• Journal of Preventive Medicine and Public Health
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• v.29 no.2 s.53
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• pp.227-238
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• 1996

This study was conducted to evaluate the accuracy of the official death registry in rural area. The base data used for the study was 379 deaths registered during the period of 1993 and 1994 in 4 rural townships of Chonnam province. The interview survey for cause-of-death was performed on the next of kin and/or neighbor. Additional medical informations were collected from hospitals and medical insurance associations for the purpose of verification. The underlying cause-of-death of 278 cases presumed by the survey was compared to the cause on official death registry. There was a prominent disagreement of cause-of-death between the survey data and the registry data(agreement rate: $38.9\sim44.6%$, according to disease classification method). These results may be caused by extremely low rates of physicians' certification, which were mostly confined to the poisoning and injury. Symptoms, signs, and ill defined conditions on death registry could be classified into circulatory disease(32.3%), neoplasm(21.2%), digestive disease(7.1%), injury and poisoning(7.1%) and so on. These results suggest that careful attention and verification be required on utilization of death registry data in rural area.

• Journal of Preventive Medicine and Public Health
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• v.32 no.3
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• pp.355-360
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• 1999

Objectives: This 3-year longitudinal study was conducted to evaluate the influence of self-rating health perception on health care utilization and all cause-death risk. Methods: The hypothesis was tested using a community-based samples, among which subjects 3,414 were interviewed in 1995, Self-rating health perception was assessed by single-item question. Three components of health care utilization amount(number of visits, number of medications, yearly health care expenses) per year were measured using medical insurance data during 3-year follow-up period among subjects in district health care insurance. There were 123 deaths from all causes among 3,085 subjects interviewed. Results: The results showed that those who had poor health perception revealed more increases in the amount of health care utilization than good health perception group (p<0.05). After adjusting for age and sex, the poor health perception group had higher death risk over 3 years than good health perception group(hazard ratio=1.88). but, after adjusting health care utility, supplementary, was not significant. Conclusion: These results suggest that self-rating health perception was associated with difference in health care utilization and all cause-death risk.

• The Korean Journal of Applied Statistics
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• v.31 no.4
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• pp.529-538
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• 2018

Tuberculosis causes high morbidity and mortality. However, Korea still has the highest tuberculosis (TB) incidence and mortality among OECD countries despite decreasing incidence and mortality due to the development of modern medicine. Korea has now implemented various policy projects to prevent and control tuberculosis. This study analyzes the effects of public-private mix (PPM) tuberculosis control program on treatment outcomes and identifies the factors that affecting the success of TB treatment. We analyzed 130,000 new tuberculosis patient cohort from 2012 to 2015 using data of tuberculosis patient reports managed by the Disease Control Headquarters. A cumulative incidence function (CIF) compared the cumulative treatment success rates for each factor. We compared the results of the analysis using two popular types of competition risk models (cause-specific Cox's proportional hazards model and subdistribution hazard model) that account for the main event of interest (treatment success) and competing events (death).

• Korean Journal of Social Welfare
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• v.65 no.4
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• pp.61-88
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• 2013

The aim of this study was to explore the work experiences of hospital-based child protection team staffs who had intervened the child abuse cases resulting in death. In order to gather the relevant data, all 62 child protection teams registered nationwide were contacted and 5 teams which had actually experienced at least one child abuse deaths were found. The staffs (hospital social workers and doctors) who belonged to these teams were intensively interviewed, and the interviewed materials were thoroughly analyzed by qualitative research methodology. The result showed that treatment delay was the most important obstacle to prevent unnecessary deaths of the victims. Some abused victims were sent to the hospital only after their physical condition had so gravely deteriorated. In other cases, custodians' bland denial or refusal to treatment made impossible the timely intervention to save the child lives. Nevertheless, child protection team staffs' reasonable suspicion and active intervention could sometimes uncover the hidden truth that child abuse was the actual cause of death. These incidents were regarded as a team's meaningful accomplishments by team members. Meanwhile, lack of awareness and excessive burden about the role and responsibility of mandated reporter precluded medical staffs' active involvement. Also, substantiating the abuse suspicion by securing positive evidences was found to be a facilitatory factor for the rapid public intervention. On the basis of these results, several practice and policy implications were discussed to improve the early detection process, securing evidence and uncovering the actual cause of death in child abuse deaths.

• Journal of Korean Society of Transportation
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• v.24 no.3 s.89
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• pp.113-123
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• 2006

This article evaluates the effects of eight traffic safety policies such as traffic accident reduction campaign, the seat belt law, three strike out driving while intoxicated, rewarding for reporting traffic offenders on the number of accidents and fatalities. Intervention analysis of time series is used to compare the monthly accident and fatalities with the before and after reinforcement. The results indicate that no significant impact of the traffic enforcement measures on reducing the number of accidents and fatalities.

