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      • KCI등재

        국가 암조기검진사업 참여에 영향을 미치는 인구사회학적 요인

        성나영,박은철,신해림,최귀선,Sung, Na-Young,Park, Eun-Cheol,Shin, Hai-Rim,Choi, Kui-Son 대한예방의학회 2005 예방의학회지 Vol.38 No.1

        Background : Cancer is the leading cause of death and one of the largest burdens of disease in Korea. In 1996, the Ten year Plan for Cancer Control was formulated and the government then adopted the plan as a national policy. As part of this plan, the National Cancer Screening Program (NCSP) for Medicaid recipients was formulated, and the government adapted this in 1999. For low-income beneficiaries of the National Health Insurance Corporation (NHIC), the screening program has been in place since 2002. In 2002, the target cancers of NCSP were stomach, breast and cervical cancer. This study was conducted to examine the relationships between the participation rate, the abnormal screening rate and the socio-demographic factors associated with participation in the screening program. Methods : To analyze the participation rate and abnormal rate for the NCSP, we used the 2002 NCSP records. The information on the socio-demographic factors was available from the database of the beneficiaries in the NHIC and Medicaid. Results : The participation rate of the Medicaid beneficiaries for the stomach, breast and cervical cancer screening were 9.2%, 15.5% and 15.0%, respectively, and 11.3% and 12.5%, except cervical cancer which wasn't be included in the NCSP, for the beneficiaries of the NHIC. The abnormal rate of stomach, breast and cervical cancer screening were 25.7%, 11.2% and 21.0%, respectively, for the beneficiaries of Medicaid and 42.6% and 19.4% for the beneficiaries of the NHIC. On the multiple logistic regression analysis, gender, age and place of residence were significantly associated with participation rates of the NCSP. For stomach cancer, women participated in the NCSP more than men. The participation rate was higher among people in their fifties and sixties than for those people in their forties and those people over seventy years in age. For the breast and cervical cancer, people in their fifties were more likely to participate in the NCSP than people in their forties and people over sixty. For the place of residence, people in the rural areas participated more than those people in any other places. Conclusions : The above results show that the participation rate and abnormal rate were significantly associated with the socio-demographic factors. To improve the participation rate for the NCSP, more attention should be given to the underserved groups.

      • KCI등재

        의료복합시설 개발을 위한 시설용도별 이용자 선택기준에 관한 연구

        성나영,이상엽,Sung, Nayoung,Lee, Sangyoub 한국건설관리학회 2016 한국건설관리학회 논문집 Vol.17 No.4

        소득수준 향상 및 인구특성 변화에 따라 증가하는 복합의료서비스 수요에 대응하여 본 연구는 의료복합시설을 부동산개발을 위한 독립적인 대상으로 고려하여 의료복합시설 개발을 위한 시설용도별 이용자 선택기준에 대한 분석을 실시하였다. 이를 위해 개발수요분석을 위한 기초자료로서 시설선택기준을 정의하고 AHP분석을 통해 중요도와 우선순위를 도출하였다. 의료복합시설을 구성하는 '의료관련시설', '지원시설', '보건 및 편의시설' 및 '기타시설'의 네 가지 시설용도에 따라 중요도를 비교 분석한 결과, '시설의 수준', '이용가격', '이용 편리성', '병원의 수준', '서비스', '인접성', '교통의 편리성' 등의 기준들이 서로 다른 차이를 보여 복합 시설 용도 별 이용객의 선택속성에 대한 시사점을 제공하였다. 연구결과를 통해 향후 의료복합시설 개발 시 타당성 분석 및 평가를 위한 기초적인 자료를 마련하고 용도 간의 최적의 조합을 통한 시설구성 대안을 도출하여 효율적인 개발을 위한 자료로 활용되고자 한다. The multi-mixed complex medical care facility consisting of mainly hospital and other associated facilities such as retail, office, accommodation, healthcare services, and so on, is currently recognized as a new segment in the real estate market. This study intends to identify the customer choice criteria for the development of multi-mixed complex medical care facility. Based on literature review and expert consultation, the 3 criteria with 12 sub-criteria for customer choice have been defined. And the AHP methodology has been implemented for the development of relative weight of those criteria depending on the type of facility including 'medical facility', 'supporting facility', 'healthcare service facility' and 'other ancillary facility'. Research findings indicated the implication for the optimal combination of facility development based on the customer choice criteria controlled by facility. Accordingly, this research intends to provide the guidance toward the development of multi-mixed complex medical care facility.

