• 농촌의학ㆍ지역보건
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• 제15권2호
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• pp.118-129
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• 1990

Socioeconomic status in this county progressed rapidly, this has brought about many changes in health care fields, namely, pattern of disease prevalence and morbidity, increase of the aged people, and also availability of health care in rural areas. According to the utilization study of medical care, it showed that the oriental medicine is used for the treatment of lasted chronic disease not the minor and common diseases which is quick in its effect. Particularly, in rural areas. prevalence of chronic disease is higher than that in urban areas. Although the health cafe need of the oriental medicine is high in rural areas, the distribution of manpower and facilities is lower than that in urban areas. Therefore the government has planned to implement the demonstration project for the oriental medicine at the designated 3 health centers in rural areas. The purpose of this study was to collect the utilization level of oriental medical care of the people in rural areas. To meet the purpose of this study, patient interview were applied. 790 patients visited to health center in project areas were selected and analyzed by experienced interviewers from 2 April to 21 April 1990. The major findings of this study were as follows ; 1) Of the 790 patients, 32.6 percent of the respondents had experience of using the oriental medicine. As for the utilization by age and sex. 54.8% of those was female and 70.7% was 40 years of age and more. 2) Reaction to the question of educational achievement showed that on schooling and primary school graduates accounted for 63.1%. 3) The most user of oriental medicine resides in country level, where the health center is located, and 80 percent of those users resides within 10Km. 4) More than 50% of the total was the chronic diseases which lingered for more than 3months. 5) 32.6 percent of the total cases used the oriental medicine. 61.2% among those was treated by oriental medical care hospital and 38.8% by oriental drug dispensaries etc. 6) The contont of oriental medical care varied ; 50.1% for prescription of herb drugs for treatment, 25.1% for health maintenance and 23.9% for acupuncture, moxibustion etc. 7) As for the motivation for using the oriental medicine. 56.6% of the respondents was for treatment of diseases and 27.9% wes for strengthening the physical weakness. 8) As for the effectiveness of the oriental medicine. 70.3% of the total cases satisfied with that treatment and 84.2% of the total cases will use the oriental medicine when is provided by health center.

• 정보화정책
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• 제18권4호
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• pp.22-41
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• 2011

국내산업의 고용없는 성장에 따라 고용창출효과가 큰 서비스산업 육성에 대한 정부의 관심이 증가하고 있다. 서비스산업의 양적 성장은 물론, OECD 국가대비 국내 서비스산업의 경쟁력은 매우 낮은 실정으로 나타나, 서비스산업의 경쟁력 강화방안에 관한 연구가 중요한 이슈로 제기되고 있다. 특히, 금융,교육,보험과 같이 대기업이 진출한 서비스산업은 상대적으로 경쟁력이 양호하나, 중소서비스 산업의 경쟁력은 매우 미진한 것으로 나타나, 중소서비스산업의 경쟁력강화를 위한 방안이 시급한 실정이다. 정보기술은 기업 경쟁력강화를 위한 핵심 인프라와 수단으로 활용되고 있어, 국내 서비스산업 경쟁력 강화에 적용가능한 것으로 인식되고 있다. 따라서, 본 연구의 목적은 국내 서비스산업의 IT 활용 실태를 조사하고, IT 활용 성공 요인을 중심으로 IT 도입 및 활용상의 문제점 및 요구사항을 분석하여, 서비스산업의 IT 활용 향상을 위한 정책적 방안을 도출하는 것이다. 본 연구를 위하여 국내 서비스기업 2,000개 업체에 대한 설문조사와 통계분석을 수행하였다. 분석결과, 국내 서비스산업의 IT활용 실태, 성공요인 관점에서 활용수준 및 기업규모와 업종간 비교분석, IT활용 저해요인에 대한 심층분석결과를 도출하였다. 마지막으로 심층분석결과를 토대로 서비스사업 IT 활용 향상을 위한 정책적 시사점이 제시되었다. 본 연구결과는 서비스기업 IT 도입 및 활용 담당자는 물론 IT 공급업체, 정책개발 전문가에게 서비스산업 IT 활용 제고를 위한 주요 요인과 요인별 IT 활용 향상을 위한 가이드라인을 제공할 것으로 기대된다.

