• 보건행정학회지
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• 제28권1호
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• pp.48-52
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• 2018

Background: The current study evaluated the hospital utilization and characteristics of patients who received health care services for acute cerebral infarction outside their own residential area. Methods: Using the 2014 national patient survey data, information on 2,982 patients diagnosed with acute cerebral infarction through emergency department were retrieved for the analyses. Multiple logistic regression was performed to investigate the characteristics associated with using hospitals outside residential area among patients diagnosed with acute cerebral infarction. Results: Fifteen point nine percent of patients admitted for acute cerebral infarction utilized hospitals outside their residential area. Patients residing in a province were 7.7 times more likely to utilize hospitals located outside their residential areas compared to those living in Seoul metropolitan city. Patients living in Gangwon and Jeolla were 0.26 times and 0.48 times more likely to go to hospitals in different geographical areas. Also, patients within the age group of 80 years and over were 0.65 times less likely to be admitted to hospitals outside their residential area compared to those in their 40s-50s. Conclusion: The use of hospitals outside patient's residential area is shown to be substantial, given that the acute cerebral infarction requires immediate recognition and treatment. The findings on the geographical differences in the hospital utilization suggest further investigation.

• International journal of advanced smart convergence
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• 제8권3호
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• pp.123-130
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• 2019

In the study, we suggest that the activation plan of the public nature burial in the capital area through funeral information system as follows. First, according to the report on the social survey announced by the National Statistical Office in December 2017, the Korean people's preference of nature burial was 43.6% while the actual utilization rate of national nature burial in 2017 was only 8.8%, which showed a huge gap between preference and utilization rate of nature burial. Therefore, through the activities to improve the awareness of nature burial by performing the national promotion and education, and also the investment for the expansion or improvement of nature burial facilities in the level of central government and local government, the preference of nature burial should be led to the actual demand. Second, during the period from 2011 to 2018, the utilization rate of public nature burial in the capital area was annually increased by average 26.9%, which showed the huge increase of demand for nature burial. Thus, each local government should carry forward the policies for expanding the supply of public nature burial focusing on the woodland burial showing the high preference of users of public nature burial. Third, even though the public cremation facilities are installed or operated by local governments in the capital area, Seongnam City without the public cremation facilities should install the public nature burial for the enhancement of users convenience by providing the One Stop Total Funeral Service.

• Journal of Preventive Medicine and Public Health
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• 제50권1호
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• pp.29-37
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• 2017

Objectives: The accurate measurement of geographic patterns of health care utilization is a prerequisite for the study of geographic variations in health care utilization. While several measures have been developed to measure how accurately geographic units reflect the health care utilization patterns of residents, they have been only applied to hospitalization and need further evaluation. This study aimed to evaluate geographic indices describing health care utilization. Methods: We measured the utilization rate and four health care utilization indices (localization index, outflow index, inflow index, and net patient flow) for eight major procedures (coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty, surgery after hip fracture, knee replacement surgery, caesarean sections, hysterectomy, computed tomography scans, and magnetic resonance imaging scans) according to three levels of geographic units in Korea. Data were obtained from the National Health Insurance database in Korea. We evaluated the associations among the health care utilization indices and the utilization rates. Results: In higher-level geographic units, the localization index tended to be high, while the inflow index and outflow index were lower. The indices showed different patterns depending on the procedure. A strong negative correlation between the localization index and the outflow index was observed for all procedures. Net patient flow showed a moderate positive correlation with the localization index and the inflow index. Conclusions: Health care utilization indices can be used as a proxy to describe the utilization pattern of a procedure in a geographic unit.

