• 보건의료산업학회지
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• 제14권1호
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• pp.147-159
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• 2020

Objectives: This study is the human factors and disease factors of the copayment system for the elderly (>65 years old) and to identify does the current status and characteristics of the applied elderly and conducted to provide basic data. Methods: Sample cohort data from the National Health Insurance Corporation database, from the years 2012-2015, were analyzed of 21,772 elderly people over the copayment ceiling. Results: The ratio of those who exceeded the copayment ceiling system rose sharply from progressive rates of 3.39% in 2012, 3.69% in 2013 and 5.03% in 2014, to rates of 37.13% from 2013. Factors identified that affect the instances of being over the copayment ceiling were: age, income group, region, severity, disability, sickness distribution, inpatient days, and outpatient days. Conclusions: The reorganization of the copayment ceiling system in 2014 favored low-income families of the elderly, but in 2015, the proportion of elderly was low (only 5.78%). The government's policies needs to change to allow for the amount of the deductible upper limit for low- and middle- income groups to be further subdivided in order for the elderly to receive more deductibles.

• 가정∙방문간호학회지
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• 제23권1호
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• pp.16-24
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• 2016

Purpose: This study aimed to identify the mediating effect of self-esteem and depression in the relationship between perceived health status of the low-income elderly and their suicide ideation. Methods: Participants were 201 elderly people living at home in two cities who were receiving home health services from public health centers. Face-to-face interviews were conducted from October in 2013 to April in 2014. Data were analyzed using SPSS 21.0 and AMOS 21.0. Results: Subjects' perceived health status had a direct effect on increasing self-esteem and reducing depression. Subjects' self-esteem and depression had a direct effect on suicide ideation. Perceived health status had an indirect effect on suicide ideation that was mediated by self-esteem and depression. Conclusion: Results of this study indicate that to prevent suicide of the elderly, it is critical to increase their health status. Additionally, there is a need to construct and implement strategies to strengthen self-esteem of low-income elderly in order to decrease depression.

• 한국응급구조학회지
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• 제12권3호
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• pp.129-135
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• 2008

Purpose : This study was to analyze the demand for emergency ambulance service and to characterize the factors associated with the demand. Method : The basis for the model was from the actual demand for public emergency ambulance and socioeconomic and geographic characteristics. Multiple regression analyses were done for the related characteristics of public ambulance service. Result : The model explained total demand with a high degree of accuracy : the coefficient of determination($R^2=0.96$). For the regression, the set of variables indicative of low socioeconomic status were all significant. It showed the inappropriate use of public ambulance system. Public ambulance demand increased in higher housing density, low income, male unemployment and female labor force. Conclusion : The demand for public ambulances appeared to be highly predictable, using a simple linear model employing socioeconomic variables, quality of service variables, and land use variables. Low-income families tended, to use the public ambulance system more often than higher income. Area having elderly people or children also made many calls. Estimated demand calls were stable and had a tendency to be similar incident types.

• The Journal of Asian Finance, Economics and Business
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• 제8권10호
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• pp.317-326
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• 2021

The crowdsourcing system relies heavily on the number of crowd participation on the platform to ensure the platform's success. However, exploring factors that motivate the crowds to sustain on the platform remains unclear, and very little literature was found on this matter. Lately, the COVID-19 pandemic has affected the world, including Malaysia. Due to the pandemic, many people have lost their jobs, and hence, most of them have shifted to digital work. Hence, to understand the motivation for continuous participation on the online crowdsourcing platform among low-income crowd workers (B40) in Malaysia, this paper explores the intrinsic and extrinsic motivations for continuous participation. A qualitative method interview was performed where 14 active participants of Upwork.com, under the GLOW program, took part during the data collection process. This paper used the thematic analysis method to extract the data collected from this study. The finding of this study identified eight intrinsic motivation factors: (1) personal development, (2) pastime, (3) fun, (4) passion, (5) task identity, (6) time-workplace flexibility, (7) altruistic, and (8) peers' success and four extrinsic factors: (1) monetary, (2) job security, (3) personal commitment, and (4) environment.

• International journal of advanced smart convergence
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• 제8권4호
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• pp.214-220
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• 2019

Hearing impaired people are apt to be in danger because they can't detect danger with sound. Hearing impaired people have less risk-detection ability than non-disabled people because of lack of hearing. There are many devices to help the hearing impaired, such as hearing aids. A hearing aids can be helpful, but it may not be available depending on the degree or type of hearing loss for example, to the hearing-impaired people with little remaining hearing of high frequencies, ordinary hearing aids are not very useful for understanding the high frequency consonants and it requires a high cost, from thousands to tens of thousands of dollars. Also, it is difficult for the underprivileged, such as the low-income bracket and the elderly, to use them because they are difficult to manage. Therefore, this paper describes the development of low-cost wearable device to assistant a hearing-impaired people using Arduino. Also, it accepts values from switches or sensors and can control external electronic devices such as LEDs and motors to create objects that can interact with the environment. In this is paper, through sound sensors, the ambient sound was taken as an analogue value and transmitted to the aduino board, and the vibration motor was operated when the noise was generated, so that the user could be aware of the occurrence of danger.

