여 쾌락적 가치를 인식함을 의미한다. 특히 쾌락적 가치에 미치는 상대적인 영향력은 결과품질이 환경품질보다 더 큰 것으로 확인되었다. 셋째, 실용적 가치와 쾌락적 가치는 재이용 의도에 긍정적인 영향을 미치는 것으로 나타났다. 쇼핑가치가 재이용의도에 미치는 상대적인 영향력은 쾌락적 가치가 실용적 가치보다 더 큰 것으로 밝혀졌다. 즉 고객들은 커피전문점을 실용적 및 쾌락적 가치를 충족시켜주는 공간으로 인식하면서도 기능적인 욕구보다 감성적인 체험에서 얻는 효익에 더 많은 의미를 둔다는 것을 알 수 있다. 결국 본 연구는 다른 서비스 요인들보다도 결과품질이 가장 중요하다는 점을 제시하고 있다. 나아가 커피전문점 업계는 고객들이 경제적인 가치에 근거한 실용적인 욕구를 추구함과 동시에 관계의 매개체와 같은 쾌락적인 욕구를 더 중시한다는 점을 명심해야 할 것이다.

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공연서비스에 대한 관람객의 순차적 기대 및 성과와 만족 간 관계 분석 (Analysis on the Relation between Audience Expectation and Outcomes in Performing Arts)

  • 권혁인;주희엽;김만진;이현정;이지애
    • 한국콘텐츠학회논문지
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    • 제11권2호
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    • pp.287-302
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    • 2011
  • 본 논문에서는 공연분야 중에서 뮤지컬이란 경험재를 대상으로 사용자가 만족을 느끼는 과정을 기대불일치 관점에서 규명하고자 하였다. 기대와 성과를 시간의 흐름에 따라 분석하여, 주변적인 요소에 대한 기대와 성과를 1차적 기대와 성과로, 공연자체의 콘텐츠, 관람상황에 대한 기대와 성과를 2차적 기대와 성과로 구분하여 관람객들의 만족에 미치는 과정을 동적으로 분석하였다. 연구결과 공연을 보고나서 느끼는 만족에 최종적으로 영향을 미치는 요인이 2차적 성과 즉, 공연콘텐츠와 관람상황이라는 것을 밝혀냈다. 동시에 공연장이나 서비스 등의 주변적 요인들에 대한 기대는 2차적 기대에 영향을 미치고, 이는 곧 2차적 성과에 영향을 줌으로써 만족에까지 영향이 미쳤다. 그러나 실질적으로 1차적인 성과는 2차적 기대에 영향을 주지 않음으로 공연장이나 기타 공연을 보기 전의 서비스들은 크게 관람객의 만족에 영향을 주지 않는 것을 밝힘으로서 공연장 경영을 위한 단초를 제공 할 것으로 기대된다.

한방 병-의원에서 하는 임상지표 연구 (Korean Clinic Based Outcome Measure Studies)

  • 박종배
    • 대한약침학회지
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    • 제6권1호
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    • pp.35-36
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    • 2003
  • Background: Evidence based medicine has become main tools for medical practice. However, conducting a highly ranked in the evidence hierarchy pyramid is not easy or feasible at all times and places. There remains a room for descriptive clinical outcome measure studies with admitting the limit of the intepretation. Aims: Presents three Korean clinic based outcome measure studies with a view to encouraging Korean clinicians to conduct similar studies. Methods: Three studies are presented briefly here in치uding 1) Quality of Life of liver cancer patients after 8 Constitutional acupuncture; 2) Developing a Korean version of Measuring yourself Medical Outcome profile (MYMOP); and 3) Survey on 5 Shu points: a pilot In the first study, we have included 4 primary or secondary liver cancer patients collecting their diagnostic X-ray film and clinical data f개m their hospital, and asked them to fill in the European Organization Research and Treatment of Cancer, Quality of Life Questionnaire before the commencement of the treatment. The acupuncture treatment is set up format but not disclosed yet. The translation and developing a Korean version of outcome measures that is Korean clinician friendly has been sought for MYMOP is one of the most appropriate one. The permission was granted, the translation into Korean was done, then back translated into English only based on the Korean translation by the researcher who is bilingual in both languages. The back translation was compared by the original developer of MYMOP and confirmed usable. In order to test the existence of acupoints and meridians through popular forms of Korean acupuncture regimes, we aim at collecting opinions from 101 Korean clinicians that have used those forms. The questions asked include most effective symptoms, 5 Shu points, points those are least likely to use due to either adverse events or the lack of effectiveness, theoretical reasons for the above proposals, proposing outcome measures, and the time from insertion to be effective. The questionnaire is posted on the virtual notice board of the homepage of the communication KOMA (The official tool of Association of Korean Oriental Medicine).

