• 한국사회복지학
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• 제66권3호
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• pp.209-230
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• 2014

본 논문은 30대 부터 40대까지의 여성들 가운데 6세 이하의 자녀를 양육하는 시기와 부모/노부모를 동시에 돌봐야 하는 이중돌봄의 문제가 상당히 광범위하게 존재하고 있음을 보여주면서, 돌봄이 특정 시기의 특정 연령대에 분절적으로 일어나는 것이 아니라 생애주기의 어느 시점에도 발생할 수 있는 일상성에 주목하였다. 또한 돌봄은 부담으로서 뿐만 아니라 즐거움이나 보람을 동시에 주고 있으며, 돌봄제공자-돌봄대상자-돌봄보조자의 관계에 의하여 다양한 층위의 경험으로 분화될 수 있음을 드러내었다. 연구결과, 6세 이하 아동돌봄과 노인돌봄을 동시에 하는 이중돌봄 가구는 전체의 38%에 달했고, 향후 이중돌봄이 예상된다는 가구까지 합하면 54.9%에 이르러 이중돌봄이 상당히 보편적임을 보였다. 돌봄의 즐거움과 부담을 분석한 결과, 돌봄의 즐거움은 아동돌봄>부모돌봄>시부모돌봄 순이었으며 부담은 역순으로 나타났다. 그러나 돌봄제공자와 대상자간 관계는 돌봄 자체의 즐거움이나 부담에 영향을 미치는 주요한 요인으로 나타났다. 구체적으로 며느리-시부모간 돌봄도, 딸-부모간 돌봄도 그들이 맺어온 관계에 따라 돌봄경험이 달라지는 것으로 나타났다. 또한 딸이 부모를 돌볼 경우에 남성 배우자로부터의 무관심이 더 높고 도움이 수반되지 않아서 딸로서의 돌봄이 며느리로서의 돌봄의 경우보다 부담이 가중되기도 하였다. 결론에서는 이중돌봄의 어려움을 감소시킬 수 있는 사회적 지원방안과 정책이 제안되었다.

• Journal of Hospice and Palliative Care
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• 제5권1호
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• pp.1-9
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• 2002

• 한국병원경영학회지
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• 제10권1호
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• pp.48-70
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• 2005

The purpose of this study was to make an analysis of the impact of the DRG payment system on medical care pattern and cost of cataract surgery in a general hospital. The subjects were 173 patients whose DRG severity grade was zero, selected from among the hospitalized who underwent cataract surgery before and after the joining to the demonstrational operation of the third year DRG payment system. Their medical records and the details of their medical bills were examined to find out the length of hospital stay, medical care pattern provided to them, the cost of medical care, and the quality of medical care. The length of stay and the amount of medical care supplied during being in hospital dropped significantly for both single-eye and double-eyes cataract surgery groups. The amount of antibiotic use went down during the hospitalization and upon discharge from the hospital, but decreased after discharge. The total medical bills and the rate of basic examination implementation increased in the OPD before hospitalization but after discharge dropped. For double-eyes cataract patients, the rate of double-eyes cataract surgery went down. The total medical bills of DRG payment system converted into the fee-for-service system was greater by 113.3% for the single-eye cataract surgery group and by 102.9% for the doble-eyes cataract surgery group, compared to that by the fee-for-service. The contribution shared by the insurance corporation increased for both single-eye and double-eyes cataract surgery groups, but the copayment by the insured went down. Regarding the treatment outcome, no difference was found in complication rate, resurgery rate and mortality rate before and after the joining to the DRG payment system was implemented. The use of special lens lessened significantly. The amount of medical care supplied during hospitalization decreased but the complication rate didn't increase. But the increased use of low-price artificial cataract and the avoidance of double-eyes cataract surgery was observed. The phenomenon decreased number of OPD visit and the decreased total medical bills of OPD care after discharge in this hospital required further evaluation.

• 한국실내디자인학회논문집
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• 제26권3호
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• pp.121-129
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• 2017

The study is to identify the status of the ward of public hospital for integrated nursing care service. Integrated nursing service has expanded nationwide from 2016 but 10 out of 34 public hospitals are currently unable to operate as nurses due to the shortage. Analyze each floor plan and space program of ward and provide the basic data for the construction of the architecture plans for Integrated nursing care service. For this study, selecting 14 wards of public hospital in Korea and then analyzes space organization, distance from NS to bedroom and NS to core(Elevator) and spatial hierarchy of them. Among the 14 public hospitals, there are 7 types of double-loaded corridor, 4 types of double corridor and 3 types of single corridor. If NS is placed centrally, the control of the outsider and the patient's control would be efficient, but most of NS are lean on one side of floor. the placement of NS should be independent of individual arrangements, but it should be smooth alignment with patient spaces, staff spaces, and public spaces. This study could serve as basic research for the architectural plan for future integrated nursing care in ward of public hospital.

