• Journal of Preventive Medicine and Public Health
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• 제47권4호
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• pp.236-243
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• 2014

Objectives: Despite the recent emphasis on a patient-centered chronic care model, few studies have investigated its use in older adults in South Korea. We explored how older Korean adults perceive and cope with their chronic illness. Methods: We conducted focus group interviews in Seoul, Korea in January 2010. Focus groups were formed by disease type (hypertension and type 2 diabetes) and gender using purposive sampling. Inclusion criteria were patients aged 60 and over who had been diagnosed with diabetes or hypertension and received care at a community health center for at least six months prior to participation. Interview data were analyzed through descriptive content analysis. Results: Among personal factors, most participants felt overwhelmed when they received their diagnosis. However, with time and control of their acute symptoms using medication, their worry diminished and participants tended to denying being identified as a patient or sick person. Among socio-familial factors, participants reported experiencing stigma with their chronic illness and feeling it was a symbol of weakness. Instead of modifying their lifestyles, which might interfere with their social relationships, they resorted to only following their medicine regime prescribed by their doctor. Participants also reported feeling that their doctor only prescribed medications and acted in an authoritative and threatening manner to induce and reinforce participants' compliance with treatment. Conclusions: For successful patient-centered management of chronic illnesses, supportive environments that include family, friends, and healthcare providers should be established.

• 한국콘텐츠학회논문지
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• 제18권10호
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• pp.335-347
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• 2018

본 연구는 정신 건강에 어려움을 가진 국내 초등학생의 학교기반 중재를 체계적으로 고찰하여 추후 더욱 효과적인 정신건강 관련 학교 기반 중재를 모색하고자 하였다. PRISMA 체크리스트와 흐름도를 통해 체계적 고찰을 시행하였고, 데이터베이스는 한국교육학술정보원, 국가과학기술센터, 국회도서관을 이용하였다. 대상 연구의 중재 특성, 대상자 특징, 평가도구로 분석하였다. 최종적으로 25개의 연구를 선정하였으며, 학교 기반 중재 특징에 따라 심리교육 중재(자기관리기술, 사회기술, 사회정서학습), 행동 중재(긍정적 행동지원, 모델링), 심리치료 중재(미술치료, 상담치료 및 부모교육), 레크리에이션 중재(로봇 중재, 원예치료)로 분류하였다. 연구의 대상자로는 지적장애가 가장 많았고, 주의력 결핍 과잉행동장애가 그 다음으로 많았다. 평가 영역은 주로 정서의 변화, 주의력의 변화를 알아보는 도구가 사용 되었다. 본 연구를 통해 학교기반 중재의 연구 분야, 대상자, 평가도구의 근거를 마련하였다. 이는 추후 더욱 효과적인 정신건강 관련 학교기반 중재를 마련하는데 있어 중요한 기본 자료로 활용 할 수 있을 것이다.

• 한국사회복지학
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• 제38권
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• pp.33-67
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• 1999

This study is the second phase of the author's larger attempt to investigate the factors affecting housewives' caregiving behavior to their elderly parents-in-law. Specifically, it revises and expands the previous model (1998) and develops a new one by rectifying the three major problems inherent in the previous study: (1) misspecification error; (2) non-equivalent comparison of results between the father-in-law model and mother-in-law model that stems from the inclusion of heterogeneous group of caregivers; (3) measurement problems for the two endogenous variables of eldercare attitude and behavior. To do this, the current study proposes a more comprehensive model by additionally incorporating other salient exogenous variables, renders the comparison of results between the father-in-law and mother-in-law models equivalent by including only homogeneous group of caregivers (i. e., only those housewives whose parents-in-law are both alive), and introduces standardized measurement scales for the endogenous variables. Estimation of the model in terms of maximum likelihood procedures in LISREL8 attests to a better overall performance over the previous model when judged from several criteria such as coefficient of determination, model fit statistics, proportion of significant causal paths, and measurement properties of reliability and validity for the variables. Interpretation of the findings suggests several salient theoretical implications that concern such crucial issues as the inconsistency between eldercare attitude and behavior, patterns of association among the subdimensions of eldercare, and the difference in the antecedents explaining attitude as opposed to behavior of eldercare. In particular, the finding that indicates almost no differences in the determinants between the father-in-law and mother-in-law models suggests a strong case to argue that caregiving behavior to fathers-in-law and mothers-in-law, respectively, is likely to be a uniform phenomenon sharing virtual1y the same antecedents, and that a unified single model is sufficient to account for caregiving behavior to both parties.

