• 대한가정학회지
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• 제45권6호
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• pp.21-33
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• 2007

본 연구는 미국 North Carolina의 Durham Chad and Development Study에 참여하는 161 가족의 자료를 이용하여 소득 수준과 인종에 따라 가족들이 선택하는 영아 보육의 특성을 밝혀보고자 하였다. 생후 1년 동안의 영아 보육 선택에 있어 시간에 따른 변화 또한 분석하였다. 소득이 높은 가족들은 더 낮은 소득의 가족들과 비교하였을 때 어머니가 아닌 다른 사람에 의한 영아 보육을 더 많이 이용하였다. 흑인 가족들은 백인 가족에 비해 영아 보육을 더 많이 이용하였다. 저소득 가족은 친척에 의한 보육을 많이 사용하였고, 고소득의 가족은 데이케어 센터와 같은 보다 형식적인 보육에 의존하는 경향이 보였으나, 소득이 보육의 형태에 미치는 영향은 통계적으로 유의하지 않았다. 저소득층 가족은 영아 보육을 더 이른 시기에 시작하였으며, 유의하게 적은 보육 비용을 지출하였다. 이러한 본 연구 결과들은 저소득층을 위한 영아보육 정책의 중요성과 더불어 영아를 위한 보육 선택에 있어 문화적 차이의 역할을 재조명하였다고 볼 수 있다.

• Human Ecology Research
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• 제57권2호
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• pp.257-270
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• 2019

This study the presents survey results of a families living with children with disabilities in northern Seoul (Nowon-gu and Dobong-gu) that provides various educational services. This study investigates the current usage and needs of community resources for children with disabilities by the families in the inclusive and segregated care as well as education centers to provide information for the effective implementation of the current system. A total of 109 surveys were distributed and 62 (57%) were returned. 44 families in the 14 inclusive care and education centers as well as 18 families in the 2 segregated care and education centers participated in this study. They were asked to report on access to community resources that include compulsory education, family support, medical treatment, counseling services, commuting support, ways to gain necessary information, current use, and further needs for community resources for their children. Research results indicated that families in two different types of child care centers needed differentiated community services. Parents who use a segregated child care center demanded physical accessibility and increased numbers of highly qualified teachers; however, parents who use the inclusive child care center require the unified information system for the community resources. Survey findings are discussed related to differences between the two types of child care centers. Implications for sharing comprehensive information through child care teachers and directors of child care centers and future research are also discussed.

• Tuberculosis and Respiratory Diseases
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• 제66권3호
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• pp.192-197
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• 2009

연구배경: 재택산소요법의 건강보험 급여 혜택이 있기 이전에 이뤄진 국내 보고는 특수한 일부 환자군만을 대상으로 하였을 가능성이 높아 재택산소 사용의 정확한 실태를 반영하지 못했을 가능성이 높다. 저자들은 재택산소요법의 보험 혜택 이후 시점부터 본 병원에서 재택산소처방을 받은 환자군의 임상적 특성, 산소사용의 실태 및 순응도에 대해 조사하여 이전의 국내 보고들과 비교해 보고자 하였다. 방 법: 자가산소요법의 건강보험 급여 혜택이 시작된 2006년 11월부터 2008년 9월까지 인제대학교 백병원 호흡기 내과를 방문하여 재택산소처방을 받고 외래에서 추적관찰 중인 환자를 대상으로 하여 의무기록 검토와 설문조사를 하였다. 결 과: 대상 환자수는 총 105명, 평균 나이 69세이고, BMI 19.1 $kg/m^2$, 남녀의 비는 60:45명이었다. 산소를 처방하게 된 기저 질환은 COPD 64명, 폐암 14명, 결핵으로 파괴된 폐가 13명, 기관지확장증 3명이고 그 외 폐성심, 기관식도루, 천식, 울혈성 심부전, 폐렴이 있었다. 평균 동맥산소분압은 54.4 mmHg, 산소포화도는 86.3%, 평균 헤모글로빈은 11.9 g/dL이었고, 평균 심실구혈률은 61.1%, 우심실수축기압력 42.7 mmHg이었다. 88명에서 시행한 폐기능검사에서 평균 FVC 2.05 L (66.5%), $FEV_1$ 1.12 L (52.0%), $FEV_1$/FVC 55.6이었다. 평균 산소처방기간은 8.2개월이었고, 하루 평균 산소시간은 9.8시간이었다. 그 중 평균외출시간 5.4${\pm}$3.7시간 동안은 산소를 사용하지 못했다. 산소사용을 중단한 사람은 66명으로 62.8%를 차지하였고 그 원인으로 사망이 33명(50%), 임의중단 24명(36%), 저산소증 호전 8명(12%), 입원한 경우가 1명 있었다. 임의 중단 환자는 산소처방 후 평균 7.0${\pm}$4.7개월 의 시점에 산소를 중단하였다. 임의중단 사유는 증상호전 11명(45%), 사용불편 6명(25%), 증상호전 없음 4명(17%), 경제적 비용부담 3명(13%) 순이었다. 결 론: 재택산소 처방 후 충분한 산소사용 시간 확보 및 산소의 지속적인 사용을 유지하려면 산소사용에 대한 환자 및 보호자에 대한 교육, 일반인을 대상으로 한 홍보, 경제적 부담 완화 등의 추가적인 노력이 있어야겠고, 야외활동 중에도 사용이 가능한 휴대용 산소장치에 대한 보험 혜택 확대가 필요하다고 하겠다.

