• 가족자원경영과 정책
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• 제18권1호
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• pp.141-162
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• 2014

The purpose of this research is to suggest some measures to improve policy issues by analyzing policy related to a child care service program in the community. Gilbert and Terrell's social policy analysis framework is used to analyze an after-school care service program for elementary school children. Furthermore, the Elementary Care Class(including the After-school Program), Youth After-school Academy, and Community Child Center, referred to as public care services, are employed to analyze community care service programs for children. The Elementary Care Class, Youth After-school Academy and Community Child Center are very similar in terms of the contents and application of the care service program for children, and mainly serve children in low-income groups. In addition, although user overlapping is an inevitable problem because the operating time of the Elementary Care Class and After-school Program coincides with that of the Youth After-school Academy and Community Child Center, it is structurally very hard to adjust the content of service, operating time, and so on because of differences in the delivery system for each program. Therefore, it is necessary to generate a unified delivery system to manage after-school care service programs for children and create a new special control tower to solve these problems. Furthermore, it is needed to extend the services to children from general double-income family, which is a blind spot of the care service.

• 한국지역사회생활과학회지
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• 제24권1호
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• pp.51-70
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• 2013

The purpose of the study was to analyze the determinants on the absence of after-school care among elementary students. This study is based on the National Children and Youth Panel Survey(2010) data and analyzed through Binary Logit Model and Multinominal Logit Model. The Following results were obtained: First, school grades, the number of siblings, mother's education, family type by parental employment, family structure, family type by parental nativity, and family income, all affected the absence of after-school care. Second, the absence days of after-school care was affected by different factors. 1day-2days a week in absence of after-school was more likely to increase among children with more siblings and an older father. On the other hand, spending over 3-4days a week without after-school care was more likely to increase among mothers with lower education, dual-earner families, multicultural families, lower family incomes, small cities and rural areas. Based on the results of this study, we agree with the generalization and the diversification of after-school care policy for elementary school students.

• 예술인문사회 융합 멀티미디어 논문지
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• 제6권7호
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• pp.219-228
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• 2016

본 연구는 방과후학교 민간위탁의 정책 변화과정을 조사하고, 향후 대안을 제시하는데 목적이 있다. 본 연구를 위해 정책관련 연구 자료와 관련 법규를 문헌조사 하였다. 조사결과 2004년부터 2008년은 교육부에서 방과후학교 운영계획을 수립하였으나 학교운영위원회의 심의(자문)를 통해 단위학교의 자율로 민간위탁이 진행되었고, 2008년부터 2015년은 교육부와 시도교육청에서 공동으로 제작한 '방과후학교 운영 가이드라인'에 제시된 표준화된 절차를 따르고 있었으며, 2016년 이후에는 방과후학교 민간위탁 시 계약법을 적용하도록 하는 등 정책 변화가 있었다. 2016년 이후의 정책 변화는 방과후학교 민간위탁의 투명성 확보 필요성과 함께 방과후학교 민간위탁 계약규모가 커지면서 계약법을 준수해야 하는 법적 필요성에 기인한다. 하지만 최저가 입찰방식으로 인해 방과후학교 교육의 질이 떨어질 수밖에 없다는 우려의 목소리도 함께 제기되고 있다. 정부에서는 기초금액에서 일정비율 이상을 인건비로 지급하도록 하여 지나친 가격경쟁을 방지하는 대안을 제시하였지만, 본 논문에서는 보다 근본적인 해결 방안으로 방과후학교 교육활동 및 시도의 특수성을 담아내는 시도의 조례를 제정하는 방안을 제시하였다.

• 보건행정학회지
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• 제23권1호
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• pp.19-34
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• 2013

Background: The study describes the changes resulted from imposition on tertiary hospital outpatient coinsurance rate rise policy and in tertiary or general hospital drug coverage rise policy on healthcare service utilization. Methods: Accordingly, the hypothesis about outpatient healthcare utilization after rise policy in outpatient coinsurance rate and drug coverage was established, using interrupted time-series analysis and segmented regression analysis to test the hypothesis. 5-year analysis period (2007. 3-2012. 3) from the outset year was designated, the data about most common 10 high-ranking of the main diseases targeting visiting patient from age of 6 to 64 were collected. Results: The summary on the major research is followed. First, the medical expense and duration of treatment tends to be increased in case of imposition about rise policy in outpatient coinsurance rate in the tertiary hospital under the interrupted time-series analysis. It showed temporary increase and slow down on account of influenza A even after the policy enforcement. In segmented regression analysis, duration of visit and medical expense in the tertiary hospital increased temporally right after the policy implementation and the decreased rapidly depends on period. Both rise and fall is statistically significant. The second, In case of tertiary or general hospital outpatient drug coverage rise policy, all of the tertiary hospital healthcare service utilization variables by the interrupted time-series analysis, drug coverage policy in the general hospital deeply declined according to decreasing trend before policy implementation. The third, in case of segmented regression analysis, the visit duration and medical expense statistically declined right after the policy implementation in both the tertiary and general hospital. Meanwhile, administration day was statistically meaningful only for the decrease right after the policy implementation. Otherwise, general hospital changes are not statistically meaningful. And the medicine cost was statistically, meaningfully decreased after the increase in drug coverage. Conclusion: Finally, the result demonstrated according to the analysis is only 1 hypothesis is denied, the other 2 are partially supported. Then, tertiary hospital outpatient coinsurance rate increase policy comparatively makes decrease effect on long-term healthcare utilization, and tertiary or general hospital outpatient drug coverage policy showed partially short-term effect is assured.

