• Title/Summary/Keyword: residential area

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Equity in the Delivery of Health care in the Republic of Korea (의료이용의 형평성에 관한 실증적 연구 -공.교 의료보험 피부양자를 대상으로-)

  • 명지영;문옥륜
    • Health Policy and Management
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    • v.5 no.2
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    • pp.155-172
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    • 1995
  • This study is an empirical analysis on the equity in the delivery of heatlh care under the Korean Medical Insurance Corporation System. The purposes of this study are to find out effects of income on the health care utiliztion and measure the income-related inequity in the distribution of health care. This study was carried out based on the fact that the health insurance program has been organized to achieve the equity objective, "equal treatment for equal needs". Of 41, 828 insured persons who had been diagnosed in the 1993 Health Screening Test and utilifzation data from 1, January 1993 through 31, December 1993 were derived from the Benefit Managment File. Inequity was measured by means of I) share approach, ii) standardization concentration curve approach, iii) inequity index, iv) test for inequity. The major findings were as follows : 1. The expenditure shares of the top two quintile groups exceeded their morbidity shares, whereas the opposite was true of the bottom three quintile groups, Which showed a positive HI$_{LG}$ inequity index, suggesting the presence of some inequity favoring the rich group. 2. Compared with other residential areas, the rural area showed the highest positive HI$_{LG}$ irrespective of need indicatior applied. 3. Standardized expenditure concentration indices adjusted by age, gender and need structure were also found to be positive, and therefore still indicated that there has been inequity favoring the rich after the standardization. 4. The Loglikelihood Ratio (LR) test for the statistical significance of income-related inequity of medical care utilization was carried out using the logistic regression model. The resulting loglikelihood ratio test statistic value was 176, which did exceed the 0.5 percent critical value of the chi-square distribution with 28 degrees of freedom, which is 50.993. Therefore, the null hypothesis of no income-related inequity of medical care utilization was rejected at the 99.5 percent confidence level. 5. The Regression based F-test has been carried out for analyzing the income-related inequity of medical expenditure in terms of age, gender, morbidity indicators as explanary variables. The hypothesis of the absence of income-relate inequity was rejected for all need indicators at the 95% confidence level.nce level.

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Factors Influencing the Health Status and Life Satisfaction of Elders in Free and Charged Welfare Facilities (무료 및 유료 노인복지시설 노인의 건강상태와 생활 만족도에 영향을 미치는 요인)

  • Kim, Yoen-Kyoung;Park, Kyung-Min;Kim, Chung-Nam
    • Research in Community and Public Health Nursing
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    • v.19 no.2
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    • pp.317-325
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    • 2008
  • Objectives: The purpose of this study was to investigate factors influencing the health status and life satisfaction of elders in welfare facilities. Methods: The subjects of this study were selected randomly among those without cognitive impairment from free (140 persons) and charged (140 persons) welfare facilities in the Yeongnam area. Data was analyzed using t-test and stepwise multiple regression. Results: Health status and life satisfaction were 2.52 and 1.98, respectively, in the elders from free welfare facilities, and 2.67 and 2.08 respectively, in the elders from charged welfare facilities. In those from free facilities, life satisfaction and motivation for getting into the welfare facility were the influencing factors of health status. In those from charged facilities, life satisfaction, gender, motivation for getting into the welfare facility, limited service such as physiotherapy, age, and lack of staff and professionalism were the influence factors of health status. In those from free facilities, health status, relationship conflict with fellow elders, lack of staff and professionalism, insufficient facilities and inadequate environment, and indifference of sons and daughters were the influence factors of life satisfaction. In those from charged facilities, health status, education and age were the influence factors of life satisfaction. Conclusions: It was found that both health status and life satisfaction of elders in charged welfare facilities were higher than those in free welfare facilities.

