一次醫療 役割 評價를 위한 評價道具에 관한 基礎硏究

李明純 대한보건협회 1986 대한보건연구 Vol.12 No.2

The primary health care service in primary health care center rests major area to resolve the rapidly increasing health care demand and problems of supply in the health care delivery system. Therefore, the strengthening of primary health care role and the evaluation of the program should be needed. In this study, a schematic model for evaluation of primary health care role consisted with 2 phases; 'Assessment' and 'Feed-back' phase, and its measuring instrument was developed and tested for the practical utilization. The measuring instrument was consisted with 47 questions ; 28 of those were requested by health care consumers and 17 were from physician's judgements. For assessing the program, in the first phase of the model, the Primary Health Care Index was calculated, but also the scores classified by five essential elements of primary care such as accessibility, accountability, comprehensiveness, continuity and co-ordination. In feed-back phase, data obtained were recategorized into management variables such as 'Utility and efficiency', Model of primary care', Medical doctor performance', 'Medical record keeping', 'Referral', 'Paraprofessionals' et al, to feed back for improvement of future program. Twelve physicians and 362 registered families from one of primary health care model clinic, the Family Practice Model Clinic of Seoul National University Hospital were selected to examine the reliability and applicability. The following conclusions were obtained; 1. On the test for the measuring instrument 1) The reliability of the instrument, by comparison of the variance value between subgroups by socio-demographic variables, was proven to be significant except on the accountability. 2) On the consistancy between items for each element of primary care, Cronbach' s Alpha showed to be higher as above 0.7, but on accountability and comprehensiveness, the adjustment seemed to be necessary. 2. Using this scheme, the assessment scores of FPMC in SNUH, the scores of the 5 primary care elements were calculated in the range of sixty to eighty points, so it showed that primary health care was adequately served in this model clinic. 3. On analysing by management variables in the FPMC, some problems to be improved for future program was shown by the items with lower score and open questions.

긍정적 또래영향 등 사회영향 대처관련 요인이 청소년 건강위험행태에 미치는 영향

이명순 한국보건사회학회 2003 보건과 사회과학 Vol.14 No.-

GBS(Goal-Based Scenario)에 의한 ‘생태와 환경’ 수업 사례

이명순 한국환경교육학회 2007 環境 敎育 Vol.20 No.3

The solution of the environment problem is the common issue all over the world, for this reason the necessity of the environmental education of school has emphasized. On this a variety method for environmental education is needed, this paper planned and applied the 'ecology & environment' for high school which are based on GBS theory and presented a new model of environment education.GBS(Goal-Based Scenario) is that learners are presented with an end goal that is motivating and challenging. This goal is structured such that, in order to successfully meet it learners are required to build a predetermined core set of skills and knowledge by process mission and scenario.GBS is an active learning environment in which learners are trained in study that have a real-world context. When they are back in real-world they have increased ability to apply what was learned by reflecting on the GBS learning experience.This study was designed on GBS theory and taught a class by using internet Blog. As a result, when carefully reviewing the materials such as final presentation and reflect journal, we conclude that the students' awareness of a learning environment is improved and the students seems to try to apply the learning outcome to a real life. 단계학습 활동장소시간학습 준비- 조 편성, 학습 활동 이해하기- 교과의 단원 및 학습 목표 인지- 블로그 생성 및 활용 안내교실1차시50분학습 준비- 블로그 프로필 작성, 이웃맺기, 자료 스크랩 실습컴퓨터실2차시50분미션제시

