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        고수경,이주연,박다진 한국보건의료기술평가학회 2014 보건의료기술평가 Vol.2 No.2

        Objectives: To estimate the budgetary impact of smoking cessation treatment in Korea in the first 5 years after policy change related to reimbursement of smoking cessation treatment from the healthcare perspective. Methods: In the economic impact model, target populations were adult smokers who were over 20-year old, decided to quit smoking, and took medication for smoking cessation through hospital or clinic visits. Assumed baseline rate of smoking, decision to quit, hospital/clinic visit, and prescription of smoking cessation treatment was 42.1% (male) and 6.2% (female), 55.3%, 5.4%, and 13% respectively. Annual increase rates of smoking, trial to quit smoking, hospital/clinic visits, and prescription of smoking cessation treatment were estimated as -1.8%, 5%, 5%, and 20% respectively during 5 years. Smoking cessation treatments based on three alternatives were estimated: nicotine replacement therapy, bupropion, and varenicline. All drug costs are calculated based on 12-week treatment. Sensitivity analysis was performed to evaluate the impact of varying the smoking rate. Results: Model estimates suggest that the budgetary impact of smoking cessation treatments would be 40 billion KRW in 2014. and in the fifth year after policy change, total smoking cessation programs would be 109 billion KRW in 2019. Conclusion: Reimbursement of smoking cessation treatment could result in additional national budget of 70 billion KRW annually. But we can expect a reduction in the number of smokers would offset this cost by decreasing the burden of smoking.

      • KCI등재

        流行語における若者言葉の諸相について -『現代用語の基礎知識』を對象として-

        고수경 한국일본어교육학회 2011 日本語敎育 Vol.57 No.-

        本稿は、1997年から2004年まで8年間、『現代用語の基礎知識』に揭載されている「若者用語」を對象として、若者言葉の語種別·形態的な造語の傾向、消長の關係、さらに、それぞれの若者言葉の分野別の特徵などについて考察したものである。まず、若者言葉の語種別の造語においては、和語と外來語の數が多數を占めているのに對し、漢語の數が少なく、形態別な造語では、單なる和語、漢語、外來語を使うより、これらを組み合わせた形である混種語の使用が目立っている。そして、語の消長については、8年のうち、最初の1年だけ見られる若者言葉の全體的な變化は大きくないが、「ファッション、食、性風俗、人間觀察」の分野での言葉は新しい言葉が生成されつつあるのに對し、「精神狀態、いらだち、あいまい」の分野の言葉はそれほど生成されていない。そして、5年間、連續して見られた「精神狀態、いらだち、あいまい」の分野での消長の程度は緩慢であり、8年間、連續して見られた言葉は、長期間にわたって使用される語ほど、若者言葉、流行語というラベルを貼るのが難しくなってくるのである。また、九つの分野別の特徵については、「ファッション」の分野の語の消長が最も活發で、8年間連續して見られた語もないのが目立ち、色を表す形容詞を利用した語が一番多い。「食」の分野では、「靜的名詞+る」形態が最も多く、店の名を利用した語や、飮酒とタバコと關わる語が多い。そして「性風俗」の分野は一般語の利用より、隱語、俗語を利用したマイナス的な表現の造語が多く、「遊び」の分野はメ-ルや携帶電話、車、遊び場所に關わる語が、「行動」は名詞に「する」「る」をつけた動作性名詞と、問題の行動を表す語の使用が多い。さらに、「精神狀態」の分野では、語の形態的な變化はほとんどなく、旣存の語を利用した造語が多い。「いらだち」は、形容詞に否定的な意味を與えた造語が多く、自分の氣持ちをうまく表現できない若者のため、「あいまいな」表現が多い。「人間關係」の分野では、有名な芸能人の行動を眞似する人を表す語や人の外見をマイナス的に表現する語が多いのが特徵的であることが分かった。

      • KCI등재

        의료소재의 물성이 소재의 이미지 및 감각 특성에 미치는 영향에 관한 DB구축(제1보) : 방모 직물의 구조 특성에 따른 질감 이미지 분석 Effects of the Structural Characteristics on the Texture Images of Woolen Fabrics

        고수경,유신정,김은애 한국의류학회 2003 한국의류학회지 Vol.27 No.5

        The purpose of this study was to provide practical information to design woolen fabrics in terms of structural and surface characteristics, which produce texture images of fabrics. The relationship among structural, surface characteristics and texture images, and preference and purchase intention were analyze. To evaluated the texture images of the fabrics subjectively, 7 rank's semantic differential scale questionnaires were developed with thirty adjective pairs. Blind and non-blind test were performed with 320 female subjects who were in their 20-30's. Commercially available 48 woolen fabrics were used as specimens. Result showed that five factors were obtained: classic, elegance, warmth, natural and casual. These factors were closely related to fiber type, weave type, fabric counts, and finishes.

