• 한국산학기술학회논문지
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• 제11권6호
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• pp.2078-2087
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• 2010

본 연구는 수술환자의 타지역 의료이용과 관련된 요인을 규명하기 위하여 2004년부터 2006년도의 퇴원손상 환자조사뿐 아니라, 인구센서스 및 보건의료자원 실태조사자료를 이용하여 교차분석, 로지스틱 회귀분석을 실시한 결과 다음과 같다. 첫째, 수술환자의 의료이용은 수도권 중심으로 집중화 현상이 뚜렷하다. 이를 개선하기 위해서 정부에서는 의료기관 및 병상수를 공급하는 일 뿐만 아니라 의료의 지역화를 위해 지방에서의 의료의 질적 수준을 올리는 정책이 필요하다. 둘째, 눈 및 부속기 질환 및 암환자의 타지역 수술률이 높으므로 질병에 따른 의료의 지역화를 위한 특정 질환의 지역화 정책추진이 요구된다. 셋째, 산재환자 수술환자의 타지역 진료율이 시간이 갈수록 증가하므로 손상환자를 위한 지역화 정책도 필요하다 할 것이다.

• 한국콘텐츠학회논문지
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• 제16권9호
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• pp.170-184
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• 2016

본 연구는 우리나라 공공임대주택정책은 '왜' 역대 정부에 따라서 경로변화를 할 수밖에 없었는가를 신제도주의 한 분파인 역사적 제도주의의 비교 역사적 분석방법과, 역사적 제도주의의 한계점을 보완하기 위하여 등장한 핵커(Hacker, 2004: 248)의 경로 진화모형을 혼합하여 분석하고자 한다. 우리나라는 고도의 산업화와 도시화로 인하여 이농현상이 초래되었으며 여기에 따른 부작용으로 주택문제가 심각한 사회문제로 대두되었다. 이러한 주택문제를 해결하기 위하여 역대 정부는 어떠한 정책을 시행하였는가를 살펴보고자 한다. 5,16군사정변으로 인한 제3공화국의 등장, 대한주택공사 설립, 정권의 정통성 부재에 대한 여론 호도용 이라는 우연성과 결정적 시기를 계기로 공공임대주택정책의 경로가 시작되었다고 보고 본 연구에서는 심층적인 연구를 하기 위해 경로진화 과정 중 이명박 정부의 '보금자리주택',과 박근혜정부의 '행복주택',을 비교 분석함으로써 공공임대주택정책의 현주소를 진단하고, 향후 공공임대주택정책의 바람직한 방향을 제시하는데 연구의 목적이 있다.

• 문화기술의 융합
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• 제6권3호
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• pp.125-133
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• 2020

본 연구는 중년층의 일반적 특성에 따른 치매정책인식, 치매지식, 치매태도 및 치매예방행위 차이분석을 위한 것이다. D시와 G시에 거주하는 40세에서 64세까지 중년층 217명을 대상으로 하였고, 구조화된 설문지로 자가설문조사를 수행하였다. 연구결과 대상자의 치매정책인식 정도는 75.42±8.52, 치매지식은 8.71±1.90, 치매태도는 28.55±5.10, 치매예방행위는 27.04±3.35이었다. 대상자의 일반적 특성에 따른 치매정책인식은 유의한 차이가 없었고, 치매지식은 성별, 질환 수, 치매정보 원천에서 유의한 차이가 있었으며, 치매태도는 성별, 나이, 학력, 가족 중 치매, 치매가족 동거, 직업상태, 조기검진, 치매정보 원천에서 유의한 차이가 있었다. 또한 치매예방행위는 치매가족 동거, 조기검진에서 유의한 차이가 있었다. 치매예방행위의 세부항목 순위는 '당신은 담배를 피우십니까?(역문항)'가 가장 높았고, '당신은 평상시 혈압이나 당뇨관리 등 질환관리를 하십니까?'는 가장 낮은 것으로 나타났다. 따라서 중년층의 치매정책인식을 높이고 올바른 치매지식, 긍정적 치매태도를 형성할 수 있는 전문적이고 체계적인 치매교육 프로그램 개발과 인지활동, 사회활동, 올바른 식생활 습관, 건강관리 등을 형성 및 유지할 수 있는 맞춤형 치매예방행위 프로그램 개발이 필요하다.

