• 제목/요약/키워드: Health equity

검색결과 214건 처리시간 0.027초

저시력과 사회경제적 상태와의 관계 (The Relationships Between Low Vision and Socioeconomic Status in Korean Adults)

  • 박지현
    • 한국안광학회지
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    • 제16권3호
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    • pp.319-325
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    • 2011
  • 목적: 본 연구는 저시력과 가구 소득, 교육 수준 및 직업과 같은 사회경제적 요인과의 관련성을 평가하고자 하였다. 방법: 국민건강영양조사(2009년) 데이터를 이용하여 교정시력 검사를 받은 2,514명을 대상으로 가구소득, 교육수준, 직업에 따른 저시력의 유병률을 t-검정 및 $\chi^2$ 검정하였고, 대응위험도(odds ratio)를 측정하기 위하여 이분형 로지스틱 회귀분석을 이용하였다. 결과: 가구 소득, 교육수준, 직능 수준이 낮을수록 저시력 발생이 높은 것으로 나타났으며, 가구소득이 '하'인 경우 대응위험도는 2.77(95% CI, 1.72-4.47)이었고, 교육수준이 '초졸 이하'인 경우는 4.02(95% CI, 1.75-9.23)이었으며, 직업이 '무직'인 경우는 3.65(95% CI, 1.14-11.68)이었다. 결론: 사회적으로 저시력에 대한 관심이 필요하며, 정책적으로 저시력 환자들의 눈 건강형평성을 해소하기 위한 안 보건 교육, 안질환 조기발견을 위한 검진 사업, 저시력 보조기구 사용교육 등 폭넓고 세심한 지원 그리고 이를 위해 가능한 보건 정책이 개발되어야 할 것으로 생각된다.

한국의료패널로 본 소득분위에 따른 권역별 건강수준과 의약품 지출 비용 (Regional Health Status and Medicine Expenses by Income Quartile Using the Korea Health Panel)

  • 김윤정;황병덕
    • 보건의료산업학회지
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    • 제11권1호
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    • pp.117-130
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    • 2017
  • Objectives : In this study, 3,107 patients were used to evaluate the impact based on raw data of 2014 and the health status and medical expenses income quintile was collected and data was analyzed. Methods : Analysis method was the average comparison, ANOVA, subjected to a multiple logistic regression analysis, the statistical test was the t-test and the scheffe post verification. Results : Gender(p<.000), age(p<.000), marital status(p<.000) educational status (p<.000), easement(p<.000), medication(p<.000), subjective health status(p<.005) were analyzed. First quintile identified that the highest amount was spent in the Chungcheong region, the 2nd quintile showed that the highest output was in the Gyeongsang region. The 3rd and 4th quintiles indicated that the highest expenditure was in the Seoul metropolitan region. The 5th quintile showed that the Chungcheong was the highest once again and the Jeolla region was the lowest in terms of expediture. Conclusions : Future medical research on income will require the government's Big Data collection to create the primary basis for policy making in order to improve the efficiency, effectiveness and equity of medicine spending.

Measuring and Decomposing Socioeconomic Inequality in Catastrophic Healthcare Expenditures in Iran

  • Rezaei, Satar;Hajizadeh, Mohammad
    • Journal of Preventive Medicine and Public Health
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    • 제52권4호
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    • pp.214-223
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    • 2019
  • Objectives: Equity in financial protection against healthcare expenditures is one the primary functions of health systems worldwide. This study aimed to quantify socioeconomic inequality in facing catastrophic healthcare expenditures (CHE) and to identify the main factors contributing to socioeconomic inequality in CHE in Iran. Methods: A total of 37 860 households were drawn from the Households Income and Expenditure Survey, conducted by the Statistical Center of Iran in 2017. The prevalence of CHE was measured using a cut-off of spending at least 40% of the capacity to pay on healthcare services. The concentration curve and concentration index (C) were used to illustrate and measure the extent of socioeconomic inequality in CHE among Iranian households. The C was decomposed to identify the main factors explaining the observed socioeconomic inequality in CHE in Iran. Results: The prevalence of CHE among Iranian households in 2017 was 5.26% (95% confidence interval [CI], 5.04 to 5.49). The value of C was -0.17 (95% CI, -0.19 to -0.13), suggesting that CHE was mainly concentrated among socioeconomically disadvantaged households in Iran. The decomposition analysis highlighted the household wealth index as explaining 71.7% of the concentration of CHE among the poor in Iran. Conclusions: This study revealed that CHE is disproportionately concentrated among poor households in Iran. Health policies to reduce socioeconomic inequality in facing CHE in Iran should focus on socioeconomically disadvantaged households.

