• 제목/요약/키워드: equity and access

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의료에 대한 이념과 정책 (Ideology and Reality in Health Policy)

  • 이규식
    • 보건행정학회지
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    • 제17권3호
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    • pp.106-128
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    • 2007
  • The Korean health care system is under great controversy. Over the last 30 years, main goal of health policies was to pursue equal access of health care services. However, another goal of health policies laid on efficiency and Quality of care, it had lower priorities. Superficially, controversy stems from priority setting among goals of health care system, equity, efficiency and quality. At a deeper level, arguments arise from disagreement and confusion about the values of Korean health care system. One of the value spectrums believes that health care is the basic right of human beings, therefore it should be produced and distributed on need approach, and needs are known to be decided by professionals. If we accept need approach, health care is a pubic good. Another value of spectrums considers that health care should be distributed on demand approach. Demand approach means that health care is a consumption good on the positive economics, while normative judgement believes that health care is a public good. In equity aspect, health care is considered as a public good. Over the last several years, some of scholars proposed health care reform based on the principle of competition which is based on demand approach. Others argue that the competition principle based on demand approach is not appropriate for the reform proposal, because health care has to be approached on need base. If we do not make explicit values we should adopt, consensus building for reform is nearly impossible. From this perspective, this article will review an ideology and reality in health policies in Korea.

사회정의와 복지지리학에 관한 고찰 (A 'Social Justice' in Geography of Welfare)

  • 배미애
    • 한국지역지리학회지
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    • 제9권4호
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    • pp.546-558
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    • 2003
  • 복지지리학은 불평등과 사회정의를 강조하는 인문지리학의 한 분야이다. '사회정의'는 '인간의 욕구'와 더불어 포스트모던이후 복합적 담론에 대항하여 공간의 해석에 보편적으로 적용될 수 있는 가치기준으로 등장하였다. 복지지리학도 사회정의론을 바탕으로 복지개념을 재정립하고 복지를 향상시키려 노력하였으며 공간정의의 측면에서 분배정의를 논하였다. 본 논문은 사회정의의 다양한 이론들을 통하여 복지의 공간적 불평등과 정의로운 복지 분배가 가지는 의미를 살펴보고자 하였다. 그리고 평등, 효율성, 형평성, 공정성과 같은 사회정의를 평가하는 다양한 기준들을 복지지리학의 측면에서 복지의 정의로운 분배평가와 연계시키고자 하였으며 이를 통하여 결과적으로 복지의 평등한 분배에 기여하고자 하였다. 마지막으로 사회정의의 평가기준들을 복지 공간의 평가에 적용하는 데 있어서의 한계점 등을 논의하였다.

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교육평등을 위한 수학 교수법: 저소득층 학생의 수학성취도에 대한 다양성 수용 수업의 효과와 교사-학생 관계의 매개효과 분석 (Teaching mathematics for equity: An analysis of the effect of diversity-inclusive instruction and the mediating effect of teacher-student relationship on the mathematics achievement of Korean students with a low economic status)

  • 조승아;주미경
    • 한국학교수학회논문집
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    • 제26권2호
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    • pp.71-86
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    • 2023
  • 팬데믹 이후 '평등'이 사회적 화두로 다시금 제기되면서 교육평등에 대한 관심이 높아지고 있다. 이러한 맥락에서 본 연구는 교육평등 실행 방안의 탐색을 위해 PISA2012 자료를 활용하여 다양성 수용수업이 저소득층 학생들의 수학성취도에 주는 영향을 실증적으로 분석하였다. 분석 결과에 따르면, 다양성 수용 수업은 저소득층 학생들의 수학성취도와 정적 상관관계를 가지며 다양성 수용 수업이 교사-학생 관계를 매개로 하여 저소득층 학생의 수학성취도에 긍정적인 영향을 준다는 것을 확인할 수 있었다. 본 논문의 분석 결과는 학생의 다양성을 수용하고 교사가 학생과 지속적 돌봄의 관계를 형성하며 학생의 잠재력을 개발하는 교수법이 저소득층 학생의 교육적 취약성을 보완하여 수학성취도를 높일 수 있음을 실증적으로 보여주었다는 점에서 중요성을 찾을 수 있다. 분석 결과를 바탕으로 하여 다양성 수용 수업의 효과에 대한 실증적 검증을 다양한 취약 집단 학생의 수학성취도 분석으로 확장함으로써 다양성 수용 수업이 교육 평등 실행 방안으로서 갖는 효과성을 실증적으로 검증하기 위한 후속연구의 필요성을 제안하며 교육평등 실행을 위한 시사점을 논의하였다.

