• 제목/요약/키워드: Preventive Perspective

검색결과 125건 처리시간 0.027초

우리나라 보건지표의 지역 격차: 지경학적 고찰과 대응방안 (Regional Inequalities in Healthcare Indices in Korea: Geo-economic Review and Action Plan)

  • 김춘배;정무권;공인덕
    • 보건행정학회지
    • /
    • 제28권3호
    • /
    • pp.240-250
    • /
    • 2018
  • By the end of 2017, in a world of 7.6 billion people, there were inequalities in healthcare indices both within and between nations, and this gap continues to increase. Therefore, this study aims to understand the current status of regional inequalities in healthcare indices and to find an action plan to tackle regional health inequality through a geo-economic review in Korea. Since 2008, there was great inequality in life expectancy and healthy life expectancy by region in not only metropolitan cities but also districts in Korea. While the community health statistics from 2008-2017 show a continuous increase of inequality during the last 10 years in most healthcare indices related to noncommunicable diseases (except for some, like smoking), the inequality has doubled in 254 districts. Furthermore, health inequality intensified as the gap between urban (metropolitan cities) and rural regions (counties) for rates of obesity (self-reported), sufficient walking practices, and healthy lifestyle practices increased from twofold to fivefold. However, regionalism and uneven development are natural consequences of the spatial perspective caused by state-lead developmentalism as Korea has fixed the accumulation strategy as its model for growth with the background of export-led industrialization in the 1960s and heavy and chemical industrialization in the 1970s, although the Constitution of the Republic of Korea recognizes the legal value of balanced development within the regions by specifying "the balanced development of the state" or "ensuring the balanced development of all regions." In addition, the danger of a 30% decline or extinction of local government nationwide is expected by 2040 as we face not only a decline in general and ageing populations but also the era of the demographic cliff. Thus, the government should continuously operate the "Special Committee on Regional Balanced Development" with a government-wide effort until 2030 to prevent disparities in the health conditions of local residents, which is the responsibility of the nation in terms of strengthening governance. To address the regional inequalities of rural and urban regions, it is necessary to re-adjust the basic subsidy and cost-sharing rates with local governments of current national subsidies based mainly on population scale, financial independence of local government, or distribution of healthcare resources and healthcare indices (showing high inequalities) overall.

해외 사례를 통해 본 국내 아동·청소년 디지털 성폭력 피해 지원 제도 개선 방안 연구 -미국, 영국, 호주 지원 제도를 중심으로- (A Study on the Improvement of Support System on Child·Youth Damages due to Digital Sexual Abuse based on Foreign Cases -With a Focus on the Support System of the U.S., U.K., and Australia-)

  • 김혜진
    • 디지털융복합연구
    • /
    • 제18권10호
    • /
    • pp.59-80
    • /
    • 2020
  • 본 연구의 목적은 본 연구의 목적은 우리나라의 디지털 성범죄 피해 회복 및 지원 제도의 문제점을 미국, 영국, 호주의 사례를 통해 분석하는데 있으며 디지털 성범죄에 대한 해외 선진 국가들의 입법, 제도 현황을 살펴보고 문제해결의 시사점을 제시한 점에 의의를 둔다. 연구방법은 문헌연구의 방식을 취했으며 판례 및 언론자료 비교 분석, 전문가 자문회의, 연구포럼, 해외 논문과 법과 정책에 관한 자료들을 참고하였다. 본 연구결과는 디지털 성착취 사건을 피해자의 관점에서 살펴보고 피해자 보호 및 지원에 대한 문제점을 해외 사례와 비교한 뒤 대응방안을 모색해야 한다. 디지털 성범죄의 특성상 무제한으로 확대 유포 될수 있다는 점에서 오프라인 상의 성폭력 피해자외의 본질적인 차이를 인지하고 각각의 사례를 전문적으로 분류해 필요에 맞는 피해자 지원 정책 및 가해자에 대한 처벌 및 제재가 이루어 질 필요성과 궁극적으로는 디지털 성폭력을 예방할수 있는 차원까지 되어야 한다는 결론을 제시 하였는데에 의의가 있다.

