• Health Policy and Management
• /
• v.33 no.1
• /
• pp.55-64
• /
• 2023

Background: Despite the various activities of the regional public hospitals, discussions are being made as to whether or not to continue due to the issue of financial deficit. Therefore, the main factors affecting the fiscal deficit were analyzed with 10-year data. Methods: This study is a panel analysis that analyzed the characteristics of 34 regional public hospitals and influencing factors on medical benefits for 10 years from 2010 to 2019. First, we analyze the determinants of medically vulnerable areas set by the government, analyze the trend of medical profit per 100 beds and medical profit rate from 2010 to 2019, and identify the factors that affect them. Results: Differences in medical profit per 100 beds and medical profit-to-medical profit rate were caused by market share representing regional characteristics, and both indicators improved as the number of outpatients increased. The important influencing variables are the number of doctors and nurses, and both indicators improve when there are specialists, but medical benefits decrease as the number of doctors increases when judged by the number of people per 100 beds. In addition, the number of nurses per 100 beds does not contribute to medical profit and has a negative effect on the medical profit ratio. Conclusion: As only regional characteristics were taken into account for medically vulnerable areas, operational characteristics need to be considered. The greatest impact on the finances of local medical centers is the proper staffing of doctors and nurses, and their efficient arrangement is the most important factor in financial stability.

• Journal of Home Health Care Nursing
• /
• v.5
• /
• pp.73-83
• /
• 1998

This study enrolled one thousand five hundred twenty one clients that were receiving home care services at five health centers and a home care services center in the city of Taejon from November 17 through December 7, 1997. The purpose of this study was to analyze satisfaction levels, general characteristics and efficacies, of the client served home care. The main results were as follows; The age group of most of the subjects was 70-79 years: 76.9% of them were female and 87.3% were over 65 years. In education variables, over 90% of the clients were below primary school. In marital status variables, 63.4% of them had no spouse, 57.5% of them were widows and widowers. In living arrangement variables, alone(35.8%) was the most. In insurance status variables, medical aid(69.9%) was the most. In household income variables, below 000 won(72.6%) was the most. In hospitalization variables, 53% of the clients had no hospitalization. The satisfaction level of home care service of male and female was similar. The older the age, the higher the satisfaction level. The satisfaction level of the group having religion was higher than the group having no religion and the Christianity group had the highest satisfaction level(p<0.001). In education variables, the over high school group was the highest satisfaction level(p<0.01). In living arrangement variables, the other (sisters or neighbors etc.) group indicated the highest satisfaction level(p<0.001). In insurance status variables, the other group(except for medical aid) was the highest satisfaction level(p<0.001). In household income variables, below 390,000 won was the highest satisfaction level(p<0.001). In hospitalization variables, 'over 4 times' group indicated the highest satisfaction level (p<0.01). Home care took place more in health centers than in home care services center. In frequency of home care per month three times was the most. In opinion of home care frequency per month 82.8% of the people answered 'proper'. A lot of present illness was neuralgia, arthritis, digestive disease, hypertension & CVA. In contents of home care services variables, education & counselling was the most and medication was second. In duration of illness variables, over 10 years was the most. In place of treatment before home care service variables, hospital(57%) was the most. In illness condition after home care variables, 'moderate' was the most and 'much better'(85.5%) was second. In help of home care variables, 'much help'(71.5%) was the most and 'moderate'(28.1%) was second. In contents of counselling variables, treatment method of illness was the most. Home care services center indicated higher level of satisfaction than health center(p<0.001). In opinion of home care frequency per month variables, 'less' was the highest satisfaction level (p<0.001). In duration of illness variables, below one year was the highest and over 10 years was second(p<0.001). In place of treatment before home care service variables, health center was the highest (p<0.001). In illness condition after home care variables 'much better' was the highest and 'worse' was second (p<0.001). I n help of home care variables, 'much help' was the highest (p<0.001). In contents of counselling variables, cause of illness was the highest(p<0.001). According to the 14 items which consisted of 3 point scales the total level of satisfaction of home care service was very high, with total mean score 36. According to the above results, most clients taking home care services are satisfied. However, organization and a fund are required to support high quality home care services to those who need them. Furthermore, a follow-up survey should be accomplished to evaluate the status of clients.

