• 한국콘텐츠학회논문지
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• 제20권12호
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• pp.180-197
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• 2020

본 연구는 비대면 진료 정책의 도입과 안정화를 이루어내기 위해서는 의료소비자의 이용의도와 관련 행위에 대한 이해가 선행되어야 한다는 것을 인식하고, 건강의식과 자기효능감과 같은 개인적 특성을 중심으로 비대면 진료에 대해 기대하는 인식과 유용성이 이용의도에 어떠한 영향을 미치는 지를 실증분석을 통해 확인하고자 하였다. 본 연구에서 제안된 가설들을 검증하기 위해 PLS 3.0을 사용하여 구조모형을 검증하였고 연구 결과는 다음과 같이 요약될 수 있다. 첫째, 건강의식과 자기 효능감은 비대면 진료로 인한 비용절감, 의료서비스의 질, 접근성 및 적합성에 유의한 영향을 미치는 것으로 나타났다. 둘째, 비용절감과 의료서비스의 질, 접근성 및 적합성은 비대면 진료의 인지된 유용성에 유의한 영향을 미치는 것으로 나타났다. 셋째, 비대면 진료의 유용성은 이용의도에 유의한 영향을 미치는 것으로 나타났다. 본 연구는 비대면 진료를 대상으로 개인적 특성을 기반으로 기대인식과 유용성을 통한 이용의도를 구조적·확장적으로 다루었다는 점에서 그 의의를 찾을 수 있고 비대면 진료의 필요성에 공감하고 시대적 흐름을 인정하려 하는 상황에서 본 연구에서 다루어진 기대인식들을 기반으로 관련 정책의 제도화를 진행해 나간다면 비대면 진료에 대한 인식을 발전적으로 전환시킬 수 있음을 본 연구결과는 시사하고 있다.

• Journal of Preventive Medicine and Public Health
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• 제37권3호
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• pp.267-273
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• 2004

Objectives : This study was aimed at investigating the medical service utilization pattern of patients who use public medical aid compared to those who have health insurance. Methods : We selected every patient between the age of 18 and 69 who used public medical aid from January 1, 1999, to December 31, 2001, in Gwangju metropolitan city, South Korea. For comparison, a list of patients with health insurance was gathered for same period. Then the medical records of those who had been hospitalized for acute appendicitis were selected among both groups. Of those records, we compared the number of cases of ruptured appendicitis to cases of whole acute appendicitis in both groups. Regarding coding for ruptured appendicitis, International Classification of Diseases - 10 (ICD-10) was used. Multiple logistic regression was used as a statistical tool to determine the effectiveness of risk factors. Results : Even after adjusting for risk factors, such as age and sex, the proportion of perforation of acute appendicitis among public medical aid patients was found to be significantly higher than among insured patients. Conclusions : This comparative study on ruptured appendicitis among public medical aid patients and insured patients, indicates that the proportion of perforation of acute appendicitis could be an index showing that these types of patients utilize medical services differently than insured patients. We know that when abdominal pain is not properly treated at the outset, it easily develops into ruptured appendicitis complicated with peritonitis. Considering this data analysis, we guess the public medical aid system to have significant problem with medical accessibility. So additional and systematic research on the pattern of utilization of medical services of public medical aid patients is needed.

• KDI Journal of Economic Policy
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• 제12권3호
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• pp.47-69
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• 1990

한국(韓國)의 의료보험제도(醫療保險制度)는 일본제도(日本制度)를 거울삼아 서둘러 적용대상자(適用對象者)를 확대하여 1989년 전국민의료보험(全國民醫療保險)을 달성하였으나 제도(制度)와 효율적(效率的) 운영(運營)을 위한 장치가 결여되어 있고 직장(職場), 공교(公敎), 지역의보간(地域醫保間)에 형평문제(衡平問題) 제기되는 등 구조적인 과제를 안고 있다. 앞으로 제도(制度)의 개혁추진(改革推進) 노력으로 이 분야의 정책수립(政策樹立)과 집행(執行) 에 있어서 경직성을 줄이고 비용효과적(費用效果的)인 의료이용(醫療利用)을 도모해 나가지 못할 경우 낭비요인(浪費要因)이 점점 더 크게 불어나 국민의료비(國民醫療費)가 계속적으로 급속히 증대될 전망이다. 이와 같은 제도(制度)의 질적개선(質的改善)의 필요성에 비추어 최근 네덜란드가 시도하고 있는 제도개혁(制度改革)은 우리에게 여러가지 귀중한 교훈을 던져주고 있다고 판단된다. 네덜란드의 개혁안은 시장경쟁원리(市場競爭原理)를 폭넓게 수용하여 제도(制度)의 능률(能率)을 높이고 의료비(醫療費)를 절감하려는 취지를 담고 있다. 특히 의보가입자(醫保加入者)가 보험자(保險者)를 선택할 수 있고 또한 보험자(保險者)가 의료기관(醫療機關)을 선택할 수 있도록 관계(關係) 집단간(集團間) 상호경쟁(相互競爭)을 유도함으로써 효율(效率)을 증진시켜 나가겠다는 정책방향이 뚜렷히 제시되고 있어 우리의 주목을 끌고 있다.

