• 제목/요약/키워드: Self-management program

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Impact of Changes in Medical Aid Status on Health Care Utilization

  • Kim, Woorim;Nam, Chung Mo;Lee, Sang Gyu;Park, Sohee;Kim, Tae Hyun;Park, Eun-Cheol
    • Health Policy and Management
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    • v.29 no.4
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    • pp.513-522
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    • 2019
  • Background: South Korea operates a Medical Aid (MA) program targeting selected low-income individuals to ensure medical service delivery to the disadvantaged while enhancing self-sufficiency of work-capable beneficiaries. However, as reasons behind welfare exits are diverse and do not always infer poverty relief or the provision of appropriate levels of health care services, this study aimed to investigate the association between changes in MA status and health care utilization. Methods: This study used the 2006 to 2015 National Health Insurance claims data. The impact of changes in annual MA status on health care utilization (yearly number of outpatient visits, inpatient visits, length of stay, and emergency department [ED] visits) was investigated using the generalized estimating equation model. Results: In 117,943 adult subjects aged 20 to 64, compared to the 'MA to MA' group, the 'MA to MA exit' group showed general decreases in utilization (outpatient visits: β=-3.93, p<0.0001; hospital admissions: relative risk [RR], 0.87; 95% confidence interval [CI], 0.83-0.91; length of stay: β=-3.64, p<0.0001; ED visits: RR, 0.83; 95% CI, 0.77-0.90). Similar patterns were found in the 'MA exit to MA exit' group (outpatient visits: β=-5.72, p<0.0001; admissions: RR, 0.91; 95% CI, 0.87-0.94; length of stay: β=-5.87; p<0.0001; ED visits: RR, 0.81; 95% CI, 0.75-0.88). Likewise, in 74,747 older adult subjects aged 65 or above, the 'MA to MA exit' group showed reduced levels of utilization (outpatient visits: β=-1.51; p=0.0020), as well as the 'MA exit to MA exit' group (admissions: RR, 0.92; 95% CI, 0.89-0.95; length of stay: β, -5.45; p<0.0001; ED visits: RR, 0.90; 95% CI, 0.83-0.97). Conclusion: MA exit was associated with general decreases in health care utilization. Utilization patterns of individuals with experiences of receiving MA benefits should be monitored to promote the ideal use of health care services while preventing potential financial barriers present in accessing medical care.

An Epidemiological Study for Desirable Health Habits Affecting Workers' Health Status

  • Lee, Myung-Sun
    • Korean Journal of Health Education and Promotion
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    • v.19 no.4
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    • pp.1-18
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    • 2002
  • This study identified the health habits affecting health status of industrial workers. Data was collected from 965 workers in 58 companies at Buchon. The research conducted a self-administered questionnaire survey and obtained the workers' health examination records. The results were as follows: 1. Among 965 respondents, men were 82.4%, women were 17.6%, 44.5% were of the 30${\sim}$40 age group, the married were 67.4%, the single were 30.8%, high school graduates were 81.1% and 38.8% were of people who worked between 1 and 5 years 2. As far as the seven health habits, current smokers were 52.8%, people who regularly exercise was 28.5%, 7${\sim}$8 hour of sleep, on the average were 71.4%, people eating breakfast nearly every day were 8.8%, and people eating between meals almost every day were 46.5%. Heavy drinkers who drink 3${\sim}$4 times or more per week were 14.2%, 1${\sim}$2 times per week were 32.6% and the obese were 9.3%. 3, Health status of A and B, estimated by doctors in the health examination were 80.8% and C, D1, D2, the unhealthy were 19.2%. For men, those who reported more than women in unhealthy groups and the results regarding health status reflects those for gender, educational level and age. That is to say that, lower educational level group and over 30 years of age group perceive their health to be worse than the higher educational level and under 30 age group. And these differences were statistically significant. 4. The relationship between health habits and health status were examined based on the odds ratio. Current smokers had a consistently worse health status than a non smokers with a 1.98 odds ratio. The workers who reported eating breakfast rarely or never were more associated with the unhealthy group than the regular breakfast eating group with a 2.96 odds ratio. One or more drink per week had a worse health status than a never or a little drinker with a 1.56 odds ratio. 5. General health habit score and duration of work were selected as significant factors influencing health status from the result of logistic regression analysis. According to the results of this model, the odds ratio of good health status was 2.08 for good health habit score, 1.63 for workers who worked five years or more duration at work. In summary, good health habits were associated with good health status. In particular, the workers who had 5 or more desirable health habits had a significantly better health status than the workers who had 4 or less than 4 good health habits. Therefore, in order to provide the health promotion programs to workers it is necessary to organize clear health management plans based on effective health education and health service perspective. If further research examines health habits and health status using a prospective study design, More precise findings for health promotion program development in the worksite and worksite health management planning.

