• 제목/요약/키워드: system of chief

검색결과 304건 처리시간 0.027초

3차진료기관 외래약국 투약대기시간에 영향을 주는 요인 (Factors Affecting Patient Waiting Times at the Outpatient Pharmacy Department in a Tertiary Care Hospital)

  • 박하영;한옥연;나현오
    • 한국의료질향상학회지
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    • 제1권2호
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    • pp.60-72
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    • 1994
  • Background: The number of outpatients visiting large university teaching hospitals has increased drastically with the introduction of a nationwide health care insurance in 1989 and the improvement of the socio-economic status of the population. This resulted in long waiting times for services, particularly prescribed drugs, which have been patients' chief complaints. Hospitals have tried to solve the problem with limited success because their approach lacked comprehensive research. The objective of this study is to investigate associations between waiting times and variables defining a total work system. Methods: Data for the outpatient pharmacy department in a tertiary care university teaching hospital located in Seoul was analyzed to achieve the study objective. Associations of pharmacy system variables -- work load, work force, pharmacist work schedule, machine problems, and inventory control -- with mean and 99th percentile of waiting times were examined by the hierarchical stepwise regression method. Day was a unit of the analyses. Results: The regression models explained 65.8% of variance in the mean waiting time and 61.34% in the 99th percentile of waiting times. The break-down of the printer for drug envelops, Automatic Tablet Counters (ATCs), and main computer system lasted longer than 30 minutes increased the mean for 7.7 minutes, 4.5 minutes, and 7.0 minutes, respectively, and the 99th percentile for 14.8 minutes, 9.0 minutes, and 15.7 minutes, respectively. Concerning the work force, study results showed that there were significant differences in the productivity of pharmacists with work experience more than three years, one to three years, and less than one year, and showed that peak time aid work by pharmacists at job assignments other than the outpatient pharmacy, part-time pharmacists, and the installation of ATCs were effective in reducing waiting times, Finally, study findings indicated that the operational policy of work assignment and rotation schedule, supply and inventory of drugs at work tables, and readiness for undisrupted work during the work hours could have a significant effect on waiting times. Conclusion: The study results indicated that efforts to reduce waiting times for prescribed drugs should be geared toward every components of the pharmacy work system ranging from work schedule of pharmacists and supply of dugs at work tables. These findings should provide hospital managers with right directions in battling the problem.

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전면벽체 강성에 따른 쏘일네일링 벽체의 거동특성에 관한 실험적 고찰 (An Experimental Study of the Soil Nailed Wall Behavior with Front Plate Rigidity)

  • Kim, Hong-Taek;Kang, In-Kyu;Kwon, Young-Ho;Park, Si-Sam;Cho, Yong-Hoon
    • 한국지반공학회논문집
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    • 제18권3호
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    • pp.87-94
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    • 2002
  • 최근 들어 국내에서는 경제적이고 효율적인 지하굴착공법으로 쏘일네일링 벽체와 지하구조물 외벽을 합벽처리하는 사례가 많아지고 있으며, 이같은 지하외벽 일체식 쏘일네일링 공법은 기존의 지보공법과 비교해 볼 때 굴착면적을 최소화하고 시공성을 개선할 수 있는 특징 이 있다. 또한 지하외벽 일체식 쏘일네일링 공법은 지하외벽의 단면 축소와 지하수에 의한 양압력의 영향에도 대처할 수 있는 장점이 있으나 아직까지는 이에 대한 연구가 미흡하여 보수적으로 설계되고 있는 실정이다. 이를 위해 본 연구에서는 실내모형실험을 통해 전면벽체의 강성에 따른 쏘일네일링 보강토체의 거동 및 네일의 두부에 작용하는 인발력을 분석하여 전면벽체의 강성에 따른 쏘일네일링 벽체의 파괴유형을 규명하고 사용상태 및 한계상태에서의 변위양상 및 네일 두부에서의 인장력 분포를 분석하였다. 또한 전면판의 강성이 쏘일네일링 벽테의 전체 안정성에 미치는 영향을 분석하였으며, 향후 전면벽체의 강성에 따른 지반-네일의 상호작용에 대한 모델개발에 필요한 기초적인 자료를 제공하고자 한다.

