• 한국병원경영학회지
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• 제22권4호
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• pp.87-101
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• 2017

[Purpose] This study aims to classify of healthcare decline and analyze the corresponding health outcomes among cities in Korea. In pursuing the above, this paper gives the particular attention to draw policy implications. [Methodology/Approach] Public healthcare data of 81 cities between 2014 and 2015 was obtained from the National Medical Center of Korea. A matrix analysis, t-test, ANOVA and multivariate regression were applied. [Findings] The study results indicated that declining cities tend to have the most healthcare resources, compared to growing or maintaining cities. However, accessibility to healthcare appeared to be lower in declining cities. Based on the classification of cities on healthcare decline, 42 out of 81 cities were categorized as a maintain/improvement group, while 39 cities were characterized as decline/depression. The group with a decline/depression type has significantly more healthcare facilities than maintain/improvement type. In contrast, maintain/improvement cities indicated lower incidence of morbidity and mortality than decline/depression cities. Lastly, according to the multivariate regression analysis for the healthcare outcomes by the type of healthcare decline, incidence of morbidity and mortality tended to decrease as the number of healthcare workers, the proportion of people who have healthcare accessibility, and the Timely Relevance Index increased regardless of the number of medical facilities including hospital beds and special beds. [Practical Implications] In conclusion, focusing on the improvement of healthcare accessibility as well as staffing, rather than expanding facilities is essential to set the healthcare policies.

• 대한예방한의학회지
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• 제6권2호
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• pp.48-63
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• 2002

The study aims to investigate the process of professional socialization of oriental medical students, to analyze influencing factors on it, and to compare the results with those of western medical students. Professional socialization, in the context of this study, means the process through which a layperson becomes a profession equipped with professional identity and values. A survey using specially designed questionnaire was carried out in 1999. The data were collected from 11 oriental medical colleges for 2,656 students. A total of 2,597 cases was finally included in the statistical analysis. Analysis of factors related to professional value found that oriental medical students thought highly of human-oriented factors, followed by science and status, and this trend remained unchanged as they moved on to qualification. Among professionalism related items, those involved in professional regulation and dominance factors showed high scores, while showing low scores on items related to bio-ethics and autonomy factors. Unlike items of professional value, those of professionalism showed a notable difference in attitude statistically by schooling level. The average scores of factors for professionalism increased with increasing schooling years. This trend proved that oriental medical students acquired professional norms and attitudes through their educational period. Multiple regression analysis with the factors related to professional value and professionalism as dependent variables found that independent variables had some impact on science, status, and clinical autonomy, but no impact on human, policy autonomy, and professional regulation factors. In conclusion, with increasing schooling years, professional norms and attitudes of oriental medical students were also strengthened. And, in spite of the differences in general propensity, they have a base consciousness in common with western medical students. The difference of mind-set and attitudes related to professionalism in the two groups, however, considering the necessity of future cooperative relations, indicated that a common curriculum between both schools is needed, and the education of social medicine should be strengthened in oriental medical colleges.

• 한국산학기술학회논문지
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• 제11권7호
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• pp.2515-2521
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• 2010

본 연구에서는 우리나라 사망원인의 1위인 악성신생물 중에서 2000년부터 가장 빈도가 높은 폐암에 대하여 우리나라와 OECD 국가들 간에 사망률과 잠재수명손실연수(PYLL)에 통계학적으로 차이기 있는가를 살펴보아서 폐암에 대한 국가 간 비교와 폐암 사망구조의 문제점을 파악하여 보건정책, 보건교육, 보건자원배분 등에 자료를 제공코자 하였다. 분산분석을 통하여 폐의 악성신생물로 인한 사망률과 잠재수명손실연수을 전체 인구와 성별에 따라 OECD 국가들과의 차이를 확인하였을 때, 우리나라의 폐의 악성신생물로 인한 사망률과 잠재수명손실연수는 2000년 이전보다 모두 높아진 것으로 보이며, 특히 잠재수명손실연구의 경우 급격히 높아짐을 확인할 수 있었다. 본 연구는 우리나라와 OECD 회원국들과의 폐의 악성신생물로 인한 비교할 때 사망률보다는 잠재수명손실연수가 더 중요함을 나타낸다는 의의를 갖는다.

