• 제목/요약/키워드: financial subjects

검색결과 370건 처리시간 0.024초

국가별 건강보험체계에 따른 국가건강검진제도 비교 연구 (Comparative Study on the National Health Screening Programs according to the Health Insurance System)

  • 이예지;김은영;이동현
    • 보건행정학회지
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    • 제31권3호
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    • pp.272-279
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    • 2021
  • Background: Korea's health screening program has been faced the need for changes as the population and diseases structure are changing. In addition to Korea, many countries operate state-led health check-up programs to improve the health level of the people, and the operating methods of the program appear in various forms according to each country's health insurance system. This study examines other state-led health screening programs and proposes a direction for the development of Korea's health screening program. Methods: The study was conducted using the literature review method, and the "country" was set as a unit for the case analysis. The operating method of the health screening programs and the financial resources were compared according to the health insurance system. Five countries were selected as Korea, the United States, the United Kingdom, Japan, and Taiwan. Results: The analyzed countries mainly operate the health screening program as a management method for chronic diseases, but there were differences in the operating method, financing, and targeted subjects and examination items. In most countries, a risk assessment was performed prior to the examination (screening), and the subjects who needed the examination were first selected, and a follow-up management service was provided in accordance with the risk each individual exposed. Conclusion: Rather than applying the same screening method to populations with different risk levels, a health screening program will be constructed in consideration of the individual's health level and exposure risk, and the healthcare delivery system will be reorganized so that screening and treatment services can be linked.

아동·청소년 학생치과주치의 사업의 문제점 및 개선방안 (Problems and improvements of a child·adolescent dental care service)

  • 곽선희;신보미;신선정;이효진;배수명
    • 한국치위생학회지
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    • 제21권4호
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    • pp.441-453
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    • 2021
  • Objectives: This study identified problems and improvements in projects targeted to dental workers in a child-adolescent dental care service. Methods: The subjects were 40 dentists, 43 dental hygienists, and 51 others who participated in service in Seoul. A self-administered questionnaire was used to address the problems and improvements in the project. Descriptive statistics, chi-square test, and one-way analysis of variance were performed using SPSS 23.0. Results: Oral examination was performed by 99.2% of dentists, and some service items such as professional tooth cleaning, fluoride application, and scaling were performed by dental auxiliary personnel regardless of legal duties. The problem was that the subjects took a lot of time in providing services, and students or guardians participating in the project refused to receive preventive dental services. As regards improvements, the insurance fee was the highest (48.1%), followed by the provision of regular services (38.8%), and system improvement and administrative support (35.7%). Conclusions: To activate a child-adolescent dental care service, it is thought that continuous efforts such as providing financial support by the government, education to increase participants' understanding, and social consensus for the participation of service providers and beneficiaries are required.

동화를 활용한 인성교육 활동이 유아의 또래유능성 및 공격성에 미치는 영향 (The Effect of Personality Education Activities using Fairy-Tales on Children's Peer Competency and Aggression)

  • 박유미;최인숙
    • 보건의료생명과학 논문지
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    • 제9권1호
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    • pp.61-68
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    • 2021
  • 본 연구는 인성이 포함된 그림책 활동이 유아의 또래유능성 및 공격성에 미치는 영향을 알아보고자 한다. 이를 위하여 본 연구에서는 I시에 위치한 유치원 2곳에 재원 중인 만 5세 남녀유아 총 41명을 대상으로 연구를 실시하였다. 실험 집단에게는 6주 기간 매주 2회씩 30분 동안 동화를 듣고 인성교육과 관련된 활동을 제공하였고, 비교집단에게는 일반적인 일과운영을 진행하였다. 수집된 자료는 SPSSWIN 18.0을 이용하여 공변량 분석을 실시하였다. 연구결과 실험 집단이 비교집단보다 또래유능성이 유의하게 높았으며, 공격성은 낮아졌다. 이러한 결과는 동화를 활용한 인성교육활동이 유아의 또래 유능성과 공격성에 긍정적인 영향을 미칠 수 있음을 시사한다.