• 보건행정학회지
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• 제18권4호
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• pp.148-169
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• 2008

As the Korean Government began to perceive healthcare as one of foundational industries for national dynamics, there has been mounting advocacy for the introduction of for-profit hospitals with a view to bringing efficiency in healthcare services industries and improvement of their international competitiveness. The Government is now considering the issue from all angles in favor of permitting for-profit hospitals. However, There have been few precedent studies on this subject to provide helpful data for the discussion and in the health policy making. This study used private hospitals - for-profit and nonprofit - in Florida, USA as study subjects to accumulate basic data that may be utilized for those involved in debates and health policy making relating to the introduction of for-profit hospitals in Korea. Among all the private general hospitals in Florida, those surveyed by AHA(American Hospital Association) for four consecutive years from 2001 and 2004 and others reported about to MCR(Medicare Cost Report) included in the collected data for analysis. In total 139 private general hospitals consisting of 73 for-profit hospitals and 66 nonprofit hospitals were included in the collected analysis data. Results of analysis revealed no significant difference between for-profit hospitals and nonprofit hospitals in the usage aspects of healthcare services including the average length of stay and the ratio of Medicare vs Medicaid patients. However, financial performances indicated by such factors. as the pre-tax return on assets and the pre-tax operating margin showed to be significantly higher in for-profit hospitals compared with nonprofit hospitals. And the ratio of personnel expenses and the turn period of total assets showed to be significantly lower in for-profit hospitals. Based on the hypothesis that arguments about the introduction of for-profit hospitals have considerably different viewpoints depending on the size of hospital represented by the number of bed, these two hospital types were compared again using the number of beds as a controlled factor, but the results were similar. We, therefore, could conclude that the for-profit hospitals in Florida included in this study could, in their for-profit operation, improve their financial performance by pursuing cost reduction and effectively utilizing their assets without limiting the amount and the range of their services or avoiding less medically protected groups such as Medicare and Medicaid patients.

• 디지털융복합연구
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• 제14권7호
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• pp.309-319
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• 2016

보건의료데이터의 질적 수준을 향상시키기 위해서는 데이터 질 관리 알고리즘을 개발할 필요성이 있다. 이에 본 연구에서는 질환의 유병률, 입원율이 높은 고혈압 환자의 당뇨질환 동반에 관련된 데이터 질 관리 알고리즘을 개발하고자 하였다. 이를 위해 2011년, 2012년 퇴원손상심층조사 자료 중 고혈압 환자 61,199건을 추출하여 분석대상으로 하였다. 데이터 마이닝의 대화식 의사결정나무 방법과 Outlier Detection 방법론을 통해 데이터 질 관리 알고리즘 개발한 결과 고혈압 환자가 당뇨병을 동반상병으로 가지는데 영향을 미치는 요인으로는 성별, 연령, 당뇨병성 사구체 장애, 당뇨병성 망막병증, 당병성 다발성 신경병증 등이 있었다. 의사결정나무 결과에 따라 당뇨병을 동반상병으로 가질 확률 값이 80% 이상이거나, 20% 이하인 집단을 Outlier(극단치)로 정의하고, 고혈압 환자의 당뇨 동반에 대한 극단치를 가지는 6개 집단을 발견하였다. 이와 같이 Outlier(극단치) 집단에 포함되는 실제 데이터를 확인하여 데이터의 질적 수준을 향상 시킬 필요가 있다.