• Journal of Preventive Medicine and Public Health
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• 제35권4호
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• pp.313-321
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• 2002

Objectives : To identify the risk factors of dementia among the elderly in a large city. Methods : A cross-sectional study was conducted in July 2001, with potential participants selected by stratified two stage cluster sampling of the elderly population of Keumgog dong, Busan. A total of 452 elderly people aged 65 years and over, underwent a two phase diagnostic procedure. Mini-mental State Examination-Korean (MMSE-K) and Samsung Dementia Questionnaire were used for the 1st stage, and the Clinical Dementia Rating Scale (CDR), the Bartel ADL, and IADL Index, the Korean Geriatric Depression Scale (KGDS), the Modified Hatchinski Ischemic Scale (MHIS), and other laboratory tests were used for the 2nd stage. Results : Of the 446 participants finally chosen, 45 were confirmed with dementia, and 363 as normal, with the rests not confirmed with dementia or as normal, were excluded from the analysis. According to the logistic regression analysis, the risk of dementia was significantly higher In: people aged 80 and above (OR=4.36, 95% CI=1.97-9.62), illiterate (OR=3.58, 95% CI=1.71-7.46), who had a history of strokes (OR=6.35, 95% CI=2.71-14.87), or who had 3 history of hyperlipidemia (OR=4.74, 95% CI=1.65-13.61), compared to their counterparts. Conclusions : These results suggest that efforts to prevent strokes and hyperlipidemia can significantly decrease the risk of dementia.

• Journal of Preventive Medicine and Public Health
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• 제39권1호
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• pp.53-58
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• 2006

Objectives: We wanted to evaluate the main route of exposure to lead and cadmium for the general population in Korea by using multi-route and multi-media exposure assessment Methods: Samples of air at the homes, samples of the food and water and peripheral blood samples were collected from thirty volunteers living in Seoul (the metropolitan area), Yong-in (the suburban area) and Ansan (the industrial area) in 2001. Graphite furnace atomic absorption spectrometric methods were used for the determination of the Pb and Cd levels in the air, food, water and blood samples. Results: The average intake of lead through the air, drinking water and food were $5.06{\mu}g/day\;(26.3%)\;0.002{\mu}g/day\;(0.1%),\;and\;16.4{\mu}g/day\;(73.6%)$, respectively. The average intake of cadmium through the air, drinking water and food were $0.082{\mu}g/day\;(0.9%),\;0.001{\mu}g/day\;(0.007%),\;and\;12.61 {\mu}g/day\;(99.0%)$, respectively. The blood lead level was statistically higher in the male subjects than in the female subjects (3.39 and $2.22{\mu}g/dl$, respectively), and only gender was a significant variable on the multiple regression analysis for blood lead. Conclusions: This study showed that the intake of lead and cadmium through food was the major route of exposure. A policy to reduce the pollutants according to the exposure routes should be established. However, more studies will be needed to support these data for the general population.

• Journal of Preventive Medicine and Public Health
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• 제45권1호
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• pp.47-59
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• 2012

Objectives: This study was conducted to observe recent changes in adolescents' dietary behavior and indirectly evaluate the effects of the government's nutritional policies in Korea. Methods: We analyzed the secular trends in seven dietary behaviors using the Korea Youth Risk Behavior Web-based Survey data from 2005 to 2009. Through literature review, we included the policies implemented for the improvement of adolescents' dietary behaviors during the same periods. Results: The significant linear trends were observed in all dietary behaviors (p<0.05). Overall, all behaviors except the fruit intake rate were desirably changed during five years but undesirable changes were observed between 2008 and 2009 in all behaviors. Within those periods, several policies were implemented including 'Ban on carbonated-beverages in school', 'Green Food Zone', etc. Despite confirmed evidence of their effects, the policies on individual behavior such as nutrition education didn't influence the prevalence of dietary behaviors because they were conducted to too limited persons. Polices on the school environmental improvement, such as ban on carbonated beverage in school, were more effective because they decreased the exposure of undesirable food environment. However, for effect of Green Food Zone improving community environment we couldn't come to a conclusion because of too short period after full implementation. Conclusions: Among government nutrition policies conducted from 2005 to 2009, those on environmental improvement, especially in school, were more effective than those on individual behavior. Therefore, the development and implement of policies on school environmental improvement are needed in Korea.

• 한국노년학
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• 제32권3호
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• pp.895-912
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• 2012

본 연구는 만 60세 이상의 노인이 인지하는 노년기 부모-성인자녀간 지원유형을 살펴보고, 각 유형별로 나타나는 노인의 인구사회학적 특성과 삶의 질을 분석한 것이다. 분석에 활용된 자료는 2008년도 노인실태조사 원자료이며, 성인자녀가 있는 노인 14,843명을 분석대상으로 하였다. 군집분석을 통해 노년기 부모-성인자녀간 지원유형은 <높은 상호지원형>, <부모수혜형>, <부모제공형>, <낮은 상호지원형>의 4개로 분류되었으며, <부모제공형>이 가장 많았다. 4개의 유형중 <높은 상호지원형>의 노인들이 높은 삶의 질 수준을 보인 반면, <부모수혜형> 노인들은 자아통합감이 가장 낮았고, 우울수준이 가장 높게 나타났다. 본 연구 결과를 통해 2000년대 초반까지의 국내 선행연구들과 달리 우리나라의 노인들도 성인자녀와 쌍방향적 상호지원의 관계로 변화되어감을 발견할 수 있었다.

