21세기 미국의 의료환경, 동향과 대응

채유미,Chae, Yu-Mi 대한병원협회 2002 대한병원협회지 Vol.31 No.1

불포화 무한사면 안전율의 수정방정식에 대한 연구

채유미,김재홍,정영훈,김태헌,Chae, Yu-Mi,Kim, Jae-Hong,Jeong, Young-Hun,Kim, Tae-Heon 한국지반공학회 2018 한국지반공학회논문집 Vol.34 No.4

기존에 사용하고 있는 포화깊이를 추정하는 Green-Ampt (1911) 방정식과 무한사면 얕은파괴를 계산하는 Skempton & DeLory(1957) 방정식을 수치해석과 비교하여 오류를 확인하였다. 실제 비탈면에서 강우로 인한 사면 불안정성의 근본적인 원인을 방정식으로 간단하게 평가하기에는 계산 결과에 대한 오류와 과대 또는 과소평가가 되고 있는 부분들을 많이 포함하고 있다. 본 연구에서는 국내 화강풍화토 강도정수의 평균범위를 적용하여 불포화 침투해석을 고려한 방정식을 제안하고 수치해석 결과와 비교하여 신뢰성을 검증하였다. 비탈면의 붕괴에 위험을 주는 강우지속시간과 포화깊이를 확인하면서 사면 안전율 방정식을 여러 분야에서 쉽게 사용할 수 있도록 제안하였다. In conventional analytical solutions for rainfall-induced soil slope stability, the Green-Ampt (1911) equation for estimating the saturation depth and the Skempton & DeLory (1957) equation for calculating the infinite slope shallow failure were compared with the numerical analysis to confirm the error. In the simple evaluation of the reason of soil slope instability due to rainfall using the conventional equations, there are many errors and, overestimation or underestimation of the calculation results. In this study, the equation consisting of the results obtained from infiltration analysis on unsaturated soil slope is proposed by applying the average range of the strength parameters of the granite weathered soils, and its reliability is verified by comparing with the numerical analysis results. The developed equation can be used easily in various fields for the estimation of slope safety factor by checking the rainfall duration and saturation depth.

DRG 제도에 대한 외국동향과 시사점

채유미,Chae, Yu-Mi 대한병원협회 2008 대한병원협회지 Vol.37 No.3

한방난임사업에 대한 의학적·통계학적 관점에서의 평가

채유미,임지선,김재현,박지의 대한의사협회 의료정책연구소 2018 대한의사협회 의료정책연구소 연구보고서 Vol.- No.-

의료소비자의 정보탐색행태와 지각된 위험이 고객만족도에 미치는 상대적 영향

채유미,이선희 한국보건행정학회 2010 보건행정학회지 Vol.20 No.3

Objective : The purpose of this study is 1) to understand the information-searching behavior of health care consumers ; 2) to examine the relationship between the information-searching behavior of health-care consumers and regulatory variables such as socioeconomic factors,characteristics of medical utilization, and perceived risks ; and 3) to determine the factors that affect consumer satisfaction, especially with respect to information-searching behavior. Method : The data for this study were collected from 838 respondents in five university hospital located in three areas—Seoul, Gyeonggi province, and Chungchong province. As the first step of the study, we conducted a preliminary survey from September 23–26, 2008. At the second step, we conducted a survey on the effect of information-searching behavior on those individuals who had visited. Furthermore, personal interviews were conducted through a face-to-face survey between September 30 and October 17, 2008. Results : The major research findings that were obtained from the study were as follows : First, the age, educational level, and residential district were associated with information source utilization. Second, the level of information searching effort and quality of service had a significant effect on consumer satisfaction. Conclusion : These results show that it is essential for marketers to have in-depth knowledge about the young and educated people who actively search for information and about those who are in the prime of their life and rely on word-of-mouth communication from personal and experi in-al informers. Therefore, marketers should develop different marketing strategies to meet the needs of such consumers.

의료소비자들의 인구사회학적 특성에 따른 정보탐색 행태분석

채유미,조우현,이선희,Chae, Yoo-Mi,Cho, Woo-Hyun,Lee, Sun-Hee 대한예방의학회 2001 Journal of Preventive Medicine and Public Health Vol.34 No.4

Objectives : To investigate the information searching behavior of health care consumers according to sociodemographic characteristics. Methods : A questionnaire survey was conducted of 1,507 persons who were selected through a multi-stage stratified area cluster sampling of the Republic of Korea, excluding the province of Jeiu-do. Personal were conducted through a door-to-door survey between 27 July and 10 August 1999. Results : 80.5% of respondents used more than one source of information and those $40\sim59$ years of age, female, a housewife or student and those who claimed a religion demonstrated more active information searching behavior. A personal informer was used significantly more in those $20\sim39$ years old, female, and those who claimed a religion. Clerical workers, those with post-secondary education and a monthly income greater than 2,000,000 won ($1500) were more actively used a public informer. Low socioeconomic status and older persons used an experimental informer when they chose a health care institution. Conclusion : Regardless of the sociodemographic characteristics, personal and experimental informers were the most useful source of information. Because appropriate information was not easy to obtain, the health care consumer was dependent upon word-of-mouth communication(personal informer) when using health care services.

