• 보건행정학회지
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• 제2권2호
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• pp.112-130
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• 1992

Patient care services are provided to individual patients in response to their health needs produced by illnesses or injuries. The services are often addressed to very serious conditions, and also they constitute the most expensive component of health care services. Therefore, the importance of quality is emphasized, but there are many indications that patient care quality is far from a satisfactory state in most of the countries. Based upon this observation, it is attempted to examine obstacles and approaches to quality improvement in patient care services. In doing so, following Taguchi's(1986) definition of product quality, quality of patient care services is conceived of as better when the less is the sociental loss attributalbe to variability of intended function and harmful side effects they emhibit after being delivered. Some distinguishing features of medical care sector pose difficulties in implementing effective quality improvement programs in patient care services. Nevertheless, newly proposed method of quality management, based on industrial quality management approach, seems to have a great deal of potential to effectively cope with such difficulties. This method, unlike the traditional approach to quality assurance, focuses on total organisational processes, not individuals, as the obproach to quality assurance, focuses on total organizational processes, not individuals, as the objects of quality improvement; variation, not comparison with standards, in quality measurement; and continuous improvement, not removing only bad quality care, as an ideal. Prerequisite to a successful use of any quality mangement method is motivating providers to improve quality. Conceivable approaches for such motivation are self-regulation, external controls and promotion of competition. Since these approaches are not mutually exclusive, they may be employed in an appropriate combination. In Korea, medical care providers are now functioning under the circumstances where they have little reason for making efforts to improve quality of their services. Once these circumstantial conditions are changed to exert pressures on providers to improve quality, the use of adequate quality management method becomes an issue. In this connection, much attention shoould be directed to the newly proposed method described above. In all these efforts for improving quality of patient care services, health insurance would be able to play a pivotal role. Poviders of medical care, buth indiciduals and organizations, are usually very responsive to the measures that affect their financing, and thus health insurance can be a strong instrument for motivationg providers to improve quality. Also, the insurance continuously acquires data on patient care, which could be processed to produce information required to effective quality control.

• 한국경영과학회:학술대회논문집
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• 한국경영과학회 2001년도 추계학술대회 논문집
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• pp.203-206
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• 2001

Finding the optimal solution in the river water quality management system is very hard with the non-linearity of the water quality model. Many suggested methods for that using the linear programming, non-linear programming and dynamic programming, are failed to give an optimal solution of sufficient accuracy and satisfaction. We studied a method to find a solution optimizing the river water quality management in the aspect of the efficiency and the cost of the waste water treatment facilities satisfying the water Quality goals. In the suggested method, we use the QUAL2E water quality model and the genetic algorithm. A brief result of the project to optimize the water quality management in the Youngsan river is presented.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2007년도 학술발표회 논문집
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• pp.8-14
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• 2007

Water quality in Lake Rotorua, New Zealand, deteriorated since the 1960s because of excessive phytoplankton growths due principally to increasing nitrogen and phosphorus in the lake waters. Nutrient concentrations in eight of the nine major streams feeding Lake Rotorua have increased since 1965. The groundwater system has a key role in the hydrology of the Lake Rotorua catchment and the groundwater system is probably the control on the time delay between intensification of agricultural land use and response of surface water quality. All major, and many minor streams, in the catchment are fed by springs. Two lithological units are most important to groundwater flow in the Lake Rotorua catchment: Mamaku Ignimbrite, erupted in about 200,000 years ago and Huka Formation sediments which filled the caldera left by the Mamaku Ignimbrite eruption. Rainfall recharge to groundwater in the groundwater catchment of Lake Rotorua is estimated as approximately 17300 L/s. A calibrated steady-state groundwater flow model estimates that approximately 11100 L/s of this flow discharges into streams and then into the lake and the balance travels directly to Lake Rotorua as groundwater discharge through the lake bed. Land use has impacted on groundwater quality. Median Total Nitrogen (TN) values for shallow groundwater sites are highest for the dairy land use (5.965 mg/L). Median TN values are also relatively high for shallow sites with urban-road and cropping land uses (4.710 and 3.620 mg/L, respectively). Median TN values for all other uses are in the 1.4 to 1.5 mg/L range. Policy development for Lake Rotorua includes defining regional policies on water and land management and setting an action plan for Lake Rotorua restoration. Aims in the action plan include: definition of the current nutrient budget for Lake Rotorua, identification of nutrient reduction targets and identification of actions to achieve targets. Current actions to restore Lake Rotorua water quality include: treatment of Tikitere geothermal nitrogen inputs to Lake Rotorua, upgrade of Rotorua City sewage plant, new sewage reticulation and alum dosing in selected streams to remove phosphorus.

