• 제목/요약/키워드: accessibility improvement

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침수피해지역의 응급이송서비스 취약성 분석 (Analysis of Vulnerability of Emergency Transport Service for Flooded Area)

  • 이윤하;홍원화;이지수;최준호
    • 한국화재소방학회논문지
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    • 제32권4호
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    • pp.122-130
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    • 2018
  • 최근 도시화 및 인구의 밀집화는 전 세계적인 기후변화의 영향과 더불어 재난의 대형화 및 복합화를 유발하고 있다. 그러나 국내의 경우, 재난발생에 대하여 예방, 구조, 복구에 중점을 두고 있으며, 재난 시 생명유지에 절대적으로 필요한 재난의료는 외면되고 있는 실정이다. 따라서, 본 연구에서는 침수피해가 빈번하며, 지하주택이 밀집되어 피해가능성이 크다고 판단되는 서울시를 대상으로, 침수이력지역의 지하주택을 응급환자 발생지로 가정하고 이송거리 및 이송시간을 분석하였다. 본 연구는 응급의료시설과 재난발생지로의 접근성과, 구급대로부터 재난발생지로의 접근성을 함께 고려하여 응급의료서비스 개선의 기초자료로써 의의가 있다고 판단된다.

지역거점 공공병원의 의료서비스 질과 고객충성도와의 관계 (Regional Hub Public Hospital Medical Service Quality and Customer Loyalty Relationship)

  • 이진우
    • 한국콘텐츠학회논문지
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    • 제16권12호
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    • pp.761-771
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    • 2016
  • 본 연구는 지역거점 공공병원의 의료서비스 질과 고객충성도와의 관계를 연구하여 의료서비스 질의 향상 방안을 제시하는데 그 의의가 있다. 조사대상자는 2014년 6월 9일부터 6월 30까지 지역거점 공공병원을 내원한 고객들로 604명을 최종 조사대상으로 선정하였다. 분석방법은 신뢰도 및 요인분석과 고객충성도에 영향을 미치는 요인을 파악하기 위하여 위계적 회귀분석을 실시하였다. 결론을 보면 고객충성도에 영향을 미치는 요인으로 접근성, 병원인지도, 지각 된 비용효과 가치, 인적서비스가 유의한 영향을 미치는 것으로 나타났다. 앞으로 지역거점 공공병원이 양질의 의료서비스를 제공하기 위해서는 지속적인 관리를 통해 고객관리의 연속성을 가지는데 집중함으로써 이용빈도와 충성도를 높이기 위한 노력이 필요하다.

치석제거 요양급여 확대 정책으로 인한 치과의료 접근성 향상 (Improvement of Accessibility to Dental Care due to Expansion of National Health Insurance Coverage for Scaling in South Korea)

  • 허지선;남수현;이보라;허경석;정일영;최성호;이주연
    • 대한치과의사협회지
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    • 제57권11호
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    • pp.644-653
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    • 2019
  • Since 2013, adults aged over 20 can receive national health insurance scaling once a year in South Korea. In this study, we analyzed the usage status of national health insurance care service for periodontal disease in 2010-2018 by using Healthcare big data of the Health Insurance Review and Assessment Service. The increase rate of the dental care users was very high at 7.8 and 11.2% in 2013 and 2014, respectively. These are higher than the increase rate of all medical institution users, which is between -1.7 and 3.7%. In 2017, the rate of dental use was 44.4%, which has increased more than 10% compared to 2012. Percent receiver of national health insurance scaling was 19.5% in 2017. The 20s had the highest rate of 23.2%. The rate decreased with age. Based on these results, it can be evaluated that the expansion of national health insurance coverage for scaling improves accessibility to dental care. A more long-term assessment of the effect of periodic dental examination and scaling on reducing the prevalence of periodontal disease is needed. National health insurance coverage should be extended to oral hygiene education and supportive periodontal therapy in order to prevent periodontal disease.

