• 제목/요약/키워드: Health Professionals

검색결과 1,279건 처리시간 0.027초

공적연금의 사각지대 : 실태, 원인과 정책방안 (The Excluded from Public Pension : Problem, Cause and Policy Measures)

  • 석재은
    • 한국사회복지학
    • /
    • 제53권
    • /
    • pp.285-310
    • /
    • 2003
  • 국민연금제도 도입 11년만인 1999년에 전국민연금화를 위한 적용확대 과정이 마무리되면서, 이미 40년 역사를 가진 공적직역연금을 포함한 공적연금이 전국민 노령소득보장체계의 주축으로서 온전히 자리매김하게 되었다. 그로부터 4년이 지난 현재, '전국민연금화'라는 슬로건에 걸맞지 않게 국민연금제도에 가입하여 보험료를 납부하면서 연금수급자격을 갖추어 나가는 경우가 국민연금 적용대상인구의 절반에 불과한 것으로 나타나고 있다. 말하자면, 절반의 국민을 대상으로 공적연금제도가 운영되고 있을 뿐이고, 나머지 절반의 국민들은 공적연금의 사각지대에 놓여져 있다고 할 수 있다. 본 논문에서는 공적연금 사각지대의 규모와 특성을 분석하고 그 원인을 진단함으로써, 사각지대 문제의 해결을 위한 정책방안을 모색하고자 하였다. 현재 연금수급세대인 노령계층의 공적연금 사각지대 규모는 60세 이상 노령인구 대비 무려 86%에 이르고 있으며, 미래 연금수급세대인 근로연령계층의 공적연금 사각지대 규모도 18-59세 총인구 대비 61%에 이르는 것으로 나타났다. 현 연금수급세대의 경우 연령이 높을수록, 여성일 경우 사각지대에 노출될 확률이 높은 것으로 나타났고, 미래 연금수급세대의 경우 연령별로는 18-29세 연령층에서, 성별로는 여성의 경우 사각지대에 놓여질 가능성이 높은 것으로 나타났다. 또한 미래 연금수급자 증심으로 공적연금보험료 납부여부를 가지고 공적연금 사각지대 결정요인을 분석해 보면, 연령이 낮을수록, 학력이 낮을수록, 취업상태가 무직 임시일용직 등 불안정할수록, 종사산업이 농림어업, 건설업, 도소매음식숙박업, 금융보험부동산업에 종사하는 경우 제조업 종사에 비하여, 종사직업이 단순노무직, 전문기술교육직, 판매서비스직, 생산직, 고위행정관리직에 종사하는 경우 일반사무직에 비하여 공적연금의 사각지대에 놓여질 확률이 커지는 것으로 나타났다. 현재 연금수급자인 노령계층의 공적연금 사각지대는 제도역사가 짧아 노령으로 공적연금 가입기회를 갖지 못한 경우가 많으므로, 공적연금 성숙단계까지 경로연금 등 타 공적소득보장제도의 보완적 역할을 강화함으로써 현 노령계층의 공적연금의 사각지대 문제를 해결해 나가는 정책접근이 필요할 것으로 보여진다. 한편 미래 연금수급자인 근로연계층의 공적연금 사각지대 개선은 노동시장 및 가족 등 경제 사회적 여건의 심대한 변화에 조응안 보다 근본적인 제도체계의 재편이 이루어져야 할 것으로 보여진다. 현행 1소득자 1연금에서 1인 1연금 체계로의 전환과 이를 실질적으로 뒷받침한 시민권적 급여의 원리가 공적연금에 결합되어 공적연금의 기초보장적 성격의 강화가 이루어져야만, 비로소 공적연금이 보편적인 1차 노령소득보장의 안전망으로서의 역할을 수행하고 미래 연금수급자의 사각지대 문제가 궁극적으로 해결될 수 있을 것으로 보여진다.

