• Title/Summary/Keyword: 지역사회 연계

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Factors Affecting the Registration and Access Levels of the Pilot Project for the General Physician System among People with Disabilities (장애인 건강주치의 시범사업 수요자의 등록 및 이용수준 영향 요인 분석)

  • Eunhee Choe;Yeojeong Gu;Seungji Lim
    • Health Policy and Management
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    • v.34 no.2
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    • pp.185-195
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    • 2024
  • Background: Disabled people have particularly restricted access to health care. In response to this, the pilot project for the general physician (GP) system for disabled people was implemented in 2018, based on the rights of people with disability to the Health Act in South Korea. However, its participants were 0.2% among the total of those with severe disabilities in 2021. Therefore, this study examined the factors related to registering with a GP and the access level to its services to suggest implications for activating the participation of disabled people. Methods: We analyzed factors affecting the registration with a GP and the number of using the services among the participants of the GP system during May 2018 and December 2021 by conducting hierarchical logistic regression and hierarchical regression. The data were linked with the national health insurance data to examine various predictors, including disability types, socioeconomic status, health status, and GP registration. Results: As a result of analyzing the factors affecting whether or not to register for the pilot project, those with disabilities (physical disabilities, brain lesions, visual, intellectual, mental, and autistic disability) eligible for disability care (odds ratio [OR], 4.157) than other disability, and those living in metropolitan (OR, 4.330) or cities (OR, 3.332) than rural residences were highly likely to enroll the pilot study. Health-related variables also predicted the registration status of the pilot project. The predictors related to GP enrollment types (membership type: general health or disability care, GP's affiliation: clinics or hospitals) significantly influenced levels of access to services. Conclusion: It is necessary to develop the GP project for disabled people by considering the variation in types of disability, residences, and health. Further study will be needed to investigate the impact of GPs on the level of participation among disabled people.

An Analysis of Child Care and Education Teacher's Current Practices and Difficulties in Supporting Children with Problem Behaviors (국공립 어린이집 재원 유아의 문제행동과 교사의 현재 교수 실태 및 지원요구에 대한 탐색)

  • Lee, Yeon Jeong;Cho, Youn Kyung
    • Korean Journal of Childcare and Education
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    • v.10 no.3
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    • pp.5-29
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    • 2014
  • The purpose of this study was to find out various problem behaviors of children who were not diagnosed with any disability, but instead, engaged in problem behaviors. This study also intended to review the difficulties of children with problem behaviors, their teachers' difficulties and needs, to suggest support for child care and education teachers. This study conducted semi-structured qualitative interviews with eight child care and education teachers. The interviews were transcribed into text and analyzed by contents. The results of this study are as follows. Problem behaviors of children described by teachers were classified into external and internal types. In addition, children with problem behaviors had experienced difficulties in maintaining relationships with their teachers, peers and parents. Many teachers were not successful to provide appropriate support for preschoolers who demonstrated problem behaviors in classrooms or some teachers provided individualized support. Teachers adapted the behavioral and the psychological approaches to problem behaviors of preschoolers. However, teachers reported difficulties with children with problem behavior and brought up the following issues on teaching children with problem behaviors; managing troubled matters happening in the class, difficulty in controlling teacher's emotions on problem behaviors, the lack of time, the integrated child care time without teacher in charge of child, the interruption in activity progress, the lack of a special way to deal with problem behaviors, and difficulty in cooperation with families through parents-teacher counseling sessions. Teachers counseled with parents who had a child with problem behaviors and revealed that parents reacted to problem behaviors in various ways such as embarrassment, acceptance, ignorance, or avoidance. Most teachers received assistance and support for teaching children with problem behaviors, from families, local communities and in-service training. Lastly, teachers with preschoolers with problem behaviors needed the support of experts on managing behavior problems, assistant teaching personnel, education for parents and teachers, respects for teachers, psychological counseling or play therapy from professional service agencies, diagnosis service at child care and education centers which children attended, and support networking with agencies. Teachers also required the family support of medical diagnosis and psychological counseling and financial support from the government.

