• 한국강구조학회 논문집
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• 제15권4호통권65호
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• pp.341-358
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• 2003

본 논문에서는 강교의 실용적인 생애주기비용 (LCC) 최적설계를 위한 일반화된 정식화와 LCC 설계시스템 모델을 제안하였다. 강교 최적설계를 위한 LCC는 초기비용, 직접 복구 (rehabilitation) 비용과 인적 혹은 물적 손실비용의 직접비용, 도로이용자비용, 그리고 사회-경제 손실비용을 포함한 간접비용의 현재가치의 합으로 정식화하였다. 특히 본 논문에서는 교량이 속해 있는 도로의 네트워크를 고려한 도로이용자비용과 사회-경제 손실비용 산정을 위한 새로운 모델을 제안하였다. 본 연구에서 제안된 LCC 정식화 모델은 실제 강박스 거더교와 강상판형교의 LCC 최적설계 문제에 적용하였고, 다양한 경우에 대한 LCC의 효율성에 대해 비교 고찰하였다. LCC를 고려한 강교량의 최적설계는 설계시방서에 기초한 설계방법뿐만 아니라 초기비용 절감을 위한 최적설계 방법과 비교할 때 더욱 합리적이고, 경제적이며, 안전한 설계를 유도할 수 있으리라 판단된다.

• The Korean Journal of Pain
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• 제37권1호
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• pp.51-58
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• 2024

Background: The rise in national health care costs has emerged as a global problem given the ever-aging population and rapid development of medical technology. The utilization of interventional pain management has, similarly, shown a continued rise worldwide. This study evaluates the differences in the medical costs in the field of interventional pain treatment (IPT) between two countries: Korea and Japan. Methods: Korean medical insurance costs for 2019 related to pain management focused on IPT were compared to those of Japan. Purchasing power parity (PPP) was used to adjust the exchange rate differences and to compare prices in consideration of the respective societies' economic power. Results: The cost of trigger point injections in Japan was 1.06 times higher than that of Korea, whereas the perineural and intraarticular injection prices were lower in Japan. The cost of epidural blocks was higher in Japan compared to Korea in both cervical/thoracic and lumbar regions. As for blocks of peripheral branches of spinal nerves, the cost of scapular nerve blocks in Japan was lower than that in Korea, given a PPP ratio 0.09. For nerve blocks in which fluoroscopy guidance is mandatory, the costs of epidurography in Japan were greater than those in Korea, given a PPP ratio 1.04. Conclusions: This is the first comparative study focusing on the medical costs related to IPT between Korea and Japan, which reveals that the costs differed along various categories. Further comparisons reflecting more diverse countries and socio-economic aspects will be required.

• Journal of Preventive Medicine and Public Health
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• 제42권1호
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• pp.35-41
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• 2009

Objectives : The changing population age structure and rapidly increasing medical costs make providing high-quality, effective medical care for the elderly a challenge. This study assessed the satisfaction with medical care in terms of comprehensiveness, general satisfaction, and accessibility among community-dwelling Korean elders. Methods : Data were obtained from a nationwide representative sample of the older adults(aged 65 years old or older) living in the community, who participated in a 2006 telephone survey conducted using random digit dialing(n=881). General satisfaction, comprehensiveness and accessibility were measured using a 10-item satisfaction survey questionnaire. Descriptive analysis was used to assess the distribution of each of three components of subjective satisfaction. Analysis of covariance(ANCOVA) was used to examine the association of each of the three components with socioeconomic variables. Results : Comprehensiveness and general satisfaction were low among older people with a high socioeconomic status. Accessibility was evaluated as low among older people of low socioeconomic status, those living in rural areas and those who were medical aid beneficiaries. Conclusions : Urgent interventions should be considered in order to improve accessibility to medical care for elders of low socioeconomic status and those living in rural communities. Given the rapid aging of the population, we need to develop a monitoring system to improve the quality of geriatric care.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2000년도 제52차 추계학술대회 연제집
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• pp.75-76
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• 2000

• Tuberculosis and Respiratory Diseases
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• 제81권3호
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• pp.241-246
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• 2018