Effects of CSR Activities on Business Performance of Logistics Firms

  • JEON, Ho-Jin;KIM, Young-Min;YOUN, Myoung-Kil
    • 유통과학연구
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    • 제17권12호
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    • pp.23-32
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    • 2019
  • Purpose As consumer awareness grows, the importance of CSR becomes even more important for long-term growth. In response to this current trend, the purpose of this study is to analyze the effect of CSR activities on business performance for logistics companies. Research design, data, and methodology - Between CSR activities and growth, there was a generally positive(+) relationships between activities such as donation and volunteerism and the growth of the enterprise. In terms of the relationship between environmental factors and growth, negative results were expressed. In case of profitability, improved welfare for workers has had a positive impact on corporate profitability. Results - With respect to stability, a high proportion of equity capital is not considered to be more active in SCR activities. Significant negative results were given between the minimum factors for entry, transportation, and noise generation factors and the ratio of liabilities, which are representative friction factors in the community. Conclusions - With respect to stability, a high proportion of equity capital is not considered to be more active in SCR activities. Significant negative results were given between the minimum factors for entry, transportation, and noise generation factors and the ratio of liabilities, which are representative friction factors in the community.

부산지역 청소년 주관적 행복감에 미치는 영향요인에 관한 연구 : 2016년 제12차 청소년 건강행태온라인조사 자료 분석 (Factors Influencing Subjective Happiness among Adolescents in Busan : Analysis of Data from the 2016 Korean Youth Risk Behavior Survey)

  • 박정훈
    • 보건의료산업학회지
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    • 제11권4호
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    • pp.133-144
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    • 2017
  • Objectives : The purpose of this study was to identify factors affecting the subjective happiness of adolescents in Busan using data from the "12th Online Survey on Youth Health Behaviors, 2016." It intended to provide basic information for the development of intervention programs that can improve the subjective happiness of the youth. Methods : Data on 3,979 adolescents residing in Busan were drawn and statistically examined using frequency analysis, a t-test, an ANOVA, and a multiple regression analysis. SPSS 24.0 was used for all analyses. Results : Subjective happiness showed statistically significant differences depending on the factors of health equity like emotional support, gender, school level, financial state, academic performance, type of residence, and parents' educational level, and on the factors of health status, like subjective health state, depression, sleep and stress. Conclusions : The results of this study suggest that a variety of intervention programs on health status factors need to be developed, and implemented to improve the subjective happiness of adolescents in Busan.

우리나라 청소년에서 사회경제적 요인 및 건강행태가 과체중에 미치는 영향 (The Relationship between Socioeconomic Factors, Health Behaviors and Overweight among Korean Adolescents)

  • 박지혜
    • 한국콘텐츠학회논문지
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    • 제15권5호
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    • pp.353-364
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    • 2015
  • 본 연구의 목적은 우리나라 청소년에서 사회경제적 요인 및 건강행태가 과체중에 미치는 영향을 알고보고, 건강형평성 확보를 위한 정책결정과정에 있어서 기초자료를 제공하고자 하는 것이다. 본 연구는 제9차(2013년)청소년건강행태 온라인조사의 원시자료를 이용하였으며, 만 12-18세 청소년 총 66,249명을 최종 연구대상자로 선정하였다. 과체중 여부를 종속변수로 한 로지스틱 회귀분석 결과 모든 변수가 보정된 상태에서 성별, 부모의 교육수준, 주당 아침식사 일수, 주당 과일섭취빈도, 주당 채소섭취빈도, 주당 과자섭취빈도 및 주당 신체활동 횟수가 과체중 여부와 유의한 관련성이 있는 것으로 나타났다(p<0.05). 따라서 건강형평성 확보를 위해서 공중보건프로그램은 앞으로의 생애주기별 불이익 방지를 위해 건강과 사회적 불평등 측면에서 낮은 사회경제적 집단에 속한 청소년의 불리한 건강행태에 초점을 맞춰야 한다.

Effect of a global health training program for nursing students on global citizenship and cultural competencies

  • Oh, Hye Kyung;Jang, Youn Kyoung;Kim, Jin Sun;Jung, Young Hae
    • International Journal of Advanced Culture Technology
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    • 제7권4호
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    • pp.23-31
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    • 2019
  • This study was a quasi-experimental study with a single group pre-posttest design for evaluating the effects and meanings of a global health training program for nursing students. A mixed data collection method utilizing both qualitative and quantitative methods was applied. The qualitative method consisted of reflection journal entry analysis, while the quantitative study evaluated data collected from a self-reported questionnaire. After attending the program, cultural competencies of participants significantly increased than pre-test while global citizenship was not. Through an analysis of reflection journals written during the overseas training period, the meanings of experiences derived after the program were classified into five themes and 12 sub themes, which were, 'improvement of global health leadership', 'experience of barriers in reality', 'improvement of nursing professional value', 'inspiration of a perspective on health equity', and 'internal growth'. The results indicate that global health training program evaluated in this study was meaningful; it provided students with opportunities to experience the nurse's role in diverse global environments and attempted to measure the effects.

