• 제목/요약/키워드: Expectancy-value

검색결과 112건 처리시간 0.029초

우리나라 보건지표의 지역 격차: 지경학적 고찰과 대응방안 (Regional Inequalities in Healthcare Indices in Korea: Geo-economic Review and Action Plan)

  • 김춘배;정무권;공인덕
    • 보건행정학회지
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    • 제28권3호
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    • pp.240-250
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    • 2018
  • By the end of 2017, in a world of 7.6 billion people, there were inequalities in healthcare indices both within and between nations, and this gap continues to increase. Therefore, this study aims to understand the current status of regional inequalities in healthcare indices and to find an action plan to tackle regional health inequality through a geo-economic review in Korea. Since 2008, there was great inequality in life expectancy and healthy life expectancy by region in not only metropolitan cities but also districts in Korea. While the community health statistics from 2008-2017 show a continuous increase of inequality during the last 10 years in most healthcare indices related to noncommunicable diseases (except for some, like smoking), the inequality has doubled in 254 districts. Furthermore, health inequality intensified as the gap between urban (metropolitan cities) and rural regions (counties) for rates of obesity (self-reported), sufficient walking practices, and healthy lifestyle practices increased from twofold to fivefold. However, regionalism and uneven development are natural consequences of the spatial perspective caused by state-lead developmentalism as Korea has fixed the accumulation strategy as its model for growth with the background of export-led industrialization in the 1960s and heavy and chemical industrialization in the 1970s, although the Constitution of the Republic of Korea recognizes the legal value of balanced development within the regions by specifying "the balanced development of the state" or "ensuring the balanced development of all regions." In addition, the danger of a 30% decline or extinction of local government nationwide is expected by 2040 as we face not only a decline in general and ageing populations but also the era of the demographic cliff. Thus, the government should continuously operate the "Special Committee on Regional Balanced Development" with a government-wide effort until 2030 to prevent disparities in the health conditions of local residents, which is the responsibility of the nation in terms of strengthening governance. To address the regional inequalities of rural and urban regions, it is necessary to re-adjust the basic subsidy and cost-sharing rates with local governments of current national subsidies based mainly on population scale, financial independence of local government, or distribution of healthcare resources and healthcare indices (showing high inequalities) overall.

노인가구 노인의 삶의 만족도 변화에 미치는 영향 요인 -잠재성장모형을 이용한 종단연구 (Influential Factors on the Change in Life Satisfaction of Elderly Households -Longitudinal Analysis using a Latent Growth Model)

  • 김진훈
    • 한국콘텐츠학회논문지
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    • 제19권1호
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    • pp.339-349
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    • 2019
  • 본 연구는 노인가구 노인의 삶의 만족도 변화에 미치는 영향 요인을 분석하는데 연구 목적이 있다. 연구를 위해 노인 1인가구와 노인 부부가구를 노인 가구라고 정의하여, 한국고용정보원이 제공하고 있는 고령화 연구패널자료(Korean Longitudinal Survey of Ageing: KLoSA)의 2, 3, 4차 자료를 활용 했으며, 65세 이상 3차시 모두 설문에 응답한 677명을 최종 분석대상으로 활용하였다. 노인가구의 삶의 만족도 수준의 종단적 연구에서 시간이 지날수록 개인별 만족도 수준이 낮아지고 있음을 확인하였고, 잠재성장모형의 조건부 모형을 통해 노인가구의 삶의 만족도 수준의 종단 변화에 영향을 미치는 요인을 분석하였다. 분석 결과, 가구유형, 주택소유유무, 주관적 건강상태 등이 노인가구의 삶의 만족도 초기값에 영향을 미치는 것으로 나타났으며, 가구유형, 생활수준 기대감 등이 노인가구의 삶의 만족도 변화율에 영향을 미치는 요인으로 나타났다. 이러한 연구 결과를 통해 노인가구의 자아실현 기회를 높여 노년 시대의 삶의 만족도 향상이 필요하며, 정책적 접근에 있어 다양한 유형을 고려한 선별적 접근이 필요함 등을 제언하였다.

