• 보건행정학회지
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• 제14권3호
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• pp.20-44
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• 2004

The National Health Insurance Expenditure has been increased rapidly since the introduction of the separation of prescription and dispensing in 2000, and this trend of rapid growth in overall spendings rate has been observed predominantly among medical practitioners. This study was conducted to investigate the growth rate and distributional changes in private medical practitioners' expenses from 1999 to 2002 and its determinants using the National Health Insurance claims data. The total increasing rate of all medical practitioners' expenditure paid by the National Health Insurance between 1999 and 2002 was $41.71\%$, which exceeding that of general hospitals by $20\%$p. But the income distribution among each practitioner was improved as the changes in Gini coefficient(from 0.40 to 0.38) and decile distribution ratio(from 0.25 to 0.29) during the same period showed. However, this improvement in distributional patterns is not enough since even in 2002 it turned out that the highest $10\%$ income group earned 33times more than the lowest $10\%$ income group did. Also, higher Gini coefficient was observed in larger cities and some department like plastic surgery, obstetrics and gynecology. The major causes of this differentials in medical practitioners' expenses were factors related to medical demand like proportion of old population, residential economic status in a given area. In addition, providers' economic incentives also played an important role in determining their income distribution. The large income differentials among physicians may imply a skewed distribution of patients and thus long waiting time, inefficient utilization of resources and potential inadequate quality of care. In this sense, unreasonable distributional gaps should be reduced, so effective measures as well as ongoing monitoring would be necessary to correct current distributional problems.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제13권1호
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• pp.163-176
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• 2002

연구 목적：걸음마기 기질평가척도(Toddler Temperament Scale)를 이용하여 국내 아동의 기질 특성을 파악하고 사회인구학적 및 환경적 조건에 따른 기질 특성의 차이를 알아보고자 하였다. 방법법：전국 25곳의 삼성어린이집에 다니고 있는 1,175명의 아동이 연구대상이었다. 한국판 걸음마기 기질평가척도와 삼성서울병원 정신과에서 고안된 아동 발달력 평가지를 연구대상 아동의 부모들에게 배포한 후 채점된 결과를 이용하여 9개 기질범주의 점수를 구하였으며, Fullard가 제시한 기준에 따라 각 아동의 기질유형을 결정하였다. 연구대상 아동의 남녀별, 출생 순위별, 외동 여부별, 거주 도시별 및 거주 지역별, 아동 부모의 결혼 상태별, 부부간의 사이별로 기질범주 점수 및 기질유형 분포를 비교하였다. 결 과：국내 아동의 기질유형 분포는 양육용이형 35.8%, 중하형 33.1%, 중상형 11.1%, 완만형 6.3%, 양육곤란형 13.6%으로 나타났다. 또한 아동의 기질은 성별, 출생 순위, 외동 여부, 거주 도시, 거주 지역, 아동부모의 결혼 상태, 부부간의 사이 등의 차이에 따라 9개 기질범주 소항목 중 일부에서 통계적으로 유의한 차이를 보였다. 5개 기질유형의 분포에서는, 부부간 관계가 나쁜 경우보다 좋은 경우에 통계적으로 유의하게 양육용이형 아동이 높고 양육곤란형 아동이 낮았으며(p=.022), 비록 통계적으로 유의하지는 않았지만 첫 번째 태어난 아동, 외동인 아동, 중소 도시 아동, 충청도 지역의 아동, 부모가 결혼 상태에 있는 아동에서 양육이 용이한 아동이 많은 경향을 보였다. 결 론：국내 아동의 걸음마기 기질 특성은 여러 사회인구학적 조건 및 환경적 조건에 따라 차이가 있었으며, 이를 통해 아동의 기질에서'양육 적합(goodness of fit)'이 얼마나 중요한지를 알 수 있었다.

• 한국지역지리학회지
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• 제3권2호
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• pp.163-193
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• 1997

복지사회를 지향하는 오늘날, 건강 중진에 직접 관계되는 의료시설의 접근성 문제는 주요 과제이다. 특히 삶의 질이라는 측면에서 질병의 치료 외에 건강진단, 예방과 회복, 요양 및 응급서비스의 비중이 커지고, 인구의 노령화 현상이 진전되면서 의료시설의 효율적인 입지가 주 관심사로 대두되고 있다. 의료시설은 주민의 생존과 직접 관계되는 기본적이고도 필수적인 중심시설로, 지역 주민은 균등한 혜택을 받을 수 있어야 한다. 이를 실현시키기 위해서는 기본적으로는 효율성과 평등성을 기반으로 1차 진료기관이 균등 분포해야 한다. 이에 본 연구에서는, 광주시를 사례지역으로 선정하여 의료시설의 입지와 그에 대한 주민의 효율적 이용에 관하여 분석하였다. 분석에 있어서는 통계자료와 기존의 연구 성과 외에 설문 및 현지조사 자료를 기반으로 시설 측면과 이용자 측면을 동시에 고찰하였다. 우선 의료 환경의 변화 및 의료시설의 변화 과정을 고찰하고, 이어서 의료시설의 유형별 입지 특성과 주민의 분포 특성을 고려한 지역별 의료수준을 분석하였다. 그리고 유형별 의료시설의 이용행태와 그 요인을 구명한 후, 마지막으로 장래 이용 유형의 예측과 문제지역의 추출, 나아가서는 시설의 합리적인 입지와 경영 방향을 제시하였다. 본 연구 결과는, 앞으로 신설될 의료시설의 적정 입지에 관한 기본 자료로서는 물론 지역 주민의 불평등성 해소라는 응용적 측면에서 의의를 지닌다.

