• 제목/요약/키워드: Unmet Needs

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암생존자의 건강관련 삶의 질에 대한 영향 요인 -성차를 중심으로 (Factors affecting on Health-Related Quality Of Life Among Cancer Survivors: Focusing on Gender Difference)

  • 이인정
    • 한국산학기술학회논문지
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    • 제19권2호
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    • pp.497-507
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    • 2018
  • 본 연구는 암생존자의 삶의 질에 대해 보다 면밀한 검토를 통해 이들을 위한 서비스 및 정책 마련을 위한 기초자료를 제공하고자 수행되었다. 이에 본 연구는 사회문화적 영향을 다르게 수용하게 되는 성차(gender difference)를 중심으로 암생존자의 삶의 질의 차이와 예측 요인들의 상대적 영향력을 검증하였다. 이를 위해 국민건강영양조사 제 6기 중 2013년 자료에서 추출한 암생존자 203명을 표본으로 남녀 집단간 삶의 질 평균차이 검증과 위계적 회귀분석을 실시하였다. 그 결과 삶의 질의 하위 영역 모두에서 여성이 남성에 비해 낮은 삶의 질을 보였으며, 전체적인 삶의 질에 있어서도 여성의 삶의 질은 유의미하게 낮았다. 위계적 회귀분석 결과, 성차에 따른 예측 변인이 다르게 나타났는데 남성은 주관적 건강인식이 유의한 정적 영향을 미치고 있었으며 여성은 미충족 의료욕구(unmet medical need)가 가장 큰 예측력을 가진 유의미한 변인으로 부적 영향을 미치고 있었으며, 또한 연령이 높을수록 삶의 질이 낮았으며, 주관적 건강인식과는 유의미한 정적 관계를 보였다. 이러한 결과를 통해 성차를 고려한 암생존자 관리의 방향성 제고가 필요하며 여성암생존자 중 고령, 건강상태가 좋지 못한 경우, 의료서비스의 접근성이 낮은 집단에 대한 보다 집중적 서비스를 마련해야하는 등의 실천적 함의와 후속연구에 대한 제언을 제시하였다.

베이비붐세대의 성별에 따른 건강 관련 삶의 질과 영향요인 (Health-related Quality of Life and Its Influencing Factors according to Gender in Baby Boomers)

  • 박민정;서은영;정미영
    • 성인간호학회지
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    • 제27권3호
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    • pp.314-324
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    • 2015
  • Purpose: The purpose of this study was to measure health-related quality of life (HRQOL) and the related factors according to gender in baby boomers by using Korea Health Panel Data 2012. Methods: The Korea Health Panel Data 2012 were collected from February to August 2012 by Korea Institute for Health and Social Affairs and National Health Insurance Corporation and the data of 1,802 respondents categorized as baby boomers were analyzed for this study. The data were analyzed by t-test, ${\chi}^2$ and multiple regression using SPSS/WIN 20.0 program. Results: For male, the influencing factors on HRQOL were economic activity and smoking. For female, the influencing factors on HRQOL were education, psychological and physical stress, unmet basic needs, and psychiatric drugs. The types of insurance, unmet medical needs, anxiety about the future, depression, and self-rated health status showed statistically significant relationships with HRQOL both for male and female. Conclusion: Health care providers are suggested to consider the founded gender differences in this study when they develop interventions for HRQOL improvement for baby boomers in a community.

