• 대한간호학회지
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• 제45권5호
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• pp.742-751
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• 2015

Purpose: The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services. Methods: A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program. Results: Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling. Conclusion: The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.

• 교육시설 논문지
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• 제28권6호
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• pp.3-13
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• 2021

Introduced in 2004 as an 'After-School Academy' policy, the 'After-School Care Class' has become a universal program for elementary schools over time. While the concept of public education service has expanded and changed in various ways including educational welfare, the physical environment of the care classroom has undergone fixed changes within the uniform classroom structure of a standardized school space. The purpose of this study is to identify spatial characteristics of care classroom through chasing and analysing changes in the care class space configuration from 2004 to the present. The findings are as follows. The plan of the early care classroom wasn't much different from the existing common classroom, and it was only in 2007 that the kitchen and floor heating appeared for the first time.From the 2015 standard plan, prominent differentiation of the space between learning activities and resting area was shown, but the spatial characteristics are nothing more than a division that utilizes ready-made furniture. A distinctive feature of the 2018 Seoul care classes are diversity. In the case of the care exclusive classrooms, the division between the support space and the main activity space became more clear using furniture integrated open walls and various floor levels. In the case of a shift classrooms that is used together with common classrooms, it is characterized by flexibility that allows dramatically different classroom configurations for each time period by using a convertible furnishing space.

• 산업진흥연구
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• 제9권1호
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• pp.103-111
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• 2024

본 연구는 여성의 사회진출 확대와 맞벌이 부부의 증가로 인한 아동 돌봄 공백의 문제점이 발생하였고, 자녀의 초등학교 입학 이후의 돌봄 절벽 현상이 여성의 경력 단절을 심화하고 저출산의 원인 중 하나로 밝혀지며 돌봄 문제 해결과 일·가정의 양립을 위한 아동 돌봄서비스가 시작되었다. 코로나19 상황에서 아동의 등교 제한과 보호자가 부재한 상황에서 아동의 안전과 복지에 돌봄서비스의 중요성이 대두되었다. 정부는 정책적 노력을 통해 아동 돌봄 공백을 줄이기 위한 복지서비스를 제공했지만, 돌봄서비스 시행에 있어서 부처별·사업별로 대상자 선정과 전달체계의 불안정으로 인한 돌봄 제도의 효과성과 효율성의 문제점이 발생하였다. 따라서 본 연구에서는 방과 후 돌봄서비스의 사각지대를 해소하고 통합 전달체계의 효율적 운영방안을 마련하기 위해 각 부처에서 시행하는 돌봄서비스를 살펴보고, 아동 돌봄서비스 발전을 위한 방향을 모색해 보고자 한다.

• 한국콘텐츠학회논문지
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• 제21권3호
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• pp.761-770
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• 2021

본 연구는 초등아동을 위해 학교 정규교육시간 이외의 시간에 마을에서 제공하는 돌봄서비스가 아동이 행복한 일상생활을 보장하는 돌봄, 즉 아동권리가 실현되는 정책으로 실현되고 있는지 현황과 개선점을 살펴보고자 한다. 방과후 돌봄은 생존권과 보호권은 물론 창의적인 교육활동과 주체적인 시민성장을 지원하는 통합적 방법으로서 중요하며, 코로나 상황을 맞아 공공의 역할이 더욱 강조되고 있다. 따라서 온종일돌봄 정책 중학교밖 돌봄의 주축이 되는 다함께돌봄 정책을 아동권리 관점에서 분석하였다. 분석결과, 보호자의 역할을 대신하는 보호권에 초점이 맞추어져 아동의 4대 권리를 충분히 보장하는 포괄적 정책으로서 한계점이 있었다. 안전한 돌봄공간 마련도 중요하지만 마을의 다양한 자원을 돌봄 콘텐츠로 적극 활용하여 놀면서 배우는 아동의 선택권 확대를 위한 정책설계가 부족하다. 이를 위한 공공의 역할은 서비스의 양적확대와 더불어 내용적 공공성인 책임성, 공정성, 민주성, 공익성을 담보하기 위한 보완이 요청된다. 다함께 돌봄 정책은 아직 실행초기인 정책으로, 아동권리 관점을 반영하여 유연한 공적돌봄 체계로 발전할 수 있는 정책 개선방향을 제언하였다.

• 보건의료산업학회지
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• 제11권1호
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• pp.143-158
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• 2017

Objectives : This study aims to analyze differences in the use of postpartum care services and identify the factors affecting their use. Methods : Data were collected from the 2008-2014 Korean Health Panel. Chi-square tests were conducted to analyze differences in the characteristics of women after birth by the use of postpartum care services. Logistic regression analysis was used to identify factors affecting the use of each type of postpartum care service. Results : Participants with higher education and household income levels were more likely to use a postpartum care facility. Individuals with a lower number of household members, who gave birth in 2011-2013, and who used hospitals specializing in obstetrics and gynecology had a greater likelihood of using a postpartum care facility. The probability of using a postpartum caretaker was higher when participants did not perform any economic activities. Conclusions : It is meaningful to confirm that use patterns and determinants of postpartum care facilities and postpartum caretakers are completely different and that the socioeconomic status of women affects the utilization of postpartum care facilities.

