• 가정과삶의질연구
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• 제23권6호
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• pp.95-104
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• 2005

This study surveyed the perception and demand for the child care policy and child care service of working mothers with children under age 6. The subjects were 266 working mothers in Seoul and Kyoung-Gi Province. Data were collected with the questionnaire method and analyzed by spss-win program, including median, mode, mean, standard deviation, and t-test. The result of this study can be summarized as follows. (1) The working mothers considered both parents have the responsibility on child care and strongly demanded the national support on child care. (2) The working mothers prefered own mother and relatives to child care center as a carer of infants and toddlers, but prefered child care center for children age 3-5. (3) The working mothers demanded the increase of finantial support for family and child care center. (4) The working mothers focused on 'the security and care Program' and focused next on 'diet and health care program' in child care service. (5) The working mothers did not nearly know about the accreditation system of child care centers. This results suggest that the national and social support for child care service is an essential part in promoting children's and the working mothers' welfare.

• 한국전문물리치료학회지
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• 제20권3호
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• pp.62-73
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• 2013

Pediatric home-based physical therapy (PHBPT) provides professional rehabilitation programs at the patient's home, where the activities of daily life are actually performed. PHBPT also allows to avoid the difficulties of transporting children with disabilities to the clinic. Despite these advantages, PHBPT is not yet widely practiced in Korea. There is little objective information regarding the opinions of the main stakeholders on PHBPT. To investigate the awareness and demand of PHBPT among the main stakeholders, 41 pediatric physical therapists (PT) (of 60 contacted) were recruited from different regions of Korea on the basis of the regional population distribution. The recruited PTs completed their questionnaires and also participated in collecting questionnaires from 35 medical doctors (MD) with whom they worked and from randomly selected 201 parents of children with disabilities recruited. The overall response rate was 85.5%. The awareness of PHBPT differed between PTs (95.1%) and parents (67.2%) (p<.001). The survey showed that 82.9% of MDs had at least heard about PHBPT. Significantly more parents (83.5%) than MDs (57.1%), and 70.0% of PTs, wanted to start PHBPT service immediately (p<.001). Significantly more parents (90.0%) than PTs (73.2%) were willing to participate in PHBPT (p<.001). Opinions on the details of policies and procedures (i.e., necessity for prescription, treatment cost, and treatment frequency) differed among the respondent groups, but all favored a minimal qualification of 6~10 years of pediatric experience and a treatment session duration of 1 hour. These findings provide objective information to support health service administrators to understand the current demand and develop feasible policies and procedures of PHBPT in Korea.

• 벤처창업연구
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• 제7권3호
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• pp.55-63
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• 2012

본 논문은 강원도 W시 지역에서 한방병원 개원의 경제적 타당성 평가에 관한 사례를 연구한 결과이다. 먼저, 한방의료와 관련된 수요와 공급을 파악하기 위하여 진료권내 한방병원과 요양병원 현황, 그리고 S대학 부속 한방병원의 진료실적을 바탕으로 진료권으로 설정된 W시와 인근지역의 인구추이를 분석하였다. 그 결과, 진료권의 한방의료 수요는 이미 의료서비스를 제공하고 있는 S대 한방병원에 의해 충족되고 있음을 알 수 있었다. 따라서 수요측면에서 한방병원 병상규모의 적정성을 평가하는 것은 의미가 없다고 판단되어 "일반수련병원"과 "전문수련병원"지정기준에 적합한 50병상과 70병상 규모로 나누어 각각의 병상규모에 대한 경제적 타당성을 평가하였다. 각각의 병상규모를 운영하는데 필요한 진료과와 인력을 산정하고 인건비를 추정하였다. 그리고 경영수지분석을 위한 투자계획과 손익분석 결과, 50병상 및 70병상 규모로 운영하는 경우, 예상되는 환자수는 수련병원 인정기준을 초과하였지만 의료손익은 개원 1차년도 부터 매년 손실이 발생하는 것으로 분석되었다. 따라서 결과적으로 본 연구의 대상인 W시 지역에서의 한방병원 개원은 경제적 타당성이 없는 것으로 판명되었다.