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Regional Development Plan Based on the Characteristics of Demographic Structure in Farming Areas - Focusing on the Farming Areas in Gyeongnam Province - (농촌지역 인구구조 특성에 따른 지역발전 방안 - 경상남도 농촌지역을 중심으로 -)

  • Kim, Dong-Hwan;Ahn, Jung-Geun
    • Journal of Korean Society of Rural Planning
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    • v.22 no.4
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    • pp.159-169
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    • 2016
  • In recent years, the population structure has been changed by the progresses of 6th-industrialization and transportation in farming areas. This study aims to suggest a regional development plan of farming areas in accordance with the demographic changes. Population structure indicators were derived from previous studies and literature review in order to identify the types of farming areas. Demographic indicators separated to depopulation and population growth in farming areas through a standardized scoring method. This research found that the division of economy is not only the most important division in any other regional development divisions but also necessary to develop new sources of non-farm income through traditional culture, natural environment. In the social division, it is necessary to secure the facilities for the formation of a sense of community to multicultural families and existing residents in farming areas. In the environmental division, it is desirable to improve the quality and satisfaction of life for residents such as the sidewalk and park that utilize ecological environment, culture, history for both depopulation and population region. In the physical division, there is a need for improvement of the facilities of basic living infrastructure service such as roads, water supply and sewerage systems. In the institution division, sustainable financial support of the central government policy for farming areas is crucial for the improvement of residential environment in the farming areas of depopulation and population region.

Segmentation of Chinese Fashion Product Consumers according to Internet Shopping Values and Their Online Word-of-Mouth and Purchase Behavior (인터넷 쇼핑가치에 따른 중국 패션제품 소비자 세분집단의 온라인 구전 및 구매행동)

  • Yin, Mei;Yu, Haekyung;Hwang, Seona
    • Fashion & Textile Research Journal
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    • v.18 no.3
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    • pp.317-326
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    • 2016
  • The main purposes of this study were to segment Chinese consumers who purchase fashion products through internet commerce according to internet shopping values, to compare their online word-of-mouth acceptance and dissemination behavior, and to examine the demographic characteristics and purchase behavior of the segments. 715 questionnaires were collected through internet survey from January $19^{th}$ to March $16^{th}$, 2015 and a total of 488 were used for the final data analysis. The respondents were twenty to thirty nine years old men and women living in all over China. Hedonic and utilitarian shopping values were identified through factor analysis and based on the shopping values, the respondents were categorized into four groups-ambivalent shopping value group, hedonic shopping value group, utilitarian shopping value group and indifferent group. Among these groups, there were significant differences in terms of online word-of-mouth acceptance as well as dissemination level and motivation. In overall, ambivalent shopping value group showed high online word-of-mouth acceptance as well as dissemination motivation. The groups also showed significant differences in clothing selection criteria, frequently purchased internet shopping sites, online clothing shopping frequency and information sources. The groups also differed in terms of age, residential area, education level, occupation and income. However, there were no significant differences in gender and marital status among the groups.

Level of Agreement and Factors Associated With Discrepancies Between Nationwide Medical History Questionnaires and Hospital Claims Data

  • Kim, Yeon-Yong;Park, Jong Heon;Kang, Hee-Jin;Lee, Eun Joo;Ha, Seongjun;Shin, Soon-Ae
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.5
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    • pp.294-302
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    • 2017
  • Objectives: The objectives of this study were to investigate the agreement between medical history questionnaire data and claims data and to identify the factors that were associated with discrepancies between these data types. Methods: Data from self-reported questionnaires that assessed an individual's history of hypertension, diabetes mellitus, dyslipidemia, stroke, heart disease, and pulmonary tuberculosis were collected from a general health screening database for 2014. Data for these diseases were collected from a healthcare utilization claims database between 2009 and 2014. Overall agreement, sensitivity, specificity, and kappa values were calculated. Multiple logistic regression analysis was performed to identify factors associated with discrepancies and was adjusted for age, gender, insurance type, insurance contribution, residential area, and comorbidities. Results: Agreement was highest between questionnaire data and claims data based on primary codes up to 1 year before the completion of self-reported questionnaires and was lowest for claims data based on primary and secondary codes up to 5 years before the completion of self-reported questionnaires. When comparing data based on primary codes up to 1 year before the completion of selfreported questionnaires, the overall agreement, sensitivity, specificity, and kappa values ranged from 93.2 to 98.8%, 26.2 to 84.3%, 95.7 to 99.6%, and 0.09 to 0.78, respectively. Agreement was excellent for hypertension and diabetes, fair to good for stroke and heart disease, and poor for pulmonary tuberculosis and dyslipidemia. Women, younger individuals, and employed individuals were most likely to under-report disease. Conclusions: Detailed patient characteristics that had an impact on information bias were identified through the differing levels of agreement.

