자연분만과 제왕절개분만의 입·퇴원 특성 및 진료비 분석 -심사평가원 청구 자료를 중심으로, 2009~2011

송혜숙,정준식,이난희,이병현,김윤신 한국모자보건학회 2015 한국모자보건학회지 Vol.19 No.1

Purpose: Low birth rate is one of the major social problems in Korea. This study is aimed atproviding Korea’s birth promotion policy with evidence derived from the analysis of the deliverydata available from the Health Insurance Review & Assessment Service (HIRA). Methods: We conducted an analysis on the characteristics of hospital admissions and dischargesby types of delivery using the data on claims for deliveries made to HIRA for the period of 2009to 2011. Results: Of all deliveries analyzed, 64.3% were normal spontaneous vaginal deliveries and 35.7%were deliveries by cesarean section, and among women above the age of 35, the higher the age,the higher the rate of women who had cesarean sections. On average, those who had vaginaldelivery were hospitalized for 3.3 days while those who had cesarean section were for 6.7 days. At hospital discharge, 90.1% of those who had vaginal delivery received medicine while 65.4% ofthose who had cesarean section did so. These findings were never mentioned in the previousstudies. 60% of those who had vaginal delivery were prescribed medicine for less than 3 days’use, while 49.3% of those who had cesarean section were given medicine for the same period. Interms of disease code classification, 83.3% of vaginal deliveries were categorized as single spontaneousdelivery (O80), and 49.2% of c-section deliveries were categorized as optional c-sectiondelivery with 35.7% as emergency c-section delivery. 72.7% of vaginal deliveries were includedin sub-diagnosis while 82.7% were included for cesarean section. As to the medical expensesincurred, the total medical fee and the co-payment by patients were ₩828,571 and ₩16,423 respectively for vaginal delivery and ₩1,173,769 and ₩235,522 respectively for cesarean sectionwith the expenses incurred for c-section were ₩345,198 higher for the total medical fee and₩219,099 higher for co-payment than for vaginal delivery. Conclusion: In conclusion, policy efforts should be made to support fertility raising, promotion ofvaginal delivery, and child care expansion, for example, a task force or a committee organized bythe government.

상호작용적 반복 읽어주기가 유아의 이해력과 어휘력에 미치는 효과

송혜숙,권민균 啓明大學校 生活科學硏究所 2010 科學論集 Vol.36 No.-

The purpose of this study was to examine the effects of interactive repeated read-alouds on young children's comprehension and vocabulary. The subjects of this study were 21 at the age of 4 for the experiment group at D day-care center in D city and 21 at the age of 4 for the control group at H day-care center in the same city. The children's comprehension abilities were examined by a test which was developed by Morrow(1984) and adjusted by Kim(2005). The children's vocabulary ability was examined by the picture vocabulary test for Korean children developed by Kim, Jang, Im, and Baek(1995), which was based on Peabody Picture Vocabulary Test-Revised(1982). The data was analyzed for the average, standard deviation of the pre- and post-test of the experiment and of the control group by using SPSS 14.0 and analyzed for covariance(ANCOVA). Followings are the results of the study : First, repeated and interactive read-alouds picture books to the young children enhance the children's comprehension. Second, repeated and interactive read- alouds picture books to the young children affect children's vocabulary development Consequently, utilizing repeated and interactive read-alouds with techniques, which are inserting vocabulary support, comments and questions to support and extend children's comprehension, after-reading questions etc., though it may demand time and low ratio of teacher and children, it is helpful to improve children's comprehension and vocabulary ability.

Cis AB 1가족 예

송혜숙,홍순표,최태열 대한임상병리학회 1983 대한임상병리학회지 Vol.3 No.1

동화제시 매체가 유아의 그림표현에 미치는 효과

송혜숙 한국아동교육학회 1996 아동교육 Vol.5 No.1

The purpose of this study was to investigate the effects of the instruction media for the art education in Kindergarten children comparing the narrating method of fairy tale with the viewing method of animated cartoon to simulate to the expressiveness of drawings after the story time. The subjects were 25 boy and 25 girl 6-year-old children from two kindergartens in Teagu. Children were assigned randomly to two groups: the narrating fairy tale group and the animated cartoon group. Each group participated in the art activities of each method twice a week during 4-weeks. Each time children produced a piece of drawing using sign-pens and crayons. The eight hundreds of drawings collected in two groups were evaluated by three professional artists. Each drawing was rated on 3-point rating scale for five subcategories. The sub categories were as follows: 1) The representations of topics, 2) colors, 3) forms, 4) composition, and 5) the creativity. The results of the evaluation were analyzed by ANOVA. The results of the study were as follows The children in the group of the narrating fairy tale method showed the high scores in three subcategories of the drawing skills, the forms, the composition, and the creative ability than those of the animated cartoon group. On the sex difference, there were no significant differences in the expression of topics, forms, and composition between the boys and girls, whereas the boys showed the higher performance in the color and the creativity than those of girls. The results showed that the narrating fairy tale method was more the effective teaching method for drawing education in the kindergarten. The implication of results of has that the impotance of the teaching media of drawing education. In the kindergarten level, it should be emphasized that the best teaching method in the drawing education might be to teach with the varieities of methods.

