• 대한간호학회지
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• 제11권2호
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• pp.5-8
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• 1981

This study concerns itself with the development of a new model of comprehensive health service for rural communities of Korea. The study was conceived to resolve the problems of both underservice in rural communities and underutilization of valuable health manpower, namely the nurses, the disenchanted elite health personnel in Korea. On review of the current situation, the greatest deficiencies in the Korean health care system were found in the availability of primary care at the peripheries of md communities, in the dissemination of knowledge of disease prevention and health care, and in the induction of and guidance for active participation by the clientele in health maintenance at the personal, family and community level Abundant untapped health resources were identified that could be brough to bear upon the national effort to extend health services to every member of the Korean Population. Therefore, it was Postulated that the problem of underservice in rural communities of Korea can be structurcturally resolved by the effective mobilization and organization of untapped health resources, and that. a primary care Nursing Service System offers the best possibility for fulfillment of rural health service goals within the current health man-power situation. In order to identify appropriate strategies to combat the present difficulties in Korean rural health services and to utilize nurses and other health personnel in community-centered health programs, a search was made for examples of innovative service models throughout the world. An extensive literature survey and field visits to project sites both in Korea and in the United States were made. Experts in the field of world health, health service, planners, administrators, and medical and nursing practitioners in Korea, in the United States as well as visitors from other Asian countries were widely consulted. On the basis of information and inputs from these experts a new rural health service model has been constructed within the conceptual framework of community development, especially of the innovation diffusion Model. It is considered especially important that citizens in each community develop capacities for self-care with assistance and supports from available health professionals and participate in health service-related decisions that affect their own well-being. The proposed model is based upon the regionalization of health care planning utilizing a comprehensive Nursing Service System at the immediate delivery level The model features: (1) a health administration unit at each administrative level; (2) mechanisms for community participation; (3) a continuous source of primary health care at the local community level; (4) relative centralization of specialty care and provision of tertiary or super-specialty care only at major national metropolitan centers; and (5) a system for patient referral to the appropriate level of care. This model has been built around professional nurses as the key community health workers because their training is particularly suited and because large numbers of well-trained nurses are currently available and being trained. The special element in this model is a professional nurse-guided, self-care facilitating primary care Community Nursing Service System. This is supported by a Nursing Extension Service as a new training and support structure. (See attached diagrams). A broad spectrum of programs was proposed for the Community Nursing Service System. These were designed to establish a balance of activities between the clinic-centered individual care component and the field activity-centered educational and supportive component of health care services. Examples of possible program alternatives and proposed guidelines for health care in specific situations were presented, as well as the roles and functions of the key health personnel within the Community Nursing Service System. This Rural Health Service Model was proposed as a real alternative to the maldistributed, inequitable, uncoordinated solo-practice, physician-centered fee-for-service health care available to Koreans today.

• 농촌계획
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• 제20권2호
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• pp.71-80
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• 2014

