• Environmental Analysis Health and Toxicology
• /
• 제31권
• /
• pp.19.1-19.7
• /
• 2016

A large portion of the Korean population has been exposed to toxic humidifier disinfectants (HDs), and considering that the majority of the victims are infants, the magnitude of the damage is expected to be considerably larger than what has currently been revealed. The current victims are voicing problems caused by various diseases, including but not limited to lung, upper respiratory tract, cardiovascular, kidney, musculoskeletal, eye, and skin diseases, etc. However, there has been difficulty in gaining validation for these health problems and identifying causal relationships due to lack of evidence proving that toxic HD is the specific causes of extrapulmonary diseases such as allergic rhinitis. Furthermore, the victims and bereaved families of the HD case have not received any support for psychological distress such as post-traumatic stress disorder, depression, feelings of injustice, and anger caused by the trauma. In addition, because the underlying mechanisms of the toxic materials within the HDs such as polyhexamethylene guanidine phosphate, poly(oxyalkylene guanidine) hydrochloride, chloromethylisothiazolinone /methylisothiazolinone have yet to be determined, the demand for information regarding the HD issue is growing. The victims of the HD cases require support that goes beyond financial aid for medical costs and living expenses. There is a desperate need for government-led integrated support centers that provide individualized support through health screenings; in other words, we need an integrated facility that provides the appropriate social support to allow the victims to recover their physical and mental health, so as to well prepare them to return to a normal life. The implementation of such a plan requires not only the close cooperation between those departments already directly involved such as the Ministry of Environment and the Ministry of Health and Welfare, but also active support on a national scale from pan-governmental consultative bodies.

• 보건행정학회지
• /
• 제19권3호
• /
• pp.92-108
• /
• 2009

This study suggests a model for continuing and comprehensive management of hypertension or Type 2 diabetes mellitus (T2DM) in Korea. Moreover, this paper computed the contribution cost of hypertension or T2DM management using the healthcare medical cost, which could have occurred from stroke, myocardial infarction (MI), and end-stage renal disease (ESRD) that were successfully prevented from the effective hypertension or T2DM management. Additionally, these costs were compared with the cost of implementing the hypertension or T2DM management model suggested in this study. This study used the medical fee summary of the health insurance claims submitted to National Health Insurance Corporation by medical facilities for services provided during the period from January 1st 1999 to December 31st 2006. The prevalence rate with treatment referred to cases in which patients submitted their medical claims at least once during the period, along with an accordant diagnosis. The incidence rate with treatment referred to cases in which patients who never submitted claims for the accordant disease during the five years from 1999 to 2003 submitted claims for the accordant disease in 2004 and 2005. The relative risk of the occurrence of stroke, MI and ESRD was 11.0, 13.6, and 30.3, respectively. The attributable risk of hypertension or T2DM for stroke was 0.730, and that for MI and ESRD were 0.773 and 0.888, respectively. Based on these, the contribution cost of hypertension or T2DM is estimated to be 986.3 billion Korean Won(KRW) for stroke patients, 330.5 billion KRW for MI patients, and 561.7 billion KRW for ESRD patients as in 2005. Hence, the total contribution cost of hypertension or T2DM to stroke, MI, and ESRD is 1.878 trillion KRW. The estimate for operational costs included an annual expenditure of 50,000 KRW per each recipient and an annual subsidy of 0.22 million KRW per person for the 1.6 million low.income individuals with hypertension or T2DM to cover their out.of.pocket medical expenses. Under this assumption, it took approximately 0.6 trillion KRW to manage 5 million high.risk patients in the low. and mid.income range, coverings up to 50% of costs. In conclusion, considering the potential benefits of preventing stroke, MI, and ESRD, the costs seems to be reasonable.

• 대한지역사회작업치료학회지
• /
• 제2권2호
• /
• pp.71-80
• /
• 2012

목적 : 본 연구의 목적은 지역사회 내 보건의료관련 봉사활동에 참여한 경험이 있는 노인 그룹과 경험이 없는 노인 그룹에서 보건계열 대학생의 봉사활동에 대한 욕구 및 인식 차이를 알아보고자 하였다. 연구방법 : 2010년 8월부터 2010년 11월까지 노인복지관과 경로당을 이용하는 노인 79명을 대상으로 개별면접 방법으로 조사하였다. 결과 : 노인의 현재 건강상태에 대한 만족도를 알아본 결과, 보통의 응답이 가장 높은 비율을 차지하였고 현재 앓고 있는 질환을 알아본 결과, 재활의학과, 순환기내과, 앓고 있는 질환이 없음의 순으로 높게 나타났다. 보건계열 대학생의 봉사활동에 대한 노인의 인식 정도를 알아본 결과, 이전에 보건의료관련 봉사활동에 참여한 경험이 있는 그룹과 경험이 없는 그룹 모두에서 긍정적이었다. 그러나 이전에 봉사활동에 참여한 경험이 있는 그룹과 경험이 없는 그룹 사이에 보건계열 대학생의 봉사활동에 대한 인식에는 통계학적인 차이가 없었다. 노인이 참여하고 싶은 보건계열 대학생의 봉사활동은 재활의학과 서비스에서 가장 높게 나타났다. 결론 : 지역사회 내 의료사각지대에 있는 노인에게 필요한 보건의료서비스를 제공하기 위해 보건계열 대학생의 체계적이고 지속적인 봉사활동이 필요하다.

