• Journal of agricultural medicine and community health
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• v.43 no.2
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• pp.63-73
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• 2018

Objectives: The purpose of this study was to review the disaster preparation and response programs and the status of disaster preparation in public health center. Methods: In depth interview was performed in September 2017 using 5 open questions to the persons who are in charge of disaster response services in 5 public health centers of different levels in Korea. The questions included general characteristics of public health center, disaster programs and future issues. The research hired a quality method. Results: In general, the persons in charge recognized the cooperative agency of local government in disaster management. There were no disaster preparation programs developed by the public health centers. Most of the preparation were passive activities such as emergency support, crisis management on communicable disease and quarantine, participation in biological disaster response training, and education etc. The persons in charge emphasized necessity of disaster preparation programs. Conclusions: Disaster preparation and responsiveness is an evolving issue in public health centers in Korea. Medical support system and communicable disease management system are being set up in the national level. A comprehensive system covering health management, nutritional support, mental health, environment management of shelter, and volunteers supports on public health center level needs to be developed along with a easy-to-follow manual.

• Journal of Korean Society of Forest Science
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• v.107 no.2
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• pp.184-192
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• 2018

In this study was implemented to develop tree stem weight prediction equation of Larix kaempferi in central region by selecting a standard site, taking into account of diameter and position of the local trees. Fifty five sample trees were selected in total. By utilizing actual data of the sample trees, 11 models were compared and analyzed in order to estimate four different kinds of weights which include fresh weight, ovendry outside bark weight, ovendry inside bark weight and merchantable weight. As to estimate its weight, the study has classified its model according to three parameters: DBH, DBH and height, and volume. The optimal model was chosen by comparing the performance of model using the fit index and standard error of estimate and residual distribution. As a result, the formula utilizing DBH (Variable 1) is $W=a+bD+cD^2$ (3) and its fit index was 90~92%. The formula for DBH and height (Variable 2) is $W=aD^bH^C$ (8) and its fit index was 97~98%. In summation, Variable 2 model showed higher fitness than Variable 1 model. Moreover, fit index of formula for total volume and merchantable volume (W=aV) showed high rate of 98~99%, as well as resulting 7.7-17.5 with SEE and 8.0-10.0 with CV(%) which lead to predominately high fitness in conclusion. This study is expected to provide information on weights for single trees and furthermore, to be used as a basic study for weight of stand unit and biomass estimation equations.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.3
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• pp.159-171
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• 2016

Purpose: This study investigated medical accessibility on optical stores and ophthalmic clinics of Seoul Special City and six other metropolitan cities. Methods: By using a number of households, population, optician stores, ophthalmic hospitals, and real estate (apartments) standard market price of Seoul Special City and six other metropolitan cities provided by the Commercial District Information System (2016.6) of Small Enterprise & Market Authority, we analyzed the level of healthcare accessibility and business area zones, Statistical analyses were performed with SPSS 18.0. Results: Inchon (household 2,227/population 5,723) had the highest household and population rate per optical store, and Gwangju (1,146/2,979) had the lowest. Gwangju (24,612/63,987) had the highest household and population rate per optical store, and Seoul (10,021/24,432) had the lowest. From the consumer and patient's point of view, lower household rate per optical store is a city with good accessibility to healthcare, but from an optical store and ophthalmic clinic's view, it will have great difficulty due to issues of competition. Conclusions: Consumers and patients should be the center of healthcare. A healthcare system that can provide smooth service anywhere anytime should be constructed. However, most metropolitan cities, including Seoul, have optical stores and ophthalmic clinics densely populated where profitability and liquidity are ensured and causing unbalanced distribution of healthcare. To solve such problems, we need proper distribution of optician stores according to the population proportion and industrial-educational research to find balance point of local healthcare.

