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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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Analysis on Visibility of Delineators by Survey (시선유도시설 시인성 분석에 관한 연구)

  • Kwon, Sung-Dae;Park, Je-Jin;Nam, Chang-Kyu;Ha, Tae-Jun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.5D
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    • pp.445-451
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    • 2012
  • Visual changes and speed changes in curved sections of highways are more dangerous than straight sections According to the enquetes conducted by Coalition for Transportation Culture in 1999, about 78% of drivers are dissatisfied with traffic guide and safety signs, with lack of visibility being the largest reason with about 27.9% of respondents indicating it as reason for dissatisfaction. In particular, the lack of visibility during nighttime or bad weather not only threatens driver safety due to poor delivery of information, but also affects the service level of highways. Because of this a new delineation must be installed and managed to enhance driver visibility. In this research, an optimal delineation system to enhance traffic safety is presented. In this research drivers effectively obtained information on highway alignment on the curved sections using a retro-reflection type delineation system and a newly-developed internal lighting delineation system to improve safety on the highways. A statistical comparison was conducted and analysis was done for the delineation systems that enhanced visibility through primary and secondary enquaetes. As a result, inside-lighting delineator will be selected in terms of safety at the curve sections. The inside-lighting delineator was more effective than the retro-reflection delineator on visibility, the necessity of reduction of speed and will reduce the hazard at curve sections. It is anticipated that when a delineation system based on this research is installed, a reduction in the number the number and severity of traffic accidents on curved sections will be reduced. In addition this system will more effectively provide drivers with information about highway alignment.

Elderly Convalescence Facility Workers' Knowledge About Oral Health and Subjective Oral Health Care is the Degree of the Elderly (노인요양시설 종사자들의 구강보건 지식정도와 노인구강건강관리에 대한 인지정도 연구)

  • Lee, Yeun-Kyoung;Park, Jeong-Ran;Kwon, Sun-Hwa
    • Journal of dental hygiene science
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    • v.10 no.6
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    • pp.425-430
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    • 2010
  • According to the result of examining the recognition on subjective oral health knowledge and elderly oral health management with a self-administered questionnaire survey conducted to 233 workers of elderly care facilities located in Gyeonggi-do, it was shown that their general oral health knowledge level was high while their elderly oral health knowledge was lower than general oral health knowledge. And it was found that respondents answering they had keen interest in the level of oral health knowledge according to the interest in elderly oral health showed a higher level of oral health knowledge than those answering they had no interest in it, which indicated statistically significant difference (p<.001). Regarding the study subjects' elderly oral health management and educational demand, quite a high percentage of 83,7% responded the education is needed. A response that it is appropriate for dental hygienists to give elderly oral health management and the education showed 57.9%, which was the most. Also, it was shown that in the level of oral health knowledge according to the recognition of elderly oral health managers and educators, subjects recognizing that it is needed to be dental hygienists indicated a high level of oral health knowledge, which showed statically significant difference (p<.05).

The effect that social welfare officials' awareness of welfare has on their sense of duty value and duty efficiency (사회복지공무원의 복지의식이 직무가치관과 직무효과성에 미치는 영향)

  • Cho, Eoun-Suk;Kim, Chong-Tae
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.133-141
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    • 2013
  • The objective of this study is to empirically examine the effect that social welfare officials' awareness of welfare, who play the core role in delivering public welfare service, has on their sense of duty value and duty efficiency. The implications this study suggests are as follows; First, this study has a meaning in that it empirically proved the social welfare officials' awareness level of welfare. Second, this study provided the specific theoretical basis for the approaches and alternatives for the need to improve social welfare officials' awareness of welfare and operate the desirable welfare policy and system, by examining the effect that social welfare officials' awareness of welfare has on their sense of duty value and duty efficiency. Third, we can find the political implication from this study that welfare policy should be established and operated toward the direction of enhancing equalization effect of welfare system, and minimizing free ride or hampering the will to work, if we intend to improve social welfare officials' awareness of welfare. Fourth, this study presented the need to improve the work system of social welfare officials, through the fact that the shorter their work period is, the lower sense of welfare, duty value and duty efficiency they have. Based on the study results above, we suggest the activation of studies on social welfare officials' awareness of welfare, the need to regularly educate social welfare officials about welfare policy, system and value, the need to improve social welfare officials' positive awareness of welfare and their duty performance through deciding welfare policy toward the direction of enhancing social equality and equalization, and the need to improve social welfare officials' work system.

