• 제목/요약/키워드: Health care need

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외식 이벤트 속성의 참여자-주최자간 중요도와 만족도의 비교 연구 (A Study on the Importance-Performance Analysis of Food Service Event Attributes in Participants and Organizers)

  • 성연;이연정
    • 한국조리학회지
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    • 제17권3호
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    • pp.1-19
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    • 2011
  • 외식의 관심도가 높아지면서 지역경제의 활성화전략으로 외식이벤트를 적극적으로 활용하면서 대부분의 외식이벤트 주체자는 참여고객의 만족에 초점을 두기보다는 대외 홍보와 언론노출이 용이한 일회성 이벤트와 광고에 치중하고 있는 것에 대해서 문제의식과 필요성을 가지고 탐색적인 차원에서 외식이벤트 주최자의 중요 점과 진행후의 성취도, 외식이벤트 참여자가 중요하게 생각하며 참여 후에 느끼는 만족도를 IPA분석 통해 연구하였다. 본 연구의 목적은 참여자와 진행 주최자의 양측 면에서 중요도와 만족도를 심도 있게 논외하고 외식 이벤트를 성공적으로 이끌기 위한 참여자와 주최자간의 차이를 밝히고자 함이며, 외식이벤트 주최자와 참여자간의 연구에서 제시된 자료를 토대로 외식이벤트에 대한 학문적 접근을 시도하고자 함에 있다. 이에 따른 연구방법으로는 서문지 작성으로 조사 시기는 2008년 5월 9일에서 10일까지 이틀에 걸쳐 이루어졌고 총 200매의 설문지가 배포되었으며 회수된 설문지는 176매로 88% 회수율을 보였으며 이중 불성실하거나 누락된 항목이 많은 설문지를 제외하고 분석에 사용된 설문지는 171부(85.5%)가 SPSS프로그램을 통하여 빈도분석(Frequency)과 기술 분석 (Descriptive Statistics), 대응표본 T-test(paired Samples)등을 실시하였고 중요도와 성취도의 IPA 그래프를 작성하기 위하여 IPA (Importance-Performance Analysis) 분석을 이용하였다. 연구의 결과는 외식이벤트 주최자는 새로움, 예약서비스, 가격, 조명, 고객수준이 유지되어야 한다고 나타났고 외식이벤트 참가자는 소스 맛 주최측서비스 수준, 주차 서비스, 예약 서비스, 고객수준은 유지되어야 한다고 나타났으며 불만족을 느끼는 것은 참가자는 '천연 조미료사용', '음식 맛', '세련된 분위기로 나타났으며 배경음악, 공간청결, 환송서비스, 주방장명성, 세련된 분위기로 나타났다. 결과적으로 주최자는 참여고객들이 불만족을 갖는 '천연 조미료사용' '음식 맛', '세련된 분위기를 보강하는데 노력을 하여야하며 보완 수정이 시급한 것으로 나타났다. 그리고 '배경음악', '색다른 음식'은 참가자가 관심을 두지 않는 부분으로 나타났고 서비스과잉은 계산서비스, 환송 서비스로 나타났으므로 이에 따른 수정보완이 필요 시 된다.

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신체적 기능장애를 가진 국가유공자의 삶의 질 수준 및 관련 요인 연구 (Study of Quality of Life and Related Factors in Veterans with Physical Dysfunction)

  • 권춘숙;김선엽;장현정
    • 한국산학기술학회논문지
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    • 제16권1호
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    • pp.490-497
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    • 2015
  • 본 연구는 신체적 기능장애를 지닌 국가유공자의 삶의 질 수준을 확인하고 삶의 질에 영향을 미치는 관련 요인들을 알아보기 위하여 실시하였다. 연구대상자는 서울, 부산, 대구, 광주와 대전에 위치한 보훈병원에서 신체적 기능장애로 치료를 받고 있는 국가유공자 412명을 대상으로 하였다. 대상자의 삶의 질은 SF-36을 이용하여 평가하였고, 일상생활동작은 수정된 바델지수로, 통증수준은 4항목 시각적 상사척도로, 우울증 척도는 노인우울척도를 이용하여 평가하였다. 연구 결과, 삶의 질은 연령이 높을수록, 주관적 건강상태가 나쁠수록, 경제수준이 낮을수록, 와병기간이 길수록, 통증수준, 우울증 점수가 높을수록 유의하게 낮아지는 것으로 나타났다. 회귀분석 결과 삶의 질에 가장 크게 영향을 미치는 변수는 우울증(B=-.969)이었으며, 주관적 건강상태(B=-5.098), 일상생활동작 수행(B=.140), 통증수준(B=-.163) 순으로 나타났다. 따라서 본 연구의 결과는 신체적 기능장애를 지닌 국가유공자의 삶의 질 향상을 위해 심리적 접근 뿐 아니라 일상생활동작 수행정도 등 신체적 증상의 완화, 통증감소를 개선시킬 수 있는 의학적 중재 및 프로그램 개발의 기초자료로 활용될 수 있을 것이다.

