• Journal of Preventive Medicine and Public Health
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• 제30권4호
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• pp.870-883
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• 1997

The health center has to play an important role in promoting community health and satisfying a variety of community health needs and demands in the decentralized Korea. The nearly enacted Community Health Act compels every health center to make its own health plans which intend to deal with local health problems and plan its future health care. This obligation is obviously a big burden to most health centers. They do not have experiences in and abilities of making local health care plans. In order to establish a systematic community health plan, health centers have to concentrate their efforts on enhancing the ability of making health care plan through gathering and analysing the local health informations. However, it is very difficult in reality. This is simply because it will take long time to accomplish these activities. It seems natural that various professionals and researchers participate in carrying out the process of making community health plan in the initial stage. No standardized methodology and analysing framework exist even in the health professional society. Nonetheless, it is common to introduce survey research methodologies in analysing consumer's health care utilization and cost, and in identifying factors influencing health behaviors. Many researchers and professionals have applied social survey methodologies in obtaining information on providers and health policy makers as well. The authors have found that few studies have ever utilized local health data stored at the self-employed medical insurance society as the data source of planning activities. The purpose of this study is to illustrate the usefulness of the data stored at the Sung-Dong Gu Self-employed Medical Insurance Society in establishing the community health plan. The major contents of this study are as follows ; 1. frequency of utilization by age, area, sex, type of medical care institutions, and some major diseases 2. Medical treatment by type of medical care institutions, by classification of 21 diseases, by frequency of three-character categories 3. Medical treatment of major neoplasm and some chronic diseases by age, sex, and area. The conclusion of this study is that it is of great potentiality to find out the local health problems and to use them in blueprinting the community health plan through comparing the frequency of medical utilization analyzed by a variety of variables with NHI health data or the health data from survey research.

• 산경연구논집
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• 제11권12호
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• pp.7-15
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• 2020

Purpose: This study aims to explore the feasibility of expanding complex wards to provide efficient hospital management and high-quality medical services to local residents of Gangneung Medical Center (GMC). Research Design, Data and Methodology: There are four research designs to achieve the research objectives. We analyzed Big Data for 3 months on Social Network Services (SNS). A questionnaire survey conducted on 219 patients visiting the GMC. Surveys of 20 employees of the GMC applied. The feasibility to expand the GMC ward measured through Focus Group Interview by 12 internal and external experts. Data analysis methods derived from various surveys applied with data mining technique, frequency analysis, and Importance-Performance Analysis methods, and IBM SPSS statistical package program applied for data processing. Results: In the result of the big data analysis, the GMC's recognition on SNS is high. 95.9% of the residents and 100.0% of the employees required the need for the complex ward extension. In the analysis of expert opinion, in the future functions of GMC, specialized care (△3.3) and public medicine (△1.4) increased significantly. Conclusion: GMC's complex ward extension is an urgent and indispensable project to provide efficient hospital management and service quality.

• 한국정보통신학회논문지
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• 제22권10호
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• pp.1277-1286
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• 2018

본 논문에서는 공개의료정보 빅데이터 분석을 위해 클라우드 환경에서 아파치 하둡 기반의 클라우드 환경을 도입하여 컴퓨팅 자원의 유연한 확장성을 제공하고 실제로, 로그데이터가 장기간 축적되거나 급격하게 증가하는 상황에서 스토리지, 메모리 등의 자원을 신속성 있고 유연하게 확장을 할 수 있는 기능을 포함했다. 또한, 축적된 비정형 로그데이터의 실시간 분석이 요구되어질 때 기존의 분석도구의 처리한계를 극복하기 위해 본 시스템은 하둡 (Hadoop) 기반의 분석모듈을 도입함으로써 대용량의 로그데이터를 빠르고 신뢰성 있게 병렬 분산 처리할 수 있는 기능을 제공한다. 빅데이터 분석을 위해 빈도분석과 카이제곱검정을 수행하고 유의 수준 0.05를 기준으로 단변량 로지스틱 회귀분석과 모델별 의미 있는 변수들의 다변량 로지스틱 회귀분석을 시행 하였다. (p<0.05) 의미 있는 변수들을 모델별로 나누어 다변량 로지스틱 회귀 분석한 결과 Model 3으로 갈수록 적합도가 높아졌다.

