• 대한치과의사협회지
• /
• 제58권9호
• /
• pp.536-545
• /
• 2020

In preparing for the era of Korean reunification, it is essential to consider the integration of medical systems and human resources. While Korean dental practitioners are expanding their activities in various fields both domestically and internationally, there are many restrictions on the activities for improving the health of North Korean people due to political and historical reasons even nowadays. In addition, there is little is known about the current state of dental health in North Korea. We analyzed the reports published by the World Health Organization (WHO) and the Ministry of Public Health of North Korea prepared individually or in cooperation, and investigated the current status of the health care strategy applied to the dental field by conducting a full investigation of the 2018 『Rodong』newspaper. Based on the above, we tried to grasp the major health care strategies in North Korea and their application. Understanding the direction and status of North Korea's health care system would be an important cornerstone for international cooperation and practical activities to improve oral health care of North Koreans in the future. And there is a need that studies should be steadily conducted in various methods to overcome the heterogeneity of the two Koreas in the long-term perspective.

• 의료법학
• /
• 제8권1호
• /
• pp.137-177
• /
• 2007

The medical expenses review system in Korea has developed under fee-for-service system with its own unique structure. The importance of reviewing medical expenses has been emphasized, as the size of medical expenditures moving through the health insurance legal context and its weight in the national economy have increased very rapidly. It is, however, analyzed that the feuds and arguments continue among the stakeholders for the lack of laws supporting the medical expenses review system. The medical expenses review is a series of administrative procedures, deciding whether claims from medical care institutions to the insurer are legal and valid or not. It mainly controls the increase of unnecessarily excessive health insurance claim and prevents fraudulent claim and abuse and checks the less use or unsuitable use of medical resources. It also works a function guarantees medical benefits for the appropriate treatment according to the object of health insurance system as a social insurance scheme. The dispute on legal base of the medical expenses review is about the source of law in the medical expenses review. There are the Health Insurance Act and administrative laws as jus scriptum and the guidelines of review as administrative orders. The medical expenses review should reflect various factors, such as the development of medical healthcare technologies, the health expenditures distribution, the financial situation of the health insurance, and the evaluation on the level of appropriate benefits. It is also likely to adapt to the traits of characters of medicine, and trends and transition, Besides it should judge the legality and the validity of medical benefits expenditures by synthesizing these all factors. And the evaluation system of appropriateness of medical benefits was administrative procedure which was consecutive with reviewing the medical expenses system and it was intended to make up for the result of reviewing the medical expenses in more comprehensive levels.

• 한국토양비료학회지
• /
• 제44권6호
• /
• pp.1286-1294
• /
• 2011

This paper reviews the future directions and perspectives on the soil environmental researches in the 21 century. Previously, the principal emphasis of soil environmental researches had put on the enhancement of food and fiber productions. Beside the basic function of soil, however, the societal needs on soil resources in the 21st century have demands for several environmental and social challenges, occurring regionally or globally. Typical global issues with which soil science should deal include food security with increasing agronomic production to meet the exploding world population growth, adaptation and mitigation of climate change, increase of the carbon sequestration, supply of the biomass and bioenergy, securing the water resource and quality, protection of environmental pollution, enhancing the biodiversity and ecosystem health, and developing the sustainable farming/cropping system that improve the use efficiency of water and agricultural resources. These challenges can be solved through the sustainable crop production intensification (SCPI) or plant welfare concept in which soil plays a key role in solving the abovementioned global issues. Through implementation of either concept, soil science can fulfill the goal of the modern agriculture which is the sustainable production of crops while maintaining or enhancing the ecosystem function, quality and health. Therefore, directions of the future soil environmental researches should lie on valuing soil as an ecosystem services, translating research across both temporal and spatial scales, sharing and using data already available for other purposes, incorporating existing and new technologies from other disciplines, collaborating across discipline, and translating soil research into information for stakeholders and end users. Through the outcomes of these approaches, soil can enhance the productivity from the same confined land, increase profitability, conserve natural resource, reduce the negative impact on environment, enhance human nutrition and health, and enhance natural capital and the flow of ecosystem services. Soil is the central dogma, final frontier and new engine for the era of sustainability development in the $21^{st}$ century and thus soil environmental researches should be carried according to this main theme.

