• 한국간호교육학회지
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• 제4권1호
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• pp.66-80
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• 1998

With the opening of healthcare market, the health care environment in Korea is anticipating a drastic change. In this Internationally open market environment, it is necessary to introduce a systematic health care plan and DRG system which offer qualitative medical services as well as reduced cost. Purpose of this study is to develop and test the critical pathway for Cesarean section patient in the way to be possible the integrated inpatient management. It was adopted the process of six phases to develop the critical pathway as the theoretical framework implemented by Johns Hopkins Hospital, Maryland, U.S.A. In the first phase, make a selection of diagnosis/procedures to develop. In the second phase, organize a development team consisted of eight expertises working in maternity nursing area. In the third phase, analyze the overall medical service offered to patient through review medical records and decided the service content and the implementation period for the Cesarean section patient. In the forth phase, make out a preliminary critical pathway after verification of expert group on content validity. In the fifth phase, validity operate to ten Cesarean section patients to test implementation in practice by using the preliminary critical pathway, In the sixth phase, defined the final critical pathway. The result of this study was as follows. 1. There were classified 8 categories as monitoring/assesment, treatment, medication, activity, diet, test, consult, education/discharge plan for vertical axis and showed hospital stayed from admission to discharge for horizontal axis of critical pathway through analysis 68 Cesarean section patients medical records. 2. After critical review 68 medical records to make out a preliminary critical pathway, hospital stays for horizontal axis were showed 6 days, mean hospital stays were 7.5 days, 2.1 days were to be taken operation after admission and 4.2 days were stayed until discharge after operation. 3. After making out a questionare in 90 items of a medical service content of eight categories and verifying the content validity of expertises, the 85 items of the preliminary critical pathway were selected by expertises agreement over 88% and modified or deleted 5 items showing agreement below 75%. 4. After verifying a validity to 10 patients for 4 weeks, hospital stays were 5.9 days. There were deleted 1 item and modified or supplemented the 9 items of the 10 items.

• 유통과학연구
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• 제10권11호
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• pp.31-37
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• 2012

Purpose - This study was conducted under the assumption that brand A, a store of company Z of Pangyo, with a new store at Pangyo station is targeting the Bundang-gu area of the newly developed city of Seongnam. Research design, data, methodology - As a result of demand forecasting using geometric series models, an extrapolation of past trends provided the coefficient estimates, without utilizing regression analysis on a constant increase in children's wear, for which the population size and estimated parameter were required. Results - Demand forecasting on the basis of past trends indicates the likelihood that sales of discount stores in the Bundang area, where brand A currently has a presence, would fetch a higher estimated value than that of the average discount store in the country during 2015. If past trends persist, future sales of operational stores are likely to increase. Conclusions - In evaluating location using the simple weighting model, Seohyun Lotte Mart obtained a high rating amongst new stores in Pangyo, on the basis of accessibility, demand class, and existing stores. Therefore, when opening a new counter at a relevant store, a positive effect can be predicted.

• 한국재난정보학회 논문집
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• 제7권3호
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• pp.229-239
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• 2011

우리나라의 민간조사제도는 통제 없이 이루어지고 있는 심부름센터, 흥신소 등과 같은 음성적 민간조사의 폐해를 근절하고 개인의 권리보호, 일자리 창출, OECD와 FTA 법률 개방으로부터 우리의 법률시장을 보호할 것이다. 본 연구에서는 민간조사제도 도입을 위한 입법안 검토와 선행연구 고찰, 선진국의 민간조사제도를 비교해 봄으로써 우리나라에 맞는 민간조사제도의 업무영역을 제시하였다. 연구 결과를 통하여 기업, 금융, 보험, 의료, 사이버(cyber), 교통사고, 지적재산권, 실종자, 법과학으로 민간조사업무를 구분하였다.