요양병원의 서비스 질 평가를 위한 요실금 결과 지표 개발 (Development of Outcome Indicators of Urinary Incontinence for Quality Evaluation in Long Term Care Hospitals)

  • 윤주영;이지윤
    • 대한간호학회지
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    • 제40권1호
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    • pp.110-118
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    • 2010
  • Purpose: To develop outcome indicators of urinary incontinence to measure quality of care in long term care hospitals in Korea. Methods: The draft indicators of urinary incontinence were developed from a literature review and clinical expert panel. A survey of medical records of 280 patients in 20 hospitals was conducted to test inter-rater reliability. Statistical analysis was done to test risk adjustment criteria, variation between hospitals, and stability of indicators, using assessment data from 77,918 patients in 623 hospitals. Results: The inter-rater reliability of items was high (Kappa range: 0.66- 0.92). Severe cognitive impairment (odds ratio [OR]: 3.15, confidence interval [CI]: 3.03-3.26) and total mobility activities of daily living (ADLs) dependency (OR: 4.85, CI: 4.72-4.98) increased the prevalence of urinary incontinence, thus they proved to be significant criteria to stratify high and low risk groups. The prevalence for low risk showed more substantial variation than the high risk group. The indicators were stable over one month. Conclusion: This study demonstrated the feasibility of outcome indicators of urinary incontinence. Improving the reliability of the patient assessment tool and refining the indicators through validation study is a must for future study.

간호교육 프로그램학습성과 평가를 위한 Course Embedded Assessment(CEA) 적용방안 기초연구 (A Study on application Course Embedded Assessment(CEA) for Program Outcome Assessment in Nursing Education)

  • 남성미
    • 한국산학기술학회논문지
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    • 제16권5호
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    • pp.3121-3130
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    • 2015
  • 본 연구는 간호교육 인증평가의 핵심인 프로그램학습성과 평가에 Course embedded Assessment(CEA)를 적용하기 위한 기초연구로 시행되었다. 선행연구과 미국대학 평가 사무국의 자료를 통해 CEA의 개념, 장 단점, 단계, 적용 시 주의사항 등을 고찰하였으며, 이를 근거로 간호교육 프로그램학습성과 평가체계에 적합한 CEA모형과 세부지침을 제시하였다. CEA 과정은 프로그램학습성과 설정, 학습성과의 가중치 산정, 교육과정에 연계, 루브릭 개발, 평가, 결과 및 성과달성도 분석, 교육과정개선을 위한 피드백으로 구성하였으며 선행연구에서 제시된 단점과 주의사항을 보완하여 시행 지침을 작성하였다. 본 연구를 토대로 간호교육 프로그램학습성과평가 체계를 구축한다면 학생의 성장과 성취에 대한 일관성 있는 평가와 지속적인 교육과정 개선으로 간호교육의 질적 향상에 기여할 것으로 사료된다.

복부수술 환자간호의 질평가 도구 개발 (Development of an evaluation tool for the quality of nursing care in abdominal surgery patients)