• 보건교육건강증진학회지
• /
• 제22권2호
• /
• pp.195-213
• /
• 2005

Objectives: This study aims to determine fostering stress and mental health state that mothers of handicapped children perceive as primary care givers and to analyze their demand for information assistance in order to release their stress so that it can provide materials that contribute to establishment of assistance system for families with handicapped children. Methods: The research subjects were 340 mothers whose children went to a nursery for special children, 3 general nurseries and 6 special schools in Daegu, and the data were collected using structures questionnaires. The survey analyzed mothers' fostering stress, their demand for fostering information assistance, children's daily activity abilities. Component concepts of each scale was validated by adopting confirmatory factor analysis, and factors affecting demand for fostering information assistance were analyzed by adopting covariance structural analysis. Results: Younger mothers tend to have higher demand for information, and mothers with younger children or children with double handicaps also have higher demand. Mothers under 30 have the lowest demand for public health and medical care assistance and for home and community life assistance, while mothers with children with physical handicaps have the highest. The validity of component concepts was verified by categorizing as cognitive structure models fostering stress, information demand, children's daily activity abilities, and their appropriateness was evaluated through confirmatory factor analysis using structural equation modelling. And then, GFI (more than 0.9), CFI (more than 0.9), TLI (more than 0.9) and RMSAE (less than 0.08) were used to evaluate the appropriateness. It was found that all the component concepts are valid, as every item is within appropriate range. The result of analyzing information demand demonstrated that children's handicap levels significantly affect their mothers' mental health, while fostering stress significantly affect mothers' metal health, information demand. As well, it was confirmed that mothers' mental health has a significant effect on information demand. Conclusions: Therefore, to reduce special children's mothers' uncertainty, helplessness and fostering burden, it is necessary to provide them with information on children's challenges, development and fostering and to offer them quality public health, medical care and welfare assistance along with family and local community life assistance.

• 가정과삶의질연구
• /
• 제19권4호
• /
• pp.49-68
• /
• 2001

The purpose of this study was 1) to review communal housing in the UK, 2) to consider the policy implications for elderly communal housing in Korea. The research methods used were 1) literature review about communal housing and related policy in the UK 2) field survey in the UK 3) interpretative suggestion for the proper policy implication to develope communal housing for the elderly in Korea. Sheltered housing in the UK had been developed as communal housing for the elderly with special needs since the 1970s. The type of sheltered housing were category 1 and category 2. Very sheltered housing with more facilities and meal services was added in 1980s. Sheltered housing was evaluated as the most humanistic solution for older people in the UK in 1980s. Because of the policy of moving institutional care to community care, sheltered housing became less in demand because of more options for older people including being able to stay in their own home. So new completion of sheltered housing by registered social landlords reduced saliently. Sheltered housing already totalled over half million units in which 5% of all elderly over 65 still lived and a small quantity of private sector for sale schemes emerged in the 1990s. The reason why the residents moved to sheltered housing was for sociable, secure, and manageable living arrangements. In general the residents were satisfied with these characteristics but dissatisfied with the service charge and quality of meals, especially in category 2.5 schemes. The degree of utilisation of communal spaces and facilities depended on the wardens ability and enthusiasm. Evaluation of sheltered housing indicated several problems such as wardens duty as a \"good neighbour\" ; difficult-to-let problems with poor location or individual units of bedsittiing type with shared bathroom ; and the under use of communal spaces and facilities. Some ideas to solve these problems were suggested by researchers through expanding wardens duty as a professional, opening the scheme to the public, improving interior standards, and accepting non-elderly applicants who need support. Some researchers insisted continuing development of sheltered housing, but higher standards must be considered for the minority who want to live in communal living arrangement. Recently, enhanced sheltered housing with greater involvement of relatives and with tied up policy in registration and funding suggested as an alternative for residential care. In conclusion, the rights of choice for older people should be policy support for special needs housing. Elderly communal housing, especially a model similar to sheltered housing category 2 with at least 1 meal a day might be recommended for a Korean Model. For special needs housing development either for rent or for sale, participation of the public sector and long term and low interest financial support for the private sector must be developed in Korea. Providing a system for scheme managers to train and retrain must be encouraged. The professional ability of the scheme manager to plan and to deliver services might be the most important factor for the success of elderly communal housing projects in Korea. In addition the expansion of a public health care service, the development of leisure programs in Senior Citizens Centre, home helper both for the elderly in communal housing and the elderly in mainstream housing of the community as well. Providing of elderly communal housing through the modified general Construction Act rather than the present Elderly Welfare Act might be more helpful to encourage the access of general people in Korea. in Korea.

