• Title/Summary/Keyword: Equitable

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Disparities in Health Care Utilization Among Urban Homeless in South Korea: A Cross-Sectional Study

  • Yoon, Chang-Gyo;Ju, Young-Su;Kim, Chang-Yup
    • Journal of Preventive Medicine and Public Health
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    • v.44 no.6
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    • pp.267-274
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    • 2011
  • Objectives: We examined health care disparities in Korean urban homeless people and individual characteristics associated with the utilization of health care. Methods: We selected a sample of 203 homeless individuals at streets, shelters, and drop-in centers in Seoul and Daejeon by a quota sampling method. We surveyed demographic information, information related to using health care, and health status with a questionnaire. Logistic regression analysis was adopted to identify factors associated with using health care and to reveal health care disparities within the Korean urban homeless population. Results: Among 203 respondents, 89 reported that they had visited health care providers at least once in the past 6 months. Twenty persons (22.5%) in the group that used health care (n = 89) reported feeling discriminated against. After adjustment for age, sex, marital status, educational level, monthly income, perceived health status, Beck Depression Inventory score, homeless period, and other covariates, three factors were significantly associated with medical utilization: female sex (adjusted odds ratio [aOR, 15.95; 95% CI, 3.97 to 64.04], having three or more diseases (aOR, 24.58; 95% CI, 4.23 to 142.78), and non-street residency (aOR, 11.39; 95% CI, 3.58 to 36.24). Conclusions: Health care disparities in Seoul and Daejeon homeless exist in terms of the main place to stay, physical illnesses, and gender. Under the current homeless support system in South Korea, street homeless have poorer accessibility to health care versus non-street homeless. To provide equitable medical aid for homeless people, strategies to overcome barriers against health care for the street homeless are needed.

A Study on Energy Efficiency for Cluster-based Routing Protocol (클러스터 기반 라우팅 프로토콜의 에너지 효율성에 관한 연구)

  • Lee, Won-Seok;Ahn, Tae-Won;Song, ChangYoung
    • Journal of the Institute of Electronics and Information Engineers
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    • v.53 no.3
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    • pp.163-169
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    • 2016
  • To establish the equitable distribution of total energy load, a representative cluster based routing protocol LEACH selects cluster heads randomly in accordance with the pre-determined probability every round. But because the current energy level of sensor nodes is not considered, if a sensor node which has little residual energy is elected as a cluster head, it can not live to fulfil the role of cluster head which has big energy load. As a result, the first time of death of a node is quickened and the service quality of WSN gets worse. In this regard we propose a new routing method that, by considering the current energy of a cluster head and the distance between cluster heads and a base station, selects the sub cluster head for saving the energy of a cluster head. Simulation results show that the first time of death of a node prolongs, more data arrive at the base station and the service quality of WSN improves.

Expressions of requests using give and receive verbs in the era of Meizi and Taisyo (메이지·다이쇼 작품의 てくれ·てください의 표현 양상)

  • Yang, JungSoon
    • Cross-Cultural Studies
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    • v.29
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    • pp.391-411
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    • 2012
  • Request expressions can be defined as expressions that demand or ask the other person to do certain movements. There are direct request expressions that ask the other person to do certain movements directly and indirect request expressions that ask the other person to do certain movements by describing the speaker's condition. The study analyzed gender and hierarchy of speakers and listeners who used 'tekure' and 'tekudasai' in dialog examples of the Meiji Period and the Taisho Period. In those periods, the modern Tokyo dialect was formed and established. "Toseishoseikatagi"in Meiji 10s,"Ukigumo""Natsukodachi""Tajotakon"in Meiji 20s,"Hakai""Botchan"in Meiji 30s,"Huton""Inakakyoshi" in Meiji 40s and "Aruonna"in the Taisho Period were analyzed for the study. 'kure' was used more by male speakers than female speakers. Examples by female speakers were shown on the novels after Meji 30s. In case of male speakers, they often used it to listeners with an equitable relationship at "Toseishoseikatagi"in Meiji 10s but they often used it to younger listeners at "Hakai"in Meiji 30s. 'okure' was used more by female speakers than male speakers. Listeners were varied from older ones to younger ones. In case of female speakers, 'okure' was used more often at "Aruonna"in the Taisho Period than the other novels. In case of male speakers, 'okure' was used only at "Ukigumo""Natsukodachi"and "Hakai". 'Okurenasai' was used outstandingly by female speakers on the form of 'okun_'. In case of 'kudasai', female speakers used it more than male speakers at "Toseishoseikatagi" and "Aruonna"but male speakers used it more than female speakers at "Tajotakon"and "Hakai". Listeners were varied from older ones to younger ones. 'o~kudasai' was not shown until Meiji 20s but shown after Meiji 30s among the analyzed novels. According to gender, it was used a little bit more often by female speakers than male speakers. According to hierarchy, listeners were usually older than speakers. 'o~nasatekudasai' was used more often by male speakers than female speakers. Listeners were also usually older than speakers.