  • PDF

한국(韓國)의 의료기사(醫療技士) 교육제도(敎育制度)에 관(關)한 조사(調査) 연구(硏究) (A Study of Educational System for Medical Technologists in Korea)

  • 송재관;이건섭;김병락;김정락;조준석;허준;이준일
    • 대한방사선기술학회지:방사선기술과학
    • /
    • 제6권1호
    • /
    • pp.131-181
    • /
    • 1983
  • After the investigation on, and the analysis of, the educational system for medical technicians and the present educational situation for medical technologies in this country, the following conclusions were drawn. 1. As of March 1983 the current academic system for education in medical technologies included the regular 4-year college courses and those of the 2-year professional junior college courses. But except in the cases on clinical pathology and physical therapy, there were no college-level departments. Particularly, no educational institutions, at whatever level, had a department for working therapies. 2. The total number of credits needed for graduation from a department of medical technologies was 150 points at a regular 4-year college and 85 to 96 points at a 2-year professional college. The obligatory minimum number of credits for a student at a professional college was set at 80 points and above. 3. As for the number of the educational institutions for medical technologies in this country, there were one regular college and 14 professional colleges, a total of 15 institutions. As many as 14 colleges had departments of clinical pathology, 12 had departments of Radiotechnology, 11 had departments of physical therapy, 12 had departments of dental technology, and eight had departments of dental hygiene. 4. The total capacity of the professional colleges in admitting new enrollment each year were 1,920 for clinical pathology, 1,552 for radiology, 1,012 for physical therapy, 1,334 for dental technologies, 828 for dental hygiene, an aggregate of 6,646 for all of the professional college departments. 5. The total number of graduates from the 12 professional colleges by department during the period of 1965-83 were 7,595 for clindical pathology, 4,768 for radiology, 2,821 for physical therapy, 3,000 for dental technologies, and 1,787 for dental hygiene, totalling 19,971 for all departments in the professional colleges. 6. In the state examination for licensed medical technicians, 12,446 have passed from among the total of 26,609 participants, representing a 45% passing ratio. By departments the ratios showed 44% for clinical pathology, 39.7% for radiology, 51.2% for physical therapy, 42.5% for dental technology, 72.5% for dental hygiene and 73.1% for working therapy. 7. As for the degree of satisfaction shown by the people in this field, 52.2 percent of the teaching staffs who responed to the questionaires said they were satisfied with their present profession, while the great majority of medical technicians(66%) replied that they were indifferent to the problem. 8. The degree of satisfaction shown by the students on their enrollment in this particular academic field was generally in the framework of indifference(43.7%), but mere students(36.5%) were satisfied with their choice than those were not satisfied(14.4%) 9. As for the student's opinions on the lectures and practicing hours, a good many students replied that, among such courses as general science and humanities courses the basic medical course, the major course and practicing hours, the hours provided for the general courses(47.1%) and practicing(47.6%) were insufficient. 10. When asked about the contents of their major courses, comparatively few students (23.6%) replied that the courses were too difficult, while a convincing majority(58.5%) said they were neither difficult nor easy. As for the appropriateness of the number of the present teaching staffs, a great majority(71.0%) of the students replied that the level of the teaching personnel in each particular field was insufficient. 11. Among the students who responded to the poll, good part of them(49.5%) wanted mandatory clinical practicing hours, and the the majority of them(64.6%) held the view that the experimental and practicing facilities of their schools were insufficient. 12. On the necessity of the attached hospitals, 71.1% of the teaching staffs and 58.0% of the medical technicians had the opinion that this kind of facility was indispensable. 13. As for the qualifications for applicants to the state examination in the licensing system for medical technicians, 52.2% of the teacher's and 36% of the medical technicians replied that the present system granting the qualifications according to the apprenticeship period should be abolished. 14. On the necessity of improving the present system for education in medical technologies, an overwhelming majority(94.4% of the :caching staffs, 92.0% of the medical technicians and 91.9% of students) of these polled replied that the present system should be changed for the better. 15. On the method of changes for the present educational system, a great majority(89.4% of the teaching staffs, 80.4% of the medical technicians and 90.1% of the students) said that the system must be changed so that it fits into the reality of the present day. 16. As for the present 2-year program for the professional colleges, 61.6% of the teachers, 72.0% of the medical technicians and 38.8% of the students expressed the hope that the academic period would be extended to four regular years, hemming a full-fledged collegelevels program. 17. On the life-long eductional system for medical technicians, there was a considerable number of people who expressed the hope that an open university system(38.9% of the teaching staffs, 36.0% of the medical technicians) and a graduate school system would be set up. 18. As for the future prospects for medical technicians as professionals, the optimists ana pessimists were almost equally divided, and 41.1% of the teaching staffs 36.0% of. the technicians and 50.5% of the students expressed an intermediate position on this issue.

