• 제목/요약/키워드: Medical accessibility

검색결과 360건 처리시간 0.025초

1인 거주 쉐어하우스 연구에서 만족도 조사항목 추출에 관한 연구 (A Study on the Deduction of Satisfaction Survey Factors in the Study of One-person Living Sharehouse)

  • 김소라;강미현;이민희
    • 한국농촌건축학회논문집
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    • 제24권4호
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    • pp.33-40
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    • 2022
  • Sharehouse has been supplied as an alternative to solving the steadily increasing one-room housing problem of single-person households every year, and it is necessary to investigate the satisfaction of residents who actually live in sharehouse through P.O.E. Therefore, this study analyzed priror researches related to the existing one-person households, sharehouses, and satisfaction surveys, and summarized indicators with high relevance and frequency to derive satisfaction survey factors that can clearly evaluate the improvement architectural plan of sharehouses. As a result, it was classified into 4 items in the 'general information' category to investigate the status, housing rental type, and housing cost of the sharehouse, 15 factors in the 'peripheral environment' category to evaluate the safety, 3 factors in the 'community' category, and 17 factors in the space (facility) and service category. In the "General Information" section, the overall one-person housing satisfaction, desired sharehouse type, housing rental type, housing cost, and living expenses were reduced. In the "Surrounding Environment", accessibility to public office, accessibility to cultural facilities, accessibility to medical facilities, accessibility to work and school, convenience stores, noise pollution and safety. In addition, in the "community" section, it consists of interactions with various people, relationships with housemates and in the "space (facilities) and service" section, heating, waterproof, soundproof, ventilation, moisture and condensation blocking, facility management, interior, room size, built-in furniture, storage space, laundry, parking. Most of the scales for each factor were 5-point Likert scales, allowing evaluation of the degree of satisfaction, and some factors presented criteria to induce structured answers. Therfore, it is expected that the survey will be conducted on residents who actually live by deriving factors for the satisfaction survey of one-person households living in the sharehouse, and the current status of the sharehouse will be identified, and the degree of satisfaction will be analyzed to be used for research.

빈집 공간분포 특성 및 접근성에 관한 연구 : 충청북도 옥천군 빈집을 중심으로 (A Study on the Spatial Distribution of the Vacant Houses and their Accessibility : Focused on the Vacant Houses in Okcheon-gun, Chungcheongbuk-do)

  • 이종수;김선덕
    • 한국콘텐츠학회논문지
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    • 제21권12호
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    • pp.791-802
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    • 2021
  • 우리나라는 도시쇠퇴 현상이 지속적으로 나타나고 있으며, 지방 소도시 빈집 발생은 심각한 사회적 문제로 대두되기 시작하였다. 대도시를 비롯한 지방 소도시까지 빈집 발생이 심각한 사회적 문제로 대두되고 있음에도 빈집에 대한 기초 연구가 매우 미흡한 상황이다. 이에 본 연구에서는 가장 먼저 빈집이 지니는 공간분포 특성을 알아보기 위해 GIS를 활용한 방격분석, 커널밀도 분석을 수행하였다. 분석결과 충북 옥천군 빈집은 통계적으로 유의한 범위 안에서 일정한 군집 형태와 특성을 갖는 것을 확인하였다. 다음으로는 생활 SOC 시설 접근성에 따른 빈집 분포를 확인하기 위하여 대상지 내 입지하고 있는 주요 생활 SOC 시설과 도로망을 이용하여 GIS 네트워크 분석을 실시하였다. 분석결과, 의료·복지·문화·복지 생활 SOC 시설과 접근성이 양호할수록 빈집 분포가 낮은 것으로 나타났다, 반대로 행정·교육 생활 SOC 시설과의 접근성은 빈집 분포에 중요한 영향을 미치지 않는 것으로 나타났다. 이 연구를 통해 지방 소도시 빈집 공간분포 특성과 주요 생활 SOC 시설 접근성에 따른 입지적 특성을 규명할 수 있었다. 이 연구는 지방 소도시 빈집 관리 정책, 빈집 정비사업에 활용 가능한 실무적·학술적 가치를 제공함에 연구의 목적과 의의를 찾을 수 있다.

