• Title/Summary/Keyword: 노인문제

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Objectives and Strategies of Government Health Promotion Policy (정부의 건강증진사업 목표 및 추진방향)

  • Lee, Jong-Gu
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2005.09a
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    • pp.3-32
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    • 2005
  • 정부의 건강증진사업은 국민의 건강수명 연장과 삶의 질 향상에 궁극적인 목적이 있다. 이는 건강 지지적인 환경을 조성하고 질병을 예방${\cdot}$관리하며 평생 건강서비스를 제공하고 건강한 생활양식을 형성하도록 함으로써 달성될 수 있는 것이다. 건강증진사업을 위한 기반으로 연구와 개발 강화, 법과 규칙의 조정, 기금과 인력과 같은 자원 확보는 필수적이다. 정부의 건강증진전략은 첫째 자원할당의 우선순위를 확보하는 것으로 건강증진, 질병 및 손상의 예방, 재활관련 사업에 더욱 많은 자원을 할당하는 것이며, 둘째로 국가차원의 건강증진 프로그램을 개발하여 실행하는 것이다. 포괄적인 생애주기별 건강증진 프로그램(건강증진종합계획)과 모아보건, 학교보건, 산업보건, 그리고 만성질환예방프로그램 등이 포함된 포괄적인 프로그램을 개발하여 실행하는 것이다. 셋째로, 건강증진기금을 공공보건을 위한 하부기반과 건강증진 프로그램에 투자함으로써 사업의 하부기반을 정비하는 것이다. 건강증진사업을 위한 하부기반으로는 정책과 위임사항을 들 수 있는데, 국민건강증진법과 국민건강증진종합계획, 2005년 6월에 서울시 의회를 통과한 건강도시추진위원회를 들 수 있다. 정부의 건강증진사업의 법적 기반은 1995년에 제정된 국민건강증진법이다. 국민건강증진법은 국민들이 건강에 대한 가치를 인식하고 책임의식을 함양하며, 올바른 건강지식을 갖고, 국민들이 건강한 생활양식을 실천할 수 있는 환경 조성을 목적으로 하고 있다. 건강증진사업은 대중을 위한 보건교육과 건강상담, 영양관리, 구강보건관리, 질병의 조기발견과 치료를 위한 건강검진, 지역사회 건강문제에 관한 조사와 연구, 담배소비 감소와 건강증진부담금 부과를 통한 국민건강상태의 향상을 위한 사업이다. 훈련과정으로는 보건복지부에서 2005년부터 수행하고 있는 시와 지역을 위한 현장관리 프로그램과 서울시가 수행예정인 지역수준의 지도자 훈련과정이 있다. 건강증진사업의 원활한 진행을 위한 기금조성은 건강증진기금이 담배세로부터 조성되고 있으며 2004년 12월 31일 현재 담배 한 갑 당 500원으로 인상되어 부과되고 있다. 기금의 관리와 운용은 보건복지부가 담당하며, 기금은 건강한 생활양식형성에 대한 지원활동, 국민을 위한 보건교육과 교육자료 개발, 건강증진과 만성질환에 대한 연구, 질병의 조기발견을 위한 건강검진, 구강보건관리활동에 사용되고 있다. 향후 건강증진사업 투자계획은 1단계 (98-02년)에는 사업기반조성기, 2단계(03-06년) 보건소사업발전기, 3단계(07-11년)통합사업정착기로 구성되고 2단계의 인프라구축에 사용될 투자 비율은 30%에서 3단계에 15%로 감소될 예정이며, 사업실행 영역은 50%에서 65%로 확대될 계획이다. 2005년 건강증진사업의 중점목표는 건강증진사업의 지방 분산화, 건강증진사업의 근거마련, 사회적 형평성의 달성에 있다. 건강증진사업의 지방분산화를 위해서는 중앙에 관리센터가 설치되어 기획과 평가, 연구와 개발, 현장관리 훈련을 담당하게 되고, 지역관리센터에서는 자치적인 보건소 중심 건강증진사업의 수행과 평가를 진행하게 된다. 건강증진사업의 근거마련을 위해서 효과가 입증된 사업에 우선순위를 두며, 기획과 평가위원회를 설치하고, 건강증진사업의 평가결과를 환류 할 수 있는 체계를 마련하는 것이다. 또한 건강증진포럼을 구성하며 현 건강조사 체계를 수정한다. 한편 형평성 제고의 측면에서는 저소득층, 노인, 장애인들과 같은 취약계층의 건강상태 향상을 위한 중앙정부와 지방자치단체의 역할을 강화하고, 지역간${\cdot}$사회적 집단 간의 건강증진사업관련 형평성을 제고한다.