• 자원ㆍ환경경제연구
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• 제25권2호
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• pp.199-228
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• 2016

이 연구에서는 미국의 북중부 7개주를 대상으로 농촌 주거지 개발에 영향을 미치는 주요 인자들을 분석하였다. 특히, 사회경제적 요인들과 산림유형에 따른 산림환경특성을 주거지 개발의 주요 요인으로 고려하여 상대적 중요도를 살펴보았다. 먼저, 1950년 이후 미 북중부 지역에서 나타난 인구변화에 대한 실증모델을 개발하였고, 고정효과 패널모델을 이용하여 인구변화에 영향을 미치는 주요 인자들을 분석하였다. 연령별로 인구변화패턴과 거주지를 선택하는 선호 요인이 상이하게 나타나기 때문에, 실증모형을 구성할 때 연령별로 모형을 설정하였다. 다음단계로, 인구변화에 영향을 미치는 요인들이 소득과 같은 가변요인 뿐 아니라 단기간에 거의 변화가 없는 지역의 특수한 환경 요인들을 포함할 것이라는 가정하에, 패널모형의 고정효과 값을 종속변수로 설정하여 각 카운티별 인구증감의 차이가 산림환경, 수자원 등 시간불변변수들에 의해 영향을 받는 것으로 설정하여 횡단면적 모델을 추정하였다. 마지막으로, 농촌 지역의 주거지 수요를 설명하는 모델을 추정하였다. 연구결과, 이주자의 나이가 주거지 선정에 영향을 미치는 핵심 인자로 나타났고, 특히 사회경제적 요인 뿐 아니라 산림유형, 수자원 등 환경 어메니티가 주거지 수요에 미치는 상대적 중요도도 나이 계층별로 상이한 것으로 나타났다.

• Journal of Preventive Medicine and Public Health
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• 제27권2호
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• pp.175-185
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• 1994

In order to anticipate disease pattern and health problems of Koreans in the 1st part of 21st century (by the year 2020), transition of population characteristics, mortality and morbidity data during the last 30 years Koreans have experienced were reviewed. On the actual basis of epidemiologic transition process that has undergone during last 30 years since 1960 along with socioeconomic development and successful implementation of selective national health policies (family planning, medical insurance and etc.), following changes can be expected in the 21st century in Korea, under the assumption that the current rate of progress is maintained. The population of South Korea alone will be doubled the population of 1960 by the year 2013 : aged Population older than 65 years will be increased from 3.3% in 1960 to 11.4% in 2020 with increased average age of the population from 23.6 year in 1970 to 39.2 year in 2020; urban population from 28% in 1960 to 83% in 2005. GNP/capita has increased tremendously from U.S. $120 in 1970 to $6,749 in 1992, and the government estimated it would be 519,350 in 2010 and $29,460 in 2020. Growth and developmental indices of children, educational achievement and social status of women also showed a remarkable improvement and anticipated to make futher progress. Leading causes of mortality and morbidity have shown a striking change during the last 30 years, from infectious diseases to chronic degenerative diseases and man-made injuries. Occurrence of communicable diseases may become minimal although viral hepatitis, venereal diseases Including AIDS, and well adapted herpes virus infections will maintain their endemic level. Newly evolving infectious agents, however, should be carefully monitored because of rapidly changing environments and human behaviours. Tuberculosis may increase up to the epidemic level when AIDS prevails. Ischemic heart diseases may increase steadily with increasing occurrence of hypertension and diabetes mellitus whereas cerebrovascular diseases may be decreased slowly. Musculaskeletal diseases which contribute a lot to the disability of aged people may be a major health problems due to increased aged population. Mental diseases, particularly that caused by alcohol and drug abuse, and senile dementia may become a prominent health problem. On the other hand injuries caused by traffic and industrial accidents that have shown most striking increase till now may be decreased considerably by intensive intervention. The health policies in the 21st century will be oriented to the health promotion for good quality life rather than life-savings.

• 보건행정학회지
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• 제18권3호
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• pp.18-40
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• 2008

Measurements of health related quality of life can be used to compare patients with specific conditions to average individuals in the general population in a similar age and gender group. However there are few data available regarding health related quality of life for the general population of Korea. Therefore, this study was conducted to examine the validity of the Korean version of EQ-5D and to measure the health related quality of life of the general adult population in a metropolitan city. The survey was cross-sectional and employed a stratified and multistage sampling design through 100 examination sites in 5 districts of UIsan. A total of 12,644 individuals from 4,112 households participated in the survey. Of these, we analyzed data from 8,068 adults who were over 19 years old and completed the EQ-5D. To examine the validity of the questionnaire, the differences in 5 dimensions and the $EQ-5D_{index}$ were analyzed with regard to demographic and socioeconomic factors such as sex, age, income, and education. In addition, visual analogue scales (VAS) were used to evaluate the overall health related quality of life issues of the respondents. The level of health related quality of life of the general adult population was then compared with the results from the third Korean National Health and Nutrition Examination Survey and other countries. There were a small number of people with problems related tomobility, self-care, and usual activity. In addition, many people complained ofpain/discomfort and anxiety/depression. The complaint rate in each dimension, VAS, and $EQ-5D_{index}$ indicated relatively better states for males, the younger group, the higher income group, and the higher education group. In addition, the level of health related quality of life of the general population of Ulsan was relatively higher than that of Koreans nationwide as well as the populations of other countries. EQ-SD provided a valid measure of the health-related quality of life of the general adult population. In addition, the results of a survey of Ulsan revealed that the quality of life of its population is better than that of the overall population of Korea and of the populations of other countries.

