• 지역사회간호학회지
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• 제32권3호
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• pp.312-324
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• 2021

Purpose: Tuberculosis is an infectious condition with a high disease burden, and the stigma in patients with tuberculosis causes negative health outcomes. The purpose of this study was to define and clarify the concept of self-stigma among patients with tuberculosis. Methods: The analysis was conducted using Walker and Avant's conceptual approach. Twenty-seven studies met the selection criteria. Results: Self-stigma in patients with tuberculosis can be defined by the following attributes: 1) self-esteem decrement; 2) fear; 3) negative emotions to oneself; 4) social withdrawal; and 5) discrimination. The antecedents identified were 1) inappropriate knowledge of tuberculosis, 2) spread of improper health information through media and social communications, 3) stereotypes and prejudices, 4) visibility due to symptoms appearing, 5) recognizing the risk of infection, and 6) low financial status. The consequences were 1) concealing the disease, 2) treatment delay, 3) poor treatment adherence, 4) poor quality of life, and 5) deterioration in or lack of social activities. Conclusion: The definition and attributes of self-stigma identified by this study can be applied to enhance the understanding of stigma in tuberculosis patients and to improve communications between healthcare providers and researchers. It can also be used to develop theories and measurements related to stigma in patients with tuberculosis.

• 한국병원경영학회지
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• 제26권3호
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• pp.1-12
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• 2021

Purpose: This study aims to examine the effect of the copayment reduction policy on the health care utilization of patients under age 15 after the policy started in 2017. (이하는 아래 methodoloty로 이동) Methodology: Data on the ALOS, the average admission cost, and the out-of-pocket expenditure for patients under 15 years of age from 2015 to 2019 were obtained from the National Health Insurance database. Policy effects were measured by analyzing three dependent variables before and after policy: the average length of stay (ALOS), the average admission cost, and the out-of-pocket expenditure for patients under 15 years of age. The collected data were analyzed using the SAS package, and the analysis methods used in this study were the mean difference test and linear regression analysis. Findings: The study results reveal that, after the copayment reduction policy in the year 2017, the ALOS and the out-of-pocket expenditure were significantly decreased, but the average admission cost was significantly increased. Practical Implications: These results imply that the policy of copayment reduction for the patients under the age of 15 has contributed to mitigating the patients' financial burden with little concern about growing medical utilization.

• 한국농공학회논문집
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• 제61권4호
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• pp.63-73
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• 2019

Coastal and fishing facilities are gradually deteriorating in function due to the continual accumulation of soil sediments, which has affected local economic activities. Currently, there are many methods to remove soil sediments, but these methods are either a temporary solution or require a repetitive removal of the soil sediments, which is a huge financial burden for the maintenance of the facilities. To solve these problems, this study proposed a non-power soil cleaning system and evaluated field applicability by carrying out field model tests. The conditions for the evaluation focused on the drainage-elapsed time and drainage-outflow velocity according to the water level change in the water tank. In the field test, silty clay and sand were separately installed, and sedimentation soil removal test was practiced. As a result, the system was verified to have a sufficient outflow velocity for the removal of soil sediments. In addition, a generalization equation that can be used in different regions of the tide was suggested in this study. These results will greatly contribute to removing soil sediments in ports and dike gate facilities on the southwest coast. Since the system is an eco-friendly technology that does not require additional energy, thus it is expected to contribute to maintenance of sustainable facility performance as well as economic effect in the future.

• 한국콘텐츠학회논문지
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• 제19권3호
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• pp.328-335
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• 2019

현재 한국사회는 급속하게 빠른 고령화를 경험하고 있고, 그 중 노인부양문제는 노인복지정책의 주요의 제로 떠오르고 있다. 노부모부양에 대한 인식은 지난 10여년새 크게 변화되었고, 인식의 변화가 크다면, 그 원인을 분석하는 의의도 클 것이다. 따라서 본 연구는 2016년(11차) 복지패널데이터를 활용하여 노인복지서비스를 운영 및 전달 측면에서 그리고 재정부담 측면에서 누가 담당하는 것이 바람직한지 국가선택집단과 가족선택집단으로 구분하여 노인부양인식에 영향을 주는 요인을 분석하였다. 분석결과 복지서비스를 경험할수록, 공적연금을 수급할수록, 노인부양은 국가가 책임져야 한다고 생각할수록, 노인분야지출이 늘어나야한다고 생각할수록, 연령과 교육수준이 높을수록 국가를 선택하는 비율이 높은 것으로 나타났다. 이를 통해 노인복지시스템이 충분하지 않은 현 시점에서 노인부양문제 해결에 기초자료를 제공한다는데 의의가 있다.

