• 대한치과기공학회지
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• 제33권4호
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• pp.413-425
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• 2011

Purpose: This study conducted a survey on the elderly with physical debilities, who are in a medically vulnerable social class, to examine closely their demo-sociological characteristics, unmet needs, dental states, and living qualities and satisfaction levels relating to oral health and social supports to them, and also to prepare the basis for effective public medical policies and health improvement programs aimed at improving the quality of life for the elderly with physical debilities. Methods: Twenty-two elderly care facilities within Jeju Special Self-Government Province participated in the survey. Between 11 January and 5 March 2010, a total of 250 elderly persons(65 and over) with physical debilities were interviewed and their dental health was checked. Results: The results of the survey are as follows. The need for social support for dental care of the elderly with physical debilities was high in the medical institution-supported service (49.6%). The unmet needs for physical care were high in bathing (49.6%) and using public transportation (71.6%). More than half of these surveyed had ten or fewer teeth. The survey found that 31.6% of the participants experienced problems eating, due to poor dental health. Concerning quality of life, 30.5% of those surveyed experienced physical pain. Conclusion: In summary, the ages of the survey participants directly relates to the degree of behavioral debility experienced. The more debility a participant exhibits, the greater is the need for social support and dental care. The dental health of a participant directly relates to a higher quality of life. Good dental health of a participant translate to better quality of life. In light of the fact that the elderly with physical debilities suffer from a lack of accessibility to medical care and worse oral health than do other elderly persons, it is essential to increase accessibility to medical institutions that can provide such services as door to door dental care. Current insurance policies, funding for denture insurance, and free denture and denture-upgrade programs desperately need to be expanded. Therefore, to improve effectively the quality of life for the elderly with physical debilities civil dental medical resources should be encouraged to provide inclusive and prevention-focused medical care. In the public domain, door to door dental care services and cooperation with civil dental care resources need to be improved to increase impartial accessibility to dental medical institutions.

• 농촌계획
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• 제2권2호
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• pp.37-44
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• 1996

The main aim of this study is to propose the improvement guidelines for the rural communit;- facilities(short as RCFs) in the village level. 28 villages were selected in consideration of the travelling distance to the nearest city, farming types and percentage of farm to total land. Through the analyses of the physical conditions and utilizing practices of RCFs in case villages, the tentative improvement guidelines were finally formulated. The major results of the study were summarized as follows ' 1. Most villagers thought the village hall and Jungjamok(Korean-style outdoor rest point) being centrally located, which was reflected in their high satisfaction with the accessibility to RCFs.However, they evaluated that above two places were too small and old for normal use, so set forth their views of high dissatisfaction on the scale of RCFs, 2. Analyses results of the survey in the study showed the ranking order of service level of RCFs as following; the village hall l rest building for the aged 1 rural-pocket park 1 village store / playground.And the need for cultural function was much more highly expressed than merely meeting function. 3. Considering together with the analysis results of this study and the related referencing guidelines, it is proposed to introduce the village hall, shop, and village store as basic ones of RCFs in the village level, which should form a single complex connected mutually and functionally each other.

• 한국주거학회논문집
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• 제16권3호
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• pp.59-68
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• 2005

The purpose of this study was to find out the new directions of Korean rural village remodeling policy based on the representatives' needs in 32 rural villages. The villages were selected by accessibility, type of village construction, geographic characteristics of rural area, and administrative district. The interview data were collected from the representatives of each village. By analyzing the qualitative and the quantitative data, the following conclusions were derived: 1) The village remodeling program should be performed with a long schedule plan, flexible budget, and residents' participation. 2) In new villages, the post village management system should be set up in order to conserve the rural environment. 3) Above all, the expert service system based on government support should be done. The experts would guide residents by consulting about village tour, village viewscape of houses and facilities, and the merchandising of the village's specialized resources. 4) The rural village remodeling program should be carried out on the base of the sense of community and the elderly life.

• 농촌계획
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• 제21권2호
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• pp.11-21
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• 2015

This study carried out evaluation of vulnerability in accessability and functionality using road network that was extracted from Intelligent Transportation System(ITS) and digital map. It was built in order to figure out accessability that locational data which include community center, public facilities, medical facilities and highway IC. The method for grasping functionality are Digital Elevation Model(DEM) and land slide hazard map provided by Korea Forest Service. The evaluation criteria for figure out accessability was set to related comparison of average time in urban area. Functionality value was calculated by the possibility of backing the vehicle possibility of snowfall and landslides. At last, this research computed weighting value through Analytic Hierarchy Process (AHP), calculated a vulnerable score. As the result, the accessability of rural village came out that would spend more time by 1.4 to 3.2 times in comparison with urban area. Even though, vulnerability of the road by a snowfall was estimated that more than 50% satisfies the first class, however, it show up that the road were still vulnerable due snowing because over the 14% of the road being evaluated the fifth class. The functionality has been satisfied most of the road, however, It was vulnerable around Lake Daechung and Piban-ryung, Yumti-jae, Suriti-jae where on the way Boeun. Also, the fifth class road are about 35 km away from the city hall on distance, take an hour to an hour and a half. The fourth class road are about 25 km away from the city hall on distance, take 25 min to an hour. The other class of the road take in 30 min from the city hall or aren't affected of weather and have been analyzed that a density of road is high. In A result that compare between distribution and a housing density came out different the southern and the eastern area, so this result could be suggested quantitative data for possibility of development.

