• Title/Summary/Keyword: cost of children

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Determinants analysis of uninsured herbal medicine utilization in the Korean Medicine outpatient service (한의 외래에서 첩약을 포함한 비급여 조제 한약 이용결정요인 분석)

  • Kim, Dongsu;Kim, Hyunmin;Lim, Byungmook
    • Journal of Society of Preventive Korean Medicine
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    • v.22 no.1
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    • pp.1-14
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    • 2018
  • Objectives : This study aimed to analyze the characteristics of uninsured herbal medicine(UHM) users and the economic and social barriers of UHM utilization. Methods : We used the Korea Health Panel Data, representative national survey on medical utilization and cost, provided by National Health Insurance Service and Korea Institiute of Health and Social Affairs. The frequency analysis was used to identify the characteristics of the respondents, and the cross-analysis (${\chi}^2-test$) was used to verify the relationship between their characteristics and the usage of UHM. In order to analyze the determinants of using the UHM considering the individual's characteristics, logistic regression analysis and multiple regression analysis were conducted for those who used the Korean medicine (KM) outpatient service in 2015. Results : The usage of UHM was significantly lower for those (1) who's age of 20 to 65; (2) who have the university or higher education degree; (3) who live in Jeju province, and (4) who bought the herbal medicine for other health related purposes. On the other hand, the usage of UHM for those (1) who have the first quintile of household income; (2) who have the chronic respiratory disease; (3) who have been taking the medicine for health promotion purpose for more than 3 months and (4) who have purchased the food which has health promotion function was significantly higher than others. The patients who have chronic musculoskeletal diseases accounted the most among the UHM users. Conclusions : There was the considerable inequality in the usage of UHM among household income groups, which provides policy rationale for UHM to be covered by national health insurance. To facilitate the coverage expansion, restrictive covering model can be considered for children and adolescents, or for patients with muskuloskeletal diseases who have the high demand for UHM.

Recognition and Use of Nutrition Labeling among Hamburger and Pizza Restaurant Consumers in Daejeon (대전지역 햄버거.피자점 방문 고객의 영양표시 인지 및 활용)

  • Lee, Min-Young;Lee, Joung-Won
    • Korean Journal of Community Nutrition
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    • v.16 no.2
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    • pp.227-238
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    • 2011
  • To investigate recognition and use of nutrition labeling on eating-out menus, self-recorded questionnaire was surveyed for 641 consumers who visited hamburger and pizza restaurants in Daejeon from May to July, 2010. Subjects were women of 51.3% and 92.9% aged 10s or 20s. Use frequency of hamburger and pizza restaurants was 2-3 times a month with 56.9%. Of subjects 41.0% knew nutrition labeling mandates of eating-out menus, 64.6% have seen nutrition labels of menus, and 44.5% read nutrition labels when purchasing. Among subjects who read nutrition labels, 67.0% (29.8% of total) referred to it when menu purchase and 60.4% (26.9% of total) experienced changing menu. The ratio of reading nutrition labels was different among gender, diet trial frequency and monthly eating-out cost. Reasons for not reading labels were "not interested in" or "never heard about" for 57.0%, and "not noticeable" for 28.7%. The ratio who read correctly all 3 pieces of information, such as calorie amount, daily value, and way of using daily value was 39.2%. Average number of correct reading was 2.13, which was different among gender, marital status, having children, diet trial frequency, monthly eating-out cost, the restaurants use frequency, and accompanying person. Many subjects wanted to be additionally provided with cholesterol and transfat. Therefore, practical and differentiated consumer educations considering consumer features are required for better nutrition labeling usage. Government's regulatory efforts and voluntary effort of eating-out companies, such as adding nutrients on labels and improving labeling places, are also necessary.

Estimating the Socioeconomic Costs of Child Abuse (아동학대의 사회경제적 비용 추계)

  • Kim, Soo Jung;Chung, Ick Joong
    • Journal of the Korean Society of Child Welfare
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    • no.53
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    • pp.25-50
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    • 2016
  • For child abuse prevention in Korea, this study estimated the socioeconomic costs of child abuse. Based on previous studies, the present study organized component categories for estimable direct and indirect costs of child abuse, and estimated the cost of each category in 2014 through the collection of existing data and through Delphi survey techniques among experts. The total socioeconomic costs of child abuse were compared to Korea's GDP. The results of this study were as follows. First, the socioeconomic costs of child abuse in Korea in 2014 ranged from 389.9 billion KW(0.03 percent compared to GDP) to 76 trillion KW(5.1 percent compared to GDP). Second, the indirect socioeconomic costs of child abuse are much higher than the direct costs. Third, costs related to productivity loss and unemployment accounted for the largest proportion of the total costs. In addition, the proportion of the child protection budget in Korea was very low compared to developed countries. These findings suggest that there is a need to increase Korea's child protection budget and to take urgent action to detect unrevealed child abuse cases. Furthermore, in order to reduce indirect costs, it is important to provide abused children with early professional treatment.