      • KCI등재
      • KCI등재
      • KCI등재

        지역사회중심 가정간호사업의 비용 - 변익 (便益) 분석

        고수경,박정영 한국보건경제학회 2000 보건경제와 정책연구 Vol.6 No.2

        This cost-benefit analysis was performed to assess the net economic benefits of the community-based home health care program for patients with cerebrovascular disease from a societal perspective. A structured questionnaire was sent to 88 patients who have received the community-based home health care services offered by the SNA(Seoul Nurses Association) between January. 1999 and December, 1999. For 71 patients who responded to the questionnaire, cost and benefits data were collected from the database of the SNA and patients/family in order to estimate the net benefits(total benefits total costs) and the benefits-costs ratio of the community-based home health care program. In this study, total costs included direct costs of nurse visits. equipments, supplies. and annual retraining costs for nursing staffs. Total benefits included direct and indirect cost savings from reductions in rehospitalization and death rates, as well as intangible benefits. such as emotional support and comfort at home, estimated using the Willingness-To-Pay(WTP) approach. Using the estimates of net benefits from the study samples, the net social benefits that would result if the community-based home health care program is implemented nationwide were calculated. Sensitivity analyses were conducted using various home health care utilizing rates. discount rates(5~ and 7%). and WTPs(open-endedminimum WTP, open-ended maximum WTP. bidding WTP, referendum WTP) . As a result, the estimated net benefits of the community-based home health care program were ₩ 7.085,277 per patient per year under the worst case scenario and ₩ 19,344,387 per patient per year under the best case scenario. Using the estimates from the worst case scenario, the net social benefits were estimated to be ₩ 13,371.689,018 per year under the 25% utilizing rate. ₩ 26.743.378,037 per year under the 50% utilizing rate, and ₩ 40.115.067.055 per year under the 75% utilizing rate. The scenarios used in the sensitivity analyses did not eliminate the cost savings of the community-based home health care program. This study demonstrated that the implementation of the community-based home health care program would result in positive net social benefits, indicating that the programs benefits exceed its costs. The results of this study suggest that the community-based home health care program should be introduced in the national health care system. Further study is warranted to consolidate the framework of the program.

      • 제약산업 입장에서 본 우리나라 의약품 등재제도의 문제점

        고수경 한국보건사회약료경영학회 2015 한국보건사회약료경영학회지 Vol.4 No.1

        Positive list system was introduced in 2007 as a part of DERP (Drug Expenditure Rationalization Plan) in Korea. The purpose of this system is allocation efficiency based on value for money. Value is evaluated by HTA (Health Technology Assessment) focusing on clinical usefulness and cost-effectiveness with proven evidence at the time of launch. This article is prepared to assess current HTA system from industry perspective considering value-based decision making. It seems that current HTA process has several areas to improve since reimbursement decision is too much dependent on launch time evidence which may not reflect true value. The difficulty of showing superior efficacy does not necessarily mean there isn’t any additional value for society. New treatment option brings value of better treatment mixture. Drugs with unquantifiable benefit also have their own value. The issue is that current HTA often fails to capture these values. Current HTA focusing on statistical significance sometimes fails to find clinically significant value. One of big issues is that uncertain evidence of effect is often interpreted as the evidence of no value. ICER dependent decision making may result in unreasonable decision such as non-reimbursement of highly valuable drug for society. HTA methodology needs to be evolved in accordance with advancement of science. The flexible pricing method such as risk-sharing and holistic approach like MCDA (multiple criteria decision analysis) in decision-making is required for better patient access. This decision should incorporate fair assessment for innovativeness, clinical usefulness and equity not only for cost-effectiveness or budget impact.

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