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Poverty in Korea, Why It Remains High?: Analysis of the Trend in Poverty since the 1990s (한국의 빈곤, 왜 감소하지 않는가? - 1990년대 이후 빈곤 추이의 분석 -)

  • Ku, In-Hoe
    • Korean Journal of Social Welfare
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    • v.56 no.4
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    • pp.57-78
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    • 2004
  • The economic crisis in $1997{\sim}1998$ caused massive unemployment and unprecedentedly increased the number of the poor in Korea. As many unemployed families fell into poverty, the poverty rate skyrocketed to higher than 10 percent. Not later than 2000, unemployment late got back to normal and real average income among urban households approached to the income level prior to the economic crisis. Although the economic crisis has been passed through, poverty was not decreased to the low level prior to the crisis by 2000. Why does it remain high? This study attempts to provide an answer to this question by analysing the poverty trend over the 1990s. Data come from the National Survey of Household Income and Expenditures 1991, 1996, and 20001. Results show that poverty was rapidly reduced in the first half period of the 1990s. This reduction in poverty is largely explained by steady and rapid economic growth. Modest improvement in income inequality also contributed. In contrast, the poverty rate considerably increased in the latter half of the 1990s. Average income was not fully recovered to its prior level, which reflected the economic crisis and the subsequent economic stagnation. Worsened income inequality led to higher poverty rate too. In addition, demographic changes increased the share of economically vulnerable types of families, such as families headed by single parents and the elderly. The most significant factor in explaining the higher poverty rate was extended income differential among non-elderly adults, while the next was the increased number of the elderly families. Yet, findings a little differ depending on which concepts of poverty to adopt. In the analyses based on the concept of absolute poverty, economic growth the most significantly affected the poverty trends in the 1999s. Changes in income inequality played the most important role in explaining the trend in relative poverty. Adopting the concepts of quasi-absolute poverty, which is preferred in this study, results show that rapid economic growth significantly reduced poverty in the first half of the 1990s and both worsened income inequality and stagnated economic growth increased poverty in the latter 1990s.

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Development of Fall Prevention Program for Improvement of Healthcare in Rehabilitation Patients Based on Image Processing : A Preliminary Investigation (영상처리 기반 재활 환자의 헬스케어 개선을 위한 낙상예방 프로그램 개발 : 예비연구)

  • Kang, So-La;Yoon, Jung-Dae;Yoo, Jin-Won;Na, Chang-Ho;Heo, Sung-Jin;Kim, Ye-Soon;Moon, Jong-Hoon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.13 no.4
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    • pp.887-896
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    • 2018
  • The purpose of this preliminary study was to investigate the effect of fall prevention program on the occurrence of falls in inpatients at general hospital. Before the intervention, we identified the occurrence of the rate of falls in I hospital at Incheon and 190 patients received rehabilitation treatment. The causes of falls were carelessness of caregivers and therapists, increased burden of therapists, and height of beds. After recognizing the problems, the authors developed a fall prevention program through the PDCA model. The fall prevention program consisted of a video of fall prevention education and education for the patients and caregivers, environmental improvement and education of therapists for two months. After intervention, 230 patients were subjected to be included as analysis of the incidence of falls included As a result, the fall incidence was reduced by 34.1~66.7% in the pain clinic and 21.3~40.8% in the exercise clinic / department of occupational therapy compared to the before intervention. These findings show that the fall prevention program has a positive effect on the fall of inpatients, and it can be used as a model for fall prevention.

A Prospect for Growth and Economic Size of Foods-for-Elderly Industry -Focused on Health Functional Foods and Foods for Special Dietary Uses- (고령친화식품산업의 성장과 규모 전망 -건강기능식품과 특수용도식품을 중심으로-)

  • Jin, Hyun Joung;Woo, Hee Dong
    • Journal of Food Hygiene and Safety
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    • v.27 no.4
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    • pp.339-348
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    • 2012
  • The purpose of this study is to predict the economic size of foods-for-elderly market, which will be valuable information for establishing related policy and backup system. After setting the scope of related industry, detailed information for current market situation was investigated and a systematic forecast for market changes in the future was performed. Economic growth, changes in consumer expenditure and economic status of the elderly, current subscription of medical insurance and saving for pension were reflected. In addition, a survey toward related firms was completed and changes in aged population and incidence of chronic disease in the elderly were taken into account. Results show that the annual growth rate of the market was predicted to be the minimum 4.54% through the maximum 8.32% from 2010 to 2025 and its market size was forecasted to be the minimum 7,073 ten million won through the maximum 10,976 ten million won. It is expected that the market of foods-for-elderly will grow rapidly with development of foods technology and fast increase of aged population. Especially, growth of health functional foods and foods for special dietary uses for elderly will be distinguished. However, it seems that related firms are on the hedge, watching current trend of the related industry. This may results in insufficient supply against the demand. Therefore, policy for foods-for-elderly should be introduced and systematically administered, including R&D support, standardization and authentication for foods-for-elderly, construction of related database system.