한국중재의 영역확대 방안에 관한연구 (A Study on the Expansion of Arbitration's Area of Coverage in Korea)

  • 김석철
    • 한국중재학회지:중재연구
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    • 제20권3호
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    • pp.47-69
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    • 2010
  • From the review of Korean arbitration systems with the comparison of those of other countries, we can summarize some issues to be tackled as follows: First, Korean arbitration system started with the purpose of export promotion. This may be the main reason that various domestic disputes have not been resolved by arbitration. Second, the Korean Arbitration Law applies to private disputes. The Law's arbitration scope is wider than that of China and France, but narrower than that of the U.S.A. that encompasses a variety of disputes in the filed of consumer, labor, medical services, patents, etc. Third, active judges or public officials in Korea can not be arbitrator and there is no arbitration court. However, if chief judge allows the necessity, court's judges in the UK can be arbitrator with the mutual agreement of the parties and also arbitration system is operated in the court. Fourth, the Korean Commercial Arbitration Board(KCAB), the only representative institution for arbitration in Korea, is under the Ministry of Knowledge Economy(MKE). This makes it difficult for the KCAB to handle other disputes related to the Ministry of Health and Welfare, the Ministry of Strategy and Finance, the Ministry for Food, Agriculture, Forestry and Fisheries, the Ministry of Employment and Labor, etc. Fifth, as mentioned, the KCAB is the unique institution for arbitration by the Law in Korea, while other countries allow have a diversity of arbitration agencies such as maritime arbitration organization, consumer arbitration institution, arbitration court, etc. Therefore, we suggest some ideas to expand the arbitration's area of coverage in Korea as follows: First, there should be more active policies that promote various domestic disputes to be settled by the arbitration system. Second, it is quite needed to expand the scope of arbitration to cover many disputes in the fields of consumer, labor, medical service, advertising, fair trade, etc. Third, there should be discussions to allow court judges as arbitrator and to introduce the arbitration court. Fourth, the KCAB should strengthen its status and roles as general arbitration organization to overcome the limited scope of commercial disputes. For this, there should be the strong support and coordination among the MKE and other government agencies. Fifth, to reduce the burden of the court's complicated and expensive procedures, more efficient disputes resolution systems should be established on the basis of the parties' free will. Each central government agency should streamline the legal barriers to allow industrial organizations under its control to establish their own or joint arbitration system with the KCAB.

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서비스산업의 경영자 보상차이와 회계정보의 신뢰성 (A CEO Pay Slice and the Reliability of Accounting Information on Service Industry)

  • 안상봉;지상현;윤기창
    • 산경연구논집
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    • 제10권5호
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    • pp.77-86
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    • 2019
  • Purpose - The present study examined the reliability of accounting information based on the pay slice (CPS) information of chief executive officers (CEOs) in the service industry. The difference in the size of CPS under the capitalist system can be used as an index to gauge the influence of top management. Research design, data, and methodology - In accordance with the amendment of the Financial Investment Services and Capital Market Act in 2013, the pay information of individual registered executives with annual salary of more than 500 million won has been disclosed. The sample of the current study is 232 companies listed on the Korea Exchange excluding financial services from 2013 to 2015, when the individual pay-slice information for registration officers was published in the business report in accordance with the revision of the Capital Market Act. The financial data required for this study were extracted from the FnGuide and the TS-2000. With the data, we tested the relationship between CPS and accounting information reliability through a linear regression analysis. Results - The first result showed that the relationship between the CPS and human resource in internal accounting control system in the service industry is significantly negative only with the accounting department personnel. This result implied that the CEO can negatively affect the retention of the accounting department in the firm. Second, both the CPS and quality of audit in the service industry are negatively related both to audit fees and to audit time. Nonetheless, the relationship between the number of the auditor and the CPS is insignificant. This result indicated that the CEO can negatively affect audit fees and audit time of external auditors. The results of the present study suggested that CPS information may have a negative impact on the reliability of accounting information. Conclusion - This study is the first study to examine the reliability of CPS and accounting information for the service industry in terms of human resources in internal accounting control system and audit quality. Therefore, the present study is expected to provide some useful information to economic decision-making of various external parties for service firms.