유아교육 교수자의 수업 컨설팅 경험에 대한 탐색

이명순 한국영유아교원교육학회 2019 유아교육학논집 Vol.23 No.4

This study explored experiences of instructional consulting and their meaning through the stories of professors who participated in sessions held by ‘C’ university. The participants were 6 professors in the department of early childhood education and the data included classroom videos, consulting-related data, interview transcripts from both before and after consulting sessions. The results of the study showed that the instructors expressed a sense of burden when having to open their classrooms, satisfaction with the opportunity to examine their classes, encouragement and support for their classes, acceptance of consulting suggestions, as well as questioning of the consulting advice they received. These experiences have implications for ability of insturctors to discover and implement learner-centered classrooms via reflection on their classes and efforts to utilize more varied teaching methods. The study found that after the consulting experience, instructors have developed mostly positive perceptions of consulting as a support process for their classes, suggesting a consulting plan suited to early childhood education instructors’ spontaneity and their individual needs. 이 연구는 수업의 질 관리와 교수자의 역량 개발 차원에서 시행된 C대학의 외부 수업 컨설팅에 참여한 교수의 이야기를 통해서 수업 컨설팅의 경험과 의미를 탐색하였다. 연구의 대상은 수업컨설팅에 참여한 6인의 유아교육과 교수이며 연구의 자료는 수업 촬영 동영상, 컨설팅 관련 자료, 컨설팅 전후의 면담 전사 자료이다. 연구 결과, 교수자들은 수업 보여주기의 부담, 수업 점검의 기회, 수업에 대한 격려와 지지, 컨설턴트 제안에 대한 수용과 의문을 경험하는 것으로 나타났다. 이러한 경험의 의미는 수업 성찰을 통한 학습자 중심 수업의 모색과 다양한 교수법 변화를 통한 자신의 수업 찾기의 시작이다. 본 연구에서 시사하는 바는 컨설팅 경험 후, 교수자들은 컨설팅이 수업을 지원하는 과정이라는 긍정적인 인식으로 변화됨으로써 수업 개선을 위한 하나의 도움 체계로 활용할 가능성을 높였다는 점이다. 이후 교수자의 자발성과 개별적 요구에 맞춘 컨설팅 운영 방안이 필요함을 제안하였다.

예방책 채택과정 모형을 활용한 일반시민들의 암 검진 행태조사

이명순 대한가정의학회 2006 Korean Journal of Family Medicine Vol.27 No.1

Using the Precaution Adoption Process Model to Assess Cancer Screening Behavior among Korean AdultsMyoung Soon Lee, M.D., DrPH 연구배경: 암 조기발견을 위해서는 암 검진을 정기적으로 실천하는 것이 중요하다. 우리나라에서는 최근 수년 동안 암 검진 사업을 국가 암 관리 사업의 일환으로 적극적으로 전개하고 있으나, 아직까지 일반시민들의 암 검진 실천율은 높지 않다. 본 연구는 일반 시민들의 암 검진행태에 대한 실천 정도를 측정해서 암 검진 실천율 향상을 위한 기본 자료를 마련하고자 하였다. 방법: 행태변화에 관한 단계이론에 속하는 예방책 채택과정 모형(Precaution Adoption Process Model, PAPM)을 활용해서 암 검진행태를 측정할 조사도구를 개발하였으며, 2개 광역시(인천 및 부산)와 2개 광역지방자치단체(경기 및 경남)에서 기초지방자치단체 수준의 4개 지역을 선정해서 1,057명을 대상으로 설문조사를 실시했다. 조사 참여자들을 특정부위의 암과 상관없이 암 검진을 실천하고자 하는 준비 정도에 따라 6단계로 구분해서, 실천단계별 분포와 최근 2년 내 암 검진 경험에 의한 실천율을 측정하고, 인구사회학적 특성 및 암 관련 상황요인 등에 의한 영향을 측정하였다. 결과: 조사 참여자 열 명 중 세 명 정도는 최근 2년 내에 암 검진을 받은 경험이 있는 반면, 세 명 정도는 암 검진을 들어본 적이 없거나 관심이 없었다. 다른 세 명 정도는 암 검진을 고려 중이었고, 나머지 한 명 정도는 앞으로 암 검진을 받겠다고 하였으며, 암 검진을 받지 않으려는 사람은 적었다(1.5%). 한편, 최근 2년 내 암 검진 실천율은 가족의 암 검진 경험 유무와 성별, 연령, 결혼상태, 지역 및 암 검진비 지원수혜유무 등에 의해 주요 영향을 받는 것으로 나타났다. 결론: 일반 시민들이 암 검진을 실천하기까지는 다른 행태변화와 마찬가지로 여러 단계를 거친다. 암 검진 실천율 향상을 위해서는 암 검진에 관한 실천정도를 측정해서 개인 및 집단수준과 지역사회 특성에 따른 효과적인 개입이 필요하다.

