• Title/Summary/Keyword: residence place

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Exploring Regional Disparities in Unmet Healthcare Needs and Their Causes in South Korea: A Policy-Oriented Study (한국 미충족 의료 니즈 수준 및 발생 사유의 거주지역 간 격차 분석과 정책적 시사점)

  • Woojin Chung
    • Health Policy and Management
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    • v.33 no.3
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    • pp.273-294
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    • 2023
  • Background: Most developed countries are working to improve their universal health coverage systems. This study investigates regional disparities in unmet healthcare needs and their causes in South Korea. Additionally, it compares the unmet healthcare needs rate in South Korea with that of 33 European countries. Methods: The analysis incorporates information from 13,359 adults aged 19 or older, using data from the Korea Health Panel. The dependent variables encompass the experience of unmet healthcare needs and the three causes of occurrence: "burden of medical expenses," "time constraints," and "lack of care." The primary variable of interest is the region of residence, while control variables encompass 14 socio-demographic, health, and functional characteristics. Multivariable binary logistic regression analysis, accounting for the sampling design, is conducted. Results: The rate of unmet healthcare needs in Korea is 11.7% (95% confidence interval [CI], 11.0%-13.3%), which is approximately 30 times higher than that of Austria (0.4%). The causes of unmet healthcare needs, ranked in descending order, are "lack of care," "time constraints," and "burden of medical expenses." Predictive probabilities for experiencing unmet healthcare needs and each cause differ significantly between regions. For instance, the probability of experiencing unmet healthcare needs due to "lack of care" is approximately 10 times higher in Gangwon-do (13.5%; 95% CI, 13.0%-14.1%) than in Busan (1.3%; 95% CI, 1.3%-1.4%). The probability due to "burden of medical expenses" is approximately 14 times higher in Seoul (4.1%; 95% CI, 3.6%-4.6%) compared to Jeollanam-do (0.3%; 95% CI, 0.2%-0.4%). Conclusion: Amid rapid sociodemographic transitions, South Korea must make significant efforts to alleviate unmet healthcare needs and the associated regional disparities. To effectively achieve this, it is recommended that South Korea involves the National Assembly in healthcare policy-making, while maintaining a centralized financing model and delegating healthcare planning and implementation to regional authorities for their local residents-similar to the approaches of the United Kingdom and France.

Factors for Intentional Self-harm among the Elderly Patients with Depression (고의적 자해 노인 환자의 우울증 관련 요인)

  • Lee, Hyun Sook;Lee, Je Jung;Kim, Sang Mi
    • 한국노년학
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    • v.39 no.4
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    • pp.883-893
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    • 2019
  • The purpose of this study is to analyze the characteristics of the elderly patients with depression who were admitted to the hospital with intentional self-harm. 3,280 patients were selected from KCDC database(2011-2015) using STATA 12.0. Analysis results show that gender(female), residence(micropolitan city), result of suicide(death), risk factors(financial problems, psychological problems, physical disease, conflicts with family, place(non-residence) method of suicide(poisoning) were statistically significant. The hospital should detect the elderly patient with depression when they admitted.

A Pungsu(Fengshui) Study on the Location of Traditional Residence of Gim Myeong-Gwan in Jeongeup (정읍 김명관고택 입지의 풍수고찰)

  • Han, Jong-Koo
    • Journal of the Korean Institute of Rural Architecture
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    • v.25 no.4
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    • pp.17-24
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    • 2023
  • This study is about the traditional house of Kim Myeong-Gwan, the founder of Gwangsan Kim clan(光山金氏) and the 30th grandson of Heunggwang, the 49th king of the Unified Silla Dynasty. He sought a place to take refuge due to a plot and built a house in Jeongeup, adjacent to Yeonsan or Nonsan, Chungcheong-do, which is the home of the Gwangsan Kim clan. The location of old houses was analyzed through Hyeongselon(形勢論) and hyeongguklong(形局論) of Pungsu theory. The results of fengshui analysis of the house through fengshui literature that was presumed to have been used at the time are as follows.The dragon(龍) shows an auspicious condition in which the dragon vein is well connected from its roots in the Honam vein to Guksabong Mountain on Josan Mountain, Bibongsan Mountain on Sojo Mountain, and Mt. Changhasan reaching Jusan Mountain. Hyeol(穴) is a type of Wahyeol(窩穴) and is a Hwalwa(濶窩). Hyeolseong(穴星) is a Jeongche-Hyeolseong(正體穴星) and is a Suseong Hyeol(水星穴). HyeolJung(穴證) and Hyeolgi(穴忌) have the conditions to create hyeol. As for Sa(砂), the height of Hyeonmu(玄武) is not that high, but the Jujak(朱雀) is relatively high, the left blue dragon(左靑龍) is complemented by the outer blue dragon(外靑龍), and the right white tiger(右白虎) does not sufficiently surround the house. To compensate for this, Bibosu trees(裨補樹) were planted at the time of the construction of the house. As for the Water element, it appears to be auspicious as it approaches the old house in the form of a curve, but it has the disadvantage of not sufficiently surrounding the house, so an artificial pond is dug as a Bibo Pungsu(裨補風水). Through this study, it was found that Pungsu was applied as an important consideration factore in selecting the location of the house, and that Pungsu was not just a theory but had a practical effect in preserving the life and property of the family under the risky circumstances of the time.