• 대한한의진단학회지
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• 제18권3호
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• pp.205-216
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• 2014

Objectives The purpose of this study is to help improve the management of traditional Korean medical(TKM) clinics and the policies for supporting them, by conducting a survey of the practitioners of TKM. Methods Stratified sampling was conducted based on regional location, and 700 samples were selected in a random manner from the membership list. The questionnaire was delivered and returned by mail. The survey was conducted between 20 July and 31 August 2010. A total of 177 questionnaires (recovery rate: 25.28%) were recovered and analyzed for the study. Results 1. The the survey indicate that the overall size of TKM clinics has fallen compared with previous survey, while the average number of beds per clinic has remained unchanged at 7.9. The sale of medicine as a proportion of total monthly sales has increased. 2. There has been no change in the composition of clinical staff as there are three nursing assistants. Although the average daily number of patients to clinics has remained at around 33.90 compared with ten years ago, the number of patients requiring seeking acupuncture treatment has increased while the number of those treated with medication has decreased. 3. Clinicians in TKM have indicated their preference for a binary system that separates TKM from western medicine (57.4%). The respondents do not favor the separation of dispensary from medical practice (81.5%), marks of origin for medicinal herbs (68.9%), disclosure of the prescriptions (67.2%), and the overseas expansion of Korean medical services (70.4%). However, they indicated that they are very much in favor of being granted the authority to employ and give orders to medical technicians (96.0%). 4. The respondents selected Korea as the country that maintains a proper academic system for traditional medicine (45.5%), and are not in favor of opening Korea's traditional medicine market under an Free Trade Agreement(FTA) with China (72.7%). Conclusion The overall status of the management of TKM clinics has declined compared with the preceding decade. There has been only a slight change in clinicians' opinion of the related policies and regulatory issues.

• 치위생과학회지
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• 제8권4호
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• pp.299-304
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• 2008

최근 국민 보건의료 환경과 수요양상이 급변하고 있으며, 보건 의료부분의 시장 개방도 가속화되고 있다. 산업구조의 전환에 따른 인력 수요의 변화와 대학 입학자원의 감소는 지금까지 비교적 신입생 모집의 어려움이 적었던 보건의료인력 양성학과나 관련학과의 개설을 강력하게 요구하게 되어 4년제 대학의 의료기사 양성학과들은 지속적으로 증가되고 있다. 이에 따라 3년제 대학 졸업자 의료기사들은 4년제 대학졸업자와의 경쟁 상황에 놓이면서 학위취득에 대한 요구가 증대되면서 다양한 방법으로 학위취득을 위한 노력이 이루어지고 있다. 현재 전문대학에서 학사학위 취득을 위한 학점운행제 운영에 관한 조사에서 60.9%가 인지하고 있었으며, 전공심화 과정의 개설예정에 관한 조사에서도 46.9%가 인지하고 있어, 전문대학에서의 다양한 학위 취득에 관한 적극적인 홍보와 사회적 인식의 변화로 4년제 대학과 동등한 학력으로의 인정을 위한 정책적인 방안이 마련되어야 할 것으로 사료된다.

• 대한전자공학회논문지TC
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• 제45권1호
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• pp.1-7
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• 2008

현재 국내 의료계는 의료시장개방과 영리법인화, 민간의료보험 도입 등 급격한 의료 환경의 변화를 앞두고 있다. 이에 따라 주요 대학병원을 중심으로 중장기적 비전수립을 통해 변화를 꾀하려는 움직임이 곳곳에서 감지된다. 이러한 병원의 현실과 환자들의 다양한 요구에 발맞추어 RFID와 USN 기술을 이용한 첨단화된 시스템을 업무에 도입하여 개선함으로써 병원서비스를 차별화하고자 한다. 그러나, 아직 유비쿼터스 기술을 접목한 병원정보시스템의 도입은 표준화 및 여러 문제로 인해 부분적으로만 적용하고 있는 실정이다. 특히 RFID 기술 적용에 있어서 의료 환경에 적합한 태그 설계의 부재와 RFID 시스템의 호환성 및 확장성의 문제가 현실적으로 요구되고 있다. 본 논문에서는 이러한 문제를 해결하기 위하여 병원환경을 위한 RFID Tag 설계, RFID와 SIP의 연동을 위한 RFID-SIP UA(User Agent) 설계, 개체의 위치 추적을 위한 위치 추적 프로그램을 구현하였다. 실험 결과 제안한 시스템은 EPCglobal 사에서 제안한 대표적인 EPCglobal network와 비교했을 때, 현재의 네트워크를 수정없이 그대로 사용하며, 분산된 구조를 가지고 있기 때문에 호환성 및 확장성등의 장점을 가진다. 이러한 결과를 토대로 제안한 논문을 차세대 RFID 애플리케이션 서비스를 위한 모델을 제시한다.