• Journal of Nutrition and Health
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• 제54권1호
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• pp.39-53
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• 2021

본 연구에서는 제7기 (2018년) 국민건강영양조사 자료를 이용하여 65세 이상 노인의 가구소득수준에 따른 식생활, 건강생활특성 및 영양섭취실태를 비교 분석하였다. 본 연구의 주요 결과를 요약하면 다음과 같다. 연구 대상자 수는 전체 1,355명이었으며, 남자 노인 41.5% (558명), 여자 노인 58.5% (797명)로 소득수준별로 저소득군 48.3%, 중소득군 40.9%, 고소득군이 10.5%로 나타났다. 연령, 거주지역, 교육수준, 가구 유형에서 남녀 노인 모두 소득수준별로 유의적인 차이가 있는 것으로 나타났으며 경제활동여부는 남자 노인에서만 소득수준의 차이가 있었다. 식생활 실태에서는 남녀 노인 모두 소득수준이 높을수록 외식 횟수가 많았으며 점심, 저녁 식사의 동반자가 있는 비율이 높게 나타났다. 소득수준과 주관적 건강상태를 살펴보면 남자 노인의 경우 소득이 높을수록 건강이 좋다고 느끼는 비율이 유의하게 높았으며, 저작 불편 여부에서도 소득이 낮을수록 불편을 느끼는 노인의 비율이 높았다. 비만, 당뇨병, 고콜레스테롤혈증 및 고중성지방혈증 유병률은 노인의 가구소득수준별로 차이가 없었으며 여자 노인의 경우 고소득군보다 저소득군에서 고혈압 유병률이 높게 나타났다. 영양소 섭취량은 남녀 모두 소득이 높아질수록 에너지섭취량이 증가하였으며 탄수화물의 섭취량은 남녀 모두 소득수준별로 차이가 없었다. 그러나, 단백질과 지질의 섭취량은 소득수준별 차이가 유의하게 나타나 남녀 노인 모두 소득수준이 높을수록 단백질, 지질 섭취량이 증가하였다. 남자 노인의 경우 인, 칼륨, 리보플라빈, 니아신, 비타민 C의 섭취량이 유의하게 차이를 보여 소득수준이 높을수록 섭취량이 많은 것으로 나타났다. 여자 노인은 칼슘, 인, 철, 비타민 A, 리보플라빈, 니아신의 섭취량에서 소득수준별 유의한 차이가 나타났으며 리보플라빈의 경우 남녀 노인 모두에서 소득수준별로 매우 유의한 차이를 보였다. 남녀 노인의 총 식품섭취량은 소득이 높아질수록 비례해서 섭취량도 많아지는 것으로 나타났다. 남자 노인의 경우 과일류 (p < 0.001), 해조류 (p < 0.05), 계란류 (p < 0.05)에서 유의적인 차이를 보이며 소득이 높아질수록 많이 섭취하고 있는 것으로 나타났다. 여자 노인의 경우에는 당류 (p < 0.001), 계란류 (p < 0.001), 음료류 (p < 0.001)에서 유의적인 차이가 나타났으며 소득이 높아질수록 섭취량이 증가하는 것으로 파악되었다. 전체적으로 우리나라 남녀 노인의 소득수준에 따른 영양 및 식품섭취량에 차이가 있으며 소득수준이 높을수록 에너지섭취량, 특히 단백질과 지질 섭취량이 많았고 미량영양소에서도 남자와 여자노인에 따라 섭취량에 차이가 있었다. 따라서, 남녀 노인의 소득수준에 따른 사회경제적 요인과 가구 유형, 사회환경 등이 식생활 및 영양섭취에 영향을 미치는 것을 알 수 있었다. 향후 노인 대상 영양지원 또는 교육 프로그램 설계 시 노인의 성별, 소득수준별로 세분화된 내용구성이 필요하며, 건강한 식생활과 생활습관으로 변화시킬 수 있는 다양하고 체계적인 영양교육 및 영양지원 프로그램이 설계되어 제공되어야 하겠다.

