의료기관의 사회적 책임활동(HSR)이 조직건강성과 고객지향성에 미치는 영향

조경원,사공미,김성민 보건의료산업학회 2019 보건의료산업학회지 Vol.13 No.2

Objectives: This study was conducted to analyze the effect of hospital social responsibility(HSR) activities on organizational health and customer orientation. Methods: We conducted an online survey with hospital employees and analyzed the questionnaires of 206 selected respondents. A regression analysis was performed to determine the relationship between independent and dependent variables. Results: First, 'consumer issues', 'community involvement and development', and 'fair operating practice' factors in HSR influenced 'medical environment suitability' in organizational health. The 'fair operating practice' factor in HSR affected 'management environment suitability' and 'community orientation' in organizational health. The 'labor practices' factor in HSR affected 'practices suitability' and 'vitality' in organizational health. Second, the activities on 'consumer issues' and 'environment' in HSR have influenced 'Reliability', 'Reactivity' and 'Tangibility' in Customer Orientation. The activities on 'consumer issues' have affected 'Empathy'. Conclusions: The results of this study provide a positive direction for medical institutions as they conduct HSR activities and provide a basis for establishing effective HSR strategies.

교육기회균등의 이념에 대한 비판적 고찰

조경원 이화여자대학교 한국문화연구원 1991 韓國文化硏究院 論叢 Vol.59 No.3

The study aims to analyze critically the ideal of equal educational opportunity, in which educational opportunities must be distributed equally according to ability, regardless of sex, class or religion. The principle of equal educational opportunity has been accepted as an ideal in modern societies. By focusing attention of how to provide equal opportunity for education, the principle accepts the goal as worth while. However, the meanings of the ideal change with their context. What constitutes equal educational opportunity varies with the value judgements of society or person. It depends upon the different conceptions of education, having opportunity and what equality is. In a democratic society, educational opportunities beyond the level of compulsory common school are to be allocated to individuals through a competition in which all have a fair chance to participate. The Korean Constitution expresses that educational opportunities will be distributed according to ability. This requires that those best qualified attend higher educational institutions. Equal natural abilities from different sexes or classes have equal chance to attain the necessary qualifications. Korean society are concerned with providing equal access to education. Beyond the years of schooling, even in the free, compulsory primary education, the background inequalities such as family influence so much upon students learning due to the overall poor conditions of education (i.e. large class sizes, uniformed educational system, especially poor national investment in public education, but much private investment for the persons own child). The ideal of equal educational opportunity requires there should be widespread procedural fairness in the evaluation of qualification. Given the background inequalities, we must equalize developmental conditions for talent. However it would require systematic intrusions in the family or private life, if the principle of equal educational opportunity were taken seriously. Here comes the limitation to achieving the ideal. On the other hand, the idea of providing more educational opportunity for those best qualified has been based upon the principle of efficiency to maxmize productivity. This neglects the least advantaged group. John Rawls acknowledges the inadequency of the principle of fair equality of opportunity in it self: he argues that the principle must be supplemented by the Difference Principles, characterized by a spirit of fraternity. He regards the native ability as arbitrary in terms of only relevant criteria for wealth and higher income.

텍스트 마이닝을 이용한 4차 산업 연구 동향 토픽 모델링

조경원,우영운,Cho, Kyoung Won,Woo, Young Woon 한국정보통신학회 2019 한국정보통신학회논문지 Vol.23 No.7

본 연구에서는 "4차 산업"과 관련된 논문들의 세부 연구 주제를 파악하기 위하여 텍스트 마이닝 기법을 이용하여 논문들을 분석하였다. 이를 위하여 2016년부터 2019년까지 한국학술지인용색인(KCI)에서 "4차 산업"이라는 키워드로 논문을 검색하여 총 685편의 논문을 수집하였다. 논문 수집을 위해서는 Python 기반의 웹 스크랩핑 프로그램을 사용하였으며, 자료 분석을 위해서는 R 언어로 구현된 LDA 알고리즘 기반의 토픽 모델링 기법들을 활용하였다. 수집된 논문들에 대한 Perplexity 분석 결과, 9가지 토픽이 최적으로 결정되었고 수집된 논문들의 9가지 대표 토픽들을 Gibbs 샘플링 방법을 사용하여 추출하였다. 분석 결과, 인공지능, 빅데이터, 사물인터넷, 디지털, 네트워크 등이 상위 주요 기술들로 나타났으며, 산업, 정부, 교육 현장, 일자리 등 4차 산업과 관련한 다양한 분야에서 주요 기술들로 인한 변화에 대한 연구들이 이루어져 왔음을 확인할 수 있었다. In this research, text mining techniques were used to analyze the papers related to the "4th Industry". In order to analyze the papers, total of 685 papers were collected by searching with the keyword "4th industry" in Korea Journal Index(KCI) from 2016 to 2019. We used Python-based web scraping program to collect papers and use topic modeling techniques based on LDA algorithm implemented in R language for data analysis. As a result of perplexity analysis on the collected papers, nine topics were determined optimally and nine representative topics of the collected papers were extracted using the Gibbs sampling method. As a result, it was confirmed that artificial intelligence, big data, Internet of things(IoT), digital, network and so on have emerged as the major technologies, and it was confirmed that research has been conducted on the changes due to the major technologies in various fields related to the 4th industry such as industry, government, education field, and job.