준해양사고 통보서식 및 절차 개정에 관한 연구 (A Study on the Revision of the Notification Form and Procedures of Marine Incident)

  • 강석용
    • 해양환경안전학회지
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    • 제26권1호
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    • pp.39-46
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    • 2020
  • 사고는 사후조치보다 사전예방이 더 중요하며 이는 하인리히의 법칙을 그 이론적 배경으로 들 수 있다. 준해양사고제도는 유사사고를 사전에 방지할 수 있는 매우 의미 있는 제도로 국제해양사고조사코드(CI Code)의 발효에 따라 우리나라에서는 2010년에 도입되어 오늘에 이르고 있다. 이에 선박소유자나 선박운항자는 준해양사고 발생 시 지정된 통보서식에 따라 중앙수석조사관에게 통보하도록 되어있으나 아직까지 자발적인 통보건수는 미미한 실정이다. 이에 본 연구에서는 이러한 문제의 한 원인으로 현재 준해양사고제도의 통보절차와 통보서식이 미흡하다는 점에 주목하여 이를 심층적으로 분석하여 개선방향을 제시하고자 한다. 이를 위하여 관련규정, 영국과 싱가포르 등 선진해운국의 사례, 항공 및 철도 등 국내 유사교통기관의 사례와 국내 주요 해운선사의 준해양사고 통보절차 및 통보서식을 분석하였고, 이를 바탕으로 개선방향을 제안하였다. 통보절차의 주요개선방안에는 준해양사고의 자율보고로의 전환, 보고주체의 확대, 통보자의 신분보장의 명기 등이 포함되며, 통보서식 개정의 주요내용은 통보라는 용어대신 보고라는 용어의 사용, 통보서식에 신분보장의 대한 내용 반영, 선택형 기입항목의 확대를 통한 통계적 가치 증대 등이 포함된다.

2005년 CIETAC 중재규칙 개정과 중국 중재법상의 문제점 개선 (The 2005 Revision of the CIETAC Arbitration Rule and Improvement of the Problems Related to Chinese Arbitration Law)

  • 윤진기
    • 한국중재학회지:중재연구
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    • 제16권3호
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    • pp.91-125
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    • 2006
  • The arbitration rule of CIETAC was vastly revised and was put in force on May 1, 2005. By its revision, China has improved its arbitration system. Chinese arbitration law had many problems when it was enacted in 1995, but the problems could not be avoided because of the poor surroundings for arbitration in China. As China has not had much experience in operating its legal system effectively, and also has little in the way of studies on legal theory that would allow it to deal with its laws in a flexible manner, authorities usually wait to revise a law until enough relevant experience has been accumulated. Therefore, during the 10 years since its enactment, China has resolved the problems within its arbitration law through revision of arbitration rule rather than by revision of the law itself. As this law is a basic one in ruling the arbitration system in China, there are some limitations as to how far the system can be developed through revision of arbitration rule alone. In spite of the limitations, the revision in 2005 contributed a great deal to resolving the existing problems within Chinese arbitration law. The biggest problem in the arbitration law is the Chinese arbitration law that restricts party autonomy. With the revision of the arbitration rule, many problems concerning party autonomy were circumvented. This occurred because the arbitration rule now provides parties the opportunity to choose arbitration rule other than the CIETAC arbitration rule, and even allows parties to agree to amend articles in the CIETAC arbitration rule -- a very important revision indeed. In addition to party autonomy, there are other improvements for example, there is an enhancement of the independent character of the CIETAC, clearing of jurisdiction, easing in the formation of arbitration agreement, improvement in the way arbitrators are chosen, and enhancement in the cultural neutrality of the arbiter. Problems still remain that can only be solved by revision of the arbitration law itself. These problems relate to the governing law of the arbitration agreement, the collection of evidence, custody of property, selection of chief arbiter, interlocutory awards, etc. In addition, some non-legal problems must also be resolved, like the actual judicial review of arbitration awards or difficulties of executing arbitration awards.