SCM 관점의 컨테이너터미널 물류시스템 평가 (A Study on the Evaluation of Container Terminal Logistics Systems in SCM's Perspective)

  • 김선구;최용석;윤동하
    • 한국항만경제학회지
    • /
    • 제30권4호
    • /
    • pp.47-67
    • /
    • 2014
  • 본 연구에서는 시스템적 관점과 공급사슬 구성원들 간의 상호작용을 통한 전략적 관점에서 컨테이너터미널의 물류시스템을 평가하기 위해 공급사슬관리 개념을 적용하였다. 선행연구와 델파이 기법을 이용하여 컨테이너터미널 물류시스템의 SCM 구성요인으로 유연성, 신뢰성, 대응성, 정보공유성을 도출하였고, 세부평가 항목으로 16개 항목을 선정하였다. 컨테이너터미널 물류시스템 구성요인에 대한 평가 결과를 보면, 신뢰성 요인이 0.282으로 가장 높았고, 유연성 요인이 0.273, 대응성 요인이 0.224, 정보공유성 요인이 0.221 순으로 나타났다. 컨테이너터미널 물류시스템의 SCM 구성요소 가중치와 세부평가항목의 가중치를 결합하여 환산 가중치를 산출한 결과를 보면, 유연성 구성요소의 세부항목인 작업 Planning(선석, 야드) 항목의 가중치가 0.081로 컨테이너 터미널의 물류시스템을 평가하는 가장 중요한 요인으로 나타났고, 컨테이너 작업 스케줄의 정확한 이행(선박, 야드) 항목과 장비 적정배분 및 배치(QC, TC, YT)항목이 0.079, 컨테이너 및 선박의 손상 없는 안정적인 작업 항목이 0.071 그리고 장비운전자 숙련도 및 장비예방 정비 항목이 0.070 순으로 분석되었다. 다음으로 양 적하 및 선적정보 항목이 0.064, 작업 모니터링과 오류에 대한 해결 항목이 0.062, 대형선박 작업 가능성 항목이 0.060, 신속한 게이트 반 출입 시스템 항목과 무료 장치기간 제공 항목이 0.057, 내륙운송 연계서비스 항목이 0.055, 컨테이너 작업정보 항목이 0.053, 마지막으로 반 출입 정보 항목과 컨테이너 이력 및 장치정보 항목 그리고 컨테이너(일반, 특수)관리 및 서비스 항목이 0.052 순으로 나타났다.

사용자중심 의료공간을 위한 서비스디자인 프로세스의 적용사례 (Case of Service Design Process for Medical Space Focused on Users)

  • 노미경
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
    • /
    • 제21권4호
    • /
    • pp.27-36
    • /
    • 2015
  • Purpose: Of late, the focus of service design is moving toward emphasizing customer satisfaction and taking users' experience more seriously. In addition to the change in perspective in service design, scholars in this area are paying more attention to service design methodology and process, as well as its theory and real-world case studies. In the case of medical space, there have been few studies in attempting to apply service design methods useful for deriving user-focused results. The author of this paper believes, however, case study-oriented approaches are more needed in this area rather than ones focusing on theoretical aspects. The author hopes thereby to expand the horizon to practical application of spatial design beyond service design methodology. Methods: In order to incorporate the strengths of service design methodology that can reflect a variety of user opinions, this study will introduce diverse tools in the framework of double diamond process. In addition, it will present field cases that successfully brought about best results in medical space design. It will end with summarizing the ideal process of medical space design which is reasonable and comprehensive. Results: Medical service encompasses preventive medicine as well as treatment of existing medical conditions. A study in establishing the platform of medical service design consists of a wide range of trend research, followed by the summary of two-matrix design classification based on results of the trend research. The draft of design process is divided into five stages composed of basic tools for establishing spatial flow lines created by matching service design tools with each stage of space design processes. In all this, most important elements to consider are communication and empathy. When service design is actually applied to space design, one can see that output has reflected the users' needs very well. The service design process for user-oriented medical space can thus be established by interactions on the final outcome and feedback on the results. Implications: One can see that the service design with the hospital at its center produces the result that encompasses the user's needs best. If the user-focused service design process for medical space can be extended to other space designs, the author believes that it would enhance the level of satisfaction for users and minimize trials and errors.