• 농촌계획
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• 제26권2호
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• pp.39-49
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• 2020

This study was attempted to grasp the push-pull factors of urban to rural migrants in relation to services and infrastructure of rural welfare and culture. Online and offline survey were conducted for urban residents who were willing to return to the rural area and those who were already returning to the rural area. In the fields of health care, social welfare, and education, it was found that the satisfaction level of urban-to-rural migrants was relatively higher than those of latent urban-to-rural migrants. In the field of culture, leisure and sports, the level of satisfaction and concern were similar, so it was found that the expectations for the field were relatively high before returning rural area. As for the agreement degree to expand support, the demand for emergency medical facilities and dementia care program was the highest, and the demand for health care was found to be relatively high. The results of the survey on the top priority items indicate that latent urban-to-rural migrants require support of facility and space item and expansion of program item, and urban-to-rural migrants have high demand for expansion of program item in all field except healthcare field. The results of this study are expected to provide useful information for establishing the direction of the rural area development project in connection with the revitalization of policy of people return to rural area.

• 농촌계획
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• 제25권4호
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• pp.1-11
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• 2019

This study conducted a survey on the recognition and demand such as recognition level, policy necessity, service demand and policy demand by supply types in order to provide the basic data for successful settlement of agro-healing services. According to the survey on awareness, 45.2% of respondents were aware of the healing farming, and 31.3% of respondents had experience in participating in the agro-healing services. 63.6% of respondents replied that they were experiencing reasons for participating in agro-healing services. Respondents who had no knowledge of agro-healing services responded that 76.7% of respondents said they would not participate. More than two-thirds of respondents in all types indicated that they needed agro-healing services. As a result of evaluating the maximum willingness to pay, there was a willingness to pay for farm work healing about 15,800 won, horticulture healing about 14,800 won, forest healing about 13,400 won, and animal assisted healing about 17,000 won. Improving accessibility and strengthening awareness were high priorities for inconveniences and improvements. 70.1% of the respondents said that policies for agro-healing services are needed. Development of agro-healing programs and contents was the first priority for support policy. The result of this study is expected to provide reference data that can be suggested for agro-healing policy establishment.

• International journal of advanced smart convergence
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• 제9권2호
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• pp.164-172
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• 2020

The interest and importance of the convergence services for healthcare expand more and more as the average life expectancy increases. Convergence of ICT and healthcare technology unfold efficient and quick health services. Recently, healthcare services provide to clients with apps over web. On-demand wireless data broadcast supports any number of clients to access their desired data items dynamically by responding the needs for data items from the clients. In this paper, we propose an on-demand system to broadcast FHIR bundles for efficient healthcare services. We use time-parameterized replacing policy for renewing the bundle items on the wireless broadcast channel. The policy lets the on-demand broadcasting dynamic by controlling the time duration for the bundles to reside over the wireless channel. With simulation studies using an implemented testbed, we evaluate the performances of the proposed system in access time and tuning time. For evaluation, we compare the time-parameterized replacing policy of the proposed system with regular-number replacing policy. The proposed time-parameterized replacing policy shows shorter access time than the regular-number replacing policy because the policy responds more actively and dynamically to the change of the needs of the clients for FHIR bundles.

• 대한예방한의학회지
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• 제22권1호
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• pp.1-14
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• 2018

Objectives : This study aimed to analyze the characteristics of uninsured herbal medicine(UHM) users and the economic and social barriers of UHM utilization. Methods : We used the Korea Health Panel Data, representative national survey on medical utilization and cost, provided by National Health Insurance Service and Korea Institiute of Health and Social Affairs. The frequency analysis was used to identify the characteristics of the respondents, and the cross-analysis (${\chi}^2-test$) was used to verify the relationship between their characteristics and the usage of UHM. In order to analyze the determinants of using the UHM considering the individual's characteristics, logistic regression analysis and multiple regression analysis were conducted for those who used the Korean medicine (KM) outpatient service in 2015. Results : The usage of UHM was significantly lower for those (1) who's age of 20 to 65; (2) who have the university or higher education degree; (3) who live in Jeju province, and (4) who bought the herbal medicine for other health related purposes. On the other hand, the usage of UHM for those (1) who have the first quintile of household income; (2) who have the chronic respiratory disease; (3) who have been taking the medicine for health promotion purpose for more than 3 months and (4) who have purchased the food which has health promotion function was significantly higher than others. The patients who have chronic musculoskeletal diseases accounted the most among the UHM users. Conclusions : There was the considerable inequality in the usage of UHM among household income groups, which provides policy rationale for UHM to be covered by national health insurance. To facilitate the coverage expansion, restrictive covering model can be considered for children and adolescents, or for patients with muskuloskeletal diseases who have the high demand for UHM.

