• 제목/요약/키워드: Service Delivery Level

검색결과 299건 처리시간 0.027초

이륜자동차 주행행태 분석 연구 (Analysis on Motorcycle Driving Behavior)

  • 김형규;김진태;박준태;이수범
    • 대한교통학회지
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    • 제29권4호
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    • pp.7-15
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    • 2011
  • 도심 교통체증 감소와 물류의 신속한 이동을 위해 1990년대 초반 등장한 퀵서비스산업은 이륜자동차의 증가를 가속화 했으며, 경제발전에 따라 250CC 이상 대배기량의 이륜자동차들도 레저용으로 급증하고 있는 추세를 보이고 있다. 사고발생추세에서 전체교통사고대비 2005년 5.7%, 2008년 8.3%로 점차 증가추세를 보이며 사망률 또한 증가하고 있다. 본 연구에서는 이륜자동차의 자동차전용도로 통행에 대한 위험도를 알아보고자 서울시 연속류 도로를 대상으로 이륜자동차의 법규위반율과 차로변경 행태, 주행속도 행태를 분석하였으며 사고시의 차량충격량을 PCCRASH 시뮬레이션으로 산출하였다. 분석 결과, 차로변경시간과 평균통행속도가 일반차량과 상이하며 도로정체가 발생할 경우 부적절한 주행행태를 보이는 것으로 나타났다. 정부의 이륜자동차 자동차전용도로 허용 검토에 있어 본 연구는 허용여부를 판단하는데 도움이 되며 이륜자동차의 주행 행태를 연구하는데 기초자료로 활용할 수 있다.

치매노인의 서비스 희망과 이용의 일치 여부에 영향을 미치는 요인 (The Correspondence of the Demented Patient's Desired Service with Received Service Type and Its Affecting Factors)

  • 박종연;강임옥;이상이;서수라;서남규;박형근
    • 보건행정학회지
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    • 제17권2호
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    • pp.52-67
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    • 2007
  • Korean government is preparing the long-term care financing and delivery system in order to cope with rapid population aging. The system should be designed to provide demented patients with an appropriate services that the patients want to take, and considered to be necessary for them. In this regard, this study aims to analyse empirically a relationship between the types of long-term care services that demented patients wanted to take and they actually received during 2004. The caregivers of 609 dementia patients, who were randomly selected in a manner of proportional allocation from a nationwide claim database of the Korean National Health Insurance Corporation, were interviewed in September, 2005. Independent variables include socio-demographic characteristics, Activities of Daily Living(ADL) and Instrumental Activities of Daily Living(IADL). To explore the correspondence of the types of long-term care services that demented patients wanted to take and that they actually received, and its affecting factors, we conducted chi-square test and logistic regression analysis. Main findings are as follows. First, while only 20% of study subjects wanted home services as a long-term care services, those who wanted to use the long-term care facilities and general hospital were 37%, 43% respectively. Second, the correspondence rate was just 38% on average, and extremely low in the demented patients who wanted to use long-term care facilities. Third, the demented patients who resided in urban areas and received relatively high level of education showed high correspondence rate. Fourth, the high ADL score was closely related to low correspondence rate.

농산물 인터넷 쇼핑의 소비자 만족요인에 관한 조사연구 (A Survey on the Consumer's Satisfaction Factors in Internet Shopping of Agricultural Products)

  • 서영옥;김진석
    • 농업생명과학연구
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    • 제43권2호
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    • pp.65-78
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    • 2009
  • 본 연구는 농산물인터넷 쇼핑몰을 이용하는 소비자들의 만족도에 영향을 미치는 요인들을 조사분석하고, 그 만족요인과 구전(추천)의도와의 관계를 규명하는데 목적을 두었다. 실증적 분석결과를 요약하면 인터넷 쇼핑몰 구매동기는 신뢰성보다 편리성이 가장 큰 요인으로 나타났다. 고객만족요인은 신뢰성, 상품의 다양성, 배송 및 고객지원, 보안성 등으로 조사되었으며, 이에 대한 만족도는 배송 및 고객지원이 가장 높고, 상품의 다양성은 다소 낮았다. 인터넷 쇼핑몰 활성화를 위한 개선과제는 반품, 환불 및 고객불만 사항의 신속한 처리가 가장 요구되고 있으며, 안전하고 다양한 결제시스템의 구축, 다양한 이벤트 및 고객서비스, 물량조달체계의 구축 등이 필요한 것으로 나타났다. 특히 서비스품질에 있어서 신뢰성과 보안성에 대한 소비자만족이 구전의도에 크게 영향을 미치며, 시스템 품질에 대한 만족도 구전의도에 비교적 큰 영향을 미치는 것으로 나타남으로써 이에 대한 개선이 시급한 것으로 판단된다.

