• 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.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제29권2호
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• pp.27-37
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• 2023

Purpose: Sports activities for life are an opportunity to fulfill the basic desire to be healthy and participate in society of the individual level, and it is also the realization of the trend of living together with persons without disabilities and persons with disabilities at the level of social inclusion. I try to propose to improve sports participation of persons with disabilities from the point of view of 'Universal Design.' Methods: Firstly, analysing of previous studies which to classify the barrier free certification standards to universal design's 7 principles and which to investigate public sports facilities. Secondly, reanalyzing, based on UD 7 principles, the raw data of the research results of public sports facilities in Seoul. Thirdly. then, I suggest the improvement plan to promote public sports facilities for all the people including persons with disabilities. Results: The results of this study are that although the facilities have the basic accessibility, there were some inconveniences in using the facility for the elderly and the disabled. So I suggest a few method to improve the public sports facilities from the perspective of universal design : 1) Needs to expand 'Bandabi Sports Center' as a sports facilities for sports activities for life of all of people, 2) Needs to improve accessibility of existing public sports facilities and to raise awareness for the persons with disabilities and universal design, 3) Needs to produce 'UD guidelines' for the sports facilities.

• 대한지리학회지
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• 제37권4호
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• pp.337-356
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• 2002

청주시 주차장의 공간적 분포 패턴은 상업.업무기능이 집중된 도심에서 동심일 패턴이 주변지역으로 확대되고 있다. 그리고 운영주체별 주차장의 분포는 도심에 공영.민영.건축물 부설 주차장을 중심으로 동심원상으로. 그 인접지역은 공영.건축물 부설 주차장이 분포하고, 선형상으로 공영주차장, 민영.건축물 부설 주차장, 건축물 부설 주차장이 분포하고 있다. 시설구조에 의한 주차장 분포는 청주시 반 이상이 건축물 부설 자주식 주차장을 가지며. 도심에는 건축물 부설 자주식, 노상평면 자주식, 건축물 부설 기계식, 노외평면 자주식 등이 결합된 다양한 주차시설 구조를, 도심 인접지역과 주변지역은 동심원 패턴을 나타내고 있다 또 계약형태별 주차장의 분포는 도심을 중심으로 남서부로는 시간제 지불과 월별 지불의 주차장이. 북동부에는 무료주차장이 주로 분포하고 있다. 이와 같은 주차장의 공간적 분포 패턴은 사업체와 주택의 지역적 분포를 잘 반영하는 것이라고 생각한다.

• 한국해양환경ㆍ에너지학회지
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• 제19권3호
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• pp.211-217
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• 2016

어항시설에 대한 해역이용협의 시 계류시설이 협의대상에서 정확히 규정되어 있지 않고, 항만시설과 규모에서 차이가 있으나 협의대상 규모를 동일하게 적용하고 있어 문제점이 나타나고 있다. 본 연구에서는 이러한 사항을 분석하기 위해 최근 2년간(2013-2014) 해역이용영향검토기관에서 검토된 어항관련 일반해역이용협의서 17건을 분석 후 세 가지 개선방안을 제시하였다. 첫째, 해역이용협의 대상사업 범위에 대한 재평가가 필요하다. 어항개발은 외곽시설을 포함한 계류시설 등 다양한 시설설치가 동시에 진행되기 때문에 기본시설, 기능시설 등을 모두 고려하는 등 해역이용협의 대상을 보다 명확히 해야 할 것이다. 둘째, 시설규모에 대한 조정이 필요하다. 그 밖의 어항시설의 경우는 공유수면 점용 사용 면적이 $50,000m^2$일 경우 일반해역이용협의 대상이나, 대부분 소규모 어항의 경우 항계를 초과하는 경우가 많아 대상사업의 범위가 과대하게 설정되어 있어 조정이 필요하다. 셋째, 해역이용협의에 대한 근거의 혼선을 해소하기 위해 협의대상을 명확히 할 필요가 있다. 공유수면 점 사용 허가 및 적용배제의 근거인 "공유수면 관리 및 매립에 관한 법률"과 "해양환경관리법"에 따른 공유수면 점용 사용과 관련된 협의대상 사이에서 나오는 불명확성과 혼란을 제거하기 위해 협의대상의 근거를 명확히 설정하는 규정이 마련되어야 할 것이다.