미래 유아교사 양성과정 일원화 방향과 유아교사의 역할과 과제

이명순 한국유아교육·보육복지학회 2015 한국유아교육·보육행정학회 학술발표대회 논문집 Vol.- No.1

성대 결절과 폴립 환자의 음성에 대한 청지각적 및 음향학적 비교

이명순,박희정,정옥란,송달원 한국언어치료학회 2006 한국언어치료학회 학술발표대회 논문집 Vol.2006 No.12

e-PBL에 의한 ‘생태와 환경’ 수업 사례

이명순 한국환경교육학회 2006 環境 敎育 Vol.19 No.2

Nowadays environmental education is getting important. So, it is necessary to teach for students to realize the protection environment. Self-direct homepage was developed for ‘Ecology & environment’ environmental education. This homepage was made for sharing searched data and can be interactive each other on the internet. Therefore, in this study, environmental learning was planned and practiced for high school ‘Ecology & environment’ class by e-PBL. Self-directed learning, collaborative learning and performance assessment are emphasized in the 7th educational curriculum. The PBL is efficient learning model for them. This study designed for a teaching and learning method and strategies using PBL based upon the theories and practices. This study will also develop an e-learning. As a result, it is indicated that the teaching and learning method using PBL has the positive effects on learning that the development of self-directed learning and collaboration learning is observed by reflect journal and presentation of students. e-PBL is a learning model for learning-centered that adapted many school and subject. Therefore e-PBL makes full use of be ‘Ecology & environment’ class and environmental education. 단 계학습 활동장 소시 간학습준비- 조편성, 학습활동 이해하기- 교과의 학습목표 인지- 온라인 커뮤니티 활용안내교실1차시50분문제제시- 새만금 간척사업의 지속 여부와 대책 문제 제시- 모둠에서 문제 해결을 위해 역할을 나누고- 자신의 역할 이해하기 교실2차시50분모둠해결계획- 새만금 간척사업의 영상물 제시- 학습목표 세우기- 문제 해결 계획 세우기- 문제 해결을 위한 개별 역할 정하기교실3차시50분개별해결모색- 개별 역할에 부합하는 학습 계획 세우기- 개별 학습 활동 기록하기- 새만금 간척사업에 대한 정보탐색 및 정보 분석을 통한 조 원 간 정보교환 및 의견교환컴퓨터실4차시50분모둠해결모색- 문제 해결에 대한 초안 작성 및 모둠원간 피드백 - 새만금 간척사업에 대한 모둠원간 수집자료 병합컴퓨터실5차시50분