• 한국생활과학회지
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• 제22권1호
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• pp.1-15
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• 2013

Using the National Children and Youth Panel Survey (2010) data, this study examines the self-care after school experienced by elementary school students. It argues the necessity of analysis on self-care days for understanding demanders' characteristics of after-school care policy. Based on the Ordered Logit Model, this study analyzes the determinants of self-care days among school-aged children. The main result of the analysis is that self-care days are also more likely to be increased among children with higher school grade, more sibling, lower mother's education, dual-earner family, two-parent family, multi-cultural family, and lower family income.

• 문화기술의 융합
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• 제6권3호
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• pp.293-300
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• 2020

본 연구는 초등학생 자녀를 둔 어머니의 방과후 돌봄교실에 대한 인식과 정책적인 요구에 대해 알아보는 데 목적이 있다. 연구참여자는 서울, 경기, 인천, 강원에 있는 초등학생 자녀를 둔 어머니 25명이었다. 자료수집은 2017년 6월 23일부터 2017년 7월 18일까지 포커스그룹면담으로 이루어졌다. 자료분석을 통해 연구결과를 '어머니가 바라보는 방과후 돌봄교실의 현실'과 '어머니의 방과후 돌봄교실에 대한 정책적 요구'로 분석하였다. '어머니가 바라보는 방과후 돌봄교실의 현실'은 '전반적인 방과후 돌봄교실의 수준이 낮음', '로또같은 선정확률', '교사의 수준에 따라 달라지는 교육의 질', '돌봄교실에 다니는 아이에 대한 부정적인 인식'으로 제시하였다. '어머니의 방과후 돌봄교실에 대한 정책적 요구'는 '사고육의 대체제로 자리매김하기', '학부모 기대와의 괴리감 개선', '돌봄 대상 선정자의 확대', '탄력적인 운영에 대한 요구'로 제시하였다. 본 연구의 결론으로 첫째, 방과후 돌봄교실이 돌봄 기능에 집중할 필요가 있다. 둘째, 방과후 돌봄교실의 수준별 운영이 필요하다. 셋째, 방과후 돌봄교실이 사교육의 대안으로 자리매김할 수 있도록 부모의 현실적인 요구를 반영하여야 한다.

• 한국수학교육학회지시리즈D:수학교육연구
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• 제17권1호
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• pp.29-46
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• 2013

Introduction: According the 2011 Taiwanese Government Statistics, the lower secondary school enrollment number of the new-immigrant-children is about 200,000. As known, most of the new immigrants are from the Southeast Asian countries, such as Vietnam, China, Indonesia, Thailand, the Philippines and Cambodia. In order to satisfy the increasing needs and demands on education of the children of new immigrant (CNI, henceforth), Taiwanese government not only develops, but also puts the after-school learning assistance policy into practice from 2006. Therefore, the main purpose of this study is to explore the mathematics achievement of the CNI after the implementation of the after-school learning assistance policy (AsLA policy, henceforth). Purposes: Firstly, to compare the mathematics achievement of the CNI by countries. Secondly, to compare the mathematics performance among the CNI, the children from high-risk family (CHRF, henceforth) and the children of general families. Samples: The 2,452 samples, selected from two junior high schools located in central Taiwan, include 157 CNI, 522 CHRF. Methods: The main method used in this study is interval fuzzy number (IFN, henceforth) in order to compare the mathematics achievement of the children after the implementation of the AsLA policy from different type of families. Results: To reach the two purposes of this study. We can find the effectiveness of mathematics performance from three group's children of new immigrants, high-risk, general family. Therefore, the results provide one of the ways to review the new immigrant's education policy of after-school learning assistance in Taiwan.

