금주행위 변화단계별 변화과정, 의사결정 균형 및 자기효능감의 관계

황춘옥,최봉실 알코올과 건강행동학회 2020 알코올과 건강행동연구 Vol.21 No.1

Objective: This study aimed to identify the relationships between processes of change, decisional balance and self-efficacy by stages of change in abstinence behavior among users of community addiction management centers in Korea. Based on the findings, it also aimed to provide basic data to develop effective recovery support programs for community addiction management centers and establish addiction prevention policies. Methods: The subjects of this study are 141 users aged 20 or older who are registered under the Community Addiction Management Center of S-gu in G City. Data were collected using self-report surveys on stages of change, processes of change, decisional balance and self-efficacy for alcohol abstinence. The collected data were analyzed using SPSS/WIN 23.0. Results: In terms of the distribution of stages of change in abstinence, 57.5% fell under the maintenance stage, and the processes of change by stages of change showed that those in the maintenance stage had higher scores than those in the precontemplation stage. The scores of cognitive processes were higher at the beginning stages, and the scores of behavioral processes were higher at later stages. The decisional balance of alcohol abstinence showed high levels of awareness of the damages from drinking, and there were significant differences in abstinence self-efficacy by stages of change. Positive correlations were found between stages of change and self-efficacy. For processes of change of alcohol abstinence, the cognitive processes showed positive correlations with the behavioral processes and the decisional balance loss factor, and the behavioral processes had positive correlations with the decisional balance loss factor. In terms of the decisional balance, the benefit factor had negative correlations with self-efficacy. Conclusion: It is necessary to establish strategies on processes of change by considering stages of change in abstinence by users, and develop local community-based alcoholic intervention programs that emphasize the harmfulness of drinking and reinforce self-efficacy. Furthermore, there should be political support to develop such programs and strategies.

두피모발건강증진행위 변화단계에 변화과정, 의사결정균형, 자기효능감이 미치는 영향 -범이론적 모형(Transtheoretical Model)적용-

정인심 ( In Sim Jeong ),박길순 ( Kil Soon Park ) 한국미용학회 2014 한국미용학회지 Vol.20 No.5

The purpose of this study was to apply a transtheoretical model, to analyze factors affecting stages of change in scalp and hair health practice of modern people, and to examine stages of change. Adult males and females in their 20s through 50s were divided into Seoul and Gyeonggi, Chungnam and Daejeon, and Busan regions for a total of 600 subjects. Analysis methods included frequency analysis, factor analysis, and logistic regression analysis. The results of this study were as follows: First, looking into the effect of changing process, decisional balance and self-efficacy in scalp and hair health practice on stages of change in scalp and hair health practice, and factors of changing process that affected stages of change were enhancement of consciousness in the cognitive process, environmental reassessment, self reassessment and social liberation. Second, stimulus control in behavioral process had statistically significant effect on planning stage, action stage and maintenance stage, and self liberation had statistically significant effect on planning stage and preparation stage. Third, in the relationship between changing process and decisional balance, enhancement of consciousness, self reassessment, environmental reassessment, social liberation and self liberation showed statistically significant effect on gain factor of decisional balance. Fourth, Dramatic relaxation, helping relationship and stimulus control had statistically significant effect on obstacle of decisional balance. Also for the relationship between changing process and self-efficacy, dramatic relaxation, self reassessment, environmental reassessment, counterconditioning, helping relationship and stimulus control were found to affect self-efficacy. Therefore, as higher gain factor of decisional balance and self-efficacy are affected by stages of change in scalp and hair health practice, changing process was found to have direct or indirecct effect on stages of change.