보육교직원 자격과 재교육 정책 현황 분석 및 발전 방향 고찰 (Consideration of Policy on Qualification and In-service Education of Childcare Center Staff for Improving Educare Quality)

  • 김의향;박진옥
    • 한국보육학회지
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    • 제18권2호
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    • pp.129-145
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    • 2018
  • 본 연구는 영유아 보육의 질 확보를 위한 보육교직원 자격과 재교육 정책을 고찰하고 바람직한 정책방향을 제시하는 데 그 목적이 있다. 연구방법은 보육교직원 관련 정책 및 관련법에 대한 각종 자료와 문헌을 조사하고 이를 분석하는 방법을 채택하였다. 주요 연구결과는 다음과 같이 정리될 수 있다. 첫째, 보육교직원 자격기준에 대해서는 철학적, 발달심리학적, 사회적 배경의 논리적, 합리적 근거에 의한 법 정비가 필요하다. 둘째, 보육관련 교과목 및 학점 기준, 보육관련 교과목영역 선정과 필수교과목 지정에 대한 명확한 근거 마련이 필요하다. 셋째, 이수 교과목 영역 조정과 필수, 선택교과목 조정과 일부 교과목의 명칭을 변경하는 것이 바람직하다. 넷째, NCS(국가직무능력 표준) 보육 분야의 직무능력 수준도 고려하여 교과목을 선정하여야 한다는 것을 밝혔다. 다섯째, 원장의 자격기준 요건을 강화할 필요성이 있다. 여섯째, 유보 격차 해소를 위해 보육교사, 유치원교사 통합형 영유아교사 양성체제가 필요하다. 보육교직원 역량 강화와 전문성 제고를 위하여 보수교육 대상자의 효율적 관리를 위한 운영체계 및 전산 체계화가 필요하다. 보수교육 운영 주체의 다양화, 보수교육 내용의 정기적 모니터링이 필요하다. 보수교육 행재정적 지원 체계 확립이 필요하다. 보수교육의 자발적 참여, 정부와 부모가 지원하는 보육교직원 전문성 계발 정책 수립이 필요한 것으로 나타났다.

서울시 간호사회 가정간호시범사업 서비스 내용 및 만족도 분석 (The Contents and Satisfation of Home Care Progral Delivered by Seoul Nurses Association)

  • 임난영;김금순;김영임;김귀분;김시현;박호란
    • 대한간호
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    • 제36권1호
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    • pp.59-76
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    • 1997
  • The purposes of this study were to identify the contents and satisfaction level of the patients received home care service, and to compare the differences of the contents by the characteristics of the patients. Seventy eight patients received home care service from 1st Jan. to 30th Sept., 1996 were data-collected to analyze the contents and outcomes of home care service. Sixty-nine patients currently receiving home care service were participated to evaluate the satisfaction level of home care service. The data were analyzed using mean, standard deviation, $x^2$ test, and ANOVA by SPSS $PC^+$ program. The findings of this study were as follow : 1. The contents & outcomes of home care service 1) The mean age of the subjects was 64.4 years: 58% of them were female. Those who living in Seoul were 83% and the rest of the subjects was living in Kyung-Gi. 2) The subjects who had one diagnosis were 41%. Over 60% of them had the disease of neurologic & sensory system. 3) The mean number of visit was 6. Only one visit was 22%. The mean time of care was 79 minutes. Duration of visit from 31 minutes to 60 minutes were 47 %. The subjects who terminated the visit because of death were 67.3%. 62% of the persons who referred them to the home care service were nurses. 4) The pain after the service was more relieved than before. The amounts of intake, the degree of bed sore, edema & fracture after the service were more improved than before. Health status after the service was improved in general. 5) There were significant differences between initial and last conscious level in tracheostomy care & oxygen inhalation care. There was significant difference between initial and last degree of activity in blood sugar check. 6) There were significant differences on the number of visit in assessment of the status, evaluation & observation, vital sign check, skin care, injection, medication, bed sore care, colostomy care, relaxation therapy for pain relief, patient education, family care, exercise therapy, position change, supply of disinfected equipments and infection control. There were significant differences on visiting time in nasogastric tube care, drainage tube care and oxygen inhalation care. 2. The satisfaction level of home care service 1) 50% were male. Over 60 years of the subjects was 61 %. Those who living in Seoul were 82%. 2) The subjects who had one or two diagnosis were 32% respectively. 55% of the persons who referred them to the home care service were nurses. 3) Total level of satisfaction of home care service was very high. 4) The older the age, the higher the satisfaction level. The larger the number of visit, the higher the satisfaction level. 5) The subjects who were in cloudy state were higher level of satisfaction than in alert or coma state. The subjects whose activity were normal or who needed assistance were higher level of satisfaction than bedridden or immobilized subjects. These findings suggested that the patients had substantial need for posthospital care. They tended to be elderly and to have experienced the wide range of health problems associated with aging, chronicity, including limitations in activities, and other serious health problems. So, the nationwide home care systems beyond the limit of demonstration program by local association and the development of the effective financial system of home based health care are necessary for the clients who are in need of home care.