• 보건행정학회지
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• 제33권4호
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• pp.389-399
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• 2023

Background: The purpose of this study is to analyze the factors affecting the unmet healthcare needs of older people with chronic diseases in Korea and provide a basic research report to strengthen their access to medical care. Methods: In the 2020 older people survey data, 8,182 older people aged 65 or older who were diagnosed with one or more chronic diseases were the final subjects of the study. According to Andersen's behavioral model used in unmet healthcare needs, independent variables were composed of predisposing factors, possible factors, and necessary factors, and whether or not unmet healthcare needs was set as dependent variable. Results: Of the older people with chronic diseases, 1.6% experienced unmet healthcare needs, of which 55.9% experienced unmet healthcare needs for reasons related to economic burden, 31.6% physical constraints, and 12.5% time constraints. As a result of the analysis, older people with chronic diseases were more likely to experience unmet healthcare needs if they were relatively low in age, low in education level, no spouse, low in household income, poor subjective health, complex chronic diseases, and functional restrictions. However, by major reasons for experiencing unmet healthcare needs, living in rural areas were more likely to experience unmet healthcare needs due to physical constraints, and those who participated in economic activities and who had were more likely to experience unmet healthcare needs due to time burden. These results were not derived when only unmet healthcare needs was set as the dependent variable. Conclusion: This study emphasizes the need for an approach by cause of unmet medical occurrence by suggesting that there are differences in influencing factors by reason for experiencing unmet healthcare needs.

• 동서간호학연구지
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• 제26권1호
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• pp.28-38
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• 2020

Purpose: The aim of this study was to provide information on the extent and variations of elderly residents' nursing care needs, and provision of nursing care across long term care facilities. Methods: A nationwide survey was conducted on nurse managers from 1,041 long term care facilities, by e-mail or fax, from August 16 to September 30 in 2017. A self-reported questionnaire consisting of 5 domains was used to collect data. Results: Facilities with more than 30 residents were more likely to need skilled nursing services and to obtain the nursing staff such as a registered nurse and a nurse's aide. Awareness and satisfaction of hospital-based home nursing care was high in all facilities. In addition, there are some differences in nurse managers' perceptions of the level of healthcare resources and required action by facility size. Nurse managers of senior congregate housings were more likely to have considerable difficulty in dealing with healthcare needs of residents and recognizing the healthcare resource shortage. A majority of nurse managers agreed on the need to employ a registered nurse. Conclusion: This study confirmed that it is essential to increase nurse staffing level and to reform the long term care insurance for enhancing the accessibility of healthcare services, especially for the residents in small long term care facilities. There is also a need to provide diverse education and training opportunities for nursing staff working in long term care facilities.

• 지역사회간호학회지
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• 제14권4호
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• pp.726-736
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• 2003

Introduction: This study was conducted to investigate patients' satisfaction with hospital services at a university hospital in G city. Methods: The subjects of this study were 92 inpatients and data were collected during the period from March to April 2003. The research tool used was a 24-item scale(Cronbach' a= .768) on patients' satisfaction with two subcategories of services: 18 items on hospital human resources(a= .722) and 6 items on hospital environment(a= .700). Data were analyzed through $x^2$-test, t-test and ANOVA using SPSS/PC. Results: The level of patients' satisfaction was $38.4{\pm}3.77$ on hospital services $27.6{\pm}6.14$ on hospital human resources, and $10.8{\pm}2.39$ on hospital environment on the average. Satisfaction related to hospital human resources was higher in male subjects (t = 4.15, p = .003) and in those who stayed longer than 15 days (t= 4.404, p= .039) than the others, and also higher in those who replied that all items related to hospital facilities are satisfactory except the parking lot. Satisfaction related to hospital environment was significantly higher in more educated subjects(F = 2.945, p= .037) and in those who replied that all items related to hospital facilities are satisfactory or appropriate except the parking lot and admission procedure. Conclusions: Length of stay and the level of accessibility and appropriateness of hospital facilities were found to be factors that have significant effects on patients' satisfaction.

