• Korea Journal of Hospital Management
• /
• v.19 no.4
• /
• pp.57-68
• /
• 2014

Since the introduction of National Health Insurance(NHI) in 1977, it has grown rapidly and contributed to extend patient's access to the health care services. However, limited coverage for health care services of NHI has been ongoing challenge and private health insurance(PHI) has been rising as an alternative source of enhancing coverage and saving out-of-pocket(OOP) expenditure for patients. In this study, after controlling for socio-demographic, economic, health related variables, we identified the patients' healthcare utilization and subsequent OOP expenditure depending on their PHI enrollment and their enrollment types(fixed benefit, indemnity, fixed benefit plus indemnity). Data were collected from the 2010 Korean Health Panel. The unit of analysis was a member of household(n=13,324). Of the 13,324 cases, 70.7% of patients held PHI, in detail, fixed benefit(47.0%), indemnity(3.6%), fixed benefit plus indemnity(20.1%). Major findings showd that patients who enrolled in PHI used more outpatient services(outpatient visit, number of physician visit, number of examination) and spent more OOP expenditure than non-PHI patients. There were also differences of healthcare utilization and OOP expenditure among the types of PHI. In addition, PHI patients used more inpatient services(inpatient use, number of hospitalization, LOS), but there was no significant difference between PHI and non-PHI patients with regard to the OOP expenditure. Thus, we could not find any distinct relationship between the types of PHI and patients' tertiary hospital use. Policy-makers should need careful political deliberation for monitoring the effect of PHI on health care utilization and subsequent expenditure not only to improve patients' coverage but also to save their OOP expenditures.

• Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
• /
• v.24 no.2
• /
• pp.127-132
• /
• 2010

The standards of demand, diversity and load density are necessary to create the design of a transformer capacity that is seldom presented in terms for academic study. At the moment, both legal and institutional standards for such a transformer are insufficient both at home and abroad. The works described in this thesis strongly support more reasonable standards for calculating transformer capacity by correlating the analysis between the maximum utilization factors of a given transformer with those of a transformer capacity whose power consumption has been investigated within a lease apartment. In this dissertation, it is necessary to analyze the key features and general trend from the investigated data. It made an analysis of the feature parameters, such as average, standard deviation, median, maximum, minimun and thus it was carried by the linear and nonlinear regression analysis.

• Journal of the Korean Institute of Rural Architecture
• /
• v.20 no.1
• /
• pp.61-68
• /
• 2018

This study aims to investigate the changes in area ratios by space through floor plans of national leasing houses constructed by the LH in Jangseong-gun, particularly focusing on the floor plans of public leasing housing complexes built during the 1970s-80s and those during the 2010s. The results are as follows: First, according to the composition ratio of floor plans by period, the type of Bedroom> Livingroom> Common Area> Kitchen+Dining> Multi-purpose room> Bathroom> or the type of Bedroom> Livingroom> Kitchen/Dining> Common Area> Bathroom> Multi-purpose room were found to be high during the 1970s. Whereas, the type of Common Area>Living room(Kitchen/Dining included)>Bedroom>Bathroom>Front Entrance was found to be high during the 2010. It can be concluded that the ratio of Bedroom and Living room was found to be high during the 1970s, but after 2010s, the spacial composition ratio of Common Space, Living room, and Bedroom is getting higher in the order. Second, in terms of the composition ratio of floor plans by the area of unit household, among the floor plan of C-1, B-2, B-3, C-2 which were used since 2010s, the spatial ratio of Bedroom was maintained in the range of 20%; while during the 1970s, the Bedroom space of A-1(46%), A-2(46%), and A-3(41%) was found to be higher than 40%. It can be concluded that the size of bedroom space has doubled over time. In terms of the changes in the spatial ratio of Living room, A-1(15%), A-2(22%), and A-3(23%) were found during the 1970s. Compared to the recent floor plans of C-1(28%), B-2(25%), B-3(33%), and C-2(34%) which are applied in Jangseong-gun, Jeollanam-do province, no big changes have been found, particularly in the small floor plans (20% range).