• Journal of Preventive Medicine and Public Health
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• 제23권4호
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• pp.436-450
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• 1990

This study was designed to investigate the mar factors affecting selection of delivery facilities by pregnant women. Five hundred women hospitalized at 23 Seoul-area delivery facilities, such as university hospitals, general hospitals, hospitals, and clinics were selected and given questionnaires from April 24 to May 7, 1990. A total of 350 questionnaires were collected and analysed for the study. The results are as follows ; 1. In general, variables which significantly affected the choice of delivery facilities included the age of women, their educational level, the educational level of their husbands, monthly average incomes and residential areas. 2. In analyzing the obstetrical characteristics of the women, those variables significantly affecting the choice of delivery facilities were the gestational period, the facilities for prenatal care, the frequency of prenatal care, the type of delivery, the frequency of miscarriage, previous delivery experiences and the awareness on prenatal care. 3. In comparing the motivation factors for selecting the delivery facilities, all the factors except convenience and need for hospitalization differed significantly among delivery facilities. 4. The factor analysis was assessed for twenty possible factors motivating the choice of delivery facilities. Six factors including personal service, scale of the facility, reputation, urgency, convenience, and experience were noted explaining by 57.7%. 5. In the discriminant analysis used to clarify the major factors affecting the selection of delivery facilities, the 16 significant variables were regarded as independent variables, and the type of delivery facilities was considered a dependent variable. The stepwise method was applied to the analysis. Detected discriminant variables were the facilities for prenatal care, scale factor, personal service factor, urgency factor, convenience factor, reputation factor, experience factor, gestational period, types of delivery, frequency of miscarriage, age and income. These 12 discriminant variables were tested, with reference to discriminant prediction, on their importance in the choice of the delivery facility, by the discriminant functional formula. The test showed a hit-rate of 67.7%. The results suggest that general characteristics, obstetrical characteristics, and motivations for selecting the delivery facilities differ significantly according to the types of the delivery facilities. This study implies that all types of delivery facilities should attempt to acommodate characteristics and motivations of pregnant women. The facilities should be prepared to increase their patients satisfaction with required medical conditions by improving service and responding to the pregnant women's preferences.

• 한국병원경영학회지
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• 제15권2호
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• pp.27-43
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• 2010

The present study was conducted to assess relative importance of hospital attributes considered by patients with spinal diseases in choosing specialty or general hospitals. A total of 230 patients hospitalized with spinal diseases in sampled study sites, including 2 specialty and 2 general hospitals, participated in a self-administered questionnaire survey from April 26 through May 8 2007. Patients were asked to rate the degree of agreement on each of the 15 attributes on a 5-point Likert-type scale (1 : strongly disagree, 5 : strongly agree) for which they chose the hospital because of that specific attribute. Based on a Factor analysis, the attributes were grouped into 4 : facility and environment, accessibility, interpersonal factor, and credibility. Both patient groups from specialty (mean scale score ; 3.75) and general hospitals (3.62) commonly considered 'credibility' to be the most important attribute, followed by 'facility and environment (3.05 and 3.21).' Logistic regression analysis showed that men(Odds ratio(OR)=0.333) and those with monthly income of $\geq$ 4 million won (OR=0.298) were less likely to choose specialty hospitals. Age groups of 30 to 39 years old (OR=5.140) and $\geq$ 60 years old(OR=4.761), and professionals (OR=5.207) tended to choose specialty hospitals. Patients expressing more importance on 'facility and environment' attribute were less likely to use specialty hospitals (OR=0.571), whereas those emphasizing 'accessibility' were more likely to use specialty hospitals(OR=1.487). The findings of significant difference in patient's demographic characteristics and consideration in hospital attributes would contribute to have a better understanding on patient's choice behaviour and to develop strategy to improve patient's satisfaction.

