• 한국콘텐츠학회논문지
• /
• 제20권6호
• /
• pp.653-667
• /
• 2020

본 연구는 아동·청소년 관련 시설 및 기관을 이용하는 초, 중, 고 학생들의 이용 실태와 중복 이용 경험을 분석하여, 효과적인 아동·청소년 서비스 전달체계를 제안하기 위한 목적을 지니고 있다. 이를 위해, 아동과 청소년이 이용하는 공공 서비스 전달체계를 중심으로 초, 중, 고 학교급별 차이를 통계 분석과 네트워크 분석방법을 활용하여 분석하였다. 주요 연구결과에 따르면, 일반 시설(기관) 이용율에서 학교급별 차이가 나타난 곳은 주민자치센터, 청소년수련관(수련원), 건강가정지원센터, 보건소, 시청·도청, 군청·구청, 교육청이었다. 복지 시설(기관) 중에서는 위(Wee)센터, 위(Wee) 스쿨, 지역아동센터에서 학교급별 차이가 나타났다. 네트워크 연결 중심성 분석에서는 초등학생은 보건소, 중학생은 청소년 수련관, 고등학생은 주민자치센터가 가장 높게 나타나, 자체 및 중복 이용자 수가 가장 높은 것으로 조사되었다. Concor를 이용한 구획화 결과에서도 동일한 시설(기관)이라도 학교급에 따라 서로 다른 기관 간 연계가 이루어지고 있는 것으로 나타났다. 이러한 연구결과를 토대로 향후 아동·청소년 서비스 전달체계의 질적 개선을 위해서, 생애주기적 특성을 고려한 통합 게이트웨이 구축과 개인별 시설(기관) 이용 데이터베이스 개발을 제안하였다.

• 농촌의학ㆍ지역보건
• /
• 제28권1호
• /
• pp.39-51
• /
• 2003

본 연구는 2002년 5월부터 9월까지 5개월간 경상남도 일개 군 보건소 한방진료실에 내소한 재진 환자를 대상으로 한방진료실 직원이 직접 설문지를 통한 일대일 면접 조사를 실시하였고, 면접 조사를 꺼리는 대상자에 대해서는 자기기입식 방법으로 자료를 수집하여 한방의료 이용 실태와 주민들의 이해도와 만족도를 파악하고 한방진료실을 한방의료서비스 부족지역으로 확대 설치하는 것에 대한 의견을 수렴하는데 그 목적을 두었다. 총 조사 대상자는 163명이었으며 본 연구의 결과를 요약하면 다음과 같다. 첫째, 보건소 한방진료실을 이용하는 주된 대상은 61세 이상이 전체의 65.0%로 과반수 이상을 차지하고 있으며 대상자의 13.5%만이 자신의 건강상태가 좋다고 인지하고 있었다. 둘째, 보건소 한방진료실의 치료법에 대한 사전인식 분석 결과 보건소 한방진료실에서 시행하는 치료법에 대해 올바르게 인식하는 비율은 54.0%로 나타났으며, 특히 침 시술의 경우에는 조사 대상자 모두가 보건소 한방진료실에서 시술한다는 것으로 인식하고 있었다. 셋째, 보건소 한방진료실 이용행태에 관한 분석 결과로는 한의학적인 치료를 받고 싶어서 한방진료실을 찾은 경우가 66.9%로 가장 많았으며 집에서 보건소까지의 소요시간이 1시간에서 2시간 사이까지 많은 시간이 걸린다고 응답한 사람도 9.2%나 되었다. 넷째, 보건소 한방진료실 이용자의 한방보건의료에 대한 요구도를 조사한 결과 이동진료, 금연프로그램, 거동불능자 방문 프로그램 순으로 한방지역보건사업에 대한 요구률이 높았으며 다른 면지역으로의 한방진료실 확대 설치에 대한 요구도 조사에서는 조사 대상자의 73.7%가 한방진료실 확대 설치가 필요하다고 응답하였다. 다섯째, 한방진료실 확대설치 요구도는 학력이 높은 집단, 집과 보건소와의 거리가 멀다고 생각하는 대상자, 치료비에 대한 만족도가 높은 집단에서 높은 것으로 나타났다. 이상의 결과를 볼 때 농촌지역의 한방진료서비스에 대한 이용도가 높은 것으로 나타났으며 도시지역에 비하여 한방의료자원의 분포가 낙후되어 있는 농촌지역 실정으로 보건소에 한방진료실을 설치하여 시행한 한방진료서비스에 대한 이용자들의 만족도 또한 매우 높다는 것을 파악할 수 있었다. 이러한 주민들의 높은 한방진료서비스에 대한 요구에 부응하기 위해 한방지역보건사업을 합리적으로 실시하고 한방진료실이 설치되어 있지 않은 면지역 보건지소로의 적극적인 확대설치가 적극 검토되어야 할 것이다.