재해분석을 통한 정전기 안전관리 수준 향상 방안 연구 (A Study on the Improvement Plan of Electrostatic Safety Management Level through Injury Analysis)

  • 최상원;정성춘;박재석;양정열;변정환
    • 한국안전학회지
    • /
    • 제34권5호
    • /
    • pp.37-45
    • /
    • 2019
  • The characteristic of fire and explosion related to electrostatic discharge is that it is difficult to reproduce the electrostatic charge and discharge phenomenon in addition to the large human and material damage. Therefore, in order to prevent accidents and disasters related to electrostatic in fire and explosion hazard areas, it is important to manage the level of electrostatic in a safe manner from the perspective of system between industrial facilities and human bodies. Rule 325 of the Occupational Safety and Health Regulations, "Prevention of Fire / Explosion due to Electrostatic", requires the use of grounding, conductive materials, humidification and electrification in order to prevent the risk of disaster caused by static explosion and electrostatic in the production process. In order to comply with these measures, related technologies, standards and systems are needed from the viewpoint of preventive measures related to electrostatic in fire and explosion hazard areas, but in Korea, it is still insufficient. Therefore, technical, institutional and managerial measures are needed as a precautionary measure to improve the level of ESD safety in fire and explosion hazard areas and prevent electrostatic related injury. In Korea, we analyzed the current status and characteristics of electrostatic related disaster by using the statistics of industrial accident and fire statistics of the Ministry of Employment and Labor. We also analyzed the current status and characteristics of electrostatic related disasters in Japan using JNIOSH accidents and disasters investigation cases and JNIOSH fire accident data of Japan Fire Bureau. The purpose of this study is to compare and analyze the current status of electrostatic related accidents and disasters in Korea and Japan in order to improve the safety management of electrostatic in fire and explosion hazard areas. In order to prevent accidents and disasters in the industrial field, The technical, institutional, and managerial measures to manage the level of electrostatic in a safe state were derived from the system point of view.

CMIT/MIT 함유 가습기 살균제 제품의 제조 및 판매기업 형사판결 1심 재판 판결문에 대한 과학적 고찰 (I) - 제품 위험성과 노출평가 측면에서 (A Scientific Critique of a Korean Court's Acquittal for Involuntary Manslaughter Related to 5-chloro-2-methylisothiazol-3(2H)-one/2-methylisothiazol-3(2H)-one (CMIT/MIT), a Humidifier Disinfectant (HD) Part I: Material safety, exposure and delivery to target organ from an HD perspective)

  • 박동욱;조경이;김지원;최상준;권정환;전형배;김성균
    • 한국환경보건학회지
    • /
    • 제47권2호
    • /
    • pp.111-122
    • /
    • 2021
  • Objectives: There was a judgment of acquittal for the manufacturer SK Chemical and the vendor Aekyung regarding humidifier disinfectant (HD) containing 5-chloro-2-methylisothiazol-3(2H)-one/2-methylisothiazol-3(2H)-one (CMIT/MIT). The rationale used in this judgement is discussed here in the light of scientific consideration. Methods: The sentencing document for the judgements was obtained from the Korea Supreme Court Service. In particular, the judgements made by the court related to the risk of HD and external and internal exposure to CMIT/MIT are discussed based on scientific evidence. Results: Rendering a determination in a criminal trial of insufficient evidence of causation, the court dismissed the prosecution's motion that humidifier disinfectant-associated lung injuries (HDLI) and asthma were associated with the utilization of these products. However, CMIT/MIT, a strong sensitizing and corrosive substance, has been reported to be associated with brain toxicity, allergic contact dermatitis, and asthma. Furthermore, the judgment did not consider total consumption amounts or the cumulative dose of CMIT/MIT in the humidifier. Lastly, there are several cases supporting the fact that exposure to water-soluble substances including CMIT/MIT can cause lower respiratory tract diseases. In addition to cases of asthma among the workers exposed to CMIT/MIT, we identified lung injury victims who were exposed to HDs exclusively containing CMIT/MIT. Conclusions: We conclude that there is sufficient evidence supporting the assertion that HDs containing CMIT/MIT cause lung injuries, including asthma, contrary to the court's judgement.

