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Community Health Practitioner's Commitment into Community : on the Aspect of Primary Health Care (보건진료원의 지역사회 몰입과정)

  • Yun, Soon-Nyoung;Kim, Young-Im;Choi, Jeong-Myung
    • Research in Community and Public Health Nursing
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    • v.6 no.2
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    • pp.173-182
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    • 1995
  • Primary health care(PHC) has been established since A Health Law for rural residents has been legislated in 1980 following the WHO declaration, 'Health for All 2000'. in 1978. PHC services are presently assumed to be provided by 2038 Community Health Practitioners(CHP) to about 28% out of rural population in Korea. Most CHPs have confronted the adaptation process to the community being practiced although a CHP's role is to evoke community participation for the improvement of their health by themselves. So the purpose of this study is to describe and explain of the commitment of CHPs into the community. Data were collected by direct interview and tape-recording under subjects' permission till theoretical saturation were occured from 6 CHPs. The subjects were 41 years old and have served in the community for 9 years in average. Main questions and concepts were explored from data according to the procedure of the grounded theory methodology. The results are as follows. 1) The number of the main concepts were twenty four that identified Motive, Desire, Personal characteristics, Unfamiliarity, Denial, Feeling of isolation, Self-sacrifice, Kindness, Patience, Assimilation, Respect for the residents, Support by the family, Support by the residents, Achievement, Acceptance of realities, Use of resources, Inducement of cooperation from the residents, Changes of the difference from time orientation between CHP and residents, Attitude as a official, Technical support, Cost management, Satisfaction level, Acknowledgement by the residents and discrepancy. 2) The twenty four concepts were categorized to seven groups such as Motivation, Feeling of Heterogeneity, Self-discipline, Social support, Induced changes in the attitudes of residents, Familarity and Persistent discrepancy. 3) The categorized groups were analyzed on the base of the Causal Conditions, Central Phenomena, Contexts, Intervening Conditions, Action / Interaction Strategies, and Consequences. Central phenomenon in this study was identified to be the feeling of heterogeneity. Community health practitioners experienced unfamiliarity and denial from the community and felt themselves isolated in the first. In time, they won the trust of residents by their efforts including self-sacrifice, kindness, patience, and assimilation. Afterward, practitioners got self-confidence and familiarity with lesser feeling of heterogeneity. Nevertheless, practitioners could not commit themselves completely because of the persistent discrepancy between CHP and residents. 4) On the commitment process, the CHPs' feeling of heterogeneity were decresed and social support increesed and newly evolved induced change of residents through the continuous interaction between CHP and them The contribution of this study would be concluded as follows. 1) It is expected that effective strategies for more rapid committment into the community can be developed based on this study. 2) More easy committment would be possible for the newly appointed CHP through understanding of the committment process identified on this study.

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A Study on Perception of Shippers about the Service Quality of Logistics Center in Port Distripark (항만배후단지 물류센터 서비스품질에 대한 화주 인식 연구)

  • Kweon, Jung-Dae;Kwon, Kyu-Ri;Kim, Yul-Seong
    • Journal of Navigation and Port Research
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    • v.41 no.6
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    • pp.415-422
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    • 2017
  • In a situation where there is excessive competition among logistics centers due to the low price of logistics centers for attracting freight volume, the conditions provided by the logistics centers are similar. Therefore, in order to determine the logistics center, we want to find out what kind of differentiated service the shippers desire, as well as what level of service they want in addition to al ow price. There are currently no studies about the service quality of logistics centers. The components of the service quality of the logistics center were extracted by applying them to the logistics center based on the existing service quality theory. Factor analysis revealed five dimensions of service quality: tangibility, reliability, empathy, assurance, and know-how. It was found that service quality had a statistically significant influence on customer satisfaction, from the investigation of the causal effect relationship. In addition, 'Know-How' among these factors has more influence on customer satisfaction, so it is important to accumulate differentiated 'Know-How' only in logistics centers.

A Study of the image integration of Product in the digital age (디지털 시대의 제품 이미지 통합화 방안에 관한 연구)

  • 김기수;정병로
    • Archives of design research
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    • v.12 no.4
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    • pp.89-98
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    • 1999
  • The application of tool which has grown rapidly by the age was used for the product development, however as today the computer digitalization has been fixed to the necessary process in every factory-made mass production, making the sensitive desire of designer the digitalization through systematic, rational information database building from the planning level of product to the final mass production in such a environment change. It should satisfy a variety of needs of consumer. The enterprise that hopes to get a winner in the present age brought in computer with useful tool to process information efficiently. The computer has displayed much more excellent computation ability than human to come up to their expectation and the growth of electronic technology was possible to make the computer's high-efficiency, economy and integration. No matter what we have a good economy and integration. No matter what we have a good information there is no meaning unless we are able to use it' so we should take it out by the our need. Therefore, this paper observes a future-oriented possibility of computer & Telecommunication in information society, information-oriented design environment and the trends of minimal and integrated computer. We will improve the designer's ability to develop a novel product that have the diversification of them using application, aiming at computer utilization and image identification design strategy of product in the age of network telecommunication.

