Earticle

본 연구는 대학 교수자들을 대상으로 수업에서 활용하는 비교과 활동의 유형과 방법등의 현황을 파악하고 비교과 활동의 교과 활용에 대한 인식과 요구 관련 조사를 분석하였다. 이를 위하여 수도권 소재 A 종합대학의 교원 135명을 대상으로 설문을 실시하였으며, 실제 비교과 활동을 수업에 활용한 경험이 있는 교수자 6명을 대상으로 현황과요구에 대한 초점집단면담(FGI)를 수행 및 분석하였다. 연구 결과는 다음과 같다. 첫째, 교수자의 60% 이상이 수업에 비교과 활동을 활용한 경험이 있으며, 실제 활용 유형으로는 학습 증진 프로그램이 가장 많았으나, 반면 교수자들이 대학 수업에 활용하고싶은 비교과 활동 유형으로는 체험 활동이 가장 높게 나타나 실제 활동 현황과 차이를보였다. 둘째, 비교과 활동을 수업에 활용한 방법으로는 과제를 제일 많이 사용했고, 그 다음이 수업 중 활동과 자율 추천 활동의 순으로 나타났다. 셋째, 교수자들은 비교과 활동을 수업에 활용하기 위해서 대학 차원의 행정적인 지원과 정책적인 지원이 필요하다고 인식하고 있었다. 미래 인재 양성을 위한 대학 교육 혁신 차원에서 비교과 활동의 수업 활용의 활성화를 위해서는 비교과 활동 활용에 대한 연구 중심의 증거를 기반으로 수업의 유형과 특성을 고려한 다양한 비교과 프로그램의 개발과 활성화를 위한대학의 정책적 지원이 필요하다.

The purpose of this study is to investigate the current status of utilization of extracurricular activities and the perceptions of professors about the needs for activation of extracurricular activities in university class. For doing this, 135 professors in one of major university located in metropolitan area were participated in the survey and then 6 professors who had some experiences for utilizing the extracurricular activities in their classes were interviewed for the FGI(Focus Group Interview) about their teaching experience in classes. Results are followed. First, more than 60% of the participants used extracurricular activities in their classes and while the most used types of extracurricular activities in the class was the activities for improving students’ learning achievement, the extracurricular activities that the participants most wanted to use was the experience-based activities. Second, as methods of using extracurricular activities in classes, assignments was used the most, followed by class activities and autonomous recommendation activities. Third, the professors indicated that the administrative support as well as the supportive policy to activate the use of extracurricular activities in university classes. Therefore, a variety of extracurricular activities need to be developed based on the research evidence as well as the needs of the professors and students in order to utilize it in class for the future innovation of teaching and learning in university.

본 연구는 대학 교수자들을 대상으로 수업에서 활용하는 비교과 활동의 유형과 방법등의 현황을 파악하고 비교과 활동의 교과 활용에 대한 인식과 요구 관련 조사를 분석하였다. 이를 위하여 수도권 소재 A 종합대학의 교원 135명을 대상으로 설문을 실시하였으며, 실제 비교과 활동을 수업에 활용한 경험이 있는 교수자 6명을 대상으로 현황과요구에 대한 초점집단면담(FGI)를 수행 및 분석하였다. 연구 결과는 다음과 같다. 첫째, 교수자의 60% 이상이 수업에 비교과 활동을 활용한 경험이 있으며, 실제 활용 유형으로는 학습 증진 프로그램이 가장 많았으나, 반면 교수자들이 대학 수업에 활용하고싶은 비교과 활동 유형으로는 체험 활동이 가장 높게 나타나 실제 활동 현황과 차이를보였다. 둘째, 비교과 활동을 수업에 활용한 방법으로는 과제를 제일 많이 사용했고, 그 다음이 수업 중 활동과 자율 추천 활동의 순으로 나타났다. 셋째, 교수자들은 비교과 활동을 수업에 활용하기 위해서 대학 차원의 행정적인 지원과 정책적인 지원이 필요하다고 인식하고 있었다. 미래 인재 양성을 위한 대학 교육 혁신 차원에서 비교과 활동의 수업 활용의 활성화를 위해서는 비교과 활동 활용에 대한 연구 중심의 증거를 기반으로 수업의 유형과 특성을 고려한 다양한 비교과 프로그램의 개발과 활성화를 위한대학의 정책적 지원이 필요하다.

