• 한국노년학
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• v.41 no.2
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• pp.217-240
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• 2021

The purpose of this study is to examine the effect of care workers' employment characteristics and perception of facility directors' transformational leadership on quality of service through a hierarchical linear model. For this aim, survey data were collected amongst 240 older adults and 200 care workers who are affiliated within 45 long-term care facilities in Seoul, and analyzed using SPSS 26.0 and HLM 8.0. As a result, one's perception of transformational leadership had a positive effect, whereas, among employment characteristics, employment type and working hours had negative effects on quality of service. Regular workers with fewer working hours and higher awareness of transformational leadership toward the director provided higher quality of service. But wage, total experience and tenure didn't meaningfully affect it. Therefore, the following suggestions were presented. First, it is necessary to reorganize incentive, salary systems and budgets, changing the status of temporary workers' hourly wage system into that of regular workers' monthly one in order to strengthen employment security with acknowledging fundamental professional values through reinforcement of expertise. Reinforcement of long-term care's publicness and establishment of base facilities are also suggested. Second, maintaining appropriate hours of work and rest including annual leave under the Labor Standards Act is needed. Also, increasing the salary of and decreasing working hours for night shift workers are required. Third, education and intervention for inspiring transformational leadership of directors and strengthening qualification standards of them are required.

• Journal of dental hygiene science
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• v.9 no.4
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• pp.443-451
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• 2009

The purpose of this study was to examine the views of dental hygiene students about the possible countermeasure of domestic hospitals for the opening of the medical market. The subjects in this study were 269 dental hygiene sophomores, juniors and seniors at two different colleges in the region of Busan. The findings of the study were as follows: The opening of the medical market and views of possible countermove, whether they agreed to that or not made a statistically significant difference to their opinions on the necessity of customer-oriented marketing strategy(p=0.023), analysis of foreign medical markets/attempt to make inroads into the markets(p<0.000) and the improvement of the quality of medical services/the diversification of the services(p=0.025). As to an intention of going to a foreign hospital, they had a statistically significantly different intention about whether to go to a foreign hospital regardless of medical bills(p<0.000), whether to consult a doctor in a foreign hospital after going to a domestic hospital first (p<0.000), whether to consider the distance between their houses and a foreign hospital(p=0.05) and whether to take considerations on the assistance of an interpreter(p=0.023). In regard to preference for foreign hospitals, American hospitals ranked first(41.9), followed by Australian hospitals(19.9) and Canadian ones(14.2).

• Journal of the Korean Society of Marine Environment & Safety
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• v.25 no.1
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• pp.34-44
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• 2019

Marine activities are becoming more diverse and extensive due to recent social developments, exceeding the environmental capacity of the marine ecosystem. The resilience, resistance, and constancy of marine ecosystems are being damaged or degraded. This prevents the ecosystem from functioning properly, leading to a decline in ecosystem services and value. As a means of returning the damaged ecosystem to health, more and more people are interested in restoration. At a time when restoration projects are gradually expanding, various problems that may arise when implementing the Sea Area Utilization Consultation and Impact Assessment for restoration projects need to be checked, in addition to confirming the direction to be pursued. Therefore, in this study terms related to restoration from research papers and reports were summarized, and the status of the Sea Area Utilization Consultation related to restoration projects and the status of the restoration project were reviewed. In addition, problems with Sea Area Utilization Consultations were considered through a case study to ensure the successful execution of restoration projects. Based on this, we intend to present improvement measures for Sea Area Utilization Consultations and Impact Assessments for restoration projects. This will provide effective information for future policies and plans.

• Journal of Industrial Convergence
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• v.21 no.6
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• pp.43-51
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• 2023

This study analyzed the patent status of the outdoor exercise equipment used primarily by the elderly. The purpose is to utilize the basic data obtained to promote the health of the elderly. The information on the patent was collected from KIPRIS, an information search service provided by the Korean Intellectual Property Office. The search term used was 'outdoor exercise equipment', directly related patents were selected, and a final 157 were analyzed. As a result of the analysis, first, patent registration began in 2007, and 2-3 patents were registered on average every year. Second, patents from the perspective of sports convergence that provide an exercise prescription system using wireless communication, such as the ability to generate electricity by operating a power generation module, providing information on the user's exercise amount, or preventing the loss and theft of weights and safety accidents due to their characteristics, were searched for. Lastly, patents related to exercise equipment that can provide user convenience and increase the frequency of use of exercise equipment were searched. The results of this study confirmed that outdoor exercise equipment is being developed more for the elderly and their convenience, and that companies and public institutions are showing increased interest in outdoor exercise equipment for the elderly. In addition to patent trends analysis, follow-up research in connection with exercise programs using outdoor exercise equipment is needed to develop practical and convenient outdoor exercise equipment in the future.