지역위기청소년 경향조사 : 학력폭력 위기청소년을 중심으로

송혜숙,이미선 원광대학교 대학원 2008 論文集 Vol.41 No.-

The present paper analyzed the data of school violence published by the Educational Board of Jeonbuk Province (2005~2007), media reports (2003~2007), interviews with 16 juveniles exposed to school violence and records of interviews by chief teachers in charge of student affairs at 14 schools in cities and counties of the province with a view to investigate tendencies, routes, channels and regions of critical juveniles occurring in the regions and, by thus, to find countermeasures to prevent school violence from the viewpoint of pedagogical as well as social welfare studies. From the research, it was revealed as follows: First, frequencies of school violence started on the downward path from 2005, decreasing drastically in 2007 in particular. By grade of school, violence at elementary and middle schools showed a drastic downward turn while that of high schoolers curved downward slowly. The comparison of violent students in 14 cities and counties of Jeonbuk Province in 2006 showed that Jeonju City experienced the largest number of school violence during the period, followed by Gunsan, Iksan, Gimje, Wanju, Jinan, Jeongeup, Muju and Buan in order. Second, according to the press reports (2003~2006), first and second graders of middle school were the biggest target of school violence, while 17.3% of victims by school violence in 2007 were elementary school students, an Increase by more than double from 8.6% in 2001 with a tendency of victims getting younger. Of the victims, 77% were found to experience such violence for the first time at elementary schools, an evidence showing that the critical stage of exposure to violence begins from early. With regard to the proceeding course of school violence, most violences took place in aisles leading to rest rooms, play grounds in schools and near schools at recess, cleaning time, and on the way to and from school. Third, from the interviews with the youth exposed to school violence, it was known that violence was experienced most often during middle school age, in order of the 1st grade, 2nd grade of middle school and the 1st grade of high school. Winter and spring were cited as the seasons when violence occurs most frequently. Association with delinquent peers, anger, wreaking of wrath and jeer were named as some of the causes for violence in the category of personal life while ill-mannered behavior of juniors, assaults without reason, etc. were the cause of violence listed in the category of school life. After the violent acts at school, the biggest number of students usually visit friends and Internet cafes only for spending time and killing boredom along with peers. Changes in life after the violence included discontinuance of association with bad friends, fear of legal punishment, repentance, chagrin, anger, stress, intervention or rebukes of parents, and others. As a consequence of violence, students reacted with being branded as delinquents, refusal to go to school and suspension of study. Fourth, from the interviews with chief teachers in charge of student affairs at about 20 middle and high schools in 14 cities and counties of the province, it was discovered that the most critical areas of violence were surroundings of schools, Internet cafes, hot baths and streets around colleges. The next critical areas were amusement parks, public gardens, pavilions, vicinity of apartments, elementary school grounds, streets or alleys massed with restaurants and bus terminals, followed by such areas as swarmed with inns, motels, amusement quarters, studio rooms, nest-like barracks. Based on the investigation as above, following suggestions could be offered: From the pedagogical point of view, it was suggested to make precise diagnosis of cause for such critical crisis of school violence by juvenile delinquents, to enforce the rule to educate parents of juvenile delinquents, to compile the accurate data of critical juveniles and to activate the program (peer counselling) to assist prevention of school violence. From the viewpoint of social welfare studies, it was recommended to build and control safety network of the crime-ridden districts, to conduct case management of the youth in critical state and to intensify school counselling project.

주요 외국 대학과 국내 연구실안전보험제도 비교

송혜숙,서정안 인문사회 21 2022 인문사회 21 Vol.13 No.6

연구목적: 이 연구는 우리나라와 같은 공적 의료보험 운영 체계를 하는 OECD 상위 10개국 중 4개국(일본, 프랑스, 독일, 미국) 대학생들의 연구실 안전보험을 비교 분석하고자 하였다. 연구 방법: 문헌을 고찰한다. 연구 내용: 이 논문의 연구 내용은 프랑스와 독일은 국가 차원의 공적 체계 하에 운영되어 보험료 부담 없이 사고 발생 시 무상진료를 받는다. 미국은 각 지방정부에 따라 지자체별 대학별 규정을 두고 있고, 대학에서 정한 보험상품 기준에 맞는 보험에 가입하여 개강 전에 『보험증권』을 제출해야만 수업을 받을 수 있도록 하고 있다. 일본은 학생 및 대학에서 보험사에 직접 가입하지 않고, 공제회에서 중재자 역할로 단체할인을 적용받고 충분한 치료를 보장받는다. 결론 및 제언: 결론적으로 주요 선진국과 비교했을 때 가장 좋은 방향성은 ‘프랑스’, ‘독일’과 같이 공적 체계 하에 운영하여 보험료 납입 의무 없이 무상진료를 도입하는 것이다.