• Journal of Bio-Environment Control
• /
• v.12 no.1
• /
• pp.45-53
• /
• 2003

The object of this study was to develop the control technology of daily integral photosynthetic photon flux (PPF) by the artificial lighting and shading screen in greenhouse. The shading time needed to get the target PPF by using two types of shading screens having shading ratio of 55% and 85% was analyzed. The results showed the shading ratio of screen to be installed in greenhouse should be different depending on the amount of target PPF to be controlled. The PPF control experiment by using the 55% shading screen in July and August showed that the maximum difference between measured and calculated value was about 5 mol$.$ $m^{-2}$ $.$ $d^{-1}$ in no shading condition. This difference is satisfactory result because the daily integral PPF is quite different depending on the weather condition. The simulation result about PPF distribution pattern shortened the time needed to find the proper arrangement of artificial lightings in greenhouse. But the further study was required to find the supplemental lighting arrangement to be able to provide the exactly uniform distribution of target light intensity. The supplemental irradiation time needed to acquire the target daily integral PPF for different supplemental light intensities, weather conditions, and months was analyzed. The result showed that the supplemental light intensity should be decided depending on the amount of target PPF to be controlled. The result of PPF control experiment conducted by using 55% shading screen and 300 $\mu$mol$.$ $m^{-2}$ $.$ $s^{-1}$ supplemental light intensity from the end of May to the beginning of June showed that the maximum difference between target and measured value was about 3 mol$.$ $d^{-1}$ $.$ $m^{-2}$ . If we consider that the difference of the daily integral PPF depending on weather condition was the maximum 30 mol$.$ $m^{-2}$ $.$ $d^{-l}$, the control effect was acceptable. Although the result of this study was the PPF control technology to grow lettuce, the data and control method obtained could be employed for other crop production.n.

• Journal of Families and Better Life
• /
• v.19 no.4
• /
• pp.49-68
• /
• 2001

The purpose of this study was 1) to review communal housing in the UK, 2) to consider the policy implications for elderly communal housing in Korea. The research methods used were 1) literature review about communal housing and related policy in the UK 2) field survey in the UK 3) interpretative suggestion for the proper policy implication to develope communal housing for the elderly in Korea. Sheltered housing in the UK had been developed as communal housing for the elderly with special needs since the 1970s. The type of sheltered housing were category 1 and category 2. Very sheltered housing with more facilities and meal services was added in 1980s. Sheltered housing was evaluated as the most humanistic solution for older people in the UK in 1980s. Because of the policy of moving institutional care to community care, sheltered housing became less in demand because of more options for older people including being able to stay in their own home. So new completion of sheltered housing by registered social landlords reduced saliently. Sheltered housing already totalled over half million units in which 5% of all elderly over 65 still lived and a small quantity of private sector for sale schemes emerged in the 1990s. The reason why the residents moved to sheltered housing was for sociable, secure, and manageable living arrangements. In general the residents were satisfied with these characteristics but dissatisfied with the service charge and quality of meals, especially in category 2.5 schemes. The degree of utilisation of communal spaces and facilities depended on the wardens ability and enthusiasm. Evaluation of sheltered housing indicated several problems such as wardens duty as a \"good neighbour\" ; difficult-to-let problems with poor location or individual units of bedsittiing type with shared bathroom ; and the under use of communal spaces and facilities. Some ideas to solve these problems were suggested by researchers through expanding wardens duty as a professional, opening the scheme to the public, improving interior standards, and accepting non-elderly applicants who need support. Some researchers insisted continuing development of sheltered housing, but higher standards must be considered for the minority who want to live in communal living arrangement. Recently, enhanced sheltered housing with greater involvement of relatives and with tied up policy in registration and funding suggested as an alternative for residential care. In conclusion, the rights of choice for older people should be policy support for special needs housing. Elderly communal housing, especially a model similar to sheltered housing category 2 with at least 1 meal a day might be recommended for a Korean Model. For special needs housing development either for rent or for sale, participation of the public sector and long term and low interest financial support for the private sector must be developed in Korea. Providing a system for scheme managers to train and retrain must be encouraged. The professional ability of the scheme manager to plan and to deliver services might be the most important factor for the success of elderly communal housing projects in Korea. In addition the expansion of a public health care service, the development of leisure programs in Senior Citizens Centre, home helper both for the elderly in communal housing and the elderly in mainstream housing of the community as well. Providing of elderly communal housing through the modified general Construction Act rather than the present Elderly Welfare Act might be more helpful to encourage the access of general people in Korea. in Korea.