사티어 변형체계치료를 경험한 내담자의 변화과정 연구

고영수 한국가족치료학회 2015 가족과 가족치료 Vol.23 No.1

Objectives: This study focuses on the change process of clients who have experienced the Satir transformational systemic therapy. The purpose of this study is to trace the clients' change process and to understand the content and structure of each stage of change with focus on intrapsychic change. Methods: The study used a qualitative methodology. Data collection was done through in-depth interviews on 12 clients who have experienced the Satir transformational systemic therapy. Collected data was qualitatively analyzed using the grounded theory. Results: The process of change is comprised of 7 stages: first, a stagnant state; second, reflection on “I”; third, recognition of “I” influenced by the past; fourth, reconciliation with “I”; fifth, restoration of “self”; sixth, expansion of “I”; and seventh, a new state of homeostasis. Such process of change normally moves in a cycle, repeats, and accumulates while progressing to a new state of homeostasis. In this process, negative emotions, perceptual system, and expectations all influence each other, ultimately fulfilling our desires. Then, there is a change in "self," i.e., a transformation. Third, the change in the participants is the experience of an entire iceberg and occurs systematically in all parts of the iceberg. Fourth, an individual change takes precedence over a change of system. In the individual change, intrapsycgic change occurs first and the behavior pattern on different situations change afterwards. Conclusions: The study is significant as it shows the clients' change process stage by stage and displays each stage's intrapsychic contents and their structures in detail, which would help family therpiasts in making professional interventions. 본 연구는 사티어 변형체계치료 방법론을 경험한 내담자의 변화과정에 대한 연구로서 심리내적 변화에 초점을 맞춘 과정연구이다. 이러한 과정을 탐색하기 위하여 본 연구는 질적연구 방법론을 사용하였다. 본 연구의 자료 수집을 위하여 사티어 변형체계치료를 경험한 12명의 내담자를 심층면접하여 원 자료를 생성하였다. 수집된 자료는 근거이론을 활용한 질적 분석과정을 거쳤다. 본 연구의 목적은 내담자들이 경험한 변화과정을 추적하고, 내담자의 총체적 변화과정 중 심리내적 변화에 초점을 맞추어 각 단계의 변화 내용과 구조를 알아보는 데에 있다. 본 연구 결과를 요약하면 다음과 같다. 첫째, 변화의 과정은 7단계로, 1. 정체 상태, 2. ‘나(I)’를 돌아보기, 3. 과거의 영향을 받고 있는 ‘나(I)’를 자각하기, 4 ‘나(I)’와 화해하기, 5. ‘자기(self)’를 회복하기, 6. ‘나(I)’를 확장하기, 7. 새로운 항상성 상태로 나눌 수 있다. 이 과정이 순환, 반복, 축적되면서 변화가 이루어진다. 둘째, 이러한 변화과정은 순환, 반복, 축적되면서 새로운 항상성으로 나아가는데 이 과정에서 부정적인 감정과 지각체계, 기대가 서로 영향을 주면서 변화하여 궁극적으로는 열망이 채워지고 ‘자기(self)’ 차원의 변화 즉 변형(transformation)이 일어남을 볼 수 있다. 셋째, 연구 참여자들의 변화는 빙산 전체의 경험으로서 빙산의 모든 부분에서 체계적으로 이루어진다. 넷째, 체계의 변화 이전에 개인의 변화가 우선되는데, 개인의 변화는 심리내면이 먼저 변화하고 이후 상황에 대한 행동방식이 변화됨을 알 수 있다. 본 연구는 내담자의 변화과정을 단계별로 보여주고, 각 단계의 심리내적 내용과 구조를 보다 구체적으로 보여줌으로써 가족치료 임상가들의 전문적인 개입에 활용될 수 있다는 점에서 그 의의가 있다.

협업 프로세스의 독립적 변경 보장 규칙 개발

김애경,정재윤 대한산업공학회 2012 산업공학 Vol.25 No.1

Traditional business process management systems provide verification tools of process models to deploy and automate the models. However, there are not so many studies on how to maintain systematically collaborative process models such as supply chain processes when companies are willing to change and update the collaborative process models. In this paper, we analyze change patterns of collaborative processes and declare 19 change patterns. In addition, we apply the change patterns to the process interoperability patterns in order to identify the change problems in case of independent process changes of collaborative processes. As a result, we devise an independency checking algorithm of process changes in collaborative processes.