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어촌지역의 농어촌서비스기준 실태와 이행실적 점검방식의 개선방안 (Rural Standard Services Condition in Rural Fishing Area and The Improvement of Checking Methods for Implementation performance)

  • 김정태
    • 농촌계획
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    • 제18권3호
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    • pp.91-101
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    • 2012
  • The purposes of this study were to identify the living environment in rural fishing area and to suggest checking methods for implementation performance. Rural service standard is the key factor of rural development in Korea. In 2012. The first Implementations of performance was announced. The results were presented to the unit by the City and the County. Because of Fishing villages exists as a unit by the haengjeongri. It is difficult to know the status of the fishing villages by the Rural service standard. In order to look for the actual conditions in rural fishing village it was investigated in the 100 Eochongye. The data used in the analysis is 577 questionnaires. Analysis showed that rural fishing areas were superior to general state of rural in the 8 items of rural service standard. Especially housing, transportation and health care sector in rural fishing area wes better than general state of rural. But Public safety and order is relatively poor. This is because Fishing village contains islands. Presenting to improve rural service standard based on the results of research. The items of rural service standard should be measured the actual residents' accessibility than opportunity of the public service, and after setting the rural service standard clearly related to the quality of life of residents in each sector. Accessibility aspects of the customer for the public services should be considered. Checking the performance for the unit by the City and the County should be replaced as a living zone in order to consider the facilities using nearby.

장애인의 의료기관 접근성은 향상되었는가? - 서울시 종로구 병의원을 대상으로 - (Has Disabled Access in Healthcare Institutions been Increased? - A Case Study of Jongno-gu in Seoul, Korea -)

  • 이진용;정재영;김유경;전은경;김소윤;김현주;이보우
    • 보건행정학회지
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    • 제22권4호
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    • pp.696-702
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    • 2012
  • The purpose of this study was to evaluate the improvement of disabled access to healthcare institution located in Jongno-gu, Seoul in 2011 compared to 2003 since disabled access has been mandatory in healthcare institutions located in new buildings by the amended law in 2004. We had investigated 10 assessment items for disabled access in 166 healthcare institutions located in Jongno-gu, Seoul and the results were compared with those of 2003 survey. On average, 74.1% of the healthcare organizations has equipped with items for disabled access. However the adequately equipped rate for those items was only 39.2%. Compared with the results of 2003 survey, these rates showed a little increase by 4.1% and 8.0%, respectively. There were only 10 healthcare institutions located in new buildings which were constructed after July, 2005. Their average equipped rate(84.4%) and adequately equipped rate(46.8%) were higher than those of the other organizations because the Korean government ruled that healthcare institutions in new buildings must have facilities for the disabled. In conclusion, we confirmed that the accessibility of the disabled to healthcare institution slightly increased. In particular, the healthcare institutions in newly constructed building showed the significant increase of accessibility of the disabled. However, it is founded that disabled access is still not enough for the disabled.

문화와 과학의 융합적 관점에서 본 전통음식의 역사 및 미래 (Traditional Foods: Historical Perspectives and Future Prospects)

