• 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.

• 정신간호학회지
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• 제27권4호
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• pp.321-331
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• 2018

Purpose: The purpose of this study was to identify factors influencing decreasing depressive mood of married women with depression. Methods: Data that integrate the Korean longitudinal survey of women and families in 2014 and 2016 were used. Subjects for this study were 974 people who participated in the fifth survey in 2014 and the sixth survey in 2016, and married women were included in the depression group in the fifth survey. The data was analyzed with $x^2$ test, t-test, and logistic multiple regression analysis using the SPSS 23.0 program. Results: The decreased-depression group's depression decreased from 11.78 points in the fifth survey to 6.31 points in the sixth survey. This study showed that main factors such as age (OR=0.96, p=.002), educational level (OR=0.54, p=.007), economical status (OR=0.62, p=.037), satisfaction with marriage life (OR=1.15, p<.001), use of medical services (OR=1.65, p=.002), and physical activity (OR=1.08, p=.019) help decrease married women's depression. Conclusion: This study findings indicate a need to develop the strategies to increase satisfaction for marriage life and physical activity and to enhance health promotion to decrease depression among depressed married women.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권6호
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• pp.527-535
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• 2019

Purpose: There is increasing prevalence of psychiatric disorders among inflammatory bowel Disease (IBD) population. Further, presence of psychiatric disorders has been shown as an independent predictor of quality of life among patients with IBD. We intended to explore the prevalence of various psychiatric disorders among pediatric and young adult population with IBD as a population-based analysis. Methods: We did a retrospective case control analysis using a deidentified cloud-based database including health care data across 26 health care networks comprising of more than 360 hospitals across USA. Data collected across different hospitals were classified and stored according to Systematized Nomenclature of Medicine-Clinical Terms. We preidentified 10 psychiatric disorders and the queried the database for the presence of at least one of the ten psychiatric disorders among IBD patients between 5 and 24 years of age and compared with controls. Results: Total of 11,316,450 patients in the age group between 5 and 24 years and the number of patients with a diagnosis of IBD, Crohn's disease or ulcerative colitis were 58,020. The prevalence of psychiatric disorders was 21.6% among IBD mainly comprising of depression and anxiety disorder. Multiple logistic regression analysis showed, IBD is 5 times more likely associated with psychiatric disorders than controls, p<0.001). We showed a steady increasing trend in the incidence of psychiatric disorders among IBD patients (2% in 2006 to 15% in 2017). Conclusion: Largest population-based analysis demonstrated an increased prevalence of psychiatric disorders among IBD patients. Our study emphasizes the need for psychological and mental health services to be incorporated as a part of the routine IBD clinic.

• Journal of Preventive Medicine and Public Health
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• 제52권6호
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• pp.355-365
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• 2019

Objectives: In rural areas of Korea, where public transportation infrastructure is lacking and alternative systems are poor, the elderly experience inconveniences in using healthcare, although their need is high. This study aimed to analyze the association between the convenience of transportation and unmet healthcare needs among the rural elderly. Methods: The data used were collected in the 2016 Community Health Survey among rural elderly individuals aged 65 or older. Dependent variable was the unmet healthcare needs, explanatory variable was the convenience of transportation. The elderly were divided into 3 groups: with no driver in the household, with a driver, and the elderly individual was the driver (the self-driving group). Covariates were classified into predisposing, enabling, and need factors. They included gender, age, education, income, economic activity, household type, motor ability, subjective health level, number of chronic diseases, anxiety/depression, and pain/discomfort. The data were analyzed using logistic regression and stratification. Results: A significant association was found between the convenience of transportation and unmet healthcare needs. When examined unadjusted odds ratio of the group with a driver in the household, using the group with no driver as a reference, was 0.61 (95% confidence interval [CI], 0.54 to 0.68), while that of the self-driving group was 0.34 (95% CI, 0.30 to 0.38). The odds ratios adjusted for all factors were 0.69 (95% CI, 0.59 to 0.80) and 0.79 (95% CI, 0.67 to 0.91). Conclusions: We confirmed a significant association between inconvenient transportation and unmet healthcare needs among the rural elderly even after adjustment for existing known factors. This implies that policies aimed at improving healthcare accessibility must consider the means of transportation available.

