• Title/Summary/Keyword: degree of guidance

Search Result 233, Processing Time 0.031 seconds

An Implementation Analysis of the National Health Insurance Coverage Expansion Policy in Korea: Application of the Winter Implementation Model (건강보험 보장성 확대정책의 집행분석: Winter의 정책집행모형의 적용)

  • You, Sooyeon;Kang, Minah;Kwon, Soonman
    • Health Policy and Management
    • /
    • v.24 no.3
    • /
    • pp.205-218
    • /
    • 2014
  • Background: Most studies on the national health insurance benefit expansion policy have focused on policy tools or decision-making process. Hence there was not enough understanding on how policies are actually implemented within the specific policy context in Korea which has a national mandatory health insurance system with a dominant proportion of private providers. The main objectives of this study is to understand the implementation process of the benefit coverage expansion policy. Unlike other implementation studies, we tried to examine both the process of implementation and decision making and how they interact with each other. Methods: Interviews were conducted with the ex-members of the Health Insurance Policy Review Committee. Medical doctors who implement the policy at the 'street-level' were also interviewed. To figure out major variables and the degree of their influences, the data were analyzed with Winter's Policy Implementation Model which integrates the decision making and implementation phases. Results: As predicted by the Winter model, problems in the decision making phase, such as conflicts among the members of committee, lack of applicable causal theories application of highly symbolic activities, and limited attention of citizen to the issue are key variables that cause the 'implementation failure.' In the implementation phase, hospitals' own financial interests and practitioners' dependence on the hospitals' guidance were barriers to meeting the policy goals of providing a better coverage for patients. Patients, the target group, tend to prefer physicians who prescribe more treatment and medicine. To note, 'fixers' who can link and fill the gap between the decision-makers and implementers were not present. Conclusion: For achieving the policy goal of providing a better and more coverage to patients, the critical roles of medical providers as street-level implementers should be noted. Also decision making process of benefit package expansion policy should incorporate its influence on the implementation phase.

AUTOTANSPLANTATION OF IMPACTED MAXILLARY CANINES: CASE REPORTS (자가 이식을 이용한 매복 견치의 치험례: 증례보고)

  • Ko, Yoon-Sik;Kim, Ji-Yeon;Park, Ki-Tae
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.38 no.4
    • /
    • pp.435-440
    • /
    • 2011
  • Maxillary canine impaction is a common eruption problem in children. Impaction frequently involves further complications such as root resorption of adjacent teeth, cyst formation and migration of the neighboring teeth, etc. Various treatment modalities include extraction of preceding deciduous canine, orthodontic traction, and surgical extraction followed by immediate replantation of the extracted tooth at the proper position(autotransplantation). Autotransplantation is considered as the treatment of choice when surgical exposure and subsequent orthodontic traction are difficult or impossible due to unfavorable impacted position. The prognosis of autotransplantation is affected by the degree of apex formation, surgical procedures performed, timing of root canal treatment, and length of stabilization period. In these two cases presented, the patients with unerupted maxillary canine were treated with autotransplantation. One case was thought that guidance of eruption by orthodontic traction was difficult because of its unfavorable impacted position. In the other case, parents didn't agree to treat by orthodontic traction, therefore autotransplantation was done. In both cases, autotransplantation was carried out following root canal treatment and orthodontic treatment, and both cases have demonstrated to be successful to this day.

The Needs of a Parent Education Program for the Prevention of Home Injury (가정내 안전사고 예방을 위한 부모교육 프로그램 요구)