한국 노인의료보장제도의 개선방안에 관한 연구 (A Study on the Programs of the Betterment in Medical Care Guarntee for Korean Seniors)

  • 조영환;김현주;박영한
    • The Journal of Korean Physical Therapy
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    • 제10권1호
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    • pp.105-125
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    • 1998
  • We are confronted by increase in old people due to the improvement in medical science, public hygiene and socioeconimic status in 20th century. But our medical security system for old people dees not meet the need for medical service of old people. Current medical insurance system restricts term and extent in allowance although the characteristics of the disease of the aged people need medical care of Bong duration and high cost. And in the medicaid system the speciality of the aged people is not recognized and the budget of the government is scanty. In addition many old people to our country are in economic distress due to low income. But the government authority does not give sufficient consideration for eld people in law, policy and budget. To improve social security system for old people it is necessary to increase the budget for the security of old people, to enhance the traditional respect for the aged, to improve medical security system by improving the accessibility to medical service and by expanding the allowance of medical insurance, and to expand the public welfare institutions. And these are roles for all the family. the society and the nation as well as the aged people themselves.

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분야별 의료 취약지 선정지표 개발 및 적용 (Development and Adjustment of Indicators for Underserved Area)

  • 곽미영;이태호;홍현석;나백주;김윤
    • 보건행정학회지
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    • 제26권4호
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    • pp.315-324
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    • 2016
  • Underserved area is a region that has a lack of healthcare resources. In the context of Korea, however, there are not enough detailed criteria for underserved areas. In this study, we aimed to develop indicators for underserved area through Delphi technique. We systematically reviewed the existing measure of underserved area. Sixty indicators were extracted as candidates across four domains in secondary medical care. Four domains are demand, medical resource, quality of care, and health outcome. To develop indicator, two round Delphi survey was conducted among 15 professional experts such as professionals and public administrators. In conclusion, 2 final indicators (accessibility, medical utilization) was determined as an appropriate measure in order to designate underserved area for secondary medical services. Using our criteria from Delphi technique, 36 areas were found as underserved areas for the secondary medical care.

대학병원 암환자의 의료서비스 만족도에 영향을 미치는 요인 (Factors Affecting Health Services Satisfaction of Cancer Patients in University Hospitals)

  • 양종현;조영하;장동민
    • 디지털융복합연구
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    • 제10권6호
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    • pp.321-329
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    • 2012
  • 본 연구는 우리나라 대학병원 암환자의 의료서비스 만족도에 영향을 미치는 요인을 분석하기 위해 수행하였다. 자료는 2011년 3월 21일부터 3월 30일까지 수도권과 부산지역 대학병원을 이용한 암환자 420명을 대상으로 설문조사를 통해 수집하였으며, 회귀분석을 통해 환자만족도에 영향을 미치는 요인을 분석하였다. 본 연구의 주요 결과는 다음과 같다. 첫째, 대학병원을 이용하는 암환자에게는 의료진의 실력, 친절, 상세한 설명 등과 같은 의료의 질적 요인이 환자 만족도에 가장 큰 유의한 양 (+)의 영향력이 있는 것으로 나타났다. 둘째, 대학병원의 최신의 시설 및 환경요인은 서비스 만족도에 유의한 양 (+)의 영향력이 있는 것으로 분석되었다. 셋째 대학병원을 이용하는 암환자에게 이용의 접근성 요인은 만족도 요인에 유의한 영향력이 없는 것으로 나타났다. 상기의 연구 결과를 통해 대부분이 생명과 직결되는 중환자인 암환자의 경우 의료진의 실력, 병원의 세심한 배려 및 친절, 상세한 설명, 최신 장비, 쾌적한 주변 환경, 적절한 편의시설 제공이 만족도에 중요한 요인임을 시사해 주고 있어 향후 이를 충족시키기 위한 대학병원 차원의 다각적인 방안이 강구되어야 할 것이다.