• 한국생활과학회지
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• 제20권2호
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• pp.427-437
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• 2011

This study was conducted to investigate the utilization, recognition, and satisfaction of environment-friendly agricultural products (EAPs) in school food services according to the type of foodservice in the Jeonbuk area. Among the 270 school food service providers evaluated, 56.3% of the schools were located in an urban area and 43.7% were in a rural area. About 80% of urban schools used the EAPs for school foodservice, and 89.8% in rural schools (p<.05). The purchase frequency of grain (p<.01), fruits (p<.05), and processed foods (e.g. Tofu) (p<.001) was significantly different between the urban and rural schools. The perception of school dietitians in urban and rural schools between the EAPs and general agricultural products was significantly different (p<.05). The most different fact was 'safety' (p<.001). Most school dietitians has a gut understanding and a lot of confidence about the system of EAPs (p<0.01). The satisfaction score with EAPs was 3.35; in the urban schools it was 3.36 and in the rural schools 3.12 (p<.01). The satisfaction with EAPs in urban and rural schools was significantly different with regard to several factors; these were 'design' (p<.05), 'color' (p<.001), 'fresh' (p<.001), and 'diversity' (p<.01). There are conflicting views between the urban and rural schools for the additional costs brought by using EAPs (p<.01). In conclusion, our central and local governments should change their roles in financially positive ways and reflect the issue to make the policy effective.

• 농촌의학ㆍ지역보건
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• 제17권2호
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• pp.113-121
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• 1992

In order to estimate the pattern of medical care utilization and recognition for health factor among the inhabitants in Wan-do district which is located off the southern seashore from mainland Korea, household interview survey was performed from January 15 to 30, 1990 in Wan-do Gun area. The results observed were following: 1. Among the users of medical facilities 40.8% used public health facility as first contact facility. Lower the income level was and longer the residency duration was, the utilization rate of public health facilities was higher. By age groups and medical security status the utilization pattern was likely to disperse to local clinic and secondary contact medical resources. 2. Medical expense and access time were significantly different between primary contact and secondary contact medical resources. 3. Public health facility was recognized as the favoured institute having advantage of geographic and economic accessibility. 4. Statistically significant determinants in public health facility utilization among total medical service were the region, the medical expense, and the access time.

• 지적과 국토정보
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• 제46권2호
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• pp.341-356
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• 2016

토지정보와 건물정보는 부동산, 도시행정 분야에 있어서 가장 핵심이 되는 공간정보이지만 융복합 및 통합적인 활용이 용이하지 않아 통합정보서비스가 제공되기 어려웠다. 본 연구에서는 토지정보와 건물정보에 대한 통합정보시스템의 필요성과 정보 융합의 방법론, 통합시스템의 구축 방안을 제시하였으며 프로토타입 시스템을 개발하여 통합정보에 대한 활용 가능성을 제시하고자 하였다. 이를 위해 토지정보와 건물정보에 대한 관리 현황을 분석하였으며, 이를 바탕으로 토지 및 건물에 대한 다양한 공간정보와 속성정보 간의 매칭 및 융합 프로세스를 적용하였다. 융합된 토지 건물정보 DB를 기반으로 한 통합정보시스템과 기능을 설계함으로써 프로토타입 시스템을 구현하였다. 마지막으로, LX가 시스템을 운영하면서 부동산 및 도시행정 분야에 제공할 수 있는 정보서비스 사례들을 제시하였다.

• 한국컴퓨터정보학회논문지
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• 제16권10호
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• pp.73-81
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• 2011

WBAN(Wireless Body Area Network) 기술은 인체 내부 및 외부에 부착한 센서 노드를 무선으로 연결하여 통신할 수 있는 근거리 무선 통신 기술로서 IEEE 802.15.6 TG BAN을 중심으로 물리 계층, 데이터 링크 계층, 네트워크 계층 및 응용 계층 등에서 표준화가 진행되고 있다. WBAN은 응용서비스의 종류에 따라 의료용과 비의료용으로 나눌 수 있다. 의료용 응용서비스의 경우데이터 전송 특징이 주기적이고 전송률이 상이한 의료용 센서를 사용하기 때문에 데이터 전송시 QoS를 보장하기 위하여 GTS 전송방식을 사용한다. 본 논문에서는 WBAN 환경에 적합한 MAC 프로토콜을 제안하였다. 첫 번째 WBAN 기반의 슈퍼프레임 구조와 프리미티브를 제안하였다. 두 번째 WFQ(Weighted Fair Queuing)기반의 GTS 채널 이용률 향상 알고리즘을 제안하였다. 제안한 스케줄링 방식은 i-Game(라운드로빈 스케줄링 방식)과 비교하여 채널 이용률을 향상시키는 것을 알 수 있다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제28권4호
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• pp.197-212
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• 2017