• Human Ecology Research
• /
• v.52 no.5
• /
• pp.457-471
• /
• 2014

Family instability has a negative effect on not only an individual household but also the society. The government continues to operate family support centers as a countermeasure to family instability issues. A healthy and multicultural family support center is considered an effective support system that extends from a family unit to the local community. In this study, the satisfaction and demand levels of each center, located in Seoul and Incheon, were examined with respect to items such as operation contents, physical space, and organizational structure. The results showed that various efforts for creating a family-friendly community were implemented in healthy family support centers and multicultural family support centers. It was found that the center organizers and operators focused more on software and programs than on the physical environment. There was mostly a shortage of physical and environmental space. This space shortage limited the planned and ongoing activities in terms of the residents' self-directed participation and space formation for a family-friendly educational culture. Therefore, it was necessary to set up the space-related criteria for each center in order to solve this environmental issue. We identified the baseline data of the criteria for a center's physical and spatial design and size. In particular, it was suggested that a more strategic physical and spatial design is needed to achieve an integral and effective operation for the connection of the family with the local society.

• Journal of Family Resource Management and Policy Review
• /
• v.21 no.1
• /
• pp.45-63
• /
• 2017

The purpose of this study was to emphasize the household financial education as a part of family life education, especially when provided at local community level; it also examines diverse measures by which to deliver such education. To this end, the current study focuses on the education programs of a healthy family support center, which has been established as a representative transmission system. The current status of its operations was examined, and practical measures by which to stimulate the delivery of financial education within that center were derived. In more detail, previous studies inside and outside of Korea were examined, and the current status of financial education included in the area of family life education was assessed; as a result of these assessments, the definition and objectives of financial education as family life education were adjusted. The limits of financial education that has been delivered thus far were reviewed, with the aim of proposing measures by which to sufficiently stimulate the delivery of financial education programs-programs that ultimately reflect the healthy family philosophy. This study proposes four specific measures by which to stimulate financial education. The first is the application of 'life cycle perspectives' to educational terms. The second is the activation of financial education programs that involve the family unit as educational subjects. Third, the delivery of lectures which related to the financing and nurturing of program coordinators was proposed. The fourth is drawing a connection between online and offline education in terms of effectively applying teaching methods. Ultimately, the results of this study can be used as basic data to inform the planning, development, and operational stages of financial education programs within family life education, which can be performed in healthy family support centers in the future.

• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.5
• /
• pp.2707-2710
• /
• 2013

Background: This study used pre-hepatitis A vaccination era data in U.S. to study the relationship between serum hepatitis A antibody positivity with pancreas cancer mortality in adults. Patients and Methods: Public use National Health and Nutrition Examination Survey (NHANES III) data were employed. NHANES III uses complex probabilistic methods to sample nationally representative samples. Household adult laboratory and mortality data were merged. Sample persons who were available to be examined in the Mobile Examination Center (MEC) were included in this study. All results were obtained by using specialized survey software taking into account the primary sampling unit and stratification variables and the weights assigned to the sample persons examined in the MEC. Thus they are representative of the U.S. population. Results: The mean risk (95%CI) of death in the study population for pancreas cancer was 0.0014 (-0.000069 -.0029); their mean age (95%CI) at the mobile examination center (MXPAXTMR) was 473.43 (463.85-482.10); the follow up in months from their medical examination (permth_exm) was 170.12 (164.17-176.07). The odds ratios (S.E.) of the statistically significant univariables were: age, 1.007 (1.005-1.009); serum anti-hepatitis antibody status, 0.038 (0.004-0.376); and drinking hard liquor, 1.014 (1.004-1.023). The coefficients (S.E.) of the statistically significant variables after multivariate analysis were 0.006 (0.002-0.010) for age and -2.528 (-4.945--0.111) for serum anti-hepatitis A antibody negativity (using serum anti-hepatitis A antibody positivity as a reference). Conclusion: Serum hepatitis A antibody positivity correlates with higher pancreas cancer mortality in adults.