• Korean Journal of Social Welfare Studies
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• v.41 no.4
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• pp.225-246
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• 2010

The family environment children are exposed to growing up greatly influences their future potential and achievements. Previous findings show that changes in family structure during childhood, particularly those resulting from divorce or death, cause lasting negative consequence that affect the child physically, psychologically, economically, and socially. Unfortunately, single-parent households are becoming increasingly common in Korea, nearly doubling to more than a million cases in the last two decades. Existing domestic and international studies of this area tend to focus on the short-term effects of growing up in a single-parent household. In addition, these studies group their samples in ways that result in findings that may be too broad or are not necessarily an accurate representation of the subjects. This study attempts to address some of these shortcomings by focusing on the long-term effects of how changes in family structure early in children's lives affect achievement during their transition to adulthood. In addition, it takes into account the development cycle the child is in at the time of family restructuring, and what kind of long-term effects result from that. In this analysis, we find that there are several cases of statistically significantly differences in domain achievement depending on the developmental stage the child was in when the parental divorce or death occurred. The findings indicate that changes in family structure during the infant/toddler period influence health condition and depression, while changes in family structure during middle-childhood and adolescence do not. Meanwhile, changes in family structure during any point in the developmental stages have negative effects on educational attainment, with the severity of these negative effects depending on when the family changes occur. The negative effect on educational attainment is most prominent when a change in family structure occurs during the infant/toddler period, followed by adolescence, then middle-childhood.

• Health Policy and Management
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• v.34 no.1
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• pp.48-58
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• 2024

Background: The purpose of this study was to investigate the association between external medical service use and the characteristics of Chungcheongnam-do patients. We aimed to provide evidence of external medical service use enhance the healthcare delivery system in Chungcheongnam-do. Methods: We used the Health Insurance Cohort DB 2.0 of 2016-2019, and 2,570,439 patients were included in the study. Multivariate logistic regression and multinomial logistic regression were used to identify the association between external medical service use and each patient characteristic. Generalized linear model was used to identify the association between medical costs and external medical service use area. Results: During the study period, 32.2% of inpatients and 12.5% of outpatients had external medical service use in Chungcheongnam-do. In comparison to patients living in Cheonan and Asan, the odds ratio (OR) for external medical services use was higher across all regions. Specifically, hospitalized patients from Gyeryong, Nonsan, and Geumsan (OR, 116.817) and Gongju, Buyeo, and Cheongyang (OR, 72.931) demonstrated extremely high likelihood of external medical service use in the Daejeon area. Furthermore, compared to medical expenses incurred within Chungcheongnam-do, patients with external medical service use in the capitol area (outpatient=17.01%, inpatients=22.11%) and Daejeon area (outpatient=16.63%, inpatients=15.41%) spent more on healthcare services. Conclusion: This study found the evidence of external medical service use among Chungcheongnam-do patients. Further study should be conducted taking into account variables including satisfaction of local medical services, different types of patient diseases, and others. The study's findings may serve as a foundation for policy proposals aimed at ensuring the financial stability of our health insurance system, ensuring the efficient delivery of medical care, and localization of medical care.

• Journal of agricultural medicine and community health
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• v.29 no.2
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• pp.287-301
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• 2004

Objectives: The development of internet programs for smoking cessation was motivated to quit smoking in the large group of smokers. This personalized program consisted of tailored message to consider the smokers characteristics, and contain the informations on the outcomes of smoking cessation and the skills to be used in the quit attempts. The purpose of this study was to develop the internet management program and information push-delivery system for smoking cessation to encourage the personal intention to quit smoking. Methods: We conducted in 3 steps as developing push service to encourage intention of smoking cessation, analyzing problems of smoking cessation program through the pilot test and suggesting improvements by implication stages. Results: This program is delivered for 30 days. if the participants do not fail to quit smoking. The contents consisted of 13 stages which were divided on starting period. practical period, maintenance period and success period. And push service afforded the tailored message to participants using their e-mail. According to the evaluation of pilot test, the problems of internet information push-delivery service for smoking cessation were the over-tasks per visiting time, recording style of participants, difficulty of terms and sentences, lack of visual effects, absence of follow-up module and unsuitable link with main homepage. Improvements were divided on 3 stages by implication period. The first stage included the immediate improvements as improving link with homepage, modifying menu of smoking information and upload file of notice part. The second stage included the short term improvements as alleviating condition of withdrawal, coordinating start stage of retrial, modifying errors of information push-delivery service and addition of educational materials. The third stage included the long term improvements as development of follow-up module, cost-effectiveness evaluation, reducing contents quantity, introduction of checking style, compensation of graphics effect and review for SMS utilization. Conclusions: This program contribute to improving smoking cessation rate. Therefore this program should be tested in a community to evaluate the effectiveness. To promote the effectiveness, this program should be developed the contents and the strategies for various targets, and established the follow-up system for ex-smokers.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.1
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• pp.377-385
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• 2014