  • Kim, Hye-Gum
    • Journal of the Korean Home Economics Association
    • /
    • v.44 no.1 s.215
    • /
    • pp.87-99
    • /
    • 2006
  • This study investigated the degree to which young children's mothers needed a parent education program on home safety, the preferred goals, contents, methods, and evaluation of a parent education program on home safety, and whether or not the needs for a parent education program on home safety varied according to mothers' age, education background, and job. This study also analyzed the experience of their participation in any parent education program on home safety and its effect according to mothers' age, education background, and job. The data were collected from 569 mothers of young children and analyzed by $X^2$ and F tests. A questionnaire was developed based on the research of Peterson and Mori (1985) and Jung et al. (1992). The conclusions of this study were as follows: 1. The majority (92.8%) of mothers recognized the need for a parent education program on home safety and 97.5% indicated an intention of participating in a parent education program on home safety. 2. Mothers rated the most important goal of a parent education program on home safety as protecting young children from injuries. Mothers in their 30's responded to the need for understanding of young children's development characteristics and safety guidance as the highest while mothers in their 20's responded methods of first aid the highest. 3. The preferred methods of a parent education program on home safety were activities or learning by experience and the preferred instructors were safety professionals majoring in child development and family studies or early childhood education. The preferred practice methods of a parent education program on home safety were 5 sessions, with 25-29 participants, at young children's institute, on weekday afternoons, for one and a half hours per session, and with evaluation through questionnaire. 4. Nearly half (44%) of mothers had participated in a parent education program on home safety during the previous 3 years and 77.6% of them responded that a parent education program on home safety was effective on their safety lives. Mothers in their 30's had more experiences of a parent education program for home safety more than mothers in their 20's.

A Study on the Ordinance Analysis of the Local Government's Education for the Improvement of People with Disabilities (장애 인식개선 교육을 위한 지방자치단체 조례 연구)

  • Kim, Kyungran;Kim, Jihye
    • The Journal of the Korea Contents Association
    • /
    • v.22 no.10
    • /
    • pp.515-525
    • /
    • 2022
  • This study aims to compare and analyze the contents of the ordinance related to disability awareness improvement education enacted by the local government to derive problems and propose improvement measures. To this end, as of December, 2021, a content analysis was conducted on the ordinances of 17 municipal school boards across the country on supporting education to improve disability awareness. As a result of the analysis, the objectives, the responsibilities of the superintendent, and the establishment of the basic plan in the normative system of the ordinance met to some extent the requirements of the ordinance in accordance with the requirements of the ordinance, but in the effective system, the matters concerning the establishment of a board of education, the degree of professional personnel regulation, and the supervision of guidance were insufficient. Accordingly, in this study, based on the results of these studies, we proposed ways to improve the Disability Awareness Improvement Ordinance.

Rank Decision of Ecological Environment Assessment Field Introducing Fuzzy Integral (퍼지적분을 도입한 생태환경평가부문의 순위결정)

  • You, Ju-Han;Jung, Sung-Gwan;Choi, Won-Young;Lee, Woo-Sung
    • Journal of the Korean Institute of Landscape Architecture
    • /
    • v.34 no.5 s.118
    • /
    • pp.39-51
    • /
    • 2006
  • This study was carried out to provide guidance to environmental policy makers when deciding which assessment fields (biotic, abiotic, qualitative, functional) should have priority for ecological preservation and to develop an objective and scientific methodology by introducing the engineering concept of the fuzzy integral. The grant of weights was used the eigenvalues calculated by factor analysis, and the converted values of indicators were obtained in multiplying the arithmetic values and eigenvalues. The results of the appropriateness and reliability of assessment fields were examined over 0.6, and the results showed that the design of questionnaire presented no great problems. When the fuzzy integral was calculated to determine the rankings at ${\lambda}$=1, 2, 3, 4, 5, respectively, they were 0.646, 0.630, 0.943, 1.423, and 1.167 for the biotic field, 1.298, 1.400, 0.901, 0.580, and 1.456 for the abiotic field, 0.714, 0.674, 0.346, 0.674, and 1.610 in the qualitative field and 1.000, 0.973, 0.943, 1.024, and 1.008 in the functional field. The sensitivity to ${\lambda}$ value showed that ${\lambda}=4$ was the most suitable. In comparison with ${\lambda}=0$ (the arithmetic mean), the range of change was narrow. Because the range for ${\lambda}=4$ was narrower than my other values, ${\lambda}=4$ was sure to be available in ranking-decision. The fuzzy integral is expected to be a method for analyzing and filtering human thoughts. In the future, in order to overcome linguistic uncertainty and subjectivity, other fuzzy integral models including Sugeno's method, AHP, and so forth should be used.