The purpose of this study is to investigate the current status of utilization of extracurricular activities and the perceptions of professors about the needs for activation of extracurricular activities in university class. For doing this, 135 professors in one of major university located in metropolitan area were participated in the survey and then 6 professors who had some experiences for utilizing the extracurricular activities in their classes were interviewed for the FGI(Focus Group Interview) about their teaching experience in classes. Results are followed. First, more than 60% of the participants used extracurricular activities in their classes and while the most used types of extracurricular activities in the class was the activities for improving students’ learning achievement, the extracurricular activities that the participants most wanted to use was the experience-based activities. Second, as methods of using extracurricular activities in classes, assignments was used the most, followed by class activities and autonomous recommendation activities. Third, the professors indicated that the administrative support as well as the supportive policy to activate the use of extracurricular activities in university classes. Therefore, a variety of extracurricular activities need to be developed based on the research evidence as well as the needs of the professors and students in order to utilize it in class for the future innovation of teaching and learning in university.

교사보조로봇의 교육현장 도입은 영유아가 로봇과의 상호작용을 통해 학습 경험을 할 수 있으며, 교사는 이를 교수 전략의 일환으로 활용하여 교육 효과를 제고할 수 있다. 이러한 변화는 전통적인 일방향적 교육방식의 한계를 인식하고, 급변하는 디지털 환경에 부합하는 미래지향적 교육 체계로의 전환 필요성을 강조한다. 본 연구는 교사보조로봇에 대한 교사들의 인식과 활용실태를 조사하고자 하였으며, 경기도에 있는 어린이집 보육교사를 대상으로 자료를 수집하였다. 교사보조로봇은 교사와 유아가 참여하는 다양한 활동에서 효과적인 교수·학습 지원 도구로 평가되었으며, 유아의 주도적 참여와 자연스러운 놀이 및 학습 경험을 촉진하는 데 긍정적인 영향을 미친 것으로 나타났다. 교사가 개별 활동 전반을 충분히 지원하기 어려운 상황에서 교사보조로봇의 필요성이 중요시 되었다. 교사들의 경험과 현장에서의 로봇 활용 인식을 바탕으로 교육용 로봇 개발과 정책 방향 설정에 필요한 기초자료를 제공하고자 한다.

The introduction of teacher assistant robots in educational settings offers young learners opportunities to engage in learning experiences through interactions with robots. Teachers can utilize these robots as part of their instructional strategies to enhance educational effectiveness. This shift goes beyond the mere expansion of teaching tools, highlighting the limitations of traditional unidirectional teaching methods and underscoring the need to transition toward a future-oriented educational system that aligns with the rapidly evolving digital environment. This study investigates teachers' perceptions and the actual utilization of teacher assistant robots, focusing on early childhood educators working in daycare centers in Gyeonggi Province. The robots were evaluated as effective instructional tools that support various activities involving both teachers and young children. They were found to positively influence children’s active participation and facilitate natural play and learning experiences. The necessity of teacher assistant robots was particularly emphasized in situations where it is challenging for teachers to fully support individual activities. Based on teachers' experiences and perceptions in the field, this study aims to provide foundational data for the development of educational robots and the establishment of relevant policy directions.

This study is a basic study for the planning of rural community center space, which introduced the concept of healthcare. As the rural community center is a place where the elderly in rural areas live mainly during the day, this place is very important place for the healthy life of the rural elderly. We conducted an interview survey for 207 users over 65. The survey was organized with three regions to consider the regional characteristics of the community center users and geographical characteristics. As a result of the analysis of planning elements, the main preferences for indoor and outdoor space elements are planning elements such as safety, air quality, light, and the thermal environment and safety handle, night lights, safety walkway. These preferences should be considered for the more healthy friendly rural community center.

Purpose: This study compares beneficiaries of Korean Medicaid with those under the National Health Insurance program, seeking to understand how each group utilizes their healthcare. Methods: Data were obtained from a Health Promotion Survey in 2005. Health status was measured by the respondents’ perception of health. Health service utilization included the availability of healthcare services, the type of healthcare institution, and intent to revisit. Predisposing and enabling factors, as well as health care needs were used for this study. Results: Compared to National Health Insurance beneficiaries, Medicaid beneficiaries reported lower levels of health status and fewer enabling factors. They had more chronic diseases and disabilities. Education level, existence of chronic diseases, exercise patterns, and disabilities were associated with health status. Conclusion: We found that Medicaid beneficiaries had fewer resources and higher levels of health needs. As Medicaid is reformed, policy makers and administrators should understand healthcare utilization behaviors of Medicaid beneficiaries and the factors hindering access to care.

