• 대한치과보철학회지
• /
• 제38권6호
• /
• pp.806-813
• /
• 2000

Statement of problems. There are only a few studies available that deal with the clinical behavior of ceromer systems as potential substitutes for metal-ceramic crowns. Purpose. This prospective study was initiated to evaluate the clinical performance of 35 Sculpture crowns after 2 years in service. Material and methods. Thirty five Sculpture crowns were placed for 20 patients (7 men and 13 women). All patients were treated by the same dentist, and all restorations were fabricated by the same dental laboratory. Crown placement involved both the anterior and posterior regions of the dental arches. Patients were evaluated by two examiner at baseline, 12, and 24 months using the CDA quality assessment system in addition to periodontal criteria. Results. Of 34 crowns remaining in the study after 2 years, only one crown had experienced a marginal fracture. The crown was replaced as a result of recurrent caries. All remaining crowns were ranked as either excellent or acceptable for surface and color, anatomic form, and marginal integrity. Conclusion. The 2-year clinical observations and ranking with the CDA quality assessment criteria supported the conclusion that Sculpture crowns may be used in substitutes for metal-ceramic crowns.

• 한국정보통신학회논문지
• /
• 제18권1호
• /
• pp.149-154
• /
• 2014

품질은 양(Quantity) 이나 질(Quality)로 관찰하여 수치로 측정 할 수 있는 서비스 특성이다. QoS란 트래픽이 통신망에서 전달되면서 예측 가능하면서 동시에 최소한으로 보장되어야할 서비스 요구사항이다. 스마트 의료정보시스템 개발에는 스마트 환경에서 기능적 요구사항과 품질을 만족시켜야 할 목표가 존재한다. 스마트 의료정보시스템의 기능도메인은 Patient Module 도메인, 스마트 환경 도메인, RFID Tag와 리더기 간 동작 도메인, Homecare Station 도메인, Clinical Station 도메인으로 구성된다. 본 연구는 각 도메인에서 수행되는 유헬스 서비스 스마트 기능 품질만족도 평가 방법론을 제시한다. QoS 측정기준은 의료정보의 기능적 요구 사항과 품질 요구사항 별로 구분된다. 품질측정 파라메타는 기능적 요구사항 6개 항목과 20개 세부항목이며 품질 요구사항은 5개항목과 20개 세부항목으로 구성된다. 품질평가를 위해 본 연구는 한국형 스마트 의료 정보 품질평가 매트릭스로 2-factor 평가 방법을 제시한다. 본 연구의 전체적인 품질평가 프레임워크는 모든 스마트 의료정보시스템 개발 시 고려해야 할 의료정보 특유의 품질에 대한 기준을 체계화하고 품질평가 절차를 모델화 한 것이다.

• 한국지리정보학회지
• /
• 제18권1호
• /
• pp.105-119
• /
• 2015

본 연구에서는 현행 환경영향평가 시행에 제공되고 있는 환경영향평가정보지원시스템(EIASS)의 서비스 기능 가운데 가장 실무적 활용도가 많은 환경지리정보서비스시스템(EIAGIS)의 기능을 개선하기 위하여 공간정보오픈플랫폼(Vworld)의 오픈API서비스기능의 활용방안을 실제 환경영향 평가가 시행된 사례를 대상으로 제시하였다. 연구내용을 요약하면 다음과 같다. 먼저 환경영향평가 시행에 있어 실제 EIAGIS의 활용도는 DB의 갱신한계와 2D위주의 낮은 품질의 지형정보 제공 등으로 인하여 매우 저조하였다. 이에 대한 개선방안으로 현재 국토부에서 제공하고 있는 Vworld의 오픈API서비스기능을 활용하여 환경영향평가를 시행하는 실무 수요자의 요구에 맞는 새로운 서비스 개발이 가능하다는 것을 제시하였다. 향후 Vworld을 활용한 EIASS를 구축할 경우 사업계획수립 초기단계에서 사업대안의 설정에 유용한 정보를 제공하는 컨설팅 역할을 수행할 수 있으며, 환경영향평가 시 맞춤형 정보제공이 가능하여 협의기관과 평가대행자간의 동일한 프로그램을 사용함으로서 평가서의 신뢰도 향상과 신속한 협의가 기대될 것으로 예상된다.

