• 한국보건간호학회지
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• 제17권2호
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• pp.287-298
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• 2003

This study was conducted to identify the health care utilization, health care costs, and potential health care demands of the disabled in the Medicaid Aid beneficiaries. This study focused on the heath care costs not included in the medical aid allowance such as transportation, informal nursing costs, and ambulatory aids etc. Participants were the 864 subjects who were beneficiaries of the National Medical Aid program living in 10 district of Korea. A questionnaires were distributed to the disabled in the Medical Aid beneficiaries during August to September, 2001 through public offices. Data were collected through a home visiting by social workers working in public offices. Direct and indirect medical costs expended for one month by the participating disabled were examined. They expended 110.748 won $({\$}100)$ for heath care costs, which was not included in the medical aid allowance during the month. The disabled with cerebral diseases or who have level 4 disability expended more health care costs compare to those with other diseases. Gradual expansion of medical aid allowance for the disabled is recommended to alleviate economic burden of the disabled and their family.

• 디지털정책학회지
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• 1권1호
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• pp.21-26
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• 2022

본 연구에서는 요양병원이 입원비 지출 발생에 기여도가 큰점을 주목하여, 요양병원의 입원정책을 살펴보고, 불필요한 입원비발생을 유발한 점이 있다면, 해외사례를 참조하여 개선방안을 제안하고자 한다. 본 연구는 건강보험공단과 건강보험심사평가원에서 발행한 건강보험통계연보, 건강보험 주요통계를 주로 활용하여 연구를 진행하였다. 이를 바탕으로 요양병원이 입원비 발생에 가장 큰 기여를 한다는 것을 추론하였다. 본 연구 결과 요양병원의 입원규정이 명문화 되지 않았다는 문제점을 발견하였고, 명문화 되지않은 입원 기준이 불필요한 입원비 발생해 기여 할수 있다는 점을 발견하였고, 이를 극복하기 위한 개선방안을 우리보다 먼저 고령화를 경험한 미국의 사례에서 제안해보았다. 본연구를 시작으로 요양병원에서의 불필요한 입원비 지출을 줄인 보다 많은 외국의 사례들을 찾아야 할 것이다.

• The Journal of Korean Physical Therapy
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• 제10권1호
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• pp.105-125
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• 1998

We are confronted by increase in old people due to the improvement in medical science, public hygiene and socioeconimic status in 20th century. But our medical security system for old people dees not meet the need for medical service of old people. Current medical insurance system restricts term and extent in allowance although the characteristics of the disease of the aged people need medical care of Bong duration and high cost. And in the medicaid system the speciality of the aged people is not recognized and the budget of the government is scanty. In addition many old people to our country are in economic distress due to low income. But the government authority does not give sufficient consideration for eld people in law, policy and budget. To improve social security system for old people it is necessary to increase the budget for the security of old people, to enhance the traditional respect for the aged, to improve medical security system by improving the accessibility to medical service and by expanding the allowance of medical insurance, and to expand the public welfare institutions. And these are roles for all the family. the society and the nation as well as the aged people themselves.

• 한국농촌건축학회논문집
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• 제11권4호
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• pp.51-58
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• 2009

The senior adults which are a central manpower of economic activity of the nation decreased and the elderly sustenance allowance already went over 10%. And the economic activity participation of the woman which are the supporter of the unpaid the elderly within the family is increasing. This big change is expected to support awareness. To respond to these changes, the improvement of social welfare system for elderly with the job of retirement lifestyles of the elderly, a figure that is needed for the ceremony. The elderly medical treatment facility that began in 2008 the elderly long-term medical treatment law enforcement because of the demand is expected to grow. It is forecast with the fact that the data which is fundamental is most important will become that old person medical treatment facility of the middle-aged layer which is a central role of the protector who decides the facility use of the preliminary consumer of the elderly care facility and currently the very the elderly and manhood ceremony and the preference to plan of the elderly welfare facility. The purpose of this study is to present the fundamental data about the elderly care facility for comparative analysis the awareness & perfernces of the elderly care facilities of the senior adults & the elderly.