아동의 부모-자녀 간 의사소통과 학교적응의 관계에서 공감능력과 자아탄력성의 매개효과

이명순,김종운 한국청소년상담복지개발원 2014 청소년상담연구 Vol.22 No.1

본 연구의 목적은 부모-자녀 간 의사소통과 학교적응의 관계에서 공감능력과 자아탄력성의 매개효과를 검증하는 것이었다. 이러한 연구의 목적을 위해 부산광역시의 동부와 서부에 소재한 2개의 초등학교 4, 5, 6학년 402명(남 190, 여 212)에게 부모-자녀 간 의사소통 척도, 학교적응 척도, 공감능력 척도, 자아탄력성 척도를 사용하여 설문을 실시하였다. 측정된 결과는 최대우도추정법(Maximum Likelihood Estimation) 절차를 적용하여 모델의 적합도와 모수치를 추정하였으며, 추정된 모델의 경로계수를 유의수준 .05에서 통계적 유의성을 검증하였으며, Bootstrapping 절차를 사용하여 각 변인별 직․간접효과를 분해하였다. 연구결과, 첫째, 아동의 부모-자녀 간 의사소통은 학교적응에 직접적인 효과가 없었다. 둘째, 아동의 부모-자녀 간 의사소통은 공감능력을 매개로 학교적응에 간접적인 효과가 있었다. 셋째, 아동의 부모-자녀 간 의사소통은 자아탄력성을 매개로 학교적응에 간접적인 효과가 있었다. 넷째, 아동의 부모-자녀 간 의사소통과 학교적응의 관계에서 공감능력과 자아탄력성이 순차적으로 매개역할을 하였다. 이러한 결과를 통해 부모-자녀 간 의사소통과 학교적응의 관계에서 부모-자녀 간 의사소통과 학교적응은 유의한 관계가 있지만 그보다 개인적인 요인인 공감능력과 자아탄력성이 학교적응에 보다 중요한 변인임을 알 수 있다. 따라서 가정에서의 부모-자녀 간 의사소통의 중요성과 함께 부모-자녀 간 의사소통이 역기능적이라 하더라도 아동의 공감능력과 자아탄력성을 길러줄 수 있다면 학교 부적응을 감소시키거나 예방할 수 있다는 것을 예측할 수 있다. The purpose of this study is to determine ways through which parent-child communication affects children's school adjustment, that is, the mediating effects of children's empathy ability and self-resilience between parent-child communication and school adjustment of children. For the purpose, the researchers surveyed 600 students attending at 2 elementary schools located in Busan to determine their communication with parents, school adjustment, empathy ability and self-resilience. Responses from 402 of the subjects were deemed appropriate, and finally analyzed. Specifically, the data were analyzed according to the structural equation model using AMOS 19.0. Findings of the study can be summarized as follows. First, parent-child communication has no direct effect on children's school adjustment. Second, children's empathy ability has direct effects on their school adjustment. Children's keeping relationships with teachers and peers. Third, children's self-resilience has direct effects on their school adjustment, Fourth, parent-child communication has indirect effects on children's school adjustment as it is mediated by children's empathy ability. fifth, parent-child communication is mediated by children's self-resilience to have indirect effects on their school adjustment. In conclusion, this study found that children's empathy ability and self-resilience are directly effective in their school adjustment and that parent-child communication is indirectly influential to children's school adjustment via their empathy ability and self-resilience. Thus, reducing children's problematic behaviors and improving their school adjustment require developing lots of different programs that can help facilitate parent-child communication and raise children's empathy ability and self-resilience.

Causes of Death of Prisoners of War during the Korean War (1950-1953)

이명순,강민정,허선 연세대학교의과대학 2013 Yonsei medical journal Vol.54 No.2

Purpose: This study aimed at analyzing the causes of death of prisoners of war (POWs) during the Korean War (1950-1953) who fought for the Communist side (North Korea and the People’s Republic of China). In 1998, the United States Department of Defense released new information about the prisoners including, 7,614 deaths of the POW during the Korean War. The data on the causes of death of the POWs during the Korean War provides valuable information on the both the public health and history of the conflict. Materials and Methods: To analyze the causes of death of the POWs, we classified the clinical diagnosis and findings on 7,614 deaths into 22 chapters, as outlined in the International Statistical Classification of Diseases and Related Health Problems-10th Revision (ICD-10). Second, we traced changes in the monthly death totals of POWs as well as deaths caused by common infectious diseases and external causes of death including injury over time from August 1950 to September 1953. Results: The most common category of causes of deaths of POWs was infectious disease, 5,013 (65.8%) out of 7,614 deaths, followed by external causes including injury, 817 (10.7%). Overall, tuberculosis and dysentery/diarrhea were the most common causes of death. Deaths caused by acute and chronic infection, or external causes showed different patterns of increases and decline over time during the Korean War. Conclusion: The information and data on POWs’ deaths during the Korean War reflects the critical impact of the POWs’ living conditions and the effect of public health measures implemented in POW camps during the war.