코로나 19 동선 관리를 위한 적정 앱 서비스와 도입: 고위험 지역 설문 연구 (Appropriate App Services and Acceptance for Contact Tracing: Survey Focusing on High-Risk Areas of COVID-19 in South Korea)

  • 노미정
    • 한국병원경영학회지
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    • 제27권2호
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    • pp.16-33
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    • 2022
  • 연구목적: 적절한 동선 파악과 동선 추적은 코로나19 역학조사를 위해서 매우 중요하다. 동선 추적 앱 도입을 활발히 하기 위해서는 사용자들의 앱에 대한 기대, 선호 그리고 우려하는 부분에 대한 이해가 필요하다. 본 연구는 동선 추적 앱의 사용률을 높이고, 데이터 공유를 원활히 할 수 있게 해주는 자발적 앱 서비스에 대한 기본적 특징과 적절한 서비스를 찾고자 하였다. 또한 사람들이 왜 동선 추적 앱을 사용하려고 하는지에 대한 주요요인을 확인하였다. 연구방법: 이 연구는 2020년 11월 11일부터 12월 6일까지 온라인 서베이를 실시하였고, 통 1,048명의 응답 데이터를 수집하였다. 응답 데이터 중 2020년 가장 많은 코로나19 확진자가 나온 지역의 883명의 응답자 데이터를 분석에 사용하였다. 결과: 코로나 19 관련 앱을 사용해본 경험자들은 동선 추적 앱에 대한 높은 사용의도를 가지고 있는 것으로 나타났다. 응답자들은 보건소와 같은 공공기관에서(74%), 무료(93.88%)로 앱을 제공해주기를 원했다. 동선 추적 앱 사용의도에 영향을 미치는 요인으로는 예방적 가치, 기대성과, 인지된 위험, 촉진기능, 노력기대 등으로 나타났다. 또한 개인정보 보호 및 개인정보 노출에 대한 사용자들의 우려를 해결하고 자발적 앱 사용이 필요한 것으로 분석되었다. 함의: 본 연구 결과는 동선 추적 개발에 있어, 적절한 서비스와 사용자들의 니즈를 파악하는데 유용할 것이다. 사람들의 앱 참여율과 데이터 공유를 높일 수 있는 자발적 앱 개발을 위한 기반을 제공해준다. 또한 본 연구는 역학조사에 협조가 가능한 신뢰 가능한 동선 추적 앱 개발의 근간을 마련할 수 있다.

성인학습자의 이러닝 학습참여에 대한 학습동기 요인 연구 (Exploring the Motivational Factors Influencing on Learner Participation of Adult Learners in e-Learning)

  • 박정현;박지수;손진곤
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제13권1호
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    • pp.28-34
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    • 2024
  • 이러닝은 학습자 자율에 의해 진행되므로 성공적인 학습을 위해서는 지속적인 참여를 위한 학습동기가 무엇보다 중요하다. 평생교육에 참여하는 성인학습자가 증가하면서 이들의 학습참여와 참여에 영향을 미치는 학습동기에 대한 연구가 필요하다. 학습동기와 학습참여간의 관계를 설명하는 기대가치이론과 자기주도학습이론을 바탕으로 학습동기의 구성요소(학습가치, 비용, 자기조절, 일정관리)가 학습참여에 미치는 영향을 분석하였다. 이러닝 프로그램을 MoodleCloud에 구축하였고, 학습자는 설문에 답한 후 학습을 진행하였다. 학습 진행 과정에서 수집한 로그데이터로 산출한 학습참여점수와 설문 응답 데이터를 이용하여 회귀분석을 실시하였다. 분석 결과 성인학습자의 이러닝 학습참여에 유의한 영향을 미치는 동기요인은 학습가치와 일정관리이며, 학습가치에 대한 생각은 남녀 간의 차이가 있는 것으로 나타났다. 즉 성인학습자가 이러닝 학습 프로그램의 가치를 높게 인지할수록, 학습자 스스로 일정관리 능력이 있을수록 학습에 많이 참여한다고 할 수 있다. 이 연구 결과는 학습자와 교수자의 교수·학습전략 수립에 활용될 수 있고, 궁극적으로는 이러닝 중도 탈락을 방지하는 데 도움이 될 수 있다.

재활치료 환자에서 DXA를 이용한 요추부와 대퇴경부 골밀도 검사의 상관관계 (Correlation Analysis of the Lumbar Spine and Femur Neck BMD using Dual Energy X-ray Absorptiometry in Rehabilitated Patients)