• 복식문화연구
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• 제3권2호
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• pp.347-370
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• 1995

The elderly population of Korea has been significantly increasing due to advances in public health, medical care, and quality of life. Social, economical influence of the elderly population has been increasing, too. Research regarding elderly people is important because many elderly people take care of their appearance and clothing, and clothing plays an important role in the elderly women's everyday life. This study investigated the life satisfaction, appearance satisfaction, and clothing behavior of women aged 55 years and older who were residents of Seoul. The results of this study are as followings: 1. The importance of various factors on clothing behavior is different. They are management, clothing importance, fashion indifference, information search and purchase planning, clothing dependence, status symbol, and conformity in order of the importance. 2. Age has a positive relationship with each of fashion indifference and clothing dependence, but a negative relationship with information search and purchase planning. 3. Age has a positive relationship with each of life satisfaction and allowance. 4. Appearance satisfaction is positively related with age, but is significantly related with neither allowance nor education. 5. There are positive relationships between life satisfaction and all clothing behavior factors except status symbol. 6. Appearance satisfaction are siginicantly correlated with management, conformity, clothing dependence, and clothing importance. And life satisfaction has more significant relationship with clothing behavior than appearance satisfaction does.

• 한국응급구조학회지
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• 제11권3호
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• pp.163-174
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• 2007

Purpose : This study analyzes prehospital care report of emergency service at prehospital stage, examines characteristics of activities of 119 paramedics and its users and aims to provide help for improving emergency system in future. Methods : Data collected were 119 prehospital care report and hospital records with 7,160 patients to emergency room by 119 ambulance from Jan. 1 to Dec. 31, 2006 and percentage and frequency of the data were obtained. Results : 1) Use of emergency room by 119 ambulance was increased in summer and autumn such as August(9.1%), September(11.2%) and October(13.5%) and it was more frequently used on Monday(17.3%), Saturday(17.2%) and Friday(16.1%) by telephone(98.6%). 2) Using emergency room was most in over sixties(51.8%), men(64.2%), community residents (78.3%), by report of family(50.3%) and at '09:01~12:00'(16.5%). 3) Symptoms of emergency room users included headache, chest pain, stomachache, lumbago and others as 40.6% and places where patients were found were at home(60.1%) due to chronic internal diseases at 49.2%. 4) Most of non-emergency patients(80.2%) arriving at hospital had normal pupil condition (88.4%) and clear consciousness(71.2%) and most of them left hospital after having first-aid treatment. 5) Physiological symptom tests evaluated by paramedics at prehospital stage included blood pressure(56.6%), pulse(22.9%), breathing(13.0%) and temperature(9.2%), and there was no SPo2 case. 6) Classification of severity by paramedics showed difference as emergency patients(18.0%) by paramedics and those(24.9%) by hospital. 7) First-aid treatments by paramedics at prehospital stage were promoting comfort(28.9%), hemostasis(7.7%), fixing cervical vertebrae(4.0%) and ensuring vein route(3.1%). 8) Selectors of medical agency were patients or guardians(86.2%) and emergency medical technicians(73.6%). Conclusion : To sum up the above research, it was found that percentage of using 119 ambulance by non-emergency patients was higher and paramedics performed basic first-aid treatment rather than professional first-aid treatment due to several conditions such as legal problems, range of allowance, etc. Therefore, it is considered that method to reduce frequency of ambulance by non-emergency patients and approaches to alleviate limitations of allowance of paramdeics to make them perform effective first-aid treatment at prehospital stage should be sought in the dimension of individual, organization and government.

• 의학교육논단
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• 제24권1호
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• pp.10-17
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• 2022

South Korea is not a wasteland of publicly funded health care-instead, it has a good medical social security system known as the national health insurance (NHI). The NHI of Korea has three unique features; (1) low premiums, low insurance fees, and low coverage; (2) obligatory designation of medical institutions; (3) and allowance of non-benefit services. These features have made hospitals and doctors interested in profit-seeking. However, the commercialization of medical institutions has taken place in both private- and public-established sectors. A basic problem of commercialization is the co-existence of the obligatory designation of medical institutions and non-benefit services. The problem became worse in the Kim Dae-Jung government because it officially permitted non-benefit services. Since 2000, the Korean government has consistently pursued benefit extension policies, but the coverage rates of the NHI have stagnated. In addition, premiums and current medical expenses have markedly increased because policy-makers have emphasized accessibility to the NHI, while ignoring important principles of medical social security such as a needs-based approach and patient-referral system. In order to resolve the commercialization problem, the obligatory designation of medical institutions to the NHI should be changed to a contract system, and non-benefit services should be prohibited at NHI institutions. We must re-establish the patient-referral system via a needs-based approach. We also need to build a primary healthcare system and public health policies. We should make a long-term plan for healthcare reform.