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일부 도시 지역 직장인의 식생활 관리실태에 관한 연구(I) - 부산, 인천, 창원, 진주, 여수지역을 중심으로- (The survey of meal habits for the urban salaried workers)

  • 김은실;정복미;전희정
    • 한국식품조리과학회지
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    • 제17권2호
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    • pp.91-104
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    • 2001
  • 본 연구는 5개 지역 도시직장인의 연령별, 성별, 직종별 식생활습관에 대한 전반적인 조사를 실시하여 다음과 같은 결론을 얻었다. 1. 지역별 비율은 부산 14.2%, 여수 25.3%, 창원 26.8%, 진주 13%, 인천 20.7%, 성별로는 여자 29.5%, 남자 60.5%, 연령은 21∼30대가 40.4%, 41∼50대가 26.9%로 나타났다. 2. 아침 식습관 조사에서 대상자의 84.6%가 아침식사를 하였고(p<0.005), 남자가 여자보다 아침식사를 하는 비율이 높았으며, 아침을 거르는 주된 이유는 식욕부진으로 나타났다. 3. 아침식사 유형은 조사대상자의 80%이상이 한식을 하였다. 4. 점심식사는 조사 대부분의 지역에서 단체급식을 받았으며(p<0.005), 점심식사시 자주 선택하는 메뉴는 찌개류이며(p<0.005), 점심값으로는 3,500∼4,000원을 가장 많이 지출하였다(p<0.005). 5. 저녁식사는 대상자의 71.8%가 항상 먹는다고 하였고(p<0.005), 특징적으로 20세 이하에서는 체중조절을 위해 가끔 저녁을 먹지 않는다고 하였다. 6. 저녁외식 횟수는 대상자의 60%가 1주일에 1∼2회 정도로 나타났으며(p<0.005), 남자보다 여자의 외식빈도가 높았고, 연령이 높을수록 외식빈도가 낮고, 31∼40대에서 외식빈도가 가장 높았다(p<0.005). 7. 본 조사대상자들이 평소에 가장 중요하다고 생각하는 식사는 저녁이었고, 다음으로 점심, 아침 순으로 답하였다. 8. 육류섭취빈도는 대상자의 66.6%가 1주일에 I∼2회 섭취한다고 하였으며(p<0.01), 20대 이하에서는 대상자의 13.8%가 전혀 육식을 하지 않는다고 하였는데, 육식을 하지 않는 주된 이유는 체중조절을 위한 것으로 나타났다. 전반적으로 육식을 하지 않는 이유는 육식을 좋아하지 않아서와 경제적인 이유를 내세웠다. 본 연구 결과 도시직장인은 아침과 저녁 식습관이 대체로 양호한 편이었고, 대부분이 아침식사로 한식을 이용하였으며, 점심은 단체급식을 받았고, 외식은 1주일에 1∼2회 정도 하였고, 남자보다 여자의 외식빈도가 높게 나타났다. 앞으로 본 연구를 통하여 도시 직장인의 식생활 관리뿐만 아니라 단체 급식에서 도시 직장인의 보다 나은 급식 운영에 도움이 되었으면 한다.

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회복중인 알코올 의존자 부부를 위한 프로그램 요구도 조사 연구 (The Study of Needs about Program for Recovering Alcoholic Couples)

  • 이현주;김순옥
    • 가정과삶의질연구
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    • 제23권2호
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    • pp.93-106
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    • 2005
  • Despite the importance of the marital treatment in the recovery process of alcohol dependency, the domestic situation lacks the programs for recovering alcoholic couples. It is very hard to find any program for couples with an alcoholic in recovery. Most of the related researches only deal with hospitalized patients and their families due to their limitations in contact with appropriate subjects. This imposes a limit in their expert and validity. This research finds its aim in investigating the needs of recovering alcoholic couples and of clinical professionals, and providing basic data for the development of program for recovering alcoholic couples. This research was studied with 20 recovering alcoholic couples with a mean duration of 3.9 years of sobriety and 10 clinical professionals with a mean duration of 7.5 years of alcohol-abuse counseling experience. As a result, it appeared that a marital program that covers communication skills, sex, domestic violence, financial problems and original family issues in relation with codependency would be appropriate; the program would also involve issues about relapse.

