• 한국병원경영학회지
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• 제3권1호
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• pp.219-237
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• 1998

Economists have identified informed consumer choice as one element of a better-functioning health care market, and thus increased attention is directed to the role of information in the health care system. In this country, however, little work has been done for understanding consumers' search behavior in health care market. Based upon this observation, expectant mothers' information search for the choice of delivery care institution was investigated. In doing so, two hypotheses were proposed: 1) Those women who were more active in the search for information would make choice of a delivery care institution with more confidence and would feel greater subsequent satisfaction. 2) The activeness of expectant mothers in information search would depend upon their various personal characteristics, such as socio-economic status, obstetric conditions, and knowledge and attitudes in relation to delivery and health care. The data used for the analysis were collected through face-to-face interviews with those women who had childbirth during the period from January 1, 1996 to the date of interview in February 1998. The survey was conducted using prepared structured questionnaire in Seoul. The sample was drawn from each of arbitrarily defined four regions of Seoul, Northeast, Northwest, Southeast and Southwest, in proportion to the number of births reported in 1996 in each of them. The distribution of the interviewed women by educational level was made similar to that of mothers of new babies reported in 1996. The sample size was planned to be about 300, but ended up with 319. The results of analysis were generally consistent with the proposed hypotheses. Apparently, information increased expectant mothers' confidence in selecting a delivery care institution and subsequent satisfaction with the institution. Indication is that policy efforts should be strengthened to produce and disseminate relevant, comprehensible and credible information that can aid patient decision making. Also, attention should be directed to motivate patients to actively engage in information search from adequate sources.

• 대한간호학회지
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• 제49권6호
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• pp.677-689
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• 2019

Purpose: This qualitative study aimed to develop a substantive theory of the process of adaptation to motherhood in Central Asian-Korean immigrants to Korea. Methods: Individual, in-depth interviews were conducted from July to September 2017, with 18 women who emigrated of Korean ethnicity from Central Asia to Korea, and took care of their baby for at least a year after their first delivery in Korea. The interviews were audio-recorded and transcribed verbatim. Data from the transcriptions were analyzed through Strauss and Corbin's grounded theory method, and data analysis was conducted simultaneously with data collection. Results: As a result of categorizing the interview data through the process of open coding, 10 categories, with 31 subcategories and 102 concepts were drawn, and "growth as a Central Asian-Korean mother in an unfamiliar, historical hometown" was found to be the core category of the process of adaptation to motherhood in Central Asian-Korean immigrants to Korea. Conclusion: A characteristic of the process of adaptation to motherhood in Central Asian-Korean immigrants to Korea, drawn from this study, is that it differs according to the level of initiative to carry out interaction strategies, and the use of various supportive social resources. The findings indicate the need for Medicare eligibility adjustment for antenatal care, the extension of the visa renewal period during childbirth, the development of web- or mobile application-based educational programs in Russian language, and the establishment of integrated visiting healthcare services, community service resources, and policy support to enable these women to utilize various supportive social resources.

• 농촌지도와개발
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• 제16권2호
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• pp.285-304
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• 2009

The objectives of this study were finding out some methods about development of oversea agriculture in Korea. It is a tough task that faces us now. China is a big agricultural country, most agricultural investment country and the nearest located in Korea. So this study researches on the quality of farmers and characters of rural human resources in China. In China, agriculture industry is the basic industry among national economy developments. The majority of populations in China are living in rural region. Agriculture, villages and farmers are main issues in China. From this point, An analysis of Chinese farmers' characters and qualities; general conditions of farmers' knowledge of science and technology, their education level, quality of minds and sprit, and rural public health service situation in China. The result of this study is following; First, Chinese farmers' factors that low education level, big cultural differences between cities and country sides affect the development of China's agriculture as obstruction factors. Second, Practice conditions of farmers' science knowledge and technology are low level, output of higher rural human resources, low quality of minds and sprit and problems of agricultural extension service. It is negative influenced of agriculture and farmers economic development in China. Third, unsociable culture of the peasantry influences Chinese farming in the negative ways. Also, conventional notions of family are getting weaker, it makes connection of the kinship weaken. But, Chinese think that this kind of kinship is the most important thing in their life. Fourth, in the case of situations that the farmer's sanitation and health, low level of the medical service is getting worse than before relatively. And there are a lot of discordances between a planned childbirth policy and personal recognitions. Also, lacking of nourishment makes labor productivity falling tendencies. The medical industry falls short of the standard as compared to the number of farming people. Fifth, in the peasantry's consciousness of the legal system, this causes difficulties to farmers in the market. Shortage of the legal knowledge exerts a bad influence upon rural economy.