• 산업진흥연구
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• 제5권2호
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• pp.59-69
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• 2020

유아교육의 중요성을 인식하고 유아에 대한 무상교육범위확대, 유아교육의 초등학교와의 연계, 유아교육 담당 체제의 일원화, 맞벌이 부부를 위한 종일제 운영의 비용인화, 저소득층 유아에 대한 정책 등 국가차원에서의 대책을 마련하고 있다. 한국의 보육정책에서 무상 맞벌이 부부가 많아지고, 핵 가족이 증가하고, 이혼률의 증가로 보육의 필요성이 증가하였다. 우리나라 보육정책은 전체적으로 보육예산의 증가추세에도 불구하고 보육시설, 양육자의 보육료 부담으로 그 효율성에 많은 문제점이 드러나고 있다. 무상보육정책에 대한 이론적 내용과 그에 따른 보육지원정책을 알아본 후 무상보육정책에 대한 개선방향을 생각해보고자 한다.

• 한국병원경영학회지
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• 제22권3호
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• pp.118-132
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• 2017

This study developed key elements of dental service guidelines for the disabled patients. In order to provide consumer-oriented service guidelines for the dental patients with disability, service design method was applied. Using service design method guided by the double diamond design process, this study implemented consumer survey, observation, and contextual interviews for consumers' needs assessment. And customer journey map, mind maps, and blueprints were utilized to visualize consumer needs and guidelines for dental care services for the disabled. According to the study, disabled consumers have needs for expertise of the medical staff, dental care institutions specialized on the disabled, financial support, establishment of the facilities for the disabled, comfortable atmosphere in the institutions, and communication with medical staffs. Based on the needs of the disabled, 5 key elements of the dental care services were developed: convenience, expertise, empathy, financial support, and education and management. And service design guidelines were proposed to implement key elements of dental care services for the patients with disability. This study is significant in that it is the first attempt to apply the service design technique from the consumer perspectives in the field of dental care for the disabled. Furthermore the process of this study has become a reference that can be utilized and applied to other medical institution.

• Journal of Dental Anesthesia and Pain Medicine
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• 제23권1호
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• pp.53-53
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• 2023

• 한국가정과학회지
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• 제10권1호
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• pp.19-25
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• 2007

The study is attempted to help double-income families use resources efficiently and rationally by analyzing The Time Use each of working women and housewives having preschool children based on the data of The Time Use survey carried out in 2004 and promote understandings on their quality of life, lifestyle and family welfare. To this end, the study analyzes the actual The Time Use of double-income families haying preschool children. The findings of the study are as follows: First, according to the comparison of The Time Use between double-income families and single-income families in 1999 and 2004, there is no significant difference in husbands' participation time in family management or family care between 1999 and 2004. Second, according to the comparison of The Time Use between double-income families and single-income families depending on the presence or non-presence of preschool children, families haying preschool children spent much more hours in family care than families without preschool children. Third, according to the comparison of the weekend schedule between double-income families and single-income families, it is found that working women work much more than housewives not only on weekdays but also on weekends and in particular, it is found that working women having preschool children work 2 hours longer than housewives.

• 대한가정학회지
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• 제49권8호
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• pp.25-35
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• 2011

This study examined the effects of gender role attitudes and recognition of social support on parenting stress in double-income couples. Participants included 102 double-income couples who had children enrolled in employersupported childcare centers. The findings showed that those husbands or wives who had recognized a higher level of spousal cooperation reported to have felt lower levels of parenting stress. Further, husbands and wives who had held traditional attitudes about gender roles reported to experience higher levels of parenting stress. However, when the significance in predictability was compared, the recognition of spousal cooperation was found to be the only variable explaining the variance husbands' and wives' parenting stress levels.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1993년도 하계학술대회 논문집 B
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• pp.1095-1097
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• 1993

The double excited induction motor has two sets of three-phase system : One is connected to the ac source to take care of energy convertion, and the other is to the inverter controlable frequency and/or magnitude of voltage, both of the induction mode and the synchronous mode are possible in double excitation motor, and the proposed double excitation motor can be driven as a synchronous motor by the extra three-phase input. At the synchronous mode the efficiency is improved so higher than that at induction mode or induction motor. The rating of the inverter used for speed control can be reduced upto one-fifth of that for conventional induction motor. Also the cost and maintenance fee of double excitation induction motor can be reduced compared to any other motors.