• Health Policy and Management
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• v.26 no.4
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• pp.305-314
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• 2016

Background: The purpose of this study is to examine the characteristics of and factors associated with long-term care (LTC) utilization under public long-term care insurance (LTCI) among end-of-life older adults in Korea. Methods: Using a 5% sample of older people aged 65 or older and their health and LTC insurance data, two-part model analyses were conducted. We compared LTC uses and their determinants during the last year of life among decedents in the year 2010 with those of survivors. We also compared the medical uses of the same sample with their LTC uses. Results: The end-of-life elderly were more likely to use LTC, and their expenditure on LTC was higher than their counterparts. Whether or not older people used LTC during their last year of life was significantly affected by age, sex, health insurance, household income, and living alone; however, LTC costs of the decedents were only affected by functional status, which may have been due to the reimbursement scheme of the current LTCI, which is mainly based on functional dependency level. For the survivors, having chronic diseases significantly increased the likelihood of LTC use, which was not the case for the decedents. End-of-life elderly with relatively low social economic status were more likely to use the LTC other than medical services, while the health conditions affected their medical uses most significantly. Conclusion: The study findings provide key information for predicting demand related to the increasing LTC needs of Korean older people at the end of life.

• Health Policy and Management
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• v.29 no.4
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• pp.445-453
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• 2019

Background: This study is to investigate the association between the distribution of multimorbidity and length of stay and medical expenses among inpatients in a municipal hospital to achieve an integrated care setting. Methods: We used the exploratory factor analysis and the generalized estimating equation model to analyze the data from patients living in the northeast region of Seoul, who were hospitalized from January 2017 to December 2017 in a municipal hospital. Results: As a result of the factor analysis, seven types of multiple chronic diseases were classified. Among the elderly patients admitted to municipal hospitals, the burden of medical expenses was mainly influenced by the length of stay (B=310,719, p-value <0.0001), not the type of disease (all not significant). Length of stay were mainly due to psychiatric illness (factor 1: B=4.323, p-value <0.0001) related to the brain and metabolic diseases (factor 2: B=2.364, p-value=0.003). Conclusion: This study showed that the medical expenses of the elderly patients were largely due to prolonged hospitalization, not multimorbidity. Therefore, it is necessary to develop an integrated care paradigm strategy cope with the multimorbidity of the elderly in the community and to alleviate the socio-economic burden.

• Health Policy and Management
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• v.16 no.1
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• pp.41-53
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• 2006

This study was carried out to investigate the linkage between health care and social services for the elderly in Jeonnam Province and its related factors. The subjects were 831 persons of visiting health service workers and social welfare workers in Jeonnam Province who responded the mail questionnaire (85.5% respondse rate). The data were collected from 15th May to 30th June, 2004 using the structured questionnaire. It was composed of the socio-demographic characteristics, the content and frequency of services referred between health care and social welfare workers, and interdisciplinary perception. Data was analysed by SPSS for Windows 12.0. 374(45.0%) reported having experience of service cooperation between health care and social welfare workers for the last three month. The most service that health care workers requested to social welfare workers was to get information for the client, on the other hand the most service that social welfare workers requested to health care workers was to visit and treat the elderly. These service providers in rural area and good attitude toward the cooperation between health care and social welfare service showed more linkage. The findings of this study could provide the basic data for the development of efficient coordinating program of health and welfare.

• Korea journal of population studies
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• v.23 no.1
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• pp.147-180
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• 2000

1997-98년의 외환위기는 한국경제 전반에 걸쳐 커다란 변화를 초래하였다. 특히 노동시장에서도 200만 명의 전례 없는 대량실업을 경험하였다. 이전의 고학력 실업과 생산직 노동력 부족이라는 두 가지 큰 특징으로부터 성, 학력, 연령에 관계없는 전 노동력에서의 대량실업이라는 특징을 경험하게되었다. 불경기에서의 기업 구조조정은 많은 직장인들로 하여금 통상적인 정년을 채우지 못하고 조기 퇴직해야 하는 상황을 초래하였다. 특히 50세 이상의 중·고령자 조기퇴직은 그들이 가정경제를 책임지는 가장으로서의 가정적 불안 뿐 아니라, 사회적으로도 실업자 보호를 위한 비용지출이 증대될 수밖에 없다. 이러한 현상은 직장에 남아있는 근로자들의 고용불안으로 확대되어 근로자들의 의사가 제대로 반영되지 않는 채 그 동안 정착된 고용관행(60세 전후 정년퇴직, 연공서열형 보수체계, 등)이 쉽게 무너지고, 사용자 중심의 새로운 고용관행(계약직, 연봉제, 단시간 근로형태, 등)이 확대될 가능성이 높아지게 되었다. 본 연구는 중·고령자의 고용안정과 촉진을 위한 정책대안과 촉진을 위한 정책대안을 제시함으로써 개인에게는 적합한 직종에서 일할 기회를 부여하고, 사회적으로는 실업문제의 해결로 사회복지비용의 지출을 최소화한다는 차원에서 연구되었다. 일반적으로 채용 면에서는 퇴직된 중·고령자도 신구인력과 경쟁적일 수박에 없으므로 비록 경기가 회복되더라도 재취업의 어려움은 여전히 남을 수밖에 없다. 뿐만 아니라 이들은 오랫동안 피고용자로서 근무해 왔기 때문에 신규 자영업에 진출하기도 조심스러울 수밖에 없어 이들의 경제활동에 대한 정부차원의 지원정책이 필요할 것이다. 연구결과 다음과 같은 몇 가지 중요한 정책적 시사점을 제시할 수 있다. 의무고용률 의 조정, 퇴직 전 전직훈련의 의무화, 고령자 창업보육센타의 설립, 신규채용이나 퇴직에서 제한연령의 완화 및 철폐, 서비스 산업에서의 고령자 적합직종의 개발, 등이 그것이다.