• 보건행정학회지
• /
• 제21권4호
• /
• pp.527-540
• /
• 2011

Some patients tend to visit tertiary hospitals instead of non-tertiary hospitals for minor illnesses, which is a chronic problem within the Korean health care delivery system. In order to reduce the number of patients with minor severity diseases unnecessarily utilizing the tertiary medical services in Korea, the Ministry of Health and Welfare raised the outpatient co-insurance rate for the tertiary hospitals in July, 2009. Another increase in the prescription drug co-insurance rate by the general and tertiary hospitals is scheduled to take place in the second half of 2011. An increase in copayments may discourage the utilization rate of medical services among the underprivileged or patients who require complicated procedures. This study aims to analyze the diabetic patients' utilization rates of tertiary hospitals according to the Comorbidity score. Diabetic patients' data was gathered from the Health Insurance Claims Records in the Health Insurance Review & Assessment Service between 2007-2009. Comorbidity scores are measured by the Charlson Comorbidity Index and the Elixhauser Index. Chi-square and logistic regressions were performed to compare the utilization rates of both insulin-dependents (n=94,026) and non-insulin-dependents (n=1,424,736) in tertiary hospitals. The higher Comorbidity outcomes in the insulin-dependent diabetic patients who didn't visit tertiary hospitals compared to those who did, was expected. However, after adjusting the gender, age, location, first visits and complications, the groups that scored >=1 on the comorbidity scale utilized the tertiary hospitals more than the O score group. Non-insulin-diabetic patients with higher Comorbidity scores visited tertiary hospitals more than patients who received lower grades. This study found that patients suffering from severe diabetes tend to frequently visit the tertiary hospitals in Korea. This result implied that it is important for Korea to improve the quality of its primary health care as well as to consider a co-insurance rate increase.

• 한국병원경영학회지
• /
• 제26권1호
• /
• pp.55-70
• /
• 2021

Purpose: The purpose of this study was to examine the influencing factors of the patient leaning phenomenon in tertiary hospitals. Based on the results of this study, we intended to find implications for improving the problems of the delivery system imbalance in tertiary hospitals caused by patient leaning phenomenon. Methodology/Approach: Qualitative studies were conducted, using focus group interviews and in-depth interviews. The focus group interviews were conducted for 12 users of tertiary hospitals by 2 groups. And in-depth interviews were conducted for 6 tertiary hospital managers. This was considered to be the most effective approach to gather diverse and in-depth information about the influencing factor of patient leaning phenomenon in tertiary hospitals. Findings: In focus group interviews, the reason for choosing tertiary hospitals was the reliability of the hospital(physician, reputation, etc.). And the effect of the policy to strengthen coverage of National Health Insurance and private medical insurance was relatively small. In other words, we found that the individual's desire to receive medical services suitable for one's health status and disease condition was the biggest factor, rather than the cost and policy factors. Practical Implications: We suggested that the appropriate medical care provision should be strengthened according to the role and function of medical institutions. In addition, the education system needs to be reorganized to activate the referral program, expand community medical capabilities, and foster quality primary medical care.

• 대한영양사협회학술지
• /
• 제6권1호
• /
• pp.26-32
• /
• 2000

The purposes of this study were to assess the importance and performance level of nutrition service in views of industrial employees and to explore the ways to improve the nutrition service quality. A survey of industrial foodservice operations located in Korea was undertaken and detailed information was collected from each, including surveys of 994 industrial employees. Statistical data was analysed by SAS PC 6.04 for descriptive analysis, t-test, and analysis of variance. The whole industrial employees assessed the importance and performance of the dieticians' role on nutrition service as '4.03' and '3.32' out of 5 respectively, which suggests that the industrial nutrition service needs to be improved. The variables which received higher scores than the average mean were safe meal provision, sanitation management and equipment & facilities management, whereas the score of individual nutrition counselling was low compared to other variables of nutrition service. The groups who scored low performance were characterized by labor work, experience with less than 10 years, single, aged below 29 years old, and female.

• 지역사회간호학회지
• /
• 제20권2호
• /
• pp.243-250
• /
• 2009

Purpose: This is a qualitative study to identify dimensions of long-term care hospital care quality that provide high-level medical services for long-term care patients in Korea. Methods: Service consumers and providers were interviewed, and collected data were analyzed into thesis, type and dimension. The focus group method was applied to two provider groups and individual interview was applied to two persons who had experienced a long-term care hospital. Results: The results of analyzing the consumers and providers was integrated into 8 dimensions: physical environment, staff, clinical care and nursing, multiplicity of activity program, atmosphere, interaction with family, nutrition, and quality improvement system. Conclusion: The dimensions of long-term care hospital care quality from this study can be used as a basis of quality indicators. Quantitative studies to test these dimensions are required for establishing quality management systems.