• Journal of Preventive Medicine and Public Health
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• 제42권1호
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• pp.12-20
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• 2009

Objectives : The purpose of this study was to analyze the association between the pattern of prophylactic antibiotic use(PAU) and the surgical site infection(SSI) rate for major surgeries in Korea. Methods : We retrospectively reviewed the medical records of patients who underwent cardiac, colon and gastric surgery, hysterectomies and hip/knee replacements at 20 hospitals, and inclusive of over 500 beds. We randomly sampled 60 cases per surgery type for patients discharged between September and November, 2006. A total fo 2,924 cases were included in our analysis. Cox's proportional hazard analysis was conducted to evaluate the association between the pattern of PAU and SSI rate. Results : The proportion of patients who received their first prophylactic antibiotics(PA) 1 hour before incision was 65.5%, who received inappropriate PAs was 80.8%, and the proportion of patients whose PA was discontinued within 24 hours of surgery was 0.5%. The average duration of PAU after surgery was 9 days. The relative risk(RR) of SSI in patients who received their first PA more than 1 hour before incision was significantly higher than for those who received it within 1 hour prior to incision(RR=8.20, 95% CI=4.81-13.99). Inappropriate PA selection increased SSI rate, albeit with marginal significance(RR=1.97, 95% CI=0.96-4.03). Also, prolonged PAU following surgery had no effect on SSI rate. Conclusions : These results suggest that the pattern of PAU in the surgeries examined was not appropriate. Errors in the timing of PAU and of PA selection increase SSI rate. SSI rate remained unaltered following prolonged PAU after surgery.

• 대한간호학회지
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• 제35권1호
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• pp.16-26
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• 2005

Purpose: The purpose of this study was to explore the psychosocial adjustment process in adolescents with epilepsy in the context of Korean society and culture. Method: A grounded theory method was used for data collection and analysis. Participants for this study were 9 adolescents who regularly visited an epilepsy clinic in a university hospital. The data was collected through in-depth interviews during the period from November, 2002 to June, 2003. Data collection and analysis were performed simultaneously. Result: Twenty-three categories emerged including 'suffering', 'psychological stigma', and 'social isolation from one's peers'. Categories were divided into paradigms which consisted of conditions, actions/ interactions, and consequences. 'Reconstructing life' was the core category in this study. The theoretical scheme was described by organizing categories around the core category. Conclusion: This study provides a framework for the development of individualized nursing interventions to care for adolescents with epilepsy.

• 한국컴퓨터정보학회논문지
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• 제22권9호
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• pp.171-177
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• 2017

The purpose of this study is to suggest the implications of social welfare workers' understanding of emotional labor and prevention of psychological exhaustion. In order to achieve this goal, I analyzed the effects of the levels of surface acting and deep acting, which are components of emotional labor in social welfare workers in social welfare center, on emotional exhaustion, depersonalization, and lack of sense of personal accomplishment which are components of psychological exhaustion. And I empirically analyzed how emotional labor affects psychological exhaustion, when superior support and fellow support as components of social support play a role as moderating variables. Empirical results show that emotional labor affects psychological exhaustion and social support plays a moderating role. Based on these results, theoretical and policy implications and future research directions are presented.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2001년도 제53차 추계 학술대회 연제집
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• pp.386-387
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• 2001

• 대한가정학회지
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• 제33권5호
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• pp.51-62
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• 1995

The purpose of this study is to prevent unwed mothers from the view of home-welfare. The main causes of unwed mothers should be reviewed part. The concrete reactions to solve this problem are possible by these studies even though this problem is very complicated related with the matters of individuals, families and our societies. The conclusion to prevent the unwed mothers is : (ⅰ) to establish the right sex morality through the education in families; (ⅱ) the society's role to share the responsibilities and care in single-parent families; (ⅲ) the right sex education in schools and society ; (ⅳ) the governmental aids to enlarge the number of consultation facilities and accomodation places for youths and women. Besides these attempts, the unwed mothers should be aware of the importance and responsibilities of their own and the baby's lives. The responsibility of society also should be focused from the point of family welfare.