국내 의료기관의 질 향상 사업주제

채유미,이선희,최귀선 한국의료QA학회 2001 한국의료질향상학회지 Vol.8 No.2

Background : the hospitals in Korea are in a situation of a severe competition than the past. This situation was resulted from the increase in the number of hospitals and also from the government policy controlling the medical insurance fee. Moreover, consumer’s desire for the high quality medical service g\has been significantly increased. Many programs to improve the quality of medical services are being performed in hospitals since the middle of 1990’s. Studies up to now reported that more than 10 programs are being performed per hospital in Korea. So far studies have been performed to measure only the number of such programs in a hospital. The purposes of this study are to examine a specific area involved in the programs designed to improve the medical service quality and to suggest a future direction of the such programs. In addition, we hope that the results from this study could assist the programs for the medical service quality. Methods : A mailed questionnaire survey of the QI staffs at hospitals with 400 beds or more was conducted between September 15 and October 30, 2000. Of the 108 hospitals eligible for inclusion in our study, 69 participated, yielding a response rate of 63.9%. Excluding 7 hospital which are not responsed about activities of hospital then 62 hospitals were used for the analysis. Result : The total number of programs was 1,081 from the 62 hospitals participated in the survey. The highest number(24.8 programs) was found in the hospital having more than 800 beds and performing the programs more than 5 years. The 1,081 programs were consisted of 445 from the medical examination area, 343 from the medical examination support area, and 296 from the management area. Conclusion : This study showed the present situation of hospitals in Korea regarding to the quality improvement programs. The results from this study suggest that the pattern of the program for the medical service improvement is being changed to service process and result-centered programs from the structural area.

극건조 환경에서 염화티오닐 동시 노출자의 자각증상 경험률

채유미,Chae, Yoo Mi 한국환경보건학회 2015 한국환경보건학회지 Vol.41 No.6

Objectives: An ultra dry air environment of nearly ${\leq}2%$ RH is often required in lithium battery factories. The objective of this study is to evaluate the subjective eye, pulmonary, nose, and skin symptoms of workers exposed to ultra-low relative humidity and thionyl chloride. Methods: We recruited 274 workers using a self-reported questionnaire in March 2014. Those who worked in ultra-low relative humidity and with thionyl chloride were identified and their prevalence of symptoms was compared with that of other workers. We excluded white collar workers, researchers and other workers who were exposed to various hazard factors, and finally included 164 workers. Results: There were significant differences in the rate of self-reported eye and skin symptoms between exposure group_1 and exposure group_2. Exposure group_2 experienced more frequent eye, and skin symptoms. Multinomial logistic regression analysis for experience of dry eye symptoms and skin symptoms in exposure group_2 showed that dry eye symptoms (odds ratio [OR], 6.33, 95% confidence interval [CI], 2.19-18.24, p<0.001), and itchiness (OR, 6.45, 95% CI, 1.94-21.43, p<0.01) were the significant variables. The complaints of workers experiencing ultra-low relative humidity and thionyl chloride were high compared with other workers. Conclusion: These findings suggest that exposure to ultra-low relative humidity and thionyl chloride may be associated with more frequent eye and skin symptoms than exposure to ultra-low relative humidity alone. The current precautions to protect workers from the adverse effects of ultra-low relative humidity and thionyl chloride appear to be insufficient, indicating that additional management plans to reduce symptoms should be considered.

지오텍스타일 봉합 인장강도와 지반의 응력증가분 해석

채유미,김재홍 한국지반신소재학회 2018 한국지반신소재학회 논문집 Vol.17 No.4

서해안과 남해안 그리고, 하천유역에는 연약지반을 개량하여 산업시설 공간과 농경지 확보를 위해 토목섬유매트 활용이 많아지고 있다. 광대한 연약한 지반을 개량하기 위한 초기단계로 장비 진입을 위해 토목섬유매트를 포설하고 접합하여 넓은 지반의지지력을 증대시킨다. 토목섬유매트 봉합강도는 원단 인장강도의 50% 정도만 힘을 발휘하고 있어 장비주행성에 융기와 침하등 지지력 저하의 문제들이 발생한다. 본 연구는 여러 가지 토목섬유매트 봉합기술들을 분석하고 각 방법들의 인장강도를 비교분석하였다. 또한 토목섬유매트의 봉합강도를 증가시켰을 때, 상재하중에 의한 지반내의 응력증가분이 감소하는 경향을 수치해석으로 확인하였다. 봉합강도를 60, 70, 80%으로 향상시켰을 때 토목섬유에 의한 지반의 지지력 증가를 확인할 수 있었다. In the west coast, south coast, and river basin, the use of geotextile mats has been increasing to improve the soft ground for making industrial facilities space and farmland. As an initial step to improve the vast and soft ground, the geotextile mats are laid and bonded to increase the bearing capacity of the wide ground for supporting construction equipment. Seam strength of geotextile mats exert a force only about 50% of the tensile strength of the fabric, which causes problems such as uplift and sinking in the soft ground. In this study, various types of geosynthetic matting techniques were investigated and the tensile strength of each method was compared and analyzed. Numerical analysis shows that stress increment in the ground due to the overburden load decreases when the seam strength of the geosynthetics mats is increased. When the seam strength was increased to 60, 70 and 80%, the bearing capacity of ground by geotextile mat was increased.

산업현장의 운동프로그램 : 사업장 사례를 중심으로

채유미 대한운동학회 2004 아시아 운동학 학술지 Vol.- No.16