• 대한예방한의학회지
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• 제4권1호
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• pp.1-16
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• 2000

From 1998, Oriental Medical Physicians(OMP) is distributed in Public Health Sector. but long term plan for Oriental Medicine in Public Health is not existed. So, this study is designed for the activation of OMP Subjects in this study were comprised 3 groups of oriental medicine related persons, the group of which are Students of 11 Oriental Medical Schools, Oriental Medical Physicians in Public Health Sector, Specialist Croup of Oriental medicine Policy(total 1,458 persons). Data were collected from July 1st to November 30, 1999. Direct interview with key persons, systematic interview by using of interview protocol, e-mail and facsimile have been conducted. The results of survey were coded by Excel 5.0, and analysed with SAS 6.12 statistical package. Inter-group difference determined by T-test, and descriptive statistics have been examined. Major findings can be epitomized as follows. 1) OMP disposition to multifarious organizations and institutes such as Public Health Centers, Public Health Sub-centers, Public Hospitals, Private Hospitals in Remote-Vulnerable Area, Community Social Welfare Centers, Institutes for Heath Policy Research, etc, will promise an effective use of Oriental Medical Physician. 2) Average number of patients treated by OMP was 22.8, average budget for oriental medical department, in which OMP were affiliated, was 39.6 million Won per year. Direct cost per every patient visit was 7,210.9 Won, which is considered expensive for public health service. Therefore, development and transformation for Oriental Medical Service in Public Health Sector is desirable in economic and political aspects. 3) It is recommended that ${\ulcorner}Advisory\;Committee{\lrcorner},{\ulcorner}Planning\;Commission\;for\; Public\;Health\;in\;Oriental\;Medicine{\lrcorner}$ should be established for the activation and for the support of Oriental Medical Physician in Public Health Sector, 4) Most effective programmes for oriental public health doctor are health service programmes for the elderly, Home health visit, chronic degenerative disease control services(p<0.001). 5) Standard guideline for facilities and equipments of Oriental Medicine Department in Public Health Center is needed for optimal supply of resources and activation of public health activity.

• 한국태양에너지학회 논문집
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• 제34권2호
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• pp.32-43
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• 2014

This study set out to identify the importance of each factor influencing facility selection with a survey among public medical facilities under the category of public buildings and apply the importance of economy, technology and environment with the weighting factor method, thus proposing optimal application plans. The research content of each section can be summarized as follows:1) Estimated energy consumption according to the energy simulation was 65,129MWh/yr, which was 18.7% higher than that according to the calculation equation. Of the energy consumption, more than 80% was used by heating and cooling facilities and construction facilities, and 20% was used by electronics such as medical equipments and in and outdoor lighting. 2) The results of a survey on the factors influencing the importance when selecting a new and renewable energy system reveal that the upper items had a priority in economy, environment, and technology in the descending order and that the lower item shad a priority in initial investments, maintenance and repair costs=energy costs, supply reliability, energy efficiency and $CO_2$ emissions in the descending order. 3) The application alternatives were analyzed in economy, technology, and environment. As a result, a geothermal system turned out to be the most excellent one a cross all the upper and lower comparison items. Of the other systems, a solar thermal system was superior in initial investments, maintenance and repair costs, and energy efficiency, where as a photovoltaic system was superior in energy costs, supply reliability, and $CO_2$ emissions. 4) As for the mixed application ratio among economy, technology, and environment, when the percentage of a geothermal system was approximately 80% or higher in anew and renewable energy system, it was the best and most optimal application plan.

• 한국방재학회:학술대회논문집
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• 한국방재학회 2008년도 정기총회 및 학술발표대회
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• pp.375-376
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• 2008

Recently the increase of natural disaster and man-made disaster, newly emerging infectious diseases and bioterrorism attack changed the world in many aspects. So the Ministry of Health and Welfare and other related agencies are trying to solve the problems with disasters. We discussed these problems in the following eleven categories. (1) emergency medicine (2) communicable disease control, (3) food safety control, (4) public facilities safety, (5) social welfare facilities safety, (6) bioterrorism control, (7) geriatric health care, (8) insurance support, (9) overseas disaster victim support, (10) national organization protection, (11) fire fighter safety in forest fire. Through the reviews on the various kinds of disaster, we proposed the disaster control measure for the near future.