• Journal of Korean Society for Geospatial Information Science
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• v.8 no.2 s.16
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• pp.117-127
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• 2000

The economic development and the development of medical treatment by scientific technology development progressed the level of national people life and improved average life gradually. In this reason, old people who have finance power would like to receive a comport and high level service, though paying proper expense. In this study, receiving this requirement, we focused that silver town have reasonable and comfortable residing environment in developing rural and rest form silver town objecting external area of Chon-Ju city, and selected land suitability. Through the learning of the neural network theory in the method of land suitability, we applied in the full of study area and improved a flexible determination making as giving each class value in each cell. Also, we compare a method of land suitability using the neural network theory, and it's analysis with a method of land suitability by the duplication method of Boolean Logic have been used In Geo Spatial Information System(GSIS) and proved the Boolean Logic's lose of values and the propriety.

• The Journal of the Korea Contents Association
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• v.8 no.9
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• pp.172-184
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• 2008

The purpose of this study analyzes services and the markets creating the profit of the national home network industry and the promotion strategy will be proposed. First, the technologies and products of the home network industry are analyzed, and the value chain of this industry is grasped. Second, the home network industry is classified into the communication common carrier, the construction carrier, the content/solution carrier, and the electronic business carrier. Third, The business model of the home network industry reconstructed based on the researches of Morris et al.(2005) and Chesbrough and Rosenbloom(2002), and the strategies are analyzed. We performed the industrial analysis as the company environment analysis, factor analysis of the value creation, business strategy analysis and so on.

• Journal of Distribution Research
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• v.10 no.4
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• pp.23-39
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• 2005

Recently, aging population will be coming out of the first magnitude demanders in this age. The purpose of the study is to present the basic data useful to get the public attention concerning the development of the consumer market of the elderly people by looking into the various factors which may influence the consumer. The results of the study will be very useful in establishing the relevant marketing strategies and in. providing the business opportunities for the elderly consumers in Korea. A survey was performed on actual Korean consumers aged over 55 and the results was compared with data previously reported in Korea and U.S.A.

• The Journal of the Korea Contents Association
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• v.7 no.3
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• pp.129-139
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• 2007

The purpose of this study was to investigate the visitors' satisfaction with the Daegaya History Experience Festival and to provide practical implications to festival planners. Some important results of this study were as following. First, educational effectiveness had the highest satisfaction among visitors. Second, picking strawberries was founded as the most favored family oriented experience and experiencing the Daegaya vessel was perceived as the next layered program. Third, This festival provided pay experiences to the visitors including drawing bronze age rocks on the visitors' faces and Daegaya vessel making. Fourth, this festival achieved specializing of volunteers and increased satisfaction of guides. For future study, it is necessary to do empirical studies including investigating the determinant factors of festival visitors' satisfaction and behavioral intentions.

• Journal of the Institute of Electronics Engineers of Korea CI
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• v.44 no.4 s.316
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• pp.36-44
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• 2007

In this paper, we implement the speech & face recognition system to support various ubiquitous sensor network application services such as switch control, authentication, etc. using wireless audio and image interface. The proposed system is consist of the H/W with audio and image sensor and S/W such as speech recognition algorithm using psychoacoustic model, face recognition algorithm using PCA (Principal Components Analysis) and LDPC (Low Density Parity Check). The proposed speech and face recognition systems are inserted in a HOST PC to use the sensor energy effectively. And improve the accuracy of speech and face recognition, we implement a FEC (Forward Error Correction) system Also, we optimized the simulation coefficient and test environment to effectively remove the wireless channel noises and correcting wireless channel errors. As a result, when the distance that between audio sensor and the source of voice is less then 1.5m FAR and FRR are 0.126% and 7.5% respectively. The face recognition algorithm step is limited 2 times, GAR and FAR are 98.5% and 0.036%.

• Korean Journal of Community Nutrition
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• v.8 no.5
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• pp.736-743
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• 2003

The purpose of this study was to research the current home delivered meal (HDM) service programs for seniors living in the community. Fifty seven centers which operated a HDM service program were surveyed with respect to their administrative structure, menu management, food purchasing and production management, hygiene and equipment and facility. -Statistical data analyses were completed using the SAS 8.1 program for descriptive analysis and t-test. The results showed that 55 percent of the study group were from 70 to 79 years old. All of the participants received free HDM. As a result of the meal cost analysis, the meal cost at 56.1% of the HDM service centers was from ￦2,000 to ￦2,499 per meal. A total of 68.4% of the HDM service centers were operated without the services of a dietitian. According to the menu analysis, all nutrients except Vitamin B2 were at levels of more than 33% of the Recommended Dietary Allowances for Koreans. Although 96.6% of the HDM service centers required a therapeutic diet menu for the health of the elderly recipients, 68% of the directors responded that they could not afford to serve therapeutic meal. Food purchasing, menu planning and other foodservice management processes were handled by non-professionals, such as volunteers, cooks or social workers. Forty two percent of the HDM service centers never used standard recipes. For determining portion sizes, 75.4% of the HDM service centers depended on personal experience. Finally, the current HDM service programs for the homebound elderly were not operated systematically. It is suggested that professionally trained personnel should be included among the staff members to provide a more effective HDM service. The HDM service programs should be supported financially and systematically by the government.