• Asian Pacific Journal of Cancer Prevention
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• 제17권2호
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• pp.791-797
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• 2016

Background: Punjab state is particularly reporting a rising burden of cancer. A 'door to door cancer awareness and early detection campaign' was therefore launched in the Punjab covering about 2.67 million population, wherein after initial training accredited social health activists (ASHAs) and other health staff conducted a survey for early detection of cancer cases based on a twelve point clinical algorithm. Objective: To ascertain unit cost for undertaking a population-based cancer awareness and early detection campaign. Materials and Methods: Data were collected using bottom-up costing methods. Full economic costs of implementing the campaign from the health system perspective were calculated. Options to meet the likely demand for project activities were further evaluated to examine their worth from the point of view of long-term sustainability. Results: The campaign covered 97% of the state population. A total of 24,659 cases were suspected to have cancer and were referred to health facilities. At the state level, incidence and prevalence of cancer were found to be 90 and 216 per 100,000, respectively. Full economic cost of implementing the campaign in pilot district was USD 117,524. However, the financial cost was approximately USD 6,301. Start-up phase of campaign was more resource intensive (63% of total) than the implementation phase. The economic cost per person contacted and suspected by clinical algorithm was found to be USD 0.20 and USD 40 respectively. Cost per confirmed case under the campaign was 7,043 USD. Conclusions: The campaign was able to screen a reasonably large population. High to high economic cost points towards the fact that the opportunity cost of campaign put a significant burden on health system and other programs. However, generating awareness and early detection strategy adopted in this campaign seems promising in light of fact that organized screening is not in place in India and in many developing countries.

• 대한간호학회지
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• 제27권2호
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• pp.444-453
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• 1997

The purpose of this study was to construct a grounded theory as the basis for nursing intervention by describing and analysing the holistic lived experiences of clients receiving long-term hemodialysis. The subjects of this study were fifteen persons receiving regular hemodialysis regimen at artificial kindey treatment centers in two different university hospitals, and who were able to participate in conversation and were available for long and dup interviews. Eight of the subjects were male and seven were female and their ages ranged from 30's to 60's. The length of the hemodialysis experience ranged from two months to six years. The collection and analysis of data were done in accordance with the grounded theory methodology of Strauss & Corbin. The method to collect the data mainly depended. on long and deep interviews, participant observation and focused group interviews and the equipment used to collect data were a portable tape recorder and field notes. The study is summarized as follows : 1. The meaning of holistic lived experiences of clients receiving long -term hemodialysis was found to be uncertainty. which was identified as the core category. 2. The main categories following the core category were found to be shock, ambiguity, social support and quality of life. 3. Through the main category the type of behavior newly formed by clients receiving long-term hemodialysis was found to be as follows. That is to say, in the circumstances of shock caused by the identified fact and the ambiguity of hemodilysis they formed a quality of life based on social support, which was found to be a kind of chaotic phenomenon. 4. The lived experiences of clients receiving long-tern hemodialysis was found to include nine categories : emotional shock, feelings of isolation, burden, unclearness, dependency, help from others, coping strategies, maintenance of self-esteem and transitional life. 5. The intervening factors influencing each category are as follows : 1) The factors influencing 'emetional shock' were found to be set age, the level of knowledge received in advance, locus of control, the period of struggle against the disease before hemodialysis and whether any serious illness existed. 2) The factors influencing 'feelings of isolation' were found to be religion and the length of the hemodialysis experience. 3) The factors influencing 'burden' were found to be sex, economic situation, employment status and the length of the hemodialysis experience. 4) The factors influencing 'unclearness' were found to be sex, age, religion. economic situation, the length of the hemodiaysis experience, whether they had had a transfusion and whether there were any complications. 5) The factors influencing 'help from others' were found to be religion. economic situation, past experiences and whether family members lived together. 6) The factors influencing 'coping strategies' were foung to be age, level of education, experiences of illness and locus of control. 7) The factors influeruing 'maintenance of self-esteem' were found to be the length of the hemodialysis experience and self-actualization. 8) The factors influencing 'transitional life' were found to be age, religion, economic situation, employment status. locus of control. past experiences and whether there was a plan for a kidney transplant.

