• 한국조경학회지
• /
• 제47권5호
• /
• pp.78-90
• /
• 2019

본 연구의 목적은 포용적 도시계획과 재생을 위한 공원녹지 정책의 개발 방향을 모색하는 데 있다. 국내 도시공원의 조성 현황 예산 법률 제도를 검토하고, 도시공원의 포용성 수준을 조사하여 다음과 같은 문제점과 한계를 드러냈다. 첫째, 1인당 공원 면적과 녹지율과 같은 공급자 중심의 지표를 지니는 도시공원 제도는 양적 확충에 초점이 맞춰져 있다. 둘째, 도시공원의 분포는 불균등하고, 공원녹지의 질적 수준은 취약계층 거주지일수록 낮다. 다음으로 영국 중앙정부와 런던, 에든버러, 카디프, 벨파스트, 리버풀 등 다섯 개 지방정부를 중심으로 사회경제적 불평등 완화와 포용성 확대를 위한 공원녹지 정책의 수립 배경과 내용을 분석하여 다음과 같은 특징을 밝혔다. 사회경제적 불평등 해소와 포용적 사회 건설의 필요성에 대한 정부의 인식, 물리적 재개발에서 사회경제적 재생으로 도시재생정책 방향의 변화, 공원녹지와 불평등 건강 웰빙의 상호관계에 대한 조사와 연구가 정책 수립의 배경으로 작용하였다. 그 결과, 영국 국토계획의 목표에 포용적 사회 만들기가 반영되었으며, 여러 지방정부의 공원녹지 정책에 박탈 지역과 취약계층을 중심으로 한 공원녹지 공급과 질적 개선 전략이 포함되었다. 또한 공원 결핍 분석 도구와 공원의 질적 평가 방법이 개발되었다. 이와 함께 각 사업의 지속가능성을 위해 별도의 기금 마련과 매칭 펀드 활용과 같은 다양한 재원 프로그램, 그리고 정부 조직 간 협업 기구 설립과 민간 조직의 적극적인 참여와 활성화와 같은 파트너십 구축 방안이 마련되었다. 이를 바탕으로 본 연구는 공원녹지의 불평등과 포용성에 대한 조사와 연구 수행, 공원서비스의 질적 수준 향상전략 개발, 정책 필요 지역 분석도구 개발, 도시재생을 위한 공원사업 유형 개발, 다양한 파트너십 구축과 지원제도 마련 등, 다섯 가지 정책 방향을 제시하였다.

• 한국직업건강간호학회지
• /
• 제14권1호
• /
• pp.56-70
• /
• 2005

Objectives: The purpose of this study is to develop a linking model between industrial injury insurance organs and local organizations providing social welfare health services, for the activation of medical rehabilitation services for industrial injury patients. Method: Research design for this study was a multi-step research through literature review, field research, and group interviews with persons in charge, to compare local society-oriented medical rehabilitation programs. The term of researches Sep.1 ~ Nov. 30, 2004. Results: 1. Home nurses from Workers Accident Medical Corporation have been taken to be adequate to case managers, who link industrial accident insurance institutions to local society services for the activation of medical rehabilitation services for industrial injury patients. They have been chosen for case managers because they have richer understanding and experiences of objects of industrial accidents than any other specialists, and because they have proved to be able to provide direct home services as a specialist. We have established the center for case management affairs within the workers accident general hospital, organized the committee for case management with doctors in charge, doctors in rehabilitation, rehabilitation consultants, social welfare workers, physical therapists, and nurses, determined objects of case managements from those of long-term recuperation, and constructed a course of case management containing from case management plans to evaluation. 2. We have made files of community resources, and organized the council of industrial accident administration to have it in charge of the adjustment and linking of services in case management affairs. 3. Because there are inequality of community resources between areas, differences in experiences in and bases for linking, and disparity of core organizations with active linking in the system of linking between public and civil sectors, we have taken a system of linking between parallel organs to be the core. In our linking model, workers accident general hospital, hospitals designated for industrial injury, and rehabilitation hospitals are linked in parallel, inadequate long-term recuperation managers are trusted to an workers accident medical corporations through examination by the examination committee in Korea Labor Welfare Corporation, and are dealt with by the committee for case management. Of the hospitals designated for industrial accidents, those running a home caring center provide home caring services for the handicapped at home from industrial injury. 4. Workers Accident Medical Corporation take part in medical rehabilitation, and Korea Labor Welfare Corporation in vocational/social rehabilitation. Furthermore, in the model, the latter should construct a system for job opportunities through Internet portals and provide cyber vocational consultation and introduction. Conclusion: Improvement of systems is needed to apply the linking model to practical affairs. Because this model is centered for practical affairs, it should be put under the analysis of effects, and evaluation of its adequacy to practical application, and its effects and efficiency through experimental running in the 8 workers accident general hospital in Korea.

