• 한국농촌건축학회논문집
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• 제8권2호
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• pp.36-45
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• 2006

The purpose of this study is to clarify the spatial use pattern changes over time in skilled nursing facility. The investigation had been executed against the elderly(65 and over) in skilled nursing facility. This article discuss the basic characteristics of the elderly with dementia and the daily living activities of the elderly with dementia at skilled nursing facility in Jangseong-gun. The survey was repeated 2 times at the period of 61 months and 88 months after the opening of the facility. Changes over time of the spatial use patterns are clarified. Some results show as follows: (1)As the time went by, there is wide difference between behavioral places and nursing levels on the living activities of the elderly with dementia. (2)As the time went by, the elderly who have a tendency to stay in his bedroom through the greater part of the days.

• 농촌계획
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• 제27권2호
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• pp.13-22
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• 2021

As the measures for solving problems of modern city and farming & fishing villages through mutual cooperation and complementation, this study aims to present an integrated rural area development model by changing the farming & fishing villages from a food production-focused space to a service space for the whole nation including urban residents, into the direction of creating new vitality and jobs in farming & fishing villages. In order to establish a service space that could increase the life quality and happiness of the people, this study presented the K-FARM framework types that would integrate and arrange total four themes such as rental farm, experience farm, stay farm, and management farm. In case when this K-FARM framework is applied to rural areas adjacent to cities, especially farming & fishing villages around innovative cities, there would be great effects such as expansion of exchanges between public institutions and local residents of innovative cities. Especially, the theme model classified into four types could be applied suitable for the characteristics of farming & fishing village development project district that is currently operated. Meanwhile, to realize the construction of K-FARM framework, on top of demand analysis of rental farm, it would be also necessary to additionally analyze the urban residents' demand for experience farm and management farm.

• 간호행정학회지
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• 제9권4호
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• pp.559-569
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• 2003

Purpose: The purpose was to investigate nurse staffing levels and patient outcomes(nosocomial infection, patient fall, pressure ulcer). Method: The subjects of this study were 305 nurses from 20 general hospitals who worked at 39 medical and surgical wards. Self-reporting questionnaire which was developed by the writer through preceding study was used. In data analysis, SPSS WIN 10.0. program was utilized for descriptive statistics, ANOVA. Result: The mean of patient-to-nurse ration was 5.2:1. 65% among 20 hospitals was over 300 beds, 90 was located in urban area and 55 was private hospitals. Patient-to-nurse ration of hospitals in under 300 beds or rural area or private ownership was lower than hospitals in 300 beds or urban area or public ownership. 89.9 among 39 wards was medical or surgical wards. The mean of length of stay, 8-14 days got a majority and showed higher patient-to-nurse ration. Of the general characteristics, rural was significantly hight to patient fall(F=3.205, p<.05), medical unit was significantly high to patient fall, pressure ulcer(patient fall: F=8.890, p<.001, pressure ulcer: F=3.399, p<.05) and over 15 days was significantly higher than under 14 days of the mean of length of stay. And there was significant relationship between over 6.0:1 and over 4.0:1 to less than 5.0:1(F=4.817,p<.01). Conclusion: This study has shown a relationship between patient-to-nurse ration and patient fall using not objective research tool but self-reporting questionnaire. Therefore further research is needed to study using objective research tool. Based on this study, the effect of nurse staffing levels on patient outcome also has to be studied.

• 한국농공학회논문집
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• 제50권6호
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• pp.83-91
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• 2008

This study grasped problems and properties of rural tourism through Cooperative Tourism Development Model Project, so it provided to develop network program and to indicate long-term development direction. This study area was Gubyung-Areum village in Boeun-gun, Chungcheongbuk-do. This village has superior natural landscape and rich area theme. Also, this village was chosen in Areum Village Revitalization Project in 2002, infrastructure full equipment was achieved. Gubyung-Areum village is administering buckwheat flower festival and experience program by Bo-Eun County Office help to change the farm stay village to the rural experience village. But, there were some problems to operate in experience program. So that Chungcheongbuk-do Provincial Government Republic of Korea is propelling Cooperative Tourism Development Model Project for coping these problems from 2007.12.31 to 2008.9.30. This study is going to develop tourism network program that take advantage of enough area resources grasping problem of Gubyung-Areum village through propulsion of Cooperative Tourism Development Model Project. This study present Developing Strategies for Gubyung-Areum village through investigation, analysis and operation process.

