• Asian Pacific Journal of Cancer Prevention
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• 제17권5호
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• pp.2549-2554
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• 2016

Background: Early detection remains the cornerstone of breast cancer control in terms of outcome and survival. Thus far the only breast cancer screening method proven effective is mammography. The awareness of female health care workers (HCW) about breast cancer prevention is of vital importance, as their beliefs and behavior may have a major impact on other women. This study was designed to assess mammography screening uptake among female healthcare workers at primary healthcare centers, and to identify the primary motivators and barriers that affect uptake results. Materials and Methods: A cross sectional study design was used to assess mammography screening by 299 female healthcare workers who completed a self-administered questionnaire that assessed demographics, screening uptake, motivators and barriers. Results: The mean age was 46 years (within age of risk). The majority (95.1%) demonstrated adequate knowledge about breast cancer and mammography screening and 50% of the participants reported having at least one mammogram; however only 21% of them had regularly scheduled mammograms. The most frequent reported motivator was the perceived benefit that early detection of breast cancer is important for its management (89.6%), followed by the belief that mammography can detect breast cancer before its symptoms appear (84.4%). On the other hand, the most frequent barrier reported was being busy (46.7%), followed by the lack of perceived susceptibility (41.5%). Conclusions: Mammography screening was found to be sub-optimal in a population of HCW's with 50 % stating that they received a mammogram at least once, and a minority reported regular screening. There is a pressing need for educational programs aimed at removing the barriers that limit compliance with recommendations for mammography screening, and to emphasize the importance of early detection in breast cancer treatment. Ensuring the availability and accessibility of screening services, particularly for healthcare workers within their work settings are other important factors that would improve the acceptance and compliance for mammography screening programs.

• 지능정보연구
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• 제9권1호
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• pp.91-107
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• 2003

하이퍼링크 기반 추론은 웹의 하이퍼텍스트 기능을 이용함으로써 접근성, 멀티미디어 기능,빠른 응답 시간, 서버의 안정성, 사용 및 업그레이드의 용이성, 플랫폼 독립성 등을 갖는 의료 전문가시스템을 구현할 수 있도록 해 준다. 전문가의 규칙에 따라 서로 하이퍼링크된 HTML문서들은 웹 서버에 적재된 후 추론 기능을 제공하게 되는데, 이러한 HTML문서들은 자체 개발한 WeBIS (Web-based Inference System)라는 GUI 기반 의사결정 그래프 편집 도구에 의해 자동으로 관리된다. 그럼에도 불구하고, 의료분야 전문가시스템이 다루는 규칙베이스의 크기가 큰 경우에 지식공학자가 이들 규칙들을 수작업으로 입력, 관리하는 것이 매우 어렵게 된다. 따라서, 본 연구에서는 고혈압 관리를 위 한 의사결정 그래프 자동 생성 시스템을 개발하였다. 이러한 일련의 과정을 통하여 본 연구에서는 하이퍼링크 기반 추론 기법을 이용하여 웹 기반 의료 전문가 시스템을 개발하는 방법론을 제시하였고, 그 응용으로써 빠른 응답속도와 안정성을 보이는 웹기반 고혈압 관리 시스템을 구현하였다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권2호
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• pp.7-15
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• 2015

Purpose: The purpose of this study is analyze linkage and spatial and structural characteristics of outpatient department and diagnosis/treatment area of geriatric hospitals based on quantitative analysis, according to function and corridor types. Methods: To examine structural characteristics and correlation of outpatient department and diagnosis/treatment area of six geriatric hospitals according to the corridor type, were systemized according to the function and corridor type and made into a j-graph, and an index was created by using space syntax to understand spatial characteristics. Results: 1) Different functional spaces are connected by a corridor, which, therefore, can be an axis of the connectivity and linkage of functional spaces and an important element in a clear hierarchy. 2) Treatment areas were disconnected from different functional spaces and, therefore, the accessibility was low. Many hospitals had an arrangement plan for treatment and diagnosis areas, and recent hospitals have segmented treatment areas within the rehabilitation space, which resulted in deeper space. 3) In terms of the level of integration, more integrated reception area meant shallower spatial depth, and deeper space for treatment and diagnosis areas. Implications: Spatial relation of outpatient department of geriatric hospitals was analyzed based on characteristics of the elderly.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권2호
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• pp.51-59
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• 2013