The association of oral diseases and chronic diseases in Korean adult population (우리나라 성인의 구강질환과 만성질환의 관련성)

  • Cheon, Hye-Won;Yu, Mi-Sun;Choi, Mi-Hye
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.2
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    • pp.235-249
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    • 2012
  • Objectives : The purpose of this research is to use data from the third year of the 4th National Health and Nutrition Examination Survey to study relationship between oral disease and chronic disease that generally persist from 6 months to over a year, or more specifically, circulatory disease, diabetes, and osteoporosis. Methods : Of the data from the third year of the 4th National Health and Nutrition Examination Survey, 7,893 adults over 19 years old who completed medical examination, health survey, and nutrition survey were selected as the final research subjects. Relationship between chronic disease and oral disease was analyzed by cross tabulation (2-test) and logistic regression analysis using SPSSWIN ver 18.0. Results : 1. Differences in the rate of prevalence of periodontal disease and the rate of prevalence of missing teeth were statistically significant with respect to age, gender, marital status, education level, residential area, income level, and occupation. Rate of prevalence of dental caries was statistically significant with respect to age, education level, and income level. 2. After examining the relationship between existence of chronic disease as diagnosed by doctor with oral disease, rate of prevalence of periodontal disease and missing teeth, hypertension, hyperlipidemia, stroke, myocardial infarction, angina, diabetes, and osteoporosis showed statiscally significant difference. 3. Examination of rate of prevalence of chronic disease with respect to oral disease, periodontal disease and missing teeth exerted statistically significant influence on hypertension, hyperlipidemia, stroke, myocardial infarction, angina, diabetes, and osteoporosis (p<0.05), while dental caries did not have statistically significant effect. 4. Analysis of coupling effect of periodontal disease and missing teeth on chronic disease showed that they were related in all chronic diseases examined in this study (hypertension, hyperlipidemia, stroke, myocardial infarction, angina, diabetes, and osteoporosis) (p<0.05). Conclusions : Periodontal disease and missing teeth were found to increase the rate of prevalence of chronic disease.

Investigation of Perception of Nuclear Power by the Local Residents Adjacent to Nuclear Installations (원자력 시설 주변 지역주민의 원자력에 대한 인식 조사)

  • Cho, Kyeong-Young;Moon, Joo-Hyun
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.9 no.3
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    • pp.181-189
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    • 2011
  • The smooth construction and operation of nuclear facilities requires understanding and support of both the local residents and the national people. It is essential that our country, which should maintain using nuclear energy for national energy security and economic growth, shall improve the social acceptance of nuclear energy. In order to identify the level of social acceptance of nuclear energy, this study investigated the perception of the local residents in Gyeongju and the public in other areas on a nuclear power plant and a low- and intermediate-level radioactive waste disposal facility through an individual interview. The subjects of the investigation were 450 persons. This study identified that perceptions of the respondents were somewhat dependent on the residential area, and derived the implications to be reflected in establishing the customized public-relation strategies.

A Study on the Effect of Residents' Participation on Community Consciousness and Tourism Development Attitudes - Focused on DMZ Peace Village Site - (주민참여가 공동체의식과 관광개발태도에 미치는 영향에 관한 연구 - 철원군 DMZ평화마을 사업지를 대상으로 -)