Network Planning on the Open Spaces in Geumho-dong, Seoul (서울 금호동 오픈스페이스 네트워크 계획)

  • Kang, Yon-Ju;Pae, Jeong-Hann
    • Journal of the Korean Institute of Landscape Architecture
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    • v.40 no.5
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    • pp.51-62
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    • 2012
  • Geumho-dong, Seoul, a redeveloped residential area, is located in the foothills of Mt. Eungbong. The geographical undulation, the composition of a large apartment complex, and the partial implementation of the redevelopment project have caused the severe physical and social disconnections in this area. In order to recover functioning in the disconnected community, this study pays attention to the regeneration of the open spaces as an everyday place and in the form a network system among those open spaces. Various types of the open spaces are classified into points or faces, 'bases' and linear 'paths' analyze the network status. More than half of the open space have connecting-distance of 500m or more. Furthermore, many areas are not even included in the service-area of the open spaces. Analysis of the connectivity and integration value using the axial map has carried out to check weak linkages and to choose the sections where additional bases are required. In addition, to improve the quality of the bases and the paths, a field investigation is conducted and problems are diagnosed. The network planning of the open spaces in Geumho-dong is established, ensuring the quality and quantity of bases and paths. The plan includes the construction of an additional major base in the central area and six secondary bases in other parts, and comes up with ways to improve the environment of underdeveloped secondary bases. In the neighborhood parks at Mt. Daehyun areas, the major path are added, and the environment of the paths is improved in certain areas. Because of the network planning, the connecting-distances between bases are reduced significantly, the connectivity and integration value of the area are increased, and the service areas of the open spaces cover the whole area properly. Although this study has some limitations such as the needs for the legal and institutional supports and difficulties of a quantitative indexing process, its significance lies in the suggestion of a more reasonable and practical plan for the overall network system by defining complex types of open spaces simply and clearly and by examining the organic relationships quantitatively and qualitatively.

The Analysis of Activities and Satisfaction of Volunteers for Hospice Care (호스피스 자원봉사자의 활동 및 만족도 분석)

  • Kim, Boon-Han;Jung, Yun;Park, Kyung-Bok
    • Journal of Hospice and Palliative Care
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    • v.5 no.2
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    • pp.163-171
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    • 2002
  • Purpose : The purpose of this study was to analyze activities and satisfaction of volunteers for hospice care. Methods : We used 271 reports of hospice care and 20 questionnaire of activities and satisfaction of volunteers for hospice care from volunteers of in a community. Window SPSS-PC was used for the data analysis and the statistical method used were the descriptive statistics, t-test, ANOVA and Pearson's correlation coefficient. Results : 1) The highest score of activity was emotional area and the next activities was physical area. 2) The degree of emotional area (t=4.94, P<.05) and spiritual area (t=3.80, P<.05) was influence by religion of volunteers. 3) The mean score of satisfaction was 3.61. 4) There was correlation between duration of activity and death experience (r=.558, P<.05), emotional care (r=.698, P<.01), spiritual care (r=.474, P<.05), satisfaction (r=.651, P<.01), and the between physical care and family care (r=.559, P<.05), and the between spiritual cue and family care (r=.512, P<.05), and between emotional care and satisfaction (r=.536, P<.05). Conclution : The above result indicated that we must develope the management and education of volunteer of hospice care for various hospice care. Also, We should to encouraged the continuous education and efficient management.

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Views of Public Dental Hygienist about Oral Health Hub Center - In the Area Not Implemented (구강보건센터 미설치 보건소 치과위생사의 구강보건센터 설치 및 운영에 관한 견해)

  • Kim, Kyung-Mi;Yoo, Eun-Mi;Heo, Sun-Soo;Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.12 no.6
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    • pp.675-681
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    • 2012
  • Korean Ministry of Health and Welfare started to implement oral health hub center to provide oral health preventive program and dental treatment to public, especially dental vulnerable class in 2006. But, there is no applicant area to implement it regardless of national budget arrangement in 2012. This study is aimed to investigate the reason not to be implemented and requirements of implementation. 293 among 1,000 public dental hygienists in the area where have not implemented oral health hub center were surveyed in Korea from April to July in 2012 through convenience sampling. The questionnaire consisted of the reason why oral health hub center have not been implemented, the requirement of implementation, duty area and duty position et al. After removal of insufficient responses, 217 questionnaires were analyzed by t-test and ANOVA using SPSS 20.0. The reason why oral health hub center have not been implemented were deficiency of the priority list as compared with other health program (72.4%), space insufficiency (71.4%), regional budget insufficiency (70.5%), will insufficiency of oral health promotion (70.5%) and manpower insufficiency (62.7%). The first requirement of implementation were space expansion and regional budget expansion, followed by reduction of record-originated and administrative tasks, understanding on oral health program of higher ranking public officials in health center, manpower expansion, reduction of other tasks than oral health program and volunteer source expansion. Budget insufficiency and manpower insufficiency in Metropolis were ranked higher than other area (p<0.05). The group not to discuss oral health hub center graded each reason not to be implemented significantly higher than the other group (p<0.05). We suggested that to promote the importance of public oral health program be needed to public and higher ranking public officials to implement oral health hub center. In addition, we insisted that more dental manpower and budget be needed for reduction of oral health inequity in metropolis.