• KDI Journal of Economic Policy
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• 제13권4호
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• pp.59-90
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• 1991

본고(本稿)는 수직적(垂直的) 형평(衡平)에 관한 고전적(古典的) 이론(理論)인 균등희생세(均等犧牲說)을 원용하여 조세의 소득재분배기능을 달성하는 데 가장 유용한 수단(手段)의 하나인 우리나라 종합소득세를 대상으로 하여 실제 세부담의 이론적 세부담에 대한 괴리의 정도를 실증적으로 분석한 후 세제개편(稅制改編)에 도움이 될 정책적(政策的) 시사점(示唆點)을 도출하는 데 목적이 있다. 실증분절결과(實證分折結果), (1) 명목세율표(名目稅率表)보다 실효세율표(實效稅率表)를 이용한 경우 50% 가까운 근로소득자(勤勞所得者)가 면세혜택(免稅惠澤)을 받고 있는 우리나라의 현실을 보다 잘 설명하고, (2) 1975년에서 1991년에 이르기까지 중간소득계층(中間所得階層)은 이론적 세부담보다 많이 부담하는 반면, 저소득계층과 고소득계층은 보다 적게 부담하는 것으로 나타나 세부담(稅負擔) 괴리곡선(乖離曲線)은 역(逆)U자형(字型)을 나타내었고, (3) 5인가족기준(人家族基準)으로 본 평균(平均)GNP에 해당하는 소득계층은 1975년에서 1980년 기간에는 이론적(理論的) 세부담(稅負擔)보다 적게, 그리고 그 이후에는 많이 부담하였으며, (4) 세부담(稅負擔)의 이론적(理論的) 세부담(稅負擔)에 대한 괴리정도는 공제금액 또는 면세점이 높을수록 커지며, (5) 이는 대조적으로 근로소득세액 공제를 감안하였을 때, 세부담(稅負擔) 괴리곡선(乖離曲線)이 저소득계층(低所得階層)과 고소득계층(高所得階層)에서는 상향(上向), 중간소득계층(中間所得階層)에서는 하향(下向)으로 이동하여 수직적(垂直的) 형평(衡平)이 제고(提高)되는 것으로 나타났다. 따라서 수직적(垂直的) 형평(衡平)을 개선시키기 위해서는 세율체계조정(稅率體系調整)과 아울려 소득공제(所得控除), 소득세액공제제도(所得稅額控除制度)의 개선이 동시에 고려되어야 할 것이다.

• 한국노년학
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• 제29권2호
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• pp.683-699
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• 2009

고령화와 가족 구조의 변화로 노인 부양이 사회적인 문제가 되고 있는 가운데 최근 그 비율이 증가하고 있는 배우자 부양자에 대한 연구의 필요성이 대두되고 있다. 배우자 부양은 '돌봄' 외에도 '결혼 생활의 연장'이라는 특징이 있어 성인 자녀를 비롯한 기타 가족 부양자와는 질적으로 다른 경험일 가능성이 크다. 또한 남편과 아내가 처한 맥락이 상이하므로 이들의 성별 차이에 대해 구체적으로 알아볼 필요가 있다. 이에 본 연구에서는 배우자를 돌보는 부양자에 초점을 맞추어 배우자 부양자의 부양 동기 및 사회적 지지가 부양 부담에 미치는 영향을 성별 차이를 중심으로 알아보고자 하였다. 이를 위해 2001년 보건사회연구원에서 실시한 「장기요양보호 대상 노인의 수발 실태와 복지욕구」 자료를 이용하여 기술통계 및 T검증, X²검증과 로지스틱 회귀분석 등을 실시하였다. 분석 결과 부양 동기 및 사회적 지지가 부양자의 부양 부담에 미치는 영향은 성별에 따라, 부담의 하위 항목에 따라 차이점과 공통점이 각각 발견되었다. 부양 동기의 경우, 부인을 돌보는 남성의 부양 부담에만 유의미한 영향을 미쳤고, 남편을 돌보는 여성부양자에게서는 부양 동기와 부양 부담과의 관련성이 관찰되지 않았다. 한편, 사회적 지지는 남성 부양자의 부양 부담에는 유의미한 영향을 미치지 않았으나, 여성 부양자의 경우 사회적 지지가 적을수록 경제적 부담을 느낄 승산이 높아지는 것으로 나타났다. 부양자의 건강상태와 피부양자의 ADL 수준은 남녀 모두의 신체적 부담에 영향을 미치는 것으로 타나났다. 이러한 결과에 기초하여, 배우자 부양자의 부담을 줄이기 위한 연구와 정책적 노력에 성인지적 관점의 필요성을 제기하였다.

• Architectural research
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• 제24권3호
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• pp.85-91
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• 2022

The public rental housing policy aims to provide the housing to the vulnerable class who do not have enough credit to own houses. The Korean government introduced new policies for housing supply to improve the availability of new houses. However, it is difficult to expand the supply because of the accumulated deficit of public rental housing. In this study, the economic feasibility of long-term public rental housing reconstruction projects was examined to ensure the economic and sustainable growth of public rental housing. The research found that the compensation for the accumulated deficit is needed. Also the research analyzed and identified the factors affecting the economic feasibility of reconstruction projects. The significant factors identified in this research are: the supply price of pre-sale/rental housing in the reconstruction project, total cost of the reconstruction project, and total floor area of the reconstruction project. According to the analysis results, it is necessary to increase the rent of existing long-term public rental housing, expand the government subsidy, increase the supply price of pre-sale/rental housing, and reduce the total project cost. However, there are limitations. For example, the fluctuations of construction market, residents' burden of housing costs, and the limit of the budget of the public housing authority. The increasing total Floor Area Ratio(FAR) limitation of the reconstruction project would be the realistic solution to the problem because it gives incentives to the reconstruction project.