• 한국조경학회지
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• 제18권1호
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• pp.9-17
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• 1990

This study was carried out in the Haenahm county as a part of project, the'89 Comprehensive Planning of Rural Area. In order to increase household income of rural area and to meet increasing tourism demand in urban area, several tourism development directions and strategies were suggested in terms of resources, services, and transportation. The major results of this study are summarized as follows ; 1) Core tourism market has to be maintained by inforcement of unique image of the Haenahm county, such as the southern extremeity of Korean peninsula and tourism resources rich land. 2) New tourism products need to be introduced to attract fringe market of this area by use of natural and cultural resources in the Haenahm county, such as terrain, climate, provincial park, music, dance and artifacts. 3) image of this county as a touristic resort would be escalated by development of high quality andclusterized accommodation in urbanized area of the Haenahm county 4) Development of private lodging, production of local brand by native food, beverage and artifacts, introduction of festival by folk song and folk dance would be helpful to stabilize a seasonal fluctuating demand level of ourismandlocalresidentsincome. 5) Diversification of tourism product needs to be provided for tourists in order to increase chances for enjoyment in the destination and to be involved in socially comfortable atmosphere. 6) Package tour by diversification of touristic subregions in this county and linkage system with touristic regions of other counties would helpful to lead visitors to stay long, resulting in increased expenditure.

• 문화기술의 융합
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• 제9권3호
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• pp.137-143
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• 2023

이 연구는 어린이(0-12세)손상 환자의 특성에 따른 재원일수의 관계를 규명하여, 어린이손상 환자 재원일수에 미치는 요인을 분석하고자 시행하였다. 조사대상은 퇴원손상심층조사 자료에서 2016년 1월1일부터 2020년 12월31일 까지 퇴원한 환자 중 0-12세 이하이며, 주진단이 손상 및 사고의 외인(S00-T98)인 환자 7,804명이었다. 분석은 빈도 분석 및 독립표본 t-검정, ANOVA 검정을 실시하였다. 재원일수에 영향을 미치는 요인을 알아보고자 회귀분석을 시행하였다. 연구대상자의 평균재원일수는 5.5일 이었다. 학령기(7-12세)기 아동이 학령전기(0-6세)보다 재원일수가 길었으며, 진료비 지불방법이 의료급여 및 기타보험 환자가 재원일수가 길었다. 의료기관 소재지가 수도권보다 비수도권(전라도, 경상도)일 때, 병상규모가 100-299병상인 경우 재원일수가 길었다. 내원경로는 외래인 경우 재원일수가 짧았고, 손상기전이 운수사고, 화상인 경우 재원일수가 길었다. 부진단이 있고, 주수술을 시행한 경우 재원일수가 길었으며, 퇴원후 방향이 사망인 경우 재원일수가 길게 나타났다. 이 연구는 전국 단위 자료인 퇴원손상심층조사 자료를 이용하여 우리나라 어린이 손상환자의 재원일수의 특성 및 결정요인을 파악하였다는 점에서 의의를 갖는다. 또한, 안전교육 및 예방 활동만으로도 발생을 줄일 수 있는 어린이 손상의 관련 요인 대한 적극적인 치료와 다양한 예방정책 마련을 위한 기초 자료를 제공했다는 점에서 의의가 있다.

• Journal of Preventive Medicine and Public Health
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• 제29권2호
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• pp.311-329
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• 1996