A Study on the Methodology of Extracting the vulnerable districts of the Aged Welfare Using Artificial Intelligence and Geospatial Information (인공지능과 국토정보를 활용한 노인복지 취약지구 추출방법에 관한 연구)

  • Park, Jiman;Cho, Duyeong;Lee, Sangseon;Lee, Minseob;Nam, Hansik;Yang, Hyerim
    • Journal of Cadastre & Land InformatiX
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    • v.48 no.1
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    • pp.169-186
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    • 2018
  • The social influence of the elderly population will accelerate in a rapidly aging society. The purpose of this study is to establish a methodology for extracting vulnerable districts of the welfare of the aged through machine learning(ML), artificial neural network(ANN) and geospatial analysis. In order to establish the direction of analysis, this progressed after an interview with volunteers who over 65-year old people, public officer and the manager of the aged welfare facility. The indicators are the geographic distance capacity, elderly welfare enjoyment, officially assessed land price and mobile communication based on old people activities where 500 m vector areal unit within 15 minutes in Yongin-city, Gyeonggi-do. As a result, the prediction accuracy of 83.2% in the support vector machine(SVM) of ML using the RBF kernel algorithm was obtained in simulation. Furthermore, the correlation result(0.63) was derived from ANN using backpropagation algorithm. A geographically weighted regression(GWR) was also performed to analyze spatial autocorrelation within variables. As a result of this analysis, the coefficient of determination was 70.1%, which showed good explanatory power. Moran's I and Getis-Ord Gi coefficients are analyzed to investigate spatially outlier as well as distribution patterns. This study can be used to solve the welfare imbalance of the aged considering the local conditions of the government recently.

Environmental Flow Assesment for Sustainable River Management in Guem River (지속가능한 하천관리를 위한 금강의 환경유량 산정)

  • Kim, Jeong-Kon;Kim, Gee-Hyoung;Ko, Ick-Hwan;Park, Sang-Young;Seo, Jin-Won;Jang, Chang-Lae
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.622-627
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    • 2007
  • 최근 하천의 모습은 이수 및 치수를 위해 설치된 수공구조물과 각종 오염원으로 인한 수질악화, 산업화 및 도시화에 따른 물순환시스템의 변화로 하천의 물순환 시스템이 바뀌게 되고 하천을 찾는 시민들의 환경의식 미성숙으로 인한 직간접적인 하천오염 활동이 이루어지고 있다. 하천에 대한 이러한 변화는 수질, 수량 및 하천의 구조적 측면에서 하천 생태계에 많은 영향을 끼치고 있다. 따라서 하천의 정상적인 기능을 회복시켜 하천 생태계 보전과 환경적으로 안정된 하천 조성이 이루어지도록 하기 위해서는 하천을 보다 자연스럽고 지속적으로 관리하기 위한 효율적인 환경유량의 관리가 필요하다. 하천의 전체적인 생태시스템을 고려한 환경유량의 관리를 위해서는 기존 환경유량의 개념, 산정방법 등 현황을 분석하고 하천 생태계에 영향을 미치는 인자들에 대한 관리방안을 마련하는 것이 중요하다. 본 연구의 목표는 하천생태계에 대한 영향인자의 장단점을 분석하고 이들이 어느 정도의 영향을 미치고 있는지를 정량적으로 파악함으로써 사회적으로 요구되는 환경유량을 산정할 때 어류 및 식생 등 하천의 생태계와 하천의 수량 및 수질, 하천의 수리구조물 등 하천의 구조적인 변화를 고려할 수 있는 방안을 마련하는 것이다. 이를 위하여 우선적으로 국외 선진국에서 활용되고 있는 다학제간 전문가 그룹(Multi-disciplinary Expert Team, MET)을 통해 하천 생태시스템을 분석하고 환경유량 산정 모형을 활용하여 저수지 댐과 연계 운영함으로써 어류 및 식생 등 생태서식처와 사회환경 개선에 필요한 유량을 유지할 수 있는 방안을 적용하고자 한다. 본 연구에서는 대상유역인 금강유역에 대해 환경유량을 산정하기 위한 개념모형을 구축하였다. 개념모형은 대청댐 건설 이전, 대청댐 건설이후${\sim}$용담댐 건설 이전, 대청댐과 용담댐 건설 이후 등 3개의 시나리오를 통해 하도 및 수변공간과 유량변화에 따른 유황분석 등을 통해 손실된 생태시스템을 정량화하여 궁극적으로는 복원을 위한 대응방안을 마련하도록 할 수 있도록 구축되었다. 또한 댐으로 인한 하류지역의 영향범위 및 하천생태계에 미친 영향을 감소하기 위하여 적절한 환경유량을 산정하기 위한 것이다. 구축된 개념모형을 바탕으로, 금강유역에 대한 기초적인 수문, 하천특성, 현장조사 등을 실시하였다. 향후에는 본 연구결과를 기초로 하여 환경유량을 산정하기 위한 모형을 개발하고 산정된 환경유량을 확보 및 관리하기 위한 방안과 친환경적인 댐 운영방안을 마련하게 될 것이다.