• Proceedings of the Korean Society of Computer Information Conference
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• 2011.01a
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• pp.127-130
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• 2011

사회가 고령화, 초핵가족화 및 재난취약계층이 늘어나면서 요구호자에 대한 고품질 맞춤형서비스가 필요하게 되었고, 급성진환, 심뇌혈관 고위험 환자 및 자살 등 예방가능 사망률이 선진국에 비해 높음에 따라 신속하고 전문적인 구조 구급서비스가 요구된다. 따라서 본 논문에서는 응급환자가 발생하였을 때 병원 도착 전 환자의 정보를 이용하여 응급처치가 가능하도록 하고, 응급의료기관에서는 환자 진료준비를 사전에 할 수 갖출 수 있도록 하여 응급환자 진료의 효율성을 극대화하였다. 또한 사회적 인지도가 높은 119번호를 이용한 다양한 복합 응급신고 접수 시 유관기관과 통합적 대응체계를 구축하는 효율적 응급의료서비스 고도화 전략을 제시하고자 한다.

• Journal of Preventive Medicine and Public Health
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• v.14 no.1
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• pp.39-42
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• 1981

Recent changes in the cause of death among the Korean population seem to be systematic and significant. Data on cause of death from the medically certified death certificates provide at least four types of evidence: a sudden increase in recent years in the numbers of death due to cerebrovascular disease or circulatory diseases including rheumatic fever and chronic heart diseases and atherosclerosis; increasing steadily in the numbers of death due to malignant neoplasm of various sites, and death due to accident; decreasing steadily in the numbers of death due to communicable diseases or parasite diseases; and a large number of deaths with unspecified symptoms and ill-defined conditions. The lack of complete registration of the deads occurred or the incomplete description on the cause of death reported suggests that statistical information of cause of death from the medically certified death records is meaningful in interpreting changing patterns.

• Proceedings of the Korea Information Processing Society Conference
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• 2022.11a
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• pp.1000-1002
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• 2022

재난 상황 발생 시 정보 습득이 어려워 시각장애인의 경우 초동대응 시간을 놓치게 된다. 특히나 화재사고 사상자 중 사망자 비중이 장애인은 비장애인에 비해 약 4 배 ~ 5 배 더 높으며 현재까지도 사상자가 발생하여 중요한 사회문제로 논의되고 있다. 본 연구에서는 기존의 스마트 대피 시스템의 한계점을 살펴보고 한계점을 개선할 수 있는 대안을 제시한다. 초동 시간 내에 사회복지사와 소방관이 사용자의 실시간 위치와 정보를 파악해 신고를 유도함과 동시에 자력 대피가 가능하도록 최적 대피 경로를 능동적으로 결정하여 안내방송을 출력하는 시스템을 소개한다.

• Journal of the Society of Disaster Information
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• v.16 no.1
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• pp.44-59
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• 2020

This study analyzed a gas explosion accident. A gas smell from a underground coffee shop in the two-story building was reported to 119. A fire brigade was turned out, turned off the main valve of LPG gas cylinder on the roof, and checked the turning off of middle valve in the coffee shop. The fire brigade required a gas supplier and gas installer who arrived at the spot to take safety actions. Gas explosion occurred seven minutes after the fire brigade was withdrawn and two people died and 21 people were injured. A court decided that because the causes for gas explosion were not found, compensation responsibility could not be charged with the gas supplier, the gas installer, or Korea Gas Safety Corporation. In this reason, the court judged that only the fire brigade who was withdrawn without taking safety actions shall compensate victims or bereaved families. Therefore, fire brigades who turn out after a 119 report of a gas leak should take safety actions such as escaping people or preventing people's access and ventilating and be withdrawn when there is no possibility of fire or explosion.

• Journal of Korean Society of Disaster and Security
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• v.6 no.2
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• pp.31-39
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• 2013

Seoul city has been carried out the actual conditional investigation about street monitoring from January to June of 2013. As the result of this investigation, it has been performed aleady the Seoul city's BSI goal of 2013. The 9,722 cases were reported through the street monitoring activities. Despite of increasing drastically for 1,151 cases's record of 2012, Street monitoring activity appeared wide variations in the region, ages, vocation and gender. Also it depended on 14 outstanding persons of merely 2.2%. They reported 6,546 cases that run to 67.3%. On the basis of Herbert W. Heinrich's law of 1:29:300, the dead of 28, seriously and the slightly injured of 816 and the latent injured of 8,442 were decreased. It respected and protected the 9,287 Seoul citizen's life. This study reseted a definite goal of monitoring and estimated a performance possibility as well as suggested a monitoring expert system, monitor increase, grade evaluation incentive, general evaluation method throughout priority analysis of Gangdong-gu case.