• 지적과 국토정보
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• 제49권2호
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• pp.109-122
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• 2019

맞벌이 가구의 증가로 육아에 대한 사회적 관심이 커지고 있다. 특히 자녀의 초등학교 입학은 상대적으로 이른 하교시간 때문에 돌봄의 공백이 생겨 출산과 더불어 여성의 경력단절에 주된 원인으로 꼽힌다. 본 연구는 이러한 정책적 기조에 부합하여 초등학생 대상 돌봄시설의 최적 입지선정 방안을 제안하였다. 돌봄시설의 후보로 기존 아이돌봄시설을 대상으로 하였으며, 최적입지 선정 시 수리적 최적화뿐만 아니라 입지적 특성을 고려하는 이중구조의 평가방법을 사용하였다. 실험은 서울시 송파구를 대상으로 진행하였으며, 총 258개의 후보시설 중 36개의 최적입지를 선정하였다. 먼저 공공데이터를 활용하여 돌봄시설의 특성에 맞는 평가기준을 세운 후 입지점수를 매겨 이에 해당하는 1차 후보시설을 선별하였으며, 이때 다양한 공공데이터를 하나로 통합하기 위하여 격자리샘플링 방법을 사용하였다. 다음으로 선별된 시설을 대상으로 공간 최적화 모델인 p-median 방법을 활용하여 최종 돌봄시설을 선정하였다. 이렇게 선정된 결과는 총 거리를 고려한 위치적 최적해 일뿐 아니라 돌봄시설의 특성을 고려한 다양한 입지적 기준을 만족하는 값이다. 본 연구에서 제안한 방법을 통해 공공데이터 융합 및 활용도를 높일 수 있고, 공공시설 최적입지 선정 시 정책 의사결정에 도움을 줄 것으로 기대한다.

• 대한영양사협회학술지
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• 제26권2호
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• pp.101-115
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• 2020

The purpose of this study was to increase the utilization of traditional snacks in the Daejeon, Chungnam and Sejong regions by investigating the awareness of traditional snacks by parents and teachers of Children's foodservice facilities. The survey method was a self-monitored survey, and 576 people (298 parents, 278 teachers) were used for statistical analyses. 66.4% of parents believed that the snacks provided at facilities are nutritious, and that traditional snacks are rich in nutrition but difficult to cook (66.1%). Further, 77% of parents preferred traditional snacks, and 92% thought that traditional snacks should be passed on to future generations and continuously developed. Increasing the number of stores selling traditional snacks (41%) and a generalized awareness of traditional snacks (34%) are needed to expand the use consumption of traditional snacks. For teachers of Children's foodservice facilities, 92.8% said that the number of snacks provided per day was twice, and snacks were made and served more than twice a week (77.7%). The reasons for not making these traditional snacksit more often were the long cooking time (47.1%) and lack of labor (20.5%). There were no differences in the perceptions of traditional snacks among the types of children's foodservice facilities, but the private and public facilities showed a higher usage demand than the family type foodservice facilities for of traditional snack-focused food education programs. In order to increase the utilization of traditional snacks, it is necessary to create programs according to the facility types and to develop traditional snacks to meet the needs of consumers. The results of this study are expected to be used as basic data for the development of instructions and programs for increasing the consumption of traditional snacks at children's foodservice facilities.

• 한국보건간호학회지
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• 제3권2호
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• pp.47-76
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• 1989