  • Yang, Min ho;Koh, Jin young;Kim, Myung il;Kim, Ki Sung
    • Journal of The Korean Society of Agricultural Engineers
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    • v.60 no.2
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    • pp.65-73
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    • 2018
  • This study aims to analyzes the Relationship Between Community Consciousness and Residents' Participation in Tourism Development. Starting in 2004, the Rural Tourism Development Project, which has been promoted in Korea, is taking a bottom-up approach that values the participation of residents. And Resident's Participation is also an important criterion for selecting business sites. As the farming community becomes more modern, the community consciousness is declining. But Community consciousness is an important factor for the sustainable maintenance of rural villages. And if community members share a sense of homogeneity, they can identify problems that communities have, and they can solve them with responsibility. Community consciousness can be called the basic infrastructure of residents' participation. Rural tourism feature different characteristics from other tourist areas in that the residential space of local residents is the destination of the tours. As a result, the influence on tourism development is directly affected, so the attitude of local residents is an important success factor unlike other tourism developments. The study analyzed the community consciousness and participation in Tourism Development, which is a significant success factor in rural areas. The survey which included 200 residents of the DMZ Peace Village Site, was concluded that the member's perception and ttachment among Community Consciousness affected the Residents' Participation, and that Economic Influence among tourist development attitudes affected the Residents' Participation. It based on the results in rural tourism development for the residents' participation should be considered with a plan to enhance the economic life satisfaction and promote the economic impact on the area.

An Analysis of the Visual Characteristics and Preference Factors of an Urban River - With a case of Gapcheon in Daejeon Metropolitan City - (도시하천의 시각적 특성 및 선호요인 분석 -대전광역시 갑천을 중심으로-)

  • Jeong, Dae-Young;Hur, Seong Soo;Shin, Un Dong
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.10 no.3
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    • pp.14-24
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    • 2007
  • The purpose of this study was to investigate how the landscape characteristics and the physical factors of landscape would affect the preference for the Gapcheon in Daejeon Metropolitan City. The Gapcheon was divided in three sections of the outskirts, Expopark areas, and residential complexes. After selecting seven landscape points where the sections could be expressed best, photographs were taken both in the upstream and downstream direction. The questionnaire used to evaluate the river's landscape included 20 items of adverbs that described the form of the river and one item to rate the overall preference. By analyzing the 14 pictures taken, the occupancy rates of the landscape elements in terms of the sky, river, vegetation of the river, mountain, and artificial structures. Image factor analysis was conducted for each of the sections in order to analyze the landscape characteristics of the Gapcheon, and then regression analysis was conducted in order to analyze the relationships among the physical factors influencing the preference of the landscapes. The results were as follows : Factors that compose the visual characters of urban river were classified be the aesthetic factor, the emotional factor and the situation factor. These 3 factors showed a 65.8% total variance. The river landscape with the biggest preference was the one from the Daedeok Grand Bridge as the occupancy area of the mountain, sky, and river was large and distributed evenly and the vegetation of the river was in a good harmony with the surroundings. After carrying out regression analysis to examine the relationships between the visual preference of Gapcheon and the physical factors of landscape(the sky, river, vegetation of the river, mountain, and artificial structure), the following regressions model was made : PRE=5.906+0.017(river)-0.053(artificial structure)-0.060(vegetation of the river) (R-square=0.48).

A Study on the Characteristics of Interior Design in Korean Classic Films - Focus on the housing of the expressionism film, 'Hanyeo' in 1960's - (한국 고전영화를 통해 본 실내 공간 특성에 관한 연구 - 표현주의 영화 하녀에 나타난 1960년대 주택공간을 중심으로 -)

  • Lee, Chul-Jae
    • Korean Institute of Interior Design Journal
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    • v.21 no.2
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    • pp.65-73
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    • 2012
  • Interior design generally falls behind to architecture in its concept of conservational value as interior designs are more to the simple style or trend. Therefore, This study aims how the society and the major events in the 1960's and individual and group desires are portrayed in movies through the eyes of movie directors, and further how the concept of spaces and the features of the spaces are displayed. First, This paper analyzes the movies in the 1960's, especially the expressionism and psychological zeitgeist in "The Housemaid" directed by Kim Ki-Young that can be logically analyzed, following the signs in the movie. Secondly, It analyzes the images captured the scenes that best describe the underlying theme of the movie, revealing the features of the different spaces for different scenes. Moreover, It analyzes the correlation of the change in value, desire, and space of the time in the 1960's to see the feature of the spaces in the 1960 are represented in the movie. In conclusion, the realistic expressionism movie of Kim Ki-young's 'Housemaid' showing the everyday life of a family against the background of industrial capitalism reveals the intimate desire of the time with the director's perspective on the history. With Mise-en-Sc$\grave{e}$ne, we can understand the space structure of the time, the view on space structure and further the effect of modernization project on urban residential area.

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