A Convergence Effect on the Purchasing Behavior of Elementary School Mothers' Recognition of Processed Food Labeling Standards (초등학생 어머니의 가공식품 표시기준 인식이 구매행동에 미치는 융복합 효과)

  • Kang, Keoung-Shim;Lee, Se-Jeoung
    • Journal of Digital Convergence
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    • v.18 no.10
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    • pp.527-535
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    • 2020
  • The purpose of research is to examine mothers with elementary school children in Chungcheong and the convergence effect of recognition of food labeling standards on purchasing behavior. A two-step cluster analysis was performed for group classification according to the purchase behavior of processed foods and the collection was determined by Schwarz's BIC criteria. Three types were determined: "convenience pursuit," "large mart preference," and "high cost reverse purchase". The proportion of college graduates in 'large mart preference' was higher, the proportion of employment mothers in 'high cost reverse purchase' was higher, and the need for food labeling standards was higher in 'large mart preference'. 'Shelf life' was recognized as the most important item. 'Large market preference' scored higher in 'used materials' and 'food additives', 'nutrition labelling'. In order to improve the purchasing behavior of processed foods, above all else, it is necessary to develop customized educational media that can be easily applied to real life.

Assessment of Productivity and Foodservice Management Practices in Elementary School Foodservices Located in Seoul and KangNung (서울.강릉지역 초등학교 급식소의 급식생산성 분석)

  • 김은경;김은미;강명희;홍완수
    • Korean journal of food and cookery science
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    • v.14 no.1
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    • pp.76-83
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    • 1998
  • The purpose of this study was to evaluate the foodservice management practices and productivity in elementary schools in order to provide basic information for an efficient food service management. This approach was achieved using a variety quantitative and qualitative information including general foodservice management, managerial and operational factors, and the productivity in elementary school foodservice systems. The labor productivity in 28 school foodservice system was assessed and related to a number of influencing variables within the system. The productivity measurement was based upon the total meal equivalents as a ratio of the total direct and non-direct labor hours required to prepare these meals. Twenty-eight elementary schools located in Seoul and Kangnung were surveyed to get data for the variables. Questionnaire and a survey form were mailed. Statistical methods used in this study were descriptive analysis, $\chi$$^2$-test, 1-test and one-way ANOVA analysis. Elementary schools in Seoul were all located in urban areas, whereas elementary schools in Kangnung were in urban areas (40.0%), provincial areas (40.0%) and in isolated areas (20.0%). Total average number of meals including children and staff was 928.2${\pm}$ 650.0 with a yery significant difference (p<0.001) between Seoul and Kangnung. The average cost of school meal in Seoul and Kangnung were 1191.0 won and 1526.2 won, respectively. The result of Pearson Correlation analysis indicated that labor cost per meal, 1-week meal equivalents and meal equivalents per labor were significantly correlated with the productivity.

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A Longitudinal Analysis of Parents' School Satisfaction from Elementary to Middle school (초·중학교 학부모의 학교만족도 종단 분석)

  • Kwak, Soo-Ran;Song, Mi-Ok
    • Journal of Digital Convergence
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    • v.18 no.11
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    • pp.31-41
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    • 2020
  • This study analyzed parents' school satisfaction longitudinally using data from the 1st, 3rd, and 5th wave data of the Korea Education Longitudinal Study(KELS)2013. The subjects of analysis are parents who responded without dropping out in the first, third and fifth panel of the KELS2013, and 4,227 cases that had no missing values in the variables were selected for the sample to input for analysis of the latent growth modeling(LGM). As a result, it is confirmed that the parents' education, educational support, and children's academic achievement have a positive effect on the parents' school satisfaction. But the parents' educational view and education cost have a negative effect on that. The results of this study are expected to be important information to help enhance the primary function of the school.