2003학년도 학생상담센터 활동보고

송혜숙 원광대학교 학생상담센터 2003 學生生活硏究 Vol.- No.24

국제정세와 안보외교

송혜숙 淑明女子大學校 政經大學 學生會 1982 政經論叢 Vol.11 No.1

입원환자의 영적안녕과 영적요구에 관한 연구

송혜숙,김경희 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.2

코호트 연구를 통한 악성암과 심장 및 뇌혈관질환자의진료비 부담 추이 분석(2004~2016)

송혜숙,서정안 인문사회 21 2022 인문사회 21 Vol.13 No.3

Analysis of the Burden of Medical Expenses for Malignant Cancer and Patients with Heart and Cerebrovascular DiseaseThrough Cohort Study (2004-2016)Hyeasuk Song & Jeongan Seo Abstract: This study was conducted to analyze the rate of the mortality rate and the cost of medical expenses through cohort study of malignant neoplasms (cancer), heart and cerebrovascular disease patients, which are the main causes of death in Korea, and to use them as basic data for public health care and health insurance policies.,The data of the National Health Insurance Corporation's customized DB were used for the study, and as of 2004, the individual identification codes for 12 years were linked with the data of the death of the National Statistical Office and followed by the survival period of the subjects who were treated with malignant neoplasms (C00~C97, D45~47), heart disease (I21~I23) and cerebrovascular disease (I60~I64). The results of this study showed that 134,000 (0.27%) of malignant neoplasms, 18,000 (0.04%) of heart disease, and 105,000 (0.22%) of cerebrovascular disease were diagnosed as the three major diseases out of the total population of 48 million people in Korea. After 12 years, mortality rate was 68,000 (51.2%) of malignant neoplasms, 9,000 (48.2%) of heart disease, 52.2% of cerebrovascular disease The number of the subjects was 5,000 (49.5%), which was 50%.,As a result of analyzing the medical expenses, the amount of increase and decrease after the introduction of the protection policy decreased from 20% to 10% before the introduction of the burden rate, but the cerebrovascular disease was 20%.,Therefore, it is necessary to review the policy to strengthen the protection to lower the burden of cerebrovascular disease. Key Words: Cancer, Heart Disease, Cerebro Vascular Disease, Death Rate, Cost Analysis 코호트 연구를 통한 악성암과 심장 및 뇌혈관질환자의진료비 부담 추이 분석(2004~2016)송 혜 숙*ㆍ서 정 안** 요약: 본 연구는 우리나라 주요 사망원인인 악성신생물(암), 심장 및 뇌혈관질환자의 12년간 코호트 연구를 통해 사망률 및 진료비 본인부담금 비율 분석을 통해 국민의 건강관리와 건강보험 정책의 기초자료로 활용하고자 하였다. 연구방법은 국민건강보험공단의 맞춤형 DB 자료를 이용하였고, 2004년 기준으로 악성신생물(C00~C97, D45~47), 심장질환(I21~I23), 뇌혈관질환(I60~I64)을 주진단으로 진료받은 대상자들의 2016년까지 12년간의 개인별 식별코드를 통계청의 사망자료와 연동하여 생존기간을 추적관찰 하였다. 연구결과, 우리나라 전체인구수 약 4,800만명 중 3대 질환으로 진단받은 사람은 악성신생물 약 134,000명(0.27%), 심장질환 약 18,000명(0.04%), 뇌혈관질환 약 105,000명(0.22%)이었고, 이 중 12년 경과 후 사망률은 악성신생물이 68,000명(51.2%), 심장질환 9,000명(48.2%), 뇌혈관질환 52,000명(49.5%)으로서 대상자의 50% 수준으로 확인되었다. 진료비 분석결과는 보장성 강화정책 도입 전에 비해 후의 증감금액을 비교한 결과 악성신생물과 심장질환은 본인부담률 도입전 20%에서 약 10%로서 감소하였으나, 뇌혈관질환은 20%로 전 후 차이가 크지 않았다. 이에 뇌혈관질환의 본인부담률을 낮추는 보장성 강화정책을 재검토할 필요가 있다고 판단된다. 핵심어: 악성암, 심장질환, 뇌혈관질환, 사망률, 진료비분석 □ 접수일: 2022년 4월 20일, 수정일: 2022년 5월 27일, 게재확정일: 2022년 6월 20일* 주저자, 광주여자대학교 보건행정학과 교수(First Author, Professor, Kwangju Women’s Univ., Email: hyeasuk@kwu.ac.kr)** 교신저자, 인천재능대학교 보건의료행정과 교수(Corresponding Author, Professor, JEI Univ., Email: jeong91@jeiu.ac.kr)