  • PDF

Development of Nutrition Education Materials for Prevention and Management of Diabetes Mellitus for Older Adults

  • Kim, Kyungwon;Hyunjoo Kang;Yun Ahn;Kim, Se-Hwa;Kim, Hee-Seon
    • Journal of Community Nutrition
    • /
    • 제4권2호
    • /
    • pp.118-129
    • /
    • 2002
  • Nutrition is important in the management of diabetes mellitus, however, there are few little education materials specifically designed for older adults. The objective of this study was to develop nutrition education materials for prevention and management of diabetes moll for older adults. Materials developed were a booklet and four leaflets. The contents of materials were based on lesson plans. After several revisions of the draft of materials, illustrations and icons appropriate to the contents were designed using illustrator 9.0 and Photoshop 6.0. The booklet was composed of five chapters and 40 pages. The first chapter began with an introduction about diabetes and diabetes management by diet, exercise and medication. The second chapter dealt with ideal body weight, calculation of adequate caloric intake and food exchange list. The third chapter provided information for meal planning and sample menus. The fourth chapter focused on practical tips on nutritional care of diabetes, by providing tips on reducing sugars, fat and salt, and suggestions on eating for special occasions. The fifth chapter dealt with information in case of low blood sugars, exercise and foot care. The topics of the four leaflets were “Diabetes, what is it and care”, “Food exchange list and meal planning”, “Healthy eating for diabetes”, “Special care for diabetes low blood sugars, exercise and foot care” Each leaflet was composed of six sections and was printed in large paper (B4 size) for older adults. The draft of educational materials were re-viewed by four nutrition professionals and finally pilot-tested with ten adults aged 50 and older. The characteristics of the developed materials are as follows, i) messages are delivered using simple, specific information, ⅱ) messages focused on practical applicable tips, ⅲ) various pictures, illustrations and artwork were created and inserted to enhance understanding and interest, ⅳ) sections including risk factor assessment, calculation of ideal body weight and meal planning were designed to induce the user's participation, ⅴ) sample menus and food pictures were inserted in the booklet, vi) characteristics of older adults and transformed characteristics are diversely used to help the user feel familiarity. These materials are self-explanatory and can be used by older adults. These materials also can be used widely in nutrition education at public health centers or senior centers.

경추 초음파 영상에서 흉쇄유돌근 추출 (Extraction of Sternocleidomastoid Muscle for Ultrasound Images of Cervical Vertebrae)

  • 김광백
    • 한국정보통신학회논문지
    • /
    • 제15권11호
    • /
    • pp.2321-2326
    • /
    • 2011
  • 경추는 머리와 몸통을 이어주는 중요한 요충지이기 때문에 매우 중요한 기관이며 매우 복잡한 구조로 되어있다. 본 논문에서는 경추 초음파 영상에서 경추 부분에 존재하는 흉쇄유돌근을 자동으로 검출하는 방법을 제안한다. 경추 초음파 영상에서 촬영 정보나 눈금자 등의 필요 없는 부분을 제외한 ROI(Region of Interest)영상을 추출하고 Ends-In Search Stretching 알고리즘을 적용하여 명암 대비를 강조한다. Stretching된 영상에 20 이상의 명암도를 가지는 픽셀을 대상으로 평균 이진화를 적용한 후, 잡음을 제거한다. 잡음이 제거된 영상에 흉쇄유돌근을 둘러싸고 있는 근막의 위치 정보를 이용하여 근막을 추출한 후, 근막의 객체 수에 따라서 각기 다른 방법을 적용하여 근육을 추출한다. 근막 객체가 하나인 경우에는 위에서 아래로 탐색하여 1차 근육 영역을 추출하고, 오른쪽에서 왼쪽으로 탐색하여 2차 근육 영역을 추출한 후, 1차와 2차 근육 영상을 하나로 합쳐 최종 근육 영역을 추출한다. 근막 객체가 두 개인 경우에는 근막 객체의 상단과 하단까지의 영역을 모두 추출한 후, 근막 객체 영역을 제거하는 방법으로 근육 영역을 추출한다. 추출된 근육 영역 중에서 두께가 가장 두꺼운 부분을 근육의 두께로 측정한다. 본 논문에서 제안된 방법을 경추 초음파 영상 30장을 대상으로 실험하여 물리치료사가 분석한 결과, 제안된 방법이 흉쇄유돌근을 정확히 추출되는 것을 확인하였다.

