• Child Health Nursing Research
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• 제19권4호
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• pp.247-251
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• 2013

Children from low income families are vulnerable to physical problems including obesity, asthma, hypertension and psychological problems including depression, anxiety. This study was done to identify trends in welfare policy for children from low-income families and future direction for solving health disparity problems. Dream Start is a government-sponsored project that offers services for vulnerable children, ages 0 (include pregnant woman) to 12 years and their families. The Korean Government has made an effort to alleviate health disparity through the 'Health Plan' by establishing health objectives. However, in spite of these efforts by the Korean government, health disparity has worsened in Korea. In order to strengthen family function as well as promote growth and development for vulnerable children, experts in child care need to be significantly involved in identifying neglected children in the community.

• 한국생활과학회지
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• 제11권1호
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• pp.13-29
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• 2002

This study was performed to discuss how to develop policies to support social participation by full-time housewives, from the perspectives of human resource development and utilization. This study focused on three areas of potential human resource development: (a) labor force participation (b) social education (c) volunteerism. It analyzed the related "social infrastructures," especially labor market situation and child care systems. The current governmental policies and other social programs implemented by various institutions as well as the relevant literatures were reviewed. The preliminary policy proposals outlined in this study were evaluated by the policy developers and experts through several hearings and discussions. Programs proposed from this study were as follows : (a) programs to support housewives who wish to find employment or create a self-owned business, (b) educational programs exclusively offered for full time housewives, and (c) programs to award certificates and rewards and to create paid employment tied to volunteer work. In addition, the ways how to ameliorate the gender discrimination by changing the labor and social environments and institutionalizing the child care were discussed.

• 한국보육지원학회지
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• 제12권6호
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• pp.123-137
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• 2016

The purpose of this study was to forecast demand of childcare teachers based ion four different scenarios. In order to, the demand for childcare teachers from 2015 to 2024 were forecasted using time series techniques with data on the number of childcare teachers from 2003 to 2014. Results were as followings. Firstly, the demand for childcare teachers was expected to increase until 2019, but after 2020 steadily decreased in terms of scenario 1(child teacher ratio regulation). According to scenario 2(child teacher ratio based on 17 cities and provinces), the demand for childcare teachers was expected to need 440 teachers more until 2016. Then, according to scenario 3(two teachers each class), Scenario 4-1(one teacher and one staff each 2 toddler class and 3 older class) and scenario 4-2(one teacher and one staff each class), the demand of childcare teachers and staffs were estimated. These results implicated that childcare teachers and staffs supply policy would be established according to forecast demand.

• 가족자원경영과 정책
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• 제28권2호
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• pp.11-25
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• 2024

본 연구는 영유아 자녀를 둔 맞벌이 가정 아버지와 어머니의 자녀돌봄 실태를 돌봄유형별 자녀돌봄에 사용한 시간과 시간사용 관련 인식을 중심으로 비교하여 살펴보았다. 2019 통계청 생활시간조사 자료 중 영유아 자녀를 둔 아버지와 어머니의 근무일의 시간일지 444부를 분석한 주요 결과는 다음과 같다. 첫째, 영유아 자녀를 둔 맞벌이 가정 부모의 근무일의 전체 자녀돌봄 시간은 평균 72.1분이며, 발달돌봄보다 필수돌봄에 좀 더 많은 시간을 사용하고 있었다. 둘째, 맞벌이 가정 아버지의 근무일의 자녀돌봄시간은 40.8분, 어머니의 자녀돌봄시간은 110.3분으로 크게 차이 났다. 돌봄유형별로도 어머니의 돌봄시간이 아버지의 돌봄시간보다 필수돌봄, 발달돌봄 각각 3배, 2배 정도로 더 많았다. 셋째, 가구소득 집단별로 어머니의 근무일 필수돌봄 시간에 차이가 있었으며, 아버지와 어머니 모두 주당 근로시간이 많은 집단과 적은 집단 간에 필수돌봄 시간에 차이가 있었다. 넷째, 영유아 자녀를 둔 맞벌이 가정 아버지와 어머니는 피로감과 시간부족감을 다소 느끼고 있으며, 가사분담 만족도는 어머니의 만족도가 아버지에 비해 낮았다. 아버지들의 자발적 참여를 이끌어낼 수 있도록 부모로서의 공동 책임을 강조하는 '공동육아'개념을 반영한 부모교육이 필요하며, 맞벌이 가정 아버지와 어머니의 부모로서의 권리를 보장한다는 측면에서 부모의 돌봄을 지원하는 제도의 확대와 가족친화적 직장문화의 확산이 요구된다.