• 한국항만경제학회지
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• 제25권3호
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• pp.1-20
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• 2009

본 연구에서는 파렛트 풀 서비스 사용자의 효익이라는 관점에서 파렛트 사용자를 대상으로 파렛트를 선택하는 주요 속성인 가격, 규격, 정합성, 재질 등에 대한 선호도에 대해 설문조사를 실시하였다. 설문조사는 수도권 창고업체를 대상으로 하였으며 컨조인트 분석기법을 통해 군집분석 및 초이스 시뮬레이션을 실시하였다. 그 결과 파렛트와 차량, 설비 및 제품과의 정합성이나 파렛트 재질을 규격보다 더 중요시하는 경향을 보였다. 이는 다양한 온도대의 상이한 물품을 보관하는 창고업체의 특성상 그 보관 목적에 맞는 다양한 제품군을 가진 파렛트를 선호함을 알 수 있었다. 따라서 파렛트 풀 서비스를 제공하는 업체의 입장에서는 이러한 세분화된 고객별로 적절한 마케팅 전략을 수립하여 향후 국내경쟁 및 해외경쟁에 대한 경쟁력 우위전략을 확보하여 경쟁력을 극대화시킬 수 있을 것이다. 이와 같이 국가물류표준화의 핵심이라고 할 수 있는 표준파렛트의 보급이 개별단위 물류의 표준화가 아닌 전체 물류시스템의 표준화랑 조화를 이루기 위해서는 다양한 물류활동 참여자에 대한 그 특성별 호환성이 전제되어야 할 것이다.

• 재활복지
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• 제17권4호
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• pp.151-176
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• 2013

본 연구의 목적은 장애인의 노동시장 재진입에 어떠한 요인이 영향을 미치는지 알아보고, 분석결과를 바탕으로 장애인 재취업 지원 정책에 대해 제언하는 것이다. 이를 위해 제4차 장애인 고용패널 자료를 활용하였으며, 분석대상은 1차~4차 패널 중에서 재취업자와 미취업자이다. 분석은 인적 요인, 장애요인, 편의요인, 사회적 요인 그리고 이전 직장 요인을 변수로 하였으며, 이 과정에서 전체 장애인과 남성 및 여성으로 구분하여 분석하였다. 분석 결과, 재취업에 미치는 요인으로는 성별, 학력, 만성 질병 여부, 일상생활에서의 타인의 도움 유무, 일자리 차별 경험 그리고 고용 형태 등으로 나타났다. 남성과 여성을 구분할 경우 남성은 정신적 일자리에서 재취업에 유리하지만, 여성은 배우자가 없는 경우(미혼이 아닌), 고용서비스를 받은 경우 재취업에 유리하였다. 이러한 분석을 통해 여성에 대한 취업 지원 정책의 구체화, 장애인의 취업과 의료 및 보건분야와의 연계, 일자리 차별 해소를 위한 대책 마련, 그리고 괜찮은 일자리로의 진입을 도모할 수 있는 정책 등이 마련되어야 한다는 점을 제안하였다.

• 보건행정학회지
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• 제29권2호
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• pp.184-194
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• 2019

Background: The extent of coverage rate of the public health insurance is still insufficient to meet healthcare needs. Private health insurance (PHI) plays a role to supplement coverage level of national health insurance in Korea. It is expected that reduce unmet need healthcare. This study was aimed to identify relationship between PHI type and the unmet healthcare need and its associated factors. Methods: Data were obtained from the 2014 Korea Health Panel Survey using nationally representative sample was analyzed. Respondents were 8,667 who were adults over 20 years covered by PHI but have not changed their contract. According to the enrollment form, PHI was classified into three types: fixed-benefit, indemnity, and mixed-type. To identify factors associated with unmet needs, multiple logistic regression conducted using the Andersen model factors, which are predisposing factors, enabling factors, and need factors. Results: Our analysis found that subjects who had PHI with mixed-type were less likely to experience unmet health care needs compared than those who did not have it (odds ratio, 0.80; 95% confidence interval, 0.66-0.98). As a result of analyzing what affected their unmet healthcare needs, the significant factors associated with unmet medical need were gender, marital status, residence in a metropolitan area, low household income, economic activity participation, self-employed insured, physically disabled, low subjective health status, and health-risk factors such as current smoking and drinking. Conclusion: The results of this study suggest that having PHI may reduce experience of unmet healthcare needs. Findings unmet healthcare needs factors according to various subjects may be useful in consideration of setting policies for improving accessibility to healthcare in Korea.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2019년도 춘계학술대회
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• pp.129-130
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• 2019