장기공여를 위한 사전동의의 생의윤리학적 고찰 (A Bioethical Study of the Informed Consent for Organ Donor)

  • 엄영란;한성숙
    • 간호행정학회지
    • /
    • 제4권2호
    • /
    • pp.475-487
    • /
    • 1998
  • This is a study to search for the ethical basis for valid informed consent of organ donors. It is an admirable action that a person give his own body part or organ as a gift to another person. The organ for transplantation can be removed only when the donor consents voluntarily to donation. It is recently proposed as the need for organ transplantation is increased that organs can be harvested although the consent of deceased cannot be obtained. This may raise many moral issues because human beings all have an unalienable right to control their own bodies. The principle of autonomy is usually regarded as an ethical basis for informed consent. However, some people criticize that the principle of autonomy requires a person and his decision to be autonomous (but there are many patients who aren't autonomous due to their confusion or unconscious condition in a clinical situation). or this principle can foster indifference to patients needing help: thus respect for principles of care and beneficence is necessary. When we consider the complexity of making a decision about organ donation. the principle of autonomy should be replaced by the principle of respect for individual autonomy. as expressed by Childress (1990). This principle requires the care givers to respect the client's individual decisions. The elements of informed consent are threshold elements: competence to understand and decide. voluntariness in deciding: information elements: disclosure of material information. recommendation of a plan. understanding of disclosure and recommendation: and consent elements: decision in favor of a plan. authorization of the chosen plan. In cases of living donors. the elements of competence and voluntariness are more important than the others. So only an adult can give a recipient his own body part. but it should be forbidden to harvest from minors or protected adults (i.e. developmentally disabled person However. when organs are removed from a cadaver donor. we ought to respect the donor's decision. So we ought to try to seek donor cards or any documents expressing the donor's opinion about organ transplant. All health care givers ought to disclose donor information about organ transplantation clearly enough for the donor to understand it and to be able to weigh the harms and benefits. We are going to propose 'the subjective standard' as the ethical standard of disclosure. This standard will assure that patients have enough information to be able to decide autonomously from their own position. Care givers have to consider the method of disclosure because donors can be influenced by it positively or negatively, Establishment of the Hospital Committee is recommended. because medical professionals will have a chance to discuss the procedure of decision and the validity of harvesting a organ from a person.

  • PDF

HMG CoA-reductase inhibitors를 복용하는 환자의 잠재적 약물상호작용 연구 (Evaluation of Potential Drug-Drug Interactions in Patients Taking HMG CoA-reductase Inhibitors)

  • 이경주;김경림;성재민;유승완;이현윤;조세경;정예지;남기남;이유정
    • 한국임상약학회지
    • /
    • 제30권1호
    • /
    • pp.31-35
    • /
    • 2020
  • Objective: The 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins) are frequently prescribed medications worldwide for the treatment of hypercholesterolemia. Statins are considered to be well tolerated; however, they have a potential for myotoxicity. Concomitant drugs that inhibit cytochrome P450 3A4 can increase the concentration of statins and thus the risk of developing myotoxicity. The purpose of this study was to evaluate risk factors associated with potential drug-drug interactions in patients receiving statins. Methods: The subjects of this study were patients aged more than 18 years who received at least one prescription of statins in a general hospital located in Chuncheon-si, Korea, between January 1, 2018, and March 31, 2018. Data regarding statin use and baseline characteristics was collected from the computerized hospital database. Logistic regression analysis was used to identify risk factors associated with potential drug-drug interactions. Results: A total of 1061 patients were finally included in the study. The incidence of potential drug-drug interactions was 45% in all subjects. According to the results of the multivariate logistic regression analysis, myocardial infarction as the indication of statin, arrhythmia or heart failure as a comorbidity, and aspartate aminotransferase levels higher than 40 IU/L were significant risk factors for potential drug-drug interactions in study subjects. Diltiazem was the most commonly co-prescribed drug that caused potential drug-drug interactions with statins. Conclusion: There was a considerable rate of potential drug-drug interactions in patients receiving statins. Health care professionals should attempt to reduce potential drug-drug interactions during statin administration.