Background: The "Tuberculosis Relief Belt Supporting Project (Tuberculosis Patient Management Project for Poverty Groups)" is a national program for socioeconomically vulnerable tuberculosis (TB) patients. We sought to evaluate the clinical and socioeconomic characteristics of poverty-stricken TB patients, and determined the need for relief. Methods: We examined in-patients with TB, who were supported by this project at the National Medical Center from 2014 to 2015. We retrospectively investigated the patients' socioeconomic status, clinical characteristics, and project expenditures. Results: Fifty-eight patients were enrolled. Among 55 patients with known income status, 24 (43.6%) had no income. Most patients (80%) lived alone. A total of 48 patients (82.8%) had more than one underlying disease. More than half of the enrolled patients (30 patients, 51.7%) had smear-positive TB. Cavitary disease was found in 38 patients (65.5%). Among the 38 patients with known resistance status, 19 (50%) had drug-resistant TB. In terms of disease severity, 96.6% of the cases had moderate-to-severe disease. A total of 14 patients (26.4%) died during treatment. Nursing expenses were supported for 12 patients (20.7%), with patient transportation costs reimbursed for 35 patients (60%). In terms of treatment expenses for 31 people (53.4%), 93.5% of them were supported by uninsured benefits. Conclusion: Underlying disease, infectivity, drug resistance, severity, and death occurred frequently in socioeconomically vulnerable patients with TB. Many uninsured treatment costs were not supported by the current government TB programs, and the "Tuberculosis Relief Belt Supporting Project" compensated for these limitations.

• 문화기술의 융합
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• 제10권3호
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• pp.651-657
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• 2024

본 연구는 육아 인력 비용이 출산율에 미치는 영향을 국가별로 비교 분석하였다. 북유럽 국가들의 사례에서는 포괄적인 육아 지원 정책과 육아 인력 비용 지원이 출산율에 긍정적인 영향을 미치는 것으로 나타났다. 반면, 동아시아 국가들에서는 높은 육아 부담과 경제적 압박이 출산율 저하의 주요 원인으로 작용하였다. 개발도상국의 경우, 육아 지원 정책의 효과가 사회경제적 맥락에 따라 상이하게 나타났다. 본 연구는 육아 인력 비용이 출산율에 미치는 영향이 국가별로 다양한 양상을 보이며, 효과적인 육아 지원 정책을 위해서는 각국의 상황에 맞는 맞춤형 접근이 필요함을 시사한다. 향후 육아에 대한 사회적 투자 확대와 함께 돌봄의 가치를 존중하는 문화 확산이 요구된다.

• The Journal of Asian Finance, Economics and Business
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• 제8권2호
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• pp.195-200
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• 2021

In recent years, Vietnam's economic growth rate has been attributed to the growth of many well-managed industries within Southeast Asia. Among them is the civil construction industry. Construction projects typically take a long time to complete and require a huge budget. Many socio-economic variables and factors affect total construction project costs due to market fluctuations. In recent years, crucial socioeconomic development indicators of construction reached a fairly high growth rate. Also, most infrastructure and construction projects have a high degree of complexity and uncertainty. This makes it challenging to predict the accurate project price. These challenges raise the need to recognize significant factors that influence the construction price index of civil buildings in Vietnam, both micro and macro. Therefore, this paper presents critical factors that affect the construction price index using the fuzzy extent analysis process in an uncertain environment. This proposed quantitative model is expected to reflect the uncertainty in the process of evaluating and ranking the influencing factors of the construction price index in Vietnam. The research results would also allow project stakeholders to be more informed of the factors affecting the construction price index in the context of Vietnam's civil construction industry. They also enable construction contractors to estimate project costs and bid rates better, enhancing their project and risk management performance.