A Study on the Relationship between Workplace Learning and Service Quality of Small-Enterprise: Mediating Effect of Job Satisfaction (소상공인의 일터학습과 서비스품질간의 관계에 관한 연구: 직무만족의 매개효과)

  • Choi, Jeong-Hee;Hyun, Byungl-Hwan
    • Journal of Digital Convergence
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    • v.18 no.4
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    • pp.23-35
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    • 2020
  • This study is based on prior research cases on workplace learning, which had a significant impact on corporate research. To improve problem solving and supplementing ability by keeping the opportunity to participate in workplace learning for the weak small business owners and to strengthen opportunities for practical growth, and to propose education, policy and institutional windowing. Therefore, to establish the relationship between small business owners' workplace learning, job satisfaction, and service quality, a research hypothesis was set in the background of prior research and empirical analysis was conducted. The results from 203 questionnaires were analyzed with SPSS 18.0 program. As an analytical result, first, workplace learning had a partial positive (+) impact on job satisfaction. Second, workplace learning had a partial positive (+) impact on service quality. Third, in the relationship between workplace learning and service quality, job satisfaction played a full mediating role. From this, it was found that formal learning, the subfactor of workplace learning did not have an impact on job satisfaction and service quality, as subtitle of educational environment including offsite training and self education, systematization, and structuralization depending on the poor environment of small enterprises. Therefore, it was found that small enterprises' poor environment was revealed from the managerial, economic and social perspectives and to compensate such defect, educational, policy, and institutional strategies to strengthen the opportunity for growth and development of small enterprises can be suggested to the governmental agencies or local governments. Despite the significant results of this study, there may be limitations. Therefore, further studies should be conducted in various fields with various samples in the future, and further studies should be conducted in academic and practical relationships that can improve the service quality and management performance.

Drinking Culture Among Korean College Students (일개 지역 남녀 대학생들의 음주문화 실태 -일개 대학의 사례를 중심으로-)

  • Kim, Kwang-Hwan;Kim, Yong-Ha;Roh, Sang-Gyun;Kim, Jee-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.4932-4939
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    • 2011
  • The purpose of this study was to conduct a survey of general status of drinking culture among college students in Korea. Three hundred college students answered the self-administered questionnaire from May 6 to May 10 in 2009. The questionnaire consisted of drinking-related behavior by gender, recognition and need for moderation in drinking program, and the reason for stopping drinking by gender. The statistical method was done by SPSS WIN version 14.0. The first drinking time was high school comprising 41.0% of the respondents. The reason for drinking was to get the personal relationship. The experience of blackout was 50.3% in twice a year and 26.0% in twice per six months. The reasons for stopping drinking were health problem(36.9%), personal relationship(34.5%), and financial difficulty(20.8%). These results will make it possible to establish the right drinking habit, prevention of sexual violence and vehicle accident and health promotion of the students.

