• Journal of the Korean Institute of Gas
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• v.3 no.1
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• pp.8-13
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• 1999

The article 49-2 of Industrial Safety Law requires that all the owners of industrial plants which contains dangerous facilities perform the process safety management. That is, this law requires the owners of industrial plants to take necessary measures to prevent fire, harmful gas leaking, explosion, and other serious accidents that could cause demage and injuries to the employees. So far, domestic chemical plants have tried to invest money and time in safety management. But, such efforts have been made only in chemical plants that were subsidiaries of large business groups. Moreover, since the economic crisis of Korea which is symbolized by the IMF bailout, small and medium size companies could not afford to invest in safety management. Their major concern is to increase productivity and thereby, survive in this crisis. The goal of this research is to develop the process safety management system that can help small and medium size companies to positively secure the process safety management. So, in developing the process safety management system, the financial and practical difficulties of such companies are fully taken into consideration.

• Journal of Korean Academy of Oral Health
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• v.41 no.1
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• pp.43-49
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• 2017

Objectives: In this study, we strived to determine the possibility of socioeconomic welfare in oral healthcare by analyzing the National Health Insurance (NHI) coverage rate. To date, efforts to realize the "social economy" of healthcare are active. While oral disease is common and chronic among Koreans, the rate of NHI coverage of dental clinics is substantially lower than that of the medical clinics. Methods: We defined the NHI coverage of dental clinics as a proxy for "social skills" to improve oral health problems. The data were collected through a comparative analysis of the NHI coverage of dental clinics and that of non-dental clinics, in health welfare social cooperatives. Results: The NHI coverage rate of the dental clinics in health welfare social cooperatives ranged from 0.97 to 2.62 times that of the non-dental clinics in health welfare social cooperatives. Conclusions: In conclusion, responsible management is recommended for making health welfare social cooperatives meaningful as a social economy.

• Journal of the Korean Institute of Gas
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• v.26 no.1
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• pp.7-19
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• 2022

Hydrogen purification is generally performed through chemical and physical methods. Among various types of purification method PSA(Pressure Swing Adsorption) is widely used with its purification capacity and economic efficiency. In Korea, most of the hydrogen used in automobiles and power generation fuel cells is purified using PSA. Hydrogen produced in petrochemical complexes has difficulties in transportation. The government is planning to install hydrogen extractors that produce hydrogen directly from consumers in connection with the city gas supply chain, and companies are also installing related research and demonstration facilities one after another. Europe and others have recently established safety standards related to PSA and are making efforts for systematic safety management at the construction and operation stage, but domestic safety standards related to PSA are still insufficient. This study aims to identify problems of existing facilities through surveys and risk assessment by companies operating existing PSA, and to prepare domestic technical standards including them in overseas technical standards to promote the safety of new and existing PSA systems.

• 한국노년학
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• v.29 no.4
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• pp.1295-1311
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• 2009

The aims of the study is to analyse the participation satisfaction and the intension continuing participation through volunteering of the elderly who take part in the employment promotion programme for the elderly. The major findings can be summarised as follows; first, although the level of satisfaction of the public sector programme participants seems relatively high, the satisfaction level on the payments is not. Secondly, there was differences in the level of volunteering intension according to different kinds of the programmes. Thirdly, higher socio-economic status, the sorts of the programme, and the level of satisfaction affects the odds of the participation intention of the elderly. Based on these findings, the study suggests various directions of the employment promotion programme for the elderly such as need assessment for the elderly, the increase of the payment, promoting the quality of employment, and the administrative system for supporting elderly volunteering.

• 한국노년학
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• v.31 no.4
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• pp.1229-1246
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• 2011

The objectives of this study were to analyze change in life satisfaction of Korean elderly, to find determinants of it in an aging society, and to suggest ways of improving their life satisfaction. Data used in this study were from 1994, 2004, 2008 national survey results on the elderly life conditions and welfare need conducted by the Korea Institute for Health Social Affairs and Keimyung University, which were collected from 1,371, 3,278, 3,009 elderly people aged 65 and over who answered regarding their life satisfaction each year. Data were analyzed by multiple regression method. The results of analysis showed that the general life satisfaction of Koreans elderly is higher than average and is decreasing year after year. Determinants of life satisfaction for Korean elderly can be divided in two factors: common factors(i.e. subjective economic and health conditions) and flexible factors(i.e. marital status, employment status, perceptions of aging). Implications for designing services and service systems for elderly families were discussed.