Full mouth rehabilitation with vertical dimension increase in patient with severely worn out dentition: A case report (과도한 치아 마모를 보이는 환자에서 수직고경 증가를 동반한 전악 수복 증례)

  • Kim, Dae-Sung;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo;Lee, Hyeonjong;Lee, So-Hyoun
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.59 no.2
    • /
    • pp.210-219
    • /
    • 2021
  • Excessive teeth wear can lead to reduced chewing efficiency, occlusal plane collapse, and facial changes. Full mouth rehabilitation with a change in vertical dimension may cause pain in the temporomandibular joint, masticatory muscle and teeth, so an accurate diagnosis and treatment plan is required. In this case, a 69-year-old man had excessive teeth wear with a loss of posterior support. We evaluated the degree of adaptation to the increased vertical dimension with the removable occlusal splint and provisional restoration. We report this case because the treatment result has been functionally and aesthetically satisfactory by providing stable anterior guidance, proper posterior teeth disclusion, and even contact of all teeth in centric occlusion.

Study on the Social Carrying Capacity in the Mega-Event - The Case of the International Kwangju Biennale, Korea - (공간 집약적 관광지에서 사회적 수용력 연구)

  • 김진선;정성태
    • Journal of the Korean Institute of Landscape Architecture
    • /
    • v.31 no.2
    • /
    • pp.28-35
    • /
    • 2003
  • This study was conducted to identify the characteristics of social carrying capacity at mega-events, especially the 2000 Kwangju Biennale in Korea. In particular, this paper has proposed some management policies for mega events taking into account the relations between social carrying capacity, satisfaction and crowding. The research method was to look into the general characteristics and distributive forms of the location, and then to confirm the possibility of sampling the factors involved in satisfaction degree; last, A factor analysis for causal analysis of perceived crowding was performed. The study needed correlation analysis in order to compare expected crowding and perceived crowding, and performed regression to examine the causality of perceived crowding and satisfaction. The research results were as follows: the correlation of expected crowding, perceived crowding, and the total satisfaction was very low or meaningless. The relation between satisfaction and elements for factor analysis such as convenient facilities and value experience showed partial meaningfulness. The factors of convenient facilities, entrance fee, parking lot use, toilet convenience, and exhibit room use had meaningful results; on the other hand, the factors of value experience showed a meaningful result in the guide service of an event place. In conclusion when those holding an event make a basic project, they should consider management measures for convenience of facilities, proper education for guide service, and systematic guidance. Also, as a method for perceived crowding lower than expected crowding, the study has proposed that it is possible to lower expected crowding by providing appropriate information on the number of tourists expected on the weekends and weekdays. Future research should control variables such as personal characteristics, seasons proper for vacation and holidays, and carefully consider their investigation and design. Moreover, it is necessary to study variables involved in expected crowding of more various space-intensive sightseeing places (mesa-events).

A Study on the Production Planning and Management for Automated Clothing Manufacture (의류산업의 생산 자동화 현황과 그에 따른 생산기획 및 관리에 관한 연구)