노인들의 연령 및 운동변화단계에 따른 운동행동변화과정 분석

남궁완(Gung Wan Nam) 한국사회체육학회 2010 한국사회체육학회지 Vol.0 No.41

This study is carried out to find out difference in process of change for exercise behavior according to the age and stages of exercise change for old people who are over 65 and subordinate factors of process of change for exercise behavior which are able to distinguish stages of exercise change most. To achieve these objects, we gathered 149 old people and carried out confirmatory factor analysis, verification of reliability, 1-way MANOVA discriminant analysis with standard. As a result, process of change for exercise behavior turned out as four one-dimensional models. We verified the difference in process of change for exercise behavior according to the age with this result as a standard, a group (from 71 to 75 year-old) showed better state in cognitive process as a , self-reevaluation as a one-dimensional variable, and dramatic relief in way of thinking than other groups. Also, two groups of Action stages showed better state in cognitive and behavioral process as a other groups when we verified the difference in process of change for exercise behavior according to stages of exercise change. A group which is in Action stages (around 6 months after starting exercise) and Preparation stage(starting in 1 month) shows better state in all four one-dimensional subordinate factors than other groups which is the lowest proportion in exercising (no plan or starting within 6 months). Lastly, Stimulus control (46%), Helping relationship(92%), and self-reevaluation (4%) are turned out in order as a cause that distinguishes stages of exercise change when we prove the subordinate factors of process of change for exercise behavior which distinguish stages of exercise change most.