A Study on Emotional Labor of Casino Employees : Security Team and also Employees who Care Customer Closer (카지노 보안 및 고객접점 의전 종사자의 감정노동에 관한 연구)

  • Heo, Tae gu
    • Korean Security Journal
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    • no.57
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    • pp.111-135
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    • 2018
  • Domestic casino companies strongly demand their employees to provide high quality customer services for improving customer's satisfaction and to minimize customer's complain to achieve organizational objective. This seriously influences the job stress, job satisfaction and turnover of employees. However, ongoing management is necessary for job satisfaction and turnover intention of employees because which are related to organizational effectiveness and factors able to maximize the profit. In this study, we examined the influence and causal relationship of job stress from emotional labor of employees on job satisfaction and turnover intention of employees. As a result, job stress had a full mediating effect in the relationship between emotional labor, job satisfaction and turnover intention. It was confirmed that emotional labor of casino employees could cause job stress and further influence job satisfaction and turnover intention. In order to reduce job stress and improve job satisfaction, we propose the improvement of overall human management structure and company environment of casino companies. Emotional education such as emotional regulation ability, empathy, and interpersonal skills should be strengthened to reduce job stress from emotional labor, and the self-esteem program will be helpful to casino employees to maintain the emotional positiveness and maximize their working abilities.

Supporting plan of disabled welfare center for the Disabled in Securing the Maternity Rights (Pregnancy·Childbirth·Child Rearing) of Disabled Women from a Gender-Sensitive Perspective (성인지적 관점의 여성장애인 모성권(임신과 출산,자녀양육)보장을 위한 장애인복지관의 역할)

  • Choi, Sun-kyoung
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.97-107
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    • 2018
  • According to the 2017 national survey of the disabled persons conducted by the Ministry of Health and Welfare, rehabilitation centers for the disabled appeared to be the service agency that disabled women use the most. This means that rehabilitation centers for the disabled hold an important role in securing the maternity rights of disabled women. However, in the practice of welfare for the disabled, programs for securing maternity rights are inadequate, and the actual condition is not being surveyed. As a result, programs related to maternity rights based on the legal basis exist, but actual support services for resolving the difficulties related to maternity rights that disabled women experience are inadequate. Thus, the study suggests that rehabilitation centers for the disabled should pay a central role in establishing the maternity rights of disabled women and provide support services such as developing a manual on basic information about pregnancy, childbirth, and child rearing, offering childbirth-related counseling, activating a self-help group, providing an individualized program for families, connecting with medical institutions, and supporting case management.

A Convergence Research of Brain Wave Characteristics of Homeless People participating in the Supported Housing Program for Vulnerable Residents (주거지원사업 참여 탈 노숙인의 뇌파 특성에 대한 융합연구)

  • Kim, Mi-Hee;Weon, Hee-Wook
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.61-68
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    • 2021
  • The purpose of this study was to derive their cognitive, psychological, and behavioral characteristics through a fusion study that analyzed the quantified results of post-homeless people participating in the housing support project after the electroencephalogram test. Participants in this study are 6 people who have lived in temporary homeless facilities or homeless living facilities and have expressed their intention to participate in the housing support project. Electroencephalogram measurements were performed using Brainmaster equipment according to the International 10-20 Law. As a result of the analysis, the study participants showed high levels of Theta wave, Beta wave, and High Beta wave, which show the peculiarity of the emotional aspect, which is a result of showing emotional characteristics such as anger, anxiety, and insomnia in the emotional aspect. Therefore, it is suggested that they provide stress management, counseling, and physical health management services in order to maintain a stable residential life in the community in the future. The results of this study presented a quantitative basis for the cognitive, psychological, and behavioral characteristics of homeless people, and suggests a support system necessary for them to maintain self-reliance in communities in the future.

Analysis on Visiting Characteristics and Satisfaction according to Travel Routes of the Hallyeohaesang National Park's Visitors (한려해상국립공원 탐방객의 여행경로에 따른 탐방특성 및 만족도 분석)