A Study on the Establishment & Functional Characteristics of Health Facilities for the Aged in Japan

  • Kim, Tae Il;Yoshida, Tomo Hiko
    • Architectural research
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    • v.8 no.1
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    • pp.1-7
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    • 2006
  • Various housing measures are needed for the rapidly aging society of Korea. In particular, the welfare policy for the elderly has changed towards the community care. Taking this fact into consideration, it is necessary to have the establishment of a system that offers the elderly appropriate welfare services at their appropriate residence (ageing in place) for the effectiveness of the community care. In this aspect, there are a number of implications to Korea to study merits and demerits of the Health Facilities for the Aged (HFA) in Japan. The society of Japan has been rapidly aging since 1970, and Korea is to face the same situation. As for the data of this study, a total of 2,393 facilities (as of November 1999) mentioned in the annual report of the Japanese Ministry of Health, Labor and Welfare were classified based on types of their establishment: (1) free-standing structures (603 facilities); (2) annexes to hospitals (981 facilities); (3) annexes to welfare facilities (511 facilities); and (4) annexes to clinics (298 facilities). Next, 239 facilities were selected through taking a sample of 10 percent from each type of the HFA mentioned above. This was done through the random sampling method with the computer program of MS EXCEL. The Implications of the results of analyses are as follows. First, most of the health facilities were planned with the scale that was larger than the scale of standard special nursing homes in terms of the total floor area. Precise equations that were to obtain precise results of the scale of the HFA and the appropriate number of residents were obtained through the method of the regression analysis. Korea and Japan have similarities in terms of culture, society and family relations; however, the two countries also have differences in terms of the application of laws on the establishment of houses, hospitals, and welfare facilities. As for planning the scale of the HFA, the realities of Korea should be considered. Second, as for the functional aspect of the HFA with a condition of returning home, the place before and after the HFA showed the pattern of 'from a residential place to a residential place' and 'from a hospital to a hospital.' This reveals a close correlation with the types of the HFAs and operational ways of the facilities. Its cause is considered to be the aspect of the operation and management of the HFA rather than the aspect of its function of providing services in association with medical and health facilities. Therefore, when intermediate welfare facilities are considered in Korea, it is strongly advised to consider the problem of annexes to other facilities and efficiency of sharing of the facilities in terms of its operation and management.

An Analysis of Extra-Curricular Activities in Childcare Facilities and the Factors Affecting on Expenses of Extra-Curricular Activities (육아지원기관의 특별활동 이용 현황 및 지출 결정요인 분석)

  • Kim, Jin Mi
    • Korean Journal of Childcare and Education
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    • v.10 no.5
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    • pp.5-23
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    • 2014
  • The purpose of this study was to identify factors affecting extra expenses incurred by extracurricular activities, prompted by the problem that the financial burden on households for their children's education and child-care is not showing enough signs of being mitigated, despite increased child-care subsidies from the government. Data for this study was obtained from the 4th Panel Study on Korean Children of Korea Institute of Child Care and Education. The analysis of the study shows that 68.5% of the surveyed children were participating in extracurricular activities and the average number of extracurricular activities they took part in was 2.9. The average extracurricular expenditure was 50.000 won. However, based on the findings of the survey, it was statistically significant to find that the number of extracurricular activities the children participated in and the expenditure the households spent on them varied by area. Variables were inserted in a gradual manner in identifying factors influencing households' expenditure on children's extracurricular activities. The results showed that amongst the variables used, the education level of the mother, the employment status of the mother, the type of the child-care support institution, and the household's place of residence featured prominently, with the place-of-residence factor accounting for most of the reason why a household spent the amount it did. The outcome of the study bears four policy implications: First, there is a need for a specific evaluation of the contents and costs of extracurricular activities and supervision and management of such activities. Second, it is necessary for the central government to provide a specific criteria of necessary expense. Third, throughout the child support agency, the courses and costs of special activities should be monitored regularly. Fourth, there should be extracurricular activity support for underprivileged children.