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충청북도 전문계 고등학교 운영 활성화 방안 연구 (A Study on the Operation Activation for Specialized High Schools in Chungcheongbuk-do)

  • 이상혁;지순덕
    • 대한공업교육학회지
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    • 제32권2호
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    • pp.47-68
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    • 2007
  • 이 연구는 충청북도 내 전문계 고등학교의 제반 문제점을 파악하고 도내 기업체의 요구 사항을 반영하여 전문계 고등학교 운영 활성화 방안을 제시하는 데 목적이 있다. 도내 32개 전문계 고등학교 실과부장과 학과장을 대상으로 전문계 고등학교 학과 특성화 추진, 교사 교육, 교육과정 개편, 진로 지도 강화 방안 등에 대하여 설문지 조사를 실시하여 분석하였다. 또한, 충청북도 내 산업체의 인력 수요, 산업체에서 요구하는 직업 능력 조사를 위하여 중소기업을 대상으로 설문 조사를 하여 분석하였다.이 연구를 통하여 충청북도 전문계 고등학교 운영 활성화 방안을 다음과 같이 제시한다. 첫째, 산업체의 요구에 따라 전문계 고등학교 교육은 외국어 기초 능력과 컴퓨터 활용 능력에 더욱 치중하여 교육해야 한다. 둘째, 인근 산업체와 맞춤형 교육과정 운영을 더욱 확대 실시하여 취업률을 향상시켜야한다. 셋째, 전문계 고등학교 졸업생 중 80% 이상이 2년제와 4년제 대학에 진학할 경우 전문계 고등학교를 일반계 고등학교로 개편 운영하는 방안을 고려해야 한다. 네째, 오송 의료 단지와 오창 IT 공업 단지의 확장에 대비하여 BT, IT 관련 산업체에서 일할 수 있는 기초 지식을 갖출 수 있는 학과로 개편 운영해야 한다. 다섯째, 산업체 직원을 초빙 교사로 활용하고 학교장에게 교육과정 운영의 자율권을 주어야 한다. 여섯째, 공립학교 5년제 교사 순환 근무제를 전문계 고등학교 특성화학과에서는 10년 이상 근무로 바꾸어 그 학교의 주인 의식을 갖도록 해야 한다.

지식경영을 활용한 기업인수 후 합병후 통합(PMI) : 한일은행과 상업은행의 합병 사례를 중심으로 (PMI Using Knowledge Management Viewed from Merger of Hanil Bank and Commercial Bank of Korea)