Objectives: This study aims to supplement the limitations of the preliminary study and expand the use of the Child-Adolescent Functional Assessment Scale by providing standardized T-scores for measuring function in different areas, as well as guidelines for their interpretation. Methods: The Child-Adolescent Functional Assessment Scale and Korean-Child Behavior Checklist were administered to a total of 623 individuals, including 467 parents of emotionally and behaviorally disturbed elementary school students, 45 parents of emotionally and behaviorally disturbed middle school adolescents and 111 parents of elementary school students with developmental disorders, as well as to a control group consisting of 186 parents of mainstream elementary school children in the Seoul metropolitan area. Results: In contrast to the preliminary study, the emotional domain was disassociated into two factors, negative affect and emotion regulation, and the coefficient of determination for misconduct was increased significantly. Also, the overall reliability and validity of the Child-Adolescent Functional Assessment Scale were similar to those in the preliminary study, and the item structure was consistent. This study provides standardized T-scores of function in different areas based on the revised scale, and provides guidelines for their interpretation. Conclusion: The Child-Adolescent Functional Assessment Scale can assist the Child Global Assessment in Functioning in providing the information necessary for case management and treatment planning by comparing the impairment severity in each area of functioning, and also determining changes in behavior and function after treatment interventions. On the other hand, this scale has yet to clearly distinguish between rebellious behavior and misconduct. Further research is necessary to provide standards for more diverse age groups and for its utilization.

• 보건의료산업학회지
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• 제3권2호
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• pp.65-75
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• 2009

This study aims at deriving any useful information necessary to strengthen the competitiveness for growth through empirical analyses on a general hospital located in a province in order to countermeasure the opening and competition of medical markets. The characteristics of user were identified on the basis of disease groups under KCD in the research method. In addition, the analysis on the expenses of diagnosis and treatment was divided into the treatment progress and degree of hospital resource utilization. And the regression was carried out to identify the impacts of characteristics of inpatient users on the degree of hospital resource utilization. As a result of major research, the inpatient users of the general hospital located in the provincial area in consideration of inpatient users were formed around the inpatient disease groups representative for Korea. And it was understood that most of residents within a distance of 40 minute by the public transportation were using. Although there are restrictions that the analyses were carried out for a general hospital in a province, the findings of this study can be considered a generalized model for the management of provincial general hospitals when we consider the current circumstance that the diagnosis and treatment are carried out by provincial medical institutions primarily for patients in general within the province, along with implications that any general hospital in Korea should be equipped with the facilities, equipments and human resources under the Medical Treatment Act.

• 농촌계획
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• 제21권2호
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• pp.51-61
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• 2015

The necessity of universal design for forestry is increasing. Although several studies applied universal design in forest site, they had been only concentrated on the barrier-free design for the limited activities rather than overall utilization for considering all visitors from the disabled, the elderly and the infirm to the baby and child. The purpose of this study is to find out the principle of the universal design within forest welfare service facilities by analysing how socially disadvantaged people perceive overall usage of natural recreation forest area. This study figures out the main principles of universal design in forest welfare through analyzing usage of children and disabilities in Yumyeongsan natural recreation forest where is one of the popular type of forest welfare area. By doing focus interviews targeted on children and disabilities, the results are analyzed through semantic network analysis, objectively. The result proves that universal design in forest welfare area contains four principles; convenience, safety, diversity and amenity. Also it confirmed that disabilities need better internal space facilities and priority care. Through those characters of universal design, forest area will be able to cover more various type of users as forest welfare area.