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      • Socioeconomic and Health Resources Factors for Operations of a Health System

        Jung A Park KINFORMS 2006 Management Review Vol.1 No.1

        This paper is to assess the effect of health resources on state-level infant mortality and to assess the effect of socioeconomic characteristics on state-level infant mortality, i.e., to assess what change in the health status of a population can be identified as a function of socioeconomic characteristics and health resources. Some results are contrary to the common health strategy improving health status of a target population and suggest promoting individual level of health resources. This study suggest that changes in health resources or socioeconomic variables alone may not reduce the state level infant mortality, and both categories of health indicators do influence other health outcome as well as influence to each other.

      • KCI등재

        The Role of Unequal Information Resources Distribution in Health Information Seeking

        Heewon Im,Jaeho Cho 한국헬스커뮤니케이션학회 2013 헬스커뮤니케이션연구 Vol.8 No.-

        개인의 사회경제적 지위와 건강정보 추구 행위와의 관계 여부는 기존 문헌에서 많이 연구되어 왔지만 개인의 사회경제적 지위가 어떻게 개인이 건강정보를 추구하도록 영향을 주는 지에 대해서는 여러가지 가설이 제시되어왔다. 본 연구에서는 개인의 사회경제적 지위와 사회참여가 개인의 시간, 자본, 정보습득 기술과 같은 정보자원의 불균등한 분배를 통해 건강정보 추구행위에 영향을 주는 지를 연구했다. 특히 개인이 가진 정보자원의 양이 어떻게 건강정보를 추구하려는 동기와 정보를 찾는 능력에 영향을 주는 지를 통해 변인들의 관계를 설명하고자 했다. 개인의 건강관련 이슈에 관한 관련성 여부가 사회경제적 지위와 사회참여가 건강 정보를 추구 행위에 어떻게 영향을 주는 지도 살펴보았다. 2007 년 ANHCS 를 이차자료 분석 결과 사회참여와 일부 건강정보 추구행위 사이의 정적 관계가 나타났다. 이는 개인이 가진 사회적 자본이 개인의 건강에 미치는 영향을 미치는 방법 중의 하나라고 볼 수 있다. The relationship between socioeconomic status (SES) and individuals’ health information seeking has been tested in previous studies, but not many explanations for the relationship have been suggested. In this study, the role of unequal resources distribution is proposed as a possible mechanism underlying both the relationship between SES and health information seeking and the relationship between social engagement and health information seeking. The information resources, which are time, money, and information skills, are not equally distributed across different SES groups and individuals’ levels of social engagement; the unequal distribution of resources results from individuals’ different abilities and motivations in seeking health information. In addition, the unequal resources distribution is predicted to moderate the effect of personal relevance of health issues on health information seeking, by varying motivation and ability level. The secondary data analysis was conducted using the 2007 ANHCS. The results show partial support for the positive relationship between social engagement and health information seeking. The study contributes to the theoretical understanding of the effect of social capital on individuals’ health.