• 한국사회복지학
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• 제61권1호
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• pp.109-134
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• 2009

사회경제적 조건의 변화에 따라 늘어나는 가족 해체의 대안으로 조손가족에 대한 사회적 관심이 증가하고 있는 현재 다시 짚어보아야 할 것은 조손가족이 갖는 사회문화적 가치이다. 조손가족에 대한 접근은 정책결정자나 전문가의 관점에서만 이루어져 왔으므로 조손가족구성원들의 당사자 시각은 결여되어 있다. 본 연구는 이러한 반성에 기초하여, 조손가족 조모들의 양육 경험의 의미를 문화기술지 연구방법을 통해 알아보았다. 10명의 조손가족 조모들을 정보제공자로 하여 수집한 자료 분석 결과 조모들의 경험은 '다중의 경계 밖에 가족 만들기'라는 문화적 주제로 수렴되었다. 이러한 연구결과를 바탕으로 조손가족이 하나의 가족 체계로서 갖는 가치를 수용하고 이 체계의 고유성을 강화하고 보존하며, 조모들이 이미 가지고 있는 양육 기능을 더욱 계발하고, 조모와 손자녀 중간세대와의 연결을 꾀하는 실천적, 정책적 접근을 제안하였다.

• Journal of Preventive Medicine and Public Health
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• 제54권3호
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• pp.182-189
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• 2021

Objectives: This study investigated the relationship between sleep quality during pregnancy and preterm birth. Methods: This longitudinal study was conducted between August 2018 and May 2019. The participants were 150 pregnant women who had been referred to 7 healthcare centers in the city of Qazvin, Iran and met the inclusion criteria. The Petersburg Sleep Quality Index, the Epworth Sleepiness Scale, and 2 questions about daytime sleep status and a demographic questionnaire were administered at 14-18 weeks and 28-32 weeks of gestation. Data were analyzed using the Mann-Whitney test, the Fisher exact test, and univariate and multivariable logistic regression. Results: In the present study, poor sleep quality affected 84.7% of the participants at 14-18 weeks and 93.3% at 28-32 weeks of gestation. The final model for preterm birth prediction incorporated age and the Petersburg Sleep Quality Index score in the second and third trimesters. Preterm birth increased by 14% with each unit increase in age. With each unit increase in the Petersburg Sleep Quality Index score in the second and third trimesters, preterm birth increased by 42% and 28%, respectively, but the p-values of these factors were not significant. Conclusions: Although a significant percentage of pregnant women had poor sleep quality, no significant relationship was found between sleep quality during pregnancy and preterm birth.

• 재활복지
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• 제21권4호
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• pp.149-176
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• 2017

이 연구는 여성지적장애인의 마라톤 동호회 활동경험을 개인의 성장, 관계형성과정 그리고 삶의 질 향상을 지원하는 평생교육 차원에서 탐색하고자 하였다. 이를 위해 마라톤 동호회활동에 참여한 지적장애여성 5명과 정보제공자 5명을 연구 참여자로 선정하였으며 2012년 9월부터 2016년 10월까지 마라톤이 열리는 장소를 중심으로 현장관찰과 심층면담을 통해 자료를 수집하였다. 자료 분석은 질적 연구방법을 활용하였으며 코딩과정을 통해 개념화, 소주제, 핵심주제를 생성하고 결과를 도출하였다. 첫째, 개인적 차원에서의 마라톤 동호회 활동경험은 달리기의 재미, 내면의 자유, 자연과의 동화 등으로 나타나 마라톤 활동 경험이 개인의 성장에 다양한 형태로 영향을 주고 있음을 알 수 있었다. 둘째, 관계 형성적 차원에서의 경험은 가족과의 소통 및 참여, 참여자 또래와의 관계형성, 이해와 상생 등으로 나타나 마라톤 활동을 통해 소통의 의미와 기술을 익혀가는 과정을 탐색할 수 있었다. 셋째, 마라톤 활동은 삶의 영역을 확장시켜 나가며 사회인으로서 거듭나가는 성숙의 의미로 나타나고 있었다. 결론적으로 마라톤 활동은 여성지적장애인의 삶에 대한 동기부여와 능동적 선택의 기회를 갖게 하고 이를 통해 개인의 성장, 주변사람들과의 관계형성 및 삶의 확장을 통해 사회인으로 거듭나도록 돕는데 이는 삶의 질 향상을 위해 계속적 교육을 추구하는 평생 교육적 의미를 함의하고 있음을 시사하고 있다.

• 한국IT서비스학회지
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• 제22권4호
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• pp.171-184
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• 2023

FinTech, which has brought innovation to the financial industry thanks to the advancements in ICT since 2010, has contributed to the growth of the financial ecosystem and increased consumer benefits. Furthermore, there has been a growing demand for social responsibility and sustainability in financial institutions, which have a significant impact on governments, businesses, and people's lives. Despite this, many FinTech companies and traditional financial institutions are still in the early stages of establishing ESG (Environmental, Social, and Governance) management philosophy or lack long-term plans. In this study, we aim to examine the impact of ESG management on the FinTech industry, focusing on representative domestic cases, and derive policy and institutional measures to spread it in the financial industry. Specifically, we will adopt MSCI rating indicators, which are internationally accepted by various industries such as manufacturing, healthcare, and transportation, to evaluate the 35 ESG management subcategories of FinTech companies. As a result, a total of 22 compliance items were disclosed in the ESG report, and it was possible to confirm the detailed management. Through this, we intend to propose effective management strategies for the organizational structure, operations, programs, and performance evaluation of FinTech companies, which are positioning themselves as sustainable growth drivers in the domestic industry.