장애인의 생활환경과 운동행동변화과정의 관계

오아라 ( Ah Ra Oh ) 한국특수체육학회 2014 한국특수체육학회지 Vol.22 No.1

본 연구는 장애인들을 대상으로 운동행동 변화단계 에 환경이 어떠한 영향을 미치는지 규명하는 것에 그 목적이 있다. 장애인을 운동행동 참여단계별로 각 100명씩 총 500명을 목적표집 하였다. 설문조사는 일반적 특성, 생활환경, 운동행동 변화단계, 운동행동 변화과정을 묻는 문항으로 총 28문항을 조사하였다. 자료 분석은 측정도구의 타당성을 검증하기 위해 탐색적 요인분석과 확인적 요인분석을 실시하였다. 또한 신뢰도 검증을 위하여 Cronbach`s α를 검증하였다. 연구의 문제를 검증하기 위한 방법으로는 교차분석, 독립-t검증과 일원변량분석을 실시하였고 중다회귀분석을 실시하였다. 본 연구의 가설검증의 통계적 유의수준은 α=.05로 설정하였다. 이에 따른 결과는 다음과 같다. 첫째, 장애분류에 따른 운동행동 변화단계에서는 지체장애는 계획 전 단계, 시각장애는 준비단계, 청각장애는 행동 단계, 지적장애는 계획단계, 정서장애와 뇌병변은 유지단계, 기타장애는 계획 전 단계가 가장 많은 것으로 나타났다. 둘째, 생활환경에 따른 운동행동 변화단계 차이에서는 지인 영역에서 지인이 있는 집단에서는 유지단계, 지인이 없는 집단에서는 계획 전단계가 많은 것으로 나타났다. 지도자 영역에서는 전문지도자와 일반지도자에 도움을 받는 집단은 유지단계, 지도자가 없는 경우에는 계획 전 단계가 많은 것으로 나타났다. 시설 영역에서는 전용시설을 이용하는 집단은 유지단계, 통합시설을 이용하는 집단은 계획 전 단계, 근린 시설을 이용하는 집단은 준비단계가 가장 많은 것으로 나타났다. 프로그램 영역에서는 장애인스포츠프로그램에 참여하는 집단에서는 유지단계, 통합스포츠 참여 집단은 계획단계, 프로그램에 참여하지 않고 혼자 운동하는 집단은 준비단계가 가장 많은 것으로 나타났다. 이동수단 영역에서는 도보로 운동하는 장소에 가는 집단은 준비단계, 자가용으로 이동하는 집단은 행동단계, 대중교통과 셔틀버스를 이용하는 집단은 유지단계가 많은 것으로 나타났다. 가족 영역에서는 부모의 영향을 받는 집단은 계획단계, 형제의 영향을 받는 집단과 가족의 영향을 받지 않는 집단은 유지단계가 가장 많이 나타났다. 지원기관 영역에서는 복지관에게 지원을 받은 집단은 준비단계, 종목별체육회에서 지원을 받은 집단에서는 유지단계, 시·도체육회에서 지원을 받은 집단은 행동단계, 지원기관에서 지원을 받지 못한 집단에서는 계획 전 단계가 가장 많은 것으로 나타났다. 셋째, 생활환경에 따른 운동행동 변화과정차이 분석에서는 지인의 유무, 지도자 유형, 시설 유형, 프로그램유형, 이동수단 유형, 가족 유형, 지원기관 유형 모두는 운동행동 변화과정 하위요인 모두에서 통계적으로 유의한 차이가 나타났다. 넷째, 운동행동 변화단계에 따른 운동행동 변화과정의 관계에서는 운동행동 변화단계에 운동행동 변화과정의 모든 하위요인이 영향을 미치는 것으로 나타났다. The purpose of this study was to investigate into the environmental effects on Stages of Change in Exercise Behavior. Throughout all the physical activity stage, 500 people with a disability in total were divided in each 100 by purposive sampling. The questionnaire was composed of 28 questions with general characteristic, Life Environment, Stages of Change in Exercise Behavior and Exercise Behavior process of change. The followings were the results of this study in below. First of all, In each type of disability in the change stage, precontemplation was the biggest part within the people with physical disability & other type of disability. preparation was the biggest part within the people with visual impairment and the people with hearing impairment has action as the biggest part. In intellectual disability, contemplation was the biggest part and emotional disability & brain lesions have maintenance as the biggest part. In the change process of physical activity by life environment, the group having acquaintance showed maintenance with the biggest distribution and the group that did not have acquaintance showed precontemplation with the biggest distribution. In the instructor segment, the group having aids from both professional instructor & ordinary instructor had maintenance and the group, on the other hand, that did not have aids from the instructor had precontemplation. In the facility, the group using exclusive facility had maintenance in the biggest part, the group using inclusive facility had preparation in the biggest part and the group using community facility had preparation in the biggest part. In the programme, the group participating in the physical activity programme for people with a disability had maintenance in the biggest part, the group participating in the inclusive physical activity programme with people without a disability had contemplation in the biggest part, and the group did not participate in the physical activity programme had preparation in the biggest part, In the transportation, the group using walks to the place of the physical activity had preparation in the biggest part, the group using vehicles to the place of the physical activity had action in the biggest part, and the group using public transportation system to the place of the physical activity had maintenance in the biggest part. In the family, the group effected by the family had contemplation in the biggest part, the group effected by the siblings had maintenance in the biggest part, and the group that was not effected by family had maintenance in the biggest part. In the supporting organization, the group supported by the community relief had preparation in the biggest part, the group supported by the sports federations had maintenance in the biggest part, the group supported by the local sports community had action in the biggest part and the group that was not supported by any organization had precontemplation in the biggest part. In third as analysis on the difference of Exercise Behavior process of change by life environment of Exercise Behavior process of change. The last, Exercise Behavior process of change was effected by all the subordinate factors of Exercise Behavior process of change in the relation of Exercise Behavior process of change by the Stages of Change in Exercise Behavior.

Conceptual Understanding of the Influences by Climate Change on the Long-Term Evolution of the Surface Environment Components

Nak-Youl Ko,Kyung-Woo Park 한국방사성폐기물학회 2022 한국방사성폐기물학회 학술논문요약집 Vol.20 No.1

It can take hundreds of thousands of years for decreasing radiological effects of high-level radioactive wastes to those of natural background radiation. Therefore, long-term time scale should be considered in order to demonstrate performance and safety of deep geological disposal of the radioactive wastes. The changes of surface environment for these long-term time scale can have influence on safety analysis by changing transport path of radionuclides from the radioactive wastes. Changes in climate is considered as one of main factors causing the long-term changes of the surface environment. The own effects and interactions of climate with other components of the geological disposal system are organized in features, events, and processes (FEPs). In this study, some natural processes occurred by changes of climate were suggested and the connectivity between each process is proposed based on the relation of the FEPs concerned with the changes of climate and surface environment. The processes were classified into global and regional/local scales and was analyzed, respectively. Then, the influences of the processes on shallow groundwater and surface water body environment, which might be transport path of radioactive nuclides in local/site scales, were expected. As the proposed connection demonstrate the order or hierarchical relations of the natural processes, it can shows that some output by a certain process may be input of other process connected the former process in numerical simulations for interpreting the processes. If the connection may be considered to be suitable to represent longterm changes of the surface environment, it can be evaluated that the expected scenarios based on the connection is also proper. In addition, it can be helpful in selecting factors to be studied more detailed in terms of climate change for expecting long-term changes in the surface environment by analysis on the input and output data. The results of this study can be used as basic approaches to represent the long-term changes in the surface environment caused by specific natural processes from changes of climate. It will be also helpful for formulating scenarios related to long-term evolution in the surface environment required for performance and safety assessments of the deep geological disposal.