제주지역내 재가암환자관리를 받은 환자와 보호자에게 제공되는 프로그램 만족도와 요구 (Satisfaction and Needs of Cancer Patients and Caregivers under Home-based Cancer Patients Management in Jeju)

  • 김현주;허정식
    • 한국산학기술학회논문지
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    • 제19권8호
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    • pp.276-282
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    • 2018
  • 본 논문은 일개 지역암센터에서 제공되는 재가암환자관리프로그램의 만족도와 요구에 대한 조사를 통해 프로그램의 질 향상을 높이기 위해 시행하였다. 재가암환자관리에 등록된 된 환자와 보호자를 대상으로 2015년 3월부터 2015년 10월까지 자체적으로 개발된 설문지를 통해 면대면으로 조사를 시행하였다. 환자 59명과 보호자 41명, 총 101명을 대상으로 설문조사가 이루어졌다. 암종에서는 유방암이 주된 암이었으며 재가암환자의 방문회수에 대하여 51명(86%)의 환자와 36명(85%)의 환자 보호자가 만족하였다. 서비스 신청경로는 환자의 경우 암센터홍보지가 22명(37.29%), 보호자의 경우에는 주변사람의 권유가 11명(26.19%)으로 가장 많았다. 환자에게 직접 제공되는 처치를 제외하고 가장 선호하는 것은 심리상담이었으며, 나들이와 암종별 교육의 만족도도 높게 나타났다. 프로그램의 만족도는 5점 척도에서 $4.14{\pm}1.21$로 비교적 높게 나왔으며 환자가 보호자보다 높았으나 통계적으로 의미는 없었다($4.29{\pm}1.11$, $3.93{\pm}1.31$, p=0.141). 자아존중감은 보호자가 환자보다 높았으나 통계적으로 유의하지 않았다. 향후 재가암환자와 보호자들의 삶의 질을 높일 수 있도록 심리상담과 환자의 경제적인 상황을 고려한 맞춤형 프로그램개발이 필요할 것이다.

Perception of Patients with Cancer towards Support Management Services and Use of Complementary Alternative Medicine - a Single Institution Hospital-Based Study in Saudi Arabia

  • Sait, Khalid Hussain;Anfinan, Nisrin Mohammad;Eldeek, Basem;Al-Ahmadi, Jawher;Al-Attas, Maha;Sait, Hesham Khalid;Basalamah, Hussain Abdullah;Al-Ama, Nabeel;El Sayed, Mohamed Ezzat
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권6호
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    • pp.2547-2554
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    • 2014
  • Background: To evaluate the perception of cancer patients toward treatment services and influencing factors and to inquire about the use of complementary alternative medicine (CAM). Materials and Methods: Information was obtained through pre-tested structured questionnaires completed by cancer patients during treatment at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Results: Of 242 patients, 137 (64.6%) accepted to enter this study. Most were Saudi (n=93, 68%), female (n=80, 58%), educated at university (n=71, 52%), married (n=97, 72%) and with breast cancer (n=36, 26%). One-hundred (73%) patients were satisfied with the services provided; 61% were Saudi. Ninety-four (68%) respondents were satisfied with the explanation of their cancer. Twenty-eight (21.6%) patients received CAM, of them 54.0% received herbal followed by rakia (21.0%), nutritional supplements/vitamins (7.0%) and Zamam water (18.0%), with significant differences among them (p =0.004). Seven (5%) patients believed this therapy could be used alone; 34 (25%) patients believed it could be used with other treatments, regardless of whether they themselves used this therapy. Fifty-three (53%) satisfied patients felt they received enough support; 31 (58%) patients received support from family and friends; 22 (41.6%) patients received support from the health-care team. Patients who received information about their disease from their physicians and those who felt they had enough support were more satisfied. The patients who took alternative treatment were older age, mostly female and highly educated but values did not reach significance. Conclusions: We stress enhancing the educational and supportive aspects of cancer-patient services to improve their treatment satisfaction and emphasize the need for increasing the educational and awareness programs offered to these patients.