• 유통과학연구
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• 제15권3호
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• pp.73-80
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• 2017

Purpose - Since Korean distribution market was opened, the domestic environment in department stores has been changed by the pattern of consumption and consumer need based on income classes. As multilateral Free Trade Agreement (FTA) accelerates opening markets, the scale of circulating capital has become bigger. Large-scale commercial facilities have developed quickly as a form of a large shopping center, thus, the matter of choice and securing market area became an important valuable in this trend. Moreover, multi-complex space has been proposed as the goal of successful business with promoting the public benefit. Research design, data, and methodology - This research studied consumer behavior using data about the life style and sales of consumers, not statistical data or survey as previous studies. This research tried to find the differentiation in complex cultural space with consumption behavior of department store. Results - As the structure of society and culture was getting diverse and complex, economic growth and development with such diversity and complexity improved consumers' quality of life. The changes of consumer life style are quite natural like human instinct. Department stores have activated retail business with the products of accumulated technology. Moreover, they have created the space of consumption and culture. Because of these social and environmental changes, department stores are being developed as Multi-functional spaces as well as sale places considering the strategies of department and the changes of consumers' purchasing behaviors. Conclusions - Urban culture complex is a landmark standing for the culture era of 21st century. It has provided an opportunity for consumers to enjoy culture, and has been an important factor to improve company images. Based on these roles and needs, expectancy effects are related with consumer preference and space preference, and the attitude toward companies. Moreover, the expectancy effects from those relationships are getting bigger and bigger. We should respect nature, a characteristic of Korean architecture, maintain visual continuity that harmonies with nature in the development of the complex space of the domestic department stores, and should take significance in the development of the complex cultural space in the direction of feeling the hierarchy of the space to obtain the visual pleasure with the artificial structure.

• 한국콘텐츠학회논문지
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• 제12권8호
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• pp.207-214
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• 2012

본 연구는 의료서비스의 질적 향상을 가져옴과 동시에 의료소외지역을 만들 수도 있는 의료민영화에 대해서 찬성과 반대 논리를 살펴보고, 아울러 최근 3년 동안 주요 일간지에 게재된 의료민영화 및 영리병원에 관한 신문 사설을 중심으로 내용분석의 일종인 언어네트워크 분석을 통해 핵심 키워드를 찾아내고, 핵심 키워드 간의 연결 중심성 분석을 통해 논란의 핵심이 무엇인지를 밝혀 보고자 하였다. 결론적으로, 연결중심성 분석 결과 "의료", "병원", "민영화", "의료민영화", "영리병원", "정부"가 가장 중심에 위치하고 있었다. 이는 의료민영화 또는 영리병원에 관한 최근 3년 동안의 주요일간지에 게재된 사설을 중심으로 하였기 때문에, 의료, 병원, 민영화, 의료민영화, 영리병원 등의 키워드가 중심에 위치하고 있는 것은 당연한 결과이다. 다음으로, 중요한 중심 키워드(단어)는 "국민", "건강", "건강보험"이다. 이는 의료민영화를 단순히 의료시장에 대한 개방으로만 보지 않고, 최근 3년 동안의 사설들은 국민의 건강과 건강보험과 관련된 중요한 이슈로 보고 있다는 것을 의미한다고 볼 수 있다. 또한, 그 다음으로 중요한 중심성이 높은 단어로는 "반대"와 "허용"이다. 이를 통해 볼 때, 최근 3년 동안의 사설을 내용 분석해 본 결과, 의료민영화에 반대하는 쪽과 허용하자는 쪽이 팽팽하다는 것을 연결중심성 분석 결과에서도 알 수 있다. 한편, 중심성 분석결과에서 주목할 만한 결과는 "미국", "한미", "FTA" 등의 키워드도 어느 정도 중심성이 나타나고 있다는 것이다. 이는 의료민영화를 미국과의 한미 FTA와 관련하여 사설에서 기술하고 있다는 것을 나타내주는 대목이다.

