• 한국도로학회논문집
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• 제20권1호
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• pp.147-156
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• 2018

PURPOSES : The purpose of this study is to analyze the characteristics of the weight values of evaluation items by traffic safety project type. METHODS : In general, a large-scale investment in projects such as the traffic safety project requires economic analyses to be performed in advance. However, there is an argument for considering special characteristics of the traffic safety project. Therefore, this study conducted characteristic analysis of the weight values of evaluation items. The analysis consisted of two steps. The first step was hypothesis verification using analysis of variance (ANOVA). In this process, the authors examined whether the weight of evaluation items is the same regardless of the traffic safety project type. Based on the first step's results, the authors proceeded to the second step. The objective of this step was to analyze how different the weight values are by traffic safety project type using an analytic hierarchy process. RESULTS : According to the ANOVA test results, the benefit to cost ratios have different weight values based on traffic safety project type at the 0.01 significance level. The policy evaluation items, such as the plans connection, resident opinion, and regional equity, also showed the same results except that the result for the related plans connection was statistically significant at the 0.05 level. Based on the first step's result, the AHP analysis in the second step showed that the traffic safety projects for vulnerable users and pedestrians have very low weight values in economic evaluation factors compared with other safety project types. The weight values for vulnerable users and pedestrians were 0.29 and 0.26, respectively, in economic evaluation items. On the other hand, the weight values for other safety project types were around 0.6. Among the policy evaluation items, resident opinion showed a higher weight value than other factors, such as connection and regional equity items. CONCLUSIONS : The social and economic impact of a traffic safety project varies by project type and project characteristics. Although the economic approach is overarching and a reasonable methodology is applied for large-scale projects, it should be noted that the safety issue, especially for transportation of vulnerable uses, requires a non-economical approach. Based on the analysis results, this study suggests that the priority of the projects should be determined by separating them into independent assessment groups depending on their characteristics.

• 한국콘텐츠학회논문지
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• 제20권12호
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• pp.346-356
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• 2020

본 연구는 성매개감염병 취약 대상자의 STI 건강신념을 확인하고 STI 예방행위에 미치는 영향요인을 파악하고자 하였다. 연구대상은 관련업소, 단체 종사자 및 보건소 내소자 등 241명이며, 연구자료는 구조화된 설문지를 활용하여 우편 혹은 방문을 통한 자기기입형 설문자료를 통해 수집하였다. 자료분석은 SPSS 21.0을 사용하여 기술 통계, t-test, one way ANOVA, Pearson's correlation and multiple regression을 실시하였다. 연구결과 5점 리커트 척도에 근거하여 지각된 민감성은 2.70점, 지각된 심각성은 3.63점, 콘돔사용의 지각된 유익성은 3.82점, 콘돔사용의 지각된 장애성은 2.45점, 콘돔사용의 자기효능감 3.93점 및 STI의 예방행위는 3.51점이었다. STI 예방행위에 미치는 영향요인으로 콘돔사용의 자기효능감(��=.23, p=.003)과 콘돔사용의 지각된 장애성(��=-.15, p=.035), 교육수준(��=.16, p=.018)이 유의하였고 이들의 설명력은 17.0%이었다. 결론적으로 성매개감염병 예방을 위해서는 인식개선과 예방행위에 미치는 영향요인을 고려한 체계적인 교육 프로그램 개발이 필요하다.

• 토지주택연구
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• 제13권1호
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• pp.1-9
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• 2022