치위생전공 학생의 분노표현이 자아존중감에 미치는 영향 (Effects of Anger Expression on Self-Esteem in Dental Hygiene Students)

  • 한양금;유지수;김한홍
    • 치위생과학회지
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    • 제16권3호
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    • pp.210-216
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    • 2016
  • 본 연구는 일부 지역의 치위생전공 여학생이 주관적으로 느끼는 분노에 대한 감정표현과 자아존중감 간의 관계에 대해 생각하고 관련성을 알아보고자 실시하였다. 연구대상은 편의 추출된 대전광역시와 충청북도에 소재하는 대학교의 치위생과 598명의 여학생을 대상으로 하였으며, 자료는 구조화된 설문지를 이용하여 2014년 5월 20일부터 2014년 6월 5일까지 수집하였다. 자아존중감과 분노표현 간의 관계를 알아보기 위해 분석한 결과, 분노표현과 자아존중감은 부적상관관계(p<0.01)를 보였으며 분노표현의 하위영역인 괴롭힘(p<0.01), 언어 심리적 폭력(p<0.05), 따돌림(p<0.01)과도 부적 상관성을 보였다. 자아존중감의 하위영역 중 부모양육태도 및 관계(p<0.01)만이 분노표현과 부적 상관관계를 보였다. 자아존중감에 영향을 미치는 관련 변수들을 파악하기 위해 분석한 결과는 학년(p=0.040), 학교 성적이 낮은 하 집단보다 상 집단(p<0.001)과, 중 집단(p=010)인 경우 분노표현의 하위영역인 괴롭힘(p=0.002), 언어 심리적 폭력(p=0.035), 따돌림(p<0.001)이 자아존중감에 영향을 미치는 요인으로 나타났고, 이들 변수의 설명력은 39.3%였다. 이상의 결과로 보아 자아존중감은 분노표현과 높지는 않지만 관련성을 가지고 있음을 알 수 있었다. 이는 졸업 후 다양한 대인관계, 즉 환자, 치과의사, 동료 치과위생사 및 치과관련 다양한 직종분야의 사람들과의 밀접한 관계에서 업무를 수행해야 하는 치위생전공 대학생들에게 개인 및 학과 또는 대학 차원에서 자신을 존중하고 타인을 배려할 수 있도록 자기계발 및 자아존중 프로그램의 개발 운영이 필요하다고 생각된다.

병원구매업무에 있어서의 전자상거래 도입에 관한 연구 - 구매부서 관리자의 인식도를 중심으로 - (A Study on the Introduction of Electronic Commerce for Purchasing Section in Hospitals - Focused on the Understanding of Purchasing Managers -)

  • 황은범;남상요;하호욱;이창은
    • 한국병원경영학회지
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    • 제6권3호
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    • pp.69-89
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    • 2001
  • This study is focused that the electronic commerce(EC) on the purchasing section may improve the efficiency and transparency of the hospitals management. After reviewing the purchasing activity of hospitals, I study the introduction, expected effects, and problems of EC. So, I am going to provide basic information for activating EC. The samples are managers of 170 hospitals, which are located on Seoul. As a result of collection this survey, I analyze 79 hospitals. For data analysis, I use $X^2$-test and ANOVA for purchasing management and the relevance of EC according to the level of care. The results of this study are 1. The problems on the management of purchasing section are: firstly, they don't have sufficient time to study market. Secondly, it is difficult to find competitive suppliers. And, lastly, they cannot gather a lot of information about the price of products. 2. There are many answers of the needs on the introduction of B2B. However, some hospitals think they don't need it. But, the most answers are that the EC will be settled within 4 years. So, we can realize that these hospitals are getting interested on the EC. On the other hand, I find that they prefer outside EC companies for the introduction of EC. 3. On the expected effects on EC, first is the effectiveness of the market survey. The next is to collect information of adequate price of products owing to clear transaction, find easier new suppliers and gather useful data. 4. On the external problems of the introduction of EC, there is low credibility related to the security and the weakness of suppliers' information system. Especially, on the Real Transaction Price Payment system, the bigger bed size, the higher understanding on these problems. On the internal problems of the introduction of EC, first is the burden of the introduction of EC and operating cost. Especially, on the burden of the disclosure of revenue source, the smaller bed size, the higher understanding on this problem So, this is a point which deserves my attention statistically. However, this shows relatively little understanding about incomplete the standard of product category and the weak information system of hospital. Through this study, I am going to suggest 3 points for the activation of the introduction of EC on hospitals. 1. The reform of the Real Transaction Price Payment System on medical supplies and materials for medical treatment 2. The establishment of the standard of product category 3. The promotion of information system based on network.