학교문화의 형성 과정에 관한 탐색

조경원 이화여자대학교 한국문화연구원 2004 한국문화연구 Vol.7 No.-

The policy of ‘Creation for New School Culture’ was started as a movement for changing school culture from bureaucratic, undemocratic, uniform to school-based, democratic, autonomous. The policy focused upon the way how school culture could be shaped, although it has been implemented uniformally by Ministry of Education in Korea. This study aims to analyze how the policy of ‘Creation for New School Culture’ has shaped school culture in reality. It was approached in terms of both autonomous school-based management culture and professional teachers’ culture. School culture for autonomous school-based management was analyzed in terms of school-site management council and school-based curriculum Professional teachers’ culture was evaluated in terms of teachers’ everyday life and the process in their decision making of different group learning. ‘Creation for New School Culture’ planned to change school culture against principal’s authorized way of thinking, teachers’ resistant attitude for educational innovations, undemocratic school atmosphere, etc. ‘The policy has put limitations in creating positive school culture and professional teachers’ culture, by not considering fully the material and structural basis to shape school culture. Thus the movement to create new school culture does not have amplified school community members’ motivation and aspirations for school change. In spite of this limitations some schools such as “D” Middle School have shaped new school culture shared by school community members under the principal’s leadership, fostering productivity, the better quality of schooling ‘새 학교문화 창조’는 기존의 획일적 관료행정과 입시 위주의 학교교육의 정상화를 추구하는 교육문화 개혁운동으로 국가가 획일적으로 시행하기는 하였지만, 그 정신에 있어서는 일선학교의 문화 형성 과정에 초점을 맞추고 있다. 본 논문은 그 정책이 의도한 내용 중 자율적 학교경영문화 형성과 전문적 교사문화 형성을 고찰하였다. 자율적 학교경영문화는 학교운영위원회의 활동과 단위학교 교육과정의 자율성이 꽃필 수 있는 재량활동의 운영을 통해 검토하였다. 다음으로 교육개혁의 주체인 교사들이 어떻게 전문적 교사문화를 형성해 나가는데 한계가 지워지는가를 교사의 일상생활과 수준별 학습의 실시 과정을 중심으로 분석하였다. ‘새 학교문화 창조’가 학교장의 권위주의적 사고방식, 교사의 무사 안일한 태도 및 변화에 대한 저항, 냉소주의, 구성원간의 불신, 학생의 수동적 학습태도 등의 기존 학교문화를 문제시하고 이에 대한 문화적 개혁을 꾀하고 있지만, 문화적 개혁의 물적 토대를 고려하지 않음으로써 자율적 학교경영문화와 전문적 교사문화를 형성하는 일에 한계가 있음을 알 수 있었다. 학교현장의 문화를 변화시키고 개혁에 성공하려면 중앙정부가 추진하는 개혁안이 현장에 뿌리를 내리고 학교구성원 사이에 내면화되어 학교문화로 형성되어 구성원의 자발성과 능동성을 이끌어 내는 것이 중요하지만, 그 자발성과 능동성은 물적 토대가 갖추어졌을 때 잘 작동할 수 있다.