• Journal of Korean Neurosurgical Society
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• 제63권5호
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• pp.566-578
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• 2020

Objective : Radiation is known to induce autophagy in malignant glioma cells whether it is cytocidal or cytoprotective. Dexamethasone is frequently used to reduce tumor-associated brain edema, especially during radiation therapy. The purpose of the study was to determine whether and how dexamethasone affects autophagy in irradiated malignant glioma cells and to identify possible intervening molecular pathways. Methods : We prepared p53 mutant U373 and LN229 glioma cell lines, which varied by phosphatase and tensin homolog (PTEN) mutational status and were used to make U373 stable transfected cells expressing GFP-LC3 protein. After performing cell survival assay after irradiation, the IC₅₀ radiation dose was determined. Dexamethasone dose (10 μM) was determined from the literature and added to the glioma cells 24 hours before the irradiation. The effect of adding dexamethasone was evaluated by cell survival assay or clonogenic assay and cell cycle analysis. Measurement of autophagy was visualized by western blot of LC3-I/LC3-II and quantified by the GFP-LC3 punctuated pattern under fluorescence microscopy and acridine orange staining for acidic vesicle organelles by flow cytometry. Results : Dexamethasone increased cell survival in both U373 and LN229 cells after irradiation. It interfered with autophagy after irradiation differently depending on the PTEN mutational status : the autophagy decreased in U373 (PTEN-mutated) cells but increased in LN229 (PTEN wild-type) cells. Inhibition of protein kinase B (AKT) phosphorylation after irradiation by LY294002 reversed the dexamethasone-induced decrease of autophagy and cell death in U373 cells but provoked no effect on both autophagy and cell survival in LN229 cells. After ATG5 knockdown, radiation-induced autophagy decreased and the effect of dexamethasone also diminished in both cell lines. The diminished autophagy resulted in a partial reversal of dexamethasone protection from cell death after irradiation in U373 cells; however, no significant change was observed in surviving fraction LN229 cells. Conclusion : Dexamethasone increased cell survival in p53 mutated malignant glioma cells and increased autophagy in PTEN-mutant malignant glioma cell but not in PTEN-wildtype cell. The difference of autophagy response could be mediated though the phosphatidylinositol 3-kinase/AKT/mammalian target of rapamycin signaling pathway.

• 보건행정학회지
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• 제18권3호
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• pp.90-109
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• 2008

Government has extended the benefit coverage and reduced out-of-pocket (OOP) payment for cancer patients in 2005. This paper intends to examine the impact of the above policy on the equity in health care utilization. This paper analyzed the national health insurance data and compared the health care utilization of cancer patients before and after the policy change for people with 10 different income levels. For the equity in health care utilization, we examined the change in concentration index (CI) for visit days, inpatient days, and health expenditure. In the case of outpatient care, CI of visit days and health expenditure were positive(favoring the rich) in both regional and employee health insurance members and both 'before' and 'after' the policy change. CI values rarely changed after the policy change, and the policy change seems to have little impact on the equity of outpatient care utilization except expenditure of regional subscriber. In the case of inpatient care, CI of inpatient days was negative and CI of health expenditure was positive in both regional and work subscriber and both 'before' and 'after' the policy change. After the policy change, CI of inpatient expenditure in both groups of members decreased. CI of inpatient days changed in the direction favoring the poor in regional insurance members, but it rarely changed in employee insurance members. These results suggest that the policy of reducing OOP payment has a positive impact and reduced the inequity particularly in the utilization of inpatient care of cancer patients.

• 한국학교보건학회지
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• 제28권3호
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• pp.139-149
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• 2015

Purpose: This study aims to analyze the factors affecting the agenda-setting process and the formation process of school-based mental health policies by applying a policy stream model. Methods: For this purpose, Kingdon's policy stream model was used as the analytical framework. Results: First, when establishing a school-based mental health policy, the agenda was set going through unpredictable and nonlinear changes. Second, for the school-based mental health policy to be selected onto the agenda and to be developed and implemented as an actual policy, the role of policy makers was considered most important in the process. Third, the policy window for school-based mental health policy was closed around the year 2013. Finally, an analysis of the school-based mental health policy stream identified two key features. One is that the school-based mental health policy first emerged when school violence prevention policy expanded its scope into relevant neighboring policies. The other is that the school-based mental health policy has taken shape through a linear decision-making process (being put on the government's agenda, searching for an alternative, selection, and implementation) during the policy implementation period after it has been selected as an alternative policy. Conclusion: Conclusions can be summed up as follows. The school-based mental health policy needs continuous development and improvement in case the window for the policy may open in the coming future. The government's support is needed to draw policy makers' interest and participation who play the biggest role in establishing policies.