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Current Status of Hospital-based Health Promotion Programs in Korea and the Factors Influencing Their Introduction (우리 나라 병원들의 건강증진 서비스 도입 현황과 이에 영향을 미치는 요인)

  • Lee, Sang-Gyu;Park, Choon-Seon;Kang, Myung-Guen;Hahm, Myung-Il;Lee, Soon-Young;Cho, Woo-Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.4
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    • pp.399-407
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    • 2001
  • Objectives : To investigate the current status of hospital-based health promotion programs in Korea and to elucidate the factors which affect to the process of implementation. Methods : We conducted a mail survey of all 875 hospitals in Korea from March to May 2001. In reference to 12 specific kinds of health promotion programs, hospital CEOs were asked whether their hospital have such programs, whether they are fully staffed and whether the program is paid for by the patients. Contextual factors(location, hospital type, number of beds, length of operation, public/private status, economic level of the community, the level of competition) and organizational factors (the extent of market, compatibility with vision, formalization), strategic types of the CEOs (defender/analyser/prospector) were also surveyed. The relationships between each variable and the implementation of health promotion services, activation of services, and the target groups(patient/community resident) were analyzed by univariate analysis and the independent effects of these variables were examined with multiple logistic regression. Results : 100 of 125 hospitals responding (84.8%) had mere than one health promotion program. However, they showed fluctuations in the adoption rate of each programs, meaning that comprehensive health promotion services were not provided. Many programs were not fully staffed and few hospitals had paid programs. In factors affecting health promotion service implementation, private hospitals showed a higher rate in implementation than public hospitals. In contrast, when the competition among nearby hospitals was intense, the level of implementation of service lowered. In the strategic type of the CEOs, the prospectors were shown to have instituted more health promotion programs in their hospitals and the analysers had a greater tendency to have programs for community residents than the defenders. Conclusion . Considering the above results, contextual factors may contribute greatly to the introduction of health promotion services in Korean hospital, although the CEO's personal preference and organizational factors play a larger role in the activation of services. Additionally, the CEO's personal preference may be the major influencing factor in the introduction of programs for community residents.

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Factors Affecting Depression in the Elderly Over 65 Years in Korea: Using Andersen's Behavioral Model (한국 65세 이상 노인의 우울증에 영향을 미치는 요인 : 앤더슨 모형을 활용한 융합적 연구)

  • Park, Hyo-Eun;Seo, In Soon
    • Journal of the Korea Convergence Society
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    • v.10 no.8
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    • pp.83-95
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    • 2019
  • The purpose of this study was to comprehensively investigate predictive factors influencing on geriatric depression of the elderly by applying the Andersen's Behavioral Model of Health Service Use,. The research data was focused on the final analysis of 3,585 elderly population aged 65 or older among 21,724 participants in the 6th (2013-2015) Korea National Health and Nutrition Examination Survey. Hierarchical logistic regression analysis was conducted to multivariate analysis method of the variables for possible depression by the Andersen's Behavioral Model of Health Service Use. As a result of hierarchical regression analysis, there was a negative correlation of 0.49 times(0.31-0.78) for males. In addition, there was a positive correlation of pain 1.56 times(1.05-2.31), stress 0.55 times(1.10-2.19), walking exercise 1.44 times(1.03-2.00) and outpatient use 1.48 times(1.10-1.98). Therefore, differentiated support according to the gender of the community residents is necessary, and stress intervention or additional support for exercise is required.

