• 보건행정학회지
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• 제25권3호
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• pp.207-220
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• 2015

Background: The purpose of this exploratory study is to explain where, when and how the introduction of user fee system works in low and middle income countries using context, mechanism, and outcome configuration. Methods: Considering advanced research in realist review approach, we made a review process including those following 4 steps. They are identifying the review question, initial theory and mechanism, searching and selecting primary studies, and extracting, analyzing, and synthesizing relevant data. Results: User fee had a detrimental effect on medical utilization in low and middle income countries. Also previous and current interventions and community participation were critical context in user fee system. Those contexts were associated with intervention initiation and recognition and coping strategies. Such contexts and mechanisms were critical explanatory factors in medical utilization. Conclusion: User fee is a series of interventions that are fragile and dynamic. So the introduction of user fee system needs a comprehensive understanding of previous and new intervention, policy infrastructure, and other factors that can influence on medical utilization.

• Journal of Preventive Medicine and Public Health
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• 제53권4호
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• pp.245-255
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• 2020

Objectives: This study examined associations among social capital indicators (social participation and generalized trust) at the individual level and alcohol use, which was quantified using Alcohol Use Disorders Identification Test (AUDIT) scores. Methods: In total, there were 8800 participants in community health interviews, including 220 adults sampled systematically from a resident registration database of each of 40 sub-municipal administrative units of local (city or county) governments. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were calculated using polychotomous logistic regression. Results: The aORs for abstainers versus people with AUDIT scores of 0-7, based on 3 questions on generalized trust, in comparison to those with no positive responses, were 1.15 (95% CI, 0.99 to 1.34) for 1 positive response, 1.16 (95% CI, 0.98 to 1.37) for 2 positive responses; and 1.39 (95% CI, 1.20 to 1.61) for 3 positive responses. The aORs for abstainers versus people with AUDIT scores of 0-7, in comparison to participation in no organizations, were 0.61 (95% CI, 0.54 to 0.69) for participation only in informal organizations; 2.16 (95% CI, 1.57 to 2.99) for participation only in religious organizations; 2.41 (95% CI, 1.10 to 5.29) for participation only in volunteer organizations; and 0.65 (95% CI, 0.57 to 0.74) for participation in formal organizations. Participants in formal social organizations, regardless of their participation in informal organizations, were more likely to have AUDIT scores of 8-15 (aOR, 1.29; 95% CI, 1.04 to 1.60) or ≥16 (aOR, 1.65; 95% CI, 1.22 to 2.23) than to have scores of 0-7. Conclusions: Our findings may have implications for health policy to reduce alcohol problems.

• 한국콘텐츠학회논문지
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• 제18권4호
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• pp.223-233
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• 2018

본 연구는 지역사회 풀뿌리조직으로 대표되는 이장 통장의 자살예방 게이트키퍼 활동 참여에 영향을 주는 요인을 알아보고자 강원도 내에서 활동하고 있는 이장 통장 299명을 대상으로 한 설문 결과를 이용하였다. 이를 위하여 자살예방 게이트키퍼 활동 참여를 수행의도와 개입수준로 구분하였으며, 이들과 유의한 상관을 보였던 참여 동기들을 독립변수로 설정하여 위계적 다중회귀분석을 실시하였다. 분석결과, 수행의도에 영향을 미치는 참여 동기로는 '이장 통장으로서의 사명감', '활동에 대한 혜택과 보상', '자살예방이라는 의미와 취지', '강원도의 정책'으로 나타났다. 그리고 개입수준에 영향을 미치는 참여 동기로는 '공무원의 권유', '자살예방이라는 의미와 취지'로 나타났다. 연구결과를 기반으로 지역사회 풀뿌리조직의 자살예방 활동참여와 관련된 시사점과 향후 활성화 방안을 제안하였다.

• 보건의료산업학회지
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• 제14권1호
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• pp.123-136
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• 2020

Objectives: This study aimed to analyze the factors influencing the life satisfaction of retirees(n=1,919) in one-person and multi-person households using the 2015 wave of the Korean Retirement and Income Study, collected by the National Pension Service. Methods: Frequency analysis and χ2-test were performed to examine the general characteristics and relation between one-person and multi-person household retirees. Logistic analysis was conducted to examine the factors affecting life satisfaction. Results: Public pension income was a statistically significant factor affecting life satisfaction, economic, health, and life in multi-person households. Conclusions: To improve life satisfaction after retirement, selective insurance benefits are needed depending on the type of household. Moreover a policy for expanding labor market participation is needed.

• 보건행정학회지
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• 제27권2호
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• pp.121-127
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• 2017

The effort to measure and improve the quality of healthcare is a common health policy issue worldwide. Korean Value Incentive Programme is one of that effort, but some concerns exist. Compared to pay for performance program in other countries, it measures healthcare quality with relatively narrow performance domain using a small number of clinical indicators. It was designed without involving hospitals and other key stakeholder, and program participation was mandated. Highest and lowest performers get bonus and penalty using relative ranking. As a suggestion for development, the direction for quality management at the national level should be given first. Therefore the philosophy or strategy for quality improvement should be reflected to the program. And various domains and indicators of healthcare quality should be developed with active communication with healthcare providers. The evaluation method is necessary to be changed to provide achievable goal to the healthcare providers and attract quality improvement.