The Effect of Career Self-efficacy on Preparations Toward Retirement for Baby Boomer Generation (베이비부머 세대의 진로자기효능감이 은퇴준비에 미치는 영향)

  • Yun, Sung-Won;Kim, Ki-Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.8
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    • pp.3427-3435
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    • 2012
  • Beginning with retirement in 2010 of the leading group of baby boomer generation born in 1955, baby boomers are starting to retire from work in full-scale. Since retirement of baby boomers refers to increase in the senior class with longer life expectancies caused by development of medical technologies, enhancement of living standards, and improvement of surrounding environments, annually decreasing birthrate is further accelerating entry of our society into an aged society. Accordingly to examine baby boomer generation's preparation for retirement in relation to career self-efficacy, first, difference in retirement preparation according to mean monthly income and current occupation was analyzed. Second, the effect of career self-efficacy on retirement preparation was studied. The survey for this study was conducted for one month between January 17 and February 16, 2012 in Seoul, Gyeonggi, Gangwon, Chungnam, Gyeongnam, Jeonnam, and Jeju. 500 surveys were distributed to baby boomer generations through direct visit and mail, among which 443 responses were returned. 400 effective responses were selected as subjects of the study. As a result, preparation for retirement according to mean monthly income was verified to be significant in terms of economic and physical factors. Significant results were shown in all factors including economic, physical and social factors for retirement preparation according to current occupation. Career self-efficacy had greatest influence of 58% on retirement preparation with economic factors. It also influenced all factors including self assessment, objective setting, occupational information, and problem solving.

Travel Disparity among the Elderly in Seoul during the COVID -19 Pandemic Period: Differences in Destination Diversification according to Socioeconomic and Spatial Factors - (COVID-19 대유행기에 나타난 서울시 고령층의 통행격차 - 사회경제적 요인과 공간적 요인에 따른 목적지 다변화의 차이를 중심으로-)

  • Lee, Jaegeon;Sohn, Jungyul
    • Journal of the Korean Regional Science Association
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    • v.37 no.4
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    • pp.75-93
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    • 2021
  • By defining a travel disparity based on the degree to which travelers diversify their destinations, this paper examines how socioeconomic and spatial factors affect the travel disparity among the elderly in Seoul. This paper uses the COVID-19 pandemic as a natural experiment which can bring about different behavioral responses among the older travelers. Using the smart card data, we compare the destination diversification patterns before and after the pandemic. In the early morning(4:30-9:00), the degree of destination diversification varies between the core and the periphery and this trend persists through the pandemic. In the late morning(9:00-12:00), a new trend of disparity appeared after the pandemic. Although those who hold higher socioeconomic status and live closer to the core have a larger range of choices for destinations, the difference of range did not lead to differences in diversification before the pandemic, due to the discretionary nature of the elderly's trip. In contrast, as the elderly were forced to search alternative destinations right after the outbreak of the pandemic, the range of choices became an important factor causing observable differences in destination diversification. The findings suggest that the travel disparity observed during the pandemic is due to the difference in the range of choices by socioeconomic and spatial factors.

Development of Index of Park Derivation to Promote Inclusive Living SOC Policy (포용적 생활 SOC 정책 추진을 위한 공원결핍지수 개발 연구)

  • Kim, Yong-Gook
    • Journal of the Korean Institute of Landscape Architecture
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    • v.47 no.5
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    • pp.28-40
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    • 2019
  • In order to resolve the imbalances in the supply of living SOCs according to socio-economic status, location, and population groups, the discussions on inclusive city policies are expanding. The purpose of this study is to propose an Index of Park Derivation (IPD) as an alternative indicator for the promotion of an inclusive urban park policy that can be applied in the 7 major metropolitan cities to select a region with a relatively high park needs. The main research results are as follows. First, the concept of an inclusive urban park policy is defined as "a policy to supply to manage high-quality park services with priority given to areas with low socio-economic and environmental status, such as a large amount of elderly, children, low-income families, areas vulnerable to disasters, such as heat and fine dust, and population groups." Second, we developed the index of park derivation (IPD), which is a combination of 17 variables including park service level, demographic characteristics, economic and educational level, health level, and environmental vulnerability. The variables that constitute the index of park deprivation (IPD) can be applied to SOC policies outside the parks, such as sports facilities, daycare centers, kindergartens, and public libraries. Third, applying index of park deprivation (IPD) to 1,148 Eup/Myeon/dong areas of the 7 metropolitan cities resulted in areas with relatively high park service needs. This study implies that the central and the local government suggest an alternative index to promote an inclusive urban park policy based on statistical and geographical information and data that can be easily accessed and utilized.