Interference-Prediction based Online Routing Aglorithm for MPLS Traffic Engineering (MPLS 트래픽 엔지니어링을 위한 간섭 예측 기반의 online 라우팅 알고리듬)

  • Lee, Dong-Hoon;Lee, Sung-Chang;Ye, Byung-Ho
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.42 no.12
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    • pp.9-16
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    • 2005
  • A new online routing algerian is proposed in this paper, which use the interference-prediction to solve the network congestion originated from extension of Internet scope and increasing amount of traffic. The end-to-end QoS has to be guaranteed in order to satisfy service level agreements (SLAs) in the integrated networks of next generation. For this purpose, bandwidth is allocated dynamically and effectively, moreover the path selection algorithm is required while considering the network performance. The proposed algorithm predicts the level of how much the amount of current demand interferes the future potential traffic, and then minimizes it. The proposed algorithm considers the bandwidth on demand, link state, and the information about ingress-egress pairs to maximize the network performance and to prevent the waste of the limited resources. In addition, the interference-prediction supports the bandwidth guarantee in dynamic network to accept more requests. In the result, the proposed algorithm performs the effective admission control and QoS routing. In this paper, we analyze the required conditions of routing algorithms, the aspect of recent research, and the representative algorithms to propose the optimized path selection algorithm adequate to Internet franc engineering. Based on these results, we analyze the problems of existing algorithms and propose our algorithm. The simulation shows improved performance by comparing with other algorithms and analyzing them.

An Exploratory Study on the Business Model for Career and Academic Counseling in Non-Urban High Schools (비도시권 고등학교 학생을 위한 진로교육 비즈니스 모형에 관한 탐색적 연구)

  • Park, Seong-Taek;Cho, Min-Woo;Kim, Tae-Ung
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.47-58
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    • 2017
  • Career and academic Counseling is often viewed as the catalyst for frequent and consistent interaction with students, but it is more than simply advising students about which majors, universities or jobs to consider. Ongoing, personal contact of career and academic counselors with students is an essential component in long-term career-related efficacy. But statistics show that high schools in non-urban or rural areas face significant issues different from those schools in metropolitan or suburban contexts, failing to maintain the significant number of teachers enough for effective career and academic counseling. This article proposes an alternative model of career and academic counseling, provided by MBA(Master of Business Administration) alumni based social enterprise in Seoul. This service explores the skills, knowledge and capabilities which MBA alumni gained from their jobs and MBA programs within the context of a career-competency framework. This paper concludes with the social and educational aspect of this shared responsibility strategy that may enhance student motivation and persistence in non-urban high schools.

The Development and Effect of Navigator Education Program for Cancer Screening on Women in the Community (지역사회 여성암 검진 네비게이터 교육 프로그램 개발 및 효과 분석)

  • Lee, Bo-Young;Jo, Heui-Sug;Lee, Hey-Jean
    • Journal of agricultural medicine and community health
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    • v.34 no.2
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    • pp.214-222
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    • 2009
  • Objectives: This study was performed to evaluate the effect of navigator education program for cancer screening, which is designed for improvement in knowledge of cancer, perceived self efficacy and communication skill of the breast and cervical cancer screening for middle-aged and aged women in urban areas. Cancer screening navigator is lay health advisor who are educated for providing information, emotional support about cancer screening at the community. Methods: The subjects were 33 women at the age of 40-69 and educated for 12 hours through the education program. The control group subjects were 30 women. For statistical analysis, descriptive statistics and paired t-test were used with SPSS WIN 14.0. Results: Contents of education program were case of cancer early detection, benefit of breast cancer screening, benefit of cervical cancer screening, health care system for cancer screening, role of cancer screening navigator, communication skill, transtheoretical model and role play. Knowledge of cancer(t=4.267, p=0.000) and communication skill(t=4.947, p=0.000) of the women increased significantly after implementing the 12 hours education program. Conclusion: The results suggest that navigator education for cancer screening has an effect in increasing knowledge of cancer, and communication skill scores.