  • 정묘영;지연상;김창복;동경래;류재광;최지원
    • 방사선산업학회지
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    • 제12권4호
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    • pp.311-316
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    • 2018
  • Average life expectancy is getting longer due to medical developments and improvements in living standards. So much so that the elderly have an increased risk of developing osteoporosis. Therefore, it is important to prevent, diagnose, and treat the senile disease at an early stage through a bone density test. Bone density is measured by dual energy X-ray absorption (DXA). In this study, while using DXA, in cases when the measurements for both the lumbar and the femur could not be taken simultaneously, the correlation between both measurements were known, and the measurement of one area was used to make a clinical inference for the value of the other. Measurements were taken using Lunar Prodigy Advance (GE) for 43 participant with clinically significant fractures. Statistical calculations were produced and analysed regarding bone density. In case of T-score, lumbar spine produced a statistical result of $-2.112{\pm}1.836$ and femur neck was $-1.716{\pm}1.565$. In case of Z-score lumbar spine produced a statistical result of $-0.151{\pm}1.513$, and femur neck $-0.026{\pm}1.283$. It is indicated that the pearson correlation coefficient of T-score between lumbar spine and femur neck is high at 0.699, and the pearson correlation coefficient of Z-score is considered relatively high at 0.503. The correlation of bone density between lumbar spine and femur neck is shown to be statistically meaningful in T-score's p-value at 0.000 and Z-score's p-value at 0.001. In conclusion, it seems to have clinical usefulness that we can infer the result of one measurement through that of the other part tested, based on the knowledge of the correlation coefficients between lumbar spine and femur neck.

Burden of Cancers Related to Smoking among the Indonesian Population: Premature Mortality Costs and Years of Potential Life Lost

  • Kristina, Susi Ari;Endarti, Dwi;Prabandari, Yayi Suryo;Ahsan, Abdillah;Thavorncharoensap, Montarat
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권16호
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    • pp.6903-6908
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    • 2015
  • Background: As smoking is the leading preventable cause of multiple diseases and premature cancer deaths, estimating the burden of cancer attributable to smoking has become the standard in documenting the adverse impact of smoking. In Indonesia, there is a dearth of studies assessing the economic costs of cancers related to smoking. This study aimed to estimate indirect mortality costs of premature cancer deaths and years of potential life lost (YPLL) attributable to smoking among the Indonesian population. Materials and Methods: A prevalence based method was employed. Using national data, we estimated smoking-attributable cancer mortality in 2013. Premature mortality costs and YPLL were estimated by calculating number of cancer deaths, life expectancy, annual income, and workforce participation rate. A human capital approach was used to calculate the present value of lifetime earnings (PVLE). A discount rate of 3% was applied. Results: The study estimated that smoking attributable cancer mortality was 74,440 (30.6% of total cancer deaths), comprised of 95% deaths in men and 5% in women. Cancers attributed to smoking wereresponsible for 1,207,845 YPLL. Cancer mortality costs caused by smoking accounted for USD 1,309 million in 2013. Among all cancers, lung cancer is the leading cause of death and economic burden. Conclusions: Cancers related to smoking pose an enormous economic burden in Indonesia. Therefore, tobacco control efforts need to be prioritized in order to prevent more losses to the nation. The data of this study are important for advocating national tobacco control policy.

Years of Potential Life Lost and Productivity Costs Due to Premature Cancer-Related Mortality in Iran

  • Khorasani, Soheila;Rezaei, Satar;Rashidian, Hamideh;Daroudi, Rajabali
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권5호
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    • pp.1845-1850
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    • 2015
  • Background: Cancer is recently one of the major concerns of the public health both in the world and Iran. To inform priorities for cancer control, this study estimated years of potential life lost (YPLL) and productivity losses due to cancer-related premature mortality in Iran in 2012. Materials and Methods: The number of cancer deaths by sex for all cancers and the ten leading causes of cancer deaths in Iran in 2012 were obtained from the GLOBOCAN database. The life expectancy method and the human capital approach were used to estimate the YPLL and the value of productivity lost due to cancer-related premature mortality. Results: There were 53,350 cancer-related deaths in Iran. We estimated that these cancer deaths resulted in 1,112,680 YPLL in total, 563,332 (50.6%) in males and 549,348 (49.4%) in females. The top 10 ranked cancers accounted for 75% of total death and 70% of total YPLL in the males and 69% for both death and YPLL in the females. The largest contributors for YPLL in the two genders were stomach and breast cancers, respectively. The total cost of lost productivity due to cancer-related premature mortality discounted at 3% rate in Iran, was US$ 1.93 billion. The most costly cancer for the males was stomach, while for the females it was breast cancer. The percentage of the total costs that were attributable to the top 10 cancers was 67% in the males and 71% in the females. Conclusions: The YPLL and productivity losses due to cancer-related premature mortality are substantial in Iran. Setting resource allocation priorities to cancers that occur in younger working-age individuals (such as brain and central nervous system) and/or cancers with high incidence and mortality rates (such as stomach and breast) could potentially decrease the productivity losses and the YPLL to a great extent in Iran.

