• 한국병원경영학회지
• /
• 제27권1호
• /
• pp.43-57
• /
• 2022

Background: Avoidable mortality rate has been widely used as an indicator of the quality of health care and the degree of inequality in health levels. The purpose of this study was to identify the factors affecting the avoidable mortality rate in the region. Methods: The data was MDIS(Microdata Integrated Service) Causes of Death Statistics, and the analysis period was from 2010 to 2019. Panel analysis was performed to identify the influencing factors on the avoidable mortality rate. Findings: Result showed that the current smoking rate had a significant positive effects on the avoidable mortality rate of both men and women. And the smoking cessation trial rate, low salt diet rate, weight control trial rate, annual vaccination rate had a significant negative effect. In the social environment, the divorce rate had a significant positive effect. In the economy environment, financial independence and social welfare budget rate had a significant negative effect. In the physical environment, the factory area rate had a significant positive effect. Practical Implication: Practical implication in order to lower the local avoidable mortality rate, various social determinants of health as well as health care resources should be considered together.

• 보건의료산업학회지
• /
• 제8권3호
• /
• pp.49-61
• /
• 2014

Due to the rapid population's aging, the life span's expansion and social & cultural characteristics, the standards of age classes in senescence are changed. Thus, this study aimed to identify the influential factors on health care utilization in the elderly by age class, and targeted 2,937 adults in their ages over 55 years old from the Korea Health Panel's 2009 Yearly Integrated Data. This study investigated the target health care utilization in the elderly in relation with the gender, the education level, the health-care insurance type, the income, the current job state, the chronic disease. In order to analyze the influential factors on health care utilization in the elderly, the multiple linear regression analysis was conducted to the data. As the results from this study, Concerning the influential factors on the health care utilization, the income, the subjective health state, the chronic disease and the regularly meals for the young-old influenced. Concerning the influential factors on the health care utilization, the subjective health state for the old. Concerning the influential factors on the health care utilization, the subjective health state, the income for the older-old influenced. Concerning the influential factors on the health care utilization, the education level, the spouse, the economic activity and the drinking oldest-old influenced. Therefore, it will need to provide systemic health-care & medical services, to develop health-care & medical programs and the health-care & medical policies and to execute them according to the age classes in senescence.

• 한국병원경영학회지
• /
• 제18권4호
• /
• pp.78-96
• /
• 2013

The purpose of this study is to analyze the emergency health care utilization using status according to income class. The target was the 2011 data out Korea Health Panel's raw data. 2011 data composed of total 17,035 people from total 5,741 households. This study set total 1,101 adults over full-20-years old having used an emergency health care utilization as its analysis target. In order to find out the number of emergency health care utilization use according to income class and the influential factors on emergency health care utilization cost, this study conducted the multiple regression analysis. And in order to more accurately analyze the emergency health care utilization use status depending on the income class and the features of emergency health care utilization use status, this study developed Models. As the result, this study found following findings. First, as the income class was lower, the gender was male, the age was lower, and the user has spouse, the user was not a business owner or a paid worker, the user is a house owner, the emergency medical facility type was a clinic, the means of transportation was others rather than 119 ambulance, the reason visiting emergency medical facility was belonged to others rather than accidents or poisoning, then the number of emergency was increased. Second, as the user was in higher income class, received the health insurance benefits, the using medical facility was general hospital, used 119 ambulance more often, stay days in emergency was shorter, then health care utilization cost was increased. In this study investigating the data out of Korea Health Panel, it was found that while the number of emergency health care utilization use was increased in the lower income class, but the emergency health care utilization cost was increased for higher income class. It is considered that this finding was caused from the facts that lower income class was more often exposed to dangers for physical health, so the number of emergency health care utilization use was increased, but their health care utilization cost was decreased because of their economic burdens against various examinations and their difficulties to pay such costs, comparing to that of higher income class. Therefore, in order to solve unequal problem of emergency health care utilization use between lower and higher income classs, it is required to set suitable solutions like the disease prevention effort by facilitating national health check-up programs, the enhancement of public health services in quantity and quality, the emergency health care utilization securing policy at using medical facilities, the promotional, educational activities about emergency health care utilization delivery system, the enhanced accessibility of emergency health care utilizations and emergency medical facilities.