A Comparative Study on Precarious Labor Market in Korea and Japan: Gender and Occupational Division of Precarious work (한국과 일본의 불안정노동시장 비교연구: 불안정노동의 젠더적·직업계층적 분절)

  • Back, Seung Ho;AN, Juyoung;Lee, Sophia Seung-yoon
    • 한국사회정책
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    • v.24 no.2
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    • pp.1-29
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    • 2017
  • This study compares and analyzes precarious labor market in Korea and Japan in terms of gender and occupational class. Previous studies have analyzed precarious labor limited to the level of employment type such as non-standard workers. This study reconceptualizes precarious labor in terms of the combination of employment relations and income level. In addition. we analyzed whether there are differences in the characteristics of precarious labor between Korea and Japan. In order to analyze the labor market precariousness in Korea. we used data from the 17th Korea Labor Panel Survey (2014) and for Japan. we used the 9th (2012) data from the Keio Household Panel Survey. As a result. we could confirm the feminization of labor market precariousness and horizontal division by occupation in both Korea and Japan. Also. ordered logistic regression analysis showed that the more women. and those in their 60s or older. the less skilled service workers. or the manufacturing workers are likely to face labor market instability in both Korea and Japan. The results of this analysis reflect the fact that Korea and Japan have experienced similar changes in the labor market structure with institutionalized employment protection system based on male workers.

Adolescent Idiopathic Scoliosis Treated by Posterior Spinal Segmental Instrumented Fusion : When Is Fusion to L3 Stable?

  • Hyun, Seung-Jae;Lenke, Lawrence G.;Kim, Yongjung;Bridwell, Keith H.;Cerpa, Meghan;Blanke, Kathy M.
    • Journal of Korean Neurosurgical Society
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    • v.64 no.5
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    • pp.776-783
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    • 2021
  • Objective : The purpose of this study was to identify risk factors for distal adding on (AO) or distal junctional kyphosis (DJK) in adolescent idiopathic scoliosis (AIS) treated by posterior spinal fusion (PSF) to L3 with a minimum 2-year follow-up. Methods : AIS patients undergoing PSF to L3 by two senior surgeons from 2000-2010 were analyzed. Distal AO and DJK were deemed poor radiographic results and defined as >3 cm of deviation from L3 to the center sacral vertical line (CSVL), or >10° angle at L3-4 on the posterior anterior- or lateral X-ray at ultimate follow-up. New stable vertebra (SV) and neutral vertebra (NV) scores were defined for this study. The total stability (TS) score was the sum of the SV and NV scores. Results : Ten of 76 patients (13.1%) were included in the poor radiographic outcome group. The other 66 patients were included in the good radiographic outcome group. Lower Risser grade, more SV-3 (CSVL doesn't touch the lowest instrumented vertebra [LIV]) on standing and side bending films, lesser NV and TS score, rigid L3-4 disc, more rotation and deviation of L3 were identified risk factors for AO or DJK. Age, number of fused vertebrae, curve correction, preoperative coronal/sagittal L3-4 disc angle did not differ significantly between the two groups. Multiple logistic regression results indicated that preoperative Risser grade 0, 1 (odds ratio [OR], 1.8), SV-3 at L3 in standing and side benders (OR, 2.1 and 2.8, respectively), TS score -5, -6 at L3 (OR, 4.4), rigid disc at L3-4 (OR, 3.1), LIV rotation >15° (OR, 2.9), and LIV deviation >2 cm from CSVL (OR, 2.2) were independent predictive factors. Although there was significant improvement of the of Scoliosis Research Society-22 average scores only in the good radiographic outcome group, there was no significant difference in the scores between the groups. Conclusion : The prevalence of AO or DJK at ultimate follow-up for AIS with LIV at L3 was 13.1%. To prevent AO or DJK following fusion to L3, we recommend that the CSVL touch L3 in both standing and side bending, TS score is -4 or less, the L3/4 disc is flexible, L3 is neutral (<15°) and ≤2 cm from the midline and the patient is ≥ Risser 2.