• 한국문헌정보학회지
• /
• 제47권4호
• /
• pp.143-167
• /
• 2013

도서관의 인력은 도서관서비스 수준을 결정하고, 도서관의 수준은 한 나라의 지적 역량을 가늠하는 가장 핵심적인 역할을 한다. 본 연구에서는 현재 문헌정보학과에 재학 중인 학생들을 대상으로 사서직 취업전망에 대한 인식을 조사하기 위하여 설문을 수행하였다. 연구 결과 첫째, 도서관으로 취업하고 싶다는 비율이 40%로, 다른 분야에 비해 상당히 높게 나타났다. 그들은 사서직 고용환경에 대해 부정적인 견해를 가지고 있음에도 불구하고 향후 발전가능성이 있다는 취업전망을 가지고 있었다. 둘째, 설문응답자가 희망하는 업무로 '문화프로그램 등 업무'가 가장 높게 나타났다. 셋째, 현재의 교육과정에는 대체로 만족하지만 취업지원프로그램으로 진로지도와 취업멘토링, 인턴십에 대해 높은 요구도를 나타냈다. 넷째, 학생들은 학업성적, 어학능력, 각종 자격증 취득, 인턴 및 실습, 경력관리를 매우 중요한 취업요건으로 고려하고 있는 것으로 나타났다. 다섯째, 학생들의 직장선택에 영향을 주는 조직 환경적 요인은 보수와 복리후생, 자기발전 기회부여, 근무조건과 조직문화, 조직의 발전가능성 등의 순으로 나타났고, 개인적 요인은 개인의 적성, 취업분야 지식 및 기술 수준, 사회적 대우 및 인식, 전공일치여부, 직장과의 거리 등의 순으로 나타났다.

• 한국지역지리학회지
• /
• 제1권1호
• /
• pp.23-43
• /
• 1995

본 논문은 영남지역의 발전과정과 주민들익 생활수준을 파악하고 앞으로 발전절망 및 그 과제들을 모색하기 위해 수행된 연구의 전편(前篇)이다. 영남지역은 우리나라의 본격적 산업화 및 도시화과정에서 급속한 성장을 해왔지만 최근 상대적으로 침체되고 있으며, 또한 지역 주민들의 삶의 질도 물질적으로 다소 개선되었다고 할지라도, 여러가지 문제점들을 안고 있다. 영남지역의 경제는 그동안 노동집약적 경공업과 포드주의적 중화학공업에 기초하여 급속하게 발전할 수 있었지만, 최근의 경제적 침체는 결국 중앙의존적 지역불균등발전과정의 한계에 봉착했기 때문이라고 할 수 있다. 이러한 배경하에서 전개된 지역내 하청관계의 심화, 업체들의 지리적 집중, 첨단기술산업의 성장잠재력 부족, 생산자서비스 업종의 취약성, 자본흐름과 관련된 금융활동의 미진 등이 이 지역의 경제적 침체를 야기한 것으로 분석된다. 또한 급속한 도시화과정에서, 사회간접시설의 부족과 도시중추관리기능의 부재 등이 지적될 수 있다. 이러한 문제점들로 인해, 지역주민들의 종사상의 지위는 상대적으로 불안정하고, 제조업부문 종사자들의 임금수준이 상대적으로 높다고 할지라도 전체 근로자들의 임금수준은 서울에 비해 매우 낮은 수준을 보이고 있다. 그외 생활수단과 복지시설의 제공에 있어 사회계층적 불균형이 다소 심각하며, 자원이용과 생태환경에 있어서도 상대적으로 매우 열악한 것으로 나타나고 있다.