This study intended for Cheongryongsan Community Garden in Gwanak-gu, one of the demonstration places for 'Community Garden' Project recently implemented by the Seoul Government. This study had two major purposes: investigating the current status of the management and usage and identifying its characteristics; investigating users' awareness to consider the construction and operation directions of sustainable community gardens. This study was conducted based on several surveys such as an investigation into the spatial configuration and the management system of parks through a field study, a use survey through a questionnaire survey for vegetable garden users and an awareness survey about the construction direction of gardens direction preferred by users through the analytical hierarchy process (AHP). As a result of a questionnaire survey for vegetable garden users, the usage status was summarized as follows: Considering the common trends in the 2012 and the 2013 user survey, women used Cheongryongsan Vegetable Garden more than men. Over fifties used it most of all users. Users were mostly neighborhood residents. They used to visit there three to five times a week and stayed for about 30 minutes to one hour. Users differently responded to the question related to the order of priority for the use of the garden in the 2012 and the 2013 survey. They had increasingly used it for individuals' production activities more than social exchanges. As a result of making an AHP analysis for general park users, vegetable garden users there were clear differences in the targets which each subject put emphasis on in relation to the construction and operation of vegetable gardens. General park users recognized a vegetable garden as a park where park functions and the functions of the vegetable garden coexisted. On the other hand, vegetable garden users viewed it as a space where they attached importance to the functions of the vegetable garden like an allotment. Last, this study contemplated subjects related to the construction and operation of vegetable gardens which had to be considered in the future. Vegetable gardens tended to be biased as personal hobby places. It was viewed that the main reason was insufficient support activities for vegetable garden education and exchange programs originally planned when vegetable gardens had been constructed. Vegetable garden users recognized vegetable gardens as places for individuals' farming activities like allotments. For the desirable operation of vegetable gardens, it would be necessary to give priority to the park management before the production activities in individuals' vegetable gardens. The important role of the government would be to build the base through the provision of education and opportunities so that a local resident organization could actively participate in the management of a vegetable garden after a vegetable garden was constructed. It would be necessary to make a use survey and an awareness survey for users conducted in this study on a regular basis because the surveys could be important basic data in the decision-making process for the sustainable operations of the vegetable garden.

• 한국농촌건축학회논문집
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• 제17권3호
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• pp.55-62
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• 2015

Recently as return farmers has been increased rapidly, the introduction of a system of rental housing is being considerated in order to induce regional fixation. It was examined organizational management, business scope of rural type rental housing, management role, through the analysis about the management realities of the business of similar form Rural-Fishing New Town project. Jangseonggun and Hwasungun have maneged rental housing 280ho in Rural-Fishing New Town project. It is large village among Rural Rental Housing. And these counties have organized the complex on a large scale among the rental housing. Local governments have managed and operated directly, also these governments have two different methods for the co-management, and the way of making payment. Rental housing management services are divided into rental management, housing management, tenant management. Rental management services such as residents of recruitment, tenants and retreat, rent collection and the storage, management and leasing promotion of the cantilever, surveys of residents. Housing management services such as check of various facilities, maintenance and maintenance work, security and cleaning and daily facility management. Tenant management is life management in connection with housing welfare. In the rural type of rental housing, there are few cases to operate a management office. It is often supplied by rental housing to buy a house or vacant land within the existing village. In this case, by utilizing community facilities within the existing village instead of establishment of extra facilities,It doesn't need to make payment for maintenance fee. In the smaller complex than No. 20, it is self-managed by the tenants in order to reduce the administrative costs and specify the necessary municipal manager. Organization form can be maneged directly from local governments and part of for the management of the building can be employed a mixed management system to delegate management to private organizations such as non-profit organizations or neighborhood association. Tenant management helps people who move in a rental house live on stable circumstance in there area by connection with the program of life support.

• 가족자원경영과 정책
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• 제16권2호
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• pp.187-210
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• 2012

Pumasi and Cooperative Child Care Sharing have had positive results among participants and show possibilities of spreading out to the community in general. However, performance was not proved where it is clarified, and the experience of 23 local Healthy Family Support Centers have that ran the demonstration project were unable to be collected. It is the point of time when the initial backing up is important but the centers do not have the systematic support. Therefore, this research presents an effective management plan through qualitative research involving Pumasi participants and person in charge. The operation strategies by the stage of the project were as follows: First, in the beginning stage, the person in charge establishes the target and vision of the project. Second, when comprising the Pumasi team, it was necessary to consider their characteristics according to the team organization subjects. Third, it is necessary to extend the turn-off time and provide many programs so that the various populations can participate. Fourth, in the advertising step, word of mouth and individual contact needs to be utilized. Fifth, in a medium or small city or an urban-rural complex area, the person in charge should support the participants' Pumasi activities. Sixth, various programs such as a passive and active parent education program and Pumasi education program for the leader needs to be provided for the activation of Pumasi activities. Lastly, a cooperative child care sharing location needs to be constructed by the duality system of the base space and outer space. In this location, the inside play space for the children is essential.