• 대한지역사회영양학회지
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• 제22권4호
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• pp.323-335
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• 2017

Objectives: The purpose of this study is to analyze the current status of nutrition education programs for multicultural families and to provide policy suggestions for improvement. Methods: In-depth interviews of a total of 21 multicultural experts were conducted; 15 people were interviewed individually, while 6 people were interviewed in groups of three. Results: In-depth interviews revealed various problems related to the operation of nutrition education programs. The causes of problems were analyzed and categorized as four factors: systemic, practical, environmental and cultural. As for the systematic factors, insufficient linkage between related organizations and duplicate performance of several projects were identified as concerns Establishment of a control tower and strengthening the linkage among the related organizations may be needed to address this concern. With regard to practical factors, the study identified that language barriers, and lack of nutritional education media and tools translated into multicultural languages were limiting factors. These limitations the development of nutrition education materials that aretranslated into multiple languages, implementation of education programs that are different from the Korean education, and by providing interpreters. As for the environmental factors, low educational level and poor nutritional knowledge of multicultural women made it difficult for them to understand the contents of the education. Demonstration, practical training and urgent education on pregnancy and childbirth nutrition were identified as needs to address these concerns. Withregard to cultural factors, food culture conflict with Korean families, and difficulties in home practices were detected as concerns. Participants in the study suggested that getting education with family and facilitation of weekend and nighttime programs health of this community. Conclusions: Further studies are needed to adopt more effective and efficient nutrition intervention to promote the healthy eating of the married immigrant women based on the study results.

• 디지털융복합연구
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• 제19권10호
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• pp.435-451
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• 2021

본 연구는 청소년부모 양육지원서비스에서 핵심 열쇠가 될 수 있는 서비스 제공자의 실천 경험을 이해함으로써, 청소년부모 양육지원가의 역할과 역량을 조명하고 서비스 제도화와 운영에 필요한 기초적인 지식 체계를 형성하는 것을 목적으로 한다. 이를 위하여 일반적 질적 연구를 수행하였으며, 양육지원서비스에 참여한 양육지원전문가 3명을 심층면접하고 이들의 사례 일지 기록을 수집하였다. 주제분석 결과, 6개의 범주와 24개의 주제가 도출되었다. 양육지원서비스 참여 경험에 관한 6개의 범주는 "양육지원서비스 참여 동기", "제공된 서비스 주요 내용", "청소년부모와의 관계 형성 노력", "청소년부모에 대한 인식 확장", "서비스 제공의 어려움"으로 분석되었다. 분석된 결과를 바탕으로, 자녀 양육 위기에 있는 청소년부모를 지원하는 양육지원서비스의 내용과 운영과 관련된 실천적 함의를 제시하였다.

• 디지털융복합연구
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• 제19권9호
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• pp.349-360
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• 2021

본 연구의 목적은 청소년 한부모의 스트레스 상황이 학업지속에 미치는 영향에서 여가, 문화, 정보통신 영역에서의 한부모를 위한 사회적 지원이 조절효과를 나타내는 지 검증함에 목적이 있다. 이를 위해 18세 이상의 임신 중인자나 임신해 있으면서 출산 후 자녀를 양육할 계획을 가진 자, 자녀를 낳아 키우고 있는 청소년 한부모 248명을 대상으로 기술통계와 로지스틱 분석을 실시하였다. 그 결과 4명 중 1명이 수혜자로, 청소년 한부모들의 스트레스로 인한 학업 중단 경향을 여가, 문화, 정보통신비 지원이 조절하여 학업지속의 가능성을 증가시키고 있었다. 이러한 결과는 여가, 문화, 정보통신비 지원이 스트레스로 인해 학업을 중단하려는 청소년 한부모의 학업지속 가능성을 높이는 데 효과적으로 기여하고 있음을 보여준다. 따라서 청소년 한부모의 학업지속을 위해 여가와 문화, 정보통신 영역에서의 사회적 지원을 강화할 필요가 있다.

• 한국콘텐츠학회논문지
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• 제19권4호
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• pp.241-255
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• 2019

본 연구는 양육미혼모 위기지원 프로그램 참여자들의 경험을 통해 사회복지실천 방안을 찾아보는 것을 목적으로 하였다. 이에 KDB나눔재단의 트라이앵글 사업에 참여한 양육미혼모의 경험과 변화과정을 이해하기 위해, 12명을 심층면접하고 질적연구방법을 적용하여 주제분석 하였다. 분석결과, 트라이앵글 사업 참여 이전 미혼모가 살아가기 힘든 사회에서 삶의 위기의 악순환으로 살아갈 의지를 상실하였으나, 트라이앵글 서비스를 통해 '임신-출산-양육'에 대한 포괄적인 지원을 받고 이를 통해 미혼모와 그 자녀가 살아갈 의지가 생성되는 경험을 하였다. 이러한 경험의 기저에는 기업재단과 미혼모 당사자 조직을 비롯한 다전문가 집단의 참여, 공공-민간기관의 협력 체계 구축, 생활안정 지원금을 통한 자립 기반의 마련 등의 운영전략과 조건이 있었다. 이러한 연구결과에 근거하여 우리나라 미혼모 지원 체계의 한계를 보완할 수 있는 실천적 정책적 함의를 제언하였다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제24권4호
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• pp.47-57
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• 2018

