• 제목/요약/키워드: Childbirth Policy

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산모의 모유수유 적응과 모유 내 면역물질에 영향을 미치는 심리사회적 요인 (Maternal Psychosocial Factors that Affect Breastfeeding Adaptation and Immune Substances in Human Milk)

  • 김은숙;정미조;김수;신현아;이향규;신가영;한지희
    • 여성건강간호학회지
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    • 제20권1호
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    • pp.14-28
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    • 2014
  • Purpose: This study was to identify relationships of maternal psychosocial factors including mother's mood state, childcare stress, social support and sleep satisfaction with breastfeeding adaptation and immune substances in breast milk, especially secretory immunoglobulin A (sIgA) and transforming growth factor-beta 2 (TGF-${\beta}2$). Methods: Data were collected from 84 mothers who delivered full-term infants by natural childbirth. Structured questionnaires and breast milk were collected at 2~4 days and 6 weeks postpartum. Data were analyzed using descriptive statistics, Pearson's correlation, multiple linear regression, and generalized estimating equation (GEE). Results: Scores for the breastfeeding adaptation scale were significantly related with child care stress, mood state and social support. Mother's anger was positively correlated with the level of sIgA in colostrum (p<.01). Immune substances of breastmilk was significantly influenced by time for milk collection (p<.001) and the type of breastfeeding (sIgA, p<.001, TGF-${\beta}2$, p=.003). Regression analysis showed that breastfeeding adaptation could be explained 59.1% by the type of breastfeeding, childcare stress, the Profile of Mood States, emotional support and sleep quality (F=16.67, p<.001). Conclusion: The findings from this study provide important concepts of breastfeeding adaptation program and explanation of psychosocial factors by immune substances in breast milk. Future research, specially, bio-maker research on breast milk should focus on the ways to improve breastfeeding adaptation.

출산장려정책 중 고운맘 카드에 대한 산모들의 인식 조사 (The Survey Research on Pregnant Woman's recognition about GO-UN-MAM CARD of Childbirth Promotion Policy)

  • 김한결;임성원;이루리;박수현;고든솔;나하늘;이경숙;이현실
    • 디지털융복합연구
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    • 제10권3호
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    • pp.241-250
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    • 2012
  • 저출산은 생산인구의 감소와 함께 보험료 부담을 가중시키는 문제 뿐 아니라, 종국에는 국가의 존립을 위협하는 묵과할 수 없는 국가적인 정책과제가 되었다. 이에 본 연구는 현 정부의 출산장려정책 중 경제적 지원인 고운맘 카드의 실효성을 알아보고 산모들의 인식조사를 바탕으로 도출된 문제점에 대한 개선안을 제언하고자 한다. 분석방법은 인식도 조사를 위해서는 빈도분석을 이용했으며, 출산장려정책에 대한 선호도를 파악하기 위해 다중응답분석, 고운맘 카드 사용에 대한 만족도와 재출산 의사정도를 알아보기 위한 카이제곱 테스트를 시행했다. 분석결과, 고운맘 카드 사용으로 인한 산모들의 만족도와 재출산 의사간에는 유의한 관련성을 보였다. 또한, 산모들은 정부기관 및 의료기관과 구전으로 전파된 내용에 의해 해당 정책에 접근하는 것으로 나타났다. 그리고 정부의 지원금액 범위 내에서 병원 청구할인서비스 정도만 활용하는 것으로 나타났다. 그러나 지원금액 및 l일 사용 한도금액과 같은 금전적 요인에서 주로 불만을 표출했다. 그에 따른 상향 조정된 희망 개선안을 요구했다. 위의 결과를 토대로, 정부는 정책시행의 궁극적 목적인 출산률의 상승을 위해 고운맘 카드를 개선 발전시켜나가야 할 것이다.