A Multilevel Analysis about the Impact of Patient's Willingness for Discharge on Successful Discharge from Long-term Care Hospitals (퇴원 의지가 요양병원의 성공적 퇴원에 미치는 영향에 대한 다수준 분석)

  • Ghang, Haryeom;Lee, Yeonju
    • Health Policy and Management
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    • v.32 no.4
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    • pp.347-355
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    • 2022
  • Background: Since November 2019, long-term care hospitals have been able to provide patients with discharging programs to support the elderly in the community. This study aimed to identify both patient- and hospital-level factors that affect successful community discharge from long-term care hospitals. Methods: A multilevel logistic regression model was performed using hospitals as a clustering unit. The dependent variable was whether a patient stayed in the community for at least 30 days after discharge from a long-term care hospital. As for the patient-level independent variables, an agreement between a patient and the family about discharge, length of hospital stay, patient category, and residence at discharge were included. The number of beds and the ratio of long-stay patients were selected for the hospital-level factors. The sample size was 1,428 patients enrolled in the discharging program from November 2019 to December 2020. Results: The number of patients who were discharged to the community and stayed at least for 30 days was 532 (37.3%). The intraclass correlation coefficient was 22.9%, indicating that hospital-level factors had a significant impact on successful community discharge. The odds ratio (OR) of successful community discharge increased by 1.842 times when the patients and their families agreed on discharge. The ORs also increased by 3.020 or 2.681 times, respectively when the patients planned to discharge to their own house or their child's house compared to those who didn't have a plan for residence at discharge. The ORs increased by 1.922 or 2.250 times when the hospitals were owned by corporate or private property compared to publicly owned hospitals. The ORs decreased by 0.602 or 0.520 times when the hospital was sized over 400 beds or located in small and medium-sized cities compared to less than 200 bedded hospitals or located in metropolitan cities. Conclusion: The results of the study showed that the patients' and their family's willingness for discharge had a great impact on successful community discharge and the hospital-level factors played a significant role in it. Therefore, it is important to acknowledge and support long-term care hospitals to involve active in the patient discharge planning process.

Analyzing Time in Port and Greenhouse Gas Emissions of Vessels using Duration Model (생존분석모형을 이용한 선박의 재항시간 및 온실가스 배출량 분석)

  • Shin, Kangwon;Cheong, Jang-Pyo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.4D
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    • pp.323-330
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    • 2010
  • The time in port for vessels is one of the important factors for analyzing the operation status and the capacity of ports. In addition, the time in port for vessels can be directly used for estimating the greenhouse gas emissions resulted from vessels in port. However, it is unclear which variables can affect the time in port for vessels and what the marginal effect of each variable is. With these challenges in mind, the study analyzes the time in port for vessels arriving and departing port of Busan by using a parametric survival model. The results show that the log-logistic accelerated failure time model is appropriate to explain the time in port for 19,167 vessels arriving and departing port of Busan in 2008, in which the time in port is significantly affected by gross tonnage of vessels, service capacity of terminal, and vessel type. This study also shows that the greenhouse gas emission resulted from full-container vessels, which accounted for about 61% of all vessels with loading/unloading purpose arriving and departing port of Busan in 2008, is about "17 ton/vessel" in the boundary of port of Busan. However, the hotelling greenhouse gas emissions resulted from non-container vessels (3,774 vessels; 20%) are greater than those from the full-container vessels. Hence, it is necessary to take into account more efficient port management polices and technologies to reduce the service time of non-container vessels in port of Busan.

Consumer Heterogeneity and Price Promotion Effectiveness in Subscription-based Online Platforms (소비자 특성에 따른 가격 촉진 효과에 대한 실증 연구: 플랫폼 구독 경제를 중심으로)

  • Changkeun Kim;Byungjoon Yoo;Jaehwan Lee
    • Information Systems Review
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    • v.22 no.3
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    • pp.143-156
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    • 2020
  • Price promotion is one of the most frequently marketing strategies with a long history. According to various studies, the effect of price promotion is controversial. Some studies have argued that price promotion has a positive effect, while others have found that it has no effect or rather has a negative effect. This study aims to examine the effect of price promotion in a subscription-based service. First, we check the effect of price promotion on the repurchase of the consumer. And we investigate how this effect varies depending on the characteristics of the consumer. Using the data from one of the music streaming service in South Korea, the effect of consumers' price promotion experience, demographic characteristics, and behavioral characteristics on their repurchase is analyzed through logistic regression analysis. As a result of the study, it is found that consumers' experience of price promotion has a positive effect on repurchase. In addition, the positive effect of price promotion is relatively greater in younger and female consumers. This study has implications in that it not only confirmed the positive effect of price promotion in a subscription-based environment but also empirically confirmed that the characteristics of consumers should be considered when performing price promotion.