• 디지털융복합연구
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• 제13권1호
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• pp.353-366
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• 2015

본 연구의 목적은 심정지 발생의 지역별 변이요인을 규명하는 것이다. 분석을 위하여 244개 행정구역별로 건강상태 및 심정지발생에 관한 지표를 수집하여 분석용 데이터 셋을 구축하였다. 지표 선정을 위해 질병관리본부의 2010년 심정지 조사자료와 지역사회 건강조사자료를 이용하였다. 자료 분석은 다중회귀분석, 지리적 가중회귀분석, 의사결정나무분석 기법을 이용하였다. 의사결정나무를 이용하여 심정지 발생의 지역별 변이를 설명하는 최종 모형을 설정하였다. 최종 모형인 의사결정나무에 근거한 지역별 변이요인은 인구밀도, 고혈압 평생의사 경험진단율, 스트레스 인지율, 고지혈증 평생의사 경험진단율, 우울증 경험률, 건강검진 수검율, 고위험음주율, 현재 흡연율로 나타났다. 심정지 발생을 감소시키기 위한 지역별 보건정책의 수립은 지역의 건강상태, 건강행위 및 사회경제적 요인 등에 근거하여 이루어질 필요가 있다.

• 한국임상약학회지
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• 제19권1호
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• pp.1-17
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• 2009

Adverse drug reactions (ADR) caused by inappropriate prescription are responsible for major socioeconomic loss. Drug-drug interactions (DDI) has been recognized as a major part of ADRs and, therefore, healthcare professionals should prevent possible DDIs to minimize preventable ADRs. This study aimed to examine DDI information in drug information references and Korea Food & Drug Administration (KFDA) drug labeling information. Drug ingredients from the formulary of Health Insurance Review and Assessment Service in Korea (HIRA) were included for the study. DDI information source used for the study were Micromedex Drugdex and Drug Information Facts (DIF) with the DDI severity level of "moderate" or more. The DDI information in KFDA drug labeling were collected and compared. Drug ingredients were classified with KFDA Drug Classification and ATC Classification of WHO for the analysis. Among the total 1,355 drug ingredients satisfying inclusion criteria, 738 ingredients involved at least one DDI, which was described in Micromedex and/or DIF. Drug Ingredients of 176 involved DDI only described in KFDA drug labeling, but not Micromedex nor DIF. Drug ingredients of 35 which DDIs were described in Micromedex or DIF did not have DDI based on KFDA drug labeling. Micromedex and DIF retrieved 7,582 and 3,071 DDIs, respectively 57.6% and 58.5% of DDIs were also described in KFDA drug labeling. Central nervous system (CNS) drugs, cardiovascular system (CVS) drugs and the antiinfectives appeared to have higher frequency of DDIs among all drug classes. The highest number of DDIs with high severity level ("contraindicated" or "major") were the DDIs of CNS drugs. The antiinfectives are the second drug group having serious DDIs. The DDI pairs of the CNS drug and the antiinfective had the highest contraindication risk (13.6%). DDI information from Micromedex and DIF were not consistent with the result that only 465 ingredients' DDIs are common in both literature (total DDI numbers were 715 vs 488, respectively). And 1,652 DDI information are common in both references among 7,582 vs 3,071 DDIs, respectively. Only 55.2% of DDI information in the database contained in the KFDA drug labeling. Prescribers and pharmacists should pay attention to the drugs for CV system, CNS and infections because of higher risk of possible DDIs compared to other drug classes. KFDA drug labeling is not likely to be recommended as a good information source for DDI due to significant inconsistency of information. Drug information providers should be aware that DDI information from different sources are not consistent and therefore multiple references should be used.

