• Korea Journal of Hospital Management
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• v.12 no.4
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• pp.119-142
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• 2007

Although Korea joined OECD in 1996, there has still seen much unbalance in medical care and welfare standard between urban and rural area. The unbalance of medical demand between urban and rural area deepened low utilization of rural hospitals. So it caused many hospital's failure and conversion in rural area. Many rural hospitals are in difficulty managing business because of low medical demand along with the shortage of medical manpower, medical equipment and facilities. The objectives of this study were to reveal the cause of low utilization of hospitals in rural area, and to increase utilization of those hospitals. In this study the improvement methods of rural hospital's utilization were presented by examining were placed in difficult management condition, in respect of hospital's management conditions, manpower input, patient medical treatment record, financial record, and actual output. The causes of rural hospital's low utilization were as follows; 1) changes in number and structure of population 2) rural people's preference for large hospitals and hospitals which located in urban area 3) rural hospitals lacking in hospital management skill. Consequently rural hospital's operation condition got more and more deteriorated. To raise rural hospital's utilization, method for social policy, method for health policy, and intrinsic method of hospitals were presented in turn. For rural residents to utilize medical service conveniently, it is necessary for rural hospitals operated normally. So government must insist that rural hospitals solve the problems which come out from their internal management problems. And also these rural hospitals should be supported and nurtured by the government until their management is operated normally.

• Journal of Korean Society of Rural Planning
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• v.26 no.2
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• pp.39-49
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• 2020

This study was attempted to grasp the push-pull factors of urban to rural migrants in relation to services and infrastructure of rural welfare and culture. Online and offline survey were conducted for urban residents who were willing to return to the rural area and those who were already returning to the rural area. In the fields of health care, social welfare, and education, it was found that the satisfaction level of urban-to-rural migrants was relatively higher than those of latent urban-to-rural migrants. In the field of culture, leisure and sports, the level of satisfaction and concern were similar, so it was found that the expectations for the field were relatively high before returning rural area. As for the agreement degree to expand support, the demand for emergency medical facilities and dementia care program was the highest, and the demand for health care was found to be relatively high. The results of the survey on the top priority items indicate that latent urban-to-rural migrants require support of facility and space item and expansion of program item, and urban-to-rural migrants have high demand for expansion of program item in all field except healthcare field. The results of this study are expected to provide useful information for establishing the direction of the rural area development project in connection with the revitalization of policy of people return to rural area.

• The Korean Journal of Community Living Science
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• v.17 no.4
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• pp.67-80
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• 2006

This study conducted research on the actual state of community-oriented services for elderly rural inhabitants and their desire related to them to develop a local community service network model suitable to the characteristics of rural longevity villages. The research was conducted on 906 elderly people over 65 living in 20 rural longevity villages through questionnaires assessing filming and economy, economic activity, health care, learning and leisure activities as well as asking their wants and needs relative to local community services. As a result, it was found rural elderly people showed a high desire for local community services such as health, transportation and economy activity. In addition, they were mainly cultivating farm products as their economic activity and showed a high demand in the future as well. Most were found to take a walk in the healthcare field and showed a high demand for health examinations, health education, health consulting, hot spring bathing and basking in the woods. Respecting learning, social and leisure activities, they were mostly found to watch TV and do house chores, and showed a high desire for village environment repair, traditional farm music, visiting and tourism. With the above results, it is expected that the desire of rural elderly for such services can be satisfied, and the development of a local community service network model suitable to the characteristic of a local community is recommended.

• Journal of Agricultural Extension & Community Development
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• v.1 no.2
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• pp.165-189
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• 1994

Extension service in Korean has radical institutional changes since Febuary, 1991. In new code of local government rules the county extension office is a pact of the local government and extension service is committed to local government. This is resulted from the dillema of coral development`s acts.

• Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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• v.7 no.3
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• pp.597-604
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• 2017

The purpose of this study is to examine the moderating effect of choice realization between service quality and user satisfaction to elderly home care services. For this purpose, we analyzed 258 respondents who received elderly home care service in Jeollabuk-do. Considering the assumption that the moderating effect of choice realization would be different by rural and urban areas because of the disparity of the elderly welfare infrastructure, the urban and rural areas were analyzed separately. The analyses showed that choice realization had a moderating effect on the relationship between service quality and user's service satisfaction for the service clients resided in urban areas. However, there was no significant moderating effect of choice realization for the service clients in rural areas. This result implies that the moderating effect of selection realization is different in rural and urban areas because of the poor elderly home care facilities in rural areas. In order for aged people to actively express the effect of service user choice, it is necessary to solve welfare imbalance between regions through expansion of welfare infrastructure and policy support to rural area.

