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Purpose: This study aims to examine the quality of tuberculosis (TB) care after the 1^st to 3^rd national quality assessment (QA) program for TB healthcare service in Korea was conducted.Methods: We analyzed Health Insurance Review & Assessment Service (HIRA) claims data of new TB patients during the period of January to June from 2018-2020. The new TB patients were defined as TB patients reported to Korea Centers for Disease Control and Prevention Agency (KCDA). The unit of analysis was the patient. Chi-square tests were used to analyze the differences in indicator value according to the types of medical facilities. The QA indicators of TB care were divided into 3 areas consisting of the following 7 quality indicators: 4 indicators of diagnosis test (the rate of acid-fast bacilli smear, the rate of acid-fast bacilli culture, the rate of Mycobacterium tuberculosis-polymerase chain reaction, drug susceptibility test), 1 compliance of treatment guideline, and 2 indicators of care management of TB patients (encounter rate, day of therapy).Results: The QA program for TB care was conducted among 8,246 patients from 534 facilities in 2020. The value of the 7 quality indicators was shown to increase as a result of the QA program. The indicators of the diagnostic test were all higher than 95%, with the exception of the drug susceptibility test which was 84.8%. Both indicators for care management of TB patients were 88.5%.Conclusion: The quality of TB care has been improving with the implementation of the QA program. In order to continue to improve the quality of TB care, it will be necessary to disclose the results of the QA program in medical facilities in the future.

The purpose of this study is to examine an elementary school teacher’s educational experience of running a small-scale village curriculum in rural and fishing villages using the autoethnography method. in the search for meaning and value. The research results are briefly presented as follows. First, is there really learning in a classroom without questions? The contemplation of “Future” led to the conclusion that the true meaning of learning should begin with helping and caring for the existence and life of children. Second, the answer to their concerns was transferred to a small school in a farming and fishing village, where they got out of textbooks and experienced classroom lessons that they had long dreamed of through classes with children’s curiosity. Third, it was found that Saetbyeol, who started making eye contact with friends through village outings, expanded her interests to the surroundings and learned not only empathy but also how to build relationships. The researcher, who was convinced of the educational experience through the village outing, ran a village curriculum with children who had the power to learn from early March, and the educational experience conducted as a class with the teaching staff, parents, and village elders on the theme of Chuseok was a solidarity with the village community. It was an important practice to create a cultural foundation through. Fourth, the researcher who visited the village he lived in as a child saw who he was through the place and experienced recovery through the process of comforting himself while facing his painful past.

Abstract>This study was focused on investigating the factors of the psychological adaptation of grandmothers raising their grandchildren. The Double ABCX family stress model provided the theoretical basis for this study, and the major factors examined in the study included a pile-up of stressors, family resources and social support, appraisal of situation(redefinition of nurturing), and adaptation(depressive mood and happiness). Data were collected by personal interview with 213 grandmothers raising their grandchildren utilizing the questionnaire survey method. Structural equation modeling analyses were performed and the results showed that a pile-up of stressors, the family resources(i.e., contact and emotional solidarity with grandchildren's parents), and the redefinition of nurturing had significant influences on the psychological adaptation of grandmothers raising their grandchildren. It was also found that social support had indirect influence on grandmothers' psychological adaptation. The redefinition of nurturing had the greatest effect on the participants' psychological adaptation, followed by a pile-up stressor, and then the family resources.¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯▲ 주제어(Key Words) : 조손가족 조모(grandmothers raising their grandchildren), 심리적 적응(psychological adaptation), 가족스트레스 모델(double abcx family stress model)• 본 논문은 박사학위 논문 중 일부임

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