      • KCI등재

        지역사회 공공보건자원과 지역사회 정신건강의 관계에서 공공보건서비스 이용률의 조절효과

        김재희(Jae-Hee Kim) 한국응용과학기술학회 (구.한국유화학회) 2020 한국응용과학기술학회지 Vol.37 No.2

        본 연구는 공공보건자원이 지역사회의 정신건강수준에 영향을 미치는 과정에서 공공보건서비스 이용률이 조절 역할을 하는 지를 확인하고자 수행되었다. 연구대상은 144개의 지역사회이며, 자료는 제6기 지역보건의료계획과 2015년 지역사회 건강조사에서 확보하였다. 연구변수 중 공공보건자원은 공공보건예 산, 공공정신보건예산 및 공공정신보건인력으로 구성하였으며, 정신건강수준은 스트레스 인지율, 우울감 경험률 및 자살률로 하였다. 조절효과 분석에 사용된 방법은 위계적 회귀분석이었다. 연구결과는 첫째, 공공보건서비스 이용률은 공공정신보건예산이 우울감 경험률에 영향을 미치는 과정에서 조절변수로 작용하고 있었다. 둘째, 공공정신보건인력이 우울감 경험률에 영향을 미치는 과정에서 공공보건서비스 이용률은 조절효과를 나타냈다. 셋째, 공공정신보건인력이 자살률에 영향을 미치는 과정에서도 공공보건서비스 이용 률은 조절효과를 나타냈다. 넷째, 공공보건자원의 정신건강수준에 대한 영향이 공공보건서비스 이용률이 높은 집단과 낮은 집단에 따라 다르게 나타났다. 결론적으로 공공보건자원 강화가 지역사회 정신건강수준의 향상으로 이어지도록 하기 위해 지역사회 정신건강증진 방안에 공공보건서비스 이용률 개선을 위한 내용을 포함시킬 필요가 있을 것이다. This study aimed to identify the moderating effect of public health service utilization rate between public health resources and community mental health. The subjects included 144 local communities, from the data of 6th Community Health Plan and the 2015 Community Health Survey. Public health resources were measured by public health budget, public mental health budget and public mental health personnel; and mental health was measured by rate of perceived stress, rate of depressive mood and suicide rate. The hierarchical regression analysis was used to identify the moderating effects. The results were as followed. First, the effect of public mental health budget on rate of depressive mood was moderated by public health service utilization rate. Second, the effect of public mental health personnel on rate of depressive mood was moderated by public health service utilization rate. Third, the effect of public mental health personnel on suicide rate was also moderated by public health service utilization rate. Fourth, the effect of public health resources on mental health differed between the groups with high and low public health service utilization rate. In improving community mental health, the measures to improve the public health service utilization rate should be considered to ensure that reinforcing public health resources leads to the improvement of community mental health.

      • 지역특성이 보건의료자원 분포의 불평등에 미치는 영향

        이용재(Lee Yong-Jae) 비판과 대안을 위한 사회복지학회 2005 비판사회정책 Vol.- No.21

        본 연구의 목적은 의료자원 분포의 불평등을 의료자원 집중곡선과 집중지수를 활용하여 의료기관종류와진료과목별로구체적으로분석하고, 지역특성이 이러한 불평등에 미치는 영향을 분석하여, 합리적 의료자원 배분정책의 결정을 위한 기초자료로 제공하는 데 있다. 분석결과는 다음과 같다. 첫째, 보건기관과 병원, 요양병원 등의 의료기관과 외과, 정형외과 등의 일부 진료과목을 제외한 대부분의 의료시설과 인력이 도시에 집중되어 있어, 상대적으로 농어촌 지역주민의 의료접근이 어려운 것으로 판단되었다. 비록 보건기관과 일부 진료과목이 농어촌에 다소 많이 개설되어 있다고는 하나, 전체 의료기관의 부족현상을 보건기관과 일부 진료과목만으로 극복하는 것은 볼가능한 일이며 단순한 의료의 양이 아닌, 다양한 공급주체가제공하는 의료의 질적인 측면을 고려할 때는 더욱 그러하다. 둘째, 도시적 지역특성이 높은 지역 일수록 의료자원이 많이 분포하였다. 특히, 의료자원이 의료필요 특성과는 무관하게 사회경제적 특성과 인구학적 특성이 유리한 지역에 많이 분포하는 경향을 보였는데, 이처럼 의료필요와 무관한 보건의료자원의 분포는 ‘필요에 따른 의료이용’ 이라는 의료 형평성의 개념 측면에서 볼 때 우리나라 보건의료자원의 분포가 의료서비스 접근의 불평등을 가져와 결국에는 의료이용의 불평등과 건강의 불평등을 초래하기 쉬운 구조임을 보여준다. This study aims at analysing the regional inequality of health care resources distribution by concentration curve and index of health care resource, also, analysing on the inequality of health care resources distribution affected by regional characteristics. The results are as follows. First, With the Exception of public health care organization, hospital, Long-term care hospital and surgery, orthopedic surgery, Because of most health facilities and doctors is concentrated in the city, the rural district dwelling people will be difficulty to access health care. Second, the more the characteristics of city increase the more health care resources rise. especially, Unrelated with health needs, health care resources is distributed by economy and population characteristics. With the Exception of hospitals and public health care organization, unrelated with health needs factor. In sum, The present our the distribution of health care resources is easy to incur not only inequality of health care access but also health care utilization and health.