• Journal of Agricultural Extension & Community Development
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• v.19 no.4
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• pp.773-798
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• 2012

The study present the findings divide into brand naming, image, positioning. The farms built trust by consumer relationship with the farm brand. The results of the study provide insights for agricultural marketers who intend to design brand stories that align with their produce. This study is a regional case study of the factor analysis which explain residents' satisfaction of the efficient rural development projects under the Block Grants System in Buyeo. This study attempted to proceed the empirical survey of 353 residents who live in one 'town(eup)' and 13 'village(meon)' in Buyeo-gun and analyzed through SPSSWIN. The results of the satisfaction analysis in the local development projects satisfied with the overall average 3.16 and then empirically verified the important factors of the 'cultural and leisure activities', 'learning environment', 'jobs and working conditions', 'transportation'. The factor analysis of 12 variables united into three factors, the first Factors are 'transportation', 'learning environment', 'social welfare', 'cultural and leisure activities', 'Information and Communication', 'Health and Medical Services'. The second factors are 'crimes and accidents', 'environmental management', 'neighbor relations and social participation', and the third factors united into 'income and consumption activities', 'job creation' which imply the economic variables, and 'residential environment' as the common category.

• Health Policy and Management
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• v.19 no.4
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• pp.121-139
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• 2009

Objectives : The purpose of this study was to investigate regional commitment index(RGI) of hospital in Korea, and the relationship RGI and hospital characteristics, such as foundation, region, size. Therefore, we are to suggest fundamental information to make and evaluate healthcare resource policy in hospital- and government-level. Methods : The 'Patient Survey 2002(administered by Ministry of Health and Social Welfare(MOHW)' was analyzed. We selected the patient data of the hospitals above 100 beds. Then, we calculated the RGI, number of same cases divided by all cases in each hospital. By using SPSS/win ver 14.0, statistical analysis such as t-test, ANOVA, correlational and regression analysis was carried out. Results : The results are as follows. 1. Overall mean and standard deviation of RGI were revealed as 0.805${\pm}$0.225 in inpatients, and 0.871${\pm}$0.184 in outpatient. The median of inpatients' and outpatients' RGI were 0.890 and 0.933. The RGI of inpatients of private hospitals were revealed significantly higher than that of the public(public: 0.727, private: 0.822). However, outpatients' RGI was not revealed as significantly different. 2. The RGI of general specialty hospitals were significantly lower than others, therefore we could think that more inpatients and outpatients of general specialty hospitals flowed in from others province or metropolitan cities than other hospital types. 3. The RGI of hospitals holding above 400 beds were significantly lower than others in inpatients and outpatients. 5. The RGI of hospitals were significantly different among sixteen province and metropolitan cities. The RGI inpatients of Gwangju and Daejon metropolitan city were lowest sub-group(0.659, 0.664), and the RGI inpatients of Jeju was revealed as highest, 0.979. 6. Available beds, total doctors, and total employees were negatively correlated with RGI of inpatients and outpatients. 7. The significant influencing factors to RGI of inpatients and outpatients were appeared samely such as available beds, wide healthcare region, hospital size, and foundation type. Conclusions : It is considered that RGI of hospital represent competitive power in healthcare market. Also, the competitive advantage and quality of hospital clustered by characteristics could made out by RGI. Therefore, the results of this study would be useful to develop and evaluate hospital policy of individual hospital or local government.

• Journal of Home Health Care Nursing
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• v.10 no.1
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• pp.5-14
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• 2003

Recently, there has been an increasing need for long-term care and comprehensive health care services in community settings. The Ministry of Health and Welfare introduced the Hospital-Based Home Nursing Care Program in 2000. Before this initiative, there was a Home Nursing Demonstration Center, affiliated with the Seoul Nurse Association, had offered home nursing services with the financial support from the local government. since 1993, the Center's nursing staff has been engaged in a general hospital in an effort to provide home nursing care services within Korea's health care system. The purpose of this study was to analyze and identify characteristics of community-based home nursing care supplied by a community-based home nursing team engaged in a general hospital. Also. visit nursing care services provided by public health centers were evaluated in terms of accessibility and supply versus demand, to enhance the accessibility of low-income patients living in Seoul to home nursing care services. Data were collected from home nursing insurance reimbursement claims submitted by the community-based home nursing care team from March 1 to October 30 in 2001 and a questionnaire survey on home-visit nursing services of 25 public health centers in Seoul. The subjects consisted of 197 patients and 12 public health centers. The result were as follows. First, medical institution's community-based home nursing care program was better in technical quality than health-center-based home-visit nursing care. In addition. the pattern of the subject patients was similar to that of hospital-based home nursing care program. Second, there was a high demand for community-based home nursing care while only a small number of home-visiting nurses served at public health centers in Seoul. As a result, many patients could not receive adequate care. Finally, we suggest that community-based home nursing care program should be introduced in the national health system to meet the at-home care needs of severely ill low-income patients. Furthermore, to better utilize home nursing and visit-nursing care resources and offer continued care for patients in community settings, an efficient referral network should be built among related institutions. This would require improvement of reimbursement system and amendment of the law related to health insurance system and community-based home nursing care services.