  • 김희섭
    • 한국식생활문화학회지
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    • 제30권1호
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    • pp.1-7
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    • 2015
  • Traditional cuisine reflects cooking traditions shaped by political, economic, social, cultural, and environmental conditions characterized by authenticity and uniqueness. Traditional food is not only a part of our cultural heritage but also a knowledge resource. Application of food science and technology in Korean traditional foods was reviewed from six points of view, including food preservation, fermentation, changes in food materials, utilization of food functionality, and packaging and development of cooking appliances. Books from disparate times were chosen in order to cover a wide range of materials from the past to the present. Food preservation and fermentation techniques were applied to various food materials. Combination of science and skills contributes to the accessibility of diverse food materials and better quality foods. Koreans use assorted and resilient plants, which have an abundance of functional substances such as food materials. Among cooking appliances, microwave oven and refrigerator are the most innovative products with huge influences on food eating patterns as well as lifestyle. Packaging effectively reduces post-harvest preservation losses, and better packaging has technical improvements for storage and distribution. Kimchi was chosen as an example in order to study technology from the past to the present. Availability of Kimchi cabbage, enrichment of functional ingredients, identification of useful microbial species, standardization of recipe for commercialization, prevention of texture softening, introduction of salted Kimchi cabbage and Kimchi refrigerators, and packaging were reviewed. The future of traditional foods in the market will be competitive. First, traditional foods market should be maintained to protect the diversity of food materials. Secondly, tailored foods for individuals should be considered using foods with functional properties. Information on health benefits would provide insights into health and traditional food products. Third, speedy transfer of new technology to the traditional food industry is needed to ensure food quality production and new opportunities in the market. Fourth, safety of traditional foods should be ensured without sacrificing the essential characteristics of culturally important foods. Improvement of logistics, distribution, and facility should be carried out. As demand for convenience foods increases, traditional foods should be developed into products.

Effect of chemical input during wet air oxidation pretreatment of rice straw in reducing biomass recalcitrance and enhancing cellulose accessibility

  • Morone, Amruta;Chakrabarti, Tapan;Pandey, R.A.
    • Korean Journal of Chemical Engineering
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    • 제35권12호
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    • pp.2403-2412
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    • 2018
  • The present study was aimed at evaluating the effect of variable sodium carbonate ($Na_2CO_3$) loading during wet air oxidation (WAO) pretreatment of rice straw in reducing biomass recalcitrance. The research study was intended to increase the cellulose recovery, hemicellulose solubilization, lignin removal in the solid fraction and limiting the generation of inhibitors in the liquid fraction while reducing the chemical input. The operating condition of $169^{\circ}C$, 4 bar, 18 min and 6.5 g/L $Na_2CO_3$ loading resulted in maximum cellulose recovery of 82.07% and hemicellulose solubilization and lignin removal of 85.43% and 65.42%, respectively, with a total phenolic content of 0.36 g/L in the liquid fraction. The crystallinity index increased from 47.69 to 51.25 along with enzymatic digestibility with an increase in $Na_2CO_3$ loading from 0 to 6.5 g/L as a result of removal of barriers for saccharification via effective cleavage of ether and ester bonds cross-linking the carbohydrates and lignin as indicated by FT-IR spectroscopy. A further increase in the $Na_2CO_3$ loading to 9.5 g/L did not significantly increase the sugar release. Thus, it was concluded that 6.5 g/L $Na_2CO_3$ during WAO is sufficient to increase the delignification and deacetylation, leading to significant changes in apparent cellulose crystallinity inter alia improvement in cellulose accessibility and digestibility of rice straw.

Space Syntax를 이용한 교통수요예측의 중력모형 저항함수의 개선방안 (A Study on Improvement of Gravity model Decay Function of Transporting Demand Forecasting Considering Space Syntax)

  • 장진영
    • 한국산학기술학회논문지
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    • 제20권3호
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    • pp.617-631
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    • 2019
  • 본 4단계 교통수요예측모형의 통행분포단계에서 중력모형이 가장 일반적으로 활용하고 있다. 본 연구는 중력모형변수(통행시간, 통행비용 등)의 가변적인 한계를 보완하기 위해 접근성 속성을 단일 마찰인자로서 표현할 수 있는 보다 현실적이고 장래 활용이 용이한 신규 마찰인자를 개발하는데 그 목적이 있다. 이에 신규 마찰인자 도출을 위해 도시공간구조의 특성을 정량화할 수 있는 공간구문론(space syntax)을 활용하여 Link 단위 통합도를 도출 후 통행시간, 통행거리 관계를 이용해 일종의 대리변수로서의 신규 마찰인자를 도출하였다. 대수전환을 통한 마찰인자별 정산결과, 기존 마찰인자(최단거리, 통행시간) 대비 유사하거나 더 높은 수준을 보이는 것으로 분석되었다. 다양한, 검증지표를 활용하여 기존 마찰인자와의 비교시, 전체적으로는 기존 마찰인자와 유사하지만, 단거리 구간 및 장거리 구간에서 설명력이 뛰어난 것으로 분석되었다. 따라서, 기존 최단거리의 한계에서 벗어나 접근성을 보완할 수 있는 통합도 지표를 이용하여 신규마찰인자 도출 및 적용이 가능하고, 장래 활용성에서 좀 더 장점을 갖는 것으로 판단된다.