Purpose and Methods: Currently, Korea has the lowest fertility rate among OECD countries. It is also true that from the aspect of encouraging childbirth policy, as the use of automobiles has increased, the interest in securing parking spaces has also become more important. However, there are efforts and researches on the supplying parking spaces for the general public in society not to the positive discrimination such as elders or pregnant women. On the other hand, there is a growing need for a dedicated parking space for pregnant women due to the changing social environment and increasing number of female drivers. At this point, proper design of the maternity parking spaces is essential. Therefore, this study is analyzing the characteristics of pregnant women such as measurements and certain actions and case studies of domestic and oversea. Through the analysis of these factors, the following results were derived. Results: First, it was determined that the important factor in the planning of the parking-block for pregnant women was the human body size of pregnant women. And the required dimensions of movement of pregnant women were derived. Second, the dimensions of automobile were analyzed and applied from the most used vehicles in the family composition. Third, after the observations, the status of the parking spaces of the pregnant women and observations showed that the drivers not only the pregnant women but others were using the spaces improperly. Fourth, at certain conditions of the parking spaces, in order to improve the efficiency of the parking spaces, it is necessarily considered that the usage of designated accessible parking spaces can be used together by not only the disabled but also to the passengers who are classified as 'transportation weak' such as pregnant women. Implications: In this study, the researcher will propose the shape and size of the parking-block for pregnant women considering the elements derived above.

• Journal of Preventive Medicine and Public Health
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• 제56권1호
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• pp.41-49
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• 2023

Objectives: Rwanda reported a stunting rate of 33% in 2020, decreasing from 38% in 2015; however, stunting remains an issue. Globally, child deaths from malnutrition stand at 45%. The best options for the early detection and treatment of stunting should be made a community policy priority, and health services remain an issue. Hence, this research aimed to develop a model for predicting stunting in Rwandan children. Methods: The Rwanda Demographic and Health Survey 2019-2020 was used as secondary data. Stratified 10-fold cross-validation was used, and different machine learning classifiers were trained to predict stunting status. The prediction models were compared using different metrics, and the best model was chosen. Results: The best model was developed with the gradient boosting classifier algorithm, with a training accuracy of 80.49% based on the performance indicators of several models. Based on a confusion matrix, the test accuracy, sensitivity, specificity, and F1 were calculated, yielding the model's ability to classify stunting cases correctly at 79.33%, identify stunted children accurately at 72.51%, and categorize non-stunted children correctly at 94.49%, with an area under the curve of 0.89. The model found that the mother's height, television, the child's age, province, mother's education, birth weight, and childbirth size were the most important predictors of stunting status. Conclusions: Therefore, machine-learning techniques may be used in Rwanda to construct an accurate model that can detect the early stages of stunting and offer the best predictive attributes to help prevent and control stunting in under five Rwandan children.

• 보건행정학회지
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• 제8권2호
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• pp.1-24
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• 1998

There exists a general consensus in Korea that patients tend to concentrate in large hospitals and this tendency is partly responsible for inefficiency in health services. The process of choosing a medical care provider for health care services and evaluating the provider after utilization seems to involve many diverse factors to become very complex. Therefore a systemsatic study is needed to achieve sufficient understanding of the proeess. For this point of view, this study investigates patient's selection of medical care institution for delivery care services and their evaluation of the institution after delivery. In more specific, the objectives of the study are twofold: 1) to identify the factors associated with expectant mothers' choice of type of medical care institution for delivery among tertiary hospitals, general hospitals, small hospitals, and clinics: and 2) to understand the factors affecting patient evaluation of the medical care institution after delivery. The data used for the analysis were collected through face-to-face interviews with those women who had childbirth during the period from January 1, 1996 to the date of interview in February 1998. The survey was conducted using preqared structured questionnaire in Seoul. The sample was drawn from each of arbitrarily defined four regions of Seoul, Northeast, Northwest, Southeast and Southwest, in proportion to the number of births reported in 1996 in each of them. The distribution of the interviewed women by educational level was made similar to that of mothers of new babies reported in 1996. The sample size was planned to be about 300, but ended up with analytical sample of 319. Major conclusions emerged from the analysis can be summarized as follows: 1) Large hospitals were evaluated as much better for technical quality than other types of institutions, whereas they were compared similar to or worse for other attributes. And it was found that technical quality of care is considered as the most important condition of medical care institution for delivery, while the amount of direct cost is considered as the least important one. Taken together, the utilization of large hospitals is not likely to decrease even though they cannot give satisfaction to patients in other aspects than technical quality. 2) The activeness in the search for information affected the respondents' evaluation of medical care institutions, which would influence their later decision or recommendation to other persons as to the choice of source of health care services. Therefore, increased efforts should be directed to improving availability of useful and correct information for patients in relation to the utilization of health care services. 3) Since the findings of this study were obtained from the analysis of delivery care services, their applicability to other kinds of services may be limited. Thus it would be useful to conduct a comparative study of several kinds of services explicitly taking into account the characteristics of those services in the analysis.