• 한국환경보건학회지
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• 제30권4호
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• pp.329-343
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• 2004

We conducted to investigate citizen's attitude to the treatment of food waste in Yongin city. The respondent of $41.81\%$ throws the food waste eliminate from home and store less than 1l in Yongin. When they dump the food waste, they speak out the inconvenience of damaged envelope by animals in case of home and store. This caused troubles for reason of sanitary. So a local autonomous entity must carefully consider of expand use specially designed container as like apartment house. They give an answer that the collecting time of food waste is suitable form dawn till morning. This answer shows the satisfaction of the period time to collect the food waste. They prefer to be appointed the exclusive place to collect food waste. The service interval of collect is suitable 1 time a day. They want to increase the number of washing of the collecting container. This is good method for sanitary condition, but the care of the period time to collect the food waste is more efficient than the care of the number of washing the collecting container. The care of the period time minimizes to incur the enmity of the people and to pollute in environment. The major of respondent handled the food waste after keeping the basket or a kit. This fact shows to us almost citizen doesn't feel the seriousness to remove the moisture of the food waste. Recently, many solutions which can be disposal efficiently are getting magnified and improved owing to increase utilities channel to loss in quantities and dry the food waste. We expect the reduction of food waste is solved getting easily step by step. The results of the awareness about the facility of food waste show citizen prefer recycling facility to the other facilities. If recycle facility and incineration facility are constructed, they were worried about bed smell. When some facility of the food waste is constructed, they have to maintain and to handle not to incur the enmity of the people. The spread rate of specially designed container already increased, the citizen set a high value on the use of specially designed container more than amount-rate vinyl envelope that people have used for several years. In the cost treatment about food waste, the major respondent answered the use cost of specially designed container is suitable price. So we can know the use charge is proper level. The majority of citizen more prefer autonomous plan which voluntary atmosphere creation and public information by mass media than levy system and rising treatment cost which forced plan. The citizens have pretty positive thinking of incineration, so the government needs more efforts for a public notice, which includes the incineration is no more than abandoned thing. Each of local self government has to sort the food waste and make kind of resource system related to collecting and carrying, constructing a suitable facility, proper disposal of the food waste and producing harmless in our surrounding in order to solve the invisible problems. To do above mentioned things, we have to analyze referred several problems till now. Also, to minimize the side effect, the government will have to improve through enforce the system.

• Journal of Preventive Medicine and Public Health
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• 제21권1호
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• pp.10-20
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• 1988

각 의료기관에서 분만하는 산모와 신생아의 특성을 비교분석하고 의료기관별 산모와 신생아의 위험수준을 조사하여 특정 의료기관에서 관찰한 연구결과를 해석하는데 참고 자료를 제공하기 위하여 대구시내 3개 대학병원, 2개 종합병원,2개 개인의원, 1개 조산소, 그리고 1개 모자보건센터에서 1987년 4월 1일 부터 4월 30일 까지 1개월간(1개 대학병원은 2개월간) 분만한 산모 1,410명을 대상으로 산모의 연령, 교육수준, 의료비 지불방법, 산과력 및 특정의료기관을 선택한 이유를 면담 조사하고 병원기록지에서 신생아의 출생시 체중의 조사하였다. 대학병원과 종합병원을 이용한 산모의 평균 연령은 각각 27.5세, 26.7세로 조산소(25.4세)와 모자보건센터(26.1세)를 이용한 산모보다 많았고, 교육수준은 대학병원(평균 12.7년)과 종합병원(평균 12.2년) 산모가 조산소(평균 9.2년) 및 모자보건센터(평균 9.3년) 산모보다 월등히 높았다. 그리고 의료보험 대상자도 대학병원(78.1%)과 종합병원(82.9%) 산모가 개인의원(44.3%), 조산소(29.1%)나 모자보건센터(5.4%) 보다 많았다. 모자보건센터는 2번째 출산이 47.3%로 가장 많았으나 다른 의료기관은 모두 초산부가 $56.0{\sim}61.7%$로 제일 많았다. 산모의 산과력 비교에서는 대학병원 산모가 자연유산 경험율이 상대적으로 다른 의료기관 산모보다 높았고 사산 경험자도 소수였으나 조산소와 모자보건센터에서 분만한 산모는 사산 경험자가 1명도 없었다. 대학병원 산모의 경우 37주 이하의 조산아 출생율(11.4%)과 2,499gm이하의 저체중아 출생율($5.8{\sim}13.0%$)은 타 의료기관 보다 현저히 높았다. 이에 따라 제왕절개술에 의한 분만율은 의료기관간에 차이가 많았다. 결국 대구시내 대학병원과 종합병원에서 분만하는 산모들은 사회경제적으로 중, 상류층과 소득고하를 막론하고 고위험산모들이 많고 조산소와 모자보건센터는 저소득충의 산모 가운데 산과적으로 저위험군들이 많이 이용하고 있다. 따라서 특정 의료기관을 대상으로 조사한 자료를 해석하는데 많은 제한성이 있으며 전체 산모의 특성으로 일반화하는 것은 불가능한 것으로 생각된다.

