• 한국산학기술학회논문지
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• 제19권1호
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• pp.497-505
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• 2018

이 연구의 목적은 중증질환자들을 대상으로 민간의료보험 가입자와 미가입자간의 특성을 파악하고, 가입 요인을 분석하기 위함이다. 연구도구는 2015년도 국민건강영양조사 자료를 이용하였으며, SPSS ver 23.0을 사용하였고, 연구 대상자는 19세 이상 중증질환자(암, 심장질환, 뇌혈관질환) 417명을 선정하였다. 분석방법은 민간의료보험 가입 현황과 차이를 파악하기 위해 교차분석을 실시하였고, 민간의료보험 가입에 미치는 요인을 분석하기 위해 이항 로지스틱 회귀분석을 실시하였다. 분석 결과 사회 인구학적 특성에서는 성별, 거주지, 혼인상태와 관계없이 나이가 젊을수록 높았다. 그리고, 사회 경제적 상태에서는 교육수준과 관계없이 가구소득이 높을수록, 의료급여대상자에 비하여 건강보험대상자의 가입률이 높았다. 건강행태에서는 주관적 건강 인식 및 걷기 실천과 무관하게 활동제한이 있는 집단의 민간의료보험 가입률이 낮았으며, 설명력은 51.7%이었다. 그러므로, 중증질환자 중 민간의료보험에 가입하지 못한 집단을 선별하여 생활환경 개선 및 지방자치단체의 지원을 촉구해야 할 것이다. 또한, 사회적 취약계층 및 건강행태에 제한 있는 집단을 대상으로 중증질환 예방을 위한 정부의 보건교육 또는 프로그램 제공 등 다양한 보건정책을 고려해야 할 것이다.

• 한국산학기술학회논문지
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• 제22권3호
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• pp.511-519
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• 2021

본 연구는 수도권 지역의 자활프로그램 참가 근로자들의 우울 수준과 구강 건강이 삶의 질에 미치는 영향에 대하여 살펴보고자 한다. 연구 방법은 자활 근로자 569명을 대상으로 2020년 7월 26일부터 9월 5일까지 설문 조사를 시행하였다. 조사항목으로는 우울 수준, 잇몸 지수, 주관적 구강 증상, 구강 건강 삶의 질을 조사하였으며, 연구 결과 다음과 같다. 전신질환이 있는 근로자에서 우울 수준, 잇몸 지수, 구강 증상, 삶의 질 모두 부정적으로 나타났다. 우울 수준이 높은 집단은 잇몸 건강, 구강 증상, 구강 건강 삶의 질 모두 부정적으로 높게 나타났으며, 통계적으로 유의한 차이를 나타냈다. 또한 우울은 잇몸 건강, 구강 증상, 구강 건강 삶의 질과 부적 상관성을 나타냈다. 우울, 잇몸 지수와 구강 증상은 구강 건강 삶의 질에 부정적인 영향을 미치는 요인으로 나타났으며 특히 구강 증상이 구강건강 삶의 질에 가장 큰 영향력을 나타냈다. 자활근로자는 구강 건강에 취약하므로 구강건강에 대한 올바른 인식과 관리를 위한 구강보건교육이 필요하며 계속구강건강관리가 이루어질 수 있도록 사회취약계층을 위한 구강보건정책 개선이 필요하다.

• 여성건강간호학회지
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• 제30권2호
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• pp.101-106
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• 2024

This paper discusses the implications of the birth notification system and the Protected Birth Act in Korea. Aiming to prevent infanticide and abandonment of infants, the law will enter into force on July 19, 2024 in South Korea. The birth notification system mandates that both parents and the head of the medical institution where the birth occurred must report the event. In parallel, the Protected Birth Act will be implemented, allowing pregnant women in crisis who wish to remain anonymous, the option to give birth outside of a hospital setting in a way that safeguards the life and health of the child. However, many issues are being raised in Korean society in advance of the implementation of the Protected Birth Act. There is widespread concern that the Protected Birth Act fails to protect either women or children, especially as it raises issues regarding the need for legislation to protect children with disabilities and to address gaps for migrant women and children. This paper examines the gender and healthcare issues relating to the Protected Birth Act, focusing on women's health and human rights. The Act continues to perpetuate discrimination against out-of-wedlock pregnancies and upholds the ideology of the traditional family model. Furthermore, the legislative process did not address protective measures for the various reasons behind child abandonment. Critical issues such as women's autonomy, safe pregnancy termination, and paternal responsibility in childbirth are also notably absent. However, with the Act set to take effect soon, it is crucial for healthcare providers to comprehend the rationale and procedures associated with birth notification and the Protected Birth Act, and to prepare for its nationwide implementation. The law defines the socially vulnerable as its main beneficiaries, and it is necessary to strengthen social safety nets to improve their access to healthcare, eliminate prejudice and discrimination against out-of-wedlock pregnancies, and embrace the diversity of our society. We eagerly anticipate future discussions on gender and healthcare issues, as well as amendments to the law that reflect real-world circumstances to provide genuine protection for pregnant women in crisis and their infants.