건강영향평가를 통한 아동 복지서비스 개선: 청주시 드림스타트 센터 사례 (Improvement of Child Welfare Service Using Health Impact Assessment: A Case of the Cheongju Dream Start Center)

  • 강은정;임성은
    • 보건교육건강증진학회지
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    • 제28권1호
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    • pp.115-130
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    • 2011
  • Objective: This study aimed to introduce Health Impact Assessment using the case of a HIA on 2008 Dream Start Project in Cheongju. Methods: We followed the typical procedure of HIA recommended by the Merseyside Guidelines on HIA. In scoping, the steering committee decided 5 key domains of child health to be assessed: prenatal care, vaccination, nutrition, access to health care, and child abuse and also the methods of collecting the evidence. The HIA appraisal team collected information from various sources including literature, community survey, and focus group interviews. The HIA appraisal team also synthesized the collected information in terms of the nature of health impacts and equity and made recommendations accordingly. Results: Positive impacts were expected in prenatal care, vaccination, and nutrition, while negative impacts were expected in access to health care. The impact of Dream Start on child abuse was uncertain. Several recommendations were made and submitted to the Dream Start team for their consideration. About 2 years later, we found many of them were implemented in 2009 Dream Start project. Conclusion: HIA was found to be applicable and effective to make decision makers in the welfare sector consider health in their work.

Performance Analysis of Multiple-Hop Wireless Body Area Network

  • Hiep, Pham Thanh;Hoang, Nguyen Huy;Kohno, Ryuji
    • Journal of Communications and Networks
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    • 제17권4호
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    • pp.419-427
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    • 2015
  • There have been increases in the elderly population worldwide, and this has been accompanied by rapid growth in the health-care market, as there is an ongoing need to monitor the health of individuals. Wireless body area networks (WBANs) consist of wireless sensors attached on or inside the human body to monitor vital health-related problems, e.g., electrocardiograms (ECGs), electroencephalograms (EEGs), and electronystagmograms (ENGs). With WBANs, patients' vital signs are recorded by each sensor and sent to a coordinator. However, because of obstructions by the human body, sensors cannot always send the data to the coordinator, requiring them to transmit at higher power. Therefore, we need to consider the lifetime of the sensors given their required transmit power. In the IEEE 802.15.6 standard, the transmission topology functions as a one-hop star plus one topology. In order to obtain a high throughput, we reduce the transmit power of the sensors and maintain equity for all sensors. We propose the multiple-hop transmission for WBANs based on the IEEE 802.15.6 carrier-sense multiple-access with collision avoidance (CSMA/CA) protocol. We calculate the throughput and variance of the transmit power by performing simulations, and we discuss the results obtained using the proposed theorems.

The Nexus Between Social Mobility and Regional Disparity: Empirical Evidence from India

  • SINGH, Anuradha;MUNIYOOR, Krishna
    • The Journal of Asian Finance, Economics and Business
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    • 제9권1호
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    • pp.229-240
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    • 2022
  • This article examines the link between regional disparity and social mobility in India. There has been a steady rise in economic inequality in India. The rapid economic growth coupled with a rise in income inequality is a serious concern in India. While the emphasis is on inclusive growth, it appears difficult to tackle the problem without looking at the intricacies of the problem. The Social Mobility Index is an important tool that focuses on bringing long-term equality by identifying priority policy areas in the country. We used a multivariate statistical approach to construct a social mobility index at the regional level by considering several social and economic variables. Our findings show that while the Union Territory of Delhi ranks first in the social mobility index, Chhattisgarh has the least social mobility. From a policy perspective, a comprehensive examination of the determinants of the social mobility index shows that health, education access, and quality, and equity of education are of great importance in improving social mobility. Considering India's potential economic growth resulting from its 'demographic dividend' and improved access, markets, and technology, increasing social mobility through facilitating equal opportunities in society is key to achieving inclusive growth.