• Journal of Digital Convergence
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• v.18 no.10
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• pp.537-546
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• 2020

This study aims to find the structure of social disussion on government 'Senior job program' by analyzing 1107 newspaper articles on 'senior job program' from 11 major newspaper articles and 8 financial newspapers. Topic modeling via latent dirichlet allocation model was employed for analysis and as result, 5 latent topics were extracted as follows : general information, local government project propaganda, senior life related issues, employment creation effect and market relations. Until 2015, most of the articles focused on the first two topics, indicating not much discourse was formed concerning the characteristics of the program. However, after 2015, the third topic started to increase and after the launch of Moon Jae In government, there has been a drastic increase in the employment creation related topic indicating that current social discourse mirrored by the media is definitely focused on employment creation aspect of senior job program. Based on the result, this study suggests the necessity to increase the quality and also enhance employment aspects of Senior job program.

• Health Policy and Management
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• v.28 no.3
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• pp.195-196
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• 2018

The Korean Academy of Health Policy and Management (KAHPM) has shown remarkable achievements in the field of health policy and management in Korea for the last 30 years. The KAHPM consists of experts in various fields of health policy and management, and has been the leading academic discussion forum for health policy agendas of interest to the public. Health Policy and Management (HPM), the official journal of the KAHPM, published the first issue of volume 1 in October, 1991 and is publishing the second issue of volume 28 as of 2018. Currently, it is one of Korea' main journals in the field of health policy and management. HPM has published a special issue in commemoration of the 30th anniversary of the KAHPM. The HPM invited authors, including former presidents of the KAHPM and current board members, to write about main issues in health policy and management. Although the HPM tried to set up an invited author on all subjects in the health policy and management field, 19 papers are published, that completed the peer review process by August, 2018. The authors of the special issue of the 30th anniversary of the KAHPM include six former presidents, a senior professor, and 12 board members. The subjects of this issue are reform of the healthcare delivery system, health insurance and medical policy, reform of health system governance, the role of National Health Insurance Service (NHIS), the Korea Institute for Health and Social Affairs (KIHASA) and the National Evidence-based healthcare Collaborating Agency (NECA), ethical aspects of health policy change, regional disparities of healthcare, healthcare accreditation, new healthcare technology evaluation system, globalization of the healthcare industry, the epidemiological investigator system, the quarantine system, safety and disaster, and official development assistance. There are some remaining topics to deal with for the KAHPM: aged society, anti-smoking, non-infectious disease, suicide, healthcare resources, emergency medical care, out-of-pocket money, medical fee payment system, medical aid system, long-term care insurance, industrial accident compensation insurance, community-centered health welfare system, and central government and local government of health. The HPM will continue to publish review articles on the main topics in health policy and management. This is because the KAHPM, which has been the leading academic society of Korea's health policy and management for the last 30 years, feels responsible for continuing its mission for the next 30 years.

• Proceedings of the KAIS Fall Conference
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• 2010.05b
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• pp.1072-1076
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• 2010