일선 2개 보건지소의 진료실적 비교 분석 (충남 서산군) (A Comparative Study on Medical Care Services in Two Community Health Sub-centers(Seo San-Gun, Choong Chung Nam-Do))

  • 장일영
    • Journal of Preventive Medicine and Public Health
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    • 제17권1호
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    • pp.121-126
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    • 1984
  • Several detailed aspects of medical care services during one year (Aug 1, $1982{\sim}$July 31, 1983) were compared between two community health sub-centers; one (A) was served by a local clinician, the other (B) by a trainee of preventive medicine. The results were analysed as follows: 1. Total spells of medical services during the same period in 'A' sub-center was 4,087 and that in 'B' 2,347. Medicaid visitors in 'A' was 1,051 (25.7% of the total), that in 'B' was 250 (10.7%). Significant difference was observed. 2. Average number of visits for the same case in 'A' was 2.0, that in 'B' was 1.4. Average duration of service by day for the same case in 'A' was 3.9, that in 'B' 3.0. 3. Average cost of service for a case in 'A' was 6,770 won, that in 'B' 4,230 won. 4. Difference in age distribution of visitors in the two sub-centers was insignificant. $0{\sim}9$ year group was 38.5% of the total. Difference in distribution by sex (between two sub-centers) was minimal. Male utilisers more than female by ca. 10%. 5. Concerning distribution of visitors by month, utilisation in July, August and September was the highest; the sum of them was 32.7% of the total in 'A' and 32.9% in 'B'. 6. Distribution by diagnoses in 'A' in decreasing order of frequency was Respiratory system diseases (26.1%), Digestive system diseases (23.0%), Diseases of skin and subcutaneous tissue (17.4%), Accidents and poisoning (11.5%) and Diseases of musculoskeletal system and connective tissue (5.4%). That in 'B' was Respiratory system diseases (39.0%), Digestive system diseases (23.0%), Diseases of skin and subcutaneous tissue (14.2%), Accidents and poisoning (10.9%) and Infection and parasitic diseases (9.1%). 7. The 10 most frequent diagnoses comprised 68.5% of the total in 'A' and 65.5% in 'B' 8. Utilisation by accessibility to each sub-center was studied. It is shown that the nearer the distance or the easier the accessibility, the more visits to services. The distinct pattern is manifested in the utilisation in 'A'-Myun.

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비만 진료 프로그램에 대한 수용성 태도 분석 (Review on Acceptability of Patients towards Obesity Treatment Program)

  • 이엄지;김서영;임영우;박영배
    • 한방비만학회지
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    • 제19권1호
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    • pp.42-55
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    • 2019
  • Objectives: Acceptability of patients towards obesity treatment program is associated with better weight loss outcomes. The purpose of this study was to review previously published study results of the predictive factors associated with patients' acceptability in obesity treatment. Methods: Authors searched for the articles related to acceptability reported as continuation, attendance and adherence, published from 2011 to 2018 found on Pubmed, Scopus, Research Information Sharing Service, and Koreanstudies Information Service System. A total of 23 articles were finally selected. From the study results, unchangeable and changeable predictors were extracted, and these predictors were examined according to detail categories. Results: Regarding the continuation of the treatment, unchangeable factors such as younger age, lower educational level, male sexuality and lower accessibility to physical activity predicted lower continuation. Furthermore, changeable factors such as early and half weight loss, better accessibility to the treatment and financial incentives for retention predicted higher continuation rate. Greater degree of attendance was predicted by unchangeable factors such as economical affordability, and changeable predictors such as half weight loss and proximity to the clinic. Main factors of adherence to the recommendation were unchangeable predictors such as weight loss experience, and changeable predictors such as more physical activity and appropriate dietary habits. Negative psychological state predicted lower continuation, attendance and adherence rate. Conclusions: Our review results suggest that unchangeable and changeable predictors of acceptability of patients should be carefully examined during treatments of obesity.

