http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Public Acceptance of a Health Information Exchange in Korea
박하영,박종손,이혜린,김수민 대한의료정보학회 2018 Healthcare Informatics Research Vol.24 No.4
Objectives: We assessed the public acceptance of a health information exchange (HIE) and examined factors that influenced the acceptance and associations among constructs of the Technology Acceptance Model (TAM). Methods: We collected data from a survey of 1,000 individuals in Korea, which was administered through a structured questionnaire. We assessed the validity and reliability of the survey instrument with exploratory factor analysis and Cronbach’s alpha coefficients. We computed descriptive statistics to assess the acceptance and performed regression analyses with a structural equation model to estimate the magnitude and significance of influences among constructs of TAM. Results: Eighty-seven percent of the respondents were willing to use the technology, and the average level of agreement with the need for the technology was 4.16 on a 5-point Likert scale. The perception of ease of use of the technology significantly influenced perceptions of usefulness and attitudes about the need for HIE. Perceptions of usefulness influenced attitude and behavioral intention to use HIE, and attitude influenced intention. Age showed a wide range of influences throughout the model, and experience with offline-based information exchange and health status also showed noteworthy influences. Conclusions: The public acceptance of HIE was high, and influences posited by TAM were mostly confirmed by the study results. The study findings indicated a need for an education and communication strategy tailored by population age, health status, and prior experience with offline-based exchange to gain public buy-in for a successful introduction of the technology.
한 도시 대학병원 자료를 이용한 입원환자의 의료서비스 이용량 변이에 관한 연구
박하영,신의철,맹광호,Park, Ha-Young,Shin, Eui-Chul,Meng, Kwang-Ho 대한예방의학회 1990 Journal of Preventive Medicine and Public Health Vol.23 No.4
The variation in resource utilization for hospitalized patients who had a group of similar diseases -- a Korean Diagnosis Related Group (KDRG) -- among the same type of hospitals was studied to assess the utillization variation due to the practice pattern of hospitals. Information about inpatients who were beneficiaries of the medical insurance for teachers and government officials discharged from 20 large university teaching hospitals in Seoul during 1986 and information about the hospitals were analyzed to achieve the study objective. A total of 20,223 non-outlier patients in 100 most frequent KDRGs were included in the analysis. Case charges after the review and length of stay (LOS) were used as measures of resource utilization during a hospitalization. A substantial variation among hospitals was found in most KDRGs : o the ratio of the maximum and the minimum among the mean case charges of hospitals was greater than 2 in 83 KDRGs ; o the difference between the maximum and the minimum among the mean case charges of hospitals was greater than 100,000 Won in 94 KDRGs : o the ratio of the maximum and the minimum among the mom LOS of hospitals was greater than 2 in 82 KDRGs ; o the difference between the maximum and the minimum among the mean LOS of hospitals was greater than 3 days in 94 KDRGs. The practice pattern of hospitals explained more than 20% of charge variation in 49 KDRGs and more than 20% of LOS variation in 43 KDRGs. The study results indicated need for a new health policy initiative for cost containment and quality assurance.
난임 여성의 삶의 질 향상을 위한 ACT 집단상담 프로그램의 구성 및 효과
박하영,주영아 인지발달중재학회 2019 인지발달중재학회지 Vol.10 No.1
The purpose of this study is to establish an ACT group counseling program for the improvement of the quality of life of women with infertility and those with subfertility and to validate its effects. I designed this program to improve the women’s quality of life by identifying their characteristics and organizing ACT's main treatment mechanisms (acceptance, decentering [cognitive defusion], and a value-centered life). The participants were women with infertility between 30 and 50 years of age who had been married over a year but had never had a child. A total of 21 participants were selected; 11 were randomly assigned to the experimental group and 10 to the control group. For the experimental group, the ACT program was performed once a week for 150 minutes for 8 weeks. The experimental group and control group participated in pre-post questionnaires to analyze the program’s effects. The Fertility Problem Inventory (FPI), Experience Questionnaire (EQ), and Fertility Quality of Life Questionnaire (FertiQoL) were used as research tools. To analyze effect validation, I used covariance analysis (ANCOVA), where the pre-score was the covariate variable, in order to control the influence of the pre-score on post-mortem, and analyzed the content of the activities and experience reports by period. The results of this study were as follows: FPI, EQ, and FertiQoL were significantly influenced in the experimental group, and this program has proven to be effective in improving the quality of life of women with infertility. In addition, we also reported on the experience of helping to shape the spouse’s self-awareness and acceptance through the change of perception in the sub-domain of the quality of life, and consequently to develop intimacy in the couple. 본 연구에서는 난임 여성의 삶의 질 향상을 위한 ACT(Acceptance Commitment Therapy: ACT, 수용전념치료) 집단상담 프로그램을 구성하고 그 효과를 검증하고자 하였다. 이를 위해 난임 여성의 특성을 파악하고 ACT의 핵심치료 기제인 수용과 탈중심화, 가치 중심의 삶 등을 구성하여 난임 여성의 삶의 질을 향상시키도록 프로그램을 구성하였다. 자녀 출산의 경험이 없는 난임 여성으로 총 21명을 선별하여 실험집단 11명과 통제집단 10명을 무선 배정하였으며, 실험집단은 매주 1회 150분씩 8주간 ACT 프로그램을 실시하였다. 실험집단과 통제집단은 프로그램 효과 분석을 위한 사전-사후 설문 작성에 참여하였으며, 연구도구로는 난임 스트레스, 탈중심화, 난임 관련 삶의 질 척도를 사용하였다. 효과 검증을 위한 자료 분석으로는 사전 점수가 사후에 미치는 영향을 통제할 수 있도록 사전 점수를 공변인으로 하는 공분산분석(ANCOVA)을 실시하였다. 프로그램 적용 결과, 난임 여성의 난임 스트레스, 탈중심화, 난임 관련 삶의 질에서 유의미하게 효과가 나타나 본 프로그램이 난임 여성의 삶의 질 향상에 효과가 있음을 검증하였다.