• 한국지역사회생활과학회지
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• 제18권1호
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• pp.21-37
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• 2007

The purpose of this study is to investigate factors that explain the degree of need for community welfare services designed for the residents of Wonju City. For this purpose, we identify five categories of community welfare services : employment no income supporting programs, residence supporting programs, public health programs, family programs and welfare facilities for enhancing quality of life. The data come from 234 adults living in Wonju city, Major findings can be summarized as follows. Firstly, we find that participants are well aware of needs for community welfare service, and that the degree of need for public health services is the highest among the five types of welfare programs. Secondly, we find differential effects of the individual factors such as predisposing, enabling, and need, and the community factors such as quality of environmental facilities which make daily lives convenient, and residential region. Particularly, environmental facilities appear to have a strong association with high needs for the majority of welfare services. Finally, differences between urban and rural areas are still observed. These results suggest that the responsibility of Wonju city for providing diverse and adequate welfare services should be emphasized. Priorities for welfare policies based on the empirical data are also taken into consideration in the process of developing community welfare policies.

• 지역사회간호학회지
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• 제16권4호
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• pp.381-391
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• 2005

Purpose: The purpose of this research is to develop and classify district visiting nursing standards and to standardize visiting nursing service pathways. Method: This research was conducted as a focus group study and analyzed visiting nursing records. We surveyed 201 recipients at urban health centers, who were selected through convenient sampling, from April 2003 to November 2003. Result: First, visiting nursing service recipients were classified into four groups according to household and financial characteristics, existence of disease, ability of self-care, and existence of home care service needs. Standardized pathways of the selected items were assessment. nursing care plan, disease management and promotion of self-care ability for Level I (mean=12.2 visits). For Level II (7.3 visits) were offered assessment. disease management. health education. and health promotion services. For Level III (5.2 visits) were offered assessment. disease management. health education and health promotion services, and for Level IV (2.7 visits) were offered thorough assessment, education for self-care and health promotion. Conclusion: The visiting nursing service pathways identified in this research need to be developed further as basic materials applicable to quality assurance and agency evaluation. For this, we suggest repeated research and test to apply the derived standardized visiting nursing services pathways in visiting nursing programs.

• 농촌의학ㆍ지역보건
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• 제28권2호
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• pp.1-14
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• 2003

이 연구는 농촌지역 정신보건의료서비스의 필요도와 공급수준을 파악하고 일차정신보건시설로서 보건소가 운영하는 정신보건사업을 평가하고자 하였다. 필요도는 유병률과 정신보건서비스 이용률로 한정하여 2001년도에 보건복지부가 주관하여 실시한 정신질환 실태 역학조사 결과를 이용하여 도농간 차이를 비교하였다. 공급수준은 입원 및 요양 병상수와 일차정신보건의료시설의 기초자치 단체별 설치율로 한정하여 전자는 2002년도에 보건복지부 산하 지역사회 기술지원단이 작성한 보고서 결과내용 중 일부를 발췌하였고 후자는 보건복지부의 2003년도 정신보건사업 안내서와 정신보건의료기관 총람의 내용을 토대로 재구성하였다. 농촌지역의 보건소 정신보건사업을 평가하기 위하여 2002년도에 각 기초자치단체가 중앙에 제출한 제3기 지역보건 의료계획서들 중 농촌형지역과 도농복합형지역으로 구분하여 각각 중앙 및 광역자치단체 정부의 지원 여부에 따라 지원한 경우 1-2개, 지원하지 않는 경우 광역자치단체별로 각각 2개소를 무작위 추출하여 정신보건사업내용부문을 사업대상 및 등록, 구조, 과정으로 나누어 정신보건사업안내서에 제시한 기준을 가지고 평가하였고 담당자들이 작성한 정신보건사업의 문제점들을 분석하였다. 이 연구는 2003년 4월 1일부터 5월 10일까지 이루어졌고 그 결과는 다음과 같다. 첫째, 니코틴 장애를 제외한 평생유병률과 일년유병률은 도시지역이 24.9%, 13.2%, 농촌지역이 28.2%, 17.7%이었으며 정신분열증, 주요우울증, 불안장애, 알코올 사용장애 등 주요 정신질환 역시 도시보다 농촌지역이 더 높은 것으로 나타났다. 또한 지난 일년간 정신보건의료서비스 이용률은 전체적으로 8.9%에 불과하였다. 둘째, 입원 및 요양 병상수는 2001년 현재 인구 천명당 0.97병상이며 요양시설을 포함할 경우 1.27병상으로 세계 보건기구가 권장하는 인구 천명당 1.0병상, 그리고 병상 감소정책을 추진하고 있는 유럽이 0.93병상임을 고려할 때 양적으로 부족하지는 않다. 그러나 광역자치단체간 편차가 큰 것으로 나타났는데 서울, 인천, 울산 등 대도시지역이 충북, 충남, 경남, 전남지역의 1/6내외수준이었다. 셋째, 일차정신보건의료시설의 기초자치단체 충원율을 살펴보면, 정신과 의원은 광역시 및 특별시형은 100%인 반면 농촌형지역 89곳 중 15곳(16.9%)만이 설치되어 있었으며 사회복귀시설은 전반적으로 낮았으며 농촌지역의 충원율이 7.9%로 가장 낮은 것으로 나타났다. 보건소 정신보건사업에 대한 중앙 및 광역자치단체의 지원율이 광역시 및 특별시형이 42%인 반면 농촌형지역은 22.5%인 것으로 나타났다. 다섯째, 농촌형지역과 도농복합형지역 모두에서 지원을 받지 않은곳이 자체예산을 추가로 확충하지 않아 사업인력 및 예산이 매우 취약하고 중앙정부가 제시하는 기본사업에 대한 충실도가 매우 낮은 것으로 나타났다. 이상의 결과를 종합해볼 때 농촌지역이 도시지역에 못지 않게 정신보건의료서비스에 대한 필요도가 높으나 서비스 이용률은 매우 낮았으며 도시지역에 비해 농촌지역의 일차정신보건의료시설들이 매우 부족한 것으로 나타났다. 또한 일차정신보건의료시설로서 보건소가 도시지역 보다 농촌지역에서 더 중요한 역할을 수행해야 하나 중앙의 지원율은 오히려 농촌지역 보다 도시지역이 더 높았고 지원을 받지 않는 보건소의 정신보건사업프로그램은 매우 형식적으로 진행되고 있었다. 앞으로 중앙정부는 일반의료서비스에 있어서 농어촌의료서비스 개선정책을 추진하듯이 정신보건정책에 있어서도 이러한 고려가 필요하다.