• 한국콘텐츠학회논문지
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• 제20권12호
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• pp.154-165
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• 2020

COVID-19 팬데믹의 장기화로 인해 우리는 유례없는 사회경제적 위협에 직면해 있다. 인적 교류의 통제로 보건의료 측면에서의 위협 뿐 아니라 경제 활동 위축에 따른 부담에까지 동시에 노출되어 있다. 이러한 상황은 우리가 그간 위기상황에 대비해 마련해 놓았던 사회안전망에 대해 재점검해 볼 기회를 마련해 주었다. 본 연구는 이러한 맥락에서 사회안전망에 대한 평가가 정부의 신뢰도 및 정부 주도의 증세 정책에 대한 수용에 미치는 영향력을 살펴보고자 하였다. 이를 위해 본 연구는 COVID-19가 팬데믹 국면으로 접어든 이후인 2020년 5월, 전국의 성인남녀 1000명을 대상으로 시행한 설문조사의 자료를 토대로 분석을 시행하였다. 분석 결과, COVID-19 발발 이후 우리나라의 사회안전망에 대한 평가는 정부에 대한 신뢰에 정(+)의 영향력을 미치고 있었으며, 이는 개인의 증세 정책에 대한 수용을 보다 증진시키는 것으로 나타났다. 아울러, 정부 신뢰의 증세 수용에 대한 정(+)의 영향력은 소득 수준이 높아질 때 보다 증폭되는 것으로 확인되었다. 이러한 일련의 결과는 향후 코로나 이후를 대비한 정책과 시스템의 재정비에 있어 이론적 기틀을 마련하는데 도움을 줄 수 있을 것이다.

• Fisheries and Aquatic Sciences
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• 제25권5호
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• pp.287-297
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• 2022

The objective of this study was to evaluate the probability of norovirus foodborne illness by raw oyster consumption. One hundred fifty-six oyster samples were collected to examine the norovirus prevalence. The oyster samples were inoculated with murine norovirus and stored at 4℃-25℃. A plaque assay determined norovirus titers. The norovirus titers were fitted with the Baranyi model to calculate shoulder period (h) and death rate (Log PFU/g/h). These kinetic parameters were fitted to a polynomial model as a function of temperature. Distribution temperature and time were surveyed, and consumption data were surveyed. A dose-response model was also searched through literature. The simulation model was prepared with these data in @RISK to estimate the probability of norovirus foodborne. One sample of 156 samples was norovirus positive. Thus, the initial contamination level was estimated by the Beta distribution (2, 156), and the level was -5.3 Log PFU/g. The developed predictive models showed that the norovirus titers decreased in oysters under the storage conditions simulated with the Uniform distribution (0.325, 1.643) for time and the Pert distribution (10, 18, 25) for temperature. Consumption ratio of raw oyster was 0.98%, and average consumption amount was 1.82 g, calculated by the Pert distribution [Pert {1.8200, 1.8200, 335.30, Truncate (0, 236.8)}]. ₁F₁ hypergeometric dose-response model [1 - (1 + 2.55 × 10^-3 × dose)^-0.086] was appropriate to evaluate dose-response. The simulation showed that the probability of norovirus foodborne illness by raw oyster consumption was 5.90 × 10^-10 per person per day. The annual socioeconomic cost of consuming raw oysters contaminated with norovirus was not very high.

• 한국엔터테인먼트산업학회논문지
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• 제15권8호
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• pp.351-361
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• 2021

본 연구는 웰니스 지역사회 중심의 고혈압 치료율 관리 방안을 마련하기 위해 지역회건강조사를 이용하여 광주광역시의 고혈압 치료 요인을 파악하고, 고혈압 치료율 관리 방안을 수립하고자 시행하였다. 본 연구를 위해 2017년부터 2019년까지의 질병관리청의 지역사회건강조사 자료 총 685,820건 중 광주광역시 조사자료 13,714건을 추출하였다. 조사자료 중 30세 이상 고혈압 진단 경험이 있는 자 2,941건을 최종 연구대상자로 선정하여 SAS 9.4, SAS Enterprise Miner 15.1을 사용하여 분석하였다. 분석 결과로는 고혈압 진단 경험자의 사회경제적 특성에 따른 광주광역시 고혈압 진단 치료율 차이는 성별, 연령, 결혼 유무, 교육수준, 경제활동 여부, 월 가구소득으로 나타났고, 건강행태 특성에 따른 고혈압 치료율 차이는 현재흡연, 월간음주, 고위험음주, 아침식사, 양호한 건강수준 인지, 당뇨 동반 및 당뇨 치료, 연간 미충족 의료, 연간 보건기관 이용 여부에 통계적으로 유의한 차이가 있는 것으로 나타났다. 고혈압 치료에 영향을 미치는 요인을 파악하기 위해 로지스틱 회귀 분석과 대화식 의사결정나무 분석을 실시한 결과 동일에게 나타난 요인은 연령, 결혼유무, 당뇨 동반 및 당뇨 치료여부, 연간 미충족 의료여부로 나타났다. 본 연구의 결과로 광주광역시는 낮은 연령층에게 고혈압 치료의 중요성을 인지시키고, 합병증 질환이 발생되지 않도록 효율적인 대책 마련과 함께 보건 교육학적인 노력이 필요할 것으로 사료된다.