• 한국학교ㆍ지역보건교육학회지
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• 제13권1호
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• pp.65-75
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• 2012

Objectives: This study aims at grasping the socio-demographic variable, safety education experience, personality type and accident experience and analyzing if the personality type influences on the accident experience. Methods: For 330 third-year students at one middle school located at Gyeonggi-Do, questionnaire survey was performed on 16th, October, 2010. Excepting data of 19 students poor in contents, 311 students' data were analyzed. Results: The results of analysis are like followings. 1. As for relation between the socio-demographic variable and accident experience, it showed statistical significance in sex and how to go to school. And there was no statistical significance in parents' job, educational level of parents, residential type, school record and allowance. 2. As for relation between safety education experience and accident experience, safety education doing school than family lowered accident incidence outstandingly. When safety education frequency increased one time, possibility to experience accident decreased to 30%. 3. As for relation between 4 personality types of MBTI and accident experience, Thinking(T) experienced accident more than Feeling(F). Moreover, it showed difference in accident type and injuried degree. This results were statistically significant. As the result of analyzing the injuried degree by sex only in Thinking(T) and Feeling(F), female students had statistically significant difference. Conclusions: Health care providers should develop school safety programs by characteristics of personality.

• 융합경영연구
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• 제12권1호
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• pp.89-96
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• 2024

Purpose: This study explored the impact of using a music and horticultural therapy program on depression among rural seniors living in Yeongam-gun and conducted a comparative analysis before and after the program to present basic data helpful for an integrated mental health promotion program tailored to rural areas. Research methodology: The analysis subjects of this study were users of the rural residential program of 'Our Village Day Care Center' in Yeongam-gun in 2023, with a total of 20 people, 10 seniors for each program. The research analysis used SPSS to determine the effect on participation and depression before and after the program was implemented. Results: As a result of the analysis, depression levels decreased after completion of the horticultural therapy program and music therapy program, and this was statistically significant. Conclusion: Three implications are presented based on the following research results. First, the need for programs that can improve not only the physical health but also the mental health of elderly people living in rural areas is suggested. Second, the need for programs that link cultural programs such as music and gardening activities with welfare programs is suggested. Third, the need for follow-up management and verification of periodic mental health checkups for rural elderly is suggested.

• 한국산학기술학회논문지
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• 제11권6호
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• pp.2078-2087
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• 2010

본 연구는 수술환자의 타지역 의료이용과 관련된 요인을 규명하기 위하여 2004년부터 2006년도의 퇴원손상 환자조사뿐 아니라, 인구센서스 및 보건의료자원 실태조사자료를 이용하여 교차분석, 로지스틱 회귀분석을 실시한 결과 다음과 같다. 첫째, 수술환자의 의료이용은 수도권 중심으로 집중화 현상이 뚜렷하다. 이를 개선하기 위해서 정부에서는 의료기관 및 병상수를 공급하는 일 뿐만 아니라 의료의 지역화를 위해 지방에서의 의료의 질적 수준을 올리는 정책이 필요하다. 둘째, 눈 및 부속기 질환 및 암환자의 타지역 수술률이 높으므로 질병에 따른 의료의 지역화를 위한 특정 질환의 지역화 정책추진이 요구된다. 셋째, 산재환자 수술환자의 타지역 진료율이 시간이 갈수록 증가하므로 손상환자를 위한 지역화 정책도 필요하다 할 것이다.

• 농촌의학ㆍ지역보건
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• 제16권2호
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• pp.97-119
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• 1991

본 연구는 농촌지역의 보건의료수준이 의료자원의 양적, 질적 격차와 의료이용과 의료접근도 및 건강수준의 면 등에서 도시지역보다 낙후되어 있다는 사실을 각종 통계지표를 이용하여 논증하였다. 다음으로 이러한 격차를 빚은 농촌보건사업의 문제점을 파악하여 이에 대한 대처방안을 농촌보건사업의 조직, 인력, 시설 및 장비, 재원 및 그리고 관리라는 5가지 부문으로 나누어서 모색해 보았는데 구체적으로는 첫째, 농촌보건 인력의 자질향상과 적정배치방안의 수립, 둘째, 농촌보건인력의 생산성 증대, 셋째, 보건소 및 지소의 운영개선, 넷째, 취약지 민간병원의 운영 개선, 다섯째, 사회, 경제여건의 변화에 따른 새로운 보건사업의 개발, 여섯째, 통합적인 보건의료인력관리 전담기관의 설립 등의 정책대안을 제시하고 있다.