• 한국환경보건학회지
• /
• 제32권2호
• /
• pp.140-148
• /
• 2006

Recently, indoor air quality (IAQ) in workplace, residential environments and schools has been concerned of people, scientists and related the public, and has recognized the health effects related to indoor air pollution. Therefore, this study was performed to investigate the characteristics of IAQ in 55 kindergartens, elementary school, middle schools, and high schools from June, 2004 to May, 2005 in Korea. We measured indoor air pollutants($PM_{10},\;CO_2$, HCHO, total bacteria colony(TBC), CO, radon, TVOCs, asbestos, and $O_3$), and physical factors(noise, temperature, relative humidity, and illumination) with necessary of management for IAQ in school. We classified into 5 kinds of the school by period since building completion, <1 year, 1-3 years, 3-5 years, and 5-10 years. The concentration of pollutants and the level of physical factors compared with standards and guidelines of IAQ on the Ministry of Environment, the Ministry of Health and Welfare, and the Ministry of Education and Human Resources Development. The major results obtained from this study were as follows. Temperature, relative humidity and illumination among the physical factors did not exceed the standards, but noise exceeded it. Asbestos and $O_3$ did not detect in surveyed classrooms. CO, TBC, TVOCs, and HCHO in kindergartens, TBC in elementary schools, TBC, TVOCs dnd HCHO in middle schools, and HCHO in high schools detected the standards. This study is conducted as a part of efforts to provide a foundational data for further relative researches on management of IAQ of school. Therefore, we suggest that country plan for management of IAQ in school should be established through long-term and continuous investigation for assessment on IAQ in school and health risk assessment for students.

• 한국엔터테인먼트산업학회논문지
• /
• 제13권8호
• /
• pp.411-424
• /
• 2019

본 연구는 강원도민의 건강을 통한 삶의 질 향상은 물론 행복하고 즐거운 삶을 영위할 수 있는 실현가능한 스포츠복지 정책방향을 모색하는 것이 목적이다. 연구의 주요내용은 스포츠복지 개념 및 정책동향, 강원도 스포츠강좌이용권 사업 현황, 스포츠복지정책 방향 등 크게 세 부분으로 구성하였다. 스포츠강좌이용권 사업 중심의 강원도 스포츠복지 정책 방향으로는 다음과 같은 방향을 제시하였다. 첫째, 수요자 맞춤형 스포츠복지정책 추진이다. 이를 실현하기 위해, 스포츠강좌이용권 사업 고도화를 추진하여야 한다. 또한 생애주기별 보편적 복지로의 접근 강화 추진을 제안하였다. 둘째, 공공체육시설 활용과 다양한 프로그램 개발을 제안하였다. 강원도내 스포츠강좌이용권 사업 활성화를 위한 공공체육시설을 적극 활용할 것을 제안하였다. 또한 다양하고 차별화된 교육프로그램을 개발·보급하고, 수혜 대상자에게 효과적으로 전달하기 위해, 강원도체육회 또는 강원도 사회복지모금공동회에 「스포츠복지 관련 교육 프로그램」을 개설하고 「스포츠복지 전문가 육성」을 통해 스포츠복지 중요성에 대한 인식의 확산 도모, 「지역 스포츠복지 연구회를 구성하여 적극적인 활동을 지원토록 할 것을 제안하였다. 셋째, 인적자원 육성과 네트워크화이다. 이의 효율적인 추진을 위해, 「스포츠복지사 교육기관 설립」을 설립과 함께 전문가의 시각에서 스포츠복지 진흥 발굴 및 활용을 위한 「스포츠복지 연구·개발」 네트워크 구축 등을 제안하였다. 넷째, 제도 정비 및 지원체계구축이다. 이는 가칭 「강원도 스포츠복지추진위원회」의 구성, 행정지원체계의 일원화를 위해 단기적으로는 보건복지여성국 또는 문화관광체육국내에 가칭 「스포츠복지 사업 지원팀」 신설, 도내 인구학적 특성을 반영한 수요에 대응하여 장기적으로는 가칭 「강원도스포츠복지 지원센터」로 확대할 것을 제안하였다. 또한 강원도 지역 특성에 적합하고 전 도민이 혜택을 부여받을 수 있는 맞춤형 스포츠복지 실현을 위해서는 예산과 인력이 필요하기 때문에 「강원도스포츠복지 진흥 조례」 제정으로 법적 근거를 마련하고, 스포츠 복지진흥의 저변 확대를 목적으로 스포츠강좌이용권 사업을 보완한 가칭 「강원도 스포츠복지 경진대회」 개최를 추진할 것을 제안하였다.

• 한국보건간호학회지
• /
• 제31권2호
• /
• pp.327-340
• /
• 2017

Purpose: The aim of this study was to identify the barriers to promoting physical activity among obese children from low-income families using community child care (CCC) centers. Methods: This study employed an exploratory-descriptive qualitative research using focus group interviews. The participants were recruited from CCC centers, and 4 focus group interviews were conducted with 10 overweight and obese children and 14 primary caregivers. All interviews were recorded and transcribed verbatim. The data were analyzed using content analysis. Results: The barriers to promoting physical activity were classified into three areas: 1) individual, a lack of will for physical activity; 2) interpersonal, a change in communicative mean with the peer group, absence of parental monitoring due to work-family balance, and an absence of consistent rules; and 3) organizational, lack of physical activity programs and human resources, and confined space for physical activity. Conclusion: The physical activity of children in low-income families is influenced by a range of ecological barriers. These findings can be used to develop tailored intervention to prevent and manage childhood obesity in low-income children.