• Journal of Preventive Medicine and Public Health
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• 제29권2호
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• pp.215-225
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• 1996

Decentralization to local governments and amending of Health Center Law are to promote the efforts of health planning at the level of local agencies. In the health facility planning, it is important to take into account that what to be built, where to be located, how far should be service area and so forth, because health facilities are immovable, and require capital as well as personnel and consumable supplies. The aim of our study, answering to the question of 'where to be located?', is to determine the best location of urban health sub-center. At the local level, planning is the matter of finding the best location of specific facilitiy, in relation to population needs. We confine the accessibility, which is basic to location planning, to geographic one. Location-Allocation Model is used to solve the problem where the location is to maximize geographic accessibility. To minimize the weighted travel distance, objective function, $R_k=\sum{\sum}a_{ij}w_{i}d_{ij}$ is used. Distances are measured indirectly by map measure-meter with 1:25,000 Suwon map, and each potential sites, 10 administrative Dongs in Kwonson Gu, Suwon, are weighted by each number of households, total population, maternal age group, child age group, old age group, Relief for the livelihood, and population/primary health clinics. We find that Kuwoon-Dong, Seodun-Dong, Seryu3-Dong, according the descending orders, are best sites which can minimize the weighted distance, and conclude that it is reasonable to determine the location of urban health sub-center among those sites.

• 대한토목학회논문집
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• 제37권1호
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• pp.195-201
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• 2017

도시화와 산업화로 악화되고 있는 대기환경은 건강과 밀접한 연관이 있어, 대기환경 개선정책에 대한 시민들의 관심은 증가되고 있는 상황이다. 정보통신기술의 발전으로 일반대중은 다양한 대기환경 정보를 쉽게 접근하고 이용하고 있고, 정책결정권자들은 대기환경문제를 시민들과 소통하기 위해 소셜 미디어 서비스를 이용하고 있다. 또한, 높아진 환경의식으로 대기환경개선을 위한 시민들의 참여와 역할의 중요성이 증대되고 있다. 이러한 기술적 사회적 변화는 기존 대기환경 정보시스템과 대기환경 정보서비스의 변화를 요구하고 있다. 이에 본 연구에서는 ISO19154의 UPA (Ubiquitous Pubic Access) 모델을 참조하여 GIS 기반의 대기환경 정보시스템을 개발하였다. 개발된 시스템은 공간 상황정보모델을 이용하여, 시민들의 위치와 건강상태에 따른 대기환경정보와 행동요령정보를 제공한다. 또한 시민들은 대기환경정보 시스템을 통해 현재위치와 관심지역의 대기환경에 대한 의견을 표현하게 함으로써, 대기환경 정책결정권자 관련 정책을 수립하는데 참고하도록 하였다.