유엔세계관광기구(UNWTO)는 1991년 관광약자를 위한 '모두를 위해 접근 가능한 관광'을 선언하며 관광향유권의 실천을 권고하였다. 보건복지부(2019)에 따르면 관광약자인 등록장애인은 전체 인구 대비 5.1%이며, 2025년 65세 이상 노인 인구는 20.3%까지 증가할 것으로 전망된다. 특히 65세 이상 노년층 장애인의 비율이 지속적으로 증가하면서 맞춤형 정책의 필요성이 제기되고 있다. 본 연구는 이러한 필요성을 바탕으로 관광 취약계층을 고려한 유니버설 디자인 관광지의 공간적 특성을 파악하였다. 이를 위해 서울시 행정동(425개)을 공간적 범위로 설정하였으며, 시간적 범위는 2020년으로 설정하였다. 연구방법으로는 먼저, LM 검증을 통해 적합한 공간 모형을 추정한 후, 적합한 모형을 적용한 공간회귀분석을 실시하였다. 분석 결과, 유니버설 디자인 관광지의 공간적 특성은 관광약자가 이용 가능한 시설로 인증된 유니버설 인증업소 수, 외식업소 수, 버스정류장 수와 정(+)의 영향관계를 갖는 것으로 나타나 유니버설 디자인 관광지가 밀집된 행정동에 유니버설 인증업소와 외식업소, 버스정류장이 다수 분포하는 것을 확인하였다. 이러한 분석 결과는 향후 관광향유권의 도모를 위한 정책과 국내의 유니버설 디자인 정책 개선에 시사점을 제공할 수 있을 것으로 판단된다.

• 가족자원경영과 정책
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• 제26권3호
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• pp.49-64
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• 2022

이 연구는 우리나라 노인들을 의료취약성 정도에 따라 네 집단으로 세분화하여 경제적, 비경제적 사유로 인한 미충족의료 경험 차이를 분석하고, 이에 따른 정책적 시사점을 도출하였다. 2018년 한국의료패널 자료를 사용하였으며, 65세 이상 노인 4,147명에 대해 분석을 실시하였다. 노인들을 세분화한 결과, 일반건강보험가입자가 79.6%, 비수급빈곤층이 13.6%, 차상위경감대상자가 1.1%, 의료급여수급자가 5.7%의 비율을 차지하였다. 분석결과에 따르면, 병의원 또는 치과진료에 대해 노인들의 12.6%는 경제적 사유로, 10.6%는 비경제적 사유로 미충족의료를 경험한 것으로 나타났다. 의료취약계층 노인의 미충족의료 경험률은 비취약계층인 일반건강보험가입자에 비해 전반적으로 높았는데, 이는 대부분 경제적 사유에 따른 경험률 차이에서 비롯된 것이었다. 경제적인 사유로 인한 미충족의료 경험률은 일반건강보험가입자가 9.8%였던 반면, 비수급빈곤층은 18.9%, 차상위경감대상자는 40.0%, 의료급여수급자는 31.5%로 큰 차이가 있었다. 다른 영향요인을 통제한 로지스틱 분석 결과, 모든 의료취약계층이 일반건강보험가입자에 비해 경제적 사유로 미충족의료를 경험할 확률이 유의하게 높았는데, 비수급빈곤층은 약 1.4배, 차상위경감대상자는 3.3배, 의료급여수급자는 2.4배 높아졌다. 반면, 비경제적 사유로 인한 경험은 일반건강보험가입자 대비 의료급여수급자의 경우에만 1.7배 증가하였고, 다른 집단에서는 유의한 차이가 없었다. 이를 바탕으로 본 연구는 의료취약계층 노인들의 필수적 의료자원 보장을 위한 정책적 시사점을 제시하였다.

• 지능정보연구
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• 제28권2호
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• pp.279-306
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• 2022

공공기관과 정부는 시민에게 음성 기반 서비스 챗봇을 제공함으로써 시민 복지를증진하고 사회적 취약계층과 원활한 공공소통을 도모할 수 있다는 전제로 논의를 전개한다. 이 논문의 연구 목적은 지능형 정부가 ICT를 기반으로 조직 내외 지식 및 정보를 데이터화하고 체계화하여 능률적으로 관리하고 시민들, 특히 취약계층의 정보 접근과 활용을 용이하게 하여 신속하고 효율적인 행정서비스를 제공해 줄 방안을 제안하기 위함이다. 연구방법으로 소규모 설문조사를 통해 음성기반 서비스 제공을 앞둔 공공기관에 대한 시민들의 태도, 인식 및 기대가 긍정적임을 확인하고, 인공지능에 관한 지식을 갖춘 전문가들 인터뷰를 통해 음성기반 서비스에 필요한 기술적 측면과 공공기관 음성기반서비스 제공의 의의 및 필요성, 구축시 고려해야 할 제반사항들과 정책적 제언, 시사점을 살펴보고 한계 및 연구발전에 대해 고민해본다. 결과적으로, 챗봇의 음성기반서비스는 더 폭넓은 시민들이 지능형 정부에 참여를 실현하며, 정보 접근성을 강화하고 사회적 취약계층의 인권 및 기본권 보장·강화하는 사회적 배려와 디지털 포용을 실천하는 계기와 발판을 제공함에 큰 의의를 지닌다.