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Mutual Cooperation between USA Police and Private Security : Actual Status and Meaning (미국 경찰과 민간경비의 상호협력 : 실태 및 함의)

  • Park, Dong-Kyun;Kim, Tae-Min
    • Korean Security Journal
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    • no.28
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    • pp.207-228
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    • 2011
  • In the situation that crime is diversified qualitatively and quantitatively, the mutual cooperation system between police and private security is very important to cope with the change of policing environment properly. The primary purpose of this study is to suggest the method to improve the policing service quality of police and advance sound security industry by analyzing the case of close mutual cooperation system between police and private security of USA, which can be called the best country in the field of private security. When considering the cases of USA synthetically, we can know that as the most basic characteristic, the discussion over actual cooperation method is performed on the basis of positive recognition over mutual existence of police or private security. It means that the mutual relationship is based on the basic recognition over partner relationship to meet citizen's desire for safety. While reviewing the cases of USA, Korea shall refer to the fact that social safety activities of advanced countries display effects because of many factors such as various mutual cooperation programs between police and private security, efforts of local government, high quality of private security, reliance of citizen and general understanding of police, private security and citizen to solve crime problem. As shown in the review of USA cases, when considering the fact that the mutual cooperation between police and private security is performed in the level of autonomous police, Korea shall perform autonomous police system to provide better policing service, which is close to citizen.

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The National Hospice Care Service Development in Korea (한국형 호스피스 케어 개발을 위한 기초 조사 연구)

  • Lee, Soo-Woo;Lee, Eun-Ok;Ahn, Hyo-Seog;Heo, Dae-Seock;Kim, Dal-Sook;Kim, Hyun-Sook;Lee, Hiye-Ja
    • The Korean Nurse
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    • v.36 no.3
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    • pp.49-69
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    • 1997
  • The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.

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Dasan Jeong Yak-yong's Self-Healing and his View of Happiness (다산 정약용의 자기치유와 행복관)

  • Jang, Seung-koo
    • Journal of Korean Philosophical Society
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    • v.139
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    • pp.213-238
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    • 2016
  • This paper examines how Dasan Jeong Yak-yong developed self-healing and his perspective of happiness during the hardest point of his political and social career. Just after the death of King Jeongjo (正祖, reign. 1766-1800) the arrest and persecution of those who accepted Christian knowledge from the West began. Among them were Jeong's family members and friends. Jeong, who had learned but had not accepted Christianity as a religious belief, was exiled to Ganggin 康津 in southern Jeolla Province where he was to spend the next 18 years. The two things that helped Jeong through his exile were the Book of Changes 易經 and his commitment to the study of Confucian thought, political, and social reforms. His life-long commitment to writing and his progressive understanding of the principle of changes of the universe in the Book of Changes, represented processes of self-healing and cultivation, depriving Jeong of self-pity and enabling him to attain the highest level in self-realization. According to Jeong, there are two kinds of happiness; "secular happiness" (yeolbok 熱福) related to power and wealth, and "pure happiness" (cheongbok 淸福), a free and idyllic life. For Jeong, the latter was more valuable than the former. Jeong believed that life pursing ethical virtues only could bring authentic joy to people. Furthermore, his devotion to the issues of systematic, social reforms was out of his desire to bring the public happiness by "practical learning", silhak 實學.

A Basic Study on NCS Development and Professional Training Activation for DP Operators (DP운항사 NCS개발 및 전문인력양성 활성화 방안에 관한 기초연구)

  • Kim, E-Wan;Lee, Jin-Woo;Lee, Chang-Hee;Yea, Byeong-Deok
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.23 no.6
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    • pp.628-638
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    • 2017
  • In response to difficult employment conditions in the maritime industry and a desire to expand their career options, domestic mates are persuing DP operator training at institutions both domestically and abroad based on their shipboard experience. However, since the offshore plant service industry has not yet been established in Korea, those seeking to enter this field have difficulty acquiring qualifications and most seek work overseas for offshore shipping companies. Individuals wishing to work as DP operators are likely to face more conservative recruitment processes with overseas offshore shipping companies, focusing on career language restrictions as they will be non-native speakers relative to the foreign company, difficulty living in a multi-cultural environment, and lack of systematic information on essential job requirements. For these reasons, domestic mates have difficulty seeking jobs. Therefore, this study analyzes the capabilities and qualification required to be a DP operator to provide basic data for developing NCS standards representing a minimum level of competency. These standards can be applied by the government to develop plans for professional training for DP operators. In study, job classifications, competency standards and career development paths for DP operators have been proposed along with joint use of DP training vessels, to train specialized DP instructors. An NCS export model led by the government to activate professional training for DP operators is also presented.