• 대한장애인치과학회지
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• 제14권2호
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• pp.59-64
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• 2018

This study proposed a registered dentist model for the disabled based on consumer in-depth interview and supplier survey. This study proposed that dental clinics in the community take role as registered dentists for the disabled. Qualification screening and facility prerequisites are required to be selected as the registered dentists for the disabled and patients of the registered dentists were restricted to the disabled who can cooperate to dental treatment services with or without the aid of physical bondage. In order to encourage the participation in the program, subsidies for the registered dentists were necessary. Also, this study proposed financial supports for the medical expenses for patients at the same level as the current dental care center for the disabled. The registered dentist program for the disabled meets the needs of disabled consumers, such as accessibility of medical institutions, expertise of medical staff, and ongoing treatments with familiar medical staff. The registered dentist program for the disabled is expected to provide prevention and ongoing management for oral health promotion of disabled people and it also contribute to lower economic burden of oral health care of the disabled.

• 한국콘텐츠학회논문지
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• 제21권10호
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• pp.422-433
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• 2021

신재생 에너지에 관한 적극적 사업 참여가 필요한 현 시점에서, 신재생 에너지 사업 참여의 성장동력과 내실있는 추진전략에 대한 기초정보가 필요하였다. 이에 따라 본 연구는 다층모형을 활용한 신재생 에너지 사업참여 로드맵에 미치는 영향 요인을 분석하여, 신재생 에너지 사업 참여 활성화를 위한 기초정보를 제공하고자 하였다. 본 연구결과, 실효성있는 신재생 에너지 사업 참여 로드맵을 달성하기 위해서는 업종별 신재생 에너지사업 참여 요소의 재정립이 필요함을 살펴볼 수 있다. 구체적으로 살펴보면, 사업의 주도 단체, 이익배분 방식, 녹색산업 금융지원, 사업 시행 방식, 발전소 위치, 포괄적 장기전략 등의 적절한 대응방안 마련이 필요하고, 관련 산업의 육성을 촉진할 수 있는 제도적 접근이 필요할 것임을 발견하였다. 무엇보다 실효성있는 신재생에너지 사업 참여 로드맵을 달성하기 위해서는 국가경제에의 부담을 최소화하면서 신재생에너지의 보급을 확대하고 관련 산업의 육성을 촉진할 수 있는 제도적 접근이 필요함을 시사하였다.

• 보건의료산업학회지
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• 제13권3호
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• pp.163-172
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• 2019

Objectives: With the rapidly increasing incidence of cancer worldwide, it has become important for health care professionals to both provide care for cancer patients and to address the challenges faced by family caregivers of cancer patients. This study aims to identify the factors affecting depression among cancer patients' family caregivers. The results of this study suggest the need to propose programs for family caregivers as well as cancer patients. Methods: Participants were 219 caregivers who were informed of the study purpose and agreed to participate. Data were analyzed using t-tests, one-way ANOVA, Scheffe's test, Pearson correlation coefficients, and multiple stepwise regression with the SPSS/WIN 25.0 program. Results: The mean score for depression among cancer patients' family caregivers was $1.57{\pm}.40$ (range: 0-3). Depression was significantly different based on age, relationship with the patient, education, occupation, cancer recurrence, care days per week, financial burden, site of cancer, and health status. Analysis using multiple regression showed that model 1 showed 16% of the factors predicting depression among cancer patients' family caregivers (F=6.16, p<.001) including occupation, recurrence, and health status of the caregiver. Model 3, which included additional burnout, showed 37% of the factors predicting depression (F=12.36, p<.001). Conclusions: These results suggest that it is necessary to develop programs for prevention and management of depression among cancer patients' family caregivers.