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대학병원과 종합병원 직원의 부서간 갈등수준 비교분석 (Comparison of level of interdepartmental conflict among employees' in the university hospitals and general hospitals)

  • 손태용
    • 한국병원경영학회지
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    • 제5권1호
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    • pp.40-61
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    • 2000
  • The purpose of this study is to promote the efficiency of the management of the controls organization in the university hospitals and general hospitals by evaluating the factors underlying organizational conflict. The subject population included 351 hospital workers randomly selected from two general hospitals of less than 200 beds and two university hospitals over 500 beds in Seoul area. Data were collected through a survey questionnaire. To define related factors for the level of conflict among departments in each hospitals multivariate regression analysis was conducted. Independent factors were characteristics of subjects, conflicting factors between the departments. The results are as follows: 1. Those in high job position group demonstrated significantly higher level of conflict between departments. Those working in the general hospitals, who were older and had long-term tenure at current working hospital had higher level of conflict between the departments. 2. Concerning the involvement of conflicting factors and the level of conflict in the employees' there was statistically significant positive correlation between reliability and job-related and intradepartmental level of conflict in university hospitals. There was a significant positive correlation between interdepartmental conflicting factors of mutual dependence, difference in goal/orientation and interdepartmental level of conflict. 3. In the university hospitals, among the interdepartmental factors, mutual dependence and difference in goal/orientation had statistically significant influence and showed a positive relationship with interdepartmental level of conflict. In the general hospitals, job position was a significant factor which showed that those in high position such as section chief or above, compared to those in general position had higher level of conflict. Among the interdepartmental characteristics, factors of mutual dependence and goal/orientation had statistically significant influence and showed a positive relationship with interdepartmental level of conflict. In the general hospitals setting efforts to reduce conflict in areas among workers with high position, old age, and long tenure and those in medical care department should be made and prudent management and planning for improved manpower and increased budget or efficient allocation and clear definition of job description are necessary to adequately assess. In the university hospitals setting efforts to reexaminitation of the organizational structure and efficiency conveyance of information and efforts to resolve conflict among young workers with lower level of education is need. This study has its own merit in comparing empirically the conflict among hospital workers in the university hospitals and general hospitals. Future study are needed with respect to the relationship between interdepartmental level of conflict and the effectiveness of the hospital organization for improved resolution of conflict in the organization and hospital management.

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운동과 음악을 이용한 노래부르기가 노인의 생리적 변화, 인지기능 및 우울에 미치는 효과 (The Effects of Singing Program Combined with Physical Exercise of Physiologic Changes, Perception Function and Degree of Depression in the Elderly Women)

  • 정영주;민순
    • Journal of Korean Biological Nursing Science
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    • 제3권2호
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    • pp.35-50
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    • 2001
  • This study was conducted for the evaluation of the effects of singing program combined with physical exercise on the physiologic changes, perception function and degree of depression. The subjects were the members of elderly women's glee club in D care center for the elderly, who have been singing for more than 6 months. 30 members were allocated to study group and 30 to control group. The singing program designed for both physical therapy and music therapy was consisted of initial physical exercise, singing art songs and classical song and the finishing physical exercise. This program was performed twice a week and about forth minutes was consumed for one session. We checked the heart rate, peripheral arterial oxygen saturation, perception function and degree of depression before and after the program. We used a pulse oxymeter to check the heart rate to oxygen saturation and a questionnaire for the evaluation of perception function and degree of depression. We need SPSS program for data analysis. The results of the investigated personnel complying with general characteristics were analyzed by frequency, two groups by t-test, data before and after the program by paired t-test, respectively. The results were as follows. 1) Heart rate after the program was significantly lower than that before program in test group(p<0.05). 2) Peripheral oxygen saturation after the program was significantly higher than that before the program(p<0.05). 3) Ability to match the right sign with a certain predetermined number was improved after the program. The frequency of wrong matching the sign with number before program was 30. But the frequency was decreased to 8 after the program. 4) Ability to calculate was improved after the program. The frequency of wrong calculation before the program was $1.10{\pm}1.94$. But the frequency after the program was decreased to $0.97{\pm}1.84$. 5) The degree of depression after the program($2.07{\pm}0.49$) was significantly lower than that before program(p<0.001). These results show that singing program combined with physical exercise improves the oxygen delivery to peripheral circulation, stability of heart function, the perception function(calculating and matching ability) and decreases the degree of depression. In conclusion, singing program combined with physical exercise can be used for the effective measure to improve the health of elderly and prevent dementia.