• 한국조경학회지
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• 제35권6호
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• pp.14-20
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• 2008

The agricultural reservoir watershed plan suggests three specific indices or ways to measure the potential for maintaining reservoir quality in balance with existing or proposed uses: an index of the reservoir's vulnerability to accelerated eutrophication, an index of the degree of land use intensity in reservoir watersheds, and an index of present water quality. Three items that contribute to reservoir eutrophication are included in the vulnerability index: the ratio of reservoir volume to drainage-basin area, shoreline configuration, and mean depth. The watershed land-use intensity index is based on road proximity and upland watershed land-use intensity. Water quality can be given a COD level. All six indicators are considered separately and then rated as follow: low (1), medium (2), or high (3). Five out of 30survey sites were less than 8points, 17sites were less than 11points and 8sites were less than 14points. This study suggests that the sites in the first ranking were potential areas for preservation, sites in the second ranking were potential areas for environmental friendly planning and sites in the third ranking were potential areas for residential need oriented planning. The advantage of this study is the low cost of gathering data for the development of local policy for the planning, management and protection of reservoir basin.

• 한국콘텐츠학회논문지
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• 제10권9호
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• pp.267-275
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• 2010

X선 발생장치의 정도관리는 의료기관의 설립형태에 따라 가장 큰 차이가 있으며, 장치의 보유율은 1차 의료기관에서 가장 많이 보유한 반면 정도관리에 대한 인식과 관리는 소홀하다 할 수 있다. 본 연구에서는 2010년 1월 4일부터 2010년 9월 3일까지 경북 지역을 4개의 권역으로 나누고, 각 시별로 4곳을 임으로 선정하였다. 전체 16곳에 있는 의원급 의료기관 중 10년 이상 된 X선 발생장치를 보유한 8곳과 10년 이하의 X선 발생장치를 보유한 8곳를 그 대상으로 하였으며, 정도관리의 필수 항목 5가지를 시험하였다. 접지 설비 확인시험에서는 10년 이상 된 X선 장치를 보유한 한 곳이 별도의 접지선을 구비하지 않았으며(6.25%), 외장 누설전류시험에서는 모두 적합 하였다. 조사선량 재현성 시험에서는 10년 이상 된 X선 발생장치를 보유한 4곳(25%)과 10년 이하의 X선 발생장치를 보유한 1(6.25%)곳이 부적합 하였다. 관전압의 정확도 시험에서는 10년 이상 된 X선 발생장치를 보유한 5곳(31.25%)과 10년 이하의 X선 장치를 보유한 2곳(12.5%)이 부적합 하였다. 관전류와 관전류량 시험에서는 10년 이상 된 X선 장치를 보유한 3곳(18.75%)과 10년 이하의 X선 장치를 보유한 1곳(6.25%)이 부적합 하였다. 본 연구 결과 10년 이하의 X선 발생장치를 보유한 의원급 의료기관 보다 10년 이상 된 의원급 의료기관의 X선 발생장치의 정도 관리 실태는 심각한 수준 이였다. 검사 결과를 바탕으로 행정적, 기술적인 조치들이 신속하게 이루어져야 할 것이다. 또한 의원급의 사업주나 장치 담당자들의 의식 전환이 필요 하며 그러기 위해서는 오래된 장비이거나 자주 사용하지 않는 장비일수록 정기검사주기를 1~2년 단위로 개정하여야 하고, 정기적인 정도 관리 교육 프로그램을 실시하여야 할 것으로 사료된다.

• 대한간호학회지
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• 제32권4호
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• pp.539-549
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• 2002

This study was undertaken to examine the degree of quality of life and to analyze the factors affecting those quality of life in middle-aged men. Method: The subjects of this study were 208 men aged by 35-55 from 3 business enterprises located in Seoul and Incheon. Data collection was conducted through the use of 5 questionnaire. Result: There were significant differences in the quality of life according to marital status, religion, educational level, number of children and total house income. A positive correlation was found between quality of life and all independent variables i.e., health promoting behaviors, health perception, social support, self-esteem and self-efficacy. Stepwise Multiple Regression Analysis revealed that the most powerful predictor was self-esteem. Self- esteem, health perception, health promoting behaviors, marriage, and social support accounted for 65% of the variance in quality of life in middle-aged men. Conclusion: All independent variables i.e., health promoting behaviors, health perception, social support, self-esteem and self-efficacy were related with quality of life in middle-aged men. Therefore it is necessary to develop the nursing intervention with these variables to increase the quality of life for middle-aged men.