유비쿼터스 비즈니스 서비스 설계 사례연구 : 대형 도서매장을 중심으로 (A Study on the Business Service Design in Ubiquitous Computing:the Case Study in Bookstore)

  • 김경규;장항배;김흥국;권혁준
    • 한국전자거래학회지
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    • 제13권2호
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    • pp.165-179
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    • 2008
  • 본 연구에서는 유비쿼터스 컴퓨팅 기술을 활용하여 대형 도서매장에서 적용될 수 있는 수요자 기반의 u 비즈니스 서비스를 설계하였다. 이를 위하여 대형 도서매장의 업무 프로세스를 분석하고, 현재 제공되고 있는 서비스 사용자로부터 충족되지 못하고 있는 요구사항 또는 새로운 서비스 개발 요구사항을 조사한 다음, 이러한 요구사항을 만족시킬 수 있는 u 비즈니스 서비스를 설계하였다. 설계된 서비스들은 평가모형에 따라 통계적 분석을 진행한 다음 킬러 서비스를 도출하고, 이를 지원하기 위한 자원 시스템을 설계하였다. 본 연구의 결과는 향후 전개될 유비쿼터스 컴퓨팅 환경에서 필요로 하는 사용자 요구사항에 근거한 비즈니스 서비스를 제시함으로써, 관련 기술개발을 위한 타당성을 제시함과 동시에 비즈니스 모델개발을 위한 기초자료로 활용될 수 있을 것으로 기대된다.

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의료서비스경험자의 보건의료제도 인식도와 영향 요인 (Health Care System Recognition and Influential Factors of Health Care Experiences)

  • 서영우;박초열;박영희
    • 보건의료산업학회지
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    • 제12권4호
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    • pp.59-72
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    • 2018
  • Objectives : This study was performed to investigate health care system recognition and influential factors using the data from the "2017 Health Care Experience Survey". Methods : Data on 7,000 participants in the Health Care Experience Survey were drawn and statistically examined using a t-test, ANOVA, and multiple regression analysis. Results : First, the significant factors of health care service satisfaction were education, income, region, chronic diseases, unmet medical needs, satisfaction with doctors and institutions, and the health care system's reliability and importance. Second, the influential factors of willingness to pay additional health insurance premium were age, occupation, income, health status, chronic diseases, unmet medical needs, satisfaction with health care institutions, limit to utilization of medical services, necessity of health care reform, and the health care system's reliability, satisfaction, importance. Conclusions : Since the additional burden for improving the health care has been negative to the socially disadvantaged, there should be efforts to provide stable health care funding for financial stability of the health insurances by considering public opinions and reaching social consensus.

국내 결혼이주여성의 주관적 건강상태에 영향을 미치는 요인 (Factors associated with the self-rated health of married immigrant women in South Korea.)

  • 채덕희;강경화
    • 한국보건간호학회지
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    • 제35권2호
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    • pp.224-238
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    • 2021
  • Purpose: This study aimed to identify factors associated with the self-rated health of married immigrant women in South Korea. Methods: Data, collected in August 2018, were derived from the 2018 National Multicultural Family Survey. Study subjects were 9,230 married immigrant women. Data were analyzed using logistic regression. Results: Of the study subjects, 23.2% rated their health as poor. Results showed that individual factors (age, ethnic affiliation, duration in South Korea, and depressive symptoms); social and community networks (relationship with spouse, parenting efficacy, Korean proficiency, perceived discrimination, social support, and social activities); and living and working conditions (life satisfaction and unmet heath needs) were associated with health. Married immigrant women in their 50s or older, living in Korea for more than 15 years, experiencing depressive symptoms, low life satisfaction, and having unmet health needs were especially at high risk of poor health. Conclusion: More detailed health policy that considers age, length of stay, and country of origin. To prevent the rapidly deteriorating health of married immigrant women after middle age, mental health support should be given priority, and systematic improvement is needed to increase accessibility healthcare services.