  • 이병숙
    • 간호행정학회지
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    • 제4권1호
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    • pp.107-127
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    • 1998
  • The purpose of this study was to develop an evaluation tool for the quality of nursing care in abdominal surgery patient. The target subjects of the tool were adult patients having abdominal surgery under general anesthesia. Process-outcome framework was selected for the development of the tool in this study. The results were as follows. 1. Nine standards. 40 criteria and 88 indicators were developed. A standard was summary statement of the ideal level of excellencein a dimension of quality of nursing care. which could be evaluated by criteria. Several criteria indicated a specific standard and each criterion could be measured by observable and measurable indicators. 2. The standards were divided into two dimensions. One was process dimension which contained four standards(23 criteria), the other was outcome dimension which contatined five standards(17 criteria). 3. Average CVI was .985 at 9 standards. .947 at 40 criteria. and .987 at 88 indicators. 4. The evaluation tool for the quality of nursing care in abdminal surgery patients was a criterion-referenced tool. And data collection methods of the tool were investigation of patient's record and interview( or questionnaire) with the patients. 5. Interrater reliabilities of the tool were ; r= .7572 (agreement between two raters), and pI=.8487 (intraclass correlation between five raters who rated the 84 patients). 6. Internal consistency reliability ${\alpha}$ was .6194, which was obtained from 32 criteria. Eight criteria were missed in the analyzing process because of data omission. 7. Scores of the process and the outcome dimensions showed significant. but low correlation(r= .3759, p < .001). 8. There were significant differences in total scores between the hospitals and the departments of surgery(F = 15.233. p .0001). There was also significant interaction effect between hospitals and departments to total score(F = 8.396. p = .0001). Construct validity of the toool was verified by the known-group method. these kinds of difference were expected by the nursing experts participated in the study. From these results, more specific patient classification is suggested for the development of evaluation tool of the quallity of nursing care. And indicators to be used for objective measurement for the quality of nursing care must be developed.

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E-quality control: A support vector machines approach

  • Tseng, Tzu-Liang (Bill);Aleti, Kalyan Reddy;Hu, Zhonghua;Kwon, Yongjin (James)
    • Journal of Computational Design and Engineering
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    • 제3권2호
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    • pp.91-101
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    • 2016
  • The automated part quality inspection poses many challenges to the engineers, especially when the part features to be inspected become complicated. A large quantity of part inspection at a faster rate should be relied upon computerized, automated inspection methods, which requires advanced quality control approaches. In this context, this work uses innovative methods in remote part tracking and quality control with the aid of the modern equipment and application of support vector machine (SVM) learning approach to predict the outcome of the quality control process. The classifier equations are built on the data obtained from the experiments and analyzed with different kernel functions. From the analysis, detailed outcome is presented for six different cases. The results indicate the robustness of support vector classification for the experimental data with two output classes.

SIPOC 개념을 활용한 성과지표 개발 모델 (A Comprehensive Performance Indicators by SIPOC Model)

  • 정규석;윤상운
    • 품질경영학회지
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    • 제40권3호
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    • pp.394-405
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    • 2012
  • Purpose: In this study, we suggest the systematic and comprehensive model to develop PI(Performance Indicators) of the organization or the process. Methods: The model is developed theoretically by using SIPOC(Supplier, Input, Process, Output, Customer) approach which is a tool to analyze the process and is compared with existing models to develop PI or KPI(key performance indicators); financial indicators, BSC, IPOO(input, process, output, outcome), traditional QCD (quality, cost, delivery), and IOS(input, output system). Results: The model provides more systematic method to develop PI and more comprehensive set of PI pools for all kinds of hierarchical levels of process than any other models to develop PI or KPI. Conclusion: This model will provide useful tools for the managers and the organizations who wish to develop PI.

다면적 평가를 통한 교육성과 평가도구 개발 및 분석연구 (Practical Measurement on Education Outcome Through Multi-Evaluations)

  • 백란
    • 공학교육연구
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    • 제15권6호
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    • pp.98-102
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    • 2012
  • This paper diagnose subjects and measures the learning ability of students based on the goal of developing an assessment tool for education productivity based on multi-aspect evaluation conducted by ICEE at Honam University. Furthermore, develop an assessment tool for education productivity that provides a motive to bring detailed improvements in teaching methods through the diagnosis. In addition, a method for compensating the issues and improving the quality of subject is suggested to develop learning ability of students through applying the assessment tool. An integrated operated system of CQI is desired to be built along with quality improvement of education through measuring academic quality by studying the methods for enhancing academic and learning ability achievement from analysis of the curriculum provided in the "ABEEK program". Through this study the current state of education productivity is presented through analyzing the difference between students who participated in the "ABEEK program" and who did not participate, and operating a comparison between the student's comprehension on their majors and liberal arts by the multi-aspect evaluation that has been conducted for 2 years.