• 한국산학기술학회논문지
• /
• 제20권10호
• /
• pp.54-61
• /
• 2019

본 연구는 국가 관세행정 종합정보 시스템인 UNI-PASS의 서비스품질을 평가함에 있어 Kano모형과 Timko의 BW계수, Tontini et al.의 개선갭분석(IGA)을 적용하여 전자통관서비스(UNI-PASS) 품질속성들을 비교 검토하고, 전자통관서비스 이용 고객들의 만족도를 높이기 위해서는 어떠한 품질 속성에 집중해서 서비스 품질을 제고해야 하는지를 규명하였다. 분석결과, 전자통관서비스 품질 속성의 분류에서는 Kano, Timko, IGA모형 모두가 공통된 4가지 품질속성인 매력적품질, 일원적품질, 당연적품질, 무관심품질로 분류되었다. Kano-IGA 통합접근법을 이용한 결과에서 일원론품질의 경우 개선이 시급한 1사분면 영역에 포함되었고, 당연적품질은 중점적인 유지관리가 필요한 영역인 2사분면에 포함되었다. 무관심품질은 Care free 영역인 3사분면에 그리고 매력적품질은 경쟁우위 영역에 해당하는 4사분면에 포함되었다. 본 연구는 선행연구와는 달리 전자통관서비스 품질속성을 일원론적 관점이 아닌 이원론적 시각에서 Kano모형에 의거 서비스품질 속성을 분류하였고, 더불어 Kano, Timko, 개선갭분석(IGA)을 종합적으로 적용하여 각각의 품질속성의 분류결과가 일치하는지와 영역별 개선우선순위와 영역내 개선 우선순위를 검토하였다는 점에서 의의가 있다. 그러나 실증분석에 사용된 표본의 업종이 일부 특정 업종(일반기계 및 장비류, 전기전자제품류)에 편중되어 있다는 점에서 연구결과를 일반화하는 데는 조심스런 해석이 요구된다. 향후 연구에서는 산업별, 업종별 비교분석이나 기업의 규모나 사용기간을 중심으로 분석해 보는 것도 의미가 있을 것이다. 그리고 설문문항의 측정척도는 리커트 5점 척도 보다는 7점 척도를 사용하여 판별력을 높이는 것도 바람직 할 것으로 사료된다.

• 한국환경복원기술학회지
• /
• 제26권6호
• /
• pp.97-115
• /
• 2023

Ecosystem services (ES) are the benefits that people obtain from ecosystems. Traditional ES assessment methods have focused on the supply of ES, using biophysical data. However, these methods often fail to capture the full value of ES, which is also determined by social and cultural factors. This study proposes a new approach to ES assessment that incorporates socio-cultural perspectives. The study was conducted in Seoul, South Korea. A survey was conducted of 1,805 residents of Seoul to assess their satisfaction with ecosystem services. Exploratory factor analysis was used to identify bundles of ES that were perceived as important by residents. A revised importance-satisfaction analysis was used to calculate the urgency level of each bundle. The results of the study showed that the 21 ES that were considered in the survey could be grouped into three bundles: urban green area-based, biodiversity-based, and resilience-based. The urgency level analysis showed that some bundles were more important than others, and that some bundles were more urgent than others. The findings of this study have several implications. First, they suggest that a socio-cultural approach to ES assessment can provide a more comprehensive and accurate assessment of ES. Second, they show that this approach can be used to identify areas where ES management is most needed. Third, they suggest that this approach could be used to inform ES management and policy decisions.

• 한국멀티미디어학회논문지
• /
• 제13권2호
• /
• pp.324-331
• /
• 2010

이동통신 시장 규모가 폭발적으로 증가함에 따라 이동통신사 간에 고객 유치 경쟁도 치열하다. 국내 이동통신사들은 좀 더 나은 품질과 서비스로 만족도를 향상시켜 고객을 확보하기 위한 노력을 전개하고 있다. 이에 이동통신 산업의 경쟁력과 부가가치를 높이기 위하여 이동통신사에 대한 만족도 요소와 종합 만족도를 정량적으로 평가할 수 있는 과학적 연구가 필요하다. 본 논문에서는 AHP와 통계적 방법을 이용하여 이러한 만족도를 정량적으로 추정하는 방법을 연구하고 실증분석 하였다. 제안된 방법을 활용하여 소비자들은 양질의 제품과 서비스를 받을 수 있을 것이며 나아가 국내 이동통신은 세계적으로 경쟁력을 확보할 수 있을 것으로 기대한다.