외모관리 기대가치가 화장관심도와 화장품 선택기준에 미치는 영향 (The Influence of Expected Values for Appearance Management on Interest in Make-up and Cosmetics Evaluation Criteria)

  • 박은희;조현주
    • 패션비즈니스
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    • 제18권1호
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    • pp.22-36
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    • 2014
  • The purpose of this study is to examine the influence of expected values for appearance management on interest in make-up and cosmetics evaluation criteria. Questionnaires are being administered to 244 college students from the Deagu Metropolitan City and Kyungbook province. The frequency, factor analysis, reliability analysis, regression analysis, and t-test are used for data analysis. Expected values of appearance management are categorized into pleasure/satisfaction, other-expectancy, power value and conformity. Interest in make-up factors are found to be leadership in make-up, others-oriented, and appearance satisfactions. Cosmetics evaluation criteria are categorized into 4 factors such as skin suitability, pursuit of utility, non-essential attributes and symbolism. Pleasure/satisfaction, and conformity are the sub-variables of expected values for appearance management and have significant effects on leadership in make-up and others-oriented sub-variables for interest in make-up. Pleasure/satisfaction, and conformity, being the sub-variables of expected values for appearance management, have significant effects on skin suitability, the sub-variables of cosmetics evaluation criteria. And conformity has significant effects on symbolism, the sub-variables of cosmetics evaluation criteria. This indicates that women show high conformity for expected values of appearance management, leadership in make-up and others-oriented sub-variables for interest in make-up, and skin suitability of cosmetics evaluation criteria.

셰어하우스의 선호도 영향요인에 관한 연구 - 잠재적 이용자인 대학생, 대학원생을 중심으로 (A Study on the Factors Affecting the Preference of a Share House)

  • 황춘화
    • 한국콘텐츠학회논문지
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    • 제20권5호
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    • pp.90-104
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    • 2020
  • 현대의 세계 경제는 소유 중심적인 상업경제에서 가치 공유의 공유경제로 변화하는 추세이다. 현대 사회에서 1인 가구는 일반적인 가구 유형으로 자리매김하고 있다. 1인 가구의 증가 원인은 초혼 연령 상승으로 인한 독신 인구의 증가, 평균 수명 연장으로 인한 노인 인구의 증가, 혼인 감소, 이혼 증가, 기러기 아빠, 직장으로 인한 주거지 분리 등으로 최근에는 다양한 형태의 1인 가구가 증가하고 있다. 특히 1인 가구의 상당한 비율이 청년층이 차지하고 있고 이러한 현상이 대도시에서 흔히 나타난다. 청년층의 1인 가구의 수가 증가하면서 1인 가구의 주거수요에 대한 새로운 수요가 발생하였다. 본 연구는 1인 가구 주거수요의 하나의 대안으로 셰어하우스의 선호도 영향요인에 대한 실증분석을 하여 셰어하우스 선호도에 어떠한 요인들이 영향을 미치는 가를 파악함에 그 목적이 있다. 실증분석 결과 셰어하우스 접근성, 건축물 특성, 셰어하우스 운영 특성은 모두 선호도에 유의한 영향을 미쳤다.

Development of Sharpness Measuring Method for Glass Aggregate Particle made from Waste Glass Bottle

  • Sano, Shigeru;Yamada, Mari
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2001년도 The 6th International Symposium of East Asian Resources Recycling Technology
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    • pp.76-79
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    • 2001
  • In Japan in of today, there is no aspect in which the quantity of waste glass bottle discharged from ordinary homes decreases. Moreover, the kind of shape and color of the waste glass bottles are increasing little by little. In the recycling of the glass bottle, it becomes a problem that many kind of the color is abounding. It is possible to use the transparent glass bottle as raw material of the glassware. Since the reproduction of the color is difficult, the colored glass bottle is not possible to use as a raw material. Therefore, the processing of these glass bottles entirely depends on the reclamation. In Japan, the security of the new reclaimed land is very difficult for the reason of the environmental damage. Moreover, the life expectancy in many reclaimed lands is anticipated with within two years. Therefore, the development of the processing method of glass bottle other than reclamation becomes a rapid problem. At present it is examined that it is used of an aggregate of the colored pavement, as one of the application methods of colored glass bottle. The particle size of produced glass aggregate is also 5mm or less, because the thickness is 5mm or less on almost glass bottles. And almost glass particles have the sharp tip. The application as the aggregate is limited for this sharpness of the particle. This study was carried out for the purpose of the establishment of sharpness measuring method of the glass aggregate particle. It is possible that the injury degree to human in the handling is known, if showing the sharpness of the aggregate particle at the objective numerical value is possible. And the application of the glass aggregate is spread. In this research, the balloon fracture method was used for the sharpness measurement of the glass particle. This method is based on the completely new idea, and it is possible to express completely the possibility of injury to the human. It is reported with the detailed result in full paper, because this study is continuous in order to get the JIS which is industrial standard of Japan.

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