The objectives of this study was to analyze the major causes of decreasing utilization rate of health care institutios in pilot-project area of regional medical insurance, Kwang-hwa and Kun-wi country. After the implementation of medical insurance, utilization rate of health institutions turned out' to be lower than it was estimated, when the pilot-project of regional medical insurance was planned. It might be due to changes in inhabitant's behavioral attitude toward medical insurance. So this study was made to find measures for financial stability by increasing utilization rate of health care institutions and to be available for basic demand-supply program of medical care. The hypothesis of this study was as follows; First. there is difference in understanding health care institutions between Kun-wi and Kwang-hwa. Second. respondesnts of inquiry survey have exact knowledge of their past experience of treatment taken prior to enforcement of medical insurance, Questionaire survey was made as to each 700 household among total 11, 884 households in Kun-wi and 20,919 households in Kwang-hwa. In case of Kun-wi, 70% of inquired households (491) gave their answers. In Kwang-hwa, the number was 560 households (80% of inquireds). Dollected data was processed and analyzed by way of using SPSS batch system. To evaluate facto rs distribution aspects of data and to make comparison between two area, percentage and $X^2$ distribution were applied. The results were as follows; L The utilization rate of health care institutions in Kun-wi and Kwang-hwa was lower than it was estimated. when pilot-project of medical insurance was planned. 2. Prior to the implementation of medical insurance. inhabitants in two area chose the medical institutions considering such factors. First was medical care fee cheap. second in habitant's residence, Third was the institutions conveniently easy of access. 3. After the implementation of medical insurance. 26.1% of inqurieds in Kun-wi and 41.6% in Kwang-hwa, changed medical institutions. In case of Kwn-wi, from health care institution (p 0.05), and in case of Kwang-hwa, vice versa, from general medical institutions to health care institutions. 4. Evaluation by factors were made such as follows. Inquired gave high marks to following facts: In case of Kun-wi, general medical institutions were difficult of access and relation between patients: was not friendly, but burden of medical expenditure was light. Effects of treatment and facilities was good. In case of Kwang-hwa, inquired gave high evaluation marks to the follow ing facts; facilities of medical institutions was not good, but the burden of medical expenditure was light. 5. After the implementation of medical insurance, the services was evaluated as good, but inquired hopec for lessening the burden of medical expenditure. 6. In case of exact understanding of cost-sharing, the evaluation rate in Kwang-hwa was higher than that of Kun-wi (p < 0.005). And positive attitude toward necessity of medical insurance was also good in Kwang-hwa (p < 0.05). 7. In case of inquired's attitude toward medical institutions, Kwang-hwa showed positive response (p < 0.05) 8. In the case of comparison between general medical institution and health care institution, two area showed similar positive response; medical manpower, facilities of medical institutions and effest: of treatement was good. 9. In comprehensive evaluation of benefit-service; the general medical institution's positiveness was higher than that of health care institutions in Kun-wi. But in Kwang-hwa vice-versa. 10. If the medical expenditure of general medical institution and health care institutions was equal 77% of inquireds in Kun-wi and 59.1% in Kwang-hwa answered that they chose general medical insurance. Considering results above mentioned, the conclusion of this study was made as follows. 1. In Kwang-hwa county, where the understanding of health care institutions's was good, the utilization's of health care institutions was shown high. Therefore, in case of Kwang-hwa, betterment: should be made to induce increasing utilization rate for negative factors of health care institutions. 2. In case of Kun-wi, where the understanding of health care institutions was on the decrease, measures for changing such negative factors should be taken by way of strengthening public relations. And cases of Kwang-hwa should also be studied. 3. On the side of financial stabilization and establishing health care delivery system, primary health care should be available. Therefore, the major cause of inhabitant's avoiding health care institutions should be known. And measures for activating that institutions have to be taken. So, the facilities of health care institution have to be improved up to the level of clinic. And supportive measures for securing equipment and improving health care services should also be taken. It is necessary that strategy for public relations should be employed with policy considerations and supports.

• Journal of Preventive Medicine and Public Health
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• 제44권1호
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• pp.48-55
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• 2011

Objectives: The purpose of this study was to examine the impact of Diagnosis-Related Group (DRG)-based payment on the length of stay and the number of outpatient visits after discharge in for patients who had undergone caesarean section. Methods: This study used the health insurance data of the patients in health care facilities that were paid by the Fee-For-Service (FFS) in 2001-2004, but they participated in the DRG payment system in 2005-2007. In order to examine the net effects of DRG payment, the Difference-In-Differences (DID) method was adopted to observe the difference in health care utilization before and after the participation in the DRG payment system. The dependent variables of the regression model were the length of stay and number of outpatient visits after discharge, and the explanatory variables included the characteristics of the patients and the health care facilities. Results: The length of stay in DRG-paid health care facilities was greater than that in the FFS-paid ones. Yet, DRG payment has no statistically significant effect on the number of outpatient visits after discharge. Conclusions: The results of this study that DRG payment was not effective in reducing the length of stay can be related to the nature of voluntary participation in the DRG system. Only those health care facilities that are already efficient in terms of the length of stay or that can benefit from the DRG payment may decide to participate in the program.

• 교육시설 논문지
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• 제27권2호
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• pp.15-20
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• 2020

Due to urbanization and industrialization, the population of rural areas has sharply decreased, and the social phenomena of low fertility and aging have occurred due to many factors such as the spread of individualism and single-person households derived from urbanization and economic growth. In order to cope with the low birth rate and the aged society, the Korean government has invested 152.1 trillion won from 2006 to 2015 and to proceeded total 231 projects in 3 different areas including the low fertility(95 projects), the aged society(78 projects), and the growth momentum(58 projects). Among the social problems caused by the low birth rate and the aged society, there have been not enough studies on the closed schools which will result from the social phenomenon of decreases in the school age population. The purpose of this study is to analyze the current extent of utilizing closed schools in Korea, to derive some types based on the analysis, and to provide basic data on the use of closed schools in Korea in the future. The types of closed schools can be classified into education facilities, social welfare facilities, cultural facilities, public sports facilities, income growing facilities, and others. Based on the classification, the analyses of the characteristics of each type for the facilities are presented.