국내 제조업체(중소기업)에서는 물류비용을 줄이며 물류효율화를 위하여 3자물류기업에게 위탁운영을 하고 있으며, 이로서, 물류 관리요소 감소 및 관련 클레인 저감 등으로 고객 대응 물류서비스를 향상시키고 있다. 최근 물류서비스가 고객만족도에 많은 영향을 미치며 특히, 비용에 미치는 영향에 관한 구체적인 연구가 필요한 실정이다. 본 연구에서는 먼저, 3자물류기업의 물류서비스 향상 요인에 대하여 설문을 바탕으로 각 요인별로 분석을 행하며, 각 요인에 대한 민감도 분석을 통하여 물류서비스 향상 대비 비용절감 효과에 대해 정량적인 분석을 행하고자 한다. 이에 본 연구에서는 S사를 대상으로 물류서비스 요인의 증감에 대해 물류비용과의 상관관계를 사례를 통하여 밝히고자 한다.

• 치위생과학회지
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• 제19권3호
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• pp.181-189
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• 2019

Background: Edentulism is associated with socioeconomic status, rural residence, and chronic disease, but no studies have investigated edentulism and residence factors together. All information that drives a better understanding of the factors related to edentulism plays an important role in the planning and delivery of appropriate dental services for the elderly by national and oral health professionals. This study was designed to investigate the prevalence of edentulism in adults aged over 60 years in Korea and to examine whether there are differences in dentate status between people living in urban and rural areas after controlling for sociodemographic and other related factors. Methods: The data for this study were collected from 2013 to 2015 as part of the Korea National Health and Nutrition Examination Survey VI, those individuals aged over 60 years and who had complete datasets were included (5,071). The number of teeth and residence status were categorized into two groups: edentate and dentate (1 or more); urban and rural. Multiple multivariate logistic regression analyses were sequentially applied to assess the association between dentate status and residence status after adjusting for potential confounders. Results: Rural areas, lower household income, and lower education levels were associated with a higher edentate rate. The number of teeth was lower in rural areas than in urban areas. After adjusting for various factors, statistically significant associations were present for women, low household income, low education level, poor perceived health status, and alcohol consumption in participants. Conclusion: Elders living in rural areas had poorer oral health than elders living in urban areas. The government will need to provide effective systems for promoting oral health for elders living in rural areas.

• 문화기술의 융합
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• 제5권2호
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• pp.257-261
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• 2019

지역사회서비스에서 서비스 이용자 만족도는 사회서비스의 품질 향상과 서비스 제공 기관의 자립을 유도하는 중요한 요인으로 작용하고 있다. 논 논문의 목적은 지역사회서비스 이용자를 중심으로 서비스 지속 의향에 영향을 미치는 만족도 요인을 살펴보고 기관에서는 이용자 중심가치 실현과 서비스 만족도를 높이기 위한 방향 제시 및 수요예측에 대한 정보 자료를 제공하고 한다. 본 연구에서는 각 측정도구의 신뢰도를 파악하기 위해 신뢰도 검사를 실시하고, 연구 대상자의 일반 특성을 파악하기 위해 기술통계와 빈도분석을 실시하였고, 이용자 만족도 요인이 서비스 지속성에 미치는 영향을 알기 위해 로지스틱회귀 분석을 실시하였다. 본 연구의 결과로 지역사회서비스에서 서비스 이용자 만족도는 사회서비스의 품질 향상과 서비스 제공 기관의 자립을 유도하는 중요한 요인으로 작용하고 있는 것을 확인하였다.