의료기관 사회적 책임(HSR)활동의 IPA 평가

조경원,사공미 보건의료산업학회 2018 보건의료산업학회지 Vol.12 No.4

Objectives: We analyzed the importance and performance of hospital social responsibility (HSR) according to the characteristics of hospitals, and presented strategies for HSR activities. Methods: An online HSR questionnaire was sent to hospitals nationwide from October 12 to 26, 2018. The 206 responses received were analyzed in accordance with the IPA to assess the performance and importance of HSR. Results: There was a statistically significant difference between the employees and hospitals regarding the importance and performance of HSR activities. In the area of “sustained maintenance”, items related to consumer issues such as “compliance with personal information processing policy”, “patient confidentiality”, “fair information provision”, and “system for patient safety and infection prevention” were derived. In the area of “'high priority for improvement”, there were three common items between hospitals and general hospitals: “regular donations and support from local communities”, “active cooperation with related institutions”, and “compliance with process-related laws and regulations”. In the area of ​​“low priority”, four items were derived: “support for employee participation in community activities”, “efforts to hire local residents”, “education and cultural programs for local communities”, and “transparent support for political activities”. In the area of ​​“sublation of excessive efforts”, two items of “employee welfare efforts” and “efforts to improve labor relations”, were commonly found in hospitals and general hospitals. Conclusions: It is necessary to improve the management efficiency of hospitals by the systematic allocation of manpower and resources through the establishment of four regional strategies based on the results of IPA analysis.

The effect of photodynamic therapy on Aggregatibacter actinomycetemcomitans attached to surface-modified titanium

조경원,이시영,장범석,엄흥식,이재관 대한치주과학회 2015 Journal of Periodontal & Implant Science Vol.45 No.2

Purpose: The purpose of this study was to evaluate the effect of photodynamic therapy (PDT) using erythrosine and a green light emitting diode (LED) light source on biofilms of Aggregatibacter actinomycetemcomitans attached to resorbable blasted media (RBM) and sandblasted, large-grit, acid-etched (SLA) titanium surfaces in vitro. Methods: RBM and SLA disks were subdivided into four groups, including one control group and three test groups (referred to as E0, E30, E60), in order to evaluate the effect of PDT on each surface. The E0 group was put into 500 μL of 20 μM erythrosine for 60 seconds without irradiation, the E30 group was put into erythrosine for 60 seconds and was then irradiated with a LED for 30 seconds, and the E60 group was put into erythrosine for 60 seconds and then irradiated with a LED for 60 seconds. After PDT, sonication was per\-formed in order to detach the bacteria, the plates were incubated under anaerobic condi\-tions on brucella blood agar plates for 72 hours at 37°C, and the number of colony-forming units (CFUs) was determined. Results: Significant differences were found between the control group and the E30 and E60 groups (P<0.05). A significantly lower quantity of CFU/mL was found in the E30 and E60 groups on both titanium disk surfaces. In confocal scanning laser microscopy images, increased bacterial death was observed when disks were irradiated for a longer period of time. Conclusions: These findings suggest that PDT using erythrosine and a green LED is effective in reducing the viability of A. actinomycetemcomitans attached to surface-modified titanium in vitro.

토픽모델링을 활용한 의료윤리 온라인 뉴스기사 분석

조경원,손수경,김선녀 보건의료산업학회 2021 보건의료산업학회지 Vol.15 No.1

Objectives: In this paper, we analyzed online articles related to “medical ethics” using text mining techniques to identify the predominant topics and trends of these online articles. Method: Online news articles from 1966 to 2018 were collected from three newspapers’ websites, and a total of 2,336 articles were used for analysis. A python-based web scraping program was used to collect news articles, and topic modeling techniques based on the (LDA) algorithm were used for data analysis. Results: For the entire period, topics on ethics and law accounted for more than half of the total. When categorized by period, a high percentage was occupied by biotechnology until 2003, euthanasia and hospice from 2004 to 2012, and the high-tech medical industry after 2013. Conclusions: Our society has approached medical ethics issues related to technological development as applied ethics. From the stage of technological development, we must simultaneously consider legal and ethical issues.

