• 보건행정학회지
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• 제14권2호
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• pp.17-33
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• 2004

The present study attempts to examine the progressivity of health care financial sources based on the income approach, for which it decomposes redistributive effects into vertical, horizontal, and re-ranking components. The study data include Korean Household Expenditure Survey (2000) conducted every 5 year by Korea National Statistical Office. The data were sampled from the national population by the multistage probabilistic sampling method, and amounts to 23,270 households. For the better application of the income approach, the study employs household total expenditure in Korea instead of total income, because the former data source is more reliable and less fluctuated over time. Progressivity of health care financing was measured by Kakwani index. Aronson's decomposition equation was used in case of the analysis where differential treatment of health care expenditure needs to be considered. Despite the progressivity of Korea's governmental contributions, total expenditure of health care showed regressive pattern, which may largely be attributable to the higher regressivity in out-of-pocket money. With the result of negative Kakwani index, differential treatment increased income redistribution biased for better-off. It is worth to note that social insurance displays not only negative Kakwani index, but also horizontal inequality, suggesting that the first step of health care financing reform should be the revision of social insurance premium rates toward effective and equable way.

• 가정간호학회지
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• 제25권2호
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• pp.219-229
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• 2018

Purpose: This study explored the sexual harassment-related experience, awareness, coping, and institutional prevention schemes for health personnel in industrial settings. Methods: Data were collected using self - report questionnaires from 300 health personnels. Data were collected between September 1 and December 31, 2017. The collected data were analyzed using descriptive statistics. Results: Health personnels experienced 29% of sexual harassment, in order of verbal, visual, physical. The frequency of sexual harassment was higher when women were younger, particularly younger than men. Although the average health personnel's awareness of sexual harassment was high, the common coping style was passive such as distancing form the perpetrator. Institutional efforts to prevent sexual harassment included separating employees and staff, but perpetrators tended to account for a high proportion of the supervisors and staff. Conclusion: Health care managers should develop an effective and effective sexual harassment prevention education program by raising gender equality awareness in relation to the awareness of sexual harassment and identifying the influencing factors that can bring about appropriate sexual harassment coping behavior.

• Child Health Nursing Research
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• 제10권4호
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• pp.431-441
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• 2004

Purpose: The purpose of this study was to develop a sexuality education course of study for students in the lower grades of elementary school. Method: On the basis of the sexuality education guidebook for elementary school students published by Korea Ministry of Education & Human Resources Development, the state-designated textbooks for first to third grade were analyzed. Results: 1) In the category of physical and psychological development, physical development and psychosexual development content were covered, but not sexual health content. 2) In the category of understanding of human relationship, marriage and family, and the opposite sex and love were presented but self-determination and selection were only partially presented. 3) In the category of sexual culture and sexual ethics, sexual role in society was covered, but not social environment or equality of the sexes. Conclusion: These results suggest that content on sexuality which is not covered in textbooks for students in lower grades should be included in other school courses or activities in class.

• 대한장애인치과학회지
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• 제2권1호
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• pp.17-30
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• 2006

Federal disability law has evolved from several laws geared to protect people with disabilities since the late 1960s and early 1970s. When U.S. Congress passed the Americans with Disabilities Act (ADA) in 1990, no federal statute prohibited the majority of employers, program administrators, owners and managers of places of public accommodation and others from discriminating against people with disabilities. Toward the ends to assure equality of opportunity, full participation, independent living, and economic self-sufficiency for individuals with the disabilities, the ADA pursues three major strategies: Title I addresses inequality in employment, Title II, inequality in public services, and Title III, inequality in services and accommodations offered by private entities. The purposes of the study were to analyze the impact of the ADA on health care for persons with disabilities and to review the ongoing health policy reforms at the federal and state governments. Essential remedies that the ADA contemplates are based on two principles, simple discrimination and reasonable accommodation, which significantly improved access to quality care, especially long-term care, by persons with disabilities. However, the ongoing Medicaid policy reforms to control rising health care costs in the U.S. could threaten the access to care by persons with disabilities in optional groups and to optional care services by persons with disabilities in mandatory groups.

• 한국체육학회지인문사회과학편
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• 제55권5호
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• pp.447-457
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• 2016

본 연구의 목적은 연고전의 여성 소외현상에 관한 여학생 인식실태를 확인하고, IPA(Importance Performance Analysis)기법을 통해 성 평등적 스포츠 이벤트로서 연고전의 개선방안을 모색하는 데 있다. 이를 위해 연세대학교와 고려대학교에 재학 중인 2, 3, 4학년 여학생 대상으로 설문조사 후 322부를 분석하였다. 이들을 대상으로 분석한 연구의 결과는 다음과 같다. 첫째, 두 대학의 대다수 여학생은 연고전에 여성 스포츠와 여성 선수가 부재한 사실을 인식하지 못하고 있었다. 이들은 연고전의 여성 소외현상에 대해 심각하게 여기지 않았으며, 개선의 필요성 또한 절실하지 않은 것으로 나타났다. 이는 일상을 잠식한 젠더스포츠의 전형적인 사례로 볼 수 있다. 둘째, IPA 분석 결과, 성 평등적 스포츠 이벤트로서 연고전의 개선방안은 구성원 공유가치 반영성을 강화하고 여성 동아리스포츠를 도입하는 것이 필요한 것으로 나타났다. 현재 연고전에는 구성원이 공유하는 가치가 제대로 반영되지 않고 있으므로 이에 대한 개선이 필요한 것이다. 또한, 연고전에 여성 동아리 스포츠 대항전을 도입해야 할 것으로 나타났다. 위 두 가지 속성은 연고전을 성 평등적 스포츠 이벤트로 개선하기 위하여 먼저 고려해야 할 사항들로 확인되었다.