• Journal of the Korean Association of Geographic Information Studies
• /
• v.1 no.1
• /
• pp.39-51
• /
• 1998

The purpose of this study is to find out the ways to supplement the Census, the digital maps, and their integration in comparison with the U.S. Census and the TIGER file and in light of their usefulness for urban and environmental analysis in Korea. Recommendations in this study are: (1) to include questions on household income and housing price in the Census, (2) to implement a 1~5% sampling survey similar to PUMS in the U.S. Census, (3) to make the Census Tract as a minimum size unit of analysis through subdivision of current Eup, Myon, and Dong into 5~10 smaller units, and (4) to utilize the 1:5,000 scale digital maps completed by the Korea National Geographic Institute for the fast and efficient activation of digital maps instead of producing 1:1,000 or 1:1,200 scale digital maps through each city's effort.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.11 no.1
• /
• pp.41-45
• /
• 2013

Following are brief statements about the delayed encephalopathy of a patient who recovered without disturbance of consciousness after acute carbon monoxide poisoning. A 72-year-old male was found without consciousness at home and then visited the ER center. Later we learned that the patient was using briquettes as a household heating source. Blood carbon monoxide hemoglobin level was 17.5%. As carbon monoxide poisoning was uncertain after the first interview with the patient, hyperbaric oxygen therapy was not administered at the early stage. After supplying 100% oxygen, the patient recovered consciousness, however, the strength of the lower limb muscle had decreased to class II. The patient showed continued weakening of the lower limb muscle and an increase of CPK; therefore, he was diagnosed as carbon monoxide intoxication and rhabdomyolysis and then admitted to the intensive care unit (ICU) for conservative treatment. During the hospitalization period, continued weakening of the lower limb muscle was observed and he was diagnosed as myopathy after EMG/MCV. However, he suddenly showed altered mentality on the 20th day of hospitalization, and underwent brain MRI. T2 weighted MRI showed typically high signal intensity of both globus pallidus and periventricular white matter; therefore, he was diagnosed as delayed carbon monoxide encephalopathy. This case showed delayed encephalopathy accompanied by rhabdomyolysis and myopathy of a patient who recovered without disturbance of consciousness.

• Journal of Korean Society for Atmospheric Environment
• /
• v.22 no.3
• /
• pp.337-351
• /
• 2006

In this study, to describe the basic characteristics of strong odorous sources, the emissions of odorous compounds from a large-scale sewage treatment plant in K city were investigated. According to this study, the emission patterns of major odorous compounds were distinguished clearly by several factors such as treatment processing types, chemical compositions of odors released, and temporal changes (e.g., seasonal variations). For the purpose of this study, emission rates of odorous compounds were quantified using a dynamic flux chamber (DFC) method from three major treatment (T) processes including T1 (Grit sedimentation basin), T2 (Aeration tank), and T3 (Final sedimentation). When the relative strengths of each emission source were compared, the strongest one was seen from T1 with the maximum of $NH_{3}\;(34.5\;{\mu}g/m^{2}/min)$ followed by $H_{2}S\;(20.4\;{\mu}g/m^{2}/min)($. While the strongest emissions of most odorous compounds were seen commonly from T1, those seen from T2 and T3 were significantly reduced relative to the ones found in T1. Considering the general patterns of odorous emission, it is concluded that control of odors from T1 unit is most important because of its considerably high emission strengths.

• Journal of Korean Academy of Nursing Administration
• /
• v.17 no.1
• /
• pp.54-65
• /
• 2011

Purpose: The aim of this study was to evaluate the efficiency of community visiting health service units using DEA and to compare the results with those of traditional evaluation methods. Methods: Data were collected using 2008 annual reports of 10 districts in one city. Input variables were number of staff and operational budget per year and output variables were number of managed household per nurse, rate of controlled hypertension, and diabetes mellitus. EMS Window version 3.1 was used to measure efficiency score and bootstrapping Chi-square test was applied to identify differences between efficient and non-efficient unit by organizational factors. Results: The average efficiency score of 10 community visiting health services was about 66%. Only two of the units operated program efficiently. The career of the staff was one among other factors associated with efficiency. The evaluation results from the traditional method and DEA were totally different. Conclusion: These results indicate that, evaluation methods have very important and significant effects on the evaluation results of community visiting health service units. The DEA method is recommend as an alterative method for evaluating community visiting health service.