• 미래기술융합논문지
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• 제3권2호
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• pp.33-38
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• 2024

생산적 복지는 복지 수혜자를 단순한 지원의 대상에서 벗어나, 그들이 사회와 경제에 적극적으로 기여할 수 있는 구성원으로 발전할 수 있도록 돕는 복지 정책의 한 형태이다. 이는 교육, 직업 훈련, 취업 지원 서비스를 포함하여 개인의 자립능력을 향상시키고, 결국 사회 전체의 경제적 부담을 줄이며 경제 성장을 촉진하는 것을 목표로 한다. 본 연구는 대한민국에서 생산적 복지가 가능한지를 고찰함으로써, 사회적, 경제적 문제의 해결책으로서 생산적 복지의 역할과 중요성을 강조한다. 대한민국은 빠른 경제 성장과 함께 다양한 사회적 문제들을 경험해 왔다 고령화 사회로의 진입, 청년 실업률의 증가, 사회적 격차의 확대 등은 복잡하고 다양한 사회복지 요구를 낳았다. 이러한 상황에서 생산적 복지는 단순한 금전적 지원을 넘어서, 수혜자가 자립할 수 있는 기반을 마련해 주는 방안으로 주목받고 있다. 본 연구는 대한민국에서 생산적 복지의 구현 가능성을 고찰하고, 그 방안을 모색함으로써, 사회복지 정책의 새로운 지평을 제시하고자 한다.

• 지역사회간호학회지
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• 제10권2호
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• pp.525-536
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• 1999

The result of this study may be abstracted as follows. 1) The study was done on 48.3% seniors(138), 34.3% sophomores. and 17.5% juniors mostly ranging in age from 21 to 22, the largest number of students at 38.1%(109) were Christian. followed by 31.5%(90) were Confucian. 20.6%(59) who were Catholic. and 9.1%(26)who were Buddhist. 2) Concerning the economic views. 46.8%(134) preferred Capitalism 40.9%(117) preferred a combination of Capitalism and Socialism, 8.7%(25) were for more or less Socialistic in view point, and 3.5%(10) for Socialism. 3) Among the internal factors causing poverty, 'lack of ability(knowledge)', scored the highest at 3.528, and 'beauty or appearance' scored the lowest at 1.570. Social factors scored high in 'bad economic/tax policies' at 3.374 and 'low average in wages' at 3.364. Among family matters, 'not much money at home' scored the highest at 3.273, and 'low expectation of success in poor families' scored the lowest at 2.315. On concerns of fate and destiny. 'bad luck' turned out to be the most likely cause of poverty with the score of 2.619. and 'destined poverty' was the least likely cause with the score of 1.969. 4) The high scoring economical consequences of poverty was 'not able to do as one desires' at 3.965, and 'no money to buy things wanted' at 3.804. 'Gets tired of life' (4.028) scored high in psychological consequences showing that poverty affects these matters greatly. 'Looked down on by others' (3.538) scored high in social circumstances, and 'feels like a burden to society' scored low at 2.080. Among family matters. 'hard life' scored high at 4.210, and 'low morality' scored low at 1.972. 5) Significant differences(p= .00) were found between economic views and what significance certain internal factors caused poverty these differences were also related to a reliance on religion, economic views, and economic status. Significant differences were also found between economic status and internal factors causing poverty(p= .04), economic point of view and social factors(p= .01). and economical point of view and luck related matters, (p = .01) When the consequences of poverty were considered. psychological factors such as 'hate towards oneself', 'tired of life', and 'afraid of the future' showed significant differences in relation to economic status. (p = .02) Family matters also showed significant differences in relation to economic status(p= .03), With personal characteristics and wealth causing factors, significant differences were found between a person's economic point of view and ecinomic status when considering and internal or social factors.