• Journal of Preventive Medicine and Public Health
• /
• 제39권1호
• /
• pp.30-38
• /
• 2006

Objectives: We examined whether the neighborhood socioeconomic position predicts the smoking rates after adjusting for individual socioeconomic position indicators. Methods: Data were obtained from the 2001 Seoul Health Indicators Survey. The neighborhood socioeconomic position was the residential distribution of the high class (power elites), as measured by the location quotients (LQ) for each administrative dong (district). A high LQ denotes a high neighborhood socioeconomic status. The individual socioeconomic position included education, occupation and income. Age-adjusted smoking rates according to the LQ level were computed with the direct method. The total number of subjects in this study (26,022 men and 28,007 women) was the reference. A multilevel logistic regression analysis was conducted with the individuals at the first level and the neighborhoods at the second level to estimate the odds ratios of smoking with 95% confidence intervals. Results: For men, the age-adjusted smoking rates increased with a decrease in the LQ. For women, the relationship between the age-adjusted smoking rate and the LQ was not clear. The odds of smoking for both genders were greater among those subjects with lower incomes and lower education. The manual occupational class had greater odds of smoking than the non-manual class for the males, while the odds ratio of smoking among females with a manual occupation tended to be lower than those females with a non-manual occupation. For the males, the LQ levels independently predicted smoking after adjustment for individual income. However, this relation between the LQ and smoking in males was explained by full adjustment for the individual socioeconomic position indicators (education, occupation and income). Conclusions: A low level of neighborhood socioeconomic position was associated with higher smoking rates among the men residing in Seoul. This association between the neighborhood socioeconomic position and smoking in men was explained by the individual socioeconomic position. Anti-smoking efforts to reduce geographical inequality in smoking should be directed at reducing the smoking rates between the individuals with different socioeconomic backgrounds in the metropolitan city of Seoul, South Korea.

• 대한예방한의학회지
• /
• 제19권3호
• /
• pp.77-90
• /
• 2015

Objective : The purpose of this study is to discuss the role and ways to improve the position and rights of Korean Medicine Doctors (KMDs) working at long-term care hospitals (LTCHs) through survey analysis. Method : (1) The legal and institutional position of KMDs is studied using current law and related papers. (2) The online survey was conducted through KMD community websites, targeted at KMDs working at LTCHs. Results : (1) Whereas there is perceived added benefit for the eight specializations for a specialist of Western medicine at LTCHs, in the case of a specialist of Korean Medicine, their value is not institutionally recognized at all. (2) A Western inpatient's medical fee is more than a Korean inpatient's medical fee, and the individual fee for the same medical treatment is also higher in Western hospitalization. So, Korean medical hospitalization actually cannot be made. Because of that, Korean Medicine Doctors find it difficult to be primary care physicians. (3) Musculoskeletal diseases and the aftereffects of cerebrovascular diseases were the most common chief complaints addressed in Korean medical consultations. Conclusion : This study shows that KMDs working at LTCHs have suffered many kinds of inequality. That is because of the limited medical scope of the current medical system and real constraints from the gap in Korean-Western medical fees by the National Health Insurance Corporation. Therefore, it is necessary to eliminate these variations along with revising the statute with continuous research.