• 지역사회간호학회지
• /
• 제27권4호
• /
• pp.358-369
• /
• 2016

Purpose: This study was to identify health-related quality of life of Korean young adults and elderly with multimorbidity and to examine factors influencing their health-related quality of life. Methods: Health-related quality of life was measured by the Korean version of the EQ-5D. Using a descriptive study, the study incorporated a secondary analysis of the Korean version of the EQ-5D data from the 8th wave of the Korea Health Panel Survey in 2013. Selected demographic data and the Korean version of the EQ-5D were analyzed using ${\chi}^2$-test, t-test, ANOVA and multiple regression analysis. Results: Education, drinking, type of health insurance, and number of chronic disease significantly affected the health-related quality of life in the young adults with multimorbidity. Educational level, occupational type, drinking, physical activity, number of chronic disease, unmet healthcare need and the type of multimorbidity significantly affected the health-related quality of life in the elderly with multimorbidity. Conclusion: The factors influencing health-related quality of life were different for young adults versus elderly with multimorbidity. Therefore, there is a need for age-specific health care programs that may improve health-related quality of life of adults with multimorbidity.

• 한국직업건강간호학회지
• /
• 제25권4호
• /
• pp.277-289
• /
• 2016

Purpose: This study aims to investigate the cross-sectional association of company size and self-rated health using representative data on Korean workers. Methods: We used the data from 2,884 wage workers collected by Korean Labor and Income Panel Study (17th). The association between company size and self-rated health was analyzed using logistic regression with covariates including demographic characteristics, work environment, job satisfaction, and health-related behaviors. Resulst: Odds ratio (OR) for better health status among workers in large-sized company was 1.351 (CI. 1.054~1.731), compared to workers in small-sized company. We performed three separate models stratified by firm size (small, medium, and large companies). Occupation variables showed different effect on health depending on firm sizes. OR for better health of white-color job (referred to blue-color job) was 1.693 in medium-sized company model but it was 0.615 in large company model. OR for better health of the workers working shift work showed 0.606 in large company model but it was not significant in small and medium company models. Conclusion: We found that small-sized company workers have significantly poor self-rated health compared to large-sized firm workers. This study revealed that there exist differences among health related factors depending on firm sizes.

• 한국의학물리학회:학술대회논문집
• /
• 한국의학물리학회 2002년도 Proceedings
• /
• pp.385-388
• /
• 2002

We measured and evaluated digital, pre-sampling and overall imaging properties (characteristic curves, Modulation Transfer Function (MTF), Wiener spectra (WS), Noise Equivalent Quanta (NEQ) and Detective Quantum Efficiency (DQE)) for the direct type and indirect type of Flat-Panel Detector (FPD). First, the digital and overall characteristic curves of the both types of FPD had more wide dynamic range than that of the S/F system. Second, the pre-sampling and overall MTF of the direct-type FPD were superior to those of the indirect-type FPD. Third, for identical exposures, the digital and overall WS of the direct-type FPD were similar or worse than those of the indirect-type FPD, and for larger exposure, the digital WS of the both types of FPD were smaller, but overall WS of the both types of FPD were larger. Fourth, the digital and overall NEQ and DQE of the direct-type FPD were worse than both NEQ and DQE of the indirect-type FPD at lower spatial frequencies, but were better at higher spatial frequencies.

• Journal of Preventive Medicine and Public Health
• /
• 제38권4호
• /
• pp.465-472
• /
• 2005

Objectives : The aim of this study was to assess the effect of air pollution on the daily respiratory symptoms of elementary school children in Seoul. Methods : Using the panel study design, we collected diary data for the children's respiratory symptoms during the 1st day$\sim$15th day of April, July, October and December in 2003 among the 2nd and 3rd grade elementary school students. We merged the respiratory symptom data with the ambient air pollution data that was monitored by Ministry of Environment. Using a generalized estimate equation, we evaluated the relationship between the daily symptoms of the subjects and the exposure to ai r pollution after controlling for various potential confounders. Results : The nitrogen dioxide (NO2) exposure of the current day significantly increased the upper respiratory symptoms (adjusted odds ratio=1.12, 95% CI=1.01-1.24) and the lower respiratory symptoms (adjusted odds ratio=1.18, 95% CI=1.06-1.31) in the elementary school children. The sulfur dioxide (SO2) and carbon monoxide (CO) exposure in the current day was associated with the lower respiratory symptoms (adjusted odds ratio=1.12, 95% CI=1.01-1.25 for SO2; adjusted odds ratio=1.16, 95% CI=1.02-1.32 for CO). Conclusions : We found that exposure to air pollution affects the daily respiratory symptoms in children. This study suggests that the effect on children's health? due to the short term changes in air pollution levels needs to be considered as an important public health problem.

