• Nutrition Research and Practice
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• 제17권5호
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• pp.1007-1018
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• 2023

BACKGROUND/OBJECTIVES: This study aimed to examine whether the tailored home-delivered meal (HDM) services included nutrition counseling impacts alleviating self-rated frailty among low-income older adults in Korea. SUBJECTS/METHODS: Pre- and post-test were implemented on May 27 and on November 25 in 2019 during 3 weeks, respectively, before and after the 6 months intervention program. Participants completed a questionnaire measuring frailty, malnutrition, food security, depression, and underlying diseases. Initially, 136 older adults were selected as participants for this study, they were recipients of a free meal program from 2 senior welfare centers in Seoul, the final sample size of those who completed the intervention program was 117 (female 70.9%, male 29.1%). Statistical analyses were conducted with IBM SPSS package program, paired t-test and χ² test to validate the test. RESULTS: There were statistically significant differences in the score of the Tilburg Frailty Indicator (TFI) before and after receiving the tailored HDM services (pre-test 9.46, post-test 2.8, P < 0.01). The differences in the score of TFI by 3 risk groups at the pre-test decreased as a result of receiving these services. CONCLUSIONS: The tailored HDM services alleviated the self-rated frailty of low-income older adults with limited mobility in a community setting. Based on the positive outcomes this study could be applied to developing social services for aging in place.

• Journal of Trauma and Injury
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• 제37권2호
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• pp.132-139
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• 2024

Purpose: Curricula for surgical residents should include training in trauma care; however, such training is absent in many low income countries. At the largest surgical training institution in Ethiopia, a trauma training program was developed, integrated into the existing surgical curriculum, and implemented. This study was conducted to evaluate the trainees' response to the new program. Methods: Over a 5-month period, 35 first-year surgical residents participated in weekly trauma care training sessions. The program included journal clubs, practical sessions, didactic sessions, and case-based discussions. Six months after the conclusion of the training, changes in knowledge, attitude, and practices were evaluated through a self-report survey. Results: For knowledge-based items, the survey data revealed reported improvements in 83.8% to 96.8% of students. Furthermore, 90.3% to 93.5% of participants indicated improvements in practice, while 96.7% exhibited a change in attitude. Respondents reported that attending didactic courses improved their presentation skills and facilitated the acquisition of knowledge. They suggested the inclusion of additional practical sessions. Conclusions: Training structures that are simple to implement are crucial for residency programs with limited resources. Such programs can be developed using existing academic staff and can aid residents in delivering improved care to trauma patients.

• 보건행정학회지
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• 제24권1호
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• pp.92-99
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• 2014

Background: Korea's primary care clinics are seeking increase in consultation fees by expanding supply within the frame of the health insurance system, but inequality of physician income between regions and individuals is exacerbating. The purpose of this study lies in analyzing the distribution of patients of primary care clinics, their specialized field, and the degree of inequality between medical fee income according to region. Data was acquired from the Health Insurance Review and Assessment Service on charged bills made by clinic-size medical institutions from 2008 to 2011. Methods: By comparing the outpatient number per clinic according to the clinic's specialized field, results showed that ophthalmology, otolaryngology, dermatology, orthopedics, and internal medicine showed high numbers whereas plastic surgery, neuropsychiatry, cardiothoracic surgery had fewer outpatients. The number of outpatients for clinic according to region showed Chuncheonnam-do, Jeju-do, Gangwon-do, Chungcheongbuk-do, Ulsan to have higher numbers of outpatients. For those four years, clinics in the Seoul area had a rather lower number. Results: As a result of comparing the decile hierarchy distribution ratio between specialized fields according to primary care clinics income from National Health Insurance, the inequality degree showed that obstetrics and gynecology and general medicine were each 0.130, 0.280 for the decile distribution ratio, which was the highest degree of inequality within the specialized field. Their Gini coefficient were also relatively high at 0.691, 0.528 respectively. On the other hand, the decile distribution ratio for otolaryngology and orthopedics were 0.510, 0.468, respectively, while their Gini coefficient each at 0.318, 0.314 makes their inequality degree relatively lower than other fields. Conclusion: This study is limited in that the data used was the health insurance charges submitted by clinics, which does not provide total information of the doctors' income. However, because most clinics are largely dependant on their income to come from health insurance reimbursements. Therefore, the results of this study can be used effectively. In the future, research that includes data on non-covered service income should be conducted to closely examine policy plans with a new medical fee policy which can resolve the medical fee income inequality issue between clinics as well as revitalize primary medical care.

• East Asian Economic Review
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• 제21권3호
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• pp.201-230
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• 2017

This paper studies the long-run behavior of relative price dispersion among cities in Korea with a special emphasis on heterogeneous transitional patterns of price level dynamics. Formal statistical tests indicate considerable evidence for rejecting the null of relative price level convergence among the majority of cities over the sample period of 1985-2015. The analysis of gravity model suggests that the effect of transportation costs on intercity price level differentials is limited, while other socioeconomic factors, such as income, input factor prices, demographic structure, and housing price growth, play key roles in accounting for persistent regional price level disparities. Individual price levels are found to be better explained by a multiple-component model, and the deviations from PPP may be attributed to distinct stochastic common trends that are characterized by income and demographic structure.