농촌지역의 의료요구와 의료공급에 관한 연구 (Need for and Supply of Primary Care in Rural Areas)

  • 송건용
    • 한국인구학
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    • 제4권1호
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    • pp.23-35
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    • 1981
  • Health policy is directed to equity in the provision of primary care for rural people before the year of 2, 000. This study aimed to define and identify the need for physician's care by using empirical data, and suggested an alternative of the primary care delivery system in rural areas to the government. 1. Twenty percent of the study population wanted to obtain any form of medical care services. : 9.3 percent of the population was in need for physician's care; 15 percent of the need was met by physicians, while 85 percent remained unmet at the time of survey in 1979. 2. For meeting all the need for physician's primary care, 2.9 annual physician visits per capita are demanded. An alternative, which was devised in some favourable way at reasonable cost in rural settings, was suggested. It was to deploy the physician extender such as community health practitioner in the infrastructure of the health care delivery system, whose supervision is provided by physician, based on experience of the KHDI health demonstration project. 3. One physician, two community health practitioners and two community health aides should be assigned in distant locations for meeting all the estimated need for physician's primary care for 10, 000 rural underserved residents.

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전북지역 거주 선천성기형 환자의 서울·수도권 의료이용에 관한 연구 (The Study on Medical Utilization in Seoul Metropolitan regios by Patients with Congenital Malformations Residing in Jeollabuk-do)

  • 정연자
    • 보건의료생명과학 논문지
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    • 제10권2호
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    • pp.275-283
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    • 2022
  • 본 연구는 전북지역 거주 선천성기형 환자의 서울·수도권 지역 의료이용 요인을 파악하고 주민들의 의료이용에 대한 지역적 형평성을 향상시킬 수 있는 방안을 제시하기 위하여 2016년부터 2020년도 퇴원손상심층조사 자료를 이용하여 카이제곱 검정과 로지스틱 회귀분석을 실시한 결과는 다음과 같다. 첫째, 연령은 19-44세가 서울·수도권 의료이용이 높았다. 둘째, 병상규모가 클수록 서울·수도권 의료이용이 높았다. 셋째, 주진단의 경우 호흡기계통의 선천성기형에서 서울·수도권 의료이용이 높았다. 넷째, 입원환자가 수술을 시행하고 중증도가 높을수록 서울·수도권 의료이용이 증가하였다. 이러한 결과를 바탕으로 의료이용에 대한 지역적 형평성을 위해서는 정부가 주도하는 보건의료정책 및 의료계획이 수반되어야 할 것이다.

로하스 이미지 레스토랑의 브랜드 자산과 이타적 가치, 로하스 관여도, 추가 지불의사와의 관계 연구 (The Relationship of Brand Equity of Restaurant LOHAS Image with Altruistic Value, LOHAS Involvement and Additional Willingness to Pay)

  • 김나형
    • 한국콘텐츠학회논문지
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    • 제16권6호
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    • pp.748-760
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    • 2016
  • 본 연구는 로하스 이미지 레스토랑의 브랜드 자산을 이타적 가치, 로하스 관여도, 추가 지불의사와의 관계를 연구하였다. 본 연구를 위한 자료는 2013년 8월 1일부터 8월 31일까지 수집되어 544부가 분석에 사용되었다. 그 결과 첫째, 로하스 이미지 레스토랑의 브랜드 인지도와 브랜드 연상은 이타적 가치에 정(+)의 영향을 주는 것으로 나타났으며, 브랜드 충성도와 지각된 품질은 정(+)의 영향을 주지 않는 것으로 나타났다. 둘째, 로하스 이미지 레스토랑의 브랜드 인지도, 브랜드 충성도, 브랜드 연상은 로하스 관여도에 정(+)의 영향을 주는 것으로 나타났고, 지각된 품질은 로하스 관여도에 유의한 정(+)의 영향을 주지 않는 것으로 조사되었다. 셋째, 이타적 가치는 로하스 관여도에 정(+)의 영향을 주는 것으로 조사되었다. 넷째, 이타적 가치는 추가 지불의사에 정(+)의 영향을 주었다. 다섯째, 로하스 관여도는 추가 지불의사에 유의한 정(+)의 영향을 주는 것으로 조사되었다. 본 연구는 외식업체에서 로하스 가치를 추구하는 집단 혹은 이타적 성향이 높은 집단을 지속적으로 발굴하여, 이들을 표적으로 환경친환성과 건강성을 부각시킬 수 있는 커뮤니케이션 전략이 요구됨을 시사하고 있다.