  • 박진아;조진숙
    • Journal of the Korean Society of Clothing and Textiles
    • /
    • v.21 no.1
    • /
    • pp.19-34
    • /
    • 1997
  • The goals of this study are to suggest the guidance for automated clothing manufacture by analysis the technology of the automated manufacturing facilities and to propose how improve the efficiency of the production planning and management for automated clothing manufacture In this study, the research about the automated clothing manufacturing machines and the analysis about the modules and functions of apparel information systems were performed. In order to understand the factory automation of the larger clothing firms, the case study method was used. The case study samples were 3 clothing firms. The results and suggestions are as follows: 1. An information technology for automated clothing manufacture has enabled the computer integrated manufacturing system to connect production planning and management part with each work station on the factory floor. 2. The apparel information system to integrate and manage manufacturing informations from each workstation and the apparel CAD system are used in the department of production planning. At the cutting room, there are automated manufacturing machines like an automatic spreading system and an automatic cutting system. Sewing room has the computer controlled unit production system and semi-automated sewing machines. In addition, in the finishing room, an automatic packing machine and a press system are used and besides a warehousing system has been developed. Considering these available technology, for better product efficiency, it is necessary to consider and utilize the specific character of these automatic manufacturing machines and computer system whether they proper to each product style. 3. Most of the clothing manufacturers are in the stage of semi-automated manufacture. In order to improve the manufacturing environment, it is needed to gradual procedure of manufacturing automation with considering the firm's financial condition, existing facilities and staffs operating machines. The case study sample firms are in the high degree of manufacturing automation. They can accomplish the flexible manufacturing system to link the information system with each work station menufacturing system by computerized control. For the case of the firm having already used the computer integrated manufacturing and managing system, it is necessary that the function to deal with drawing information is added to the retaining module of the apparel system.

  • PDF

Correlation between Dental Hygiene Student's Gender Sensitivity and Gender Role Stereotypes

  • Hwang, Ji-Min;Han, Ji-Hyoung
    • Journal of dental hygiene science
    • /
    • v.21 no.4
    • /
    • pp.213-218
    • /
    • 2021
  • Background: The purpose of this study is to identify the gender sensitivity and gender role stereotypes of students in dental hygiene and to provide basic data to expand social awareness of equal gender sensitivity and gender role in dental hygiene and students by identifying the degree of correlation. Methods: The purpose of this study was to study dental hygiene students at colleges in Gyeonggi and Chungcheong areas. The survey was conducted from April 1 to April 30, 2021. The final sample was analyzed on 157 subjects. T-test and ANOVA analysis were performed to compare gender sensitivity and gender role stereotypes according to general characteristics. Equal variances were tested using the Levene statistic, and significant differences between groups were identified through Scheffe's post hoc analysis. Pearson's correlation analysis was performed to confirm the correlation between gender sensitivity and gender role stereotypes. Results: Gender sensitivity was 2.69 and gender role stereotypes were 1.83. Among the sub-areas of gender sensitivity, gender role openness was the highest at 2.86, and non-violence was the lowest at 2.50. As for gender role stereotypes, social stereotypes were the highest among sub-areas at 1.71. Among the general characteristics, there was a statistically significant difference in gender sensitivity according to the presence or absence of opposite sex friends (p=0.011). The gender identity openness of gender sensitivity and the physical sub-areas of gender role stereotypes showed the highest positive correlation(r=0.955). Among the sub-areas of gender sensitivity, gender role openness and domestic stereotypes showed the lowest negative correlation (r=-0.404) among the sub-areas of gender role stereotypes. Conclusion: Dental hygiene students should be able to critically analyze and solve problems of not only sexual violence but also gender discrimination and imbalance in social life. For this, environmental factors such as school education and professor guidance must be strengthened.

Convergence Approaches between Clinical Practice Satisfaction and Professional Self Concepts of Health Administration Students (보건행정학 전공학생의 임상실습 만족도와 전문직 자아개념 간의 융합적 접근)

  • Kim, Hee-Kyeong
    • Journal of the Korea Convergence Society
    • /
    • v.10 no.6
    • /
    • pp.103-111
    • /
    • 2019
  • The purpose of this study is to investigate the relationship between the degree of clinical practice satisfaction and professional self concept of health administration students. A total of 250 structured questionnaires were analyzed using the SPSS Ver.24.0 program for students from 10 universities nationwide. As a result of the study, the students of health administration major showed the satisfaction level of clinical practice and the level of professional self concept more than average. Clinical practice satisfaction and professional self concept were positively correlated with each other. The variables that have the most significant effect on clinical practice satisfaction were professional practice in the detail of professional self concept. Therefore, in order to improve the satisfaction of clinical practice and professional self concept of students in health administration, it is necessary to thoroughly check the training site before practical training, to consult with preliminary practical guidance professor, to develop clinical practice program and to find a system of mutual cooperation system with clinical training institution need.