This study is aimed to introduce the newly developed mobile application for effective provision of assistive devices for people with disabilities in South Korea. By combining of ICF code and ISO 9999 code, more effective way of searching user fit assistive device information and selecting appropriate assistive devices were possible. 10 people with visual impairment were recruited for an usability testing. For the data analysis, paired t-test were used and confidence interval was 95%. The result showed newly developed mobile application was more effective in comparison with on-line based assistive device information. The outcome of this study will enhance the provision of assistive devices for people with disabilities more effectively within better user understanding of their needs and compensate for their body function as well as environmental barriers.

• 대한예방의학회:학술대회논문집
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• 2001.04a
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• pp.27-38
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• 2001

보건소 정보화 사업은 지역단위 공공보건의료의 최일선 기관인 보건소에 정보시스템을 설치하여 내부운영을 효율화하고 생산성을 증대시킴으로써 양질의 보건의료 서비스를 제공하고, 동시에 지역보건의료의 효과적인 정보체계 구축과 정보의 원활한 교류를 통하여 국가보건정책수립을 위한 기본정보를 제공하며, 이를 통해 공공보건의료의 환경변화를 이끌어 갈 기반을 확충하려는 목적으로 추진되었다. 보건소 전산화 사업을 근간으로 하는 지역보건의료분야 정보화 사업은 보건 의료부문의 정보화를 위한 국민복지망 기본계획에 의거하여 94년 12월부터 2기로 나누어 8차 년도에 걸쳐('94.12 $\sim$ '01. 10) 연차사업으로 시행 중에 있다. 보건소 정보화 프로그램 개발을 목적으로 시행된 제1기 정보화 사업('94.12 $\sim$ '98.7)을 통해 개발된 보건소 정보시스템이 현재 242개 보건소 중 108개 보건소에서 사용중이며, 이를 통해 보건소 업무의 효율화와 함께 지역보건의료분야 전산화 구축의 기초단계가 확립되었다. 제2기 사업은('98.10 $\sim$ '01.10) 보건소 중심의 지역보건의료망 구축과, 보건소 정보시스템의 전국 확산, 관련기관 정보망과의 연계를 통한 정보교류 확대와 정보활용도 제고 등의 목표로 시행중이다. 2기 1차 사업을 통하여 보건소-보건지소 진료소간 지역보건의료망의 기본 하부골격의 토대가 구축되었고, 2기 2차 사업에서는 보건의료원의 전산화 프로그램이 개발되었다. 또한 현재 진행중인 2기 3차 사업에서는 지역보건정책 수립을 지원하는 진료현황, 보건사업현황 등의 자료를 통합D/B로 구축하여 시범적으로 운영함으로써 정보망의 활용도를 높이고, 광역단위의 지역보건정보 의사결정시스템(EIS) 개발을 추진하고 있다. 한편, 최근 급속한 정보기술의 발달과 보건의료 환경의 변화로 인하여 보건정보시스템의 변화 필요성이 증대되고 있다. 이를 위해서 중앙정부와 광역자치단체, 보건소를 연결하는 전국 단위 정보네트워크 구축에 있어 신기술 적용방안 연구를 통하여 보건소 정보화 사업의 발전 방향(ISP)을 모색 중에 있으며, 시군구 행정정보망과 연계를 통해 생애주기에 따른 주민 평생건강관리를 위한 정보시스템 구축을 도모하고 있다.

• Research in Community and Public Health Nursing
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• v.23 no.2
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• pp.117-126
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• 2012

Purpose: The purpose of this study was to identify the factors associated with the health-related quality of life of family caregivers. Methods: A cross-sectional study was conducted. This study included 191 primary family caregivers of elders who used home care services (home-visit nursing, home-visit care, daycare) covered by the public long-term care insurance. Data were collected using self-report questionnaires from December 2010 to June 2011. These data were analyzed by using hierarchical multiple regression. Results: The majority of the family caregivers were female (79.6%) and daughters-in-law (28.8%). The mean depression score was $6.33{\pm}6.49$ and the mean health-related quality of life score was $0.69{\pm}0.39$. It was found that the factors affecting the health-related quality of life of family caregivers included depression (${\beta}$=-.406, p<.001), home-visit nursing use (${\beta}$=.296, p<.001), and daycare use (${\beta}$=.178, p=.015), which accounted for 36.6% of their health-related quality of life. Conclusion: Using home-visit nursing and daycare services has a positive effect on the health-related quality of life of family caregivers. To improve health-related quality of life of family caregivers, South Korea needs to fully activate the home-visit nursing and daycare services, and to strengthen family support programs.