• 산학경영연구
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• 제17권
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• pp.27-52
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• 2004

1960년대와 1970년대에 걸친 한국경제의 성공적 도약과 이에 따른 기업의 성장은 정부의 적극적 개입에 의한 것이다. 이러한 정부주도의 경제성장이 우리나라에서 성공하게 된 이유는 박정희 정권이 효과적인 관료제를 확립하였을 뿐 아니라 수출실적 등과 같은 객관적 기구에 의하여 시장기구 못지않은 기율을 기업들에 실시한데 있다. 1960년대의 기업성장 및 기업집단 형성의 요인들로는 경제개발과정에서의 정부정책사업 및 수출 진흥정책에의 편승에 의한 특혜, 차관도입을 위시한 금융특혜, 공기업의 민영화 및 부실차관기업의 정리, 그리고 월남특수 등을 들 수 있다. 1970년대에는 8.3 사채동결조치, 중화학공업화, 중동건설특수, 종합무역상사제도의 도입 그리고 60년대 정부의 금융지배이후 계속되어오는 금융 및 자본시장에서의 경제적 지대를 기업성장 및 기업집단형성의 요인들로 들 수 있다. 그러나 이러한 특혜에 의한 성장은 기업의 비관련 다각화를 촉진시켰고, 간접금융에 의존하는 악성 기업재무구조를 유도하였고, 재벌중심의 독과점산업구조를 형성시켰다.

• Journal of Gastric Cancer
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• 제15권3호
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• pp.176-182
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• 2015

Purpose: To compare the surgical outcomes of laparoscopic total gastrectomy between elderly and non-elderly patients. Materials and Methods: Between 2008 and 2015, a total of 273 patients undergoing laparoscopic total gastrectomy for gastric carcinoma were divided into two age groups: elderly (${\geq}70$ years, n=71) vs. non-elderly (<70 years, n=172). Postoperative outcomes, including length of hospital stay, morbidity, and mortality were compared between the groups. Results: The elderly group showed a significantly higher rate of comorbidities and American Society of Anesthesiologists scores than those in the non-elderly group. No significant differences were found with respect to lymphadenectomy or combined organ resection between the groups. After surgery, the elderly group showed a significantly higher incidence of grade III and above complications than the non-elderly group (15.5% vs. 4.1%, P=0.003). Among the complications, anastomosis leakage was significantly more common in the elderly group (9.9% vs. 2.9%, P=0.044). Univariate and multivariate analyses showed that old age (${\geq}70$ years) was an independent risk factor (odds ratio=4.42, 95% confidence interval=1.50~13.01) for postoperative complications of grade III and above. Conclusions: Elderly patients are more vulnerable to grade III and above complications after laparoscopic total gastrectomy than non-elderly patients. Great care should be taken to prevent and monitor the development of anastomosis leakage in elderly patients after laparoscopic total gastrectomy.

• Journal of Preventive Medicine and Public Health
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• 제51권4호
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• pp.173-180
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• 2018

Objectives: Immunization is considered one of the most successful and cost-effective public health interventions protecting communities from preventable infectious diseases. The Korean government set up a dedicated workforce for national immunization in 2003, and since then has made strides in improving vaccination coverage across the nation. However, some groups remain relatively vulnerable and require intervention, and it is necessary to address unmet needs to prevent outbreaks of communicable diseases. This study was conducted to characterize persistent challenges to vaccination. Methods: The study adopted a qualitative method in accordance with the Consolidated Criteria for Reporting Qualitative Research checklist. Three focus group interviews were conducted with 15 professionals in charge of vaccination-related duties. The interviews were conducted according to a semi-structured guideline, and thematic analysis was carried out. Data saturation was confirmed when the researchers agreed that no more new codes could be found. Results: A total of 4 main topics and 11 subtopics were introduced regarding barriers to vaccination. The main topics were vaccine hesitancy, personal circumstances, lack of information, and misclassification. Among them, vaccine hesitancy was confirmed to be the most significant factor impeding vaccination. It was also found that the factors hindering vaccination had changed over time and disproportionately affected certain groups. Conclusions: The study identified ongoing unmet needs and barriers to vaccination despite the accomplishments of the National Immunization Program. The results have implications for establishing tailored interventions that target context- and group-specific barriers to improve timely and complete vaccination coverage.