• 정보보호학회논문지
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• 제20권6호
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• pp.251-260
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• 2010

의료서비스와 IT 기술간의 융합으로 환자 개인의 건강정보가 전자의무기록(EHR)의 보급과 함께 빠르게 전자화되고 있다. 이와 함께 유헬스사회에 접어들면서 전자화 된 환자의 건강기록들을 진료 이외의 공중보건 및 의학 분야의 연구, 의료서비스 향상을 위해 사용하고자 하는 2차이용의 요구가 증가하고 있다. 개인건강정보의 2차이용으로 의학 분야의 발전의 매우 유익한 일이지만 부주의하게 개인의 건강정보를 이용하는 경우 환자 개인의 프라이버시 손상이 발생, 더불어 2차이용융 통한 연구나 서비스 발전에도 제한이 발생할 수 있다. 하지만 아직 개인건강정보를 이용한 2차적 이용에 대해 체계적인 연구나 논의가 없는 것이 현실이다. 따라서 본 논문에서는 개인건강정보의 2차이용과 관련하여 국내외의 법안들을 살펴보고 이를 비교 분석하여 앞으로 개인의 프라이버시를 존중하고 더불어 의료분야 서비스 있는 방향을 제시하고자 한다.

• 대한디지털의료영상학회논문지
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• 제10권2호
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• pp.5-10
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• 2008

Thanks to recent development of science and technology, economic standard has been improved and life expectation has been gradually increased. Accordingly, disease aspect and demand for health have been changed in the concept from conventional center of disease to health improvement As the health issue in middle and senior age has also been vital in the national health, osteoporosis, one of the physical maladies occuring in these age group, is on the rise as a matter of important concern so that the researches on the osteoporosis have being accomplished actively in several medical domains. Research has been earned out for 735 examined objects, who have received medical examination of bone mineral density in the volunteer medical service of Daegu and Kyungbuk province for recent 4 years. The result indicated that serious osteoporosis prevailed over osteoporosis for male while osteopenia was majority to osteoporosis and that abnormal bone mineral density was more prominent than normal bone mineral density for both male and female. This study is to present basic data which is indispensible to preparation of senior citizen dominated society afterward, investigating the prevalence rate of osteoporosis.

• 지역사회간호학회지
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• 제28권2호
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• pp.182-195
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• 2017

Purpose: This study explores school nurses' emergency care experiences and their needs for systemic institutional support. Methods: Data were collected in 2016 from the interviews with five focus groups comprising thirty school nurses. Qualitative content analysis was then performed using the collected data. Results: The study found that school nurses were vulnerable to over-reaction in uncertain situations as the school's sole health service provider. The study's findings are divided into ten categories. 1) Major obstacles to overcome as the sole health service provider, 2) Assessing an uncertain situation and making appropriate decisions, 3) Providing limited first aid while maintaining control over the situation, 4) Referring or transferring a student to a hospital that creates tensions and raises cost, 5) Becoming an advocate for information disclosure and treatment, 6) Ensuring follow-up actions and proper transfer of responsibility, 7) Making preparations for future emergency, 8) Responding to conflicts arising from over-reaction as a safeguard and professional expertise, 9) Need for the development of standardized manual for school emergency care, 10) Need for practical case-based training. Conclusion: The findings of this study should contribute to the development of the programs aimed at improving school emergency care and the professional competence of school nurse.