• Journal of Korean Society of Forest Science
• /
• v.103 no.2
• /
• pp.153-158
• /
• 2014

To examine the natural regeneration in the natural mixed-broadlived forest, flowering, fruiting, seed-fall, and seed viabilities of Acer ukurunduense Trautv. & C.A. Mey. (AU) were investigated in Mt. Jungwang, Gangwon-do, from 2009 to 2013. The flower of AU consisited many male and bisexual flowers on the raceme (unusual panicle) and the arrangement of two sex morphs are differed for each inflorescence. Flowering dates are differed between sex morph in the same inflorescence. Stamens are stop growing and disappeared after pollinated pistil begin to grow in bisexual flowers, and male flowers have vestial pistil. The flowers of AU might be pollinated by Apis mellifera, Thyris fenestrella seoulensis, Cerambycidae sp., Andrenidae sp. and Ctenophora sp., and had some mechanism to prevent feom self pollination. The number of flower buds per inflorescence is 189 on June 8, and that of young samaras per inflorescence is 41.2 on June 21. At last ripened samaras per inflorescence is reduced 33.4 on September 5. Mean annual seedfall of AU was 6,720 ea/ha (ranged 670~17,930). Rates of sound seeds are highest 43.2%, and those of damaged or decayed seeds are 41.8%,. Those of undeveloped and empty seeds are 10.2% and 4.8%, respectively. Successful regeneration of AU might be in masting year and on the gap sites with proper conditions to germinate and grow. To understand the natural regeneration of the species, Genus Acer, further study on the fruiting habit, pre- and post-dispersal seed viability, and annual variation on these factor should be needed.

• Journal of the Korean Society for Precision Engineering
• /
• v.31 no.10
• /
• pp.881-887
• /
• 2014

Micro-sized Peltier coolers are generally employed for uniformly distributing heat generated in the multi-chip packages. These coolers are commonly classified into vertical and planar devices, depending on the heat flow direction and the arrangement of thermoelectric materials on the used substrate. Owing to the strong need for evaluation of performance of thermoelectric modules, at present an establishment of proper theoretical model has been highly required. The design theory for micro-sized thermoelectric cooler should be considered with contact resistance. Cooling performance of these modules was significantly affected by their contact resistance such as electrical and thermal junction. In this paper, we introduce the useful and optimal design model of small dimension thermoelectric module.

• Journal of Korea Water Resources Association
• /
• v.38 no.7 s.156
• /
• pp.537-544
• /
• 2005

For the proper management of high pressurized gas storage caverns, analysis of groundwater flow field and inflow quantity according to the groundwater head, gas storage pressure and water curtain head should be performed. The finite element method has been widely used for the groundwater flow analysis surrounding underground storage cavern because it can reflect the exact shape of cavern. But the various simulations according to the change of design factors such as the width of water curtain, shape of cavern etc. are not easy when elements were set up. To overcome these limitations, two dimensional groundwater flow model is established based on the boundary element method which compute the unknown variable by using only the boundary shape and condition. For the exact computation of drainage rate into cavern, the model test is performed by using the exact solution and pre-developed finite element model. The test result shows that the model could be used as an alternative to finite element model when various flow simulations are needed to determine the optimizing cavern shape and arrangement of water curtain holes and so forth.