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Hierarchy of the dolmen society in Yosu Peninsula (여수반도 지석묘 사회의 계층구조)

  • Lee, Dong-Hui
    • KOMUNHWA
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    • no.70
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    • pp.109-132
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    • 2007
  • Taking the Yosu Peninsula where prestige goods were prevalent and more dolmen were excavated and surveyed than other regions as object of the research, this dissertation investigated the hierarchy of dolmen society. The dolmen groups were excavated and surveyed at some 20 positions in Yosu Peninsula Analyzing the number, weight of upper stone, location, the buried relics of dolmen, the hierarchy for each dolmen group can be summarized as follows. It seems that the large group with a lot of dolmen and big upper stone which is located on the plane with stream or on the lower part of hill might be the central group with abundant buried relics. However, the size of individual upper stone does not coincide with buried relics sometimes. Thus, it is required to review the entirety of dolmen group rather than individual upper stone in the relation between the scale of upper stone and buried relics. Then the scale of tomb is proportionate to the prestige goods. Meanwhile, the discrepancy between dolmens can be verified by the difference among upper stone, tomb, burial accessories, etc in the unit dolmen group. Since dolmen is the tomb of some inhabitants in the Bronze Age, the existence of stone coffin tomb with buried bronze sword, jade or stone sword compared to the stone coffin with no relics means that there was powerful representative of one generation even in one kindred group on the basis of wealth or authority. It can be concluded that the upper stone or large tomb or prestige goods among the persons buried in dolmen were fixed as high class, those with relatively small stone coffin with no or scanty burial accessories were fixed as medium class and multitudinous class who were not buried in dolmen were fixed as low class. Therefore, the dolmen society in Yosu Peninsula shows that there was division of class in the unit dolmen group as well as hierarchy in the group.

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Using Dark Tourism Study on Culture and Tourism of industrialization - Focusing on Honam righteous army - (다크 투어리즘을 활용한 문화관광 산업화 방안에 관한 연구 - 한말 호남 의병사(義兵史)를 중심으로 -)

  • Kim, Hyun-Cheol;Yoo, Jun-Ho;Ha, Kyu-Soo
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.6 no.1
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    • pp.59-81
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    • 2011
  • The 21st century, the creation and utilization of knowledge and information are the core of all economic activity, knowledge-based economy is plunging into. Culture can not live without knowing the age of culture and national spirit of a nation's cultural assets. Closed for other cultures, countries can develop a culture that is neither marked by imitation and import of cultural industries can never be developed. Creative and diverse culture of its own cultural code, evenly balanced mix of social culture is really the cultural and creative culture. Central government and local government-led growth in the local economy in terms of competitive cultural industry development policy has been carried out. In general, a country or society, culture, industry, the creation of a unique cultural and Planning on the basis of information deliquescent recreated a typical high-risk high returns to pay the venture industry and the nature of the creative industries and the venture industry a unique mix of industrial Characteristic is that it has. These times and the industry can contribute to the flow of valuable cultural assets and a history of our righteous living and exercise will be a source of resources.

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The Perception of Secondary School Principals on Competency Education (학교 현장에서 역량교육 실행에 대한 학교장의 인식 탐색)

  • Cho, Bokyung;Jeon, Young-Joo
    • The Journal of the Korea Contents Association
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    • v.21 no.8
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    • pp.247-257
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    • 2021
  • It seems likely that the characteristics of future society will include an emphasis on diverse and expansive data sets and the use of AI technology. Because of this, school leaders within the traditional, textbook based educational framework there will be changes should meet the 2015 Revised National Curriculum and prepare students for future societies. The purpose of this research paper was to suggest the nature of and policies necessary for better educational processes in middle and high schools after they've been improved in accordance with the 2015 Revised National Curriculum. This paper implemented its survey and interview of school principals through the guidelines provided by UNESCO Bangkok's transversal competence research. Analysis results and research participants were practicing strengthened education in the course of their daily activities. The educators involved received positive evaluation from their students. Further, pedagogical opinions were suggested regarding the effects of school principals on various strengthened education elements. This paper's suggestions within the context of the 2015 Revised National Curriculum are expected to continue reinforcing the overall positive effect of the currently in practice strengthened education methods. Furthermore, it can contribute to the development of the next National Curriculum with empricial data.