• 대한예방한의학회지
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• 제27권1호
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• pp.17-27
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• 2023

Objectives : This study aimed to analyze the factors influencing Korean medical utilization among persons with unmet healthcare needs. Methods : This study utilized Korea Health Panel data in 2019, with 10,771. We performed a t-test and ANOVA on the difference in general characteristics between Korean medical utilization and unmet healthcare needs. Logistic regression analysis and generalized linear model analysis were conducted to analyze on factors affecting the Korean medical utilization by people with unmet healthcare needs. Results : Among people with unmet healthcare needs, the variables influencing Korean medical utilization were western medical utilization, gender, education level, musculoskeletal disease, and other chronic diseases. The more people with unmet healthcare needs, the more likely they were to use Korean medicine. As a result of logistic regression analysis, the influencing factors on Korean medical utilization were analyzed for people with unmet healthcare needs, and the higher the household income, the more musculoskeletal diseases, and the higher the probability of using Korean medicine. Conclusions : Korean medicine has a large proportion of musculoskeletal disease, so it was found that musculoskeletal diseases have an impact. In addition, considering that household income is an important factor in the influencing factor of unmet healthcare needs, it is necessary to increase the use of Korean medicine by those with low household incomes.

• 한국주거학회논문집
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• 제24권5호
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• pp.27-37
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• 2013

Because of rapid aging, housing stability of elderly household is becoming an important social problem. The population of the elderly people was 11.3% and that of the elderly household was 23.2%, about 407 million, in 2010. Yet, social policies for elderly people are focusing on the household who takes care of the elderly people, not on the elderly headed households. These policies fail to reflect the reality. Housing satisfaction of the elderly household is different based on the tenure type and the satisfaction can be further affected by the types of elderly household within the same tenure group. Thus, strengthening the policies for the elderly headed households as well as differentiating the policies based on the types of household is required in order to meet the needs of the elderly households. For the elderly household living in a rent house in a city, a housing voucher is needed and for the low income elders who own their houses, housing renovation is required. Public housing affects only the residential satisfaction of single elderly households, not for all elderly households probably because public housing does not meet the demand of the elderly households appropriately. Since the elderly households wanting to move is noticeably small, a policy that provides proper facilities within the elders' neighborhood is most necessary. Also, in order to lessen the burden of housing expenses of the elders with low income, a public housing policy, in which 2-3 people living together in one public housing, needs to be examined.

• 보건행정학회지
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• 제33권2호
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• pp.166-172
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• 2023

Background: To improve the support low-income individuals' medical expenses, it is necessary to think about ways to enhance the Catastrophic Health Expenditure Support Program. This study proposes expanding support criteria and changing the income standard. Methods: This study conducted simulations using national data from the National Health Insurance Service. Simulations performed for people who have used health services (n=172,764) in 2022 to confirm the Catastrophic Health Expenditure Support Program's size based on changes to the subject selection criteria. Results: As a result of the simulation with expanded criteria, the expected budget was estimated to increase between Korean won (KRW) 13.2 (11.5%) and 138.6 billion (37.4%), and the number of recipients increased between 41,979 (48.9%) and 150,317 (76.1%). The results of the simulation for the change in income criteria (applied to health insurance levels below the 50th percentile) estimated the expected budget to increase between KRW -8.9 (-7.8%) and 55.6 billion (15.0%) and the number of recipients to increase between -8,704 (-10.1%) and 41,693 (21.1%) compared to the current standard. Conclusion: The 2023 Catastrophic Health Expenditure Support Program's criteria were expanded as per the 20th Presidential Office's national agenda to alleviate the burden of medical expenses on the low-income class. In addition, The Catastrophic Health Expenditure Support Program needs to be integrated with other medical expense support policies in the mid- to long-term, and a foundation must be prepared to ensure the consistency of each system.

• 보건행정학회지
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• 제28권2호
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• pp.162-167
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• 2018

Background: In this research, we conducted an analysis to grasp the relationship between hearing and quality of life and to prepare effective troubleshooting. Methods: In this study, we analyzed using the data of the 6th term of the National Health and Nutrition Survey of the Disease Management Headquarters. And, out of 7,380 people, 3,598 adults over the age of 40 years who participated in the hearing test were selected as final research subjects and analyzed. Results: It was confirmed that the result of the analysis affects the quality of life based on hearing. The quality of life associated with hearing loss was unpleasant, motor ability, anxiety/depression, and everyday life affected in order of self management. And factors having an effect on the quality of life of the study subjects were found to be gender, elderly, unmarried, low hearing, low household income, absence of economic activity, and low teaching standards. Conclusion: The conclusion is that strengthening education for realistic management and prevention rather than treatment for unconditional hearing impairment will overcome low self esteem and loneliness and alleviate any uncomfortable life that people with hearing loss give. It is expected to be possible.