미래 복지체계의 방향성에 관한 연구 (A STUDY ON THE DIRECTION OF THE FUTURE WELFARE SYSTEM)

  • 김윤재;금기윤
    • 벤처창업연구
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    • 제6권4호
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    • pp.153-171
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    • 2011
  • 한국을 포함하여 세계적으로 국가경제의 외부환경은 급속도로 빠르게 변화하고 있음에도 복지체계 및 복지정책 방향은 과거의 틀에서 크게 벗어나지 못하고 있다. 그 결과 복지 및 경제사회 관련 쟁점들은 정책의 목표를 둘러싼 이념적 충돌로 그치거나, 정합성이 결여되거나, 이해집단의 개입과 갈등이 지속되는 결과만을 초래하고 있다. 과거 우리나라의 복지는 성장을 통해 해결할 수 없는 부분을 보완하는 수준이었다. 높은 성장률로 고용창출이 지속적으로 이루어졌고 낮은 노령화 수준과 젊은 인구구조, 높은 출산율 등이 이를 뒷받침하는 구조였다. 그러나 현재의 새로운 국내외 경제사회 복지환경은 새로운 복지정책 변화를 요구하고 있다. 경제사회정책 목표는 안정적 경제사회시스템 구축과 복지확산형 사회투자형 복지국가를 지향하는 경제사회정책의 구성이 요구되고 있다. 또한 향후 한국 복지제도 강화의 방향은 보장성(protection) 강화와 역동성(activation) 강화 사이에 균형이 이루어져야 하며, 사후적 복지에서 예방적 복지로 전환이 되어야 할 필요성이 있다. 또한, 공공부문 민간시장 개인의 역할분담이 이루어져야 하며, 잔여적 복지에서 보편적 복지로의 패러다임의 전환이 이루어져야 할 필요성이 있으며, 이와 같은 복지제도의 개선을 통해 장기적으로 제도의 지속가능성을 높일 수 있을 것이다.

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일·가족 양립 정책 이용과 양육 스트레스 : 성별과 직업군을 중심으로 (Work·Family Compatibility Policy Usage and Parenting Stress : Focusing on Sex and Occupational Groups)

  • 조윤주
    • 가족자원경영과 정책
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    • 제28권1호
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    • pp.27-38
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    • 2024
  • 본 연구는 일·가족 양립 정책 중 출산 및 육아 지원 제도의 활용 정도, 그리고 제도의 이용 여부와 양육 스트레스 양상을 알아보고자 남녀를 대상으로 다양한 직업군을 포함하여 실시되었다. 이를 위해 사용된 『한국아동패널』 13차(2020년) 자료는 기술 통계, 교차 분석, One-way ANOVA와 Duncan의 사후 검증으로 분석되었다. 주요 연구 결과는 다음과 같다. 남녀 모두 관련 제도 중 '유연근무제'를 이용한 비율이 가장 높았고, 직업군별로는 두 집단 모두 '전문가 및 관련 종사자'에서 '유연근무제'를 제일 많이 선택하였다. 관련 제도 이용 여부와 양육 스트레스는 응답자 모두 평균 이상의 양육 스트레스를 지각하는 것으로 나타났다. 이 중 남성은 '유연근무제' 이용자, '가족돌봄휴직' 이용자 순으로 높았으며, 직업군별 양육 스트레스 정도는 '군인'이 가장 낮았다. 여성의 경우, '육아휴직' 이용자의 양육 스트레스가 가장 높았고 그 다음은 '육아기근로단축시간' 이용자였다. 본 연구 결과를 바탕으로 일·가족 양립 정책 활성화에 관한 함의를 논하였으며 사회적, 개인적 측면에서 제언을 하였다.

건설현장 고령근로자의 안전배치 방안에 관한 연구 (Reasonable Assignment of Aged People at Construction Site)

  • 김성래;손기상
    • 한국안전학회지
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    • 제27권1호
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    • pp.32-43
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    • 2012
  • "low and old age trend" is a big social national problem in korea but also in foreign countries. The Government pursues a policy for aged people to take part in construction site as labours. Low childbirth and avoidance of 3D work kinds lead to exposure of aged workers to industry work places. According to korea department of labour, it is expected that 18% of total economic activity people in 2008 to 27.2% in 2018 be increased with age of more than 55 old years. Therefore, It is needed that more countermeasures for old workers should be taken for safer work conditions. This old workers with more than 55 old years contain major portion of accident occurrence in construction industry. It is found that accident rate in construction industry can be decreased if appropriate technical safety training is provided to them who wish to work at construction sites. Statistic analysis such as frequency, cross, logistic regression using program package SPSS 13.0 has been made after collecting questionnaire survey of more than 330 workers at construction sites.