• 한국치위생학회지
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• 제15권5호
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• pp.899-905
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• 2015

Objectives: This study aimed to investigate the regional difference of chronic periodontal care services in Korea by the analysis of 2010 raw data from Health Insurance Review and Assessment Service. Methods: The subjects were the chronic periodontitis patients over 35 years old from dental care facilities in Korea. The study population was 278,319 including 264,994 claims made by dental clinics, 8,084 by dental hospitals, 3,509 by general hospitals, and 1,732 by tertiary hospitals. Results: There was a significant difference in medical care cost benefit between the provinces(p<0.0001). The age groups showed a clear difference in the patient charge, cost of insurance, and medical care cost benefit(p<0.0001). In consideration of the first visit or revisit, there were differences in the rate of prescription, dental examination, and surgical procedures of the chronic periodontal patients from dental facilities. The radiographic use rate in the tertiary hospitals was 2.6 times higher than that of the dental clinic in the treatment of the new chronic periodontal patients. Conclusions: The use of dental services in the periodontitis is influenced by the types of medical services facility, cost of medical insurance, and patient charge. In consideration of cost benefit analysis, prevention is the most important care for the periodontitis. Regional difference in peridontitis is cause by the use of medical services and quality of treatment.

• 한국인터넷방송통신학회논문지
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• 제18권2호
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• pp.133-139
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• 2018

온라인 예약서비스를 통한 e하늘장사정보시스템의 2011년도 이용건수는 37,784구이었으나, 2017년도는 56,945구로 50.7%가 증가한 것으로 나타났다. 이러한 이용 증가로 관련한 서울특별시의 공설화장시설 운영개선이 다음과 같은 정책들이 시행되어야 할 것이다. 첫째, 현재 공설화장시설의 입지 지역주민과의 원만한 협상을 통한 화장로 추가 설치, 둘째, 서울특별시와 인접한 경기도 관내 지방자치단체와 공동으로 공설화장시설 건립을 위한 협력사업추진, 셋째, 서울시립묘지 내 개장 전용 화장시설의 설치를 통한 화장수요의 분산, 끝으로 서울특별시 관내 주민을 제외한 기타 지역주민에 대한 공설화장시설 이용시간대 차별 운영 확대 및 화장요금 인상 등을 통한 화장수요를 억제하는 방안에 대한 시행이 이루어져야 한다.

• 한국인터넷방송통신학회논문지
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• 제16권3호
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• pp.163-172
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• 2016

본 연구는 전국의 각 지방자치단체에서 제정한 공설화장시설 관련 조례 및 운영실태를 중심으로 한 연구조사를 통해 공설화장시설 사용료 부과기준의 부적정으로 인하여 e-하늘 장사종합정보시스템 인터넷 예약에 미치는 문제점에 대한 분석을 실시하고서, 도출된 문제점을 개선해 나가기 위한 정책적 제언을 제시하고자 하였다. 분석결과 본 연구에서 도출된 문제점들의 개선방안으로 공설화장시설 이용대상 관내지역주민의 요건에 일정기간 거주기간에 대한 제한을 두어 사용료 감면을 받기 위한 불법적인 위장전입을 방지하고, 원가대비 저렴하게 책정되어 있는 관내지역주민에 대한 공설화장시설의 사용료를 적정 수준으로 인상하며, 원가대비 높게 책정되어 있는 관외지역주민에 대한 사용료 인하를 통해 사용료 격차를 해소해 나가면서, 공설화장시설의 이용률이 가장 높은 대인에 대한 사용료 적용대상 연령 기준이 지방자치단체별로 상이한 점에 대하여 중앙정부차원에서의 대인 사용료 적용대상 연령기준을 일원화하여 통일성을 기해야 한다는 정책적 제언을 제시하였다.