• 한국의료질향상학회지
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• 제19권2호
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• pp.80-88
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• 2013

Objectives: With the increase in the number of people who are marginalized in receiving medical services, the role of Seoul National University Hospital as a public hospital is being emphasized. However, many patients are either experiencing delays in receiving medical services or simply being left out as a result of the inaccessibility to the department of social work on part of both the patients and the medical staff. Methods: In order to increase consultation from other departments and the accessibility to the department of social work for the socially marginalized group through early consultation from other departments, the following steps were taken. First, an orientation program for novice medical residents led by clinical social worker was introduced/implemented. Second, posters and brochures on various financial aids programs were produced and distributed. Third, a system of early screening was built/constructed, and once a week rounds and early screening meeting were executed/carried out. Result: The department of social work's rate of consultation from other departments increased by 4.4% compared to last year, while it showed 61% increase for those wards that had an early screening meeting. In addition, the average time of consultation from other departments was reduced by 3.1 days, securing sufficient amount of time for clinical social work services, both in terms of quality and quantity. Conclusion: It is believed that the various promotional activities, along with the strengthening of accessibility to clinical social work services and early consultation on part of social disadvantaged/marginalized group, would undoubtedly help provide quality services to patients and increase their level of satisfaction. In this way, the wards can effectively reduce the number of unnecessary hospital stay days while the hospital can prevent the accumulation of outstanding bills/fees as well as contribute to the publicness of hospitals. The promotion of clinical social work programs in various ways are crucial to ensuring the satisfaction of patients and hospital staff.

• 한국농촌건축학회논문집
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• 제14권3호
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• pp.1-8
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• 2012

Due to difficulty of marriage with women in Korea, unmarried men in countryside tend to have an international marriage. A ratio of international marriage was 3.7% in 2004, but increased by over 10% in 2004 due to the change of population composition in countryside. Without social or national preparation on a multicultural family and an increase of elder who lives alone made problems such as changes of population composition in countryside, a high rate of divorce due to differences on culture and society. These problems are becoming critical problems in countryside, not only for a family. This Study has a purpose as below, Firstly, this study will examine living place of elder who live alone and multicultural families. Secondly, characteristics of using each space will be analyzed and then surveyed efficiency and satisfaction. The result of survey will be provided to space planning for improvement of living standard. The results of this study can be summarized as follows: The characteristics of the surveyed households, the elderly ratio of 70 to 80 units high, and when the elderly become less than 10 years, 51.6%, 77.4% of women were overwhelmingly high. The characteristics of multicultural families in the in the middle or early 2000s when immigration is concentrated and national origin in Vietnam was 66.7 %. Housing characteristics of households with elderly housing type, the ratio improved to 61.3% is Majority. Type strain and 29% in traditional houses, traditional housing type is 9.7%. And house of multicultural families improve housing type is 87.5% Majority. The main space of the housing for the elderly, most are usually satisfied. But generally low level of self-determined housing survey confers real. These results have lived a long time because of space adaptation and can be viewed as attachment. For the elderly passive use of space and simplify the Act and heating cooling at the expense of the use of housing space due to the reduction, but multicultural families is the space required for the growth of their children because there are more modifications required.

• 한국병원경영학회지
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• 제24권3호
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• pp.1-10
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• 2019

Purpose: The purpose of this study was to investigate determinants of purchasing indemnity private health insurance and its impact on the healthcare utilization among outpatients with chronic disease. Methods: The study analyzed 4,997 chronic ill patients using 2015 Korean Health Panel data. Logistic regression analysis was conducted to analyze the factors affecting the purchase of indemnity private health insurance and multiple regression analysis was conducted to analyze the effect of private health insurance on the number of outpatient visits and outpatient expenditures. Findings: The age, education level, and number of chronic diseases were significant factors affecting the purchasing of indemnity private health insurance among chronic patients. As a result of analyzing the impact of indemnity private health insurance on healthcare utilization, the number of outpatient visits for those who enrolled in the indemnity private health insurance was higher than the number of outpatient visits for those who did not. But there was no statistically significant difference in outpatient medical expenses. Practical Implications: The results of this study shows that indemnity private health insurance may cause inequality in the healthcare utilization of the socially vulnerable. It is necessary to seek ways to strengthen the health security of chronic disease patients and high-risk elderly people who need more healthcare.