      • SCOPUSKCI등재

        암환자의 자원동원성과 건강증진행위

        서순림,김희주 성인간호학회 2000 성인간호학회지 Vol.12 No.1

        The purpose of this study was to define the degree of the resourcefulness and the health-promoting behavior of cancer patients, to identify the relationship between the resourcefulness and the health promoting behaviors and to provide the basis for strategic nursing intervention. This study was conducted by an exploratory survey. Data were collected by self-reported questionnaires from 97 cancer patients in a university hospital in Tae-Gu from September to December of 1998. The sample data were collected by using a convenient sampling method. The following instruments were used in the study after some adaptation: Park Chai Soon's Health Promoting Lifestyle Profile. Oh Pok Ja's instrument for health promotion behavior and the Rosenbaum self-control schedule(SCS). The reliability of instruments was tested with Chronbach'alph(.79-.89). Data was analyzed by using the SAS program. T-test, ANOVA, and Pearson's coefficients of correlation. The results of this study were as follows: First, the average score of the resourcefulness variable was 22.20 : the range of the score was from -30 to +81 The average score of the performance in the health promoting behavior variable was 96.13 : the range of the score was from 39 to 137 Second, the resourcefulness variable was significantly different from such demographic factors as gender and perceived health status, but there was no statistically significant difference between the demographic factors and the health promoting behavior variable, except that of perceived health status. Third, the performance in health promoting behavior of cancer patients was significantly correlated with the resourcefulness of cancer patients(r=.50) In conclusion, resourcefulness was identified to be an important variable that could contribute to promote health-promoting behavior.

      • KCI등재

        지역의 경제수준에 따른 의료자원 분포의 형평성 분석

        전보영,최수민,김창엽 한국보건행정학회 2012 보건행정학회지 Vol.22 No.1

        One of the ways to achieve the principle of equal access for equal needs, availability and geographical accessibility of health care resources regardless of resident sites is important. The purpose of this paper is to measure socioeconomic inequities in distribution of health care resources among regions in the Republic of Korea (hereafter Korea). Data were extracted from regional statistics of National Health Insurance, Community Health Survey, Korea Social Science Data Archive, and Korean Statistical Information Services at the same period of 2009. The dependent variables were the number of health workforce and health care facilities in each region. The proxy indicator of regional socioeconomic status was local tax per person. To identify whether inequalities among regions, we examined the concentration index(CI) and indirectly standardized CI by controlling each region's demographics and need factors. Total observations were 232 districts in nationwide, and we analyzed separately Seoul(25 districts) and non-Seoul areas(207 districts). The standardized CI values of health care resources were positive(favoring the rich region) across the nation in almost all kinds of resources. Especially the number of specialist, dentist, dental clinics, clinics, oriental medical clinics, pharmacists, and pharmacies were statistically significantly favoring the rich region. But the CI for the number of long-term care hospitals, public health centers were negative(favoring the poor region). The tendency of CI presenting positive values were increased in Seoul area. But in the case of non-Seoul, the CI indexes were nearly zero. The results suggest that except the Seoul area, little regional socioeconomic-related inequalities were observed in the distribution of health care resources in Korea.

      • KCI등재

        Lifecycle Health Assessment Model for Sustainable Healthy Buildings

        이성호,임채연,김선국 한국건축시공학회 2014 한국건축시공학회지 Vol.14 No.4

        A system to analyze, assess and manage the health performance of resources and spaces throughout the projectlifecycle shall be established to ensure sustainable healthy buildings. Decisions made in the planning, design,construction, and operation and management (O&M) phases must help sustain the health performance of buildings atthe level specified by clients or the relevant laws. For this reason, it is necessary to develop a model to ensure theconsistent management of performance, as such performance varies according to the decisions made by projectparticipants in each phase. The purpose of this research is to develop a Lifecycle Health Assessment Model (LHA) forsustainable healthy buildings. The developed model consists of four different modules: the Health-friendly ResourcesDatabase (HRDB) module, which provides health performance data regarding resources and spatial elements; theLifecycle Health-performance Tree (LHT) module, which analyzes the hierarchy of spatial and health impact factors;the Health Performance Evaluation (HPE) Module; and the Lifecycle Health Management Module, which analyzes andmanages changes in health performances throughout the lifecycle. The model helps ensure sustainable healthperformances of buildings.