• 여성건강간호학회지
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• 제26권4호
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• pp.346-357
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• 2020

Purpose: This descriptive phenomenological study aimed to explore the lived experience and meaning of pregnant women's adaptation. Methods: Ten pregnant women from an ongoing Pregnant Couples' Cohort Study agreed to participate in this study. The data were collected through telephone in-depth interviews regarding what they experienced and felt about pregnancy adaptation. The qualitative data were analyzed using Giorgi's method of descriptive phenomenology. Results: Five core situation components were extracted from the raw data, along with 12 themes and 33 focal meanings. The five core situations were 1) first recognizing the pregnancy, 2) pregnancy-related changes, (3) the upcoming birth, 4) the postpartum period, and 5) parenting. The 12 themes were as follows: "anxiety, pressure, and embarrassment due to pregnancy," "efforts to adapt to physical changes," "efforts to adapt to the psychological difficulties of pregnancy," "efforts to adapt to the financial burden and role changes caused by pregnancy," "connecting with the fetus," "adapting to a new marital relationship centering on the baby," "the frustration of childbirth," "fear of childbirth," "postpartum care, need help with lactation planning," "parenting beyond what I imagined," "dad's willingness to participate in parenting," and "career disconnect and consideration of workplace needs." Conclusion: We identified that pregnant women experience adaptation in physical, psychological, relational, and social aspects. The thematic clusters identified can be used to develop nursing interventions to promote women's adaptation to pregnancy.

• 대한두개안면성형외과학회지
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• 제23권4호
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• pp.163-170
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• 2022

Background: Personal mobility devices (PMDs) have become an increasingly popular transport modality globally. With increasing social interest in and demand for PMDs, the number of individuals visiting emergency departments with PMD-related injuries has also increased annually. This study aimed to evaluate injury patterns and treatment costs for patients treated in the department of plastic surgery in a trauma center. Methods: In this retrospective study, data concerning patients with PMD-related injuries from January 2017 to December 2021 were reviewed. The data retrieved included age, sex, alcohol consumption, helmet use, the type of impact, onset of injury, place of first visit, type of injury, admission status, operation status, and treatment cost. Multiple linear regression analysis was performed to determine the effects of various factors on cost. Results: Data were collected from 93 patients. Until 2019, the annual number of PMD-related accidents was less than 10; however, this number increased sharply in 2020. The average cost of hospitalization was USD 7,698 whereas the average cost of non-hospitalization was USD 631. Only fractures had a significant association with total cost in linear regression analysis (p< 0.001). Conclusion: The prevalence of PMD use and related injuries requiring plastic surgery during the study period showed significant health and financial costs both to the patients involved and to society. This cost could be reduced through stricter regulations concerning PMD use, advocating the use of protective gear, and promoting greater awareness of safety measures and of the consequences of PMD-related accidents.

• 가족자원경영과 정책
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• 제26권3호
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• pp.19-34
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• 2022

청년층 및 저소득층을 포함한 취약계층과 제2금융권을 중심으로 한 부채 불이행에 대한 우려가 증가하고 있다. 청년층의 가계부채 건전성은 최근 고용 부진, 학자금대출 부담 증가, 제2금융권에서 고금리 대출 증가 등이 복합적으로 작용하여 더욱 취약해졌다. 본 연구의 목적은 한국의 청년층 차입자를 대상으로 채무 불이행 가능성을 진단하고, 그 가능성에 영향을 주는 요인을 예측하는 것이다. 이러한 목적을 달성하기 위하여 본 연구는 2021년 「가계금융·복지조사」를 활용하고, 청년층의 채무 불이행 가능성과 관련된 요인들을 포괄적으로 분석하기 위하여 머신러닝 알고리즘의 랜덤포레스트 방법을 적용하였다. 청년층 차입자의 채무 불이행 위험을 예측하는 모형을 탐색한 뒤 중요도 지수를 산출하고, 중요도가 높은 설명변수들을 선별한 뒤, 주요 결정요인들의 부분 의존성 도표를 제시하고자 하였다. 최종적으로 자산대비부채비율(DTA), 의료비 비중, 가계부실위험지수(HDRI), 통신비 비중, 주거비 비중이 주요한 변인으로 나타났다.