• 한국ITS학회 논문지
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• 제20권2호
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• pp.58-71
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• 2021

전 세계적으로 고령인구가 급증하고 이에 따라 이동에 불편을 겪는 교통약자의 수도 증가하고 있다. 이러한 추세에 따라 국내에서는 이동편의시설 설치 확대 등 교통약자에 대한 양질의 대중교통 서비스 제공을 위해 다양한 정책을 시행 중이다. 기존 대중교통 이동편의시설 설치는 역사의 면적, 층수, 시설 미확보역 등의 양적인 측면을 기준으로 우선적 확대·설치되고 있다. 하지만 양적 기준 보다는 실제 이용자 기준의 설치 필요 지역에 이동편의시설을 확보하는 것이 교통약자의 이동편의 증진에 더 효과적일 것으로 사료된다. 본 연구에서는 이용자 기반의 교통카드 빅데이터 분석을 통해 교통약자의 환승취약지점을 도출하고자 했다. 스마트카드 거래내역 데이터를 가공하여 환승통행데이터를 구축하고 이용자별 환승통행패턴 분석 및 환승통행시간 차이가 큰 경로를 기준으로 환승취약지점을 도출했다. 분석 결과 일반 이용자보다 교통약자의 환승시간이 오래 걸리는 것으로 나타났다. 일반과 교통약자의 환승통행시간 차이와 시설물 개수와의 상관관계는 미약한 것으로 나타났는데 현장 조사 결과 환승통행시간 차이는 시설물의 단순 개수보다는 해당 환승최단경로 내 이동편의시설의 부재로 인해 발생하는 것으로 나타났다. 향후 교통약자를 위한 이동편의시설 확대 시 실질적 이용자 기반 데이터 분석을 통한 환승취약지점을 기준으로 우선적 시설 확보 시 교통약자의 이동편의가 보다 더 향상될 것으로 사료된다.

• 대한토목학회논문집
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• 제32권3D호
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• pp.283-289
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• 2012

철도는 문전 서비스가 어렵기 때문에 출발지에서 역까지 접근성과 다른 철도노선과의 환승 편의성을 혁신적으로 개선해야 한다. 이 정책의 실행대안은 속도향상과 철도간 직결운행, 인터모달리즘 등이 있다. 최근 수도권광역급행철도정책은 속도향상, 건설기간 단축, 토지보상비 최소화 등의 목표 달성을 위해 대심도 지하공간 이용이 제안되어 있다. 하지만 대심도 지하공간에 건설되는 철도는 접근 및 환승저항, 이용자의 심리적 부담이 부정적 효용으로 작용된다. 본 논문에서는 대심도 철도의 접근과 환승저항 평가와 시사점을 제시하고 있다. 접근저항은 차내시간의 5배로 매우 크게 영향을 미치고, 환승저항 그리고 심리적 부담에 따른 불효용이 존재하고 있었다. 즉 대심도 철도건설정책은 역까지 접근교통수단과 일체적 시스템 구축에 필요한 제도 정비가 매우 중요하다.

• 보건교육건강증진학회지
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• 제16권2호
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• pp.205-233
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• 1999

This study is an effort to make policy suggestions by analysing the current health examination program as a benefit service provided by the national health insurance system, including health screening for the insured, screening of cancer and chronic diseases for their dependents. Analyses found some issues being gave attention to; 1) The insured under the community health insurance system do not get the health examination benefit. A program for them should be set to have equity in benefit services. 2) Low rates of using screen services compromise purpose and the efficiency the services have first intended to. An immediate attention should be made to increase low rate of use of screen test to detect chronic diseases in particular. 3) Selection of diseases and test items covered by health examination program does not reflect the need of the insured, but to reflect financial resources of the national health insurance system. 4) Lack of health screening facilities and their geographical maldistribution is observed, which with preference of a general hospital as a screening post by the insured may lead to unreliable test. 5) A follow-up system should have been developed for the suspected classified by test results of carrying chronic diseases. They should be cared for within the health examination program. Public health care systems incorporate such a system, along with caring for those who are in need of having a health counselling on preventive care. In conclusion, the national health insurance system should be a medical insurance of giving a higher priority on preventive care benefits, health examination program in particular. That could be done by making rearrangements of test items, screening methods and system, rationalizing current reimbursement system of service fee, increasing accessibility to and utilization of the services, and making an establishment of follow-up system.