보편적 건강보장을 향한 노정 : 베트남 보건의료 부문의 역사·문화적 맥락을 중심으로 (The way to achieve Universal Health Coverage: Focusing on the Historical and Cultural Context of Health Care Sector in Vietnam)

  • 백용훈
    • 동남아시아연구
    • /
    • 제28권1호
    • /
    • pp.173-218
    • /
    • 2018
  • 본 연구는 지속가능개발목표(Sustainable Development Goals) 하에 보편적 건강보장(Universal Health Coverage) 달성을 목표로 전 국민의 건강보험 가입을 추진하고 있는 베트남의 보건의료 부문에 주목하여 보건의료 체계와 건강보험법의 개혁 과정에서 나타난 특징을 역사 문화적 맥락을 통해 파악해보고 개발의 관점에서 그 함의를 살펴보고자 한다. UHC의 세 가지 차원, 즉 인구 집단에 대한 보장성 확대, 다양한 의료서비스 제공, 그리고 재정적 보호를 기준으로 베트남 보건의료 부문의 현황을 요약하면 다음과 같이 정리할 수 있다. 첫째, 2015년 발효된 개정 건강보험법에서 가구 단위의 의무 가입과 그에 따른 건강보험료 정산 방식이 새로운 제도로 시행되고 있다는 점이다. 둘째, 1차 의료시설, 즉 사($X{\tilde{a}}$, Commune)급 단위의 보건소를 중심으로 예방 및 건강관리 서비스를 제공할 수 있는 의료 네트워크가 구축되어 있다는 점이다. 셋째, 의료보험법 및 다양한 제도 시행 이후 공공 지출이 증가하고 민간 지출이 감소하고 있지만 여전히 본인부담 의료비 지출(Out-of-Pocket Expenditure)이 많은 비중을 차지하고 있다는 점이다. 베트남의 사회건강보험 개혁은 현재 과도기이다. 따라서 베트남은 보건의료 체계와 건강보험 제도를 어떻게 구축해 나갈 것인가에 대한 문제가 더욱 중요할 수밖에 없는 시기적 상황에 당면해 있다. 제도와 체계에 대한 개발은 효율성보다는 그것을 고스란히 감당해내야 하는 주체, 즉 해당 사회의 구성원들에게 적절하고 정당한 방식으로 설계되어야 한다. 본 연구는 제도와 문화, 즉 제도를 공유하는 사회적 가치, 가족 문화 그리고 비공식적인 제도 등과의 상호작용 등으로부터 그 함의를 이끌어내고자 하였다.

방파제 성능개선을 위한 평가항목 개발 (Development of Evaluation Factors for Breakwater Rehabilitation)

  • 박수열;윤원건;강고운;김석
    • 한국산학기술학회논문지
    • /
    • 제22권4호
    • /
    • pp.67-74
    • /
    • 2021
  • 국내에서 항만의 방파제는 안전점검 및 안전진단을 통해 기술적 상태평가를 수행하고, 필요 시 해당 시설물에 대해 유지관리를 수행한다. 그러나 최근 생애주기비용(Life Cycle Cost, LCC) 측면에서 기반시설에 대한 관리의 필요성이 증가함에 따라 「지속가능한 기반시설 관리 기본법」이 제정되고, 방파제의 기술적 부분만 평가했던 기존 평가방식에 경제성 평가 및 정책성 평가가 추가되어 성능개선을 통해 방파제에 대한 종합적인 관리가 가능해질 것으로 예측하고 있다. 이러한 이유로 본 연구는 「지속가능한 기반시설 관리 기본법」에서 규정하고 있는 총공사비 500억 미만의 방파제 성능개선사업을 대상으로 성능개선사업의 세부평가항목 및 방법 등을 개발하여 평가방안을 제시하고, 향후 실무에 적용될 성능개선 평가를 위한 방파제 성능개선 평가항목 및 평가방법의 개발 방향을 제시하는 것을 목적으로 연구를 수행하였다. 본 연구는 유지관리 및 성능개선의 개념 검토, 성능개선 관련 문헌조사, 성능개선 공통기준 사업유형 검토, 방파제 성능개선 평가항목 및 평가방법(안) 도출, 전문가 검토 등의 순서로 수행하였으며, 도출한 방파제 성능개선에 대한 평가방안은 지금까지 기술적 상태평가에 국한된 유지관리 업무에 성능개선을 적용한 구체적인 평가방법을 제시한 것으로 시설물의 선제적 관리 및 안전사고 예방에 활용 가능할 것으로 기대된다.