• 한국사회복지학
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• 제36권
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• pp.147-173
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• 1998

최근 들어 국내외에서 '여성복지'에 대한 관심의 증가와 더불어 사회복지정책이나 서비스를 성인지적(gender-sensitive)관점에서 분석하는 작업이 시도되고 있다. 그러나 아직도 클라이언트로서의 여성에 대한 관심은 그리 많지 않으며 여성을 서비스의 주 이용자로 하는 여성복지서비스 전달체계에 관한 연구 또한 미흡한 실정이다. 이에 본 연구에서는 여성복지서비스 전달체계의 현황을 개괄하고, 전달체계의 기능이 서비스 효과에 미치는 영향을 분석하였다. 이를 위해 여성복지담당 공무원인 여성복지계장과 여성복지상담원을 대상으로 설문조사를 실시했다. 이들의 주관적 평가내용에 기초하여 통합성, 접근용이성, 지속성, 적합성, 노력성, 전문성의 6가지 원칙으로 여성복지서비스 전달체계의 기능을 평가하고, 직무만족도와 업무효과를 중심으로 전달체계의 서비스효과를 측정하였다. 분석결과를 정리하면 1)여성복지계장과 여성복지상담원 모두 전달체계의 기능 중 노력성(재정과 인력의 충분성)이 미흡하다고 지적하였다. 2)업무효과에서는 여성복지계장의 경우 대부분 긍정적인 평가를 하고 있으나 여성복지상담원은 업무내용에 따라 비교적 긍정적인 평가와 부정적인 평가가 엇갈렸다. 3)직무만족도에서는 여성복지계장과 여성복지상담원 모두 동료나 지도감독자, 상담소 이용자 등과의 인간적인 관계에 있어서는 만족하고 있으나 업무수행과 관련된 부분에서는 불만족스러워하고 있었다. 4)전달체계 기능 중 업무효과에는 전문성(계장)과 접근용이성(상담원)이, 직무만족도에는 노력성(계장), 통합성, 접근용이성, 적합성(상담원)이 유의미한 영향을 미치는 것으로 나타났다. 집단에 따라 상이한 결과를 보이긴 했어도 전달체계의 접근용이성, 적합성, 통합성, 노력성 및 전문성이 부분적으로 서비스의 효과와 만족도에 통계적으로 유의미한 영향을 미치는 것으로 나타난 것은 전달체계의 기능과 서비스의 효과성간에 유의미한 관계가 있음을 어느 정도 뒷받침해주고 있다.

• 대한장애인치과학회지
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• 제14권2호
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• pp.59-64
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• 2018

This study proposed a registered dentist model for the disabled based on consumer in-depth interview and supplier survey. This study proposed that dental clinics in the community take role as registered dentists for the disabled. Qualification screening and facility prerequisites are required to be selected as the registered dentists for the disabled and patients of the registered dentists were restricted to the disabled who can cooperate to dental treatment services with or without the aid of physical bondage. In order to encourage the participation in the program, subsidies for the registered dentists were necessary. Also, this study proposed financial supports for the medical expenses for patients at the same level as the current dental care center for the disabled. The registered dentist program for the disabled meets the needs of disabled consumers, such as accessibility of medical institutions, expertise of medical staff, and ongoing treatments with familiar medical staff. The registered dentist program for the disabled is expected to provide prevention and ongoing management for oral health promotion of disabled people and it also contribute to lower economic burden of oral health care of the disabled.

• 농촌계획
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• 제18권3호
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• pp.91-101
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• 2012

The purposes of this study were to identify the living environment in rural fishing area and to suggest checking methods for implementation performance. Rural service standard is the key factor of rural development in Korea. In 2012. The first Implementations of performance was announced. The results were presented to the unit by the City and the County. Because of Fishing villages exists as a unit by the haengjeongri. It is difficult to know the status of the fishing villages by the Rural service standard. In order to look for the actual conditions in rural fishing village it was investigated in the 100 Eochongye. The data used in the analysis is 577 questionnaires. Analysis showed that rural fishing areas were superior to general state of rural in the 8 items of rural service standard. Especially housing, transportation and health care sector in rural fishing area wes better than general state of rural. But Public safety and order is relatively poor. This is because Fishing village contains islands. Presenting to improve rural service standard based on the results of research. The items of rural service standard should be measured the actual residents' accessibility than opportunity of the public service, and after setting the rural service standard clearly related to the quality of life of residents in each sector. Accessibility aspects of the customer for the public services should be considered. Checking the performance for the unit by the City and the County should be replaced as a living zone in order to consider the facilities using nearby.

• 농촌계획
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• 제25권4호
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• pp.1-11
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• 2019

This study conducted a survey on the recognition and demand such as recognition level, policy necessity, service demand and policy demand by supply types in order to provide the basic data for successful settlement of agro-healing services. According to the survey on awareness, 45.2% of respondents were aware of the healing farming, and 31.3% of respondents had experience in participating in the agro-healing services. 63.6% of respondents replied that they were experiencing reasons for participating in agro-healing services. Respondents who had no knowledge of agro-healing services responded that 76.7% of respondents said they would not participate. More than two-thirds of respondents in all types indicated that they needed agro-healing services. As a result of evaluating the maximum willingness to pay, there was a willingness to pay for farm work healing about 15,800 won, horticulture healing about 14,800 won, forest healing about 13,400 won, and animal assisted healing about 17,000 won. Improving accessibility and strengthening awareness were high priorities for inconveniences and improvements. 70.1% of the respondents said that policies for agro-healing services are needed. Development of agro-healing programs and contents was the first priority for support policy. The result of this study is expected to provide reference data that can be suggested for agro-healing policy establishment.