신규 보험판매채널에 대한 고지수령권 인정 여부와 법적 쟁점 - 인공지능(AI) 보험설계사와 보험판매전문회사를 중심으로 -

조경원 (사)한국보험법학회 2022 보험법연구 Vol.16 No.2

4차 산업혁명 시대의 도래는 사회 전반에 적잖은 변화를 가져다 주었는데 보험산업에도 보험과 기술의 합성어인 인슈어테크가 출현하면서 기존에 없었던 인공지능(AI) 보험설계사가 새로운 보험판매채널로 등장하게 되었다. 현재 보험업법에서 보험모집을 할 수 있는 보험설계사는 자연인 보험설계사만을 의미하고, 새롭게 등장한 인공지능(AI) 보험설계사는 보험업법 상 보험을 모집할 수 있는 자가 아니어서 보험모집 행위를 할 수가 없다. 그러나 금융혁신지원특례법의 특례로 금융규제 샌드박스(Regulatory sandbox)를 통해 한시적으로 모집 권한을 부여 받았다. 향후 인공지능(AI)의 비약적 발전과 영업조직의 운영 효율화 등을 위해 인공지능(AI) 보험설계사의 확대를 예상할 수 있다. 따라서 법적안정성을 확보하고자 관련 법의 선제적 마련이 필요할 것이다. 또 다른 논의는 2008년과 2015년에 보험업법 개정을 통해 도입하려던 보험판매전문회사는 무산되었으나, 2021년부터 대형 생명보험사를 중심으로 보험상품의 제조와 판매를 분리 운영하는 일명 제판분리(製版分離) 형태의 보험판매전문회사의 등장에 따른 법적 권한 부여에 대한 과제이다. 경영 효율화의 측면에서 판매전문회사를 설립하여 운영하고 있으나, 2021년에 도입된 형태는 과거 두 차례에 걸쳐 법제의 정비를 통해 법적 권한을 부여하는 방식이 아닌 법인보험대리점의 형태로 운영되고 있는데 보험판매전문회사는 외형적인 측면에서도 보험회사와 동일한 수준의 조직을 갖추고 있고, 판매부문에 특성화 되어 운영되고 있는 현실에 맞추어 권한과 책임을 부여할 필요가 대두되고 있다. 본 논문에서는 새롭게 등장하게 된 보험판매채널에 대하여 보험분쟁에서 많은 비중을 차지하고 있는 계약체결 시 중요사항에 대한 고지수령 권한 부여 등에 대해서 논해 보고, 보험판매채널의 법적 권한과 책임을 강조하여 궁극적으로 보험소비자를 두텁게 보호하는 방안을 마련하고자 한다.

A Comparison of Frequency-invariant Beamforming Algorithms for Hearing Aids: Differential Microphone-based Beamformers and the Broadband Beamformer

조경원,남경원,이준창,홍성화,See Youn Kwon,Jonghee Han,Dongwook Kim,이상민,김인영 대한의용생체공학회 2014 Biomedical Engineering Letters (BMEL) Vol.4 No.2

Purpose Recently, some research groups have suggested thepossibility of using the broadband beamformer (BBF)algorithm for hearing aid applications. However, there havebeen no previous reports to have quantitatively evaluatedthe relative performance between conventional differentialmicrophone (DM)-based frequency-invariant beamformingalgorithms and the broadband beamformer. Methods In this study, we evaluated the performance ofDM-based beamformer algorithms and the BBF algorithm invitro using the four objective indices of signal-to-noise ratio(SNR), perceptual evaluation of speech quality (PESQ),noise distortion (Cbak) and weighted spectral slope (WSS) ina non-reverberant environment. Results The experimental results showed that the DM-basedalgorithms were superior in terms of SNR, WSS and Cbak,and the BBF algorithm was superior in terms of PESQ. Conclusions Considering the limited performance of hearingaid processors and the experimental results, DM-basedfrequency-invariant algorithms with a first-order compensation filter are more feasible for real hearing aids. However,additional in vitro and clinical evaluations are required to moreaccurately verify the clinical feasibility of these algorithms.

Application of Queueing Theory to the Analysis of Changes in Outpatients’ Waiting Times in Hospitals Introducing EMR

조경원,김성민,채영문,송용욱 대한의료정보학회 2017 Healthcare Informatics Research Vol.23 No.1

Objectives: This research used queueing theory to analyze changes in outpatients’ waiting times before and after the introduction of Electronic Medical Record (EMR) systems. Methods: We focused on the exact drawing of two fundamental parameters for queueing analysis, arrival rate (λ) and service rate (μ), from digital data to apply queueing theory to the analysis of outpatients’ waiting times. We used outpatients’ reception times and consultation finish times to calculate the arrival and service rates, respectively. Results: Using queueing theory, we could calculate waiting time excluding distorted values from the digital data and distortion factors, such as arrival before the hospital open time, which occurs frequently in the initial stage of a queueing system. We analyzed changes in outpatients’ waiting times before and after the introduction of EMR using the methodology proposed in this paper, and found that the outpatients’ waiting time decreases after the introduction of EMR. More specifically, the outpatients’ waiting times in the target public hospitals have decreased by rates in the range between 44% and 78%. Conclusions: It is possible to analyze waiting times while minimizing input errors and limitations influencing consultation procedures if we use digital data and apply the queueing theory. Our results verify that the introduction of EMR contributes to the improvement of patient services by decreasing outpatients’ waiting time, or by increasing efficiency. It is also expected that our methodology or its expansion could contribute to the improvement of hospital service by assisting the identification and resolution of bottlenecks in the outpatient consultation process.