식초 음료의 품질평가지표 개발에 관한 연구 - 델파이 및 AHP 기법을 중심으로 - (The Development of Quality Evaluation Index of Vinegar Beverage - Using Delphi Method and Analytical Hierarchical Process(AHP) -)

  • 김지형;고재윤;유은이
    • 한국조리학회지
    • /
    • 제22권4호
    • /
    • pp.288-301
    • /
    • 2016
  • 본 연구에서는 건강 음료로써 식초 음료 시장의 확대에 기여하고자 전문가들을 대상으로 설문하여 델파이와 AHP를 적용하여 식초 음료의 주된 요소들을 유형화, 계층화하였다. 따라서 문헌 연구와 전문가들의 브레인 스토밍을 통해 상위 개념인 원료, 생산방법, 제품특징, 기능성, 패키지 디자인의 5가지에 대해 개방형 설문으로 1차 델파이를 실시하였는데, 그 결과 하위 개념 50개를 도출하였고, 상위 개념으로 마케팅 1개를 추가하였다. 이렇게 1차 델파이에서 도출된 50개의 개념을 폐쇄형 설문으로 2차, 3차 델파이를 실시하였고, 의견의 일치성을 객관적으로 파악하고자 켄달의 W 검증을 실시한 결과, 2차 델파이에서는 11개 항목이 제거되었고, 3차 델파이에서는 16개 항목이 제거되어 총 23개 문항을 도출하였다. 마지막으로 델파이를 통해 도출된 23개 문항의 상대적 중요도를 파악하고자 쌍대 비교를 실시하여 각 항목 간 우선순위를 도출하여 식초 음료의 품질 평가 시, 중요하게 고려해야할 항목을 구성하였다.

여성119구급대원에 대한 응급구조(학)과 학생의 인식유형 연구 (A Study of Paramedic Students' Perception Type on Female 119 Paramedics)

  • 한송이;박소미;최은숙;이재민
    • 한국화재소방학회논문지
    • /
    • 제29권3호
    • /
    • pp.70-80
    • /
    • 2015
  • 본 연구는 여성119구급대원이 증가하고 있는 추세에 따라 소방 조직 내에서 여성119구급대원의 이미지를 향상시키고 그들을 효과적으로 활용할 수 있는 기초자료로 활용하고자 시행된 연구이다. 연구는 2013년 5월 1일부터 6월 30일까지 Q표본을 선정하여 구급차동승 현장실습을 경험한 응급구조(학)과 학생 총 31명을 대상으로 QUANL program을 이용한 Q방법론을 사용하여 분석하였다. 연구결과 '슈퍼우먼형', '체력한계 히어로형', '섬세한 수호천사형', '능숙한 데스크잡형'의 총 4가지 유형으로 분류되었으며 각각의 설명력은 제I유형 42.2%, 제II유형 4.8%, 제III유형 4%, 제IV유형은 3.6%로 전체변량의 54.7%를 설명하는 것으로 나타났다. 전체적으로 여성119구급대원을 전문가로 인식하고 있지만 체력적인면과 출산 및 육아에 대하여 부담을 가지고 있는 것으로 나타나 조직 구성원의 인식 변화와 제도적인 장치가 마련되어야 할 것이다.

여드름의 인지도에 관한 분석 (Analysis of Students Perception on Acne)