• 한국병원경영학회지
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• 제13권3호
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• pp.1-16
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• 2008

According to Myers (1984) and Myers and Majluf(1984), there exists a financial hierarchy from internal to external financing, from long-tenn debt to equity, due to information costs. The purpose of this study is to assess the profit-making corporation of healthcare institutions. Data was collected from 130 hospital presidents and financial managers. We analysed the frequency and one way ANOVA by SPSS Windows 14.0K. The major findings of the study were as follows: We found that the priorities which a healthcare institutions financing were internal financial, other allowance, a credit loan, a security loan, and a lease through this study. The priorities which a healthcare institutions raised the capital differed as to the number of beds and revenues. The priorities were no difference from ownership, location and an annual business.

• 한국콘텐츠학회논문지
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• 제12권8호
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• pp.207-214
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• 2012

본 연구는 의료서비스의 질적 향상을 가져옴과 동시에 의료소외지역을 만들 수도 있는 의료민영화에 대해서 찬성과 반대 논리를 살펴보고, 아울러 최근 3년 동안 주요 일간지에 게재된 의료민영화 및 영리병원에 관한 신문 사설을 중심으로 내용분석의 일종인 언어네트워크 분석을 통해 핵심 키워드를 찾아내고, 핵심 키워드 간의 연결 중심성 분석을 통해 논란의 핵심이 무엇인지를 밝혀 보고자 하였다. 결론적으로, 연결중심성 분석 결과 "의료", "병원", "민영화", "의료민영화", "영리병원", "정부"가 가장 중심에 위치하고 있었다. 이는 의료민영화 또는 영리병원에 관한 최근 3년 동안의 주요일간지에 게재된 사설을 중심으로 하였기 때문에, 의료, 병원, 민영화, 의료민영화, 영리병원 등의 키워드가 중심에 위치하고 있는 것은 당연한 결과이다. 다음으로, 중요한 중심 키워드(단어)는 "국민", "건강", "건강보험"이다. 이는 의료민영화를 단순히 의료시장에 대한 개방으로만 보지 않고, 최근 3년 동안의 사설들은 국민의 건강과 건강보험과 관련된 중요한 이슈로 보고 있다는 것을 의미한다고 볼 수 있다. 또한, 그 다음으로 중요한 중심성이 높은 단어로는 "반대"와 "허용"이다. 이를 통해 볼 때, 최근 3년 동안의 사설을 내용 분석해 본 결과, 의료민영화에 반대하는 쪽과 허용하자는 쪽이 팽팽하다는 것을 연결중심성 분석 결과에서도 알 수 있다. 한편, 중심성 분석결과에서 주목할 만한 결과는 "미국", "한미", "FTA" 등의 키워드도 어느 정도 중심성이 나타나고 있다는 것이다. 이는 의료민영화를 미국과의 한미 FTA와 관련하여 사설에서 기술하고 있다는 것을 나타내주는 대목이다.

• 한국응급구조학회지
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• 제19권3호
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• pp.117-138
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• 2015

Purpose: This study was performed targeted to paramedic and doctors, to examine the frequency, importance, and admissibility of the tasks of paramedics, and to establish as a basis for expanding their business scope. Methods: The subjects were 282 paramedics and 58 doctors, and the study was performed from October 20 to November 19, 2014. The statistical analysis was done by using SPSS/WIN 20.0. Results: The results showed the difference between the legal business scope of paramedics and the actually performed work. The frequently covered areas were trauma, cardiac arrest, and respiratory care; however, severity classifications were the most important. Concerning drug administration, epinephrine administration seemed to be the most necessary. Conclusions: The findings of this study can be used as basic data to broaden the capacity building and business scope of paramedics. Furthermore, to increase the resuscitation rate of emergency patients, the various tasks of paramedics must be incorporated, and these should be supported by laws and institutions.