  • Sim, Kyu-Won;Jang, Jin
    • The Journal of the Korean Institute of Forest Recreation
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    • v.22 no.4
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    • pp.23-33
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    • 2018
  • The purpose of this research is to develop basic materials useful for the visiting management policies' establishment of national parks by analyzing the characteristics of and satisfaction with the visit to Hallyeohaesang National Park according to travel routes. For this, a total of 671 visitors to Hallyeohaesang National Park were recruited and field surveys were conducted three times in spring, summer, and fall from March to November 2017. The Hallyeohaesang national park's visitors were surveyed using a self-administered questionnaire about visitor characteristics (ex: motivation of visiting, travel routes, travel time, and participating activities, etc.) and satisfaction (ex: satisfaction with the visit, intention to revisit, and intention to recommend). SPSS 21.0 program was used for the statistical analysis: frequency analysis and independent-samples t-test analysis. As a result of analysis the motivation of visiting, those who visited only Hallyeohaesang National Park (a single destination) showed a mean value statistically significantly higher level in health improvement and vacation, relaxation, and healing compared to those who had visited or would visit other places along with Hallyeohaesang National Park (multi-destinations). Single destination visitors spent less time traveling from home to national park than multi-destinations visitors. Those who visited only Hallyeohaesang National Park (as a single destination) showed a mean value statistically higher satisfaction and intention to revisit and recommend. The results of this research have significance in providing basic materials to develop efficient park management policies by studying the characteristics of Hallyeohaesang National Park visitors.

Vehicle Detection and Ship Stability Calculation using Image Processing Technique (영상처리기법을 활용한 차량 검출 및 선박복원성 계산)

  • Kim, Deug-Bong;Heo, Jun-Hyeog;Kim, Ga-Lam;Seo, Chang-Beom;Lee, Woo-Jun
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.27 no.7
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    • pp.1044-1050
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    • 2021
  • After the occurrence of several passenger ship accidents in Korea, various systems are being developed for passenger ship safety management. A total of 162 passenger ships operate along the coast of Korea, of which 105 (65 %) are car-ferries with open vehicle decks. The car-ferry has a navigation pattern that passes through 2 to 4 islands. Safety inspections at the departure point(home port) are carried out by the crew, the operation supervisor of the operation management office, and the maritime safety supervisor. In some cases, self-inspections are carried out for safety inspections at layovers. As with any system, there are institutional and practical limitations. To this end, this study was conducted to suggest a method of detecting a vehicle using image processing and linking it to the calculations for ship stability. For vehicle detection, a method using a difference image and one using machine learning were used. However, a limitation was observed in these methods that the vehicle could not be identified due to strong background lighting from the pier and the ship in the cases where the camera was backlit such as during sunset or at night. It appears necessary to secure sufficient image data and upgrade the program for stable image processing.

Study on the Indoor Environment and Status of Facilities and Equipments of Home Economics Practice Rooms of Middle Schools in Jeju Special Self-Governing Province (제주특별자치도 중학교 가정실의 실내환경 및 시설.설비 현황에 관한 연구)

  • Park, Min-Hye;Kim, Bong-Ae
    • Journal of Korean Home Economics Education Association
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    • v.19 no.3
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    • pp.61-76
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    • 2007
  • The purpose of the study is to identify and understand problems existing in the middle school home economics practice rooms in Jeju Special Self-Governing Province. The findings are based on the examination and the analysis of the indoor environment and the condition of the facilities and equipment. Study method employs on-site research and a survey. The on-site research was conducted about temperature, humidity, intensity of illumination, and status of teaching instrument in 10 out of 41 middle schools in Jeju Special Self-Governing Province from August 16 to September 30, 2006. Meanwhile, the survey was implemented by mail for 95 teachers in charge of manual training and home economics education in 41 middle schools in Jeju from November 1 to 23, 2005. 64 questionnaires out of total 95 were collected, including those collected during the period of on-site research. Finally, 61 questionnaires which were effective among the answered ones were used for analysis. Collected materials were analyzed with the SPSS Win.12.0 program for frequency, percentile analysis. In conclusion, the study determines that the condition of the home economics practice rooms of the middle school in JSSGP in terms of temperature, humidity, lighting and ventilation is very inadequate. The structure of the practice room represents an inefficient work flow pattern. Further, the facilities and equipment are in a very poor condition because the facilities are old and the retention rate of teaching tools is low. Therefore, to address these problems, the study suggests that improvements on the facilities and equipment should be made and teaching tools should be replenished in accordance with the industry standard.

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