• 근관절건강학회지
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• 제27권3호
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• pp.238-246
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• 2020

Purpose: This study aimed to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit among older people. Methods: The target participants were enrolled in 2007 and they were classified into 1 year, 2 years, 3 years, and 4 years according to their service provision period. We analyzed health insurance claims data and entitlement data from the National Health Insurance Service databases between 2006 and 2010. This study examined the participants' social-economic and health status factors related to total medical expense. Cost-benefit analysis was done using the net benefit and benefit/cost ratio. Results: Based on the use of home visiting service, the effect was reduced by 223,914 won. The cost for 952,109 people aged 65 or older was 39,891,462,882 won and the benefit was 213,190,534,626 won. The net benefit was 173,299,071,744 won and the benefit/cost ratio was 5.34 times, which was very economical. Conclusion: Home visiting health care should continue to expand as a means of economically effective health care for people aged 65 and older and to ensure health equity for vulnerable groups.

• 대한가정학회지
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• 제35권6호
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• pp.173-189
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• 1997

The purpose of this study was to investigate housewives'time use and satisfaction with it and analyze the factors affection these. Subjects were 222 housewives with pre-and elementary school children. The data were analyzed by mean, standard deviation, X-test, t-test, ANOVA and Duncan's multiple range test. The results of this study were as follows : 1) Housewives spent over 1/3 of time on physical care(sleeping.. etc.). 2)The use of time by housewives was mainly influenced by husband's status and children's state(age, the number of extra curricular hours, educational level) 3) The satisfaction with time use was affected by first child's age, husband's age, husband's educational level, wives's educational level, and household income.

• 한국농촌건축학회논문집
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• 제10권4호
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• pp.1-8
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• 2008

The policy that do so the Geritol generation with advanced age generation's increase may be not estranged and can human down life is necessary times. The Medical treatment and welfare service is essential, and the aged support domiciliary care facility in the rudiments step more expand must. It is real condition that Kangwon-do's number of closed school appears by many things thirdly in whole country and the post management countermeasure is urgent. Because this research chooses the closed school by way to solve the closed school problem that happen by the child of school age decrease the farming and fishing villages or small city and the shortage problem of old people's welfare facilities by population graying at the same time. There is the purpose to grope practical use the possibility of local closed school as welfare center for the old who stay at home present remodeling to welfare facilities for the old man. Keeping the structure condition of a closed school maximum, the welfare center for the old who stay at home by remodeling a closed school ultimately proposed.

• 가정간호학회지
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• 제9권2호
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• pp.114-128
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• 2002

In order to provide information for the establishment and maintenance of a rehabilitation day care center for stroke patients. this study is to assess needs for the rehabilitation day care center of the stroke patients and to identify the factors influencing the needs for the center. The data were collected face-to-face interview with 223 stroke patients. using a structured questionnaire. from September 24. 2001 to November 20. 2001. Major findings are as follows. 1. Most of the participants($94.6\%$) needed rehabilitation day care center for stroke patients. $95.5\%$ of participants were willing to use the rehabilitation day care center. 2. Also the score of the needs for the center's health services was $2.84\pm60$ out of 4.00. In regards to the sub-contents. while the physical exercise therapy showed the highest mark($3.54\pm71$) in the needs. the following marks showed physical therapy($3.48\pm79$), training for the memory. thinking and judgment($3.30\pm93$). training for ADL($3.09\pm99$). health education program($3.04\pm93$). In the meantime. the expected effects from the use of the center are $2.89\pm61$ out of 4 and its sub-contents showed that the center would promote their physical and mental well-being($3.30\pm74$) and the center would be more effective than in home care($3.12\pm70$). 3. Meanwhile. the desired frequency of use in the future and distance had significant interrelation with their families living together(p<.05). In addition those who paid to use it differentiated significantly according to their ages and the types of insurance they had(p<.05). 4. The needs in degrees of speech disorder therapy and hobbies & amusements. the patients with other disease had significantly higher degrees than those patients without it (p<.05). Also in regard to the need degrees for physical therapy. healthy education programs and individual counseling including their families. the degrees of the patients with speech disorders were significantly lower than those of the patients without the disorder (p<.05). On the other hand. the patients with speech disorders were significantly higher than those patients without it in the need degree of the speech disorder therapy (p=.000). And the needs in degree concerning about speech disorder therapy. physical exercise therapy. training for ADL. medicinal substances therapy and family education were negatively correlated with the ADL (r=-.236$\sim$.305, (p<.005). 5. Finally. the expected effect of using the rehabilitation day care center showed significant differences statistically according to whether or not they had other disease (p<.05). In conclusion. the study showed the stroke patients were willing to use the center and had a high requirements for it and they especially had relatively high need degrees for the physical exercise therapy. physical therapy. training for memory. thinking and judgment. and healthy education program. And significant factors for the use of the center were their ages. types of insurance. family cohabitation. complications and speech disorders. ADL and so forth. Accordingly. the rehabilitation day care center needs to be established for the stroke patients and the center should develop rehabilitation care programs. which are individual and special programs customized for each patient's characteristics and health conditions.