Characteristics of Images in Image-based SNS and User Satisfaction - Focusing on Instagram and Pinterest - (이미지 기반 SNS에 나타난 이미지의 속성과 사용자 만족 인스타그램과 핀터레스트를 중심으로)

  • Yoon, Jisun;Ryoo, Han Young
    • Journal of the HCI Society of Korea
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    • v.14 no.1
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    • pp.5-13
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    • 2019
  • SNS has been advanced from first to third generation by changing its service format in various ways. Nowadays, image-based SNS such as instagram and pinterest where users communicate via images has become popular as third generation service. Due to the fact that users communicate especially through images, image-based SNS utilizes images in different ways compared to other SNS. This study derived various characteristics of images in image-based SNS, and observed how users perceive each of them differently. Also, relationship between the characteristics and user satisfaction on image-based SNS is analyzed. The characteristics include 6 items; 'implicity', 'recordability', 'expressing identity', 'indirect experience', 'temporary amusement', and 'stimulating desire.' As a result of comparing user perception regarding those 6 characteristics, recordability and indirect experience were highly recognized than other characteristics. Also, according to users' age, motivation of using image-based SNS, and number of followers they have, users perceived each characteristic in different level. Finally, relationship between the characteristics and user satisfaction was analyzed, and the result showed that indirect experience had positive influence to user satisfaction. Regarding indirect experience, it was highly perceived by users and also had positive influence to their satisfaction, which means it is the most typical characteristic of image-based SNS.

A Study on the Factors Affecting the Recognition of Self-determination Right and the Necessity of Decision Support for the Elderly Living Alone (독거노인의 자기결정권 인식과 의사결정 지원 필요성에 대한 영향요인 연구)

  • Kim, Hyojung
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.125-134
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    • 2019
  • The purpose of this study is to explore the direction of decision support for senior citizens living alone by identifying the level of self-determination and desire for decision support. The survey was conducted on 300 elderly people living alone in five districts of Seoul. The analysis results are as follows: First, it has been shown that elderly living alone have thought that it is most important to reflect their decisions when deciding where to live. Second, respondents highly recognized that the need for support decision making as the age group grew. Third, it was found that the factors affecting the perception of the need to support decision-making by senior citizens living alone were age, trust in family and recognition of importance in decision-making. The study suggested the need for a specific, institutionalized system to support decision making for elderly living alone.

A Study on the Factors Affecting User Behavior of Internet Medical Apps (인터넷 의료 애플리케이션 사용 행위에 영향을 미치는 요소에 관한 연구)

  • Han, Xiao;Lee, Hong;Kim, Hyeong-woo
    • Smart Media Journal
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    • v.9 no.4
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    • pp.81-90
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    • 2020
  • Due to the recent economic development and the improvement of income level in China, the desire for quality medical services is increasing compared to the past. As an alternative to satisfy these needs, various applications using smart phones and the like are being developed. The new corona that occurred in December 2019 began to show great interest in non-face-to-face telemedicine services using smart phones due to the worldwide spread of the coronavirus. Therefore, in this study, a total of 200 people were surveyed on the top three mobile medical applications in China, and the data of 120 people who actually used medical applications were analyzed based on Venkatesh's UTAUT2 theory. A study was conducted on the intent to use and the factors affecting the in-law behavior. First, it has become clear that the interactive characteristics, expectations for effort, price value, interest in privacy, habits, and promotional conditions have a positive impact on the user's use. Second, it was investigated that the user's intention to use influences the behavior of use, and among the intentions of use, it was found that the mobilization characteristic expectation, hedonistic motivation, price value, habits, and promotion conditions affect the use behavior. Third, a study result was derived that the controlling variables such as gender, age, school age, and annual income do not affect the user's intention to use mobile medical applications as a controlling variable. Finally, due to the nature of mobile devices that use the Internet, various security vulnerabilities exist, and this can cause great damage or personal and social impact. Therefore, for the development of mobile medical services in China, it is necessary to re-establish a research model through comprehensive and in-depth considerations to supplement these problems in the future.