• 한국사회복지학
• /
• 제64권2호
• /
• pp.299-323
• /
• 2012

본 연구의 목적은 생애사 연구를 통해 장애인의 사회적 배제 경험을 이해하는 데 있다. 이에 지체와 뇌병변 장애인 10명의 사회적 배제 경험을 중심으로 심층 면접하여 그 내용을 분석하였다. 그 결과는 참여 장애인들은 교육, 노동, 사회참여, 정보, 사회서비스, 공간, 건강관리 등의 다차원적인 사회적 배제에 직면해 있는 주변인으로 시민권적 권리가 부재한 삶을 지내왔다. 이러한 배제로 인해 사회적 관계가 단절되고 해체되었으며, 그들의 정체성 또한 규범화된 사회적 관념에 의해 타율적인 방식으로 정형화되어 갔다. 또한 장애와 빈곤이 복합적으로 결합된 참여 장애인들의 삶 가운데 이들 세대의 인식과 가치에 영향을 미친 역사적 경험들이 제시되었다. 한편 사회적으로 배제된 이들의 삶의 의미는 스스로 평가하고 해석하는 원천에 따라 새롭게 구성되는 것으로 나타났다. 이러한 연구결과를 토대로 장애인의 사회적 배제 극복을 위한 정책적 실천적 함의를 제시하였다.

• 한국인구학
• /
• 제34권1호
• /
• pp.179-198
• /
• 2011

본 논문의 목적은 연령과 교육수준이 한국인의 만성질환에 미치는 영향을 분석하는 데 있다. 이를 위해 한국노동연구원이 2006년에 수집한 '고령화연구패널조사(KLoSA: Korean Longitudinal Study of Ageing)'에 참여한 45세 이상의 한국인을 분석하였다. 분석결과는 먼저 연령과 만성질환이 비선형 관계를 갖고 있음을 보여준다. 연령이 증가함에 따라 응답자가 만성질환을 앓고 있을 확률도 증가하나 약 74세를 기준으로 다시 감소한다. 또한 이러한 연령과 만성질환의 관계는 교육수준에 따라 다르게 나타났다. 교육수준이 낮을수록 상대적으로 이른 나이에 만성질환이 발현하여 70대 초까지 상대적으로 만성질환에 노출될 확률이 높게 나타난다. 그러나 이러한 교육수준에 따른 건강격차는 수렴현상(convergence)을 보이다가 70대 초반 이후부터 역전되어 다시 분기(divergence)한다. 즉, 고령층에서는 오히려 교육수준이 높을수록 만성질환을 가질 확률이 높게 나타나는 것이다. 이러한 결과는 교육수준이 낮은 사람들이 만성질환에 상대적으로 더 젊은 나이에 노출되고 결국에는 이른 사망으로 이어질 수 있다는 점을 함의한다.

• 디지털융복합연구
• /
• 제18권3호
• /
• pp.133-138
• /
• 2020

ICT를 사용할 수 있는 능력은 이제 정보화 시대에 살아가기 위한 필수 전제 조건이며, 디지털 정보에 접근해 이를 활용할 수 있는 디지털 문해력은 그 중요성이 더욱 증대되고 있다. 이에 따라 디지털 정보와 지식에 접근하고 받아 들이는 것과 관련된 사회적 불평등 즉 디지털 정보격차도 전 세계적으로 중요한 사회적 이슈가 되고 있다. 특히 연령으로 인한 디지털 정보격차는 사회적 불균형 해소라는 관점뿐 아니라 노년층의 생존에서 더 나아가 경제의 구조적 문제 해결과도 직결되면서 주요 이슈가 되고 있다. 본 연구는 사회정서적 선택 이론의 관점에서 노년층의 디지털 격차에 대해서 해소방안을 모색하기 위해 노년층과 청년층 소비자를 대상으로 실험을 진행하였다. 그 결과 정보처리 의도와 정보처리 성과에 대한 기대에 있어 노년층과 청년층의 차이는 목표일관성에 따라 다른 것으로 나타났다. 본 연구는 이 같은 결과를 통해 노년층 소비자들이 디지털 방식의 정보습득에 덜 적극적인 원인으로 목표 비일관성의 역할을 제시하고 이를 근거로 학문적 및 실무적 시사점을 제시하였다.