• 가정과삶의질연구
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• 제27권4호
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• pp.117-126
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• 2009

The purpose of this study was to analyze the difference of working mothers' work-child rearing strain and their demand on special care services according to each mother's work conditions and childcare situation. 477 working mothers who have only one child each were gathered by the use of the purposive quota sampling method and analyzed with t-test, F-test, correlation, and multiple regression. The main results showed that working mothers had high work-child rearing strain and demand on special care services when their working conditions were inflexible and they were not satisfied with the care services for their child. The major variable which explained working mothers' demand on special care services was e their work-child rearing strain.

• 가족자원경영과 정책
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• 제27권4호
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• pp.35-47
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• 2023

본 연구는 2019년 개정 및 신설된 가족돌봄휴직·휴가제도가 여성관리자의 일·가정 양립에 미치는 영향을 분석함으로써 제도의 효과를 살펴보고자 한다. 이를 위해 2020년 여성관리자패널 자료 중 제도 사용경험이 있는 유배우 여성관리자 1,040명을 분석대상으로 삼아 성향점수매칭과 다중회귀분석을 실시하였다. 성향점수매칭 결과, 가족돌봄휴직 사용자 집단의 가족돌봄시간은 미사용자 집단보다 유의하게 적었고, 사용자 집단의 일·가정 갈등 수준과 가정·일 갈등 수준도 미사용자 집단보다 유의하게 높았다. 가족돌봄휴가의 경우 사용자 집단의 조직형태가 국가/지방자치단체인 경우가 미사용자 집단보다 유의하게 높았다. 다중회귀분석 결과, 가족돌봄휴직 사용 경험이 가정·일 갈등에 미치는 정적 영향이 유의미하였다. 본 연구결과는 현행 가족돌봄휴직·휴가제도가 일·가정 관계에 긍정적인 영향을 미치기에는 부족하다는 것을 시사하며, 지속적인 정책효과 검증을 통해 정책을 수정·보완해 나가야 함을 뜻한다.

• 보건행정학회지
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• 제24권4호
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• pp.349-356
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• 2014

Background: This study aimed to explore factors associated with the non-use of beneficiaries of long-term care insurance services for the elderly in Jeollanam-do Province by analyzing a dataset obtained from National Health Insurance Service. Methods: The study sample consists of 1,663 individuals who were evaluated as eligible for long-term care insurance services in Jeollanam-do Province during the period of July 1, 2008 through June 30, 2009. As a dependent variable, the non-use of the service was defined as one when a beneficiary had used it once or more times during one year after he or she was evaluated as eligible and as zero otherwise. A proportion analysis was conducted to describe characteristics of study sample. Chi-square tests were used to compare general characteristics between beneficiaries who had used the services and those who had not used them. Multiple logistic regressions were performed by three models including additional sets of explanatory variables such as socio-demographic characteristics, health conditions, and economic status. Results: Main results are summarized as follows. The proportion of beneficiaries who had not used the service was 14.5% of all beneficiaries. According to the results from the model using all explanatory variables, the factors associated with the non-use of the services were residence location, dwelling place, type of desired service, level of care needs, and instrumental activities of daily life limitations. Conclusion: In particular, regarding the type of desired service, the cash benefit showed a high likelihood of the non-use of the service; it had an odds ratio (OR) of 50.212 (95% confidence interval [CI], 24.00-105.04) compared with home service. In case of dwelling place, a hospital showed also a high likelihood of the non-use with an OR of 20.71 (95% CI, 10.12-42.44) compared with home.