      • KCI등재

        대학 교양 중국어 운영 현황과 내실화를 고려한 현실적 제언 탐색 - 충남대학교를 중심으로

        성나영,서연주 한국중국언어문화연구회 2023 한중언어문화연구 Vol.- No.67

        본 연구는 대학 교양 중국어의 현황을 점검하고, 그 ‘내실화’를 위한 현실적 제언 탐색을 목표로 하였다. 21세기에 들어 중국의 영향력이 세계적으로 더욱 뻗어 나가면서 대학 교양 수업에서의 중국어를 어떻게 활성화시킬지에 대한 논의도 함께 활발해졌다. 그러나 기존에 제기되었던 개선 방안들은 교양 중국어의 현실적인 운영상황을 고려하면 실현 가능성이 요원한 경우가 많았다. 이에 본고에서는 충남대학교 사례를 중심으로 교양 「중국어」 상황을 점검하고 기타 지방 거점 대학교의 현황과 모범 사례를 살펴보았다. 이를 토대로 교양 「중국어」 수업의 내실화를 꾀하기 위해 ‘학기 단위 주제 중심 수업’, ‘블렌디드 러닝의 활성화’, ‘상호문화이해능력 강화 교육’을 제안하였다. 이는 차후 상술한 세 가지 방안이 실질적으로 어떻게 수업설계에 적용될 수 있는지에 대한 후속 연구로 이어질 예정이다.

      • KCI등재

        여성의 암 검진에 대한 지불의사

        곽민선,성나영,양정희,박은철,최귀선,Kwak, Min-Son,Sung, Na-Young,Yang, Jeong-Hee,Park, Eun-Cheol,Choi, Kui-Son 대한예방의학회 2006 예방의학회지 Vol.39 No.4

        Objectives: The goal of this study is to measure women's willingness to pay for cancer screening and to identify those factors associated with this willingness to pay. Methods: A population-based telephone survey was performed on 1,562 women (aged 30 years or over) for 2 weeks (9-23th, July, 2004). Data about sociodemographic characteristics, health behaviors, the intention of the cancer screenings and willingness to pay for cancer screening were collected. 1,400 respondents were included in the analysis. The women's willingness to pay for cancer screening and the factors associated with this willingness to pay were evaluated. Results: The results show that 76% of all respondents have a willingness to pay for cancer screening. Among those who are willing to pay, the average and median amount of money for which the respondents are willing to pay are 126,636 (s.d.: 58,414) and 120,000 won, respectively. As the status of education & the income are higher, the average amount that women are willing to pay becomes much more. The amount of money women are willing to pay is the highest during the 'contemplation' stage. Being willing to payor not is associated with a change of behavior (transtheoretical model), the income, the concern about the cancer risk, the family cancer history, the marital status, the general health exam, age and the place of residence. Income is associated with a greater willingness to pay. Old age was associated with a lower willingness to pay. Conclusions: According to the two-part model, income and TTM are the most important variables associated with the willingness to pay for cancer screening. The cancer screening participation rate is low compared with the willingness to pay for cancer screening. It is thought that we have to consider the participants' behavior that's associated with cancer screening and their willingness to pay in order to organize and manage cancer screening program.

      • KCI등재후보
      • 소지역 통계분석기법의 활용 -도소매업 및 서비스업 통계조사 사례연구-

        김영원,성나영 한국조사연구학회 2000 춘계학술대회 발표논문집 Vol.2000 No.-

        지방자치제 실시에 따라 우리나라에서도 시 · 군 · 구 등의 소지역 통계에 대한 요구가 증대되 고 있다. 하지만 정부통계 생산을 위한 표본조사의 경우 시(특할시, 직할시) 및 도별 통계생산을 목적으로 하기 때문에 신뢰성 있는 소지역 통계를 산출하는1것이 불가능하고, 따라서 이런 소지역 통계생산을 위해 간접추정기법을 적극적으로 활용하는 것이 필요하다. 본 논문에서는 정부통계 생산을 위한 소지역 동계기법의 도입 및 활용 가능성을 검토해 보기 위해 통계청에서 실시되고 있는 도소매업 및 서비스업 통계조사 중 인천직할시 숙박 및 음식점업의 총매출액에 대한 구별 소지역 통계를 산출할 수 있는 여러 가지 간접추정방법을 제시하고, 아울러 도소매업 총조사 자료를 이용하여 제시된 간접추정량들의 효율성을 비교 분석해 보고자 한다.