• 한국보건간호학회지
• /
• 제15권1호
• /
• pp.56-72
• /
• 2001

Community mental health management system emphasizing on the rehabilitation and the return to the community has been established and carried out for many years. The study has been demanded to prove that the decreasing rate of the recurrence of the mentally ill resulted to lower their medical costs, to enrich the quality of life, and to reduce the psychological burden of their family. This study tried to prove that the mental health services to the mentally ill which were registered in community mental health center of A city have an influence on the medical cost, the quality of their lives. the family burden. The subject group of this study were 39 home-based mentally ill patients and their 37 family members, totally 76 people registered in mental health center of A city and participated in its program. This research had been measured twice, the first before the intervention and the second after at least a year. The measuring tools in the research were the medical cost measurment tools developed by the researcher, the quality of life index by Yoo ja, Noh(1988) and the family burden by Montgonery(1985). The methods were modified and supplemented in this study. This research made use of SPSS Win 10.0. The results of this study are the same as followings. 1) There were the significant difference in the medical cost before and after the mental health service delivery. 2) The quality of lives of the mentally ill, after the mental health services delivered were significantly higher than before. 3) The family burden were significantly reduced after the delivery of community mental health services. Community mental health services brought out efficient results to the social return and rehabilitation. And these results means that the mentally ill changed highly the quality of life and their burden of family and medical cost were reduced. So the public organization and the private society should help positively the mentally ill and their family through mental health policy and social service agency to live healthy lives and to be valuable member of society.

• 한국주거학회논문집
• /
• 제16권1호
• /
• pp.65-72
• /
• 2005

With the changing consciousness of community people and the rising standard of living, there has recently been an emphasis on the creation of public facilities' new functions and their role as local community facilities. This changing trends are accordingly requiring a change in spatial structure of the public facilities. In this study, an analysis was conducted with 24 public facilities situated in the Buk-gu district of Daegu to identify the adequacy of their space scale after functional variation. The results of this study are summarized as follows. 1) The site area of public facilities has been being widened after functional variation since more spaces are needed to provide an outdoor resting space with community people, expand a parking space, and operate a community center. 2) The factors that had a direct effect on the change in the use of space are the reduced space for administrative work and the expanded scope of the community center's function. Specifically, the areas of activities for civil service and administrative work and for reserve forces have been reduced due to reduction of function, and floor division by each function group has been becoming stricter due to addition of a community center's function. 3) It was shown that in terms of the space for functions of public facilities, spaces for civil service and waiting have increased mostly after function variation. After functional variation, the scale of spaces for civil service and administrative work has been being planned within the range of $200\~300 m^2$, regardless of the number of population to be covered by public facilities. 4) The space for public use is showing the greatest increase in public facilities which have been built after functional variation. The major factors seem to be the increased moving passages, the expanded convenient facilities for community people, and the increased convenient facilities for disabled. Facilities scale plans have been being made more systematically, compared to the conventional facilities.

• 한국보건간호학회지
• /
• 제7권1호
• /
• pp.17-29
• /
• 1993

Nursing centers are nurse-managed organizations that give the client direct access to professional nursing services. Academic nursing centers are faculty-created and -organized nursing centers integrated into nursing school or cooperated with community nursing center. Academic nursing centers are needed for providing services to the forgotten or underserved populations in the community, providing learning opportunities for nursing students and practice opportunities for faculties. The intent of this study is to identify the elements needed in developing process and operations of acedemic nursing center for elderlies and the disabled, and to present the desired model for academic nursing center. The processes of my study were : 1) The articles of the academic nursing centers in U. S. were reviewed and analysed. 2) The academic nursing center for elderlies and the disabled was developed and operated in my paper. 3) Desired model for academic nursing center was presented in my paper. The followings are the results of my study: 1. Elements needed in developing process of academic nursing center were philosophy and goals, the community support, assessment of the validity of the service and health needs, identification of the service contents, roles and responsibilities, communication lines, finances for facilities and operations, cooperation with resources, and developing record system. 2. Elements needed in operations of academic nursing center were the structural organizations, realization of the above philosophy and goals, development of policy and nursing standards, faculty participation, continuity of services, and financial solutions. 3. The desired model was presented according to the process and operations.