농촌지역(農村地域) 노인(老人)들의 건강실태(健康實態)와 양생(養生) 수준(水準)과의 관련성(關聯性) -전라북도(全羅北道) 일부(一部) 농촌지역(農村地域)을 중심(中心)으로- (Relationship between Actual Health and Yangseng of the Elderly in Rural Areas - Focused on certain parts of rural areas in Jeonbuk province -)

  • 문수영;정명수;서명효;김영훈;양선호;이기남
    • 대한예방한의학회지
    • /
    • 제9권2호
    • /
    • pp.1-16
    • /
    • 2005
  • The present study is designed to provide basic data for the future health promotion projects to be aimed at improving quality of life for the elderly people in the increasingly aging society of Korea by investigating factors related to the yangseng of old people in rural areas. The results of this study are intended to serve as fundamental for efficient approach toward health promotion projects for the elderly in rural communities. For this purpose, a survey by questionnaires was conducted to rural inhabitants from May to June 2004. The replies were analyzed from the perspective of Oriental medicine for yangseng. 1. The average points of health care appeared to be 3.24. In details by sub-areas, morality was 3.79, followed by 3.74 for activities and rest, 3.73 for sleeping, 3.29 for diet, 3.25 for mind, 2.88 for season, 2.12 for exercise and 1.95 for sexual life in sequence, showing that the yangseng of morality was scored highest while the area of sexual life were rated lowest. 2. As for the extent of health care depending on the characters of the subjects, spoused ones, married couples living alone, while the higher educated and the more leisure is utilized, the more the care is paid for yangseng. 3. Concerning the extent of yangseng depending on the general characters of the subjects, men showed more yangseng in activities and rest. The group aged 70 to 74 acquired the highest points in mind yangseng. The group with spouse featured higher concern for yangseng in the categories of morality, diet, activities and rest, sleeping and sexual life. Married couples who are living with no other family members recorded the highest points in the areas of morality, diet, sleeping and sexual life(P<0.05). 4. In terms of socioeconomic characters, the more one is educated, the more he/she is tended to take yangseng in the exercise, sleeping and sexual life. The group with occupation is inclined to take more yangseng in the activities and rest and sleeping. When people have to work for their keep, they usually showed to have highest yangseng for sleeping. People who enjoy leisure showed higher yangseng in all areas except for morality. In case man has religion, he showed more yangseng in the activities and rest, exercise and sleeping(P<0.05). 5. Those who reply they are confident with health showed higher yangseng. No significant difference was found in all areas except for sexual life in which high care is taken for yangseng, as far as one has no disease. Those who are confident with health had highest yangseng in all areas except for season yangseng(P<0.05). As seen above, extents of yangseng by the old people in the rural area are found to have difference depending on the individual and socioeconomic characters, factors which should be seriously considered in the local health promotion projects and projects for the health of the elderly. Particularly important is to launch health promotion programs and to analyze their effects to promote health care particularly in the areas of sexual life, exercise and season yangseng that turned out to be lowest by taking into account of yangseng in each sub-area.

  • PDF

한국인(韓國人) 중고교생(中高校生)들의 흡연실태(吸煙實態)에 관(關)한 연구 (A Study on the Smoking Status of the Korean Middle and High School Students)

