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      • 맞벌이 가족에서 아버지의 가사와 자녀양육 참여

        최혜숙,이은해 연세대학교 생활과학연구소 1998 生活科學論集 Vol.12 No.-

        The purpose of this study were: 1) to describe fathers' involvement in housework and child care in dual-earner couples and 2) to examine variables which can predict fathers' involvement in housework and child care. The subjects were one hundred and seventy-three couples who placed their children, 3 to 6 years old, at day care centers. Data were analyzed by percentages, means, standard deviations, correlations, and multiple regression. The results showed that (1) fathers' involvement in housework was very low even in dual-eaner couples, but their involvement in child care was a little higher compared to the involvement in housework. (2) The variables significantly influenced to the fathers' involvement in housework were: fathers' sex role orientation, the difference between fathers' and mothers' working hours, positive reactions by social network members, and mothers' sex role orientation. (3) The variables significantly influenced to the fathers' involvement in child care at home were: the negative and positive reactions by social network members and fathers' sex role orientation.

      • 流産後遺殘組織과 子宮內膜의 病理組織學的硏究

        崔惠淑 고려대학교 의과대학 1964 고려대 의대 잡지 Vol.1 No.2

        Substantial number of studies on mechanism of abortion and premature labor have been reported, however, dearth of the literature on pathological observation upon abortion is found, As an aid to clarify mechanism of abortion, residual tissue and regenerated endometrial tissue following abortion and premature labor were observed histologically. Results are as follows : 1) Total cases observed, 24 represent hemorrhagic picture in residual tissues following abortion. 2) 14 cases out of 24 show the presence of chorionic villi on the surface of endometrium in various fashion. 3) Hemorrhage, leucocyte infiltration and fibrinoid degeneration are observed in decidual tissues. 4) In cases accompanying marked villous degeneration, hemorrhage usually occurs afterward, whereas in cases with mild villous degeneration, hemorrhage antecedes the villous changes. 5) Degeneration of chorionic villi are observed even during the course of threatened abortion. 6) Following abortion, incomplete regeneratoin of endometrium is gradually replaced by proliferative pattern. 7) Residual villi adherent to endometrium cause incomplete regenration of endometrium, thereby produce continuous hemorrhages. 8) Residual villi or decidual tissues cause tardy restoration of the endometrium, assuming functional bleeding.

      • KCI등재후보

        뇌졸중 환자에 대한 가정작업치료의 비용-편익분석

        최혜숙,강형곤,정민예,정우식,채유미,지영건 대한작업치료학회 2007 대한작업치료학회지 Vol.15 No.2

        목적 : 현재 환자가 의료기관을 직접 방문하여야 하는 작업치료서비스에 대하여 향후 가정 방문을 통하여 서비스를 제공할 경우 사회적 비용과 편익이 어떻게 변화하는지 분석하고자 시행하였다. 연구방법 : 우선 작업치료 관련 이해 당사자를 환자, 의료기관, 작업치료기관, 정부(보험자)로 구분하였다. 이후 비용자료의 수집을 위하여 환자와 의료기관을 대상으로 설문조사를 실시하였으며, 그 외 분석에 필요한 통계자료를 수집하였다. 비용은 실제 비용자료를 분석하여 적용하는 방법과 지불용의접근 방법을 각각 적용하여 시행하였다. 결과 : 가정작업치료 방식으로 전환하였을 때, 비용과 편익 비율은 비용자료분석 방법에서는 1.29, 지불용의접근 방법에서는 1.18이었다. 의료기관 수익률과 작업치료운영기관의 기타비용에 대하여 민감도 분석을 하였을 때, 비용자료분석 방법 적용에서는 편익증가는 20,830원/건-34,530원/건이었으며, 지불용의접근 방법 적용에서는 13,550원/건-18,790원/건이었다. 한편, 우리나라 뇌졸중 환자의 적어도 20%가 가정작업치료의 대상자라고 가정할 경우 사회적 순편익은 비용자료분석 방법 적용에서는 940,645천원/월, 지불용의접근 방법 적용에서는 583,864천원/월로 분석되었다. 결론 : 현재 환자가 의료기관을 직접 방문하여야 하는 작업치료서비스에 대하여 가정 방문을 통하여 서비스를 제공할 경우 사회적 순편익이 증가한다. Objective : To evaluate the relative benefits and costs associated with home-based occupational therapy (OT) compared to hospital-based OT in Korea. Methods : To obtain the cost data, patient and hospital surveys were performed during 2005 to 2006. In the evaluation of patient costs, both a cost-data analysis method and a willingness-to-pay (WTP) method were applied. Results : The benefit-cost ratio was 1.29 using the cost-data analysis method and 1.18 using the WTP method. The net benefit was estimated to be 20,830 to 34,530 won per case under the cost-data analysis method and 13,550 to 18,790 won per case under the WTP method. On the assumption that 20% of stroke patients in Korea were provided with home-based OT, the social net benefits were estimated to be about 940,645 thousand won per month using the cost-data analysis method and 583,864 thousand won per month using the WTP method. Conclusion : The results of this study suggest that implementing home-based OTs in Korea might be an efficient method from a social economic perspective.

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