• 한국경제지리학회지
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• 제21권2호
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• pp.173-191
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• 2018

이 연구는 사회적 경제에 관한 학술적 관심과 정책적 적용이 증가하는 추세에 주목하여 사회적 경제를 공간적 관점에서 바라보는 지리학의 연구 주제를 정리하려는 목적으로 이루어졌다. 사회적 경제가 갖는 사회적 가치의 추구라는 지향성은 독특한 공간 특성을 나타낼 것이라 보았고, 이를 위해 사회혁신, 사회적 경제조직, 사회적 기업 등 관련 개념을 통해 공간적 의미를 갖는 요소를 도출하였다. 사회적 경제의 공간적 맥락을 이해하는 방법으로서 사회적 기업가정신이 발현되는 공간의 성격, 사회적 경제조직의 의사결정이 갖는 장소기반의 맥락, 사회적 문제 해결이라는 수요와 사회적 경제조직의 활동을 지원하는 공급의 특성이 상호작용하며 만들어가는 공간의 특성에 주목할 것이 제안된다. 사회혁신클러스터에 대해서는 기존의 산업클러스터와 차별화되는 특성을 밝히는 것이 중요함을 지적한다. 지역사회와 갖는 밀착의 본질, 당위성, 요소에 대해서는 착근성 개념을 적용할 것을 제안한다.

• 대한치과의사협회지
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• 제48권1호
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• pp.6-11
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• 2010

Amid the rapid transitions in both local and international markets, the Korean dental industry is facing more challenges than at any time in its history. This paper tried to address some of the key issues faced by the industry as well as the policy issues and I direction of implementation that the Korean Dental Association (KDA) is expected to tackle. First, the direction of reforming the country's health insurance system was examined with emphasis on the expected changes in and improvement of the fee-for-service reimbursement system (FFSRS) and medical reimbursement system (MRS). With FFSRS, the most urgent issue would be ameliorating the current lop-sided, unreasonable reimbursement system that prevents suppliers from voicing their opinions. To help achieve that goal, the limited authority and responsibility of the president of National Health Insurance Corporation (NHIC) as one of the contract-making parties must be clarified. In addition, the functions of NHIC's Health Insurance Finance Committee must be restricted; at the same time, the panel organization of the Health Insurance Policy Review Committee needs to be reformed to embrace greater democracy. As with MRS, the government is considering a block budget bill to help promote efficiency in employing and managing the health insurance fund. Policymakers must understand that the implementation of such proposal could exacerbate an already dire situation. Improving MRS requires meeting the following preconditions: (a) the structurally vicious cycle of small charge-small salary needs to be resolved, and a certain percentage of fee raise must be guaranteed on a yearly basis to help adjust the fee system to a more realistic level; (b) the supply-and-demand balance in producing health care professionals must be improved including the prevention of oversupply of doctors, nurses, etc., and; (c) institutional strategies must be provided to enhance the quality of medical care and ensure academic advancement in health care disciplines.

• 한국항해항만학회지
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• 제38권3호
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• pp.277-289
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• 2014

Fishing village is becoming the central base of fishing industry and it plays a major role. However, there is a decrement of marine resources and some difficulties with the deterioration of fishing industry management. In order to solve these problems, there should be some developments(e.g. fishing village toursim development) on various undergoing government and the private organization programs. Nevertheless, there are not guidelines for fishing village tourism development to utilize for practical business. Therefore, it is necessary to understand the current status and guidelines regarding the development of fishing village for coastal planner. The primary purpose of this study is to investigate the characteristics of fishing village development works in Korea and Japan. The second purpose is to identifie success factors after analyzing individual success cases. Based on evidence from the literature and a dialogue with village leader, a literature review on extracting success cases for guidelines were selected according to criteria such as the degree of contribution to an increase in income of the fishing village, the degree of contribution to an increase in consumption of marine products using local natural resources, the number of tourists that visits the village. Finally we propose guidelines for future fishing village development projects. The guidelines based on the successful cases, as well as the major factors about the objectives and direction of fishing village tourism development, suggested as follows. 1)Plans for land use, 2)Development of tourist resources, 3)Plans for views, 4)Plans for resource protection, 5)Plans for operation and marketing.