• 한국항만경제학회지
• /
• 제35권1호
• /
• pp.57-76
• /
• 2019

본 연구는 우리나라 산업 발전에 크게 기여한 운송산업의 주체인 운송업 종사자의 고용생산성 결정요인에 대해 다룬다. 본 연구는 노동패널자료를 활용해 운송업의 고용생산성 결정요인을 선정하고 패널 로지스틱 회귀 모형(Panel Logistic Regression), Panel OLS 모형, Panel Robust regression 모형을 활용하여 요인 간 영향력을 분석하였다. 분석 결과는 다음과 같다. 첫째, 정규직 여부의 경우 '학력'이 높을수록, '노조가입' 할수록, '직업훈련 경험'이 있을수록 긍정적인 효과가 나타난 것으로 분석되었다. 둘째, 고용안정성은 '학력'이 높고 '노조가입' 할수록 긍정적인 영향이 미치는 것으로 조사되었으며, '회사규모'가 크고 '기혼'일 경우 고용안정성이 큰 것으로 분석되었다. 셋째, 소득생산성의 경우 '나이', '학력', '회사규모'의 값이 클수록 긍정적인 영향을 미치고 '직업훈련 이외의 교육', '건강상태'의 값이 클수록 부정적인 영향을 미치는 것으로 분석되었다. 넷째, 직무만족도의 경우는 '여성'일수록, '노조가입' 할수록, '소득'이 높을수록, '고용안정성'이 높을수록 높았고, '보통사람대비 건강상태'가 좋을수록, '전반적 생활만족도'와 '경제적 수준'이 높을수록 직무만족도는 낮은 것으로 분석되었다. 본 연구에서 도출한 운송산업 고용생산성 결정요인의 분석과 향상 방안 모색을 통해 운송업 고용 생산성 향상에 기여할 수 있을 것으로 생각된다.

• 대한전기학회:학술대회논문집
• /
• 대한전기학회 2011년도 제42회 하계학술대회
• /
• pp.2144-2145
• /
• 2011

We carry out a demonstration project to verify performance of a Home- Smart Cabinet Panel(H-SCP) at the child care facility. It is difficult to prevent an electrical disaster using a existing cabinet panel because electrical events are invisible and unforeseeable. So we construct a integrated information system with a Home-Smart Cabinet Panel(H-SCP) for management of low-voltage customers. The integrated information system with the H-SCP maintain the transmitted data from H-SCP, alert a electrical event to a administrator and show a state of customer health in real time respectively. A manager of electrical safety can prevent electrical disaster to maintain electrical facilities after analysis on the integrated information system.

• 대한예방한의학회지
• /
• 제24권2호
• /
• pp.31-41
• /
• 2020

Background : The introduction of policies expanding the coverage of uninsured Korean Medicine (KM) services have requires an understanding of the following components of the service : current financial expenses, degree of financial burden on the patient, and financial effect of the coverage expansion. Objectives : This study aims to determine the annual trend of outpatients' characteristics and the category of out-of-pocket spending in KM. Methods : This study uses data from the Korea Health Panel to analyze use of KM in the Korean population. Using the user characteristics and behavior drawn from the Korea Health Panel data, out-of-pocket spending trends of KM were analyzed by year. The diagnosis and prescription of out-of-pocket spending were also analyzed. Results : The proportion of patients receiving uninsured medical treatment and the number of uninsured medical treatment in outpatient clinics have increased. However, the average out-of-pocket spending per person and out-of-pocket spending per visit are consistent or have decreased. Meaningful trends are the increase of R00-R99 (unclassified symptoms) and the decrease of K00-K93 (digestive system disease) and J00-J99 (respiratory system disease). Conclusions : Expansion of KM medical service and insurance is influenced by uninsured medical treatment of KM. Hence, research to increase medical treatment categories for out-of-pocket spending or explore diseases where KM diagnosis has been proven effective should be further developed.