본 지역 재정지표와 표준화사망률간의 관계에 대한 것으로, 연구대상지역은 1998년부터 2007년까지의 전국 232개 시 군 구이며 이를 5개 광역권과 4개 도시 종류에 따라 분류하였다. 지역 재정지표는 1인당 지방세부담액과 재정자립도, 재정자주도, 의존재원비율을 활용하였고, 지역 총사망률은1998년에서 2007년까지의 통계청 사망 원자료 상의 사망자수를 분자로, 주민등록인구를 분모로 직접 표준화법을 사용하여 연구대상 지역의 성 연령표준화사망률을 산출하였다. 자료의 분석은 SPSS 12.0K를 이용하여 상관분석, 일원배치분산분석(Tukey b 사후검정) 및 회귀분석을 실시하였다. 주요 결과로는 첫째, 재정지표와 표준화사망률간의 상관분석을 실시하여 연도별로 계수 값을 구한 결과 1인당 지방세부담액을 제외하고 재정자립도, 재정자주도, 의존재원비율 모두 남자, 여자, 전체 모두가 전 연도에 걸쳐 상관계수 값이 통계적으로 유의하였으며, 남자가 여자보다 높은 상관관계를 보였다. 둘째, 재정자립도, 재정자주도 각각을 표준화사망률과 단순 회귀분석을 실시한 결과, 표준화사망률 남자, 여자, 전체가 전 연도에서 통계적으로 유의하였고, 재정자립도와 재정자주도가 낮을수록 사망률이 높은 것으로 나타났다. 셋째, 광역권역, 도시 종류까지 고려한 재정지표의 다중회귀분석을 실시한 결과, 1인당 지방세부담액과 의존재원비율, 광역권역과 도시 종류에 따른 지역을 고려하고도 재정자주도의 효과는 전체사망과 남자, 여자, 전 연도에 걸쳐 모두 통계적으로 매우 유의하여 재정자주도가 높을수록 사망률이 낮은 것으로 나타났고 이런 경향은 여자보다 남자에서 더욱 강하게 나타났다. 넷째, 광역권별 분석의 경우, 충청권은 수도권에 비해서 표준화사망률에서 유의한 차이는 없었으며 호남권과 영남권은 전체 표준화사망률의 경우 전체 연도의 절반 이상에서 수도권에 비해서 통계적으로 유의하게 높았고, 남자와 여자에서는 이런 경향이 약해졌다. 강원 제주권은 전체 사망에서 수도권에 비해 전체 연도의 절반 이상이 유의하게 사망률이 낮았으며, 여자도 이와 비슷한 양상을 보여주었다. 다섯째, 도시 종류에 따른 분석에서 대도시에 비해 중소도시는 통계적으로 유의한 차이는 없었으나, 전 연도에 걸쳐 도농통합도시와 군지역은 대도시에 비해 통계적으로 사망률이 높았다. 여섯째, 전 연도에 걸쳐 의존재원비율이 높아질수록 사망률이 유의하게 높아졌다. 이는 남자, 여자 모두에서 유사하게 나타났다. 마지막으로 연도별 분석 이후 1998년에서 2007년 전체 다중 회귀분석을 실시한 결과 전체 사망과 여자의 경우 1인당 지방세부담액을 제외한 모든 변수에서 통계적으로 유의하였다. 지역의 재정력이 성 연령 표준화사망률에 영향을 미치는 것으로 파악되었는데 이를 단서로 지역의 건강 격차가 발생하는 원인과 기전을 밝히기 위해 향후 보다 면밀한 후속 연구가 이뤄져야 하겠고 지역 간 건강 격차를 완화하기 위한 여러 방법론적 고찰 안에 지역간 재정력의 격차를 완화하려는 정책적인 접근도 필요할 것으로 사료된다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.10
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• pp.4989-4995
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• 2013

The purpose of this study was to evaluate oral health status using oral health index in the elderly population and determine methods for improving oral health status. The date collected from 'The fifth korean national health and nutrition examination survey 2010' was analyzed in this study. The subjects included in this study were 712 elderly people, aged 65 years or older and who had completed the oral examination, health questionnaires and nutrition examination. Statistical analysis was done using the SPSS 19.0 for Windows. We determined Frequency analysis and multiple regression analysis. General characteristics and oral health behaviors showed differences in number of teeth associated with as male, the lower age, as dong, the higher education level, the lower smoking, the more use oral health goods, in DMFT associated with the lower age, the lower income level, the higher education level, in FS-T associated with as female, the higher income level, the more use brushing, in T-Health associated with as male, the lower age, as dong, the lower smoking, the more use oral health goods, in CPI associated with as male, the lower age, as dong, the lower smoking, the more use oral health goods. In conclusion, oral health behavior have effect on oral health index, in order to improve the quality of life and promote oral health of the elderly, oral health education system should be organized. Local governments should be supported active and various oral health program for the elderly.