  • 양현옥;나영순;백승화
    • 대한예방한의학회지
    • /
    • 제3권2호
    • /
    • pp.129-150
    • /
    • 1999
  • This study was carried out to analyse a perception on acne for the Junior college students to provide basic data for the suitable treatment of acne to the students and the specialists. For this study, self-administering questionnaires were distributed to 480 students from 13 departments at a suburban women's junior college from May 1 to May 3, 1996. Of the students, 399 were responded and included in the analysis. The questionnaire includes the general question of objects, the question of knowledge and attitude of acne, and its treatment. The results were as follows: 1. Age distribution for the group less than 20 years was 63.7% and over 20 years was 36.3%, the group with acne was 66.2% and the group without acne was 33.8%. Proportions of acquiring the knowledge on acne was 49.6% from newspaper or magazine, 47.15 from friends, and 26.85 from TV or radio. 2. With regard to the knowledge on the presence of acne, a proportion of correctly answered for the question on the cause of acne was $3.41{\pm}1.02$ for the group with acne compared with $3.16{\pm}0.89$ for those without acne. This difference was statistically significant (p<0.05). 3. With regard to the knowledge levels on the treatment of acne, a proportion answered' skin-care center' for the question on where to select for the profer treatment was $13.21{\pm}1.88$ compared with $12.09{\pm}1.88$ for the other group. This difference was statistically significant (p〈0.05). A proportion of answered 'squeezing out acne by themselves' for the question of how to treat was $12.26{\pm}1.91$ compared with $10.83{\pm}1.25$ for the other group. 4. In the treatment according to the attitude of the group with acne, the positive group replied 'YES' in the intention of treatment by themselves was 55.9%. In conclusion, the differences in the knowledge and attitude on the presence of acne are not significant and it was found that the knowledge and attitude for the group with acne did not significantly influenced the treatment behavior. Accordingly, it is important to understand the cause of acne, provoking factors, remedy etc. For this, it is necessary to a provide an accurate information to professionals to enhance the knowledge of acne and to treat it properly.

  • PDF

치과위생사 통합교육과정을 위한 접근 (Approach Toward Integrated Curriculum for Dental Hygienist)

  • 황미영
    • 한국치위생학회지
    • /
    • 제3권1호
    • /
    • pp.59-72
    • /
    • 2003
  • The purpose of this study was to examine what the role of denial hygienist was. The subjects were 751 dental hygienists from dental clinics, dental hospitals, general hospitals, public dental clinics and their branches throughout the nation. After a survey was conducted, the collected data were analyzed with SPSS WIN 10.0, and variance analysis and post-analysis were implemented. And Forgarty's 8th integrated model, out of 10 ones, was selected to delve into the practical role of dental hygienist in detail. The findings of this study were as follows: 1. The three age groups had a significantly different opinion on the significance of individual subjects. The dental hygienists of thirty six and over found the basic and preventive public dental care courses most important, and the 31~35 age group placed most stock in education and research. Overall, the post-analysis results showed that prevention and clinical courses were considered most vital, followed by education and fundamental courses. 2. There was a significant gap between four groups from the different work places in their view of the weight of the individual subjects. According to the post-analysis, the dental hygienists from the general hospitals, public dental clinics and their branches gave more weight to fundamental, education and research areas. Those who were with the dental clinics, dental hospitals and general hospitals put higher value on clinical course than the dental hygienists from the public dental clinics and their branches. 3. Two groups with a different career also had a different outlook on the importance of the individual subjects. The post-analysis results illustrated that the dental hygienists who had worked for three years or more put higher stress on the fundamental course than those with a less career, and the dental hygienists with a five-year or higher career attached more importance to the education and research field than those with a smaller career. 4. There was a significant difference between the three age groups in their clinical role. The post-analysis results indicated thai the younger dental hygienists were more of assistants than of professionals, as they chiefly took X-ray photograph, handled treatment materials or performed treatment-related works. Overall, handling treatment materials was most common. 5. The three groups from the different work places significantly varied in their clinical role. According to the post-analysis, those from the dental clinics and dental hospitals took more x-ray photographs, handled more treatment materials and performed more relevant works, compared to those from the general hospitals, public dental clinics and their branches. 6. The two groups with a different career differed significantly in their clinical role. The post-analysis results suggested that the dental hygienists with a less career played an assistant role more, which handled treatment materials or carried out other relevant works. 7. The fundamental courses (I) and (II), preventive class (I) and (II) and its practice course were regarded as integrated subjects that they should take 10 offer preventive treatment, which was one of the dental hygienist missions. What's needed to act as dental-care educators was the basic courses (I) and (II), dental hygiene education and its practice. Finally, integrated clinical courses (I) and (II) and clinical practice were viewed as necessary for their role performance as dental treatment collaborators.

  • PDF