A Study on the Revitalization of Tourism Industry through Big Data Analysis (한국관광 실태조사 빅 데이터 분석을 통한 관광산업 활성화 방안 연구)

  • Lee, Jungmi;Liu, Meina;Lim, Gyoo Gun
    • Journal of Intelligence and Information Systems
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    • v.24 no.2
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    • pp.149-169
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    • 2018
  • Korea is currently accumulating a large amount of data in public institutions based on the public data open policy and the "Government 3.0". Especially, a lot of data is accumulated in the tourism field. However, the academic discussions utilizing the tourism data are still limited. Moreover, the openness of the data of restaurants, hotels, and online tourism information, and how to use SNS Big Data in tourism are still limited. Therefore, utilization through tourism big data analysis is still low. In this paper, we tried to analyze influencing factors on foreign tourists' satisfaction in Korea through numerical data using data mining technique and R programming technique. In this study, we tried to find ways to revitalize the tourism industry by analyzing about 36,000 big data of the "Survey on the actual situation of foreign tourists from 2013 to 2015" surveyed by the Korea Culture & Tourism Research Institute. To do this, we analyzed the factors that have high influence on the 'Satisfaction', 'Revisit intention', and 'Recommendation' variables of foreign tourists. Furthermore, we analyzed the practical influences of the variables that are mentioned above. As a procedure of this study, we first integrated survey data of foreign tourists conducted by Korea Culture & Tourism Research Institute, which is stored in the tourist information system from 2013 to 2015, and eliminate unnecessary variables that are inconsistent with the research purpose among the integrated data. Some variables were modified to improve the accuracy of the analysis. And we analyzed the factors affecting the dependent variables by using data-mining methods: decision tree(C5.0, CART, CHAID, QUEST), artificial neural network, and logistic regression analysis of SPSS IBM Modeler 16.0. The seven variables that have the greatest effect on each dependent variable were derived. As a result of data analysis, it was found that seven major variables influencing 'overall satisfaction' were sightseeing spot attraction, food satisfaction, accommodation satisfaction, traffic satisfaction, guide service satisfaction, number of visiting places, and country. Variables that had a great influence appeared food satisfaction and sightseeing spot attraction. The seven variables that had the greatest influence on 'revisit intention' were the country, travel motivation, activity, food satisfaction, best activity, guide service satisfaction and sightseeing spot attraction. The most influential variables were food satisfaction and travel motivation for Korean style. Lastly, the seven variables that have the greatest influence on the 'recommendation intention' were the country, sightseeing spot attraction, number of visiting places, food satisfaction, activity, tour guide service satisfaction and cost. And then the variables that had the greatest influence were the country, sightseeing spot attraction, and food satisfaction. In addition, in order to grasp the influence of each independent variables more deeply, we used R programming to identify the influence of independent variables. As a result, it was found that the food satisfaction and sightseeing spot attraction were higher than other variables in overall satisfaction and had a greater effect than other influential variables. Revisit intention had a higher ${\beta}$ value in the travel motive as the purpose of Korean Wave than other variables. It will be necessary to have a policy that will lead to a substantial revisit of tourists by enhancing tourist attractions for the purpose of Korean Wave. Lastly, the recommendation had the same result of satisfaction as the sightseeing spot attraction and food satisfaction have higher ${\beta}$ value than other variables. From this analysis, we found that 'food satisfaction' and 'sightseeing spot attraction' variables were the common factors to influence three dependent variables that are mentioned above('Overall satisfaction', 'Revisit intention' and 'Recommendation'), and that those factors affected the satisfaction of travel in Korea significantly. The purpose of this study is to examine how to activate foreign tourists in Korea through big data analysis. It is expected to be used as basic data for analyzing tourism data and establishing effective tourism policy. It is expected to be used as a material to establish an activation plan that can contribute to tourism development in Korea in the future.