초등학교 국어과 과정중심평가의 의미와 방법

최규홍 ( Choi¸ Kyuhong ) 서울교육대학교 초등교육연구원 2020 한국초등교육 Vol.31 No.4

본 연구는 2015 개정 교육과정의 실시와 함께 논의되고 있는 과정중심평가의 의미를 구체적으로 파악하고 이를 실현하기 위한 방법을 모색하는 것을 목적으로 하고 있다. 역량중심의 교육과정이 도입되면서 평가에 대한 관점도 새롭게 바뀌었다. 이에 따라 부각된 용어가 ‘과정중심평가’이다. 하지만 사용되는 용어의 빈도만큼이나 다양한 해석이 이루어지고 있어 교육과정을 구현하는 교실 수업에는 혼란이 가중되고 있다. 이에 초등학교 국어과교육에서는 과정중심평가를 어떻게 해석하고 실천할 수 있을지를, 국어과의 평가 이론과 국어과 교육과정, 교육부 훈령, 학교생활기록부 작성 지침, 시·도교육청의 학업성적관리 시행지침 등의 분석을 통해, 탐색해 보았다. 그 결과 초등학교 국어과 과정중심평가는 크게 ‘수업 과정의 평가, 수행 과정의 평가, 사고 과정의 평가, 변화 과정의 평가’로 해석할 수 있음을 밝혔다. 이는 평가 시기, 평가 방법, 평가 대상, 평가 기 록의 측면을 고려하여 구분한 것이다. 수업 과정의 평가는 교수·학습의 과정 속에서 수업과 평가가 함께 이루어지는 것이고, 수행 과정의 평가는 수행 평가를 할 때 수행 결과보다 수행의 과정에 초점을 두고 평가를 하는 것이다. 그리고 사고 과정의 평가는 국어과 교육에서 다루는 수행이 결국 인지적 활동임을 고려할 때 학습자의 사고 과정을 평가해야 한다는 것이고, 변화 과정의 평가는 성취도를 도달하는 것에 중점을 두는 것이 아니라 출발점 행동에서 도달점 행동으로 바뀌는 수업 속에서 학습자의 변화 과정과 성장에 초점을 두고 평가한다는 것이다. 그리고 각각의 평가를 구체적으로 실천할 수 있는 방법으로, 수업 속에서 학습자의 언어 사용 현상 (언어 발달 현상)에 대해 피드백을 하는 방법, 학습자의 수행 과정을 평가할 수 있는 방법, 교수·학습의 과정 속에서 학습자의 사고 과정을 들여다 볼 수 있는 방법, 한 차시뿐만 아니라 한 학기(또는 한 학년) 동안에 학습자의 변화 과정을 살펴볼 수 있는 방법 등을 제시하였다. 국어과 교수·학습의 과정에서 활용할 수 있는 구체적인 전략까지 제시하지는 못하였지만 초등학교 국어과 과정중심평가의 의미를 명확하게 정의할 수 있는 계기를 마련하였다는 데 의의를 갖는다. The purpose of this study is to find out specifically the meaning of the process-based assessment being discussed with the implementation of the 2015 revised curriculum and to explore ways to realize it. With the introduction of competency-based curriculum, the perspective on evaluation has also changed. As a result, the term highlighted is "process-based evaluation." However, there are as many interpretations as the frequency of the terms used, adding to the confusion in classroom classes that implement the curriculum. Therefore, we explored how to interpret and practice course-based evaluation in elementary school Korean language education, and analyzed the theory of assessment of Korean language department and curriculum of Korean language department, the instruction of the Ministry of Education, guidelines for preparing school records, and guidelines for implementing academic performance management by municipal and provincial education offices. As a result, the process-oriented assessment was largely interpreted as 'assessment of the course, evaluation of the performance process, evaluation of the thinking process and evaluation of the change process'. This is distinguished by considering the timing of the assessment, the methodology of the assessment, the object of the assessment and the aspects of the assessment record. The evaluation of the course of a class is done together in the course of teaching and learning, and the evaluation of the course of performance is to focus on the course of performance rather than the results of the performance evaluation. And the assessment of the thought process is that the learner's thought process should be evaluated, and the assessment of the change process is that the focus is on the learner's change process and growth in the class that changes from starting point behavior to reaching point behavior. In addition, they presented ways to specifically implement each assessment, such as how to give feedback in class, how to evaluate the learner's performance, how to look into the learner's thinking process, and how to look at the learner's changing process in one class or semester. Although it did not provide specific strategies that can be used in the course of Korean language teaching and learning, it is meaningful that it provided an opportunity to clearly define the meaning of the Korean language and course-based evaluation of elementary schools.