• 한국치위생학회지
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• 제10권5호
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• pp.861-876
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• 2010

Objectives : The purpose of this study is understanding the behavior of the laborer relating oral health. Oral health is one of the most important requirement in the healthy life of the laborer. Also it is important to supply the welfare of the people. Methods : For this purpose survey to 400 urban laborer was carried out with questionnaire from October to November, 2009. Among them, 346 available responses were analysed with SPSS 12.0 statistic package. Results : The major findings of the study were as follows:First, Monthly income of 76.6 % of the laborer investigated was below 2500,000 won. Second, 56.1 % of the laborer investigated has the experience to visit dental clinic in the last two years. Third, 35.6 % of the laborer investigated has no experience to visit dental clinic in the last three years. Fourth, The average number of absent days due to oral disease were 0.11 day in a year. Fifth, The average number of the days fail to finish the work of the day due to oral disease were 0.32 day in a year. Sixth, 56.5% of the laborer investigated had no experience of oral health education, because of having no chance. Seventh, Factory bulletin and internet service is preferred as the source of the information on the oral health education. Eighth, In order to improve the status of oral health of laborer, periodical oral health examination and oral health education is needed. Conclusions : In order to improve the oral health of laborer, better public health policy is required, and it is made from understanding the behavior of the laborer relating oral health.

• 한국환경과학회지
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• 제30권1호
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• pp.11-17
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• 2021

This research was conducted to propose the basic direction of a smart city plan for the satisfaction of residents of Gangwon-do. Initially, the awareness of smart cities among the residents of Gangwon-do was as follows: The response "I have no idea" was 21.7% higher and "I do not know the details, but have heard of it" was 15.1% lower than the awareness among residents across the nation. Based on these results, it was confirmed that awareness was very low despite the government's smartification reinforcement policy. In addition, the residents of Gangwon-do expected that their time would be saved and their living convenience would increase but were worried that their privacy would be invaded and that the conflict between generations would intensify. Thus, it is necessary to develop a plan to enhance the awareness of smart cities, as well as a plan to enhance digital awareness. Second, based on the importance of and satisfaction with the urban problem response system examined among the residents of Gangwon-do, it seems necessary to prioritize improvements in public space control and administrative problem responses involving deteriorated parks/plazas, pedestrian environment, and administrative processing inefficiency and fairness. Additionally, the first prioritization priority of the residents of Gangwon-do was "health/welfare/medical service" (27.7%); the second and third highest priorities were "transportation service" (26.3%) and "environmental service" (19.0%), respectively. In particular, as "transportation service" was highly preferred in the Chuncheon and Wonju regions and "health/welfare/medical service" was highly preferred in the Gangneung, Sokcho, and other southern regions, it was confirmed that the level of urbanization is deeply associated with smart services.

• Journal of Preventive Medicine and Public Health
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• 제39권3호
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• pp.263-269
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• 2006

Objectives: As the number of people with disabilities is increasing and their needs for care are varied, the continuum and comprehensiveness of their rehabilitative care are getting more important. This study was performed to understand the utilization of rehabilitation services and requirements of care among the people with severe disabilities in Korea. Methods: We interviewed 578 disabled persons who had severe extremity and cerebral impairment in the urban and rural areas of Korea. The questionnaire included questions on their general characteristics, the type of disability, their physical function (ADL, IADL), their use of rehabilitation services after discharge and their requirements for rehabilitation care Results: Only 12.6% of people with disability in the community continuously used the available medical rehabilitation care. The associated factors for utilization of rehabilitation services were pain and admission for rehabilitative treatment in the acute phase. There was a great need for rehabilitation services in community and this varied according to gender, the socio-economic status, the functional status and the geographic region. The gap between utilization and need for rehabilitation services was largest in the economic support. The gap of primary health care was larger in the rural area than in the urban area. Conclusions: The needs for rehabilitation service were diverse according to the individual functional status, the regional characteristics and other general characteristics of people with disability. Strategies should be considered to eliminate the barriers to obtain rehabilitation services for the people with disability in the community.