• 한국디지털건축인테리어학회논문집
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• 제1권1호
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• pp.59-66
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• 2001

The purpose of this study is to improve productivity of architectural space planning(A.S.P,) by computer system and to optimize ASP. A searching algorithm is the best way to slave optimized A.S.P. Because architectural design is too many various site situations and client's demands to specify the general solving methods. This method seek the best design case in all possibility and to be modeled as this; Seongbukgu's case that is city structure former times negative by in facilities utilization of the near street limit. But, case of Gangnamgu and Songpagu is thought that environment and utilization etc. of area life of old people are affinity with quality of life environment of old people when see that is using various area facilities using electric railway and a bus etc. actively. It is looked by the other that individual's special quality uses area facilities according to life partner's existence and nonexistence and family composition and existence and nonexistence of profession and distinction of sex. Show difference of external behavior according to public garden and market and supermarket and welfare facilities etc.'s location in dwelling environment of area and relation about facilities of area has been formed and old people and dwelling environment of area can know that is that do interaction. Environment that access about facilities may have to be easy, and can live that communicating closely with area's inhabitantses may have to consist so that old people may can run various external life.. Notions of the evaluated value is an profit(+) and expense(-) that decide design intention. To adapt real planning, 1. A raster type space cell has logical site informations. 2. To be evaluate various factor. 3. To reflect operator's design mind, they should add an extra weight on evaluated value.

• 토지주택연구
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• 제5권4호
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• pp.225-234
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• 2014

군사시설 이전부지는 근본적으로 공공 시설적 성격을 띄고 있어 공공 복리를 위한 활용 요구도가 높아지고 있으며, 이로 인해 공원으로 조성하는 사례가 증가하고 있다. 군사시설 이전부지에 대한 공원조성 사례를 분석한 결과 몇가지의 시사점을 도출하게 되었다. 공원조성의 목표는 도시재생의 개념 및 지역활성화 차원에서 접근할 필요가 있다. 이전부지를 전면 개조하는 방식보다는 기존 시설들을 최대한 재활용하여 경제적 이득을 취하고 동시에 지역정체성과 역사성을 재현할 필요가 있다. 공원의 규모가 대형화 되고 있어 단일시설 및 프로그램 보다는 복합공간으로 조성해 줄 필요가 있으며, 공원조성에 막대한 비용이 소요되므로 단계적으로 공원을 조성하는 방안을 고려할 필요가 있다. 군사시설이 지니고 있는 특수한 상황으로 공원조성 과정에서 현장조사가 미흡하여 설계변경 또는 오염처리에 막대한 비용이 소요되므로 사전에 이를 고려할 필요가 있다. 또한, 민간사업자에게 일부 부지에 대해 개발권을 위임하고 개발이익으로 공원조성과 운영관리비를 충당하는 방안도 검토가 필요하다. 군사시설 이전기지는 다양한 이해관계에 놓여 있으므로 사업추진과정에서 민관협치의 의사결정기구를 운영하는 방안을 고려할 필요가 있다. 다양한 재원조달과 수익사업 확대, 봉사 및 후원 활성화, 트러스트 및 비영리 단체의 공원운영 관리 참여 확대 등을 위해서는 도시공원 관련제도의 보완이 요구된다.

• 교육녹색환경연구
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• 제6권1호
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• pp.1-24
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• 2007

Public library is established on impartial accessibility of any distinction as their sex, age, financial status, etc. The function of public library is not only to accumulate materials and offer information but also minimize gulf between the rich and the poor by knowledge possession, which is realized by important means to intercept exclusive possession and power in knowledge pose-industrial society. As it is judged that most public library is established to individual building with thousands of cost, it is judged of obstacles to Increase library buildings. The purpose of this study is try to find the way to Increase In number of public library In Seoul by interaction local education-cultural facilities. The result from this study, the user rate of public library is influenced by number of buildings and accessibility of traffic and public library can improve efficiency by substantial operation by basic function for all age group. The target population of Seoul public library sizes by decuple of advanced countries because of difficulty of accessibility, so it needs to make it small scale and also can offer self-regulation learning, materials and life-long learning programs because generally public library's utilization purpose is different by age. As school in Seoul amounts to 25 times of public library by about 1,200 buildings and can function of lifelong education center with a school library, cultural center and other composition buildings, so school facilities may use as a public library for local residents.