• 한국병원경영학회지
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• 제23권4호
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• pp.40-52
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• 2018

The purpose of this study is to identify medical consumers' hospital selection factors in response to the rapidly changing environment of medical industry. For that purpose this study classified consumers' hospital selection factors into three categories such that human factors including expertise, reliability, empathy; system factor including, convenience, differentiation, efficiency; and facility factor including tangibility, accessibility, and location, based on the previous studies and the results of a preliminary survey of the patients of a small private hospital. The nine factors were further divided into 23 more specific attributes. Then, an online survey was conducted to measure the perceptions of the 23 attributes by the medical consumers over the age of 20. The analysis of the survey data using Kano model and Timko model indicated that 14 of the 23 attributes were classified as attractive factors, eight attributes were or classified as, one-dimensional factors, and one attribute, doctors' educational background, was classified as indifference factor. Of the 14 attractive factors, "unique and differentiated services related to medical treatment" and "distance from home to hospital" had the highest customer satisfaction coefficients. Of the eight one-dimensional factors, "kind treatment," "providing adequate explanations," "accuracy of diagnosis," and "cleanness of facilities" had the highest customer satisfaction coefficients as well as the highest dissatisfaction coefficients. The findings indicate that these six attributes are the most basic and most impactful attributes that hospitals must manage strategically to improve their service quality and attract more medical consumers to their hospitals.

• 대한공간정보학회지
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• 제22권3호
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• pp.107-112
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• 2014

경제가 발전함에 따라 의료서비스의 수요도 높아지면서 한방의료 이용도 해마다 증가하고 있는 추세이다. 특히 65세 이상 노인일수록 양방보다는 한방을 선호하는 추세이며, 고령화 사회에 접어든 우리나라의 경우 한방 의료서비스의 중요성이 더욱 높아지고 있다. 이런 측면에서 지방중소도시 중 진주시를 대상으로 한의원의 밀도분석과 접근성을 분석함으로서 의료서비스의 질을 평가하였다. 그 결과 진주시 전체 의료시설 중 한의원은 27%를 차지하고 있고 주로 중심상업지역에 밀집되어 있어서 동별 한의원서비스 질에 불균형이 존재하였다. 특히 65세 이상 노인 인구의 한의원 접근성분석에서 진주시 전체 동 중 50%이상이 의료사각지역이 발생되어 매우 취약한 상태를 보여주었다. 따라서 고령화가 급속도로 진행되는 우리나라의 인구특성을 고려해 볼 때 지방 중소도시의 한방 의료 서비스 지원에 대한 체계적인 개선대책이 마련되어야 할 것으로 판단된다.

• 벤처창업연구
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• 제13권4호
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• pp.59-72
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• 2018

최근 급격히 증가하는 노인들과 정신적 휴식이 필요한 도시인들의 신체적 정신적 건강과 안녕감을 유지하기 위한 방법으로써 치유농업에 관한 다양한 연구가 이루어지고 있다. 본 연구는 치유농업 이용의도에 영향을 미치는 변인고찰을 위하여 노후준비도, 농촌치유 공급조건, 농촌치유 제공서비스를 독립변수로 정하여 연구하였다. 본 연구의 목적은 첫째, 치유농업 이용의도에 영향을 미치는 다양한 요인들을 실증적 분석을 통하여 파악하고자 한다. 둘째는 다양한 요인들 중에서 어느 변인이 이용의도에 더 많은 영향을 미쳤는지를 검증하고자 한다. 셋째, 이들 검증결과를 바탕으로 치유농업 활성화 정책을 제언하는 데 있다. 본 연구를 위해서 30세 이상 성인 남녀를 대상으로 설문조사를 실시하여 최종 356부를 분석대상으로 확정하였다. 연구가설의 검증은 선형회귀분석을 통하여 검증하였다. 분석결과는 다음과 같다. 첫째, 노후준비도의 신체적 준비와 정서적 준비 그리고 경제적 준비는 이용의도에 유의한 영향을 미치는 것으로 조사되었다. 둘째, 농촌치유 공급조건의 자연경관, 접근성, 안전성은 이용의도에 유의한 영향을 미치는 것으로 조사되었다. 그러나 경제성과 전문성은 기각되었다. 셋째, 농촌치유 제공서비스의 농작물 재배, 동물매개, 치유시설은 이용의도에 유의한 영향을 미치는 것으로 검증되었다. 이러한 연구를 통해, 치유농업의 이용의도를 높이기 위해서는 소비자의 노후준비가 잘되어 있어야 하며, 농촌치유 공급조건에서는 접근성과 안전성이, 농촌치유제공 서비스에서는 치유시설이 잘 갖춰져야 치유농업을 이용하려는 소비자의 이용의도를 높일 수 있다는 결론을 도출하였다.