제6기(2013-2015년) 국민건강영양조사를 활용한 미취학 아동의 미충족 치과의료에 영향을 미치는 요인 (Factors influencing unmet dental needs of preschool children: A study based on data of the 2013-2015 Korea National Health and Nutrition Examination Survey (KNHNES))

  • 여안나;강유민;이수영
    • 한국치위생학회지
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    • 제19권1호
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    • pp.117-129
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    • 2019
  • Objectives: The purpose of this study was to investigate the influence of demographic characteristics and oral health status on unmet dental needs among preschool children and to provide a basis for improvement of the dental care equality and accessibility using data from the $6^{th}$ National Health and Nutrition Survey. Methods: This study was performed using data collected from the $6^{th}$ National Health and Nutrition Survey. The subjects were 1,472 out of 22,940 people, who participated in the survey and under went oral examination. IBM SPSS Statistics (Version 20.0) was used for statistical analyses based on the complex sampling design. Frequency analysis was performed to determine the distribution of unmet dental needs according to the characteristics of the subjects. The Rao-Scott ${\chi}^2$ test was performed to examine the relationship of unmet dental needs with general characteristics and health- and oral health-related variables. Relevant factors were determined using binary logistic regression analysis. Results: The factors that had statistically significant relations with unmet dental needs included age, medical insurance, household income, limited physical activity, history of dental caries in deciduous teeth, and subjective health status. Logistic regression analysis of complex samples was conducted to determine factors related to unmet dental needs. The results of analysis showed that limited physical activity and history of dental caries in deciduous teeth were related to unmet dental needs. Conclusions: The results show the factors affecting, and the reasons for, the unmet dental needs of preschool children. Future studies are needed to develop national projects and oral health education reforms to address inequalities in preschool children's dental care.

농촌다운 주거환경 조성을 위한 평가항목 개발 및 중요도 분석 - 네트워크 분석과 AHP 분석 활용 - (Development and importance analysis of evaluation factors for formation of future-oriented rural residential environment: using network analysis and AHP analysis)

  • 이차희;임정언;이상문;윤상헌
    • 농촌계획
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    • 제25권2호
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    • pp.89-98
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    • 2019
  • The purpose of this study is to develop the evaluation factors for formation of the future - oriented rural residential environment and to derive the importance of this evaluation factors. The main research methods are network analysis using Net-miner, AHP analysis and importance analysis for experts. The main research results are as follows. First, 6 factors for evaluation rural residential environment(environmental-sustainability, communality, self-reliance, aesthetic, enjoyment, settlement), 3 sub-factors of each factors, and key physical facilities(10 for rural center and 28 for rural villages) were derived by literature analysis and network analysis on it. Second, key priority factors that should be considered in physical formation of rural residential environment was deducted by AHP analysis. Improving accessibility of living services in the settlement factor, improvement of garbage collection and wastewater treatment system around the residential area, and ensuring topographic continuity in the environmental-sustainability factor was derived as a priority factors. Third, as a result of evaluation of the importance of physical facilities in the rural residential environment, there was a high demand for cultural welfare facilities in common. However, when compared with the villages where the harmony between the natural environment and the living environment is emphasized, convenience of living and accessibility of transportation were important in the rural center. These results suggest that solving the qualitative conditions as residential environment will help to attract new population. This study will contribute to enhance the qualitative level of the rural residential environment by suggesting strategic priority items when carrying out projects related to the rural residential environment creation in the future.