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Projection of Cancer Incident Cases for India - Till 2026

  • Dsouza, Neevan D.R.;Murthy, N.S.;Aras, R.Y.
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권7호
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    • pp.4379-4386
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    • 2013
  • Projection of cancer incidence is essential for planning cancer control actions, health care and allocation of resources. Here we project the cancer burden at the National and State level to understand the magnitude of cancer problem for the various calendar years from 2011 to 2026 at 5-yearly intervals. The age, sex and site-wise cancer incidence data along with populations covered by the registries were obtained from the report of National Cancer Registry Programme published by Indian Council of Medical Research for the period 2001-2004. Pooled age sex specific cancer incidence rates were obtained by taking weighted averages of these seventeen registries with respective registry populations as weights. The pooled incidence rates were assumed to represent the country's incidence rates. Populations of the country according to age and sex exposed to the risk of development of cancer in different calendar years were obtained from the report of Registrar General of India providing population projections for the country for the years from 2001 to 2026. Population forecasts were combined with the pooled incidence rates to estimate the projected number of cancer cases by age, sex and site of cancer at various 5-yearly periods Viz. 2011, 2016, 2021 and 2026. The projections were carried out for the various leading sites as well as for 'all sites' of cancer. In India, in 2011, nearly 1,193,000 new cancer cases were estimated; a higher load among females (603,500) than males (589,800) was noted. It is estimated that the total number of new cases in males will increased from 0.589 million in 2011 to 0.934 million by the year 2026. In females the new cases of cancer increased from 0.603 to 0.935 million. Three top most occurring cancers namely those of tobacco related cancers in both sexes, breast and cervical cancers in women account for over 50 to 60 percent of all cancers. When adjustments for increasing tobacco habits and increasing trends in many cancers are made, the estimates may further increase. The leading sites of cancers in males are lung, oesophagus, larynx, mouth, tongue and in females breast and cervix uteri. The main factors contributing to high burden of cancer over the years are increase in the population size as well as increase in proportion of elderly population, urbanization, and globalization. The cancer incidence results show an urgent need for strengthening and augmenting the existing diagnostic/treatment facilities, which are inadequate even to tackle the present load.

최근의 출산력과 정책적 함의 (Recent Fertility and its Policy Implications)

  • 박경애
    • 한국인구학
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    • 제30권3호
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    • pp.137-156
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    • 2007
  • 합계출산율이 2005년 1.08이라는 최저치에서 2006년 1.13으로 증가하면서, 이 증가가 각종 정책의 결과이기 때문에 출산력 증가가 지속될 것이라는 주장과 일시적일 것이라는 주장 간 논란이 있다. 이 연구는 인구동태신고 자료를 활용하여 최근의 출산력 변화를 집중적으로 살펴봄으로써 정책 시사점을 찾고자 하였다. 이를 위하여 출산순위별 템포조정합계출산율, 모의 연령 및 출산순위별 출산율, 연령별 유배우 출산율, 연령별 유배우 이혼율 등을 분석하였다. 전년대비 2006년 합계출산율과 출생아수가 증가한 것은 여성의 초혼과 첫째아 출산의 연기가 주춤해지면서 주로 30대 초반의 첫째아 출산 증가에 기인한다. 2006년과 2007년에는 20대 후반 여성인구의 증가(제3차 베이비붐 효과) 및 초혼의 급증으로 2007년과 2008년에는 출생아수가 증가할 것이다. 다만, 20대의 미혼율은 증가하구 유배우 출산율은 감소 추세이어서 장기적 관점의 출생아수 및 출산율 증가는 미지수이다. 또한, 첫째아와 둘째아의 출산율은 급속도로 저하되는데 반해, 셋째아 이상은 변화가 없으며, 둘째아 출산이 출산연령조정의 영향을 많이 받는 것으로 나타났다. 이는 셋째아 이상을 출산하도록 장려하는 것보다는 첫째아, 둘째아를 낳을 수 있는 사회적 환경 조성이 더 필요하고 현실적임을 시사한다. 아울러, 사회적 양육대책 마련, 고령출산에 따른 모자보건문제, 다문화가정지원책 필요성 등을 언급하고 있다.