• 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.

• 한국실내디자인학회논문집
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• 제15권6호
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• pp.178-187
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• 2006

The purpose of this study was analyze the space organizational characteristics of heath facilities for the elderly in Japan, in order to refer them in establishing the planning direction in Korea. Therefore the 79 architectural drawings, which was gathered through mailed self-reported questionnaires in Japan and standard of heath facilities for the elderly have been analysed for this study. The results of the study were following: The spatial composition was categorized into living space, public use space, nursing, medical treatment, management, provision, and home assistance, and daycare. Moreover, coupling method of respective space was diversity according to inmate satisfaction measurement and form of service. In order to do that, this study has classified type of health facilities into 6 types on the basis of the space of position and space organization characteristics. Therefore study shows the functional relationships of spaces, the proportions of departmental areas in each type.

• 한국융합학회논문지
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• 제9권9호
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• pp.105-115
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• 2018

본 연구는 지방의료원의 문제점을 진단하고 향후 개선 방안을 강구하기 위하여 지방 전북에 소재하는 G의료원과 N의료원을 연구 대상으로 선정하였다. 조직 및 인력 현황, 예산 및 경영 현황, 진료실적, 공공사업 추진실적, 고객만족도 조사를 중심으로 분석하였다. 그 결과, 재정상황은 인력 면에서 민간병원이나 국립대학병원에 비해 의사인력을 충분히 확보하지 못하였으며, 재정상황은 두 의료원경우 부채를 가지고 있으며, 의료급여환자수는 G의료원은 의료급여 환자 수가 매년 증가하고 있지만 N의료원의 경우 오히려 감소하고 있는 것으로 파악되었다. 환자만족도 조사결과는, G의료원의 경우 전국 평균점수에 근사하였고 N의료원은 전국 평균에 비해 약간 낮았다. 의료원의 발전과 운영효율화에 필수적인 정책은 공공병원 정체성 확립, 우수 의료인력 확충, 병원특성화 및 연계진료체계 구축이다. 또한 공공서비스에 대한 국비와 지방비의 안정적인 재정적 지원책 확보와 장례업, 임대업, 국책사업의 위임을 통한 안정적 수익사업의 구축이 중요하다.

• 한국인터넷방송통신학회논문지
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• 제18권2호
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• pp.125-131
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• 2018

2011년 1월 1일부터 2017년 12월 31일까지의 기간 중 e하늘장사정보시스템 온라인 예약서비스를 통한 서울특별시 공설화장시설의 지역별 이용 현황에 대한 비교 분석결과, 총 이용건수 314,877구 중 서울시민이 225,828구로 71.7%, 경기도 고양시 등 기타지방자치단체 주민이 89,049구인 28.3%로 높게 나타났다. 이로 인해 많은 서울시민들이 상(喪)을 당한 어려움 속에 화장예약을 하지 못해 4~5일장의 장례식을 치르거나 타지방자치단체로 원정화장을 가는 등의 문제점이 매년 증가 추세를 나타내고 있다. 위와 같은 문제점을 해소하기 위한 정책 추진의 일환으로 서울특별시 공설화장시설의 이용률이 높은 타지방자치단체와의 공설화장시설의 확충이나 신설을 위한 공동이용방안 추진, 중장기적으로 서울특별시 자체의 공설화장시설의 확충 추진 등을 통한 공설화장시설의 공급 확대가 이루어져야 한다. 또한, 수도권 소재 타지방자치단체 공설화장시설(4개소)의 화장로 가동횟수 확대, 타지방자치단체 주민에 대한 화장요금 인상 등을 통한 화장수요의 분산 및 억제 정책이 시행되어야 할 것이다.