• 한국병원경영학회지
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• 제23권4호
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• pp.81-86
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• 2018

Purposes: The purpose of this study is to argue that the taxation system for non-for-profit medical institution in Korea should be revised and that the basic direction should be to expand tax exemption like the US. Methods: We analyzed the US context of taxation policy for non-for-profit medical institutions and compared the US and Korean situation. Findings: In the United States, for-profit or non-for-profit medical institutions eternities are the most important criteria for hospital classification. Basically, full tax-exemption has been applied for non-for-profit medical institutions. The reason why many hospitals maintain their status as non-for-profit are following. First, the American society places great importance on the social responsibility and role of non-for-profit hospitals. Second, maintaining the status of non-for profit medical institutions is financially beneficial while maintaining good social reputation. The most powerful financial incentives are tax deductions and tax deductions for donations. Practical Implications: How will the taxation system for medical institutions in Korea be reformed in the future? First, if Korean government do not allow for-profit medical institutions, Korean government should consider implementing a full tax exemption system suitable for non-profit medical institutions like the US. Second, there are many variation in taxation for non-for-profit medical institution according to their legal positions. Therefore, current taxation system should be revised. Third, the reorganization of such taxation system should be in a direction that can finally encourage community benefit activities of medical institutions of nonprofit hospitals.

• 디지털융복합연구
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• 제17권8호
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• pp.257-264
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• 2019

본 연구는 부채마 70% 에탄올 추출물(DR)이 RBL-2H3 마스트 세포에서 항원에 의한 세포활성의 영향과 BALB/c 쥐에서 dinitrofluorobenzene에 의해 유도된 마스트 세포-매개 알레르기 접촉성피부염에 미치는 영향을 조사했다. DNP-HSA 항원과 Anti-DNP IgE 항체에 의해 활성 된 RBL-2H3 세포에서 에탄올 추출물은 급성 항원반응 표지인 ${\beta}$-hexosaminidase 분비와 히스타민 등을 억제하였고, 후기 항원반응 표지인 IL-4와 $TNF-{\alpha}$ 생성을 억압하였다. DNFB-유도 접촉성 알러지성 피부염 동물 모델에서 에탄올 추출물 처리는 귀 부기를 감소시키고 혈청 히스타민과 IL-4 분비를 억제시켰으며, DR 처리는 피부염 유발 부분에서 마스트 세포 유입을 효과적으로 방지하였다. 이러한 결과로, 에탄올 추출물은 아토피 피부염과 같은 마스트 세포-매개 알러지성 질병의 치료제로 사용할 수 있을 것이다.

• 디지털융복합연구
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• 제17권5호
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• pp.33-40
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• 2019

신중년은 노동시장에 재진입하는 것으로 중요한 의미를 가진다. 무엇보다 재취업은 자신의 삶에 새로운 자신감을 갖게 되고 정신건강을 향상하는 계기가 될 것이다. 또한 정부는 신중년 자본의 활용을 통해 재정 부담을 감소할 수 있는 장점이 있을 것이다. 이런 시각에서 본 연구는 신중년의 긍정심리자본이 재취업의지에 어떠한 영향관계가 있는지를 탐색하고자 설계되었다. 이를 위해, 본 연구는 의정부시에 거주하고 있는 신중년 은퇴시기를 전후한 성인남녀를 270명을 대상으로 설문조사를 실시하였다. 설문을 분석한 결과 다음과 같다. (1)신중년의 교육수준은 재취업의지에 통계적으로 유의미한 긍정적 관계가 있었다. 이런 관점에서 신중년의 재취업을 활성화하기 위해 신중년에게 적합한 직종의 개발과 더불어 교육훈련프로그램을 체계적으로 운영할 필요가 있다. (2)신중년의 긍정심리자본은 재취업의지에 긍정적 영향을 미치는 것으로 나타났다. 신중년의 재취업을 고양하기 위해서는 자신에 대한 자신감, 구직관련 정보를 획득하기 위한 적극적인 자세, 사회적 네트워크를 활성화하려는 자세가 매우 중요하다.