스마트 그리드 서비스에 대한 고객 수용도 분석 (Customer Willingness to Use Smart Grid Services in Home)

  • 김영명;이영우
    • 한국통신학회논문지
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    • 제35권9B호
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    • pp.1399-1406
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    • 2010
  • 기존 전력망에 ICT를 접목한 스마트 그리드 환경에서 고객니즈에 기반한 수용가 서비스를 도출하기 위하여 HV, FGD 및 정량설문조사를 통해 수용가의 전기사용 추구 가치와 Unmet 니즈를 분석하였다. 연구결과, 소비자들은 전기를 가전기기 이용을 더욱 '편리'하게 해주는 존재로 인식하고, 전자파 감전 감소의 '안전'을 추구하며, 이해가 쉽고 스트레스가 적은 전기 '절약'을 원하는 것으로 조사 되었다. 그리고 전기절약을 도와주는 간편한 '기능', 전기사용량이나 전자제품의 '정보', 전기절약 유도를 위한 '동기' 유발 등에 Unmet 니즈가 존재하는 것으로 분석 되었다. 본 연구에서는 고객이 추구하는 가치와 Unmet 니즈를 반영하여 전자기기에 대한 사용량 실시간 모니터링과 제어가 가능한 홈 네트워크와 결합된 서비스로서 에너지 사용량 알리미 서비스, 대기전력 차단 서비스, 댁내 가전기기 원격제어 서비스, 에너지 컨설팅 서비스 등 4종의 스마트 홈 서비스를 도출하였다. 미래 스마트 그리드 홈 서비스 고객은 4종 서비스 모두에 60%이상의 이용의향을 보였으며 특히 에너지 사용량 알리미 서비스와 대기전력 차단 서비스에 약 80%의 이용의향을 보였다.

Supportive Care Needs of Iranian Cancer Survivors and Relationships with Social Support

  • Faghani, Safieh;Mohammadian, Robab;Rahmani, Azad;Mohajjel-Aghdam, Ali-Reza;Hassankhani, Hadi;Azadi, Arman
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권15호
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    • pp.6339-6345
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    • 2015
  • Background: Assessment of supportive care needs of cancer survivors and identifying factors affecting such needs is important for implementation of any supportive care programs. So, the aims of present study were to investigate the supportive care needs of Iranian cancer survivors and relationships with social support. Materials and Methods: In this descriptive-correlational study two hundred and fifty cancer survivors participated via convenient sampling methods. The Supportive Care Needs Survey (SCNS-SF34) and Multidimensional Scale of Perceived Social Support (MSPSS) were used for data collection. SPSS software was applied and univariate regression was used for examine relationships of supportive care needs with social support. Results: Participants demonstrated many unmet supportive care needs, especially in health system and information and psychological domains. In addition, participants reported that family members and significant others were their main source of support. Also, social support has a significant correlation with all domains of supportive care needs. Conclusions: There is an indispensable need for establishment of supportive care programs for Iranian cancer survivors. In addition, family members of family members of such survivors are an important resource to help develop such programs.

노인요양시설 건강지원서비스 현황과 장애요인: 포커스 집단 면접 (Current Status and Barriers to Health Care Services for Nursing Home Residents: Perspectives of Staffs in Korean Nursing Homes)

  • 박연환;방활란;김가혜;오세은;정영일;김홍수
    • 성인간호학회지
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    • 제27권4호
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    • pp.418-427
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    • 2015
  • Purpose: Focus group interviews were conducted to explore the current status and barriers of health care services in nursing home from the viewpoint of staffs taking care of nursing home residents. Methods: A qualitative thematic analysis using the focus group interview method was used. A total of 32 health care professionals (19 nurses and 13 social workers) from thirteen nursing homes in South Korea attended (5 focus groups) in 2014. Results: The two main themes were identified: 'minimal health care services that left personal care needs unmet' which has three subthemes of 'stereotyped and fragmented care by types of care providers', 'medically-oriented health care services' and 'health care services mixed with social or recreational programs'; and 'barriers to proper and timely care in nursing homes' with four subthemes including 'unmet care needs due to cognitive dysfunction or lack of expression', 'care guides or tools not suitable for long-term care facilities', 'health care needs that are beyond the facility's care boundary', and 'care delay due to lack of understanding on the older adult's status'. Conclusion: The findings from this study should help health care policy makers to recognize the factors that influence health care services and provide direction for nurses and other staffs involved in supporting health care services for nursing home residents.