• Journal of Preventive Medicine and Public Health
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• 제44권1호
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• pp.48-55
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• 2011

Objectives: The purpose of this study was to examine the impact of Diagnosis-Related Group (DRG)-based payment on the length of stay and the number of outpatient visits after discharge in for patients who had undergone caesarean section. Methods: This study used the health insurance data of the patients in health care facilities that were paid by the Fee-For-Service (FFS) in 2001-2004, but they participated in the DRG payment system in 2005-2007. In order to examine the net effects of DRG payment, the Difference-In-Differences (DID) method was adopted to observe the difference in health care utilization before and after the participation in the DRG payment system. The dependent variables of the regression model were the length of stay and number of outpatient visits after discharge, and the explanatory variables included the characteristics of the patients and the health care facilities. Results: The length of stay in DRG-paid health care facilities was greater than that in the FFS-paid ones. Yet, DRG payment has no statistically significant effect on the number of outpatient visits after discharge. Conclusions: The results of this study that DRG payment was not effective in reducing the length of stay can be related to the nature of voluntary participation in the DRG system. Only those health care facilities that are already efficient in terms of the length of stay or that can benefit from the DRG payment may decide to participate in the program.

• 보건의료산업학회지
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• 제7권2호
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• pp.205-216
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• 2013

In this paper, we investigated and analyzed influence of tobacco countermarketing advertisements on university students' attitudes about smoking. For the investigation and analysis, we made up a questionnaire twice before and after watching antitobacco advertisements using the same questionnaire. We analyzed message framing, message theme category, and main effects and interaction effects between smoking experiences in attitudes on smoking before(pre-watching attitudes on smoking) and after(post-watching attitudes on smoking) watching antitobacco advertisements by the questionnaire results. In the analysis results using ANOVA test by diverse factors, we verified that efficacy of advertisement messages in positive group of pre-watching attitudes on smoking are better than in negative group. We also verified that interaction effects between message framing and message theme category about changes of post-watching attitudes on smoking are more efficient for changes of smoking attitudes when message theme is negative message rather than positive message.

• 한국치위생학회지
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• 제16권2호
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• pp.185-193
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• 2016

Objectives: The purpose of the study was to examine the recognition and satisfaction of dental care customers after 1 year national health insurance coverage of dental scaling. Methods: A self-reported questionnaire was completed by 477 dental care customers in Gyeongbuk, Busan, Yangsan, and Gyeonggido from July 18 to September 30, 2014 after receiving informed consents. The questionnaire consisted of general characteristics of the subjects(5 items), subjective awareness of oral health(4 items), recognition of scaling(5 items), and recognition and satisfaction of scaling health insurance(5 items). Data were analyzed using SPSS version 20.0 program. Results: Those who recognized the national health insurance coverage of dental scaling accounted for 80.1 percent and 47.2 percent of them got the health insurance coverage via media advertisements. Those who received the scaling service by health insurance coverage accounted for 73.8% and 66.2% of them were very satisfied with the service. Among the customers, 91.8% were satisfied with scaling health allotment. There was a statistical significance between scaling health insurance and subjective oral condition recognition(p<0.01). Through the health insurance coverage scaling service, the oral health in Korea will improve much. Conclusions: The expansion of health insurance coverage of scaling service will provide the universal oral health care for all people. Owing to low cost service, people will actively try to come in contact with public health service in the future.

• 보건의료산업학회지
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• 제13권3호
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• pp.39-51
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• 2019

Objectives: This study aimed to investigate the effect of satisfaction among convalescent hospital staff members on patient safety and quality of care after the certification of the medical institution. Methods: A survey was conducted on seven convalescent hospitals in Gwangju, South Jeolla Province, and North Jeolla Province, which were certified as medical institutions for convalescent hospitals by the end of May 2017, The study period lasted from July 24, 2017 to August 22, 2017. Results: There was a statistically significant correlation between staff member satisfaction and patient safety and quality of care (r = 0.586, p<0.001). Regression analysis showed that staff member satisfaction (${\beta}=0.531$, p<0.001) had a statistically significant effect on patient safety and quality of care and showed 46.9% explanatory power. Conclusions: The satisfaction of the convalescent hospital staff after the certification of the medical institution positively affected patient safety and quality of care.

• 한국농촌건축학회논문집
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• 제12권1호
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• pp.9-16
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• 2010

As the importance of health and school health grows, the purposes of this research are to investigate the differences between the characteristics and the utilization of the nurse's office of an elementary school in an urban area and the nurse's office of an elementary school in a rural area, and to provide the data for the planning of construction of a nurse's office convenient for students to use after grasping the regional characteristics. The methods of this research include the interview and the survey conducted to the heath teachers after visiting 20 nurse's offices in 13 eups and myeons, and examined and analyzed the differences between the characteristics and the utilization of the nurse's office of elementary schools in an urban area and the nurse's office of an elementary school. The nurse's offices of the elementary schools in Cheongwon, a rural area, are worse in access to health care institutions and in the connection to the placement than those of the elementary schools in urban areas, so most of eups and myeons were not allowed for easy access to medical service. Depending on the bad personal surroundings of each elementary student, mental stress and the lack of heal care of each student should be taken care of along with the educating of the parents and the children. Also because of the difficulties in access to the health care institutions, it is suggested that a lot of support and interest should be provided for the nurse's offices and that a lot of changes with functions should occur to the nurse's offices so that the nurse's office of an elementary school can play the role as a local health care institution. Besides, the health teachers also should be able to provide more professional medical services by taking in-service training courses.