• 예술인문사회 융합 멀티미디어 논문지
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• 제8권10호
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• pp.895-903
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• 2018

본 연구의 목적은 세월호 참사 전후 피해지역 주민들의 정신건강 상태 및 건강관련 삶의 질을 비교 분석하여 추후 대형 인적재난의 발생 시 피해지역의 지원근거를 마련하기 위함이다. 본 연구에서는 빅데이터인 지역사회건강조사자료를 이용하여 세월호 피해지역인 안산시와 진도군에 거주하는 주민 총 3,632명(2013년도 1,803명, 2014년도 1,829명)을 대상으로 주관적 건강수준, 적정수면 여부, 주관적 스트레스, 스트레스 상담여부와, 우울감 경험여부, 우울감 상담여부, 건강관련 삶의 질을 참사 전후로 비교하였다. 세월호 사건 후 피해지역 주민들은 주관적 건강수준과 적정수면여부, 주관적 스트레스 정도, 건강관련 삶의 질에서 부정적으로 유의한 차이를 나타냈다. 반면, 스트레스 상담 여부, 우울감 상담 여부는 참사 전과 후에 유의미한 차이를 나타내지 않았다. 본 연구는 대형 인적피해를 가져온 세월호 피해지역의 주민들을 대상으로 세월호 사건 발생 전 후의 정신건강 및 건강관련 삶의 질을 비교하여 추후 재난의 피해지원을 위한 중재 프로그램이나 정책개발의 기초자료로서 의의가 있다. 향후 피해지역 주민들의 정신건강 및 건강관련 삶의 질을 지속적으로 모니터링하고, 지원대책을 마련하기 위해 보다 다양한 후속 연구들이 시행되어야 할 것이다.

• 한국산업보건학회지
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• 제32권2호
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• pp.172-181
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• 2022

Objectives: In order to reduce the burden on employers and increase the reliability of measurement results, improvements to the provisions related to the work environment measurement reporting system, such as the current Occupational Safety and Health Act and its Enforcement Rules, are planned. This study aimed to suggest improvements for the work environment measurement reporting system through a survey and Delphi investigation. Method: This survey included workplaces (health managers), national institutions (the Ministry of Employment and Labor) that use the results of the work environment measurement reporting system for policy and supervision purposes, and work environment measurement institutions that enter the results were included. In addition to the survey, we tried to derive results through meetings with stakeholders and expert advisory meetings. Results: It is difficult to abolish or partially improve the reporting system under the Enforcement Regulations of the Occupational Safety and Health Act at this point because the opinions of workplaces, supervisory agencies, and measuring agencies differ in terms of its intended purpose and use. In the case of high-exposure harmful factors (over 50% on the basis of exposure) in the "comprehensive opinion" described in the work environment measurement results table, it is necessary to insert unit of work with exposed harmful factors, exposure factors, and current conditions in checklists or tables so that they can be reflected in government policies. In the case of workplaces that are feared to be highly exposed to substances subject to measurement, it seems desirable to improve them so that industrial health instructors registered with the Korea Safety and Health Agency or local labor offices can provide technical guidance. As an improvement plan to increase the reliability of data and the use of big data, it is necessary to improve the input method for processes and jobs. Conclusion: The laws and regulations of the work environment measurement reporting system are difficult to revise due to a lack of consensus among current stakeholders, but improvements can be achieved by improving the Ministry of Employment and Labor's notifications and other means. In addition, in order to effectively utilize the data from the K2B system, it is necessary to improve the input method for processes and jobs.