Non-timber forest products are important component of subsistence and livelihood of tribal communities living in and near forests. This is of particular significance in the state of Arunachal Pradesh having more than 80% of geographical area under forest cover and predominantly inhabited by tribal people. Purpose of this study was to document the status and utilization pattern and to assess the economic value of NTFPs of the state. Present study was carried out in eight districts of Arunachal Pradesh viz., Changlang, East Kameng, Lower Subansiri, Tawang, Tirap, Upper Siang, West Kameng and West Siang covering 34 villages and 350 households. Altogether, 135 plant based and 36 animal based non-timber forest products were recorded. Among plant based NTFPs, 54 species were collected for leaves, 30 for stem and 22 for fruits. Most of the animal based NTFPs (93%) were collected/hunted for food. Average 20∼40 kg of NTFPs was collected annually per household. Maximum plant based NTFP collection was recorded from West Siang followed by West Kameng and Tawang. Similarly, highest collection of animal based NTFPs was recorded from West Siang followed by Tirap and Lower Subansiri. NTFP contributed more than 50% of annual income of the people of East Kameng, Tirap, Lower Subansiri and Upper Siang districts. An illiterate and unemployed person with minimum agricultural land was more dependent on forests for his livelihood than a literate jobholder. The study concludes that a large section of people of Arunachal Pradesh are dependent on NTFPs for their livelihood however due to its unscientific harvesting, the availability of NTFPs is receding with time. There is an urgent need to promote cultivation and scientific harvesting of NTFPs in order to conserve the plant and animal diversity of this global biodiversity hotspot and for ensuring livelihood security of the people living in this area.

Background: The use of radiation and radioisotopes in Korea has been increasing each year, and its impact on economy and industry is expected to be increasing progressively following the development of industrial technology and the expansion of their usage. To establish and supporting policies for industries using radiation and radioisotopes, it is necessary to check the status of related industries accurately, as well as to gather data required to establish plans for industrial development by studying both revenues and economic scale (contributing to revenue). Materials and Methods: To analyze the status of utilization, surveys were carried out on 6,621 organizations engaged in nuclear operations handling radiation and radioisotopes pursuant to the Nuclear Safety Act as of end 2014, on 33,471 medical institutions using radiation generators for medical and diagnostic purposes pursuant to the Medical Service Act, and on 2,218 organizations using radiation generators for animal diagnostics pursuant to the Veterinary License Act. Results and discussion: The overall status of the domestic radiation market including the number of user organizations, that of employees, and the size of distributions (imports, productions, and exports) with which the scale of domestic radiation market can be judged showed a growth trend compared to the previous year, though the number of employees for radiation operation in industrial sector, research sector, education sector, military sector, and power plants (nuclear power plants) and the size of imports was reduced somewhat. Conclusion: It is expected that data acquired through periodic surveys on the status of utilization would be utilized practically in establishing governmental policies related to the promotion of usage of radiation and radioisotopes, and also be utilized widely in cultivating and developing the industry efficiently to invigorate the related industries.

Purpose: This study was done to describe utilization status of emergency medical service for children at one university affiliated hospital located in Seoul. Data were obtained from the medical records of patients under 13 years of age who visited the ER from January 1 to December 31, 2006. Method: Medical records missing the time of discharge were excluded in the analysis of waiting time, which resulted in 19,766 cases. Data were analyzed using SPSS WIN 14.0 version. Result: There were slightly more boys (58.4%), average age of the children was 3.97 years of age. More children at the aged 1 to 3 years (51.3%) visited the ER. Fever was the most frequent complaint: 5,180 cases (24.38%). The other complaints were head or facial laceration (10.55%), vomiting (9.63%), abdominal pain (8.06%), cough (7.67%), and painful limb swelling (6.34%). Average waiting time before the first medical examination was 17 minutes, and average ER stay time was 3 hours and 23 minutes. Conclusion: The results suggest the need to assign a nurse specialist for pediatric ER to provide more efficient care for the children. Also, extra staff assignment during the evening shift or extending office hours of local pediatricians should be considered.