• 한국방재학회 논문집
• /
• 제8권4호
• /
• pp.67-74
• /
• 2008

소방수요가 증가하고 형태가 다양화되고 있으므로 가장 필요한 것은 소방력을 충분히 보유하기 위하여 소방예산을 확보하는 일이다. 이러한 예산배정은 주민이 원하는 소방서비스를 충분히 제공하게 되어 사회적 후생만족에 기여할 것이다. 만약 소방예산이 소방수요, 소방력에 적합하지 않게 책정된다면, 소방관의 안전은 위협받게 될 것이다. 또한 위급한 재난이 발생하면 지방정부가 재난을 효과적으로 대처할 수 없을 것이다. 실제로 일부 시 군에서는 소방장비의 부족으로 많은 인명과 재산이 피해를 입고 있다. 본 연구의 목적은 소방예산이 소방력에 어떠한 영향을 주는지 알아보는데 있다. 이를 위하여 본 연구에서는 소방력, 소방예산에 대한 조사를 실시하였다. 그 다음, 이론적 배경과 과거연구를 근거로 3가지 가설을 설정하였다. 가설을 검증하기 위한 통계적 방법은 회귀방정식이다. 본 연구 결과, 주민 1인당 소방예산은 소방력에 양(+)의 유의적인 영향을 미쳤으나, 소방예산비율은 소방력에 유의적인 영향을 주지 않았다. 또한 공동시설세는 소방력에 음(-)의 유의적인 영향을 미치는 것으로 나타나, 공동시설세가 목적세로서의 역할을 하지 못하고 있음을 알 수 있었다.

• 시큐리티연구
• /
• 제62호
• /
• pp.113-134
• /
• 2020

이 연구는 출소자의 심리건강이 지역사회적응에 미치는 영향을 위험요인과 보호요인으로 구분하여 관계를 검증하고자 수행되었다. 이를 위해 한국법무보호복지공단에서 합동결혼지원을 받은 출소자 216명을 대상으로 수행한 설문자료를 분석하였고, 분석의 결과, 인구사회학적 특성 중 최종학력, 배우자 유무, 월수입 등이 출소자의 지역사회 적응에 긍정적 영향을 미치고 있었으며, 심리건강의 위험요인 중 우울과 대인예민성이 높을수록 지역사회 적응에 부정적인 영향을 미치는 것으로 나타났다. 심리건강 보호요인인 자존감이 높을수록 위험요인인 우울과 대인예민성의 영향력을 감소시켜 지역사회 적응에 긍정적인 영향을 미치는 것으로 나타났다. 종합해보면, 높은 자존감은 출소자들이 출소 후 사회생활 만족도를 높이는 데 기여하고, 위험요인을 긍정적 삶의 변화로 촉진시켜 부정적 상황을 억제하며 성공적인 지역사회 적응의 가능성을 증가시킬 수 있다. 이 연구는 출소자의 성공적인 지역사회 적응을 위해 심리적 요인 중에서 자존감이 가장 중요한 요인이라는 것을 확인하였지만, 출소자의 지역사회 적응과 재범예방을 위해서는 심리적 요인만으로는 해결될 수 없기에 관련된 후속연구 및 다각적 지원이 필요할 것이다.

• 대한예방한의학회지
• /
• 제4권1호
• /
• pp.1-16
• /
• 2000

From 1998, Oriental Medical Physicians(OMP) is distributed in Public Health Sector. but long term plan for Oriental Medicine in Public Health is not existed. So, this study is designed for the activation of OMP Subjects in this study were comprised 3 groups of oriental medicine related persons, the group of which are Students of 11 Oriental Medical Schools, Oriental Medical Physicians in Public Health Sector, Specialist Croup of Oriental medicine Policy(total 1,458 persons). Data were collected from July 1st to November 30, 1999. Direct interview with key persons, systematic interview by using of interview protocol, e-mail and facsimile have been conducted. The results of survey were coded by Excel 5.0, and analysed with SAS 6.12 statistical package. Inter-group difference determined by T-test, and descriptive statistics have been examined. Major findings can be epitomized as follows. 1) OMP disposition to multifarious organizations and institutes such as Public Health Centers, Public Health Sub-centers, Public Hospitals, Private Hospitals in Remote-Vulnerable Area, Community Social Welfare Centers, Institutes for Heath Policy Research, etc, will promise an effective use of Oriental Medical Physician. 2) Average number of patients treated by OMP was 22.8, average budget for oriental medical department, in which OMP were affiliated, was 39.6 million Won per year. Direct cost per every patient visit was 7,210.9 Won, which is considered expensive for public health service. Therefore, development and transformation for Oriental Medical Service in Public Health Sector is desirable in economic and political aspects. 3) It is recommended that ${\ulcorner}Advisory\;Committee{\lrcorner},{\ulcorner}Planning\;Commission\;for\; Public\;Health\;in\;Oriental\;Medicine{\lrcorner}$ should be established for the activation and for the support of Oriental Medical Physician in Public Health Sector, 4) Most effective programmes for oriental public health doctor are health service programmes for the elderly, Home health visit, chronic degenerative disease control services(p<0.001). 5) Standard guideline for facilities and equipments of Oriental Medicine Department in Public Health Center is needed for optimal supply of resources and activation of public health activity.