• 대한소아치과학회지
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• 제43권2호
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• pp.123-128
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• 2016

연구의 목적은 대한소아치과학회지에서 사용된 주요어와 의학주제표목(medical subject headings, MeSH)와의 일치도를 분석하는 것이다. 1998년부터 2014년까지 대한소아치과학회지에 게재된 1165편의 논문에서 총 4353개의 주요어를 연구대상으로 하여, MeSH와 일치하는 단어와 일치하지 않는 단어로 분류하였다. 주요어의 24.9%는 MeSH 용어와 일치하였고, 75.1%는 일치하지 않았다. 이 결과는 대한소아치과학회지의 주요어와 MeSH와의 일치도가 낮음을 보여준다. 따라서 MeSH를 더 구체적이고 정확하게 이해할 필요가 있다. MeSH와 같은 적절한 주요어를 사용하는 것은 국제적인 기준에 부합하기 위해 필요하다. 저자들은 주요어로써 적절한 MeSH 용어를 사용하도록 주의를 기울여야 할 것이다.

• 여성건강간호학회지
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• 제19권3호
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• pp.166-175
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• 2013

Purpose: The purpose of this study was to identify the factors influencing sexual assertiveness in dating college students. Methods: With a cross-sectional survey design, 468 college students who have had dating experiences were recruited and answered questionnaires. Data were analyzed using t-test, ANOVA with Scheffe? test, Pearson's correlation coefficients, and multiple regression. Results: The sexual assertiveness of college students showed significant results: positive correlations with self-assertiveness and negative correlations with traditional sexual attitude, gender role stereotypes. Significant predictors of sexual assertiveness were traditional sexual attitude, gender role stereotypes, and self-assertiveness. These variables explained 37% of the variance in sexual assertiveness. Conclusion: Findings suggest that it is important to identify and improve communication patterns in relation to sexual assertiveness. There is a need for sex education programs for college students that are relevant and effective.

• Child Health Nursing Research
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• 제12권3호
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• pp.304-313
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• 2006

Purpose: This study was done to describe psychosocial adjustment of adolescents who have survived childhood acute lymphocytic leukemia (ALL). Method: Out of a total of 16 adolescents ($11{\sim}20$ years old) registered at the Pediatric Oncology Clinic at one university affiliated hospital, 13 adolescents agreed to participate in this study. The data were collected through in-depth interviews using a semi-structured questionnaire. The contents of the interviews were analyzed using the inductive content analysis method. Result: Three main categories were identified 'personal characteristics', 'coping patterns', and 'interpersonal relationship'. Personal characteristics included self-praise, self-confidence, altruism, being worrisome, and being difficult. Coping patterns included positive thinking, activeness, and avoidance. Interpersonal relationship included appreciation, intimacy, burdened by over protectiveness, and feelings of regret and equality as peers. Conclusion: The results indicate that adolescents who have survived childhood cancer have both positive and negative experiences. It is suggested that care providers identify and support the strengths of the adolescents in order to help them to adjust more positively after the experience of childhood cancer.

• 여성건강간호학회지
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• 제22권2호
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• pp.86-95
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• 2016

Purpose: The aim of this study was to conduct a concept analysis of cultural nursing competence. Methods: Cultural nursing competence was analyzed using Rodgers' evolutionary concept development method. A literature search using the keywords "cultural nursing competence", "intercultural nursing competence", "cultural nursing", "cultural health nursing", and "cultural competence" was conducted in PubMed, CINAHL, ERIC, and RISS on material published before 2015. Database and bibliographic searches yielded 35 records. Results: Cultural nursing competence comprised cognitive, affective, and behavioral domains. The critical attributes of the concept were sensitivity, equality, and activity. The analysis identified the following dimensions: awareness, openness, and coherence. The consequences of cultural nursing competence were personal satisfaction and social justice. The definition contained competence on both an individual and social level. Conclusion: Cultural competency enhances quality of care by narrowing health disparities and increasing client satisfaction. The concept analysis of cultural nursing competence may offer an acceptable framework which can be used to develop psychometric tools of this concept and provide guidelines in nursing practice.

• 보건행정학회지
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• 제25권1호
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• pp.11-21
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• 2015

Background: The objective of this research is to investigate and provide analysis of the economic participatory change affecting the unmet needs of health care in Korean adults. Methods: We used Korea health panel 4th and 5th data of 10,261 adults. The method of investigation is threefold. First, We identified the regional factors affecting unmet needs of health care. Second, we analyzed the effect of economic participatory change as it affects the unmet needs of health care. Third, we also investigated whether there were discernable differences between the age subgroups. Results: It was determined that influencing factors included sex, education, economic level, and health status. And after the subgroup analysis of age, we found that the economic participatory change was associated with the economical unmet needs of health care especially for those over 40 years of age. Also the population are facing unemployment enduring particular economic hardship in meeting their medical needs. Conclusion: This study finds that there are some policy recommendations for the sake of medical service equality. Medical welfare policy for those 40 years of age and older has been identified as an area that needs improvement. And considering that those 40 years of age and older are facing unemployment enduring particular economic hardship in meeting their medical needs, this study finds a need for government sponsored medical stipends or subsidizing of medical premiums, co-payment, and other fees.