Factors Associated with Unmet Needs for Medical Care among Island Inhabitants in Korea (일개 섬 지역 주민의 미충족 의료와 관련 요인)

  • Cho, Seong-Sik;Lee, Tae-Kyung;Bang, Ye-Won;Kim, Chul-Ju;Im, Hyoung-June;Kwon, Young-Jun;Cho, Yong;Paek, Do-Myung;Ju, Young-Su
    • Journal of agricultural medicine and community health
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    • v.35 no.2
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    • pp.151-164
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    • 2010
  • Objective:Korea has 3,170 islands with about 188,000 inhabitants. These inhabitants' needs for health services might go unmet because of geographic isolation, slimmer availability of health services, and higher proportion of the elderly compared with the mainland population. Unmet health service needs might result in serious health problems for these island residents. Therefore, the purpose of this study was to investigate their unmet health service needs and related factors from population of Nowha island. Methods: The survey was conducted from July 30 to August 1 by trained interviewers. Target population were residents in Nohwa island and the sampling method was incomplete quota sampling. General characteristics, socioeconomic status, utilization of health service, and unmet medical service needs were investigated. First univariate and then multivariate logistic analyses were done for the statistical analysis. Results: 324 residents were surveyed and the proportion of unmet health services needs was 26.5%. People living alone and of female sex had increased health services needs based on univariable analysis. From the multivariate analysis, those living alone increased the health services needs. Self-determined low socioeconomic status and medical aid increased the proportion of unmet medical needs, but these were not statistically significant. Conclusion:In Nowha island, those who are elder, and of lower socioeconomic status had much higher unmet medical needs. The results suggest the need for more social support by qualified health services to solve this unmet medical needs problem.

A Study on the Relationships Between Demographic Characteristics of Entrepreneurial Candidates, their Developmental Level of Entrepreneurial Traits and Choice of Business Field (예비 창업자의 인구학적 특성과 창업성향 발달도 및 창업업종 선정에 관한 연구)

  • Choi, Joong Seog;Sung, Sang Hyeon
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.10 no.5
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    • pp.1-13
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    • 2015
  • The purpose of this research is to do exploratory analysis on the relationships between demographic characteristics of entrepreneurial candidates and their developmental level of entrepreneurial traits as well as the choice of business field. We analyzed gender, age, and educational level of the entrepreneurial candidates and their developmental level of entrepreneurial traits such as achievement tendencies, degree of awareness, planning skills, sincerity, interpersonal relationship, and problem-solving skills. Industry fields were classified into 4 types: restaurants, retail, services, internet business. Descriptive statistical analyses, logistic regressions, and variance analyses were performed about the sample data gathered from 1,441 persons since the year 2002 to 2014. Males and highly educated above university preferred service industry than restaurant, retail, and internet business. Females preferred internet business, retail, and restaurants than service industry field. The young persons under 20 showed higher probability to choose internet business. The college level and high school graduates preferred retail and restaurants than service industry. The developmental level of entrepreneurial traits were higher in male and highly educated. By this study, we could find the divide between groups with high and low probabilities of failure: restaurants and retail field showed higher failure probability than service industry in the business fields of self-employed. Furthermore, we could identify that entrepreneurial traits also had been developed differently depending on the groups. It is necessary to refrain from entering into the fields with high failure probabilities as well as to provide supporting policies to build the systems and environment to reduce the cases to begin new business without special knowledges and know-hows. The competency development training should be provided in the early stage of start-ups considering their entrepreneurial traits and aptitudes. Not only the assessment of the entrepreneurial traits but also professional counseling from initial stage are necessary.

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