• 한국병원경영학회지
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• 제7권4호
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• pp.57-101
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• 2002

These days, the environment of hospital marketing is changing rapidly. The level of expectation and demand of patients have become greater and more diversified, and patients have more alternatives in selecting hospitals. The standard of hospital selection and the type of using hospital have been changed, and competition among hospitals has been accelerated due to the opening of the medical market through globalization. Accordingly, differentiation strategies are critical in hospital marketing. The quality of medical service oriented toward patient satisfaction becomes a strong strategic weapon to secure a hospital's competitive advantage. Therefore, marketing and communication strategies should be focused on patient-oriented, rather than hospital-oriented. Considering the changes in the hospital environment and the increase in the patients' expectation level, this study categorizes doctors' communication styles into four different ones: trust-type, professional-type, cooperation-type, and control-type. The effects of these communication styles on patient satisfaction were empirically examined. The moderating roles of the patient's characteristics and clinical characteristics between the doctors' communication styles and patient satisfaction were also investigated to find out managerial implications for hospital management. To achieve such goals, data were collected from patients of 12 general hospitals in Busan. The data were analyzed to test research hypotheses that examine 1) the relationships between doctors' communication styles and patient satisfaction, 2) the moderating roles of the patient characteristics and clinical characteristics in the research model, and 3) the impact of patient satisfaction on positive word-of-mouth and repurchase. The following summarizes the major results of this research. First, the data showed that patient satisfaction varied across doctors' communication styles. Trust-type style had the strongest impact on patient satisfaction while control-type style had the weakest influence on patient satisfaction. Professional-type style and cooperation-type style also had positive effects on patient satisfaction but the impact of the two are not statistically different. Second, significant differences in terms of patient satisfaction were found depending upon demographic variables such as gender, marital status, age, occupation, and education. Patient satisfaction, however, was consistent across varying income groups. Third, patients' medical insurance types were also related to patient satisfaction. It implies that a doctor may need to use different communication styles depending on a patient's medical insurance type. Fourth, out-patient and in-patient showed a different level of satisfaction with varying communication styles. Fifth, highly professional knowledge and strong control can influence patient satisfaction depending on the characteristics of the patient treatment field. Sixth, patient satisfaction were proved to have significantly positive effects on word-of-mouth and repurchase. The implications drawn from this study must be tempered by its limitations. First of all, the subjects used in this study were patients in Busan and small- and medium-size hospitals were excluded from the research. Therefore, future research should examine the research model by using a variety of hospitals and clinics throughout Korea. Another research agenda has to do with finding more determinant and moderating variables which will increase an explanatory power of the model. In short, this study may be the first empirical research that investigates the effects of doctors' communication styles on patient satisfaction. Interestingly enough, the results showed that each communication style had a unique impact on patient satisfaction. The findings from this research can be very useful in developing hospital marketing strategies.

• 한국간호교육학회지
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• 제11권1호
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• pp.52-63
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• 2005

Purpose: This study purposed to develop a model of self-regulatory body in nursing (SRBN), which is efficient under the current situation of Korea. Method: The study was conducted in three stages: 1) Analysis of the functions and roles of domestic institutes related to SRBN in their activities 2) literature review and case studies of overseas SRBN; and 3) development of the proposal. Result: Mostly, in foreign countries, SRBN performs the functions of improving the quality of nursing through education, standardization, regulations, researches and activities toward the government and, consequently, enhances the reliability and quality of healthcare services. As a measure against the opening of the domestic medical market to the world in the future, this study proposed a model of SRBN in order to be equipped with functions to protect people and qualities to compete with healthcare services in advanced countries. Conclusion: This study explains the significance of SRBN to nurses and policy makers who do not recognize the necessity of a SRBN, and its results may be utilized as reference materials for the Korean Accreditation Board of Nursing, which is currently playing the role of a SRBN, to perform activities toward the government for expanding, improving and maintaining its roles.