지역거점 공공병원의 인공신장부 공간구성에 관한 연구(1) (A Study on the Space Composition for Department of Kidney Dialysis in Regional Public Hospital(1))

  • 채철균;박경현
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제28권2호
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    • pp.31-38
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    • 2022
  • Purpose: This study presents the results of the analysis on space utilization of kidney dialysis units in regional public hospitals, which plays a key role in local public medical services. The result aims to achieve safety from infection, allow comfort for the dialysis environment, and stability for medical support. The purpose of this study is to present fundamental data for architectural plans for the kidney dialysis unit, as well as to alleviate potential infectious diseases such as COVID-19. Methods: For research purposes, the investigation and analysis of space utilization were based on architectural floor plans, research papers and literature, related legal systems, and public statistics. Of the main 35 regional public hospitals, in regards to data accessibility, 15 facilities were selected to conduct the survey and analysis for the objective. Results: The space composition by area research results of kidney dialysis units in public hospitals are as follows: Firstly, most targets do not have required rooms in the access and support area, except for the hemodialysis beds in the treatment section. Secondly, the access area requires necessary room and space design that took into consideration of convenience and accessibility for patients. Thirdly, in regards to infection prevention and control, proper circulation and room plan is essential for storage and disposal of contaminated products and linen after use. For the treatment area, the arrangement plan needs to establish a visual connection between the isolation room, the nursing station, and the bed area. Additionally, consideration of circulation in the preparation, treatment, observation, examination, and all other rooms in the facility is required. Lastly, for the support area, the room is designed to consider adequate working and meeting spaces for the medical staff, consultation space for patients or guardians, separate storage and disposal of clean and contaminated items, and the storage of various equipment for dialysis. Implications: In preparation for the increase in chronic kidney failure patients and the spread of infectious diseases, such as COVID-19, the researched data demonstrates the basic guidelines for space composition of kidney dialysis units and the significant role of regional public hospitals.

Technical Consideration for Coiling of Ruptured Proximal Posterior Inferior Cerebellar Artery Aneurysm

  • Kim, Jong Hoon;Jeon, Ik Chan;Chang, Chul Hoon;Jung, Young Jin
    • Journal of Korean Neurosurgical Society
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    • 제61권5호
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    • pp.653-659
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    • 2018
  • Objective : Surgical obliteration of ruptured aneurysm of the proximal posterior inferior cerebellar artery (PICA) is challenging because of limited surgical accessibility. In recent years, coil embolization is the first-choice treatment for these lesions. However, coil embolization is not always easy in ruptured PICA aneurysm owing to the variable anatomical diversity of its shapes, its relationship to the parent artery, its low incidence, and accordingly, lesser neurointerventionist experience. Methods : The parent artery and microcatheter for easier navigation and the embolization technique for stable coiling were identified. Results : This study aimed to identify the more appropriate approach route, microcatheter, and strategies for an easier and safer, and more durable coil embolization in the treatment of lesions in the proximal PICA. Conclusion : Coil embolization for aneurysmal subarachnoid hemorrhage due to a ruptured proximal PICA remains a challenge, but with the appropriate coiling plan, it can be treated successfully.

Perceived Service Quality among Outpatients Visiting Hospitals and Clinics and Their Willingness to Re-utilize the Same Medical Institutions

  • Jung, Min-Soo;Lee, Keon-Hyung;Choi, Man-Kyu
    • Journal of Preventive Medicine and Public Health
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    • 제42권3호
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    • pp.151-159
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    • 2009
  • Objectives : This study was to determine how the perception and the satisfaction of outpatients who utilized clinics and hospitals are structurally related with their willingness to utilize the same institution in the future. Methods : Three hundred and ten responses (via convenient sampling) were collected from 5 hospitals and 20 clinics located in Seoul listed in the "Korea National Hospital Directory 2005". Service quality was utilized as the satisfaction measurement tool. For analysis, we used a structural equation modeling method. Results : The determining factors for general satisfaction with medical services are as follows: medical staff, reasonability of payment, comfort and accessibility. Such results may involve increased competition in the medical market and increased demands for quality medical services, which drive the patients to visit hospitals on their own on the basis of changed determining factors for satisfaction. Conclusions : The structural equation model showed that the satisfaction of outpatients with the quality of medical services is influenced by a few sub-dimensional satisfaction factors. Among these sub-dimensional satisfaction factors, the satisfaction with medical staff and payment were determined to exert a significant effect on overall satisfaction with the quality of medical services. The structural relationship in which overall satisfaction perceived by patients significantly influences their willingness to use the same institution in the future was also verified.