• Journal of Preventive Medicine and Public Health
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• 제56권2호
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• pp.128-144
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• 2023

Objectives: The health system reform process is highly political and controversial, and in most cases, it fails to realize its intended goals. This study was conducted to synthesize factors underlying the failure of health system reforms. Methods: In this systematic review and meta-synthesis, we searched 9 international and regional databases to identify qualitative and mixed-methods studies published up to December 2019. Using thematic synthesis, we analyzed the data. We utilized the Standards for Reporting Qualitative Research checklist for quality assessment. Results: After application of the inclusion and exclusion criteria, 40 of 1837 articles were included in the content analysis. The identified factors were organized into 7 main themes and 32 sub-themes. The main themes included: (1) reforms initiators' attitudes and knowledge; (2) weakness of political support; (3) lack of interest group support; (4) insufficient comprehensiveness of the reform; (5) problems related to the implementation of the reform; (6) harmful consequences of reform implementation; and (7) the political, economic, cultural, and social conditions of the society in which the reform takes place. Conclusions: Health system reform is a deep and extensive process, and shortcomings and weaknesses in each step have overcome health reform attempts in many countries. Awareness of these failure factors and appropriate responses to these issues can help policymakers properly plan and implement future reform programs and achieve the ultimate goals of reform: to improve the quantity and quality of health services and the health of society.

• 지식경영연구
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• 제23권4호
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• pp.1-19
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• 2022

언택트 문화가 확산되면서 취약계층의 디지털 정보의 접근성 문제인 디지털정보격차가 사회·문화 분야를 비롯한 다양한 분야에서 정보의 불평등을 초래할 수 있다. 이에 본 연구는 취약대층을 대상으로 디지털 정보격차수준을 파악하고 정보의 접근성, 인구사회학적특성, 신체 및 정신건강 특성이 정보수준에 미치는 영향을 분석하였다. 그 결과, 정보접근성이 높을수록 정보격차는 감소하고 디지털활용능력수준은 증가하는 것으로 나타나고 있어 정보기기의 접근성을 높이고 활용할 수 있는 역량을 갖출 수 있는 기회를 제공해야 할 것이다. 또한 연령이 높을수록, 남성보다는 여성이, 소득수준이 낮을수록 정보격차가 커지는 것으로 나타나고 있어 취약계층에 대한 세부적인 계층별 프로그램을 통해 디지털 역량을 높일 수 있는 방안이 필요하다. 마지막으로 정보격차와 디지털활용능력수준은 취약계층의 삶의 만족도와 일상생활의 만족도에 유의한 영향을 미치고 있어 디지털 포용정책으로 패러다임을 전환하여 정보 활용 역량을 높이기 위한 역량강화 교육프로그램 확대가 지속적으로 운영되어야 할 것이다.

• 대한예방한의학회지
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• 제27권3호
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• pp.1-12
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• 2023

Objectives : The aim of this study is to analyze the news articles related to Korean Medicine(KM) and compare trends in news reports from 2018 to 2022. Method : News articles related to KM were collected through the BigKinds, the news bigdata service of the Korea Press Foundation. News reports from 1 January 2018 to 31 December 2022 were searched. 2,950 news articles out of a total of 12,497 met the inclusion criteria. First, quantitative changes in media coverage were analyzed by year, media outlet, and month. For qualitative analysis, two authors independently coded the content of news articles, discussed them until consensus, and consulted with a third researcher to classify them. In addition, keywords extracted by the BigKind's Topic Rank algorithm were compared and analyzed in each year. Results : The number of news articles on KM decreased by 42% in 2022 compared to 2018. Over a fiveyear period, the Naeil Shinmun reported the most on KM among newspapers, while the Hankyoreh did the least. Among broadcasters, YTN reported the most and SBS did the least. When analyzing the reports by category, the most common was 'treatment', followed by 'prevention' and 'scientification'. As a result of extracting keywords with high weight and frequency, 'immunity' and 'immune system' ranked the first and second in 2018, while 'COVID 19' and 'medical law violation' did in 2022. Conclusion : The decrease in media reports on KM during the COVID-19 epidemic period seems to be due to the limited role of KM in responding to infectious diseases, and efforts to expand the scope of KM can induce increased media reports and social interest.