• Korean Institute of Interior Design Journal
• /
• v.23 no.3
• /
• pp.173-180
• /
• 2014

Dwelling connotes characteristics like social and cultural and technical climatic conditions, lifestyles and demands of regions, and especially, apartment, as one of dwelling types, shows various aspects of modern society. With the economic development centering on large cities, apartments have been established as universal housing forms in Seoul and Shanghai. The deepening of economic development in cities has increased small households consisting of one or two persons by affecting the population and household structure, and they've become information consumer groups. This has also influenced the size of apartment and increased the demand for small-sized housing. If the floor area is small, it is possible to use space widely according to the plan composition, so there is a need for floor planning to understand natural environment, physical environment and residents.This study compared and analyzed plan compositions of small-sized apartments which have been parceled out for the recent three years in Seoul and Shanghai. This study aims to understand housing cultures and users in the two countries depending on natural environments, living habits and spatial functions by analyzing common points and differences of public spaces like living room, dining room and kitchen, and private spaces like bedroom which have absolute effects on room arrangement and traffic line. The study results are as follows. From the perspective of natural environments, in Seoul, two-sided open cross-ventilation structure where is favorable to lighting and ventilation, occupied the biggest proportion of public space, while in Shanghai, most public spaces had lighting and ventilation structures through windows in each room. In Seoul, 3R type occupied the largest proportion of private space(87.7%), and privacy was maintained and space scale was adjusted using spaces with diverse functions such as bathroom in the couple bedroom, dress room and powder room and variable walls. But 2R type occupied the largest proportion of private space(60.2%) in Shanghai, and they emphasized private space and privacy of each room depending on major living habits. In conclusion, this study for comparing and analyzing common points and differences of small-sized apartment plan compositions in Seoul and Shanghai will provide proper guidelines for small-sized apartments to be built in Seoul and Shanghai in the future, if strong points and weak points of plan compositions in the two countries will be additionally analyzed and remedied.

• Journal of the Korean Society for information Management
• /
• v.32 no.1
• /
• pp.297-316
• /
• 2015

This study looks into how hearing-impaired college students use libraries and what their information needs are in order to prepare basic materials which would be applied for developing a library service program and others proper enough to be used by the hearing-impaired college students. In order to achieve the research goal, the study gathered data from a total of 155 hearing-impaired college students through a survey and interviews and a frequency analysis, a cross validation, a t-test and a one-way ANOVA were conducted to analyze the data. At the end of its research, the study confirmed that the hearing-impaired college students' gender, years, degrees of disability, schools, specialties and prosthetic appliances would make significant differences in how the students use the libraries. In addition, the study took a look into differences in the hearing-impaired college students' information needs caused by types of the students' prosthetic appliances, schools and degrees of disability and found out that these types of the prosthetic appliances the students use would significantly affect every category of their information needs. The study now also understands that both the schools and the degrees of disability would make significant differences in a few categories of the information needs, and the former influences education and promotion targeting users and arrangement of sign language interpreters while the latter affects education and promotion targeting users and improvements in browsing environments.

• Korean Journal of Fisheries and Aquatic Sciences
• /
• v.20 no.2
• /
• pp.106-113
• /
• 1987

The Alaska pollack longline operations, which consist of baiting, shooting, hauling and arrangement of hooks, are dependant on manual labour up to the present. The automation against this traditional way is necessary to eliminate the manual operations and to reduce crew. We have developed a prototype longline system suitable for Alaska pollack longline gear, which is composed of an automatic baiting machine, an automatic line hauler, a hook cleaner and storage rails. The automatic bailing machine driven by hydraulic power is precise baiting method controlled sequentially, and the automatic line hauler is to haul up the mainline by means of hydraulic power and at the same time to split every hook and to carry it onto storage rail automatically. A series functioning tests on shooting and hauling apparatus were carried out in the laboratory and at sea. The results obtained are as follows ; 1. As for the baiting machine, the exciting time of solenoid which operates a directional valve, bait feeding and cutting time, is shortened according to the increase of pressure, and also, after cutting the bait, the over-rotated angle of the blade increased in accordance with the increase of pressure. 2. The baiting efficiency is about $90\%$ when using sand lance (Hypoptychus dybowskii), and the most proper pressure of the hydraulic circuit in feeding and cutting the bait is between $13\;kgf/cm^2\;and\;20\;kgf/cm^2$. 3. The hook splitting rate of the automatic line hauler is about $95.5\%$ regardless of hauling speed and materials of snood. 4. The case of unseparating hook is appeared when the snood gets entangled or the hook is sticked in the mainline.