• 한국사회복지학
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• 제56권2호
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• pp.71-91
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• 2004

2000년 10월부터 시행된 국민기초생활보장제도는 기존에 근로무능력 빈곤가구에게만 제한되어 지급되던 현금지원을 근로능력 빈곤가구에게로 확대하였다. 근로능력가구에 대한 현금지원은 전국민에게 기초보장을 제공한다는 긍정적 측면에도 불구하고 저소득층들의 노동공급을 감소시킬 것이라는 우려를 야기하여 왔다. 본 연구는 한국노동패널 1-5차 자료를 이용하여 국민기초생활보장제도의 영향을 받을 프로그램집단으로 근로능력가구의 저학력자를 설정하고 이중차이모델(difference-in-difference model)을 이용하여 국민기초생활보장제도의 노동공급에 대한 영향을 분석하였다. 분석 결과 국민기초생활보장제도는 취업과 근로시간에 통계적으로 유의한 영향을 미치지 않는 것으로 나타났다. 이러한 결과는 우리나라에서는 근로능력자에 대한 현금지원이 노동공급에 영향을 미치지 않는다는 것을 제시한다기보다는, 오히려 제도내용이나 실시기간의 제한성 또는 조건부수급제도의 영향 등을 반영한 것으로 보여진다.

• 한국노년학
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• 제32권2호
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• pp.377-395
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• 2012

본 연구는 열악한 생활환경과 신체적·심리적 기능의 저하로 인해 낙상 사고의 위험에 더 많이 노출되어 있는 저소득층 노인의 낙상을 예방하고 삶의 질을 향상시키고자 낙상에 영향을 미치는 위험 요인에 대한 문헌고찰과 선행연구 결과를 바탕으로 지역사회 거주 저소득층 노인을 위한 다면적 낙상예방프로그램(MFPP)을 개발하고, 개발된 다면적 낙상예방프로그램이 신체적·심리적·환경적 요인과 낙상횟수에 미치는 효과를 검정하였다. 본 연구의 프로그램은 저소득층 노인에게 신체기능 향상을 위한 근력강화운동, 낙상예방 효능감 증진을 통한 심리적 기능 강화를 위한 정서지지, 낙상예방과 운동행위에 대한 인지적 변화 유도를 위한 낙상예방교육, 안전한 가정환경 유지를 위한 가정환경관리로 구성된 프로그램을 주 1회 하루 70분~90분씩 총 8주 동안 제공하는 간호중재 프로그램으로 직접 대상자의 가정을 방문하여 각각의 다면적 요소들을 개별적으로 진행하였다. 프로그램의 효과를 검정하기 위해 S시 1개구 보건소에 등록된 지역사회 거주 저소득층 노인을 대상으로 실험군 24명, 대조군 24명을 선정하여 비동등성 대조군 전후설계의 유사실험 연구로 시도되었다. 자료수집기간은 2010년 6월부터 2010년 10월까지 진행되었으며, 수집된 자료는 실수와 백분율, Fisher's exact test, x²-test, t-test, repeated measures ANOVA, ANCOVA, Logistic regression을 이용하여 분석하였다. 연구결과, 실험군에서 낙상횟수가 감소하였으며, 균형감과 낙상예방효능감이 증진되었고, 가정환경위험요인이 감소하였다. 따라서 본 프로그램을 노인 간호 현장에서 활용한다면 저소득층 노인의 낙상예방에 매우 효과적인 결과를 얻을 수 있을 것이며 나아가 저소득층 노인의 신체적·심리적 건강증진을 통한 삶의 질 향상에 기여할 수 있을 것으로 사료된다.