• 보건행정학회지
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• 제16권2호
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• pp.77-95
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• 2006

The present study was conducted to examine the degree of variation in length-of-stay (LOS) among health care institutions participating in 17 diagnosis-related groups (DRGs) payment system and to find out hospital characteristics affecting the variation. Electronic medical claims data for treatments of severity classification '0' of 17 DRGs provided for two $years(2003{\sim}2004)$ were collected. For each DRG, the degree of variation in average LOS among health care institutions were analyzed using the random effect model. For DRGs showing significant differences in LOS, multiple regression analyses were performed to find out factors associated with LOS. Significant variations in LOS were observed 9 DRGs including unilateral/bilateral lens procedures, adult/child tonsilectomy, other anal procedures, bilateral adult/child herniorraphy, unilateral child herniorraphy, and hysterectomy, and hysterectomy using laparoscopic procedure. Among the 9 DRGs, five DRGs were selected to investigate the factors explaining for the variation. It was observed that the location of institution was significant predictors for all five DRGs. Within the same DRGs, LOS was significantly shorter among the institutions located in Seoul than those in other areas. As compared to clinics, hospitals and general hospitals/tertiary care institutions showed significantly longer LOS for DRGs of lens procedures, tonsilectomy, and other anal procedures. It is recommended that the institutions located in other than Seoul area benchmark the strategies of the institution in Seoul in efficiently managing LOS. Also, significant variation within the same severity classification such as other anal procedures implies the imminent need for improvement of patient classification system.

• Journal of Preventive Medicine and Public Health
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• 제38권3호
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• pp.252-258
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• 2005

Major approaches of Social epidemiology; 1)holistic, ecological approach, 2)population based approach, 3)development and life-course approach, 4)contextual multi-level approach, have stressed the importance of not only social context of health and illness, but also the population based strategy in the health interventions. Ultimately, it provides the conceptual guidelines and methodological tools to lead toward the healthy public policies; integrated efforts to improve condition which people live: secure, safe, adequate, and sustainable livelihoods, lifestyles, and environments, including housing, education, nutrition, information exchange, child care, transportation, and necessary community and personal social and health services.

• 한국사회복지학
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• 제67권2호
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• pp.285-310
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• 2015

본 논문은 우리나라 방과후 돌봄 체계의 중추적 역할을 하고 있는 지역아동센터의 고유한 기능과 역할에 대해 실무자들의 다양한 인식유형을 검증하기 위한 목적을 가진다. 이를 위하여 지역아동센터 실무자를 대상으로 시설 환경, 서비스 내용, 인력, 대상, 전달체계 측면으로 나누어 관련된 인식을 조사하였다. 분석결과 지역아동센터의 기능과 역할에 대한 인식유형은 '전문인력 중심의 통합서비스 지향형', '시설환경 기반의 보호서비스 지향형', '학교연계 방과후서비스 지향형', '개별맞춤형 기초사례서비스 지향형'으로 나눌 수 있었다. 이러한 결과는 또한 지역아동센터 실무자들이 지역아동센터의 발전을 위해 인력의 중요성과 서비스 환경에 대한 지원, 서비스 내용의 차별성과 연속성, 전체 돌봄체계와의 공통성과 독자성을 찾아갈 수 있는 기능 모색으로 다시 나눠지고 있었다. 본 연구는 지역아동센터의 기능과 역할에 대해 그동안 실증적으로 검증되지 못했던 다양한 인식내용의 실체를 파악해 보았다는데 의의가 있다. 이러한 결과를 통해 향후 지역아동센터의 기능과 역할에 대한 당사자들의 관점을 반영하고, 운영의 방향성에 대한 실천적 논의를 이끌어 낼 수 있을 것이며, 지역아동센터 모델과 운영에 대한 정책결정과 집행과정에 있어서 지원에 대한 구체적 방향성과 기초자료를 제공할 수 있을 것이다.