• Nutrition Research and Practice
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• 제14권3호
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• pp.276-285
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• 2020

BACKGROUND/OBJECTIVES: As watching food-related programs has become very popular among the young generation in Korea, this study sought to compare the Mukbang- and Cookbang-watching status of university students with their dietary life. SUBJECTS/METHODS: The participants were 380 students who were not majoring in food and nutrition at a university in Gyeonggi, Korea. Based on self- reports, the participants were grouped according to their frequency of watching Mukbang or Cookbang: frequent-watching (FW) 21.1% and 5.3%, respectively; moderate-watching (MW) 43.9% and 27.9%, respectively; and not-watching (NW) 35.0% and 66.8% respectively. RESULTS: In the FW group, up to 88.8% and 70.0% of participants reported watching Mukbang and Cookbang, respectively, ≥ 3 days/week. Almost all participants in the FW and MW groups reported intention to keep watching these shows. The most frequent watching route was "YouTube" and the most important criterion to select a program was "food". In the case of Mukbang, but not Cookbang, the participants in the FW group scored their diet significantly worse than those in the NW group (P < 0.05). A greater proportion of participants felt that watching Cookbang improved their diets rather than worsened them (14.3% vs. 0.8%, respectively), while more participants said that watching Mukbang worsened their diets rather than improved them (8.1% vs. 2.4%, respectively). In both cases, greater differences were shown in the FW groups compared to the MW groups (P < 0.05 and P < 0.01 for Cookbang and Mukbang, respectively). Moreover, the participants answered that Mukbang-watching prompted them to eat more of less desirable food, such as through eating out and purchasing convenient and delivered foods, whereas Cookbang-watching made them want to cook more of their own food. CONCLUSIONS: Our results suggested that Korean university students who frequently watch Mukbang, but not Cookbang, may be a nutritionally vulnerable group that needs attention.

• 보건행정학회지
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• 제24권1호
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• pp.24-34
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• 2014

Background: Bankrupted households have recently been increased due to excessive medical expenditure in Korea. They have not been protected from economic risk when household's member has severe diseases that need a lot of money for treatment. Purpose of this study examines policy effect by comparing unmet needs' change of policy object households and non-object groups. Methods: We used Korea Health panel 2nd 4th data collected by Korea Institute for Health and Social Affairs and National Health Insurance Service. Analysis subjects were 381 households (pre-policy) and 393 households (post-policy) that had cancer and cardiovascular and cerebrovascular diseases. Since it was major concern that estimates benefit strengthening policy started by certain time, we setup comparing households which had diabetes, hypertension disease. Comparison subjects were 393,247 households, respectively and we evaluated policy effect using difference in difference (DID) model. Results: Although unmet needs of policy object households were higher than non-object groups, policy execution variable affected negative direction. But interaction-term which shows pure effect of policy was not statistically significant. We utilized multi-DID model to examine factors affecting unmet needs causes. Copayment assistance policy did not significantly affect households that responded to 'economic reason,' and 'no have time to visit' for unmet needs causes. Conclusion: The second copayment assistance policy did not significantly give positive effect to beneficiary households than non-beneficiary groups. When we consider that primary purpose of public insurance guarantee high medical expenditure occurred by unexpected events, it needs to deliberate on switch of benefit strengthening policy that can assist vulnerable people. Also, we suggest that government forward a policy covering non-reimbursable medical expenses as well as switch of benefit strengthening direction because benefit policy do not affect non-covered medical cost which accounts for quarter of total health expenditure.