제대군인 일자리 창출을 위한 사회적 협동조합 설립 방안 연구 (A Study on the Establishment of Social Cooperative for the Job Creation of discharged solider)

  • 구영휘;김지덕
    • 융합보안논문지
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    • 제18권2호
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    • pp.149-158
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    • 2018
  • 우리나라의 군 간부들은 현역복무 후 계급정년으로 인해 본인의 의사와 관계없이 조기에 이직할 수밖에 없는 실정으로 최근 중 장기 복무자의 5년간 평균 취업률이 55%수준에 머무르고 있는 현실에 비추어 그 대책이 절실한 상태이다. 지난 박근혜 정부에서 제대군인 일자리 5만개 창출을 국정과제로 선정하여 추진하였으나 그 성과는 크지 않았다. 따라서 이제는 제대군인들의 대규모 일자리 창출을 위해 정부차원의 노력과 학문적 차원의 취업기회 확대 등 기존의 방식을 과감하게 탈피하여야 하며 제대군인들 스스로가 자립하여 조직을 만드는 방안 등을 적극적으로 검토할 필요성이 대두된 것이다. 그러한 이유로 본 연구에서는 제대군인들의 일자리 창출을 위해 제대군인들 스스로 사회적 협동조합을 설립하여 현역부대에서 이루어지고 있는 부대개방행사, 병영체험 등 비전투업무 부담을 경감시켜 주고 먹거리 사업, 경호 경비인력 양성 및 인력제공 사업, 특기병 양성학원 운영 사업, 한강 수중청소 사업, 돌봄 사업, 택배 사업 등을 통해 일자리를 창출하는 방안을 제시한다.

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병원중심 가정간호관리대상 범위 확대를 위한 기초연구(II) - 자동차보험가입 입원환자를 대상으로 - (A Preliminary Study for Expending of Hospital-Based Home Health Care Coverage - Focused on Car Accident Inpatients Who has the Compensation Insurance -)

  • 박은숙;이숙자;박영주;유호신
    • 가정간호학회지
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    • 제7권1호
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    • pp.58-72
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    • 2000
  • This study was an attempt to encourage the development of a rehabilitation delivery system and programs as a substitute service for hospitalization on the case of car accident patients, such as hospital based home health care nursing services. Various substitute services for hospitalization are required to curtail the length of stay for inpatients who were hospitalized with car accident compensation insurance. It focused on developing an estimation an early discharge day for car accident inpatients based on detailed statements of treatment for 111 inpatients who were hospitalized at the General Hospital in 1997. This study had four specific purposes as follows. First. to find out the utilization of medical services. Second, to estimate the time of early discharge and income increasing effect based on early discharge for those patients. Third, to identify the factors affecting total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze the length of stay and medical expenditure for inpatients who were hospitalized due to car accidents, the authors conducted micro- and macro-analysis of medical and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria, such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the test consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, and stable conditions. In addition to identifying variables affecting medical expenditure, and the length of stay and income effect due to early discharge day, the data was analyzed with a multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study were as follows. First. the mean length of stay was 50.3 days. whereas the mean length of stay due to early discharge was 34.3 days at the hospital. The estimation of time of early discharge depended on the length of stay. The longer the length of stay, the longer the length of time of early discharge : for instance a length of stay under 10 days was estimated as correlating to a mean length of stay of 6.6 days and early discharge of 6.5. The mean length of stay was 217.4 days and the time of early discharge was 110.1 respectively. The mean medical expenditure per day was found to be 169.085 Won and the mean medical expenditure per day showed negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to being discharged 16 days early was around 2,244,000 won per bed. However. this sum does not represent the real benefits resulting from early discharge, but rather the income increasing amount without considering medical prime cost in the general hospital. Therefore, further analysis is required on the cost containments and benefits as turn over rate per bed as the medical prime costs. The length of stay was most significant and was positive to the total medical expenditure, as expected. Surgery and patient's residential area was also an important variable in explaining medical expenditure. The level of complications was the most significant variable in explaining the length of stay. There was a high level for need a home health care nursing service which further supports early discharge for accident patients. In addition, when the patient was discharged. they needed follow up care for complications suffered during the car accident. $86.8\%$ of discharged patients responded that they needed home health services after early discharge. From these research findings, the following suggestions have been drawn. Strategies on a health care delivery system must be developed in order to focus on the consumer's needs and being planned for 21 century health policy in Korea. Community based intermediate facilities or home health care should be developed for rehabilitation services as a substitute for hospitalization in order to shorten the length of stay would be. A hospital based home health care nursing service. it would be available immediately to utilize by patients who want rehabilitation services as a substitute for hospitalization with the cooperation of car insurance companies.