• 한국병원경영학회지
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• 제13권1호
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• pp.24-41
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• 2008

This research is aimed at analyzing and understanding the perception and attitudes of inpatients in a general hospital in Seoul towards the activation of private health insurance. Survey was conducted against 231 inpatients, results of which were analyzed in the methods of frequency analysis, chi square test, and logistic regression. The results are summarized as follows; First, better-educated population who finished college education at least, higher-income population, and people who had more knowledge about private health insurance showed more perception about activation of private health insurance. Second, better-educated population who finished college education at least, higher-income population, those who are insured in existing private insurance, oncological patients, and people who had more knowledge about private health insurance showed more positive attitude towards private health insurance paying for actual damages, long-term care insurance, and income security insurance. Third, age and education were the factors affecting perception about activation of private health insurance. The older the age is, perception was 1.035 times positive towards activation of private health insurance, and those who finished college education or above showed 3.148 times positive perception towards the same. Forth, surgical patients showed 1.087 times more positive attitude towards private health insurance paying for actual damages than internal medicine patients, while oncological patients showed 2.314 times more positive attitude than internal medicine patients. Further, understanding on the activation of private health insurance was 6.014 times higher in the higher understanding group than in the lower understanding group. Intention to use long-term care insurance was 2.692 times stronger in the male group than in the female group, and 3.616 times stronger in the oncological patients group than in internal medicine patients group. Further, understanding on the activation of private health insurance was 3.881 times deeper in the higher understanding group than in the lower understanding group. Intention to use income security insurance was 3.185 times stronger in those who have academic background of under the high school than those over the college, and 4.175 times higher in the group those whose monthly average income is over 4 million won than those under 4 million won. Also, intention to use income security insurance was 4.323 times higher in the group those who are insured by existing private insurances than those who are not insured by those insurances and it was 5.234 times higher in the group of oncological patients than in the group of internal medicine patients. Further, intention to use income security insurance was 3.559 times higher in the group those who thought that out-of-pocket money of the National Health Insurance is too much to bear than those it is quite endurable. Understanding on the activation of private health insurance was 4.875 times deeper in the higher understanding group than in the lower understanding group. There were some suggestions could be made based on the results of this research. First, reinforced publicity and education is needed for the low-educated or low-income group, as there are gaps in the understanding on the activation of private health insurance depending on the degree of education and income. Second, government should prepare administrative complementary measures to solve the problem of adverse selection by the consumer which is foreseen when private health insurances are activated. Third, government should suggest the desirable course of development of private health insurance items to ensure efficient use of enormous fund of private insurance market for health security of the people. Further, institutional complementary measures are needed to convert existing cancer insurances or specific disease insurances to private health insurances paying for actual damages guaranteeing against every kind of disease. Forth, it judged that, not only private health insurances paying for actual damages, but also long-term care insurances and income security insurances are prospective as fields to create fresh demand for insurance industry.

• 한국콘텐츠학회논문지
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• 제17권8호
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• pp.290-300
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• 2017

이 연구는 의료서비스를 이용함에 있어 서로 성격이 다른 사립병원과 국공립병원을 선택하는 결정 요인은 무엇인지를 분석하는 것을 목적으로 한다. Andersen의 행동모형 이론을 적용하여 욕구요인, 가능성 요인, 개인적 요인을 결정요인으로 하는 모형을 개발하였다. 분석 자료는 한국의료패널 2008년부터 2013년까지 6년 동안의 자료 데이터 중 입원서비스를 이용한 건수를 기준으로 하였고, 분석대상은 18세 이상자로 제한하였으며, 최종 분석에 사용한 입원의료이용 건수는 14,365건이다. 로지스틱 회귀분석 결과에 따르면, 국공립병원 선택요인은 대체로 Andersen의 행동모형이 잘 적용되는 것으로 나타났다. 특히, 사회경제적 약자들인 노인, 저소득층, 국가 유공자 및 의료급여자, 만성질환자, 장애가 있는 환자들은 사립병원보다는 국공립병원을 더 선택하였다. 따라서, 저소득 취약계층에 적정한 의료서비스를 제공하기 위해서는 국공립병원에서 제공하는 의료서비스의 강화가 필요하다는 정책적인 시사점을 발견하였다.