The Planning Characteristics Analyzed by Spatial Composition of Domestic Share House

  • Lee, Jae-Hyouck;Kim, Young-Hoon
    • KIEAE Journal
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    • 제17권4호
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    • pp.5-12
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    • 2017
  • Purpose: Recently, a sudden increase in one household in Korea has become an important social problem. Changes in lifestyles such as population change, marriage, childbirth, and divorce are becoming increasing factors for single-family households. As a result of these changes, the government has implemented policies for one accredited state. However, the policy for one domestic applicant is insufficient compared to other countries. As a measure to cope with the increase in the number of applicants, Shared House has emerged and research on Shared House is necessary. Method: First, we analyze the overall characteristics of domestic share house. And it does a spatial analysis of domestic share house. Especially, it analyzes the relationship between private space and public space. Finally, the plan characteristics are derived based on the analysis results. Result: The results are as follows. First, the type of share house is classified according to the combination of the arrangement of private space and the public space. Second, the larger the scale, the more vertical arrangement than horizontal arrangement. Finally, the character of the share house changes according to the characteristics of the resident.

가족친화제도와 조직문화가 여성관리자의 출산의향에 미치는 영향 (The Influence of Family-Friendly Workplace Policies and Organizational Culture on the Willingness of Female Managers to Have a Child)

  • 고선강
    • Human Ecology Research
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    • 제57권3호
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    • pp.353-367
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    • 2019
  • This study investigates the influence of family-friendly workplace policies and organizational culture on the willingness of married female managers to have a child. The analysis includes 353 married female managers from the $6^{th}$ survey of the 2016 Korean Women Manager Panel. Factors that are found to influence the respondents include age, education, number of children, job position, promotional goals, accessibility to family leave, accessibility to shorter work hours during the child-rearing period, and organizational culture. Female managers who can easily use family leave or who have shorter work hours during the child-rearing period show a higher willingness to have a child. By contrast, those whose work places employ a fair and horizontal organizational culture are less willing to have a child. The introduction of family-friendly policies are not found to be statistically significant determinants of female managers' willingness to have a child. We find that influencing family-friendly policies between the first and second childbirth differ. The accessibility of family-friendly policies that affect the willingness of female managers to have a child when they have no child include parental leave, employer-supported childcare, and childcare subsidies. For improving their willingness to have a second child, accessibility to both family leave and shorter work hours during the child-rearing period are effective. In conclusion, the government should strongly consider micro-personal factors, such as family-friendly workplace practices and organizational culture, when executing policies to reverse the current trend of low fertility.

의료기관의 복리후생제도가 여성근로자의 직무만족 및 조직몰입에 미치는 영향 (The Effect of Welfare System of Medical Institutions on Job Satisfaction and Organizational Commitment of Female Workers)

  • 박초열;서영우;임복희
    • 보건의료산업학회지
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    • 제12권2호
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    • pp.1-14
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    • 2018
  • Objectives : The purpose of this study was to analyze the effect of welfare system of medical institutions on job satisfaction and organizational commitment of female workers. Methods : A survey was performed with 556 female workers of 11 general hospital and 7 acute period hospital in Busan. Data were collected from October to November 2017 with a self-report questionnaire and analyzed using SPSS 24.0. Results : Among those aged over 40 years, high awareness of obligatory welfare, job education, free use of the annual leave, and flexible working system was a positive factor in job satisfaction. Among managers, free use of the annual leave, job education, flexible working system and child-care facilities was a positive factor in organizational commitment. Conclusions : In medical institutions with a relatively high proportion of married women, although interest in welfare for childbirth and child rearing is high, execution is sluggish, hence, policy support of government and medical institutions in this field is necessary.