The Low Cost Implementation of Speech Recognition System for the Web (웹에서의 저가 음성인식 시스템의 구현)

  • Park, Yong-Beom;Park, Jong-Il
    • The Transactions of the Korea Information Processing Society
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    • v.6 no.4
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    • pp.1129-1135
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    • 1999
  • isolated word recognition using the Dynamic Time warping algorithm has shown good recognition rate on speaker dependent environment. But, practically, since the searching time of the dynamic Time Warping algorithm is rapidly increased as searching data is increased. it is hard to implement. In the context-dependent-short-query system such as educational children's workbook on the Web, the number of responses to the specific questions is limited. Therefore, the searching space for the answers can be reduced depending on the questions. In this paper, low cost implementation method using DTW for the Web has been proposed. To cover the weakness of DTW, the searching space is reduced by the context. the searching space, depends on the specific questions, is chosen from interest searchable candidates. In the real implementation, the proposed method show better performance of both time and recognition rate.

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The Experience of Parents Whose Child is Dying with Cancer (암 환아 부모의 경험에 대한 질적 연구)

  • ;;Ida Martinson
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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Development of a Home Health Care Model in the Public Health System -Visiting Health Service by Community Health Practitioners (공공보건조직에서의 방문간호사업모형개발 : 보건진료소 방문간호사업)

  • 한경자;박성애;하양숙;윤순녕;송미순
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.472-484
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    • 1995
  • The purpose of this study was to develop a home health care model in the public health system and to test the effectiveness of the model. Seven com-munity health practitioners in Yon- Cheon county. Kyunggi province, carried out home health care service for this research. The subjects of the home health care were a total of 111 community residents with chronic health problems and risk-prone infants and children; 29 persons with hypertension, 18 persons with diabetes, 12 persons with neurologic problems, 12 elderly, and 40 infants and children. During the period of study, from December, 1993 to March, 1995, a demonstrative home health care model was developed in the Yon-Cheon County community health centers with the cooperation of the Yon-Cheon Medical Center and Yon-Cheon Public Health Center for the first six months. A home care practice manual and recording system for home visits were also co-developed by the researchers and community health practitioners. Four workshops and monthly conferences were held for this purpose. Actual home care practice took place for two months, and on-going evaluation and replanning accompanied this process. The result of the evaluation of home care service were as follows. 1) For persons with hypertension, diabetes, neurologic problems, there was significant improvement in knowledge of disease and care, but no significant difference was seen in health behavior or symptoms after home care service. 2) No significant difference was seen in level of self esteem or depression after reminiscence therapy among 12 elderly subjects. 3) There were significant differences in satis-faction toward child rearing and parental sup-port, but no significant difference In education needs for parental role after home care service among parents of infants and children. 4) There was significant improvement in the quality of life among the subjects after the home care service. 5) Subjects responded that they were highly satisfied with the home care service given by the community health practitioners. Although, the actual implementation period was very short, and not all of the evaluation outcomes showed significant improvement, the home health care model of community health practitioners was, in general, positively evaluated. Through this re-search, the possibility of community health practitioners working as active home care personnel in the public health care system is supported. Further research with an expanded area and subjects for a longer period is recommended. Cost effectiveness research is also needed.

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A Study on the Factors Affecting Low Fertility and the Implication of Socal Welfare (저출산의 요인분석과 사회복지적 함의)

  • Lee, In-Sook
    • Korean Journal of Social Welfare
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    • v.57 no.4
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    • pp.67-90
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    • 2005
  • The purpose of this study is to analyze factors to affect low fertility and to investigate its implications to social welfare. For the purpose, I surveyed 360 married women and men in Gyeongnam province, and employed multi-regression, logistic regression model to process the data. I analyzed factors to influence low fertility in three aspects: demographic feature, socio-economic status, and personal sense of value. The results of analysis can be summarized as follows: (1) the period of marriage in demographic feature, income level in social economic status, and the necessity of children in personal sense of value are important factors to affect the current fertility level, (2) period of marriage, total numbers of children, gender of the first child are determining the future childbirth in demographic feature. Secondly, income level is interrelated to the future childbirth in socio-economic status. Thirdly, in the aspect of personal values, how much one needs to get married, how much one prefers son to daughter, how much one relies on one's children to realize one's dream are interrelated to the future childbirth, (3) the cost of bringing up a child as well as he expense of private education, lacking of a day nursery, and economic difficulty are causes to make people to postpone or give up childbirth. These results suggest that development of population policy to promote women's social participation and to strengthen family welfare as well as social welfare is necessary. These also implicates that if we pursue integrated policies on women, childcare, and education, we can get much more effective population welfare policy.

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