• 대한소아치과학회지
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• 제51권1호
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• pp.40-54
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• 2024

This study aims to identify the regional distribution in the prevalence of dental caries and related multidimensional factors among 12-year-old children in Korea. Data from the 2018 Child Oral Health Survey were used to calculate the average DMFT index of 12-year-old children in metropolitan cities, and a multi-level regression model was applied to explain the regional distribution of dental caries prevalence and related factors. Factors were divided into two levels by administrative structure. This study finds a significant regional difference in the prevalence of dental caries in 12-year-old Korean children across metropolitan cities. Multilevel analysis showed that district-level factors (average number of pit and fissure-sealed permanent teeth, dental treatment demand rate, preventive treatment rate, sex ratio, and number of dentists per 100,000 people) and metropolitan-level factors (intakes of cariogenic beverages and number of pediatric dental hospitals and clinics per 100,000 people) had a significant effect on dental caries prevalence (p < 0.05). Individual characteristics and local socio-environmental factors influence the prevalence of dental caries. Especially considering the strong dependence on preventive treatment and accessibility to dental care services, it is necessary to provide adequate preventive treatment and expand health care resources in high-risk areas of dental caries.

• 한국보육지원학회지
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• 제9권5호
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• pp.513-538
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• 2013

우리나라는 1921년 태화기독교 여성관 탁아프로그램으로 보육이 시작된 이후 1991년 영유아보육법이 제정되는 등 질적인 보육을 제공할 수 있는 정책적 기반이 꾸준히 발전해왔다. 약 90년 정도 된 보육의 역사에서 보육정책을 담당하는 부처는 시대에 따라, 그리고 관련 법의 규정에 따라 보건사회부, 농업진흥청, 내무부, 문교부, 노동부 등 여러 부처로 분산되어 왔으나, 1991년 제정된 영유아보육법에 의해 보건복지부로 일원화되었고 2004년에는 여성가족부로, 2007년에는 다시 보건복지부로 이관되었다. 우리나라의 보육정책은 1991년 제정된 영유아보육법을 기점으로 교육부 관할의 유치원과 보건복지부 관할의 어린이집의 이원체제로 운영되어 왔다. 최근 출산율의 급속한 저하로 인해 출산율 회복을 위한 정책 개발과 보육의 질적 향상을 도모할 수 있는 방안에 대한 필요성에 의해 다양한 보육정책이 시행되고 있다. 본 연구에서는 우리나라 현재 보육정책의 주요 특징과 앞으로 다가올 시대를 위해 보육정책이 나아가야 할 방향과 과제에 대해 논의하였다.

• 한국사회복지학
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• 제46권
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• pp.60-88
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• 2001

This paper examined the impacts of the welfare reform program, California Work Pays Demonstration Program(CWPDP), implemented in 1992. CWPDP was designed to move welfare recipients into the labor market by reducing the amount of AFDC grants and one-third earned income disregard. The evaluation of the policy impacts on the welfare recipients was conducted in two areas: employment and earnings. This study used a subset of a database created by the California Department of Social Services, and University of California Data Archive and Technical Assistance. The subset is composed of 3,936 AFDC-FG cases selected in LA County: 1,311 control cases and 2,625 experimental cases. The control group was kept on the AFDC rules as of September 1992, while the experimental group was subject to AFDC rule changes implemented under CWPDP. The analyses of the employment and earnings using the random effects probit model and the random effects regression model, respectively, indicated that CWPDP did not effectively encourage female heads to participate in the labor market. It also revealed that CWPDP did not significantly increase the earnings of female heads. The findings imply that the disincentive structure of the public assistance program is not the main barrier preventing female heads from getting jobs and leaving the welfare rolls. Rather, participation in the labor market and exit from welfare is mainly determined by their own demographic characteristics and the economic cycle. Based on the findings, policy implications are suggested on the National Minimum Protection Program in Korea. Those include a flexible exemption rate for the earned income of beneficiaries, affordable child care services, and guaranteed public jobs.