• 대한예방한의학회지
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• 제4권2호
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• pp.1-24
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• 2000

This study was conducted to examine utilization patterns and determinants of oriental medical services. Data were collected from 545 residents in Taegu city The results of this study are summarized as follows 1) 37.8% of subjects used oriental medical services in the past year. Especially, the female, the ages of 50 and 60 over, the single. low-educated. high-income class, white-collar class, medical insured tended to use more oriental medical services than another groups. 2) 46.7% of users of oriental medical services reported that number of visits in the past year was 2 - 5 times 37 1% of them was 1 times, and 4.5% over 10 times. 3) According to the reasons to choose the oriental medical facilities, most was 'on their own judgement'(48.8%) and 'by the advice of relatives and friends'(42.0%) Regarding to the objectives of using oriental medicine, 68.3% was 'treatment', 31.7% 'health counselling and promotion'. And among diseases of users, diseases of musculo-skeletal system was the highest(54.5%). 4) 57.9% of oriental medical services users had experience of utilizing western medicine on the same diseases. Among peoples with experiencing western medicine on the same diseases. 54.4% received oriental medical services 'in addition to western medicine', 45.6%'in place of western medicine 'And 41.2% of using both services reported that they had difficulty in deciding to choose the type of services -oriental medical services or western medicine-for their diseases. 37.3% of them answered that 'providing relevant information' was the most desirable measure to solve this problem, 27.3% 'establishment of effective referral system between oriental and western medical facilities '23.6% 'cooperative medical treatment systems in the same facilities', 11.8%'integration of oriental medicine into western medicine 5) According to the satisfaction level with each items of oriental medical services, the respondents had positive views on efficacy, kindness, and side-effects. They, however, had negative view on the cost of oriental medical services. 6) In regarding to the priority of improvement of oriental medical system,'expansion of insurance benefit package 'ranked first. 'expansion of insurance benefit Package 'ranked second, 'improvement of scientific methods and diagnostic technique 'third, and 'safety of herbal medicine' fourth in order. 7) The significant factors influencing the utilization of oriental medical services were kindness of oriental medical practitioners, efficacy , travel time, age To be brief, utilization rate of oriental medical services in urban area generally tends to be high. There, however, have been various barriers to limit oriental medical services, such as incomplete benefit package of oriental medical insurance and lack of coordination and referral system between oriental and western medical services, lack of scientific diagnostic procedures, high price etc . For the development of oriental medical services, Much attention to remove these limiting factors should be placed. In addition, kindness of oriental medical practitioners , which is expected to be more important factor in the consumer - focused health care environment than ever, should be kept high consistently. Since this study was conducted for specific residents of an urban city. further research including more sampling in different urban areas should be required to generalize the results of the study.

• Journal of Preventive Medicine and Public Health
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• 제20권2호
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• pp.287-300
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• 1987

Island regions suffer from a shortage of health care in part because they are less developed, they cover a widespread area relative to the population, and due to transportation barriers. The purpose of this study was to assess the level of illness and the magnitude of medical care utilization, and to investigate the determinants of utilization in these area. The data were collected by means of a household survey conducted from February 16 to 25, 1987 on S islands which were selected in consideration of the size of the population, the distance from the main land, and the distribution of health care facilities. The household response rate was 89.1% (491 of 551 households), and 1971 persons were surveyed. The major findings of this study are as follows: 1) The morbidity rate of the island inhabitants was 27.7% during the two weeks, and 25.5 chronic illnesses and 9.1 acute illnesses per 100 persons, were noted. Differences in the magnitude of illness were statistically significant by sex, age, education, and family size. 2) The magnitude of total ambulatory carl utilization was 16.8 visits per 100 persons during the two weeks, which was less than that of other regions; and differences in the magnitude of total ambulatory care were statistically significant by sex, age, education, occupation, and family size. 3) Unmet needs were classified as 56.0% in chronic illnesses and 19.6% in acute illnesses; and differences in unmet needs were statistically significant by sex, age, education, occupation, income, and family size. 4) Statistically significant determinants in medical care utilization included the frequency of acute illness and chronic illness, and income in total utilization; the frequency of chronic illness and acute illness, and medical care insurance in physician visits. 5) According to the results of the path analysis, need factors had the greatest effect on utilization, and predisposing factors had more indirect effects through enabling or need factors than direct effects.