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산후조리원 이용 산모의 산후조리 인지도와 수행도 (A Study on the Level of Recognition & Performance of Traditional Postpartal Care for postpartal Women in Postpartum Care Center)

  • 박심훈;김현옥
    • 여성건강간호학회지
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    • 제8권4호
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    • pp.506-520
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    • 2002
  • The purpose of this study is to research the degree of recognition & performance of traditional postpartal care for postpartal women and to provide the basic data for improvement of service in a postpartum care center. The respondents of this study were 100 women of 6 postpartum care centers within a C province from Oct. 20 to Dec. 10, 2000. The instruments of measure were used for collecting data on the degree of recognition & performance of traditional postpartal care developed by the researcher. Data analysis consisted of frequency, percentage, mean, standard deviation, paired t-test, t-test, ANOVA which are calculated by Scheffe test and Cronbach's alpha which is used as a reliance level by using a SPSS-PC+. The results of the study were as follows:1. The average score for the degree of recognition of traditional postpartal care(Sanhujori) for postpartal women was $3.09{\pm}.31$, and they recognized that it was important. The methods which were ranked were as follows; Protecting the body from a harmful state, invigorating the body by the argumentation of heat and avoidance of cold, handling with whole heart, and keeping clean, resting without working, eating well. 2. The average score for the degree of performance of traditional postpartal care (Sanhujori) for postpartal women was $2.81{\pm}.31$, and they performed that it was important, too. The methods which were ranked were as follows; Protecting the body from a harmful state, invigorating the body by the augumentation of heat and avoidance of cold, eating well, handling with whole heart, and keeping clean, resting without working. 3. There were significant differences statistically (paired-t=-8.39, p=.000) of the degree of recognition & performance of traditional postpartal care(Sanhujori) for the postpartal women. The degree of recognition was higher than the degree of performance. So, the recognition of traditional postpartal care (Sanhujori) was higher than the performance of it. 4. There were no statistical differences of the degree of recognition & performance of traditional postpartal care(Sanhujori) among the postpartal women's age, religion, job, educational background, delivery frequency, delivery method or the sex of baby. So, the Characteristics of the respondents were not influenced as far as the degree of recognition & performance of traditional postpartal care(Sanhujori). 5. There were significant differences statistically of the degree of performance of traditional postpartal care(Sanhujori) among the 5 postpartum care centers except 1 postpartum care center(p<.01). So, the recognition of traditional postpartal care(Sanhujori) was higher than the performance of traditional postpartal care(Sanhujori) in the 5 postpartum care centers. But there was performed as good as recognition in only 1 postpartum care center.

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공공기관 고객만족지수를 이용한 대학의 고객만족 측정도구 개발 (Developing Measurements of University Satisfaction using Public Customer Satisfaction Index)

  • 정복주;이상철;임광혁
    • 한국콘텐츠학회논문지
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    • 제18권12호
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    • pp.25-34
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    • 2018
  • 대학 환경의 경쟁이 치열해지면서 대학들은 고객 만족 지수(CSI)를 개발해서 적용해 왔다. 하지만, 기존의 CSI는 항목의 개발에만 초점을 맞추고 있어서 이러한 항목이 실제로 학생의 만족도에 어떤 영향을 주는지에 대한 의문이 있어왔다. 이러한 문제를 극복하기 위해 공공부문에서는 선행요인과 만족도간의 인과모델을 이용하는 공공기관 고객만족지수(PCSI)을 이용해 왔다. 본 연구의 목적은 PCSI 모델을 이용하여 대학용 PCSI 측정지표를 개발하는 것이다. 본 연구에서 제시된 모델을 검증하기 위해 다중 집단 확인 요인 분석을 이용하여 재측정 신뢰도 분석방법을 이용하였다. 분석결과, 본 연구에서 개발한 대학용 PCSI 측정도구의 타당성 및 신뢰성이 검증되었다. 또한 PCSI 모형의 인과관계를 분석한 결과, 서비스상품품질, 전달 품질, 환경품질, 사회품질이 학생의 고객만족에 긍정적인 영향을 주며, 고객만족은 대학성과와 사회성과에 긍정적인 영향을 주는 것으로 분석되었다. 결과적으로 실제 대학의 교육 만족도를 측정하는 데 사용될 수 있으며, 대학교육의 질적 향상을 위해 실용적 기초자료를 얻을 수 있을 것으로 기대된다.