• 환경영향평가
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• 제22권3호
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• pp.231-240
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• 2013

The Purpose of this research was to propose positioning strategies of urban park (UP) based on the assessment of location characteristics at cheongju city. To do that, this research found out urban park service area (UPSA) using GIS network analysis and built socio-economic attribute database, UP map, and other public service thematic maps such as public transportation, education, child-care, and convenience services. And this research analyzed spatial and attribute data using Pearson's correlation analysis, multiple linear regression, and binary logistic regression methods. As a result of this analysis, 1) the nearer neighborhood park and children's park, the higher land price and assumption income level (AIL). 2) children's parks were closed to living convenience facilities such as bank, hospital, and convenience store. 3) land price, AIL, population, and other public services level (PSL) in UPSA were higher than that of non-UPSA. 4) The higher land price, AIL, population, and other PSL, the higher urban park service level. The results of this research may contribute to resolve the regional UP unbalance and to improve UP service level as public service.

• 가족자원경영과 정책
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• 제11권2호
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• pp.67-83
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• 2007

The purpose of this study was to evaluate the childcare support demonstration services and direct policy. The participants for the study were three childcare (IDOLBOMI), three parents who were provided with IDOLBOMI, two practitioners, and three professors related to IDOLBOMI. The data was collected by interview and a phone survey and analyzed qualitatively. The results and several suggestions were follows: First, IDOLBOMI loved to take care of children, felt proud of the job, and thought the work was worthy. The result can help future IDOLBOMI when they are recruited and trained; Second, IDOLBOMI wanted income security at least, which means that the basic activity fee for the IDOLBOMI should be compensated by government; Third, most of the parents who experienced the service were generally satisfied with that, but they wanted the quality of nutrition, hygiene and the quality of play to be developed for children. Therefore, the management of the center and maintenance of education are needed constantly for the IDOLBOMI system; Fourth, the parents who needed the service thought the cost of IDOLBOMI was expensive. Expenditure support should be sought for the parents; Finally, the group of professionals had difficulty in securing the quality of childcare support services. For the future, it is necessary to increase the educational budget, manpower resources, and PR budget for IDOLBOMI.

• International Journal of Human Ecology
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• 제13권1호
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• pp.1-16
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• 2012

Information about the characteristics of street-living versus shelter-residing youth is vital for tailoring prevention and intervention efforts to the unique needs of runaway and homeless youth. The present study compared two samples of youth [street-living (n=73) versus shelter-residing (n=205)], between the ages of 14 to 17 years, on behavioral and emotional factors and service use. Based on the different characteristics of the two groups, the predictors explaining the living status of the runaways and homeless youth were explored. In general, street-living youth reported more severe substance use, depressive symptoms, and risky sexual behavior, but less lifetime service involvement compared to shelter-residing youth. The factors that predicted shelter-residing status were related to younger age, prior service care experience, more knowledge about HIV, and engaging in less delinquent and risky behavior. Given the little overlap among youth in service involvement and the greater severity faced by street-living youth, the conclusions highlight the need for increased funding and attention towards facilitating the ability of street-living youth to find and enter mental health and reintegration services.

• 가정과삶의질연구
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• 제27권3호
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• pp.225-237
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• 2009

The purposes of this research were (1) to comprehend how families used and evaluated the in-home care service provided by the Healthy Family Support Center, and (2) to investigate the differences in the perceptions of service fee, satisfaction in and loyalty to service among the types of family categorized by their income. The data from 346 mothers or fathers whose children had received the in-home care service at least once were analyzed. One-way ANOVA and Scheffe or Tamhane post hoc test were used to test the hypotheses. The findings were as follows: 1. There were significant differences in perception of the service fee among the family types: the 'Da'-type families tended to perceive that the service fee was expensive and not cheaper than the similar services provided by other organizations. 2. The 'Ga'-type families scored significantly higher than the 'Na'-type families and the 'Da'-type families on satisfaction in service, and higher than the 'Da'-type families on loyalty to the service. 3. No significant difference was found on satisfaction in the performances of baby-sitters and staffs in charge of the service. The implications drawn from the study findings are discussed.