• 한국지역사회생활과학회지
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• 제20권3호
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• pp.369-384
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• 2009

Research method was a case study as narrative method through in-depth interviews around 21 sufferers of elder abuse in rural area and the researcher interviewed them directly. Conclusively, the majority of sufferers of elder abuse were physically very low in the ADL(activities of daily living) and had been bereaved with no spouse. The relations of abused parents and the adult children were much disagreed and divided as unrecovered. Their economic reliance and physical reliance were much overlapped and the majority of them were low educational background and low income level. In case of the abused old people, they had severe low self respect and melancholy, so they considered severely suicide so much as invaluable as their existing value. In spite of over 80.5 years old average, the abuse action had continued for 6 months to 50 years long and the intensity of the abuse was more strengthened. The majority of abused old people refused mostly the entrance of social welfare facilities for elders and also they desired to live in present living area and their own houses.

• 대한치과기공학회지
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• 제33권4호
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• pp.369-378
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• 2011

Purpose: This study was carried out for the purpose of obtaining basic data necessary for developing the future oral health promotion program of the elderly by surveying the actual condition of managing dental prosthesis in the elderly. Methods: It collected materials targeting 346 elderly brackets in over 65 years old who dwell in Seoul and Gyeonggi-do Province for about 10 months from September 2010 to June 2011, analyzed 312 copies except 34 copies, which are inappropriate for data processing due to being insufficient in response among these things, and obtained the following results. Results: In the actual condition of missing tooth, a case of missing tooth was indicated to be 78.8%. In case of missing tooth, the number of missing teeth was indicated to be 75.6% for under 5 pieces and 19.1% for over 21 pieces. In the actual condition of managing prosthesis, a case with dental prosthesis treatment was indicated to be 77.6%. A kind of prosthesis was indicated to be the highest in fixed partial dentures with 36.5%. In a method of rinsing dentures, 47.7% of the elderly responded as saying of washing it out with water. The appearance of removing dentures at night was indicated to be the highest in doing so with 63.1%. Satisfaction with prosthesis of being mounted now was indicated to be moderate with 50.4%. As for the appearance of having experience of education on how to manage prosthesis, it was indicated to be high with 50.4% in having none. In a kind of prosthesis depending on averagely monthly income, the ratio of total dentures was high when averagely monthly income is low. On the other hand, a case with high income was indicated to have high ratio in implants. The satisfaction with prosthesis was low when averagely monthly income is low. Also, in the experience of education on how to manage prosthesis, the ratio of responses as saying of having no experience of education on how to manage prosthesis was indicated to be high when averagely monthly income is low. Conclusion: Examining the above results, a developmental plan is considered to be necessary such as developing continuous and systematic oral health promotion program for managing elderly people's managing dental prothesis.

• 한국콘텐츠학회논문지
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• 제16권10호
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• pp.411-419
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• 2016

본 연구는 가구소득 수준과 가구소득 대비 의료비 지출 비중의 관련성을 규명하고자 한다. 자료 분석을 위해 한국보건사회연구원과 국민건강보험공단이 공동 주관하는 한국의료패널 2010-2011년 연간 데이터를 이용하였다. 독립변수의 효과가 2010년과 2011년에 따라 변화하는지 확인하기 위해 연도와 독립변수 간의 상호작용 효과를 확인하였으며, 연도에 따라 상호작용 효과가 나타난 요인은 연도별로 분리하여 일반화 추정 방정식 방법을 이용한 선형회귀분석을 수행하였다. 의료 이용을 한 사람들을 대상으로 가구소득 대비의료비 지출 비중과 관련성을 가진 요인들을 살펴본 결과, 가구소득 수준이 높을수록 의료비 지출 비중이 낮음을 확인할 수 있었다. 저소득층의 의료비 부담을 줄여주는 정책을 마련해야 할 것이다.

• 성인간호학회지
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• 제23권1호
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• pp.50-59
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• 2011

Purpose: This study investigated the degree of acculturation stress among North Korean Defectors and the coping method that they used to deal with it. Methods: Ninety-nine participants of this study were North Korean Defectors in Seoul and Daejeon. The tools of survey for this study were acculturation stress and stress-coping. Results: The score for acculturation stress among North Korean Defectors was $2.97{\pm}0.47$ which was a moderate level of stress. The score of problem-solving coping was $3.10{\pm}0.47$ and emotional coping got $2.85{\pm}0.52$. On acculturation stress, there were higher scores among people who were old-aged, married, low educational levels, dissatisfied with job, low monthly income, and living alone. On problem-solving coping, there were higher score among people who have jobs. Regarding emotional coping, there were higher score in people who have jobs, dissatisfaction with job, and living alone. The higher the problem-solving coping skill, the less the acculturation stress. Conclusion: Reducing of acculturation stress and increasing adaptation mechanism of North Korean Defectors are very important due to the results of this study. Therefore, adaptation programs like psycho-social counseling should be created for North Korean Defectors.