      • KCI등재

        Budget Impact of the Accreditation Program for Clinical Laboratories on Colorectal Cancer Screening via Fecal Immunochemical Testing: Results from the National Cancer Screening Program in Korea

        전재관,성나영,송승훈,홍세리,장미애,송정한,김정호,민원기,이유경 대한진단검사의학회 2018 Annals of Laboratory Medicine Vol.38 No.3

        Background: False-positive fecal immunochemical test (FIT) results in the National Cancer Screening Program (NCSP) for colorectal cancer may lead to unnecessary procedures, such as colonoscopies, increasing the medical costs. We estimated reductions in the cost of National Health Insurance according to the accreditation status of screening facilities participating in the NCSP for colorectal cancer. Methods: We used data collected between 2007 and 2010 from NCSP and the Korea Central Cancer Registry to identify patients with colorectal cancer. We also ascertained the history of the accreditation of each facility by the Korean Laboratory Accreditation Program (KLAP). Budget impact was defined as a reduction in medical costs achieved when the false-positive rate of the non-accredited facilities decreased relative to that of the accredited facilities. Results: A total of 3,285 screening facilities participated in the NCSP. Of these, 196 were accredited by the KLAP. The false-positive rate of the accredited facilities was 2.47%, and that of the non-accredited facilities was 6.83%. Medical costs were estimated to be reduced by approximately 19 million US dollars (USD), and the cost of detecting one case of colorectal cancer was estimated to decrease from 9,212 USD to 7,332 USD if the falsepositive rate of non-accredited facilities were decreased to that of the accredited facilities. Clinics were estimated to have the largest associated cost reduction. Conclusions: Quality assurance in clinical laboratories could lower false-positive rates and prevent the use of unnecessary procedures, ensuring patient safety and increasing the cost-effectiveness of FIT screening in the NCSP for colorectal cancer.

      • KCI우수등재

        소지역 통계 생산을 위한 추정방법

        김영원,성나영,Kim, Young-Won,Sung, Na-Young 한국데이터정보과학회 2000 한국데이터정보과학회지 Vol.11 No.1

        Small area estimation is becoming important in survey sampling due to a growing demand for reliable small area statistics. In estimating means, totals, and other parameters for small areas of a finite population, samplie sizes for small areas are typically small because the overall sample size is usually determined to provide specific accuracy at a much higher level of aggregation than that of small area. The usual direct estimators that use the only information which is gotten from the sample in a given small area provide unreliable estimates. However, indirect estimators utilize the information from the areas related with a given small area, that is, borrow strength from other related areas, and so give more accurate estimates than direct estimators. In this paper we investigate small area estimation methods such as synthetic, composite and empirical best linear unbiased prediction estimator, and apply them to real domestic data which is from the Survey of Hotels and Restaurants in In-Chon as of 1996 and then evaluate the performance of these methods by measuring average squared errors. This evaluation shows that indirect estimators, which are small area estimation methods, are more efficient than direct estimator. 지방자치제 실시에 따라 우리나라에서도 전국 또는 도 단위의 통계뿐만 아니라 시 군 구 등의 소지역 통계에 대한 수요가 증대되고 있다. 하지만 정부통계 생산을 위해 실시되는 표본조사의 경우 시(특별시, 광역시) 및 도별 통계생산을 목적으로 하기 때문에 신뢰성 있는 소지역 통계를 산출하는 것이 불가능하고, 따라서 이런 소지역 통계생산을 위해 간접 추정 기법을 적극적으로 활용하는 것이 필요하다. 본 논문에서는 정부통계 생산을 위한 소지역 통계 기법의 도입 및 활용 가능성을 검토해 보기 위해 인천광역시 숙박 및 음식점업의 총매출에 대한 구별 소지역 통계를 산출할 수 있는 여러 가지 간접 추정 방법을 제시하고, 아울러 도소매업 총조사 자료를 이용하여 제시된 간접추정량들의 효율성을 비교 분석해 보고자 한다.

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