• 한국보건간호학회지
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• 제7권1호
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• pp.1-16
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• 1993

The objective of this study is to review the role and function of the village health worker in the wake of the recent social changes in Korea. The stud}' also aimed at' elucidating' the characteristics of the village health worker organizations developed through community participation in this country. The study methods employed were: a review of literature and other existing information related to VHW's activities ; the use of Questionnaire and interview with VHW's on their activities in one selected county in 1992. The major findings obtained are as follows: 1. So far the community health care activities have been carried out by medical colleges, foreign aid agencies and religious organizations with a view to improving health care for the population in rural area. 2. The VHWs employed by the local community health services received remuneratiorin cash or in kind. However, presently no remuneration is paid to VHWs employed by the government village health projects. The training for VHWs is organized by County Health Center once a year for 1-2days regardless of pre-employment or refresher. 3. The needs of care for maternal and child health and family planning has been decline due to the decrease of the target population, but on the other hand, the needs of care by VHW for prevention of infectious diseases, health of the aging, management of geriatric diseases, prevention of poisoning of pesticides and environmental sanitation has beer increased. 4. It was felt strongly that the training for VHWs should be strengthened by means of developing a problem-solving oriented educational program in order to improve practical skills of VHWs.

• 대한예방한의학회지
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• 제18권3호
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• pp.91-104
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• 2014

Objective : This study aims to compare the scope of practice of Korean Medicine doctors and western medicine doctors based on laws related to medical practice Method : We searched for laws related to medical practice using terminologies such as "Korean Medical practice", "Korean Medicine", "Principles of Korean Medicine", "western medicine", "Korean Medicine doctor", "western medicine doctor" at the national law information center(http://law.go.kr/main.html). Results : We categorized the laws we found into four categories: diagnosis, treatment, prescription, and all the other areas including public health. In diagnosis, both Korean Medicine doctors and western medicine doctors have a right to issue medical certificates including birth and death. However, diagnosis of a few specific diseases is allowed only to western medicine doctors. In treatment, laws related to emergency medicine and nursing at home were searched. Korean Medicine doctors and western medicine doctors are emergency care providers; however, most of emergency medicine can be done by western medicine doctors. In prescription, the scope of practice is divided by herbal medicine and western medicine. Finally, as public health professionals, both of them need to do lots of public health works. However, in some area such as vaccination, maternal and child health care, and industrial health, only western medicine doctors can practice. Conclusion : This study suggests that, in diagnosis, treatment, prescription, and all the other areas including public health, the scope of practice of Korean Medicine doctors and western medicine doctors has huge difference. There is also lack of consistency in current law, and some laws do not reflect current health care system and health care services.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제27권1호
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• pp.43-52
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• 2024

Purpose: In this study, we investigated the clinical profile, survival at discharge, and proportion of children with acute liver failure (ALF) meeting the criteria for, yet surviving without, liver transplantation (LT). Methods: Medical case records of children aged >28 days to ≤15 years over a period of 7 years, identified from pediatric admission and discharge registers, were screened. Children satisfying the criteria for ALF were included in this study. Results: A total of 71 records meeting the pediatric ALF (PALF) criteria were included. The survival rate at discharge was 61% (n=44). A considerable proportion of children satisfied the King's College Criteria (KCC) (56.3%) and the European Association for the Study of the Liver (EASL) criteria (7%) for LT at admission. Nonetheless, the survival rate in the absence of LT was 42.5% in children who satisfied the KCC and 20% in those who met the EASL criteria. Infection (29.5%) and paracetamol overdose (19.7%) were the major identifiable causes of PALF. Hepatitis A was the most common infection identified. No significant predictors of poor outcomes were identified in multivariable analysis. Conclusion: Our study highlights the changing survival rates and the clinical and etiological profiles of patients with PALF. In areas with poor access to LT services, survival in these children could be improved through early referral to centers with adequate intensive care facilities. Preventing ALF and referring patients to LT services are paramount to reducing mortality.