• Research in Community and Public Health Nursing
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• v.15 no.4
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• pp.551-565
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• 2004

Purpose: The purpose of this study is to develop a day care center model focused on public health institutions for the elderly residing in their homes. Method: Research design for this study was a mult-level research, which consisted of a related literature review, an Internet search for knowledge of the current situation at home and abroad, on-site interviews, questionnaires collected from a sample of residents in a rural area, and a key-informants approach. Results: 1) The subjects of service - Generalized service should be provided to the elderly, 65 years and older, regardless of their assets. 2) The contents of service - Providing pre-health oriented and post-social welfare service that can integrate and satisfy a wide variety of public health and welfare needs of the elderly would strengthen the health care service of a day care center for the elderly. 3) Delivery system - Basic-level local self-governments should become a central operating body, and establishing a properly adjusted delivery system to a rural area after considering the efficiency and the access of vulnerable rural areas is needed based on modification of 'a Special Law for Agricultural and Fishery Areas' (rural public health center>rural health sub-center ${\rightarrow}$ unified health sub-center ${\rightarrow}$ public health hospital (public health center) ${\rightarrow}$ public welfare office). 4) Facility - Public health facilities such as public health centers and sub-centers should be located in areas that can easily access the facilities. 5) Funding - For day care center for the elderly in local self-government, the central government should modify a relevant implementation of subsidy in and provide some facilities and service regardless of the degree of self reliance of local self-government. 6) Human resources - It is needed to guarantee the period of workers of a day care center for the elderly, at least 3 to 5 years, with considering their specialty on aged care and avoiding circulation based positions. Furthermore, appropriate specially trained personnel such as medical workers and social workers should be placed to take care of both health service and welfare through strengthening of 'rules of law of elderly welfare,' Conclusion: future research is needed to test the model through a demonstration study using a model which may be developed in the future and to standardize the appraisal criteria of people hoping to enter a day care center for the elderly.

• Journal of the Korean Operations Research and Management Science Society
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• v.41 no.4
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• pp.1-13
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• 2016

In response to the government's recent attempts to introduce competition and efficiency criteria in the rural railway service provision, this study is to empirically estimate public service values on continuous operation of two rural railways-Young Dong Line (YDL) and Donghae Nambu Line (DNL)-that will be realized beyond the passengers' use values. Based on a contingent valuation survey conducted on 600 passengers and local residents, YDL respondents were willing to pay significantly higher amount compared to those of DNL respondents. Especially tourists traveling on YDL were willing to pay the highest amount, and local residents of DNL were willing to pay relatively high amount. The results will provide useful information in makings decisions on the selection of PSO railways, the amount of PSO compensation and which railways to close, so on.

• The Korean Journal of Community Living Science
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• v.18 no.4
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• pp.715-724
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• 2007

홍화 (Carthamus tinctorius)는 오래 전부터 각종 감염성 질환이나 암을 치료하는데 효과가 있는 것으로 알려져 왔다. 최근 각종 천연산물에 사람과 동물의 건강을 증진시키는 효과가 있는 것이 밝혀지면서, 홍화의 면역조절 효과에 대한 관심이 높아지고 있으나 이에 대한 과학적 자료가 부족한 실정이다. 따라서, 본 연구는 홍화의 면역 조절 활성을 확인하기 위해 수행되었으며, 면역능 실험을 위해 주로 이용되는 실험용 닭(White Leghorn chickens)에게 홍화잎을 첨가한 실험식이를 3주간 급여한 후 관련 요인들을 분석하였다. 실험 결과, 홍화잎을 섭취한 실험동물에서 비장 면역세포의 증식이 많았고, $Y{\delta}$-TCR+ 세포의 비율이 높아졌으며, 십이지장에서는 IFN-Y, IL-8, IL-10, IL-15 및 NK-lysin 같은 사이토카인의 발현이 높아졌다. 따라서, 홍화잎은 식이와 함께 급여하였을 때 면역 증강 효과가 있는 것으로 밝혀졌으며, 홍화잎을 이용한 각종 제품 개발이 기대된다.

• Journal of the Korean Institute of Rural Architecture
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• v.9 no.2
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• pp.87-94
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• 2007

The recent change of social environment has influence on the configuration of space for the community social welfare center. And so the relation of space and the service function required the change of spatial configuration. The social welfare center fills the role of family welfare, domiciliary care, community service etc. In such sense, this research explore the conditions of spatial configuration for the community welfare service unit of social welfare center in small city. For this study, it was investigated the space role and service function, the service program, the usage characteristics, the room satisfaction of social workers. In sum, the useful data were collected, analyzed, and colligated by case study. It could be used in the basic design criteria of community service unit for the social welfare center in small city.

• Journal of the Korean Institute of Rural Architecture
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• v.6 no.3
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• pp.39-48
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• 2004

The purpose of this study is to clarify the actual conditions of the plan composition of expressway service facilities. This study investigated the characteristics of both indoor space and outdoor space of 15 service facilities, and then analyzed attributes of users by the plan type along with their perception on the facility usage. The results of this study are summarized as follows; 1) When analyzing the attributes of expressway service facilities users, 36% respondents said that they used the expressway service facilities just to rest. The average distance of using the service plaza was found to be approximately 67km. 2) In terms of the indoor space of the expressway service facilities, as basic patterns, B(R+C+T)-type(53%), A(C+R+T)-type(40%), C(C+T+R)-type(7%) were found in order, all the service facilities need to expand them.