• 한국보건간호학회지
• /
• 제35권2호
• /
• pp.254-267
• /
• 2021

Purpose: This study aimed at identifying the factors affecting the service satisfaction of urban elderly, focusing on the outreach community health service in Seoul, and suggesting policy directions for the successful implementation of community care. Method: Individuals aged 65 and 70 who used the outreach community health service from July 2017 to June 2019 were eligible for the survey. A total of 2,028 people were sampled using a proportional allocation method for each autonomous district in the survey which covered 25 districts. A multi-level logistic regression analysis was conducted, taking into account the individual's socioeconomic level, health status, type of service provided, and the healthcare-related environment and service provision period of the autonomous district. Result: The results revealed that the health status of the urban elderly, the type of services provided (health screening, linkage to community health center and clinic/hospital, medical checkup results counseling, frailty evaluation), and personal experience of the service were the major factors associated with the satisfaction with the outreach health services. Conclusion: The development of customized health services based on the close relationship between visiting nurses and the elderly may be considered to promote a sustainable community health care model.

• 아동학회지
• /
• 제34권6호
• /
• pp.159-175
• /
• 2013

The purpose of this study was to explore how the number of network organizations, network continuity and service continuity of community child centers were affected by the charge factors, organizational factors and environmental factors of community child centers. To better understand this, we researched 107 community child centers in Chonbuk Province. The key results are as follows. The interpersonal connections of the charge factors had a strong effect on the number of network organizations, but organizational factors and environmental factors appeared to have no effect on the number of network organizations. The operational type(religious group), organizational support level of the organizational factors and public-private cooperation, regular consultative group operation(no) of the environmental factors appeared to have an effect on the level of network continuity. The region(local), regular consultative group operation(yes) and public-private cooperation of the environmental factors appeared to have an effect on the level of service continuity. It was hoped that the results would enable us to explore how factors related to a network had an effect on the service continuity, the number of network organizations and clients referral network continuity, and they appeared to have an effect on the service continuity.

• 대한지역사회영양학회지
• /
• 제6권1호
• /
• pp.91-96
• /
• 2001

The purpose of this study was to identify the determinants of nutrition service utilization in health centers. Utilization of nutrition services for chronic discase were also investigated. Interview survey using questionnaire was conducted to collect the data required for analysis. The study subjects were 300 residents over 40 years of age, and 15 health workers representing health center service personnel in Kypnggi province. A wilcoxon 2-sample test and Kruskal-Wallis test were used to compare the distribution of health centers by health center characteristics and nutrition services. A chi-square test was used to test the association between service utilization and personal variables of the population. A multiple logistic regression analysis was used to measure the relative importance between the variables on service utilization. The results showed that only 10.0% of the study subjects used nutrition services provided by the health centers. Pilot project implementation and location of health centers, as well as educational level of the residents were significant factors influencing the utilization of the nutrition services provided by the health centers. Among the variables, pilot project implementation was the most important factor that influenced the nutrition service utilization in health centers.

• 한국수산과학회지
• /
• 제48권5호
• /
• pp.768-775
• /
• 2015

Seasonal variability in the marine seaweed community structure was examined in the intertidal zones at nine study sites in Hallyeohaesang National Park, on the southern coast of Korea from March to October 2014. A total of 145 seaweeds were indentified, comprising 15 green, 41 brown and 89 red algae. Coarsely branched seaweeds were the dominant functional group, comprising 58.95% in species number, whereas filamentous, sheet, thick leathery, crustose and jointed calcareous forms comprised 2.63-17.72% each. The seaweed biomass averaged 358.00 g dry wt/m² and it was maximal at Somaemuldo (847.64 g dry wt/m²) and minimal at Gamam (56.51 g dry wt/m²). Based on biomass, the dominant and subdominant seaweeds were Ulva australis at Gamam, Sargassum thunbergii at Sangju, Ulva australis and S.fulvellum at Neukdo, S.horneri at Dala-Bijindo-Somaemuldo, S. thunbergii at Dapo, and Corallina pilulifera at Songdo. Community indices were as follows: dominance index (DI), 0.43-0.71; richness index (R), 8.26-16.50; evenness index (J'), 0.36-0.54; and diversity index (H'), 1.57-2.19. In conclusion, we found that both biomass and the community structure of seaweeds in Hallyeohaesang National Park were similar to those in other studies of the Southern Sea along the Korean peninsula, and that Hallyeohaesang National Park is a relatively favorable habitat for seaweeds. Future studies should examine the changes in seaweed composition and biomass as they relate to climate change and environmental pollution.

• 건축사
• /
• 통권479호
• /
• pp.66-71
• /
• 2009