• 가정과삶의질연구
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• 제28권1호
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• pp.159-174
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• 2010

The purpose of this study was to examine the health care expenditure of elderly single and elderly couple households whose head is more than 60 years old. The data analyzed for the study were Korean Retirement and Income Study(KRelS) conducted in 2007 by National Pension Corporation. The major finding of this study were as follows: First, the amount of health care expenditure of elderly single households was lower than that of elderly couple households. However, ratio of health care expenditure to total consumption expenditure of elderly single households was larger than that of elderly couple households. Second, the ratio of health care expenditure in consumption expenditure in this study was larger than the ratios in past analyse showed in the previous studies. Third, common factor affecting on health care expenditure of elderly single and elderly couple households was the existence of the family member with chronic disease or handicap. The health care expenditure of elderly singer households was influenced by income, gender and the ownership of national health insurance. The influence of income for elderly singer households seemed to be greater than for elderly couple households. The variables which affected health care expenditure of elderly couple households were age and housing tenure status. The amount and ratio health care expenditure were increased as the age increases. These results show that the health care expenditures for each groups varied according to socio-demographic variables and health-related behavior variables. It is suggested that there should be a discriminative health care policy for each elderly single and elderly couple households. In addition, the health care policy for the elderly households of which member has a chronic disease is certainly necessary. Especially a health care plan for the elderly single households with lower income is in need. For the elderly couple households, the priority group of health care policy would be the high age group.

• 사회복지연구
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• 제47권1호
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• pp.261-290
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• 2016

본 연구는 과거에 발생한 모(母)의 손자녀 돌봄이 이후 모와 성인자녀의 세대 간 접촉 수준에 어떠한 영향을 미치는지 살펴보는 것을 목적으로 하였다. 이를 위해 세대 간 장기적 상호 관계에 초점을 맞추었고, 연구의 수행을 위해 고령화연구패널조사(Korean Longitudinal Study of Ageing)의 1차부터 4차 연도까지의 자료를 이용하였다. 분석의 대상자는 1,925명의 노모와 7,460명의 성인자녀이었으며, 다수의 자녀가 한 명의 모에 내재되어 있는 관계적 구조를 고려하여 다수준 분석(multi-level analysis) 방법을 사용하였다. 연구의 수행을 위해 과거 발생한 모의 손자녀 돌봄은 그것의 행위 유무와 시간적 양을 이용하여 측정하였고, 세대 간 접촉 수준은 모와 성인자녀의 대면 및 비대면 접촉 수준을 통해 파악하였다. 본 연구를 통해 산출된 결과를 간략히 제시하자면 다음과 같다. 먼저, 과거 모에 의해 제공된 아동 돌봄은 그것의 행위 존재 자체만으로도 이후 성인자녀와 모 간의 접촉 빈도를 증가시킬 수 있는 것으로 나타났다. 또한 모에 의해 제공된 아동 돌봄의 시간적 양 역시 이후 모와 성인 자녀 간의 접촉 수준을 증가시키는 요인으로 작동할 수 있는 것으로 나타났다. 이와 같은 결과는 세대 간 관계에서 조모에 의한 손자녀 돌봄이 세대 간의 호혜적 관계 성립에 중요한 영향을 미칠 수 있음을 보여준다. 본 연구는 이와 같은 결과들을 기초로 하여 이론적 및 정책적, 실천적 함의를 제시하였다.

• Child Health Nursing Research
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• 제9권1호
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• pp.96-106
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• 2003

Advances in neonatal care system and research have resulted in an increased survival rate among low birth weight infants in the industrialized countries. Recent Korean neonatal mortality and morbidity statistics, and current status of Korean neonatal intensive care facilities were reviewed here for the sake of future improvement and research. Morbidity statistics revealed that perinatal diseases accounted for 80％ of the death of premature infants implying the possibility of its reduction by the vigorous prenatal care service in future.On the basis of extensive studies of nutritional support and growth rate of premature infants, commercial formulas for premature infants have been developed and various aspects of feeding techniques are standardized. However, problem of growth deficit of premature infants remains unsolved as medical problem. NICU specialists are challenged with the tasks of prenatal education or provision of care that minimizes the neurodevelopmental problems seen in preterm infants, various short-term outcome researches have been reported and those are reviewed here to promote research interest in the field of neonatal nursing. Systemic long-term outcome studies are also awaited in Korea for the formulation of welfare policy in future. Nursing science has to embrace all these interdisciplinary studies as their own research field in collaboration with neonatologist, nutritionist, rehabilitation therapist, social workers and teachers.