The Halla Seolmundae Inner Body and Soul: From The DNA Silk To The Packing DNA Thin Silk (한라 설문대 속살(內肉)과 혼(魂):생명주(生明紬)에서 세명주(細明紬)로)

  • Kim, Jeong Su;Lee, Sung Kook;Lee, Moon Ho
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.4
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    • pp.219-225
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    • 2022
  • 1950-meter-tall goddess is Seolmundae Grandmother with the head of the 1950m Hallasan Mountain Baengnokdam and the body of the mountain ridgeline. Seolmundae Grandmother in Jeju is a folk belief that has been passed down from generation to generation in Jeju. Unlike inland, Seolmundae Grandmother, which had femininity in the customs of Jeju, which was a matrilineal society, developed into an absolute faith in Jeju, metaphorizing that in some way it was inevitable. Seolmundae Grandmother was the only subject that could mentally solve the biggest problem for Jeju residents, even if they were disconnected from the mainland. In other words, Seolmundae Grandmother was unable to make underwear for Seolmundae Grandmother because it was short of 100 bottles of silk, the god of Hallasan, a huge being and a physical symbol. Therefore, Semyungju Grandmother gave up the bridge connecting the mainland and Jeju. In this paper, focusing on the fact that Mt. Halla, covered with snow in winter, is like a skein of silk thread that we usually use in our daily lives, the etymology of Seolmundae has been changed to Saengmyeongju, - Semyungju, which is a skein of fine silk. As a basis for this, there is a custom of tying a thread of silk in 'Semyungju', a shrine to Semyeongju in Halmangdang, 'Hanmosal' along the coast of Pyoseon-myeon. The silk thread is the core of the Packing DNA gene. The summit of Mt. Halla, Ninety-Nine Valleys, and five hundred generals, found in Seolmundae Grandmother or White Silk, expressed the symbols of Jeju. The Packing DNA gene was found to originate in the Jeongnang

The Study on the Effect of Basic Pension on Subjective Well-being of the Elderly (기초연금 수급이 고령자의 주관적 삶의 질에 미치는 영향)

  • Kim, Hyeyoun
    • 한국노년학
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    • v.40 no.1
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    • pp.1-21
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    • 2020
  • The purpose of this study is to examine that basic pension entitlement affects the subjective well-being(SWB) of the elderly. For controlling unobserved heterogeneity, we used fixed effects model for longitudinal data. The data used for this study is KLoSA from 2006 to 2016. The research results are as follows. SWB of non-basic pensioners was higher than for basic pension beneficiaries. Second, when the demographic variables were controlled, SWB of the basic pension recipients was higher then that of non-beneficiaries. Third, the factors affecting SWB were economic satisfaction, marital status, family financial support, employment status, subjective health status, daily life restrictions, gender, and age. Fourth, the effect of basic pension on SWB was positive at the lowest income quartile. The results of this study shows that the basic pension system has a positive effect on the SWB of elderly despite the low benefit level. Therefore, it is necessary to expand the basic pension system to solve poverty problems and improve the quality of life for the aged. Also, various aspects of social support for the low-income vulnerable elderly are needed. Lastly, It was suggested that the benefit level of the basic pension should be raised to have a substantial effect on the low-income class, which is a key policy subject.

A Comparative Study on Discrimination Issues in Large Language Models (거대언어모델의 차별문제 비교 연구)

  • Wei Li;Kyunghwa Hwang;Jiae Choi;Ohbyung Kwon
    • Journal of Intelligence and Information Systems
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    • v.29 no.3
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    • pp.125-144
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    • 2023
  • Recently, the use of Large Language Models (LLMs) such as ChatGPT has been increasing in various fields such as interactive commerce and mobile financial services. However, LMMs, which are mainly created by learning existing documents, can also learn various human biases inherent in documents. Nevertheless, there have been few comparative studies on the aspects of bias and discrimination in LLMs. The purpose of this study is to examine the existence and extent of nine types of discrimination (Age, Disability status, Gender identity, Nationality, Physical appearance, Race ethnicity, Religion, Socio-economic status, Sexual orientation) in LLMs and suggest ways to improve them. For this purpose, we utilized BBQ (Bias Benchmark for QA), a tool for identifying discrimination, to compare three large-scale language models including ChatGPT, GPT-3, and Bing Chat. As a result of the evaluation, a large number of discriminatory responses were observed in the mega-language models, and the patterns differed depending on the mega-language model. In particular, problems were exposed in elder discrimination and disability discrimination, which are not traditional AI ethics issues such as sexism, racism, and economic inequality, and a new perspective on AI ethics was found. Based on the results of the comparison, this paper describes how to improve and develop large-scale language models in the future.