• 한국병원경영학회지
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• 제6권3호
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• pp.5-24
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• 2001

The purpose of this study was to serve as a basis for providing quality medical service and mapping out consumer-centered marketing strategies to successfully cope with the rapidly changing medical environment and meet consumer needs, by examining what affected the satisfaction and revisit of health Promotion center Client. The subjects in this study were 186 of visitor to health Promotion center in a university hospital in the city of Busan. A survey was conducted with structured questionnaire from March 2 to 30, 2001. The collected data were analyzed with SPSS for Windows (ver10.0). For more statistical analysis, frequency analysis, component analysis, t-test, ANOVA and correlation analysis procedures were utilized. Results of the study can be summarized as follows: 1. Regarding demographic characteristics, 51.6% of the Client investigated were male, and 48.4% were female. The greatest number of them were in their 40s(38.9%). 86.5% were married, and 34.2% were self-employed. 44% were a high-school graduate, and the monthly mean income of 59.4% was one to three million Won. And, the residential area of 46.8%, the largest percentage, was a half-an-hour distance from health Promotion center. 2. The most common motivation of their selection of the health Promotion center was a recommendation by Staff and neighborhood(59.7%), followed by excellent facilities and services(17.2%), the tradition and reputation of the hospital(7.5%), and its publicity pamphlets(7.5%). 3. 45.9%, the largest percentage, acquired health-related information from their friends or acquaintances. 43.8%, the greatest percentage, visited there because they felt there's something wrong with their body. 53.4% worried about the possibility of being attacked by cancer, and 57.5% wanted to take a precise cancer examination. For health maintenance, 50.1% got regular exercise. Regular exercise was considered most crucial for health maintenance or promotion. 4. The largest reason they used that examination center again was the kindness of employees(52.7%), followed by the tradition and reputation of the hospital(21%) and excellent examination setting and equipment(10.8%). 5. By demographic factor, there was no significant difference between the man and women in satisfaction level with examination and expenses. The women expressed more satisfaction at facilities, and the high-school graduate group were more contented with expenses. 6. As a result of investigating their satisfaction level according to the motivation of selecting that examination center, the group that chose the center due to excellent facilities and services were more satisfied with examination and expenses. 7. As for the relationship of total examination satisfaction to revisit. intention, there was a higher correlational relationship between total health examination satisfaction and expense satisfaction. Especially, the more they were satisfied with examination, the more they were willing to revisit there for another examination.

• 가정과삶의질연구
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• 제27권1호
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• pp.61-71
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• 2009

The purpose of this study was to resolve the issues of inferior housing environment and the population decrease in rural community by improving the environment and attracting urban inhabitants. A simulation on the costs and the local programs was operated from a point of view that Pension Insurance House with Long-term Lease and a plan for the program in connection with local resources should be accompanied to attract urban inhabitants. The study was carried out through mainly documents analysis and specialists' opinions. The simulation results are as follows. Firstly, the pre-existing rural housing development projects have only emphasized the hardware, while underestimated the post-management with operating programs. The software should be underlined when Pension Insurance House is developed. Secondly, as a result of the simulation on construction expenditure and the operating and maintenance cost for 30 years, about 82.3 million Wons are necessary residential expenses for 15 years per unit. Thirdly, in case of MUJU County, it has made the most of its pre-existing institutions. It's medical institutions provide medical care system with health education, facilities related leisure and culture offer recreational programs and the local community center and its program of each town helps new habitants adopt to the rural life. Additionally, the employment project of a local welfare center allow people living in a rural community to continue their careers with their talents and interests through local class programs for a life worth living. Lastly, guide for getting information of rural life, local community gathering and preliminary education should be carried out to reduce expectant tenants' incompatibility and assist them settle down early. The community program expansion is also required at the local government level.

• 대한치과의사협회지
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• 제53권11호
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• pp.855-869
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• 2015

The purpose of this study was to evaluate the oral health promotion of the disabled persons by voluntary dental services in Ulsan Metropolitan City. Two dentists taken a calibration training for national oral health survey examined the oral health status of 473 disabled persons from two special schools for the disabled children and adolescents, a residential facility and a gymnasium for the disabled persons in 2009-2010. The surveyed disabled persons in the age range was from 7 to 74 years old. Voluntary dentists, oral hygienists and other civilian volunteers had supplied with the oral health care services to the disabled persons at dental clinics of special schools for the disabled children and adolescents, and a dental clinic supported from Nam-Gu Public Health Center in Ulsan Metropolitan City since 1997. The obtained data from these surveys were analyzed with the SPSS statistical package. Among subjects aged 12-14 years, subjects with decayed, missing and filled teeth (DMFT) in permanent dentition was 46.9%; subjects with untreated decayed teeth, 17.2%. The number of decayed, missing and filled teeth in permanent dentition was 1.36. The proportion of decayed components of DMFT score was 28.00%; proportion of missing components of DMFT score, 1.43%; proportion of filled components of DMFT score, 70.57%. The proportion of filled components of DMFT score among disabled persons of all age group in Ulsan were evaluated to be a similar level to non-disabled citizens in Ulsan from 2010 Korean National Survey. The oral health care programs for disabled persons by voluntary services of dental professionals and other civilians are evaluated to be effective for the oral health promotion of disabled persons in Ulsan.