• 한국콘텐츠학회논문지
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• 제11권9호
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• pp.238-245
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• 2011

지방자치제도의 도입은 지역주민의 요구에 따른 공공서비스의 효율적 공급을 가능하게 하였다. 특히, 자치단체는 지역주민의 복지증진을 위한 다양한 정책과 많은 예산을 편성하는 등의 노력을 하고 있으나, 사회복지 재정의 효율적 사용과 운영에는 상대적으로 관심을 적게 가지고 있다. 이러한 문제점에 따라 본 연구는 전국 16개 광역 자치단체의 사회복지시설 운영의 효율성을 측정하기 위해 자료포락분석(DEA)을 실시하였다. 투입변수는 1인당지역내총생산, 일반회계중복지예산비율, 재정자립도, 만명당사회복지전담공무원수, 산출변수로는 유아천명당보육시설수, 10만명당사회복지시설수, 천명당공원면적으로 하였다. 분석 결과는 다음과 같다. 첫째, 자치단체별 사회복지시설의 효율성에 격차가 있었다. 7개 자치단체가 비효율적이었으며, 부산과 충남이 상대적으로 효율성이 낮게 나타났다. 둘째, 규모수익불변인 DMU는 9개 자치단체이며, 인천, 광주, 강원은 투입요소의 규모를 늘려 각 자치단체의 효율성을 증가시켜야 하며, 부산, 충남, 경남, 경북은 투입요소의 효율성 향상방안을 수립하여야 하는 것으로 나타났다.

• 한국보건간호학회지
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• 제13권1호
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• pp.114-127
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• 1999

In order to care the persons who are dying a nurse should first solve her / his own conflicts about death. and be aware of their own concepts of death and dying. In order to find out patient's spiritual needs and to give better spiritual nursing care. a nurse should know her / his own spiritual needs and be aware of their own concepts of spiritual nursing problems. To improve nurse's understanding towards death and dying and nurse's knowledge towards spiritual needs and spiritual nursing care. 14 weeks(two hours a week) spiritual nursing care education was given to 3th grade baccalaureate nursing college student. Before and after spiritual nursing care education. 30 items of prepared questionare focused on the attitudes toward death and dying was asked. Pre and post results are as follow ; 1. The dying patient's emotional and physical needs. There was no significant difference between pre and post educated groups. Both of the situations. they agreed upon$(69.64\%)$ that the dying patients have high emotional and physical needs to solve. 2. Telling the truth of dying process. There was no significant difference between pre educated group$(53.33\%)$ and post educated group$(55.95\%)$. 3. Attitudes of medical personnels. There was no significant difference between pre$(51.49\%)$ and post educated groups $(53.87\%)$. These responses indicate that nursing college student didn't have enough experiences on dying patients care. 4. General attitudes on death and dying. Number of nursing students who were thinking positively toward death and dying were Increased (pre $39.68\%$. post $45.44\%$) and who were thinking negatively toward death and dying were also decreased (pre $37.30\%$. post $33.93\%$). 5. Attitudes toward mechanical assistance for life-expanding of helpless patient. There was a significant difference between pre and post educated groups. About $34.13\%$ of them approved upon mechanical assistance for life and about $33.14\%$ of them disapproved. 6. Attitudes of family members of dying patient. There was no significant difference between pre and post educated groups. About $45.24\%$ of both groups, agreed upon that the family members feel annoyed with dying patients and about $22.42\%$ of both groups disagreed. Whether they received the spiritual nursing education or not, they were aware of that the family members feel annoyed with dying patients. 7. Special facility and educational preparation for dying patient. There was a significant difference between pre$(82.14\%)$ and post$(90.87\%)$ educated groups. These responses indicated that after they received the education, they felt more about the necessity of special facility and educational preparation for the death and dying patients. 8. Special facility and welfare system for the old. There was a significant difference between pre$(58.33\%)$ and post$70.64\%$ educated groups. There responses indicated that after they received the education, they felt more about the necessity of special facility and welfare systems for the old.