• Journal of Yeungnam Medical Science
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• v.2 no.1
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• pp.191-202
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• 1985

As the result of a significant improvement in the economic situation and development of scientific techniques in Korea during the last 20 years, the life expectancy of the Korean people has lengthened considerably and as a result the number of old aged people has markedly increased. Such an increase of the number of aged people brought about many problems. Authors would like to take a medical look at the "Problem of old aged people" presently facing us in Korea. Currently the number of people over 65 has increased rapidly and is 1,620,000, 4% of total population. But it is still much lower than 8.9% in Japan, 10.7% in U.S.A., and 14.9% in the United Kingdom. Over 25% of these aged people were found to have at least more than one disease which requires medical care. Diseases occur in the circulatory system, 30.9%, respiratory system, 17.1%, digestive system 8.6%, mental disorders, 8.4%, malignant neoplasms, 7.0%. About 51% of the aged over 65 are under medical security benefit, mostly with partial coverage plan. Their clinic visit rate was very low (2.0% in 1981), which might be due to financial reasons. Since diseases affecting the aged progress chronically, early detection and long term care are utter most important. However there is almost no special facility, long term care center or geriatric specialist. For proper management of medical problems in the growing population of the Korean eldery expansion of medical security coverage, greater number of specialized facilities, education of geriatric special manpower and efficient operating system should be established.

• Health Policy and Management
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• v.20 no.4
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• pp.58-73
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• 2010

Background : Cancer is a disease that not only places a significant burden on patients clinically but also requires significant expense for diagnosis and treatment. Although the cancer coverage of health insurance has recently been expended, the need for financial assistance among cancer patients and their families is still expected to be significant. In this study, cancer patients' need for financial assistance in Korea was examined and its influence factors were analyzed. Methods : Target study subjects were those who are over 18 years of age and were diagnosed with cancer more than four months prior at the National Cancer Center and 9 Regional Cancer Centers in Korea during the period from July to August of 2008. Quarter sampling was conducted according to the ratio of the type of each cancer. A face to face interview survey was conducted. A total of 2,661 cancer patients finished the survey. Medical charts were reviewed in order to obtain the cancer type and SEER stage of cancer patients. An ordered logistic regression model was used to examine the level of need for financial assistance according to the demographical, clinical, and socio-economic variables of cancer patients. Result : The percentage of cancer patients who needed financial assistance was 69.0%, and 36.9% needed significant financial assistance. The need for financial assistance was perceived to be greater in males, younger age group, low income group, low education group, medical aid recipients, those who were diagnosed recently, those with a low level of quality of life measured through EQ5D, and those with decreased income after cancer diagnosis. Conclusion : In spite of the current policy to increase health insurance coverage, the majority of cancer patients and their families in Korea still need financial assistance due to cancer. In particular, there were more vulnerable groups, such as the low income, or low education group. In the future, policies that focus on the disadvantaged, which strengthen social security, should be considered for achievement of a substantially better quality of life for cancer patients and their families.

• Journal of Internet of Things and Convergence
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• v.6 no.4
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• pp.27-32
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• 2020

Along with the aging of the population, the number of dementia patients is increasing, and the social and economic burden is also increasing. Currently, the effective way to manage dementia patients is to identify patients with dementia early. However, in rural and island areas where medical staff are scarce, there is a problem that it is difficult to visit a hospital and get an early examination. Therefore, we propose a remote early detection system for dementia to solve the problems. The remote dementia early diagnosis system is a system that allows a patient to receive examination and treatment from a remote dementia expert using remote medical technology based on real-time image communication. The remote early diagnosis system for dementia consists of a local client system used by medical staff at health centers in the island, an image server that transmits, stores and manages images, and an expert client used by remote dementia experts. The local client subsystem satisfies the current medical law's remote collaboration by allowing the patient to use it with the health center's medical staff. In addition, expert clients are used by dementia experts, and can store/manage patient information, analyze patient history information, and predict the degree of dementia progression in the future.