Purpose: At the moment, a lot of poor older people live in permanent rental housing in Korea. But many rental apartments are not suitable for elderly living because most of them have many problems related to the lack of accessibility and adaptability for older people with physical and mental disabilities. So it is necessary to upgrade the old permanent rental housing for convenience of elderly living. The purpose of this paper is to construct basic data for remodeling of worn out and small rental housing block in order to realize the concept of "Aging in Place". Methods: Questionnaires and interviews about elderly living have been conducted on 104 elderly who live in Suwon Wooman permanent rental apartment block which was constructed 21 years ago. From the collected data, dining pattern, inconvenient area, small area, satisfaction level on unit area and demand for unit expansion type have been analysed in order to find out the direction for remodeling of permanent rental apartment unit. Results: The problems of existing permanent rental apartment can be summarized into improper laundry space, small dining area, inconvenient bath and so on. According to the family size, the elderly resident has the different preference about the expansion type of his resident unit. Big families usually want to enlarge their living unit though they pay for additional monthly rental fee. Implications: Lifetime home concept adopting Universal Design has to be applied to the whole residential block especially to the social rental housing. And this concept had better be expanded to Lifetime neighbor design.

• Journal of Preventive Medicine and Public Health
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• 제53권6호
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• pp.455-464
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• 2020

Objectives: The distribution of hospitals in Korea is unbalanced in terms of accessibility. Many local public health centers (PHCs) exempt out-of-pocket payments (OOPs) based on local government laws to increase coverage. However, this varies across administrative regions, as many make this exemption for the elderly, while others do not. This study aimed to evaluate the effects of the OOP exemption at local PHCs among elderly individuals. Methods: This study used online data on Korean national law to gather information on individual local governments' regulations regarding OOP exemptions. Individual-level data were gathered from the 2018 Community Health Survey and regional-level data from public online sources. Results: The study analyzed 132 regions and 44 918 elderly people. A statistical analysis of rate differences and 2-level multiple logistic regression were carried out. The rate difference according to whether elderly individuals resided in areas with the OOP exemption was 1.97%p (95% confidence interval [CI], 1.07 to 2.88) for PHC utilization, 1.37%p (95% CI, 0.67 to 2.08) for hypertension treatment, and 2.19%p (95% CI, 0.63 to 3.74) for diabetes treatment. The regression analysis showed that OOP exemption had an effect on hypertension treatment, with a fixed-effect odds ratio of 1.25 (95% CI, 1.05 to 1.48). Conclusions: The OOP exemption at PHCs can affect medical utilization in Korea, especially for hypertension treatment. The OOP exemption should be expanded to improve healthcare utilization in Korea.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권4호
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• pp.57-68
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• 2011

The purpose of this study is to provide the planning factors of housing for the disabled and elderly based on the inclusive housing design as sustainable neighborhood. The goal of inclusive design is to make buildings and communities more livable for all type of people. Inclusive design should embrace other good design goals and reinforce them, not work against them. To carry out this purpose, we should proceed in the following way: First, we deducted the four design factors (the basic, recommendable, adaptable, and residential factors) by reviewing the characteristics of inclusive housing concepts. Second, we analyzed the related foreign design standards and guidelines such as the ICC/ANSI A117.1 Type C Units (the United States, 2009), Lifetime Standard (the United Kingdom, 2010), and Livable Housing Design Guideline (the Australian, 2010) through four design factors based on inclusive design concepts. Finally, we suggested the housing design factors for the disabled and the elderly in Korea. To conclude, we can make the followings: It is important basic factor that the bedroom and bathroom layout closed to each other. Also, the bedroom has the proper height of light switches, outlets, and windows. The recommendable factors take into consideration stairs and ramp, if existent. The adaptable factors are closely related to domestic housing culture as well as residential factors. Proceeding from this fact, the livability for people with disabilities and older requires accessibility and adaptability that take into account public and efficiency considering the current trend of housing development and urban planning.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권4호
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• pp.39-47
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• 2011