• Asian Pacific Journal of Cancer Prevention
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• 제17권6호
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• pp.2965-2972
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• 2016

Background: China carries a heavy burden of cervical cancer (CC) and substantial disparities exist across regions within the country. In order to reduce regional disparities in CC, the government of China launched the National Cervical Cancer Screening Program in Rural Areas (NCCSPRA) in 2009. Critical to the success of the program are the health care workers who play a pivotal role in preventing and managing CC by encouraging and motivating women to use screening services and by providing identification and treatment services. This study aimed to assess cervical cancer knowledge among these health care workers at the county level in maternal and child health (MCH) hospitals across different socio-economic regions of China. Materials and Methods: A cross-sectional survey was conducted and self-administered questionnaires were sent to all health care workers (a total of 66) providing cervical cancer screening services in 6 county level MCH hospitals in Liaoning, Hubei and Shaanxi provinces, representing eastern, central and western regions of China; 64 (97.0%, 64/66) of the workers responded. ANOVA and Chi-square test were used to compare the knowledge rate and scores in subgroups. Results: The knowledge level of the respondents was generally low. The overall combined knowledge rate was 46.9%. The knowledge rates for risk factors, prevention, clinical symptoms, screening and diagnostic tests and understanding of positive results were 31.3%, 37.5%, 18.1%, 56.3% and 84.4%, respectively. Statistically significant differences in scores or rates of CC knowledge were seen across the different regions. The total and sectional scores in the less developed regions were statistically significantly lower than in the other regions. Conclusions: The majority of the health care workers who provide CC screening service in NCCSPRA at county level MCH hospitals do not have adequately equipped with knowledge about CC. Given the importance of knowledge to the program's success in reducing CC burden in rural women in China, efforts are needed to improve the knowledge of health care workers, especially in less developed regions.

• 부동산연구
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• 제28권4호
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• pp.75-88
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• 2018

본 연구는 주택담보대출 가산금리가 주택담보대출에 미치는 영향을 분석하는데 그 목적이 있다. 특히, 가산금리의 구조적 변화 여부, 구조적 변화가 존재할 경우 그에 따른 주택담보대출로의 영향을 면밀하게 분석하고자 한다. 실증분석을 위해 주택담보대출, 주택담보대출금리, COFIX금리, 가산금리를 이용하였으며, 분석기간은 2010년 12월부터 2017년 12월까지이다. 분석결과, 가산금리와 주택담보대출에 통계적으로 유의한 구조적 변화가 존재(각각 2015년 5월과 6월)하였으며 가산금리의 구조적 변화가 주택담보대출의 구조적 변화에 영향을 미친 것으로 추정된다. 가산금리는 기준금리인 COFIX금리와 대출금리인 주택담보대출금리보다 주택담보대출에 더 큰 영향을 미치는 것으로 나타났으며 가산금리가 주택담보대출에 큰 부담으로 작용하는 것으로 나타났다. 대내외적으로 경제의 불확실성이 증가하고 있는 상황에서 금리인상에 대한 압력이 가중되고 있다. 이러한 환경과 여건 등을 고려해 볼 때 향후 금리인상은 불가피할 전망이다. 현재 우리나라의 경제수준에서 기준금리와 가산금리가 동시에 증가하게 된다면 가계의 대출 상환 및 이자에 대한 부담이 가중되어 경기침체로 이어질 것이 자명하다. 따라서 객관적이고 투명하지 못한 은행의 자의적인 가산금리 산정을 사전에 방지하여 금융소비자를 보호할 수 있도록 금융당국의 제도적 장치 마련이 시급하다.

• 자원ㆍ환경경제연구
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• 제31권3호
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• pp.419-449
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• 2022

본 연구에서는, 환경산업연관표 분석모형을 활용해, EU 탄소국경조정이 전면 도입될 경우의 국내 산업별 탄소국경조정 부담액 규모를 산정하고 국내 저탄소 정책 시행에 따른 산업별 부담액 변화를 비교 분석함으로써 기후변화 리스크에 대응한 중장기전략 수립에 시사점을 제시하고자 하였다. 분석 결과 EU 탄소국경조정 전면도입 정책충격에 따른 국내 산업 총부담액은 2030년 기준 약 8조 2,456억 원 규모로 예측되었다. 업종별 영향을 살펴보면 석유화학, 석유정제, 운송장비, 철강, 자동차, 전기/전자/정밀 산업으로 등 6대 주요 산업군에서 총탄소국경조정 총부담액의 84.3%를 차지하는 것으로 전망되었다. 그리고 저탄소 정책 시행에 따른 기술발전 및 에너지 전환을 가정한 복수의 정책 시나리오에서는 탄소국경조정 총부담액이 약 11.7%~15.0% 감소할 것으로 전망되었다. 본 연구의 주요 분석 결과는 탄소국경조정의 전면도입 확대에 따른 대응전략 수립을 특정 분야에 한정해 이행하는 것이 아니라, 종합적 접근 하에서 이뤄내 국가 경제 전반에 끼치는 부정적 영향을 최소화하고 새로운 성장동력을 발굴하는 기회의 창으로 활용할 필요가 있음을 시사하고 있다.