수주생산환경에서 견적변경 요인에 따른 견적관리 프로세스의 설계 및 구현

전규환,장길상,박창권 국제문화기술진흥원 2021 The Journal of the Convergence on Culture Technolo Vol.7 No.4

수주생산 환경에서 제조업체의 견적정보는 다양한 고객요구에 대응하여, 프로젝트의 입찰, 수주, 그리고 생산할 제품의 기초정보로 사용하는 중요한 정보이다. 이 견적정보는 고객요구, 제품생산 환경의 변화, 기술제휴사의 도면정 보 변경, 그리고 제품의 기술 개선 등의 여러 요인에 의해 변경된다. 이러한 변경으로 인하여, 제조사가 고객의 요구 사항을 반영하여 작성중인 견적정보에 다양한 변경이 발생한다. 이러한 다양한 변경요인에 따른 견적정보의 변경은 수주생산 기업의 입장에서 견적관리업무에 많은 부담을 주고 있다. 특히, 견적의 변경요인으로 인한 견적정보 변경은 고객중심의 주문생산 환경에서 고객의 요구사항에 의해 불가피하고 빈번하게 발생한다. 본 논문에서는 견적생성 프로 세스를 기준으로 견적변경 프로세스를 제시하고, 일관적이고 효율적인 견적변경처리 방안을 제시하고자 한다. 이를 위하여, 견적의 변경이 발생하는 요인을 정의하고, 각 요인에 대한 변경유형을 정의하였다. 그리고 견적변경에 대한 발생 요인별 사례를 통하여 견적변경 프로세스가 견적관리시스템에 적용되는 과정을 보여준다. 또한 제안된 견적변경 요인, 견적변경 유형, 견적변경 프로세스, 그리고 견적체계 관리의 유용성을 보여주기 위하여, 고객 중심의 수주생산 기업인 ‘H'사의 선박엔진 부문의 통합 견적관리시스템에서의 견적변경처리 기능 및 절차에 적용하였다. 그 결과, 견 적변경 요인에 따른 견적변경 처리 및 관리가 효율적으로 수행됨을 확인하였다. In a make-to-order manufacturing environment, the manufacturer's quotation information is important information used as basic information for bidding, receiving orders, and producing products in response to various customer demands. This quotation information is changed according to various factors such as customer demands, changes in product production environment, changes in drawing information of technical partners, and technological improvement of products. Due to this change, various changes occur in the quotation information that the manufacturer is preparing to reflect the customer's requirements. The change of quotation information according to these various change factors puts a lot of burden on the quotation management work from the standpoint of a make-to-order manufacturing company. In particular, the change of quotation information due to the change factors of quotation is inevitable and frequently occurs due to the requirements of the customer in the customer-oriented make-to-order production environment. In this paper, we propose a quotation change process based on the quotation creation process and propose a consistent and efficient quotation change processing method. To this end, the factors causing the change of quotation were defined, and the types of changes for each factor were defined. And it shows the procedure of applying the quotation change process to the quotation management system through the cases of each cause of the quotation change. In addition, in order to show the usefulness of the quotation change factors, the type of quotation change, the quotation change process, and the quotation system management, the proposed quotation change process and function was applied in the integrated quotation management system for the ship engine division of a typical make-to-order manufacturing company ‘H’. As a result, it was confirmed that the proposed quotation change process and management system according to the quotation change factors were efficiently performed.