간호사의 모유수유에 대한 지식정도가 모유수유 간호활동에 미치는 영향 - 산과외래, 분만실, 산과병실 및 신생아실 간호사를 중심으로 (The Effects of the Nurses' Knowledge to Breast-Feeding on the Nursing Activities for Breast-Feeding)

  • 김영혜;김미정
    • Child Health Nursing Research
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    • 제3권1호
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    • pp.52-61
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    • 1997
  • This study was attempted to identify the knowledge to breast-feeding and the performance of nursing activities for breast-feeding and to test 'how does the degree of knowledge to breast-feeding influence the nursing activities for breast-feeding?' The subjects were 180 nurses working in delivery rooms, nursery, obstetrics & pediatrics wards or OPD of obstetrics & gynecology of 8 general hospitals in Pusan as of August 3 through 13, 1996. The results are abstracted as follows. 1) Subject nurses' age, 25-29 was 45.6%(the major), education levels graduates from junior college were 95.0%, unmarried status was 62.2%, 76.5% of married nurses had children, 39.7% in-service education for Breast-Feeding, 33.7% did nursing activities for breast-feeding actively, the reason for inadequate activities for breast-feeding was 'too much other tasks.' 2) The degree of knowledge to breast-feeding ; mean score was 13.54, the degree of performance of nursing activities for breast-feeding : 92.38±20.93 points out of possible 145 points (3.19±.74 out of possible 5 points) moaned that it was a low level. 3) The hypothesis 'the nurses who have higher degrees of knowledge to breast-feeding will show higher degrees of performance of nursing activities for breast-feeding than the nurses who have lower degrees of knowledge to breast-feeding' was tested by t-test(t=-.01, P=.9888), but rejected because it turned out statistically not significant at the level of P<.05. Above results suggested the degrees of knowledge to breast-feeding and the degrees of performance of nursing activities for breast-feeding were generally low and the degree of knowledge didn't influence the nursing activities. Researchers believe that the education for breast-feeding by the nurses need to be performed systemically & practically and new method of breast-feeding education program need to include hospital managers as well as nurses related mothers and their family. In audition, researchers propose the introduction of &lactation specialist system&, for the specialist can change the attitude of feeding-mothers positively with their specialty and authority.

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국가별 건강보험체계에 따른 국가건강검진제도 비교 연구 (Comparative Study on the National Health Screening Programs according to the Health Insurance System)

  • 이예지;김은영;이동현
    • 보건행정학회지
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    • 제31권3호
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    • pp.272-279
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    • 2021
  • Background: Korea's health screening program has been faced the need for changes as the population and diseases structure are changing. In addition to Korea, many countries operate state-led health check-up programs to improve the health level of the people, and the operating methods of the program appear in various forms according to each country's health insurance system. This study examines other state-led health screening programs and proposes a direction for the development of Korea's health screening program. Methods: The study was conducted using the literature review method, and the "country" was set as a unit for the case analysis. The operating method of the health screening programs and the financial resources were compared according to the health insurance system. Five countries were selected as Korea, the United States, the United Kingdom, Japan, and Taiwan. Results: The analyzed countries mainly operate the health screening program as a management method for chronic diseases, but there were differences in the operating method, financing, and targeted subjects and examination items. In most countries, a risk assessment was performed prior to the examination (screening), and the subjects who needed the examination were first selected, and a follow-up management service was provided in accordance with the risk each individual exposed. Conclusion: Rather than applying the same screening method to populations with different risk levels, a health screening program will be constructed in consideration of the individual's health level and exposure risk, and the healthcare delivery system will be reorganized so that screening and treatment services can be linked.

Problems and suggested improvement plans for occupational health service in Korea

  • Dongmug Kang
    • 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.