• 한국식품영양학회지
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• 제24권4호
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• pp.509-519
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• 2011

The purpose of this study was to investigate the use behavior and satisfaction of home-baking premix products. A total of 275 questionnaires were completed and statistically analyzed by the SPSS 14.0 package. The reasons for home-baking were : fun(33.8%), quality time with the family(33.8%), and distrust in foodstuffs(13.5%). The respondents(38.9%) used home-baking premix products 2~3 times per year. And the respondents purchased home-baking premix products primarily for snack foods(83.3%). Among the selection attributes of home-baking premix products, the respondents considered the importance of 'sanitation'(m=4.16) a top priority, followed by 'taste'(m=4.15), 'ease of use'(m=4.12), 'detailed instructions' (m=4.05), 'quality of raw materials'(m=4.04), and 'origin'(m=3.91). However, in the case of satisfaction, 'ease of use' (m=3.81) was the most satisfying aspect, followed by 'detailed instructions'(m=3.67), 'sanitation'(m=3.56) and 'manufacturer' (m=3.48). According to importance-performance analysis(IPA), 'quality of raw materials' and 'origin', which were selection attributes, should be quickly improved. Also, 'taste', 'ease of use', 'detailed instructions' and 'sanitation' should be maintained. This survey found that the satisfaction levels for home-baking premix product selection attributes had a significant influence on overall satisfaction($F$=7.91, $p$ <0.001). In particular taste(${\beta}$=0.32, $t$=3.53, $p$ <0.001) had a meaningful effect on overall satisfaction. In addition, the satisfaction levels for home-baking premix product selection attributes affected repurchase intention($F$=8.61, $p$ <0.001).

• 정보처리학회논문지D
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• 제18D권3호
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• pp.185-196
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• 2011

최근 보건의료 분야와 정보통신 기술이 접목된 u-Healthcare에 대해 원격진료 제한을 완화하는 의료법 개정안이 입법 예고되면서 u-Healthcare 수요 창출을 위한 비즈니스 모델로 IPTV를 이용한 서비스가 등장하였다. 하지만, 의료서비스에 IPTV 기술을 도입함으로써 환자의 치료방법의 개선, 서비스 질의 향상, 치료의 효용성 증가 등의 많은 이점들이 예상처럼 도입되고 있지 못하고 있는데, 이는 아직 정비되지 않은 법, 제도적 환경뿐만 아니라 사용자 수용 연구를 통한 전략 마련이 부족했음을 인정하지 않을 수 없다. 본 연구는 IPTV를 통해 제공되는 의료서비스를 수용하는데 있어서 연결되는 순차적인 관계를 검증하고, 분석된 결과를 토대로 IPTV 기반 의료서비스의 활성화 방안을 제시하였다. 연구 결과 IPTV 기술 품질의 편의성, 콘텐츠 품질의 완결성, 그리고 Healthcare 서비스 품질이 만족도를 이끌어 내는 주요 요소들로 추출되었고, 전반적으로 IPTV 기술 품질, 콘텐츠 품질, Healthcare 서비스 품질 모두 만족도에 유의한 영향을 미치는 것으로 분석되었으며, 본서비스의 만족도는 사용의도에 유의한 영향을 미치는 것으로 나타났다.

• 한국물환경학회지
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• 제29권6호
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• pp.762-776
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• 2013

Load duration curve was applied to determine important water quality parameter control term for improvement of Paldang lake water quality. Load duration curve was analyzed with long term data from 1985 to 2012 including water quality, flow rate and climate state of Paldang water environment. From the result of flow rate patterns of paldang lake, differences between high and low flow rate of each year showed tendency of increase because rainfall characteristics of paldang lake watershed were changed by climate exchange. Both of land use state of upper Paldang lake watershed and number of limit excess from load duration curve indicated that seasonal action related with land use such as agricultural fertilizer distribution in upper watershed affected Paldang lake water quality. So focused BOD (biological oxygen demand) management during spring season from march to June is required to control organic materials in Paldand lake. The main affecting factor of TOC (total organic carbon) increase in Paldang lake was initial rainfall after march. T-N (total nitrogen) kept increasing during research period, so enhancement of T-N standard is needed to T-N control. Initial rainfall and increase of temperature during spring season from March to June showed a positive correlation with TP (total phosphorus) and Chl-a, respectively.

• 품질경영학회지
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• 제21권2호
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• pp.85-92
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• 1993

This study aimed at the improvement of the conventional methods of Velue Engineering Function Analysis, the most important phase of VE processes, through Quality Function Development and Analytic Hierarchy Process. This study was performed in both theory and study. In the theoretical study, the necessity and the fitness of the connection between VE and QC techniques were studied. The use of Function Requirement Coefficients in Quality Function Development makes the more objective Function Evaluation possible.