Population ageing and the disabled population is increasing. so disabled population and elderly people in the physical environment for Barrier-Free recently has been getting attention. according to a recent welfare paradigm shift of life support promoting for the housing remodeling. but basic remodeling made of simple living environment improvement and facilities installation for the type of disability customised housing remodeling. efficient housing remodeling plan for remodeling before and after through change the safety accidents occurred ratio. living environment for the improvement of housing and reconstruction for the benefit of comprehensively considering for disability subject in Indoor living type and the type of disability, housing type etc. and personalize house was remodeling for corresponding each space problem for identify obstacles and living types. as a result satisfaction changes & safety accident rate changes as follow. first, have complained that there was a in to residents environment furniture for reconstruction of the former housing remodeling needs survey. 80.2% of total for the percentage of households with high needs remodeling. second, The survey did not meet the 29 furniture as after the construction for died about recipient & up sticks & long absence. this leave out after the safety accident Corporation about 101 housing in the 88% of households did not happen. as a result, the lower the ratio of safety accidents occurring very revealed. third, grasp the meaning for indoor living type. showed that each approach(83%), front porch(90%), kitchen, living room(91%), bedroom(93%), toilet(92%) for each space remodeling satisfaction flow through customized housing remodeling.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권4호
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• pp.17-25
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• 2014

Purpose: Generally, rural housing in Korea have had target of people who are in good physical health rather than the disabled. Therefore, it is difficult to offer high quality residential environment for the elderly and the disabled. The purpose of this study is to propose the ways to promote ease and safety in the rural housing. Methods: This study evaluates the accidents, improvement factors, satisfactions, complaints by space of 153 rural housing in Taebaeksi. Results: This study divides the a rural house into 7 sectors : a passage to entrance, an entrance hall, a livingroom, a bedroom, a bathroom, a kitchen, and utility room. this study propose the following plan that rural housing to be barrier free space. First, in passage to entrance of the house, people with disabilities should not experience difficulties in walking, so installing ramps to remove the stepped slope grade without slip so that the floor finish should be. Second, entrance hall need more space to change and keep wheelchair. Third, switches and handle should be installed various height and form depend on the behavior of residents. Forth, install a drain to make no changes in level of bathroom. Implications: This research could be the basic data to renovate the rural housing.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권4호
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• pp.7-15
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• 2019

Purpose: The purpose of this study is to identify the current status and use of Gyungrodang located in Heungeop-myeon, Wonju-si and to present improvement and implication for community care in rural area. Methods: The survey of the current status was conducted with interview and observations. The use status of Gyungrodang was surveyed for the elderly over 65 years old who live in Heungeop-myeon using questionnaire. A face-to-face interview was conducted to complete a questionnaire and 181 samples were collected for the study. Results: In the current status, some of the Gyungrodang did not operate during farming season. The external environment, in terms of accessibility, 74.2% of Gyungrodang were located more than 60 minutes on foot from community center, health post, and pharmacy. In addition, the interval between buses run minimum 15 minutes to 120 minutes on average. The internal structure, 35.7% was divided room and toilets. In the use status, the reason for non-use of the Gyungrodang was discomfort(29.0%), and the reason for using was because friends go to the Gyungrodang(44.6%). The most satisfying program was te health care program(65.6%). Implications: First, it is necessary to develop and operate customized health promotion program for target population and seasons. Second, it is necessary to make a plan focused on consumers' needs through satisfaction and demand survey. Third, it is necessary to divide the space of each Gyungrodang by gender when planning the expansion or new construction of Gyungrodang.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제15권3호
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• pp.41-50
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• 2009

Studies about architectural planning for elderly residences have been carried out to examine various factors including the unit plan, site planning, and size planning. However, no studies have been undertaken that focus on the residents' daily life patterns. This study offers the design guidelines to support the daily life patterns of the elderly through the planning of elderly housing. For this study, elderly residents in Tokyo, Yokohama etc. in Japan were interviewed and surveyed. The results indicate that the changes to the daily life patterns of the residents living in elderly housing are the reduction of household, the increase of free time, and the change of social relationships. The elderly want to utilize their free time and focus on their social relationships. However, the elderly residences that we surveyed pay no consideration to social spaces and programs for their residents except for the cafeteria. To support the daily life patterns of the elderly, elderly housing should set a high value on the location, shared spaces, and unit plans of the residences in order to consider the personal diversity of the residents. Accessibility to public transportation systems and facilities should to be considered in the initial location planning. The revitalization of the public spaces should to be considered during the architectural planning stage. Considerations of personal taste during the unit planning stage are also necessary.