• 대한토목학회논문집
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• 제37권1호
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• pp.195-201
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• 2017

도시화와 산업화로 악화되고 있는 대기환경은 건강과 밀접한 연관이 있어, 대기환경 개선정책에 대한 시민들의 관심은 증가되고 있는 상황이다. 정보통신기술의 발전으로 일반대중은 다양한 대기환경 정보를 쉽게 접근하고 이용하고 있고, 정책결정권자들은 대기환경문제를 시민들과 소통하기 위해 소셜 미디어 서비스를 이용하고 있다. 또한, 높아진 환경의식으로 대기환경개선을 위한 시민들의 참여와 역할의 중요성이 증대되고 있다. 이러한 기술적 사회적 변화는 기존 대기환경 정보시스템과 대기환경 정보서비스의 변화를 요구하고 있다. 이에 본 연구에서는 ISO19154의 UPA (Ubiquitous Pubic Access) 모델을 참조하여 GIS 기반의 대기환경 정보시스템을 개발하였다. 개발된 시스템은 공간 상황정보모델을 이용하여, 시민들의 위치와 건강상태에 따른 대기환경정보와 행동요령정보를 제공한다. 또한 시민들은 대기환경정보 시스템을 통해 현재위치와 관심지역의 대기환경에 대한 의견을 표현하게 함으로써, 대기환경 정책결정권자 관련 정책을 수립하는데 참고하도록 하였다.

• 한국주거학회논문집
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• 제18권4호
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• pp.97-104
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• 2007

Today, Non-Governmental Organizations (NGOs) are considered to be an important actor in the policy process. Based on this fact, this study aims to analyze the perception of the housing-related NGOs in Korea. Questions were prepared around two main themes: housing welfare policy and local governance. The data were collected in 11 cities where multi-party talks on housing welfare were held in April and in May 2007. The results are as follows. When it comes to housing welfare policy, housing supply should be combined with rehabilitation policy of low-income households. The roles of local government are strongly emphasized. Stabilization of housing market is important, but concrete measures should be necessary to help those who cannot participate in housing transaction. Concerning local governance issues, local government is expected to play a great role in setting up a productive policy network; NGOs are inclined to rely on public aid; An emphasis is put on professional and academic education which can make housing welfare delivery system more effective. With the questionnaire survey results, evolution and characteristics of the NGO movements in the Korean housing sector and the recent change of housing policy orientations are explained. And, strengthening communication channel between central and local actors, participation of NGOs in the various housing surveys, establishing a regular forum on the local level, and so on, are proposed in the conclusion.

• 한국학교ㆍ지역보건교육학회지
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• 제22권4호
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• pp.1-10
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• 2021

Background & objectives: Understanding the awareness of policy targets and implementers about safety in the local community is the crucial to establish a systematic community safety policy. The purpose of this study was to identify the perception of local citizens and civil servants regarding community safety and its related factors. Methods: For achieving this research goal, this study conducted survey targeting 538 citizens and 404 civil servants in S-si, Kyunggi-do. Self-administred and web-based survey were used to collect data from April 1^st to 16^th 2021. Results: Civil servants scored higher in community safety perception than citizens, and S city's safety interest, information, and participation scores were also higher than those of citizens. Based on the results of multiple regression, thought about in interest of safety in S-si, providing and sharing about safety information to citizens, and participation of community safety policy were significantly associated with perception of community safety. Conclusions: Setting safety as the top priority in S city policy and paying attention to safety by the mayor, public officials, and city council members is an important way to raise citizens' awareness of local safety. Also, efforts at the city level are needed to foster safety knowledge through systematic education on safety.

• 디지털융복합연구
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• 제7권1호
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• pp.137-147
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• 2009

The main purpose of cyber home education in public sector is to promote public education and restrain expensive private education expenses. The primary purpose of this study is to explore the effects of motivation, immersion and tutor on the effectiveness of cyber home learning. The variables of motivation, immersion and tutor participation were incorporated in this study as follows: 1) tutor participation was classed as a single independent variable, which has interaction and also effects passion; 2) motivation and 3) immersion were classed as two mediatory variables: motivation which include relevance and confidence; and immersion which includes attention and controllability. 4) learning effect was classed as a single dependent variable of learning influence factor which has learning attitude and learning satisfaction. The results show that a tutor had a direct influence on the effects of the learners' study but motivation and immersion had an indirect influence on the effects of learners' study independently. Based on these findings a tutor should provide motivation and immersion with various learning methods and contents for learners to get maximum benefits from cyber home learning.

• 교육시설
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• 제13권3호
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• pp.37-47
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• 2006

The conservation or practical use of a lot of closed schools which occurred from 1982 all over the country by governmental policy has been becoming important concerns to local resident and community with economical and administrative interest. A lot of examples, sold or rented to public institutions or a person, which have been using by welfare facilities for inhabitants, facilities for education, youth, company, culture and art, and other use, could be found. It could be said that the process of user's participation of these examples is very high, that is, a lot of examples of our surrounding is applied with ecological concept have participated by most users and local residents directly to architectural repair and renewal process, and practical use. In this background, I choose total five examples more than one by Chungbuk, Chungnam, Jeonbuk, Jeonnam district to investigate examples of closed schools applied ecological architectural concept and I researched reconfiguration of site, change of exterior or interior material, application of ecological system, and role as local community.