      • KCI등재

        Lifecycle Health Assessment Model for Sustainable Healthy Buildings

        Lee, Sungho,Lim, Chaeyeon,Kim, Sunkuk The Korean Institute of Building Construction 2014 한국건축시공학회지 Vol.14 No.4

        A system to analyze, assess and manage the health performance of resources and spaces throughout the project lifecycle shall be established to ensure sustainable healthy buildings. Decisions made in the planning, design, construction, and operation and management (O&M) phases must help sustain the health performance of buildings at the level specified by clients or the relevant laws. For this reason, it is necessary to develop a model to ensure the consistent management of performance, as such performance varies according to the decisions made by project participants in each phase. The purpose of this research is to develop a Lifecycle Health Assessment Model (LHA) for sustainable healthy buildings. The developed model consists of four different modules: the Health-friendly Resources Database (HRDB) module, which provides health performance data regarding resources and spatial elements; the Lifecycle Health-performance Tree (LHT) module, which analyzes the hierarchy of spatial and health impact factors; the Health Performance Evaluation (HPE) Module; and the Lifecycle Health Management Module, which analyzes and manages changes in health performances throughout the lifecycle. The model helps ensure sustainable health performances of buildings.

      • KCI등재

        해양치유자원의 효능관련 기존의 연구문헌 분석

        김충곤,조현진 대한통합의학회 2022 대한통합의학회지 Vol.10 No.4

        Purpose : Marine therapy is an activity that promotes public health such as constitution improvement, immunity improvement, and anti-aging by utilizing marine therapeutic resources such as seawater, mud, seaweed, salt and sea climate. In Europe developed countries, the marine therapy industry has been developing for centuries, with France, Germany, and Israel leading the way. Currently, it has achieved great industrial achievements and is of great help in improving the human health. The purpose of this study is to investigate how marine therapeutic resources benefit to human health, as well as how to study and utilize their efficacy. We analyzed previous research articles related to the effects of marine therapeutic resources. Methods : The study included a total of 830 published literatures in the last 20 years from the Republic of Korea and other contries. PubMed and Google Scholar were utilized to collect the foreign source while the local scientific publications were accessed through the Korean Education and research Information Service (KERIS) and Korean studies Information Service System (KISS). The keywords used to search foreign literature were “marine therapy”, “Thalassotherapy”, “seawater”, “deep seawater”, “saline groundwater”, “sand therapy”, “mud therapy”, “hydrotherapy”, “seaweed”, “Sun light”, “sea salt”, “marine animal”, and “marine microorganisms” were combined, and for the domestic literature, the keywords were “marine therapy”, “marine therapeutic resources”, “seawater”, and “sand”. Results : A total of 830 research papers were found as a result of searching for domestic and international papers related to marine therapeutic resources. The collected documents were classified into 175 seawater resources, 259 marine mineral resources, 41 marine environment, and 355 marine organisms. The efficacy of each marine therapeutic resources was analyzed. By resources type, there were about 213 papers on the efficacy of seaweed, followed by about 175 papers on seawater, 142 on microorganisms, 124 on mud/peat, and sand, salt, minerals and others are appeared in order (Table 1) Conclusion : Korea has the highest marine biodiversity index, excellent tidal flats, four distinct seasons, and various sea environments of the East sea, Yellow sea, South sea and Jeju sea. For this reason, Korea has a much more diverse marine therapeutic resources than other advanced countries in the marine therapy industry. prebiously, we thought that the sea was only valuable as a shipping port and fishery industry. But now, it been shown that the ocean can become a new industrial field which can contribute to human health and well-being by providing healing and therapy to people through the gift of marine resources.

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