A Comparative Study on the Housing Viewpoint between Korean and Chinese University Students (한.중 대학생의 주거관에 대한 비교 연구)

  • An, Ok-Hee;Jo, Oung-Mi;Hao, Jia
    • Journal of the Korean housing association
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    • v.20 no.4
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    • pp.121-129
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    • 2009
  • Today, we are living while interchanging with various countries in multilateral measures and residential culture have been changed while interchanging in the same manner. In order to become an internationally recognized residential environment designer in this environment, we must understand the housing viewpoint of residents in that country first. Therefore, this study is intended to obtain the useful materials for residential environment design of Korea and China by comparing the housing viewpoint between Chinese students studying in Korea and Korean students. A survey using questionnaire was conducted on 205 Korean students and 193 Chinese students (Chinese race) from Y University on a random sampling basis. The result of survey is as follows. First, as both Korean and Chinese university students have a similar tendency on previous house type, current house type, and desired house type, it can be understood that they are similar each other in the experience and preference of house type. Second, Korean and Chinese university students consider and as the most important functions of residence, but Chinese university students consider more functions of residence than Korean students. And, both Korean and Chinese students consider a living room as the most important space among housing spaces, but Chinese consider a private room more importantly than Korean. Third, Chinese university students have stronger desire to possess houses, and desire to purchase houses with larger and more rooms at earlier time than Korean university students. Fourth, when selecting the house, Chinese university students give a higher consideration in terms such as , , , , and than Korean university students. Fifth, satisfaction level of Korean students on current houses was average as a whole, and most Chinese students were generally satisfied with their houses. Sixth, as both of Korean and Chinese university students have higher level of consideration in the items such as safety>, , , , , , , , , , and compared to the level of satisfaction, thoughtful consideration should be given to those items in housing planning.

Preparing for the Future of Children with Disabilities - Focusing on parents' plans of residence and guardians for children with disabilities after the death of a parent - (부모 사후 장애자녀의 미래계획은 있는가?: 장애자녀를 가진 부모의 미래 주거지 및 보호자 계획을 중심으로)

  • Jung, Eun Hye;Kim, Mi Ok
    • Korean Journal of Family Social Work
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    • no.56
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    • pp.251-277
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    • 2017
  • This study aimed to explore the parents'intentions of choosing a residential institution as the future alternative for their children with disabilities after the death of a parent, regarding the recent disability service and policy focusing on the deinstitutionalization of services for people with disabilities. For this purpose, the effects of factors relating to the children with disabilities, families and society on the parents' future plans of residential place and guardians are examined. First, parents of children with disabilities are less likely to choose a residential institution as the future living place for their children when their children have a better communication competence, their families are more positive, and their caring burden is lower, compared to others. Second, parents are less likely to choose a residential institution as the future guarding body for their children when their children could communicate well and their families are positive. This result indicated the communication competence of children with disabilities and the positiveness of families are important factors associating with the future plan decision and the additional support for the prevention of institution arrangement after the death of a parent. Findings are discussed in relation to the importance of future plans of residence and guardians for the life of children with disabilities after the death of parents and the implication for social welfare.

The Effects of Older Persons' Inclination to Choose Aging in Place(AIP): Focusing on Living Arrangements (노인의 지역사회 내 계속거주(AIP) 의향에 영향을 미치는 요인: 동거형태를 중심으로)

  • Lee, Mee-Ae
    • Journal of Industrial Convergence
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    • v.20 no.9
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    • pp.131-139
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    • 2022
  • The purpose of this study was to ensure that the elderly do not enter a facility even if their health deteriorates, but continue to live in the community and receive necessary care. According to the survey of the elderly, the cohabitation type of the elderly in Korea was that they lived with married adults and/or unmarried children in addition to single and married households. Therefore, in this study, using the SPSS 25 program, the effects of the elderly's socio-demographic characteristics and cohabitation type on the intention to continue living in the community was analyzed using the 2020 elderly welfare status survey data. The main research results are as follows. First, gender, age, and residence type of the demographic characteristics of the elderly were found to be statistically significant. Second, single households, married households, and households living with the eldest son revealed the statistical significance level of the elderly. Based on this, we were intending to provide basic data necessary for establishing welfare policies for the elderly, such as strengthening care and an age-friendly environment, in order to improve the continued residence of the elderly in the local community.