외국인 유입에 따른 보건의료재정 변화 및 지속가능성 제고를 위한 대응방안 연구 (A Study on the Responses to the Change of Health and Medical Finance and Sustainability of the Influencing Foreigners)

  • 정용주
    • 한국병원경영학회지
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    • 제25권4호
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    • pp.38-47
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    • 2020
  • Purposes: The problem in the recent immigration policy and social policy changes for foreigners is that the preliminary analysis or research on the actual impact of the influx of foreigners has not been done enough in Korea yet.. This study is to examine the impact of the Korean health insurance finances on the influx of foreigners. Approach: This study analyzed the health insurance statistics for foreigners and overseas Koreans of the Health Insurance Corporation from 2013 to 2017. The data is the "Status of Health Insurance Premiums for Nationals, Foreigners, and Overseas Koreans from 2013 to 2017" submitted by the National Health Insurance Service to the Health and Welfare Committee during the 2018 National Audit Period. Findings: To summarize the analysis, first, the proportion of foreigners was only 1% of all subscribers (1.7% at work, 1.9% in regions) until 2017. Second, employees at work have a lower pay-to-pay ratio, and local subscribers have a higher pay-to-pay rate, regardless of nationality. Third, as immigrants are mostly concentrated in younger ages, they are healthy and use of hospitals is relatively low. Fourth, in terms of gender distribution, there are many women of childbearing age due to marriage immigration among foreign local subscribers, and more men use hospitals than workers who have a high proportion of males due to childbirth. In conclusion, the impact of immigration on health insurance finances is not large, and has a positive effect on finances. Practical Implications: If we simply consider the financial aspect, encouraging foreigners to subscribe to health insurance has a positive effect on finances. In particular, the more foreign workers are enrolled, the greater the financial gain. In particular, increasing the employment of foreign women through language education, vocational training, and employment support will help finance health insurance. One of the reasons foreign subscribers have a positive impact on health insurance finance is the low medical utilization rate. It can be said that young and healthy foreigners use fewer hospitals and clinics, but another aspect means that foreigners have difficulty using health insurance for various reasons. Therefore, various supports must be accompanied so that foreign subscribers can use medical services when necessary.

설명 가능한 인공지능을 이용한 지역별 출산율 차이 요인 분석 (Analysis of Regional Fertility Gap Factors Using Explainable Artificial Intelligence)

  • 이동우;김미경;윤정윤;류동원;송재욱
    • 산업경영시스템학회지
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    • 제47권1호
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    • pp.41-50
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    • 2024
  • Korea is facing a significant problem with historically low fertility rates, which is becoming a major social issue affecting the economy, labor force, and national security. This study analyzes the factors contributing to the regional gap in fertility rates and derives policy implications. The government and local authorities are implementing a range of policies to address the issue of low fertility. To establish an effective strategy, it is essential to identify the primary factors that contribute to regional disparities. This study identifies these factors and explores policy implications through machine learning and explainable artificial intelligence. The study also examines the influence of media and public opinion on childbirth in Korea by incorporating news and online community sentiment, as well as sentiment fear indices, as independent variables. To establish the relationship between regional fertility rates and factors, the study employs four machine learning models: multiple linear regression, XGBoost, Random Forest, and Support Vector Regression. Support Vector Regression, XGBoost, and Random Forest significantly outperform linear regression, highlighting the importance of machine learning models in explaining non-linear relationships with numerous variables. A factor analysis using SHAP is then conducted. The unemployment rate, Regional Gross Domestic Product per Capita, Women's Participation in Economic Activities, Number of Crimes Committed, Average Age of First Marriage, and Private Education Expenses significantly impact regional fertility rates. However, the degree of impact of the factors affecting fertility may vary by region, suggesting the need for policies tailored to the characteristics of each region, not just an overall ranking of factors.