• 한국조경학회지
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• 제51권5호
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• pp.13-29
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• 2023

도시공원은 시민들의 건강, 삶의 질, 그리고 커뮤니티 형성을 지원하는 사회적 기반시설이다. 조성된 후 20년 이상이 지난 도시공원 비중이 커지고 있는 가운데, 노후 도시공원의 물리적 공간환경 개선과 기능 제고를 위한 정비사업 추진 필요성이 높아지고 있다. 관 주도의 노후 도시공원 정비는 재원 확보와 공원 매력 증진 측면에서 한계가 있기 때문에 민·관 협력을 통한 추진이 필요하다. 우리나라에 앞서 노후 도시공원 문제를 겪은 일본은 2017년 「도시공원법」 개정을 통해 공모설치관리제도(Park-PFI)를 도입하여 다수의 공원 정비사업을 성공적으로 추진 중이다. 이에 본 연구는 민·관 협력을 통해 국내 노후 도시공원 서비스의 질을 개선하고, 지속적으로 관리·운영하기 위한 대안으로서 일본 공모설치관리제도(Park-PFI)의 특성을 다각적으로 검토·분석하고, 이를 국내 노후 도시공원에 시범 적용한 후, Park-PFI 적용을 통한 노후 도시공원 재정비사업의 타당성을 분석하고자 하였다. 주요 연구결과는 다음과 같다. 첫째, 일본의 공모설치관리제도(Park-PFI)는 노후 도시공원의 서비스 질 향상과 기능 다양화를 위한 민·관 협력 수단으로 국내 여건에 맞춰 도입하는 것에 대한 논의를 시작할 필요가 있겠다. Park-PFI의 국내 도입을 위해서는 민간 자본 및 수익시설 설치에 따른 도시공원의 공공성 저하와 장소성 훼손, 공원녹지법 및 공유재산법 등 관련 규제 개선 등에 관한 사회적 논의와 후속 연구가 필요하겠다. 둘째, 노후 도시공원의 정비 필요도가 높고, 사업을 추진하기에 적합한 입지라는 전제하에 Park-PFI 사업은 시민, 지자체, 민간 사업자 모두의 편익을 증진시킬 수 있는 정책 대안이라고 판단된다. 인천광역시 부평구에 위치한 노후 도시공원인 세영공원에 Park-PFI 사업을 시범 적용한 결과, 수익성지수(PI), 순현재가치(FNPV), 내부수익률(FIRR) 등의 측면에서 수익성이 있는 것으로 분석되어 민간 부문의 사업 참여가 가능할 것으로 판단된다. 지자체 차원에서도 민간 자본을 활용하여 노후 도시공원의 물리적 공간환경을 정비하는 것은 물론 민간 사업자의 시설 사용료와 수익의 일부(연매출의 0.5%)를 환원받음으로써 발생하는 재원을 활용하여 해당 도시공원의 유지관리 예산을 확보할 수 있는 것으로 나타났다.

• Journal of Preventive Medicine and Public Health
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• 제26권4호
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• pp.614-627
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• 1993

It is well known that a physician's personal characteristic affects his practice pattern. Furthermore, a physician's specialty has powerful influences on his practice pattern. However, despite the fact that specialization has received the most attention for its influence on physician's service behavior, few studies have been conducted on the variations of contents and volume of physician's services. This study has intended to identify factors influencing the practice variations according to various physician characteristics. There are some other evidences that medical care providers are different in using of health services and resources in Korea. Four physician characteristics were selected for the analysis, two demographical factors, age and sex, and two practice factors, place of practice and medical specialty. Also, three indicators of service amount (total amount of insurance claim bill, number of visits per case, number of prescriptions per case) were selected. From the pool of insurance claims for ambulatory care received by the Korean National Federation of Medical Insurance(NFMI), 84,898 cases were randomly sampled. In the meantime using physician database of NFMI, 613 general practitioners (GP), 107 regular family physicians (FP), 483 'grandfather' family physicians(GFP), and 1,157 specialist practitioners(SP) were randomly sampled. Their different practice contents were compared concerning the specialty, age groups, sex, and practice sites (urban-rural) Specialist physicians tend to provide more costly care than do generalists. General practitioners and family physicians usually make fewer following visits and prescriptions. Age is also the important factor in determining the amount of services, which is highest at the physician's age group of 40's. Female doctors and urban practitioners use much more resources than their counterparts respectively. Research findings suggest that physician's characteristics particularly the specialty can affect practice patterns and resource utilizations. Other characteristics such as age and sex are not controllable but physician's specialty is relatively easily controllable during the entire phases of policy implementation. This is all the more true in the individual's initial decision of his specialty. Specialization therefore should receive policymaker's attention for its potential influence on medical care utilization and health care expenditure.