A Study on the Causes of Injury Codes by Case-Based Injury Code of External Causes Frequency Analysis (사례 중심의 손상코드 별 손상외인코드 빈도수 분석에 따른 손상코드 발생 원인에 관한 연구)

  • Eun-Mee Choi;Hye-Eun Jin;Jin-Hyoung Jeong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.16 no.1
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    • pp.50-59
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    • 2023
  • The purpose of this study was to analyze the patients hospitalized with damage by injury code based on data for two years in 2020 and 2021 of A institution located in Gangneung, Gangwon-do. Analyzed the injury codes with a large number of occurrences per year, and analyzed the injury codes of external causes accordingly. The cause of the injury code was analyzed by analyzing the frequency of the injury code of external causes. Injury code S0650 had the highest frequency of injury code of external causes W189 and X5999, which was judged to be the cause of traumatic subdural hemorrhage without open intracranial wounds when falling in an unspecified place or toilet. Injury code S72120 had the highest frequency of injury code of external causes W010 and W180, and it was judged to be the cause of obstructive femoral intertrochanteric fracture that occurs when falling in the residence. The injury code S32090 had a high frequency of X5999, and it was analyzed that it caused the obstructive fracture of the lumbar region due to an accident caused by exposure in an unspecified place, and the injury code S72.090 had a high frequency of W010 and W180. It was confirmed that the cause of the obstructive fracture of the femoral neck was mainly caused by slipping or slipping in the residence, and the injury code S0220 had a high frequency of the injury code of external causes Y049, and it was confirmed that the fibula was fractured mainly by the force or fist. As such, the cause of the injury code was analyzed by analyzing the frequency of the injury code for each injury code of external causes.

A Study on the Historical Values of the Changes of Forest and the Major Old Big Trees in Gyeongbokgung Palace's Back Garden (경복궁 후원 수림의 변화과정 및 주요 노거수군의 역사적 가치규명)

  • Shin, Hyun-Sil
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.40 no.2
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    • pp.1-13
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    • 2022
  • This paper examined the history and development of Gyeongbokgung Palace's back garden based on historical materials and drawings such as Joseon Ilgi(Diaries of Joseon Dynasty), Joseon Wangjo Sillok(the Annals of the Joseon Dynasty), Doseongdaejido(the Great Map of Seoul), Bukgwoldohyeong(Drawing Plan of the Northern Palace), the Bukgung Palace Restoration Plan, Restoration Planning of Gyeongbokgung Palace and the following results were derived. First, it was confirmed that the Back Garden of Gyeongbokgung Palace was famous for its great location since the Goryeo Dynasty, and that it was named Namkyeong at that time and was a place where a shrine was built, and that castles and palaces were already built during the Goryeo Dynasty under the influence of Fengshui-Docham(風水圖讖) and Zhouli·Kaogongji(周禮考工記). Although the back garden of Gyeongbokgung Palace in the early Joseon Dynasty stayed out of the limelight as a back garden for the palace, it has a place value as a living space for the head of the state from King Gojong to the present. Second, in order to clearly identify the boundaries of back garden, through literature such as map of Doseongdo (Map of the Capital), La Coree, Gyeongmudae Area, Japanese Geography Custom Compendium, Korean Photo Album, JoseonGeonchukdoJip(The Illustration Book of Joseon Construction), Urban Planning Survey of Gyeongseong, it was confirmed that the current Blue House area outside Sinmumun Gate was built outside the precincts of Gyeongbokgung Palace. It was found that the area devastated through the Japanese Invasion of Korea in 1592, was used as a space where public corporations were combined through the process of reconstruction during the King Gojong period. In Japanese colonial era, the place value as a back garden of the primary palace was damaged, as the palace buildings of the back garden was relocated or destroyed, but after liberation, it was used as the presidential residence and restored the place value of the ruler. Third, in the back garden of Gyeongbokgung Palace, spatial changes proceeded through the Japanese Invasion and Japanese colonial era. The place with the greatest geographical change was Gyeongnongjae area, where the residence of the Japanese Government-General of Korea was built, and there were frequent changes in the use of the land. On the other hand, the current Gyeongmudae area, the forests next to the small garden, and the forests of Baekak were preserved in the form of traditional forests. To clarify this, 1:1200 floor plan of inner Gyeongmudae residence and satellite images were overlapped based on Sinmumun Gate, and as a result, it was confirmed that the water path originating from Baekak still exists today and the forest area did not change. Fourth, in the areas where the traditional forest landscape was inherited, the functional changes in the topography were little, and major old-age colonies are maintained. The old trees identified in this area were indicator tree species with historical value. Representatively, Pinus densiflora for. multicaulis Uyeki, located in Nokjiwon Garden, is presumed to have been preserved as one of Pinus densiflora for. multicaulis Uyeki planted next to Yongmundang, and has a historicality that has been used as a photo zone at dinners for heads of state and important guests. Lastly, in order to continuously preserve and manage the value of Gyeongbokgung Palace in Blue House, it is urgent to clarify the space value through excavation of historical materials in Japanese colonial era and establish a hierarchy of garden archaeology by era. In addition, the basis for preserving the historical landscape from the Joseon Dynasty to the modern era from Gyeongbokgung Palace should not damage the area of the old giant trees, which has been perpetuated since the past, and a follow-up study is needed to investigate all the forests in Blue House.