• 한국응급구조학회지
• /
• 제7권1호
• /
• pp.55-64
• /
• 2003

The purposes of this study which was conducted by applying three projection formulae to the data from admission quota for paramedic of the Ministry of Education & Human Resources Development the number of ambulances the number of emergency medical centers of the Ministry of Health & Welfare and rate of successful candidates of annual report of the National Health Personnel Licensing Examination Board were to find out demand and supply of paramedic from 2002 to 2045 and to expand scope of practice of paramedic in Korea. The conclusions from this study were summarized as follows; (1) The simple formulae derived from the projection formula of the Economic Planning Board were applied under the present Emergency Medical Services Act including qualifying over 3-years experienced EMT-Basic for paramedic examinee, stationing paramedic or EMT-Basic or physician or nurse per ambulance, stationing paramedic or EMT-Basic per emergency medical center and under the amended Emergency Medical Services Act including qualifying only paramedic graduate for paramedic examinee, stationing 4.5 paramedics per ambulance, stationing 10 to 2 paramedics per emergency medical center. (2) It was estimated that on the American basis of 5.6 EMTs per 10,000 in 1996, the number of paramedics under the present act will reach the basis before 2020, the number of paramedics under the amended act will reach the basis about 2040. (3) It was estimated that on the basis of 22,000 paramedics demanded from the number of ambulances, the number of emergency medical centers in 2001, the number of paramedics under the present act will reach the basis before 2015, the number of paramedics under the amended act will reach the basis about 2030. (4) There was relationship between requirements for emergency medical centers scope of practice of paramedic in the act and demand-supply of paramedic, this necessitates surveys, studies, amendment of the act, legalization for expanded scope of practice of paramedic including EMD, instructor, teacher of safety. (5) This study which includes only expanded scope of practice of paramedic and projection for paramedic in the act needs complementary studies such as decision-making process in health manpower policy and so on.

• 품질경영학회지
• /
• 제46권1호
• /
• pp.75-94
• /
• 2018

Purpose: This research intended to explore a causal relationship among empowerment, job satisfaction, organizational citizen behavior, and customer orientation of employees working at the elderly care hospital, and we intended to explore mediating role of job satisfaction and organizational citizen behavior(OCB) and moderating role in the relationship of them. Methods: A survey tool was questionnaire that had obtained validity and reliability through literature survey and pretest survey, and sample 388 was analyzed through SEM using SPSS21.0 and AMOS21.0. Results: All theoretical relationships on research model were turned out except one between empowerment and customer orientation. Job satisfaction and organizational citizen behavior play an important mediating role in the research model. LMX plays a moderating role in the research model. Conclusion: In order to delegate the duties of the elderly nursing facility and to manage and operate the efficient human resources, the quality of the LMX should be raised so that the empowerment, job satisfaction and organizational citizenship behavior of the employees ultimately strengthen the customer orientation of them.

• 산경연구논집
• /
• 제12권7호
• /
• pp.15-25
• /
• 2021

Purpose: The greatest asset to all organizations is the employees and they should be guarded against factors hindering their work ability. Nevertheless, most organizations are always more concerned about making profits to the extent of forgetting their employee's welfare. On this point, this study aims to examine employee's work-related stress and its relationship with work ability. Research design, data and methodology: This study focused on obtaining mostly peer-reviewed works to suggest research findings, assuming that qualitative literature approach allows researchers to explore in-depth information concerning complex issues in a standard life setting. Numerous prior researchers applied their research design in content analysis, especially where various concepts are present for analysis. Results: Based on numerous qualitative textual resources, this study found that human resource practitioners should plan stress management strategies for their employees to apply five kinds of solutions that the current study suggests because it is vital to ensure their wellbeing towards sustaining their performance. Conclusions: All in all, based on the findings, this study concludes that employee's work stress negatively impacts their work ability with affecting their mental health. As a result, there is little doubt that practitioners should regularly monitor the working environment for stress-related factors besides creating a healthy working environment for all employees.

• 대한한의학회지
• /
• 제20권2호
• /
• pp.3-11
• /
• 1999

The Korean system of health and medical care has been organized with both Oriental and Western medical sciences. To get complete clinical treatment results is not possible with only one-sided medical care, therefore we need to formulate an interdisciplinary plan for better health care, that is to say our ultimate purpose is the cooperative medical care for the promotion of social welfare and health. Hereupon, I made a searching inquiry into the present condition of cooperative medical care and its problems and also took a consideration into the medical state of other countries like China. Japan and North Korea where the Oriental medical care is used. The results of this investigation are as follows. There are some problems in both Oriental and Western(general) medical care, such as a lack of mutual confidence, a severance of interdisciplinary study, a shortage of professional human resources and so on. There also used to be problems of the system such as, the responsibility of medical care, the double charge for medical treatment, the governmental passive participation and policy, the private-oriented study system and so on. The solutions of these problems are that the mutual understanding and coexistence between both Oriental and Western medical sciences should be preceded and the interdisciplinary study, identified terminology and cooperative medical specialists would be necessary. Furthermore, the government has to seek some policies and legislation for the cooperative medical system and needs to support the public research institutes and centers of the cooperative medical care. After all, we have to train the cooperative medical specialists for the mutual aid of both Oriental and Western medical sciences and the government also has to support it with some policies and legislation for the better medical care system.