• 농촌지도와개발
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• 제3권1호
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• pp.67-81
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• 1996

Our agricultural extension system with all its success and failures, rewards and punishment was introduced 50 years ago with particular reference from United States. Some of the established principles and policies of effective extension work were shaken off for immediate result. But the results were not praiseworthy. The purpose of this study is to throw some light on the question of systems and approaches on agricultural extension that can adequately meet the challenges of the future. Our extension system is `special government type` which administers a nation-wide network of extension and training services in close collaboration with that of the experiment station. This type, however, has innate weakness which inclined to be standardized, inflexible, and irrelevant to actual needs of farming communities and problems of farmers. In this regard, it is necessary to consider another approaches of agricultural extension: `Government Type`, `Agricultural University`, `Farmers Organization`. The characteristics features, advantages and disadvantages of these models have been discussed. Each model has been found wanting in one way or another to meet the needs and interest of the present Korean situation. In view of the agricultural situation, and considering the expected changes of farmers and technologies in the years ahead, the `modification (especially to the direction of provincial government) of preset system` was expected which would be operationally flexible and organizationally unified and decentralized. The modification of present system should include the following characteristics: 1) universal contact with client system, 2) local planning based on the needs of clients, 3) using multiple method of nonformal education, 4) fitting with both general and specialized farming systems, 5) accommodating variable clients, technologies and educational objects.

• 농촌지도와개발
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• 제20권1호
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• pp.41-69
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• 2013

분석결과 연구대상자의 인구사회학적 특성인 학력, 연령, 결혼여부와 직무만족도인 근무기간, 직무, 보수, 기관, 승진, 동료, 이직 전직이 연구대상자의 삶의 질에 유의미한 영향을 미치는 것으로 확인되었다. 이는 장애인직업재활시설의 종사자들의 직무만족이 삶의 질에 영향을 미치는 것을 의미한다. 즉 종사자들의 삶의 질의 향상을 위해 적절한 근무환경 또는 근무조건에 대한 불만을 상쇄시키고 더 나아가 직업적 정체성과 소명의식을 가지고 근무할 수 있는 환경이 요구된다. 이상의 연구결과를 바탕으로 종사자의 직무 만족도를 높이기 위한 각각의 자격이나 경력, 적성 등을 고려한 투명하고 공정한 인사제도 및 지속적인 교육과 관리를 통해 장애인직업재활시설의 전문직으로서의 분명한 인식과 긍지를 확립함으로써 지역사회의 종사자로서의 긍정적 역할을 수행하기 위한 노력이 함께 이루어져야 할 것을 제언한다.

• 가정과삶의질연구
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• 제22권1호
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• pp.103-114
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• 2004

This study was performed by the literature review on housing of the aged in Korea with social constructionism perspective. This kind of research may be utilized as a theoretical framework for performance of any systems of housing for the aged. In terms of structural context, the value of conventional custom of filial piety thoughts and duty for family are being collapsed, which nay be suitable to the change of society, should be considered for positive acceptance of changes in ideology. In terms of institutional context, a method to grope for housing for the aged should be established through amicable cooperation between organizations of legalization concerned. In terms of organizational context, there is no organization that exclusively concern housing for the aged until now, thus, development of concrete manual is required for jobs of service in current department of policy for the aged. In terms of operational context, the service may include the understanding of characteristics of the aged and design of housing may also change the service of administration, and as cooperation in the local community care systems may change the service to the aged in the field. Connection of these services and operation of these organizations nay be required in the field to manage housing. Finally in terms of intersubjective context, as the form and method of housing management service is important, with understanding of the social meaning and importance on the role of manager.