• Journal of Periodontal and Implant Science
• /
• 제35권4호
• /
• pp.907-919
• /
• 2005

Porphyromonas gingivalis is a gram negative. black-pigmented anaerobe, associated with periodontitis & peri-implantitis. Fimbriae(fimA) of P. gingivalis are filamentous components on the cell surface and important in the colonization and invasion of periodontal tissue. But all P. gnigivalis strains don't have equal pathogenicity, inequality among strains originates from different fimA genotype. P. gnigivalis fimA gene encoding fimbrillin(structural subunit of fimbriae) has been classified into 5 genotypes(types I to V) based on the nucleotide sequences. In the present study, we examined the prevalence of these fimA genotypes in patients with dental implant and the relationship between prevalence of these genotypes and a condition of peri-implant tissue. Dental plaque specimens obtained from 189 peri-implant sulci of 97 patients with dental implants were analyzed by 16S rRNA fimA gene-directed PCR assay. P. gingivalis were detected in 86.2% of the alll samples. Among the P. gingivalis-positive samples, a significant difference in the occurrence of typeII was observed between test and the two control groups. In two control groups, typeII fimA were detected in 6.3%(PD<5mm/BOP-). 18.7%(PD<5mm/BOP+). In the test $group(PD{\geqq}5mm/BOP+)$, type II fimA genotype were detected most frequently in 50.0% . And a correlation between specific fimA types and peri-implantitis was found in $typeII(R^2=l.105)$. These results suggest that P. gingivalis strains that possess typeII fimA are gradually increased, as a condition of peri-implant tissue is getting complicated and are closely associated with peri-implant health status. We speculate that these organisms be involved in peri-implantitis

• 한국치위생학회지
• /
• 제18권6호
• /
• pp.911-920
• /
• 2018

Objectives: This study investigated the relationship between demographic and socioeconomic characteristics of the Korean elderly and their unmet dental care needs, by using the 2015 data from the $6^{th}$ Korea National Health and Nutrition Examination Survey (NHANES). Methods: In total, 1,372 elderly persons aged 65 and over, who responded to the $6^{th}$ NHANES, were included in the final analysis. Logistic regression analysis was performed in order to identify any relationship between demographic and socioeconomic characteristics and unmet dental care needs. Results: The rate of unmet dental care needs was shown to be less by 0.799 times in the elderly who reside in dong than those who live in eup and myeon (OR: 0.799, 95% CI: 0.679-0.959). Unmet dental care needs were higher in participants with 'low' and 'below average' than 'above average' income, by 1.645 times (OR: 1.645, 95% CI: 1.087-2.366) and 1.172 times (OR: 1.172, 95% CI: 1.108-1.880), respectively. Elderly individuals living alone had a higher rate of unmet dental care needs than those living with their family by 1.157 times (OR: 1.157, 95% CI: 1.084-1.498). Conclusions: Demographic and socioeconomic factors influenced unmet dental care needs, causing inequality. Proper policy support to the vulnerable should be considered in order to enhance the elderly's access to dental care.

• 인간식물환경학회지
• /
• 제23권6호
• /
• pp.667-681
• /
• 2020

Background and objective: Recently, there has been an increasing need for relaxation and familiarity with nature in residential and living spaces faced daily by urban residents, leading to a growing social interest in urban gardens. The aim of this study was to determine how gardens in a city provide physical and social benefits, comparing cases in Korea and overseas. Methods: We used the keywords "garden" and "city" for Korea, and "urban," "garden," and "green" for overseas. We then determined the Korean and overseas research trends in urban gardens by analyzing 63 Korean and 90 overseas articles deemed suitable for this study. Results: As to the types of urban gardens, the most significant type was community gardens, both in Korea and overseas (30.2% and 48.6%, respectively), followed by rooftop gardens in Korea (22.2%) and kitchen gardens overseas (22.2%). Due to the narrow and complex urban structure in Korea, people focus on using rooftop, wall, and alley spaces, and tend to arrange container-type flexible gardens. Overseas there has been a focus on promoting health and reducing food inequality through allotment and kitchen gardens, and a tendency to use a larger area as a fixed form than Korea. In addition, it was found that gardens in urban areas had a positive effect on urban biodiversity. Conclusion: To sum up, gardens in Korea are close to living spaces, and gardens overseas influence the ecosystem with an emphasis on food production. Therefore, creating urban gardens is a method of urban regeneration with a high utility that goes beyond mere food production, both in Korea and overseas, providing comprehensive benefits for the environment (37.73%) and society (62.27%). As such, continuous research on this area of study is needed to create policy guidelines for Korea.