• 한국식생활문화학회지
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• 제25권5호
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• pp.544-557
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• 2010

This study was performed with Korean adults to investigate Makgeolli drinking behavior, preference, and perception about Makgeolli and health, as well as Makgeolli complaints and prices. A survey questionnaire was formulated to obtain information on demographic variables, drinking habits, and perceptions about Makgeolli's function, price, and complaints. The questionnaire was distributed to 468 adults living in the capital area. The results are as follows. Makgeolli (16.1%) was third preferred, following Soju (45.1%) and beer (30.7%), and no significant differences were observed by gender and income, but the preference for Makgeolli increased with increasing age (p<0.001). According to the survey, the largest reason both genders drank Makgeolli was that it tastes good. Men preferred Makgeolli for its health effects and cheap price, while women preferred it for the atmosphere while drinking it. Also, older people and those with higher incomes preferred drinking Makgeolli for its health effect rather than its good taste (p<0.001 for each). No significant difference was observed by gender for the question "Do you think that Makgeolli has a health-promoting effect?" Overall, 51% of the subjects gave positive answers and only 5.9% gave negative answers. Significantly, older people and those with a higher income had a higher rate of answering positively to this question. Belching (45.1%) and headache (29.9%) were the most common symptoms among the side effects of drinking Makgeolli. No significant difference was observed by gender or income, but older people had a higher rate of belching and fewer headaches than younger people (p<0.001). Women had a significantly higher rate of perceiving that Makgeolli was cheap than men. Age and income differences did not influence price perception. To the question "What is the ideal price for high quality Makgeolli", 32.1% answered that the present rate (1,000 won) was ideal, and 59.4% answered that a price between 1,000 and 2,000 won was ideal. These results indicate that the high preference for Makgeolli is due to its good taste and health effects. However, belching and headache caused by drinking Makgeolli were the most common complaints and, thus, must be solved. Some opinions indicated that Makgeolli must eliminate its low-quality image, but, according to this survey, most subjects answered that the ideal price of higher-quality Makgeolli should be increased slightly, which would cause price resistance.

• International Journal of Advanced Culture Technology
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• 제6권3호
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• pp.69-76
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• 2018

The purpose of this study was to investigate the effects of health control behaviors on the emotional happiness of the elderly. Among the survey instruments used in this study, emotional hapiness was the tool developed by Watson et al., 1978, and health control behavior was used by tools developed by Wallston et al., in 1988. Health control behaviors consist of three sub-factors: other health control behavior, accidental health control behavior, and internal health control behavior. The data collection period was collected from June 20 to July 5, 2018. A total of 152 participants were enrolled from 65 to 85 years old and were collected from six provinces of Korea (Seoul, Gangwon Province, Gyeongsang Province, Jeolla Province, Chungcheong Province, Gyeonggi Province) as much as possible. As a result of the analysis of demographic characteristics, the number of elderly people couple living was 47.4%, living alone was 21.1%, the number of people living with a couple and their children was 13.8%, the others were 10.5%. Based on the above results, 21.1% were living alone as an elderly person. And people who the highest monthly income of less than 1 million won was 36.8%, the usual meal type, 94.7% were very much eaten with vegetarianism smoking and drinking alcohol, and 94.7% did not smoke and 73.7% drank alcohol. In conclusion, Multiple regression analysis of health control behaviors on emotional happiness showed that health control behaviors had a 15% effect on emotional happiness. The following suggestions were made through the results of this study. First, the monthly income of the elderly is very low to maintain health, Second, the health of elderly people was maintained through friends and meetings. Based on these results, it should be used as a basic data for the program for the emotional happiness of the elderly.