• Quality Improvement in Health Care
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• v.15 no.1
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• pp.73-78
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• 2009

문제: 오늘날 간호사는 과거와 달리 현대적 보건의료 요구를 해결할 수 있는 체계적인 이론과 기술을 습득하도록 훈련된 고급 전문 인력이고, 간호행위를 생산하기 위해서는 서비스의 생산원가 뿐만 아니라 전문 인력으로서의 훈련 및 유지비용 등도 투입되어야만 가능하게 함으로서 2008년 7월부터 시행한 중환자실 간호등급에 따른 간호수가 책정으로 인해 중환자실 내에서 이루어지고 있는 많은 간호행위 중 수가를 받을 수 있는 부분이 생기게 되었고 간호행위의 중요성과 더불어 간호를 시행 후 받을 수 있는 수가에 대한 간호사들의 입력에 대한 의무도 늘어나게 되었다. 이에 빈번히 누락되고 있는 간호수가 관리를 통한 경제적 손실을 방지해야 할 필요성을 느껴 개선활동을 하고자 한다. 목적: 2008년 7월부터 시행한 중환자실 간호등급에 따른 간호수가 책정으로 인해 중환자실내에서 이루어지고 있는 간호 행위의 중요성을 인식하고 구체적인 문제 분석과 간호 현장에서의 개선안을 도출함으로써 경제적 손실을 방지할 수 있는 간호수가 누락률을 감소시키고자 함이다. 의료기관: 대구파티마병원 내과 중환자실. 질 향상 활동: 업무개선의 방법으로 환자 개인별 간호수가 입력 누락 방지 체크 리스트 사용 및 처방 전달 시스템의 간호수가 재입력 화면을 이용하여 입력의 용이성 도모하였고 입력된 간호수가를 처방 전달 시스템 간호수가 조회 프로그램을 이용해 익일 누락여부를 매일 모니터링 하였다. 교육 및 홍보활동으로는 간호수가 입력누락 방지를 위한 간호수가 입력 지침을 제작하여 전체간호사는 년 2회, 신규간호사는 개별 교육을 실시하였으며, 월별 간호수가 누락통계를 실명 공고 하여 간호수가 다 빈도 누락 간호사는 추가 개별교육을 실시하였다. 개선효과: 간호수가 입력 프로세스 개선을 통해 간호수가 평균 누락률이 개선 전 6.5%, 개선 후 1.2%로 5.3%의 누락 감소율을 보였으며 역치 5%를 달성하였고 간호수가 누락금액은 개선 전 2,992,752원, 개선 후 590,787원으로 2,401,965원의 누락 효과 비용을 구할 수 있었다. 본 QA활동으로 중환자실 간호수가 전산입력에 대한 체계적인 교육부재와 신규간호사들의 잦은 전산누락이 있어왔으나 표준화 된 체크리스트 지침과 입력확인 작업으로 전산입력 누락률이 감소하는 효과를 가져왔다. 추후 심평원 청구 작업을 하는 부서와 연계되어 실제 청구 누락률에 대한 비교와 간호사 근무연수와 간호수가 입력 누락률에 대한 상관관계 조사를 제언 해 본다.

• 한국노년학
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• v.29 no.1
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• pp.275-289
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• 2009

The purpose of this study is to explore effective factors of elderly people's overall death anxiety and sub-dimensions of death anxiety. The subjects were 156 elderly people in S City, Gyeonggi-Do gathered by convenience sampling. This study collected data by interviewing the elderly who agreed to participate in the study and then analyzed it using SPSS 12.0 through descriptive statistics, the t-test, F-test, Sheffe-test, correlation analysis, and multiple regression. The respondents' overall death anxiety score was 2.61(±.47), and 'anxiety in the dying process'(2.94) had the highest points among sub-dimensions. Effective factors of overall level of death anxiety among the elderly were 'age' (β=-.18, p=.015), 'education' (β=-.16, p=.045), and 'economic status' (β=-.26, p=.003). In sub-dimensions, the elderly who were female, relatively young, and had low economic status showed high 'anxiety in the dying process'. As for 'anxiety over what will happen after one's death', the elderly who were relatively young, and had low economic status had high scores. Finally, on 'the loss of existence', the elderly who had poor relationships with their families had high scores.