• 한국지역지리학회지
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• 제19권3호
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• pp.514-540
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• 2013

오늘날 인권은 국제법 체계에서 가장 복잡하면서도 두드러진 쟁점이며, 주거권도 세계인권선언을 비롯하여 국제인권규범에서 기본인권으로 인정되고 있다. 본 연구는 85개 국제인권법 및 인권규범을 대상으로 인권으로서 주거권 규정을 종합적으로 검토한다. 주거권 일반, 노동자의 주거권, 사회적 취약집단의 주거권, 국제지역기구의 주거권으로 나누어 국제규범에 나타난 주거권의 내용과 특징을 분석한다. 주거권은 보편성, 불가분성, 상호의존성이라는 인권일반의 성격을 마찬가지로 가지고 있으며, 적절한 주거권이란 단순한 물리적 공간의 보장이라는 의미를 넘어 점유의 법적 안정성, 생활편익시설의 이용가능성, 비용의 적정성, 입지의 적합성 등 총체적인 의미로 해석하고 있다. 다양한 규범에 나타난 주거권에 대한 접근은 발전권적 관점, 양성평등의 관점, 차별금지의 원칙, 참여권적 관점 등을 종합적으로 반영하고 있으며, 인간존엄 및 안정과 평화 속에서 주거생활을 향유하는 것을 지향하고 있다.

• 한국병원경영학회지
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• 제27권4호
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• pp.13-21
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• 2022

Purpose: The purpose of this study was to analyze the association between single-person households & Beneficiary of National Basic Livelihood and recommendation on alcohol consumption, and counseling on drinking problems for adults 19 years of age or older. Methods: In this study, excluding missing values, the association between the single-person household & Beneficiary of National Basic Livelihood and recommendation to refrain drinking alcohol, counseling for drinking problems was analyzed by using the chi-squre test and logistic regression analysis. Results: In the case of non-single person households, compared to single-person households, the recommendation rate to refrain drinking alcohol was 1.519 OR (Odds Ratio [OR]: 1.159 , p-value <.0001). meanwhile, in the case of Beneficiary of National Basic Livelihood, the recommendation rate to refrain alcohol consumption was higher by 1.414 OR (OR: 1.414, p-value: 0.011), and the drinking problem counseling rate was also higher by 2.257 OR (OR: 2.257, p-value: 0.026) compared to non-beneficiary group. Discussion & Conclusion: Based on the 2016-2019 National Health and Nutrition Survey, this study investigated the associaiton between single households & Beneficiary of National Basic Livelihood and recommendations to refrain alcohol, and counseling on drinking problems. Compared to the Beneficiary of National Basic Livelihood group, single-person household group has recently been classified as a socially vulnerable group, but it is not applicable in the policy category. If policy and institutional measures for treatment are provided, it is expected that the problem of alcohol abuse can be reduced.

• 대한건축학회논문집:계획계
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• 제35권1호
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• pp.11-18
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• 2019

There is a growing demand for public rental housing since housing price increased rapidly and socially vulnerable people need more stable housing. The purpose of this study is to investigate housing evaluation (satisfaction), moving plan, and residential service according to the type of the public rental housing and the characteristics of the resident, and to suggest the development direction for comprehensive housing services including the community level. Data used for analysis in this study are from 2016 Seoul panel survey of public rental housing residents. A total of 3009 questionnaire from public rental households were collected in 2016 Seoul panel survey. In order to investigate housing requirements, we analyzed household characteristics, housing satisfaction, moving plans, welfare services, residential activities and community facilities, social environment. In this study, the difference of residential satisfaction, moving plan, and residential service according to the type of the public rental housing and the characteristics of the resident is analyzed to identify their housing demands. As a result, there were differences in residential satisfaction, moving plan, and residential service depending on type of public rental housing and characteristics of residents. Residents in public rental housing modified from the multi-family housing after purchase showed lower residential satisfaction, and higher intention for moving plan compared to residents living in other type of public rental housing. In the residential service, residents in permanent lease type have higher experience of housing service as well as demand on housing service. Especially single household, elderly household, female household, or household with handicapped person indicated higher demand for housing services.

• Spatial Information Research
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• 제22권6호
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• pp.45-54
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• 2014

최근 안전취약계층을 상대로 한 범죄가 증가함에 따라 사회적 약자를 위한 안전망 구축에 대한 관심이 증가하고 있다. 이를 위하여 사회안전망 구축 연구성과의 지속적인 실증을 위한 테스트베드를 필요로 하고 있다. 그러나 기존의 지능형국토정보기술혁신사업이나 U-Eco City R&D 사업 등의 테스트베드는 연구개발 성과물을 테스트베드에 적용하여 효과를 검증하는 단계에만 머물러 사업 종료 후 기술의 사업화 및 테스트베드의 지속적인 운영 관리 측면에는 미흡한 점이 많았다. 따라서 R&D성과물에 대한 지속가능한 운영 관리체계 및 제도가 필요한 실정이다. 본 연구는 기존의 테스트 베드 사례와 방범 및 범죄 예방 연구사례를 토대로 지능형 방범 실증지구의 개념을 정립하고, 실증지구 선정기준에 대해 제시하였다. 객관적인 평가기준을 통해 선정된 실증지구는 연구기간 이후에도 지속적인 운영이 가능하고, 시민들의 안전한 삶에 기여하는 실증지구의 표준모델을 확립할 수 있을 것으로 사료된다.