This study was designed to compare the level of medical utilization between the urban and rural areas of Korea and to explain the differences between the two regions. Data from the National Health Interview Survey performed by the Korean Institute of Health & Social Affairs in 1992 were used for this study utilizing a sample size of 21,841 people. The level of medical utilization such as the number of physician visits and the number of hospital admissions was compared between the regions with ANOVA. Various determinants for medical use were also compared by univariate analysis. Statistical models which included enabling factors, predisposing factors, need factors and region were constructed for bivariate analysis in order to further elucidate the level of medical utilization. The results were as follows: 1. There was greater medical use, both in terms of physician visits and inpatient care in the rural areas in spite of insufficient health resources. The particular reasons for higher medical utilization in rural areas were attributed to a higher number of initial physician visits as well as a longer the length of stay per hospital admission. Therefore, indicators representing the degree of met need (utilization/need) showed no significant difference between rural and urban areas in spite of the fact that the medical need is larger in rural areas. 2. Use of public health facilities received a significant portion of physician visits in the rural area. The government's effort to enhance primary health care through health centers, health subcenters and the nurse practitioner's post in rural areas has contributed to the increase of access to medical care in the rural areas. 3. There were some differences in the socio-demographic characteristics between two regions ; There were more elderly people over the age of 65: unstable marital status, less education and lower incomes also characterized the rural areas. Therefore, among rural people, there were more predisposing factors for medical use. Additionaly, need factors such as poor self-reported health status and high morbidity level were also high in the rural area. 4. In contrast it was learned that, the supply of health resources was mostly concentrated in the urban areas except for public health facilities. Therefore, geographical access to medical care was lower in the rural area both in terms travel time and travel cost. 5. The coefficient of the region variable was insignificant in the regression model which controlled the supply factor only. However, utilization was significantly higher in urban areas if the model included predisposing factors and need factors in addition to the supply factor. The results were interpreted as rural people have greater medical needs.

• 한국빅데이터학회지
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• 제5권2호
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• pp.85-95
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• 2020

본 연구에서는 통신 데이터를 이용하여 기종점통행량 등 교통 모빌리티를 분석하는 방법론을 제안하였다. 모바일 기지국 위치정보 기반의 통신 데이터를 이용하여 개인의 통행사슬(Trip Chain) DB를 구축하고 일별 통행 패턴을 추출하여 통행 특성을 분석하였다. 분석의 신뢰성 제고를 위해서 기지국의 영향권을 맵 매칭하고, 통신 데이터가 가지는 Ping pong Handover 문제를 보정하는 로직을 개발하였으며, 기지국 영향권 내에서 Pass By와 Stay를 구분하는 분석기준을 제안하였다. 개발된 분석 방법을 활용하여 전국 지역 간 통행, 도시 및 지방 지역의 통행 발생과 분포를 추정하고 기존의 전통적인 분석방법론과 비교 검증하였다.

• 한국지역지리학회지
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• 제18권1호
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• pp.101-117
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• 2012

본 연구의 목적은 전국의 귀촌자를 대상으로 설문조사를 통해 귀촌적응과정과 영농실태를 분석하여 특성에 따른 귀촌정책방안을 제언하는 것이다. 이를 위하여 도시민의 농촌지향 이주자들이 어떤 동기와 특성을 갖고 귀촌하였는지 설문조사를 통해 실태를 살펴보았다. 귀촌동기는 경제외적 사유가 주를 이루며, 귀촌 시 가장 큰 영향을 준 사람은 배우자와 부모로 나타났다. 귀촌자금은 초기영농활동을 위해 주로 사용되었으며, 영농생활 시 가장 큰 도움과 영농지식과 기술을 가장 많이 얻은 곳은 이웃 독농가였다. 영농생활의 가장 큰 애로사항과 농촌 거주시 가장 큰 불편사항은 영농자금조달과 소득수준이며 이를 위한 정부 지원책을 가장 바라고 있었다. 향후 농촌생활방향은 농업을 본업으로 하며 농촌에 계속 거주하겠다고 응답하여 미래의 농촌현실은 밝을 것이다. 앞으로 이와 같은 동향과 특성을 기초로 세밀한 도시민의 농촌지향 인구의 정착방안에 대한 발전전략 연구를 수행할 필요가 있다.

• 보건행정학회지
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• 제31권1호
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• pp.125-139
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• 2021

Background: In Korea, the health gap widens due to the number of medical resources and access to medical services between metropolitan and rural. The purpose of this study is to identify the impact of residential migration on medical utilization and accessibility. Methods: This study extracted 528,516 claimed cases in the National Health Insurance Service-Cohort Sample Database from 2006 to 2015. Subjects were classified into two groups by the magnitude of the region, the metropolitan and the rural. The inversed probability weights were calculated for each group. And coefficients of the two-part model were estimated by generalized estimation equation. Results: Those who moved region from metropolitan to rural tend to increase the length of stay and inpatients with ambulatory care sensitive conditions (ACSC) disease. Contrariwise, those who moved areas from rural to metropolitan tend to decrease the total medical cost, the adjusted patient days, the number of outpatients and the number of outpatients and inpatients with ACSC disease. Conclusion: This study identified that between the residents who continued to reside in the region and the migrants, there were significant differences in the medical accessibility, quality of primary care, and unmet medical need.