  • 박순영
    • 한국학교보건학회지
    • /
    • 제7권1호
    • /
    • pp.57-71
    • /
    • 1994
  • I investigated actual conditions of smoking of teenagers who were randomly chosen middle and high school students. 1. Juvenile smoking 1) Parents' opinions of juvenile smoking Most parents do not want their children to smoke after growth : 88.6% of fathers (middle school students: 88.9%, high school students: 88.4%) and 95.1% of mothers (middle school students: 93.4%, high school students :95.5%). 2) Teenagers' opinions of smoking after growth The rate of students who will smoke after growth is 10.8% (middle school students: 12.0%, high school students: 9.9%): students in agricultural areas show the higher rate than those in cities. 3) Parents' opinions of their children's smoking now 1.5% of fathers want their children to smoke now (middle school students: 1.3%, high school students: 1.6%) and 1.1% of mothers do (middle school students: 0.6%, high school students: 1.5%). This shows that most parents do not want their children to smoke now. 4) Students' opinions of their friends' smoking now Students who want their friends smoke now cover 7.8% (middle school students: 7.1%, high school students: 8.4%). This rates are higher than those of parents shown in (3). And more high school students and more girl students gave the positive reponse than middle school boy and girl students, respectively. 5) Students' views of smoking "Look like an adult" covers the rate of 4.0% (boy: 7.8%, girl:3.6%) 6.7% of middle school students have this view, while 3.7% of high school students have. 16.1% of students had an experience of smoking during the last one year (boy: 29.9%, girl: 8.6%): this shows that the rate of the boy students is more than 3 times greater than that of the girl students and high students who experienced smoking last year covers 20.2%, while middle school students shows 10.9%. 6) Actual conditions of students' smoking The present rate of students' smoking is 22.4% (boy:38.3%, girl:13.8%): the rate of boy students is greater than that of girl students. Students who smoke more than pack of cigarettes a day cover 8.2% (boy: 17.5%, girl: 3.2%): 5.2% of middle school students (boy:11.4%, girl: 2.1%) smoke more than one pack while 10.7% of high school students do (boy:21.5%, girl: 4.2%). This shows that the rate of boy students' smoking is greater than that of girl students' smoking. 7) The rate of smoking of students' parents 75.4% of fathers (city: 74.5%, agricultural area:75.9%) smoke: and more than a half (62.4%) smoke more than a pack cigarettes a day. On the other hand, the rate of smoking mothers is 5.2%(city: 4.3%, agricultural area: 7.3%): the rate is higher in agricultural areas. 8) Opinions of smoking population in the future 61.4% of students answered that smoking population will increase, while 27.0% have the opinion that smoking population will decrease. 2. Opinions of the effects of smoking on health 1) Have you heard that smokers are likely to suffer from tuberclosis? 78.3% of students said yes (boy: 80.8%, girl: 76.4%): it is shown that the rate of boys is greater than that of girls. 2) Have you heard that smokers are likely to get out of endurance? 76.6% of students (boy: 69.3%, girl: 49.7%) answered yes: it is shown that the rate of boys is greater than that of girls. 3) Have you heard that heart-beats get fast when one smokes? 32.5% of students (boy: 35.5%, girl: 30.9%) answered yes: 32.2% in cities(boy: 33.0%, girl: 31.8%) and 33.5% in agricultural areas(boy: 41.8%, girl: 28.8%): and 28.7% middle students and 35.5% of high school students answered yes. 4) Have you heard that smokers are likely to have heart-diseases? 35.1% of students (boy: 34.0%, girl: 34.1%) answered yes: 35.3% in cities (boy: 37.2%, girl: 34.2%) and 36.7% in agricultural areas (boy: 39.0%, girl: 33.9%): 34.8% of middle school students and 35.4% of high school students. 5) Have you heard that smokers are likely to have a lung cancer? 91.4% of students (boy: 93.2%, girl: 89.9%) answered yes: 90.35% in cities and 94.2% in agricultural areas. 6) Have you heard that the life of smokers gets shorter? 94.3% of students (boy:94.6%, girl: 92.2%) answered yes. 7) Have you heard that pregnant smokers will deliver a baby with low birth weight? 29.6% of students (boy: 29.8%, girl: 29.4%) answered yes: the rates of boys and girls almost the same. 8) Have you heard that one feels calm when one smokes? 80.1% of students (boy: 81.8%, girl: 79.2%) answered yes: boys and girls showed almost the same rate. 3. Preventive measures Smoking people continued to increase all over the world because smoking not only mitigated emotional uneasiness such as loneliness, nervousness and so on, but also could be very helpful from the social perspective. This was so because they did not consider harmful effects of smoking on health, and victims. However, because any -one can have physical disorders caused by smoking, people should always keep in mind the following preventive measures. 1) Doctors or teachers should set an example of giving up smoking. Informing patients or students of harmful effects of smoking to persuade their family and relatives not to smoke. 2) Through mass media like newspapers, periodicals or broadcasting, to make people know harmful effects of smoking and not smoke. 3) To prohibit selling teenagers cigarette by law. 4) To prohibit smoking in public places like work places, offices, lecture rooms, recreation rooms, buses, trains and so on. 5) To decrease the rate of life insurance for non-smokers as in foreign countries and to give a warming of the harmful effects on cigarette packets or ads.

  • PDF