주거복지에 대한 이론적 개관 및 향후 정책과제 (Theoretical Overview of Housing Welfare and Future Policy Issues)

  • 김영태
    • 한국주거학회논문집
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    • 제17권1호
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    • pp.127-134
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    • 2006
  • The purposes of this study are to define 'housing welfare' which constitutes an important theme of discussion today and to present some future policy issues. Recently, the expression 'housing welfare' is widely used in our daily life and written in some laws, but its concept is still ambiguous. Housing welfare can be defined as 'the situation in which citizens gain access to a decent housing and adapt themselves well to the community life. In this context, the goals of housing welfare policy should be as follows: reduction of the number of households living below the minimum standard in housing, promotion of the right to housing, housing provision and management based on housing needs, linkage of housing and other welfare measures, realization of social integration and social justice. But, there are still some controversies on such questions as target group, moral hazard of beneficiaries, social equity, etc. To get all the policy alternatives more effective, efforts should be made to improve the general infrastructure of welfare policies, to prevent NIMBY phenomenon of local actors, and so on.

An Initial Contribution to the Development of a Design Theory of Mathematical Interests: The Case of Statistical Data Analysis

  • Cobb, Paul;Hodge, Lynn Liao
    • 한국수학교육학회지시리즈E:수학교육논문집
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    • 제16권
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    • pp.1-65
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    • 2003
  • The focus of this article is on the process of cultivating students' interests so that they come to view mathematics as an activity worthy of their engagement. We first define and operationalize the notion of interests, in the process developing a perspective in which they are seen to be generative, to evolve, and to be deeply cultural. We concretize this perspective by presenting an analysis of a classroom design experiment that documents both the process by which the students' interests evolved and the means by which these developments were supported. We then frame the analysis as a case in which to tease out the implications for a nascent design theory of mathematical interests and in doing so give particular attention to the issue of equity in students' access to significant mathematical ideas

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국내 외국인투자기업의 연구개발 활동 : 현황 및 시사점

  • 김기국;임덕순
    • 기술혁신연구
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    • 제9권1호
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    • pp.121-147
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    • 2001
  • This paper analyzed the R&D activities of foreign companies in Korea. A survey was conducted using questionnaires along with the field interviews. The survey results show that some foreign companies in Korea actively carry out R&D indicating that Korea is becoming a R&D location for the multinational companies. It also shows the wide differences by industries, corporate size, foreign equity ratio, and home country of mother companies. It is suggested that Korean government should utilize the inward foreign direct investment to strengthen the national innovation system of Korea. Various policy measures were recommended to encourage foreign companies to have easier access to domestic R&D resources, carry out R&D activities, and interact with domestic R&D actors. It is also argued that it is necessary to eliminate negative environmental barriers perceived by foreign companies.

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이주민과 내국인의 만성질환 관리 지표 비교 (Comparing the Status of Chronic Diseases between Immigrants and Korean)

  • 최성우;김성은;김유일;김경학;선봉규;김진형;조준휘;권순석
    • 농촌의학ㆍ지역보건
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    • 제49권2호
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    • pp.93-101
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    • 2024
  • Objective: This study compared the status of chronic diseases among immigrants and the Korean population. Methods: This study was conducted on 153 immigrants living in Gwangju Metropolitan City in 2022. For comparison, 459 Koreans were selected using the 2021 Korea National Health and Nutrition Examination Survey (KNHANES). A survey was conducted on the management status of hypertension, diabetes, and hyperlipidemia using a questionnaire. Results: Immigrants were significantly more likely to have hypertension (50.3% vs. 24.2%, p<0.001) and diabetes (19.0% vs. 11.5%, p=0.002) than Koreans. In awareness, immigrants had significantly lower rates of hypertension (57.1% vs. 73.0%, p=0.031) and hyperlipidemia (immigrants 25.4% vs. 44.5%, p=0.006). In treatment rates, immigrants had significantly lower rates of hypertension (40.3% vs. 69.4%, <0.001) and hyperlipidemia (17.9% vs. 39.6%, p=0.003). In control rates, immigrants had significantly lower rates of hypertension (18.2% vs. 62.2%, <0.001) than Koreans. Conclusions: Chronic diseases are common among immigrants, but awareness, treatment, and control rates are low, so education and prevention policies are critical to improving immigrants' access to medical care and raising awareness.