• 한국지리정보학회지
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• 제9권3호
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• pp.146-155
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• 2006

소수의 선행연구는 도시의 삶의 질을 평가하기 위해서 구역을 단위로 사회경제적인 자료와 원격탐사자료를 통합하려고 시도했다. 그러나 이러한 구역을 기반으로 한 접근방법은 한 단위구역의 모든 속성이 그 구역 내에서 균등하게 분포되어 있다고 비현실적으로 전제할 뿐만 아니라, 임의적 지역구획문제 (MAUP) 및 화소기반 환경자료와의 통합이 용이하지 않은 점과 같은 심각한 방법론적 어려움을 초래한다. 구역기반 접근방법에 대한 한 가지 대안은 기본적인 공간단위로서 화소를 이용하는 화소기반 접근방법이다. 본 연구에서는 도시의 삶의 질을 평가하기 위해서 GIS에서의 사회경제적인 자료와 원격탐사자료를 연계하기 위한 화소기반 접근방법을 제시하고자 한다. 화소기반 접근방법은 삶의 질을 평가하기 위해서 구역기반의 사회경제적인 자료를 개별 화소들로 더욱 세분화시키려고 밀도 구분도와 공간 내삽법의 원리를 이용하고, 그 세분화된 사회경제적인 자료와 원격탐사자료를 통합한다. 이러한 화소기반 접근방법은 조지아 풀톤 카운티에 대한 사례연구에서 적용되었고, 같은 사례지역에서의 구역기반 접근방법과도 비교되었다. 본 연구에서 도시의 삶의 질을 평가하기 위한 화소기반 접근방법은 구역단위의 사회경제적인 자료의 세분화를 위해서 많은 처리시간을 필요로 하지만, 미시적인 지표의 산출을 용이하게 하고 사회경제적인 자료와 원격탐사자료간의 효율적인 통합과 그러한 자료들의 시각화를 가능하게 하였다. 이러한 점에서, 본 연구는 화소기반 접근방법이 도시 분석에 있어서 새로운 데이터베이스의 구축과 분석능력의 향상에 기여할 수 있다는 가능성을 제시한다.

• 한국환경보건학회지
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• 제47권5호
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• pp.486-495
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• 2021

Background: Particulate matter (PM) is one of the leading causes of premature death worldwide. Previous studies in South Korea have applied a relative risk calculated from Western populations when estimating the disease burden attributable to PM. However, the relative risk of PM on health outcomes may not be the same across different countries or regions. Objectives: This study aimed to estimate the premature deaths and socioeconomic costs attributable to long-term exposure to PM in South Korea. We considered not only the difference in PM concentration between regions, but also the difference in relative risk. Methods: National monitoring data of PM concentrations was obtained, and missing values were imputed using the AERMOD model and linear regression model. As a surrogate for relative risk, hazard ratios (HRs) of PM for cardiovascular and respiratory mortality were estimated using the National Health Insurance Service-National Sample Cohort. The nation was divided into five areas (metropolitan, central, southern, south-eastern, and Gangwon-do Province regions). The number of PM attributable deaths in 2018 was calculated at the district level. The socioeconomic cost was derived by multiplying the number of deaths and the statistical value of life. Results: The average PM₁₀ concentration for 2014~2018 was 45.2 ㎍/m³. The association between long-term exposure to PM₁₀ and mortality was heterogeneous between areas. When applying area-specific HRs, 23,811 premature deaths from cardiovascular and respiratory disease in 2018 were attributable to PM₁₀ (reference level 20 ㎍/m³). The corresponding socioeconomic cost was about 31 trillion won. These estimated values were higher than that when applying nationwide HRs. Conclusions: This study is the first research to estimate the premature mortality caused by long-term exposure to PM using relative risks derived from the national population. This study will help precisely identify the national and regional health burden attributed to PM and establish the priorities of air quality policy.

• East Asian Economic Review
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• 제21권3호
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• pp.201-230
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• 2017

This paper studies the long-run behavior of relative price dispersion among cities in Korea with a special emphasis on heterogeneous transitional patterns of price level dynamics. Formal statistical tests indicate considerable evidence for rejecting the null of relative price level convergence among the majority of cities over the sample period of 1985-2015. The analysis of gravity model suggests that the effect of transportation costs on intercity price level differentials is limited, while other socioeconomic factors, such as income, input factor prices, demographic structure, and housing price growth, play key roles in accounting for persistent regional price level disparities. Individual price levels are found to be better explained by a multiple-component model, and the deviations from PPP may be attributed to distinct stochastic common trends that are characterized by income and demographic structure.