The Analysis for Legal Evolution of Affirmative Action in University Admissions in the U. S. A. (대학입학과 관련된 미국 소수집단우대정책 역사적 변화 분석)

  • Lim, Soojin
    • Korean Journal of Comparative Education
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    • v.22 no.4
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    • pp.149-178
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    • 2012
  • The initial purpose of Affirmative Action(AA) in the U. S. was to increase access to, and ensure the equitable distribution of, opportunities for racial minority groups in order to redress past discrimination. Over the last several decades, support for AA has grown and waned as structural, political and social currents have shifted. Most recently, AA in university admissions policy was once again tested as The University of Texas at Austin successfully defended its use of AA in admissions and now faces Supreme Court review concerning the lawsuit. Fisher v. University of Texas at Austin. The purpose of this study is to illustrate the evolution of AA in university admissions reflected on major legal cases for and against it. AA is analyzed from the integrative approach based on the historical institutionalism. l.e., influenced by structure, political dynamics, institutions and critical actors.

A Study of Social Worker's Beliefs on the Nature of Scientific Knowledge and Practice Modes (사회복지사의 인식론적 신념과 지시적 실천정도)

  • You, Young-jun
    • Korean Journal of Social Welfare Studies
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    • no.36
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    • pp.227-252
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    • 2008
  • This study investigated the relation between social worker's beliefs on the nature of scientific knowledge which has been classified objectivism and constructivism and social work practice. As an epistemological position, constructivism is based on a view of knowledge that differs from that of objectivism, which holds that knowledge exists "out there" as objective truth. The focus of this paper is a examination on epistemological beliefs of social worker and social work practice. This paper proves that social work's epistemological beliefs have an effect on the practice modes. This research indicates that social works have a higher constructivist veiws than objectivist veiws on the nature of scientific knowledge. And social worker who have a high level of objectivism show a positive determinative mode. It has suggested that the constructive theory offers useful epistemology to the social worker who should deal with the clients in uncertain situations. In conclusion, a social worker with a high level of constructivism use an approach that creats a more equitable relationship between social worker and client. This perspective will allows cliens to participate in the formulation of theories in practice.

Spatial Regression Analysis of Factors Affecting the Spatial Accessibility of the Public Libraries in Busan (공간회귀분석을 이용한 부산지역 공공도서관 접근성 영향 요인 분석)

  • Koo, Bon Jin;Chang, Durk Hyun
    • Journal of the Korean Society for Library and Information Science
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    • v.55 no.4
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    • pp.67-87
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    • 2021
  • Public library accessibility directly affects library usage, and the disproportionate distribution of accessibility is a decisive factor limiting the equitable provision of library services. In this regard, this study analyzed the spatial accessibility of public libraries in Busan and identified the factors affecting accessibility of public libraries using spatial regression analysis. As a results of the analysis, the accessibility of public libraries in the Busan showed large deviations by region. Also, spatial distribution of public libraries had no correlation with the settled population and use of public transportation, and location of public libraries was inefficient, in terms of social equity. The results of this study will assist to understand the spatial accessibility of public libraries in Busan, to identify factors that affect the accessibility. Moreover, this study is expected to be utilized as fundamental data for releasing disparities of the spatial accessibility and selecting new location of public library in Busan.

Estimation of fundamental natural period of vibration for reinforced concrete shear walls systems

  • Shatnawi, Anis S.;Al-Beddawe, Esra'a H.;Musmar, Mazen A.
    • Earthquakes and Structures
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    • v.16 no.3
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    • pp.295-310
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    • 2019
  • This study attempts to develop new simplified approximate formulas to predict the fundamental natural periods of vibration (T) for bearing wall systems engaged with special reinforced concrete shear walls (RCSW) under seismic loads. Commonly, seismic codes suggested empirical formulas established by regression analysis of measured T for buildings during earthquake motions. These formulas depend on structure type, building height, number, height and length of SW, and ratio of SW area to base area of structure. In this study, a parametric investigation is performed for T of 110 selected models of bearing RCSW systems with varying structural height, configuration of horizontal plans including building width, number and width of bays, presence of middle corridors and core SWs. For this purpose, a 3D non-linear response time history (TH) analysis is implemented using ETABS v16.2.1. New formulas to estimate T are anticipated and compared with those obtained from formulas of IBC 2012 and ASCE/SEI 7-10. Moreover, the study examines responses of an arbitrarily two selected test model of 60 m and 80 m in height with presence of SWs having middle corridors. It is observed that the performance of the tested buildings is different through arising of considerable errors when using codes' formulas for estimating T. Accordingly, using the present proposed formulas exhibits more reasonable and safer design compared to codes' formulas. The results showed that equitable enhancement is promising to improve T formulas approaching enhanced and accurate estimation of T with reliable analysis, design, and evaluation of bearing RCSW systems.