The Effect of Innovation Resistance of Users on Intention to Use Mobile Health Applications (이용자의 혁신저항이 모바일 건강 앱 이용의도에 미치는 영향)

  • Kim, Dong Hun;Lee, Yong Jeong
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.31 no.1
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    • pp.5-20
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    • 2020
  • The study aimed at identifying the causes of the high level of health application but the low level of use. In other words, the effects of user's innovation resistance (use barrier, value barrier, risk barrier, traditional barrier, image barrier, etc.) were examined. For this study, 378 valid responses were collected by conducting surveys with college students. Findings indicated the higher the level of image barrier of the user, the higher the degree of innovation resistance for the health application, and the higher the degree of innovation resistance, the lower intention of continuous use and recommendation. In addition, the level of use barriers, value barriers and traditional barriers did not have a significant effect on the degree of innovation resistance, suggesting that users familiar with smartphones have low resistance to health applications. The study deepens the theoretical discussion about the adoption and continuous use of new technologies by explaining the use of health applications in the theory of innovation resistance. The findings of the study provide the practical implications that lowering the image barriers rather than the usage barriers, value barriers and traditional barriers will be effective for the adoption and continuous use of health applications.

A systematic review of studies using time series analysis of health and welfare in Korea (체계적 문헌고찰을 통한 국내 보건복지 분야의 시계열 분석 연구 동향)

  • Woo, Kyung-Sook;Shin, Young-Jeon
    • Journal of the Korean Data and Information Science Society
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    • v.25 no.3
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    • pp.579-599
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    • 2014
  • The purpose of this study was to identify the trends and risk of bias of research using time series analysis on health and welfare in Korea and to suggest a direction for future health and welfare research. The database searches identified 6,543 papers. Following the process for screening and selecting, a total of 91 papers were included in the systematic review. There has been a steady increase in the number of articles using time series analysis from 1987 to 2013. Time series analysis was applied in medicine and health science journals. The main goals were explanation and description. Most of the subjects were heath status and utilization of healthcare services. The main model used in the time series analysis was ARIMA followed by time series regression. The data were gathered from various sources, including the national statistical office and government agencies. For assessing risk of bias, some studies were found to have inadequate sample sizes or showed no time series graphs and plots. These findings suggest greater widespread utilization of time series analysis in the field of health and welfare and to use the appropriate analysis methods and statistical procedures to obtain more reliable results to improve the quality of research.

A Mechanism for Call Admission Control using User's Mobility Pattern in Mobile Multimedia Computin Environment (이동 멀티미디어 컴퓨팅 환경에서 사용자의 이동성 패턴을 이용한 호 수락 제어 메커니즘)

  • Choi, Chang-Ho;Kim, Sung-Jo
    • Journal of KIISE:Information Networking
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    • v.29 no.1
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    • pp.1-14
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    • 2002
  • The most important issue in providing multimedia traffic on a mobile computing environments is to guarantee the mobile host(client) with consistent QoS(Quality of Service). However, the QoS negotiated between the client and network in one cell may not be honored due to client mobility, causing hand-offs between cells. In this paper, a call admission control mechanism is proposed to provide consistent QoS guarantees for multimedia traffics in a mobile computing environment. Each cell can reserve fractional bandwidths for hand-off calls to its adjacent cells. It is important to determine the right amount of reserved bandwidth for hand-off calls because the blocking probability of new calls may increase if the amount of reserved bandwidth is more than necessary. An adaptive bandwidth reservation based on an MPP(Mobility Pattern Profile) and a 2-tier cell structure has been proposed to determine the amount of bandwidth to be reserved in the cell and to control dynamically its amount based on its network condition. We also propose a call admission control based on this bandwidth reservation and "next-cell prediction" scheme using an MPP. In order to evaluate the performance of our call admission control mechanism, we measure the metrics such as the blocking probability of our call admission control mechanism, we measure the metrics such as the blocking probability of new calls, dropping probability of hand-off calls, and bandwidth utilization. The simulation results show that the performance of our mechanism is superior to that of the existing mechanisms such as NR-CAT1, FR-CAT1, and AR-CAT1.