아동보육 및 교육 관련 기관 원장의 운영에 관한 인식 -아동보육 및 교육 관련 시설의 공간이용행태(VII)- (Chief's Perception of Institution Management Related to Types of the Institution for the Child Care and Education - Space Usage Behavior of the Institutions Related to Child Care and Education(VII) -)

  • 박인전;안옥희;안지연;석주영
    • 한국생활과학회지
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    • 제7권1호
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    • pp.1-9
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    • 1998
  • The major purpose of this study was to investigate chief's perception of institution management according to the types of the institution for the child care and education. The subjects for the analysis were 220 chiefs who actually run the institutions for the child care and education, including kindergarten, private nursery, group day care home, and private educational institute. The data were analyzed by the five different methods, which were frequency, percentage, chi-square test, one-way ANOVA and Scheffe test, using the 7.5 version of SPSSWIN program. The major research results were that (1) the chiefs of the institutions for the child care and education have suffered many difficulties in the administrative and financial respects ; (2) the main area in need of the government's assistance is either that of personnel expenses for teachers or that of expenditures necessary for improving their status ; and (3) on the whole chief's perception of institution management differed by the types of the institution for the child care and education.

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유아복 소비가치 척도에 대한 구성타당성과 기준관련 타당성 연구 (Construct validity and criterion-related validity of consumption value in preschooler clothing)

  • 이주연;이영주
    • 복식문화연구
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    • 제21권3호
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    • pp.413-430
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    • 2013
  • Despite the recent sharp growth in the baby product market, previous studies on preschooler clothing have centered primarily on surveys regarding body size and consumer buying behavior, with little emphasis given to consumption value in preschooler clothing. This study aimed to assess the feasibility of using standards of consumption value to examine the behavior of those who buy preschooler clothing. The research subjects were mothers of preschoolers aged 1 to 6 years. They were asked to complete a questionnaire online at major parenting blogs found on portal sites (n=346). The questionnaire contained 41 questions based on a literature review, and 25 questions having convergent and discriminant validity were analyzed. By conducting a regression analysis of standards of consumption value in preschooler clothing and their perceived value, the feasibility of the standards was assessed. The results showed that consumption value in preschooler clothing was associated with 21 questions and 8 factors. The factors measuring consumption value included vicarious satisfaction, social value, functional value, convenience, financial value, aesthetic value, uniqueness, and circumstantial value. This study is significant in that it expands the scope of research on preschooler clothing, lays the groundwork for measuring consumption value in preschooler clothing, and predicts consumer behaviors by identifying the consumption value among mothers of preschoolers.

입원노인과 재가노인의 수면양상, 수면만족도 및 수면증진행위 비교연구 (Comparative Study on the Sleep Patterns, Satisfaction of Sleep, and Sleep Enhancement Behaviors between Hospitalized and Non-hospitalized Elderly)

  • 김귀분;윤정숙;석소현
    • 대한간호학회지
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    • 제38권5호
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    • pp.685-693
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    • 2008
  • Purpose: This study was to compare and analyze sleep patterns, satisfaction of sleep, and sleep enhancement behaviors between hospitalized and non-hospitalized elderly. Methods: Subjects were 201 older adults, who were hospitalized patients or living in U-city, Gyung-gi province. Data was collected from June 10 to August 25, 2007, and was analyzed by the SAS program. Results: 1) Non-hospitalized elderly had better sleep patterns than hospitalized elderly patients. 2) There was a strong positive correlation between sleep patterns and satisfaction of sleep in both groups. 3) In hospitalized elderly, there were significant differences in sleep patterns and satisfaction of sleep by month. 4) In non-hospitalized elderly, there was a significant difference in sleep patterns by presence or absence of spouses. There was a significant difference in satisfaction of sleep by those living with others. There were significant differences in sleep enhancement behaviors by age, religion, length of time, and sponsors. Conclusion: To relieve sleep disturbances of elderly, comprehension of sleep of the aged by nursing care givers should be obtained. Also, improving environments and elder's self-esteem with religious consideration and preparation of financial conditions are needed to promote the sleep of hospitalized and non-hospitalized elderly.