Evaluation of Predictability of Global/Regional Integrated Model System (GRIMs) for the Winter Precipitation Systems over Korea (한반도 겨울철 강수 유형에 따른 전지구 수치모델(GRIMs) 예측성능 검증)

  • Yeon, Sang-Hoon;Suh, Myoung-Suk;Lee, Juwon;Lee, Eun-Hee
    • Atmosphere
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    • v.32 no.4
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    • pp.353-365
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    • 2022
  • This paper evaluates precipitation forecast skill of Global/Regional Integrated Model system (GRIMs) over South Korea in a boreal winter from December 2013 to February 2014. Three types of precipitation are classified based on development mechanism: 1) convection type (C type), 2) low pressure type (L type), and 3) orographic type (O type), in which their frequencies are 44.4%, 25.0%, and 30.6%, respectively. It appears that the model significantly overestimates precipitation occurrence (0.1 mm d-1) for all types of winter precipitation. Objective measured skill scores of GRIMs are comparably high for L type and O type. Except for precipitation occurrence, the model shows high predictability for L type precipitation with the most unbiased prediction. It is noted that Equitable Threat Score (ETS) is inappropriate for measuring rare events due to its high dependency on the sample size, as in the case of Critical Success Index as well. The Symmetric Extreme Dependency Score (SEDS) demonstrates less sensitivity on the number of samples. Thus, SEDS is used for the evaluation of prediction skill to supplement the limit of ETS. The evaluation via SEDS shows that the prediction skill score for L type is the highest in the range of 5.0, 10.0 mm d-1 and the score for O type is the highest in the range of 1.0, 20.0 mm d-1. C type has the lowest scores in overall range. The difference in precipitation forecast skill by precipitation type can be explained by the spatial distribution and intensity of precipitation in each representative case.

A Literature Review on the Public Program of Walking Promotion for Active Living (활동적 생활을 위한 걷기증진 공공사업에 관한 고찰)

  • Kim, Dong Ha;Kang, Jaewook;Yoo, Seunghyun
    • Journal of agricultural medicine and community health
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    • v.46 no.2
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    • pp.98-108
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    • 2021
  • Objectives: This study aimed to describe the current public programs for community walking in Korea and to discuss their challenges. Method: We identified the literature related to community walking including five laws, 22 white papers from government departments and 84 program reports from the Seoul Metropolitan Government. Results: Korean law guarantees legal rights and validity to create safe, convenient and equitable environments for community walking. The government department, which has jurisdiction over legislation relating to community walking, has dominated community walking programs, and the role of public health department has been insufficient. Almost all sectors in the department of Seoul Metropolitan Government were involved in community walking programs. However, inter-sectoral cooperation system for community walking was insufficient. Conclusion: It is necessary to revise the condolences of the National Health Promotion Act to establish the role and perspective of public health in community walking promotion. Institutional efforts should be made to expand the network structure between sectors of community walking programs by establishing an organizational, budget, and performance sharing system for inter-sectoral approach.

Promoting Access to Health Technologies in the Post-pandemic Era: Gavi, Global Fund, Unitaid, and Access to COVID-19 Tools Accelerator (ACT-A) Programs (포스트 코로나 시대 보건의료기술 접근성 제고를 위한 탐색 연구: 세계백신연합(Gavi) 글로벌펀드(Global Fund), 국제의약품구매기구(Unitaid) 및 Access to COVID-19 Tools Accelerator 사업 사례)

  • Song, Sooyeon;Heo, Jongho
    • Journal of Appropriate Technology
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    • v.7 no.2
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    • pp.216-224
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    • 2021
  • Purpose: Global collaboration to accelerate development and equitable access to COVID-19 tests, treatments, and vaccines was launched with the name of the Access to COVID-19 Tools Accelerator (ACT-A), and this initiative owes its expertise to the lessons learned of the global health organizations. To date, the comprehensive mechanisms and potential effects of the initiative remain largely unknown. Methods: This study reviewed the programs of Gavi, the Global Fund, Unitaid, and ACT-A, which mitigating barriers to greater use of health technology with an analytic framework. Results and conclusion: The study findings are as follows. First, programs to alleviate the absence of necessary technology include the International Finance Facility for Immunization and Covax Facility. Second, Pooled Procurement Mechanism and Accelerated Order Mechanism are examples of mitigating the inability to access technology. Third, programs to overcome reluctance to adopt accessible technology include health system strengthening efforts such as the capacity-building health workforces. Further actions of Korea are needed to collaborate with the initiatives to enhance health outcomes.