  • 제갈정웅;최도성
    • 지식경영연구
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    • 제9권1호
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    • pp.97-116
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    • 2008
  • The purpose of this study lies in examining how knowledge management was applied to PMI(Post Merger Integration) in bank merger. Individuals and organizations in Korea have experienced a lot of changes since the 1997 foreign exchange crisis. In such a situation, individuals came to think the only thing to rely on was personal knowledge. Since organizations had to lay off workers in order of their birth year, not based on whether or not individuals had the knowledge necessary for the organizations, they needed to have such a system that could use their explicit knowledge and even outside knowledge or customers' knowledge as IT developed by changing individuals' tacit knowledge into explicit knowledge as needed in order to continue to maintain their competitiveness and for their own development. Thus, each firm started to pitch for the introduction of knowledge management. Individuals started to store their own experience and knowledge in their homepages or blogs. It was Woori Bank, the merged bank of Hanil Bank and Commercial Bank of Korea, that introduced the knowledge management system and Shared Service Center, in which knowledge creation is available, for the first time in the banking business. Its previous name was Hanbit Bank. Hanbit Bank wanted to construct an advanced bank system, bringing in their chief information officer(CIO) from a foreign bank and introducing an IT software used in Spanish banks to adjust all banking processes to it. However, they could not help giving up the plan in the middle of the road since there was a great difference between Spain and Korea in the financial system and more than 30% of software package had to be changed. In this situation, PMI was delayed, and customer inconvenience continued, which made the integration of organizational cultures slow down. As a breakthrough in this situation, knowledge management was introduced. To integrate knowledge of two organizations in the process of PMI is an important job for all merger candidates. This study aims at presenting the successful results from using knowledge management as a means to PMI ahead of other financial institutions so they can apply them to their organizations. PMI was not achieved properly after the two banks had been merged as Hanbit, but entering the era of Woori Bank, workers were integrated under one standard organization following the organizational and knowledge integration, and knowledge management was introduced for an efficient sharing of knowledge among members. A great number of mergers have occurred up to now, but Woori Bank is the first case that used knowledge management as a means to both PMI and competitiveness enhancement. Probably it was an appropriate time when Woori Bank introduced knowledge management as it was organized. Since Hanil Bank and Commercial Bank of Korea had not introduced knowledge management until then, it could use knowledge management as a means to PMI. Using knowledge management, it could create a new organizational culture and increase competitiveness in the banking industry.

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전신 원적외선 조사요법(온통요법(溫通療法))의 치료 효과에 대한 적외선 체열 분포와 심박변이도 검사 분석 (Analysis of DITI, HRV about the Effect of Far Infrared Radiation Applied to Whole Body('On-tong Therapy'))

  • 김민영;안지윤;최석영;황덕상;이진무;장준복;이경섭;이창훈
    • 대한한방부인과학회지
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    • 제26권4호
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    • pp.94-106
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    • 2013
  • Objectives: The purpose of this study is to find the effect of Far Infrared Radiation (FIR) about improvement of chief complaints and health state. Methods: For this study we evaluated thermographic images, heart rate variability (HRV), visual analogue scale (VAS) score of 34 patients with various diseases. Tests were done two times, before and after treatments and we compared the test results. We used the temperature difference between CV12 and CV4, both sides of PC8, LR3 for recognizing improvement of blood circulation. We analyzed the change of complexity, stability of autonomic nervous system (ANS) by HRV test. The patients were asked to fill out questionnaire about the severity of symptoms by VAS score. Analyses were undertaken using SPSS ver.12.0.1 and p-value of < 0.05 was considered significant. Results: Statistical analysis shows that Far Infrared Radiation (FIR) had significant efficiency in increasing surface temperature and reducing VAS pain scores. In heart rate variability (HRV) test, LF/HF ratio showed tends to improve. Conclusions: The application of an FIR to whole body appears to alleviate various complaints of patients.

교통사고 환자 544례를 통한 한방자동차보험의 실태에 관한 조사 (Survey of Oriental Medical Care for Traffic Accident Patients with Automobile insurance; 544 Cases Report)

  • 박서영;이윤규;김재수;임성철;이봉효;정태영;하일도;한상원;이경민
    • Journal of Acupuncture Research
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    • 제26권3호
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    • pp.1-10
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    • 2009
  • Objectives : The main purpose of this Survey is to make a research on the actual condition of Automobile insurance system in oriental medical care. Methods : In this research, we surveyed 544 patients of traffic accident who were visited oriental medical clinic or hospital in Daegu, Korea from January, 1, 2008 to December, 31, 2008 according to medical chart. They made up Questionnaire about sex, age, pattern of accidents, days to visit oriental medical clinic, motivation to visiting clinic, damaged part of the body, chief complaint, treatment given to them, medication, tests, days of treatment and the effect. Results : The patients visited oriental medical clinic or hospital were fewer numbers from most of traffic accident patients. And most of their symptoms were light and the treatment and test of oriental medicine was limited for them because of automobile insurance limitation. Conclusions : For this study, we confirmed a possibility for the treatment of traffic accident patients in oriental medical treatment. Still, we needs to expend the boundary of treatment and to come into application of insurance.

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