9×2 정책행위유형론을 활용한 정책과정 간 정책산출물의 정책변동 요인 분석: 의약분업정책을 중심으로

양승일 한국행정학회 2019 韓國行政學報 Vol.53 No.1

The purpose of this study is to find factors and implications of change in policy output between policy processes using 9×2 policy behavioral type theory, focusing on the separation of the dispensary from medical practice policy. The analysis showed that policy output in the policy-making process derived from maintenance. And the influence factor of maintenance is M-II type. Enforcement policy output in the policy implementation process derived from revision. The influence factor of revision is I-IX type. Finally, the change in policy output between policy processes derived from maintenance-revision type. The 9×2 policy behavioral type theory, which is factors for this, is derived from the M-II type for the policy-making process and the I-IX type for the policy implementation process. These results provide various implications. First, there are greater dynamics in the policy implementation process than in the policy-making process. Second, the policy space is able to exert a greater influence on policy target actors than on policy subject actors. Third, there is a boundary order that clarifies complex policy change phenomena. Fourth, there is a duplicity in the actors, including the profit group. Fifth, policy typology can illuminate complex policy phenomena as logical identities. Sixth, there is has been expanded to range of policy change factor study, etc. 본 연구의 목적은 의약분업정책과정 간 정책산출물의 정책변동, 즉 7가지의 정책변동유형에 영향을 미치는 그 요인을 정책주체행위자와 정책대상행위자의 순응여부를 근거로 결합한 9×2 정책행위유형론을 통해 분석하고, 이를 통해 제 시사점을 조명하는데 있다. 분석결과, 정책결정과정의 정책산출물은 대체조제 허용, 주사제의약분업 포함, 기관분업 지향 등이었고, 정책산출물에 순응입장을 보인 김대중대통령 등의 강한 의지로 인해 산출물은 유지하게 된다. 이러한 요인은 정책산출물에 대해 김대중대통령 등을 위시해서 정책주체행위자가 강한 순응으로 일관했고, 정책대상행위자 역시 의료계가 불응의 입장을 나타냈으나 대학약사회는 순응의입장을 보여, M-II형으로 나타났기 때문이다. 이러한 정책산출물은 시행 정책산출물이 되는데, 대한의사협회를 중심으로 하는 의료계의 불응압박으로 인해 수정의 길에 들어서게 된다. 이러한 요인은 시행 정책산출물에대해 정책집행행위자가 처음에는 순응하였다가 의료계의 압박으로 인해 불응으로 선회하였고, 정책대상행위자의 대한약사회 역시 대세에 포함되는 모습을 보여, I-IX형을 보였기 때문이다. 결국, 정책과정 간 정책산출물의 정책변동은 유지-수정형으로 나타났고, 이에 대한 요인인 9×2 정책행위유형은 정책결정과정의 경우M-II형, 정책집행과정의 경우는 I-IX형으로 도출된 것이다. 이러한 결과를 근거로 한 시사점으로는 첫째, 정책결정과정보다 정책집행과정에서 더 높은 역동성이 나타날 수 있다는 것이다. 둘째, 정책공간은 정책주체행위자보다 정책대상행위자가 더 높은 영향력을 행사할 수 있다는 것이다. 셋째, 복잡한 정책변동현상도 명확하게 해주는 경계적 질서가 있다는 것이다. 넷째, 이익집단을 비롯한 적지 않은 행위자는 이중성을 지니고 있다는 것이다. 다섯째, 정책유형론은 복잡한 정책현상을 논리적 정체성으로 조명할 수 있다는 것이다. 여섯째, 정책변동의 요인연구에 있어서 그 범위를 일정부분 확대하였다는 것 등이다.