• 가정과삶의질연구
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• 제10권2호
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• pp.191-208
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• 1992

The study is focused on the perception of husbands and wives family financial security and satisfaction with quality of family life. Data was collected from the husbands and wives in Seoul. Eligibility was limited to family units with husband, wife, and at least one child. 852(Husbands:432, Wives: 420) out of 1200 respondents were finally selected as datum sources. The data was analyzed by Frequency, OneWay-ANOVA, t-test, Pearson' correlation and regression analysis. The major findings are the following: 1) In regard to the perception of family income adequacy, wives' perception was higher than husbands'. On the family financial problem, husbands had more experienced the financial problem than wives. 2) Marriage education, family income, husbands and wives education , and savings effected satisfaction with quality of family life. and husbands are more satisfaction with quality of family life than wives. 3) Determined the impact of the perception of family financial security on the satisfaction with quality of family life was 41% for wives and 33% for husbands, respectively.

• 가정과삶의질연구
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• 제2권1호
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• pp.79-92
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• 1984

The purpose of this study is to identify family stress and to specify family stress and socio-psychological resources which are associated variable. For the evidence of this topic, research was conducted on 258 married persons dwelling in seoul. The questionnare was composed of Family Stressor Inventory referred by McCubbin's FILE(1981) and Sarason's LES(1979) and Socio-Psychological Family Resources Inventory referred by McCubbin's FIRM(1983). This study offers to us that family income significantly has positive correlation with socio-psychological family resources and family income is potential variable which intensifies family tension or burden. This study touched only some variables, moreover, this is only a starting-point of family stress study in Korea. So further studies would consider latent variables, process, limited situation, family interaction pattern, family orientation, etc., and subjective variables would be reflected.

• KDI Journal of Economic Policy
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• 제38권1호
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• pp.1-22
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• 2016

This paper examines the effects of a universal childcare subsidy on childcare decisions and mothers' employment by using Korea's policy reform of 2012, which provided a full childcare subsidy to all children aged 0 to 2. I find that the introduction of a universal childcare subsidy increased the use of childcare centers by children aged 0-2, which led to less maternal care compared to that provided to children aged 3-4. However, the expanded subsidy had little effect on mothers' labor supply. Moreover, the policy effects vary by individual and household characteristics. The effects of the expanded subsidy are mainly found in low-income households and less educated mothers. Highly educated mothers and high-income households are likely to focus more on the quality of childcare service. These results imply that a simple reduction in childcare costs would bring only limited effects on mothers' time allocation behavior; thus, more attention should be paid to improving the quality of childcare services.

• 한국생물환경조절학회:학술대회논문집
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• 한국생물환경조절학회 2000년도 학술발표논문집
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• pp.3-16
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• 2000

Protection agriculture is the essential choice for human to increase the efficiency of limited crop production area under harsh and changeable weather boundary conditions, extend growing season, maximize the crop yields, and then increase the sustainable income of the grower. The investment costs far greenhouses as well as labor and energy costs are much higher than for conventional plant production systems, so these can only be balanced by better crop yields, higher labor productivity, and higher energy efficiency. (omitted)

• Journal of Forest and Environmental Science
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• 제33권4호
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• pp.348-354
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• 2017

Agroforestry has been practiced in arid and semi-arid regions for the purposes of preventing desertification and to increase income for locals. However, the intended effects of such practices have been limited due to strong winds and aridity. This study undertook multi-year monitoring of the productivity of income crops associated with windbreak planting in a semi-arid region of Mongolia, and explored strategies of windbreak planning to enhance the multi-purpose effects of agroforestry practices. The tree crown density of windbreak planting was on average 40% in one year after planting and 65% 2-3 years after, and thereby windspeeds were reduced by about 30% and 54%, respectively. Average windspeed reductions at leeward distances from the windbreak planting were approximately 60% within 3H (H=tree height), 50% at 5H, and 42% at 7-9H, presenting a pattern in which the farther the distance the less the reduction in windspeeds. The windbreak planting increased crop productivity by up to 6.8 times, compared to the productivity absent of windbreaks. Increases in the crown density as stated above resulted in increases of crop productivity by up to 3.6 times. Based on such results, this study proposed a model of windbreak planning as a typical land-use system of border windbreak planting or alternate windbreak planting of combining trees and income crops. The model also included tree planting with a crown density of 60% and allocation of income crops within a leeward distance of 5 times the height of the trees to reduce windspeeds by about 50%. The results from this study are applicable to practicing agroforestry not only at the study site but also in other regions worldwide where strong winds and aridity are problematic.

• 한국사회복지학
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• 제42권
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• pp.397-422
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• 2000

Since 1998 when economic assistance from IMF started, the empirical research on the effects of unemployment and drastic income loss on psychological functioning among the unemployed as well as their family members has increased. These studies have found that unemployment and drastic income loss following unemployment have significant negative influence on the psychological outcomes such as anxiety and depression of the unemployed and their family members. Studies have also focused on the role of social support in this process, and reported that depending on the levels of received social support, unemployment and income loss have differential effects on the psychological aspects of the unemployed. However, these studies have several weaknesses. First, most of the related studies employed the data which were collected from limited regions of the country, which imposes limitations on the scope of the generalizability of research findings. Second, the main independent variables used in these studies were mainly unemployment or income loss, which ignore the psychological evaluation by the employed of their family financial situations. Third, in analyzing the moderating effects of social support, most studies have focused mainly on showing the existence of moderating effects by social support. Consequently, the nature and role of social support remained unanalyzed and left to speculations. The purpose, of this study is to examine the effects of economic pressure experienced by family heads who were unemployed and to analyze the moderating role of social support based on a nationally representative sample. The findings showed that economic pressure has negative influence on anxiety and depressive feelings among the unemployed, and that the effect of economic pressure on depressive feelings were substantially higher among those who have received lower levels of social support from family members than that among those with higher levels of family support.