Objective: To survey the utilization status of public health and medical rehabilitation services by the persons with disabilities in community. Method: The subjects were 118 patients who were admitted to National Rehabilitation Center from January 1998 to December 2001 and agreed with home-visit. The subjects were assessed of disability level with functional scales, utilization rate of public health and medical rehabilitation services, utilization facilities, and service contents. Results: The subjects included 78 pesons with stroke, 20 persons with spinal cord injury, 9 pesons with traumatic brain injury, and 11 persons with other diseases. Only 28.0% of the low-functional group used public health and medical rehabilitation services, showing a low utilization rate than the high-functional group (43.2%). 17 out of 24 persons who used rehabilitation clinics were in the low-functional group and 9 out of 13 persons who used welfare agency were in the high-functional group (p=0.012). In two groups, most frequent utilization out of the service contents was the exercise therapy. Conclusion: The utilization rate of public health and medical rehabilitation services in communities was 32.8%. It is necessary to supply the persons with disabilities in community with the rehabilitation service for the continuum of rehabilitation.

본 연구의 목적은 대학도서관 공간 활용 현황 분석을 통해 공간 활용도를 향상시키기 위한 고려 사항들을 도출하는 것이다. 이를 위해 첫째, 대학도서관의 이용자 공간을 범주화하고 그에 따른 이용률을 분석하였으며, 둘째, 이용자 공간의 특성에 따른 주요 이용자 그룹의 선호도를 분석하였다. 셋째. 구체적인 이용자 그룹별 공간 선호 요인을 판별하고, 넷째, 분석 결과를 바탕으로 효율적인 도서관 공간을 설계하기 위한 시사점과 개선 방안을 제안하였다. 실증적인 분석을 위해 국립 J대학의 중앙도서관을 대상으로 1년간 누적된 이용자 공간 이용 데이터(98,282명, 433,769건)를 수집·정제하여 공간별, 기간별(월별, 시간별)로 이용 패턴을 파악하였다. 또한 동 기간 내 도서관 방문자 전체 데이터(2,426,553건)를 통해 도서관의 주요 이용자 그룹(학부생, 대학원생, 졸업생)을 도출, 이용자 그룹별 공간 특성에 따른 선호도를 분석하였다. 본 연구의 결과는 향후 대학도서관의 이용자 공간의 구성 및 배치를 위한 기초 자료로 활용될 수 있을 것이다.

The purpose of this study is to analyze the current status of space use in university library and draw up considerations for enhancing space utilization based on the analysis results. For this purpose, the utilization rate of each space was analyzed by categorizing the user’s space of the university library, and secondly, the preferences of the major user groups were analyzed according to the characteristics of the users’ space. For empirical analysis, we collected and refined users’ space usage data (98,282 people's data 433,769 cases) accumulated for one year for the central library of “J” National University. Then we analyzed the usage pattern according to space and period(monthly, hourly). In addition, preferences for each major group of users (undergraduates, graduate students and graduates) in the library were analyzed through the library visitors’ data (2,426,553 cases) over the same period. The results of this study can be used as preliminary research for the composition and arrangement of users’ space in future university libraries.

최근에 태양광 발전 시설이 급격히 증가됨에 따라 사용 후 태양광 모듈의 발생량이 급증할 것으로 예상된다. 태양광 폐 모듈의 리싸이클링은 일부 국가에서 시도하고 있지만, 경제성이 확보된 실용화 기술의 부재로 폐 모듈이 방치 및 폐기되어, 환경오염은 물론 유가자원회수 측면에서도 많은 문제를 야기시키고 있으므로 대책 마련이 시급하다. 이와 같은 현실에 비추어 본 기술개발에서는 폐 모듈의 성능검사, 알루미늄 프레임 해체, 강화유리의 파분쇄 및 박리, back sheet 및 EVA의 분리 제거, 유가금속의 침출과 침전 회수 및 폐액 처리의 기반 기술을 확립한 다음, 이를 기초로 대단위 처리 시설을 설계 제작 및 운전함으로써 실용화기술을 확립하였다. 본 연구에서는 대단위 시험을 통하여 1 ton/day 규모의 폐 모듈 처리의 최적 조건을 확립한 다음, 얻어진 자료를 근거로 경제성 검토를 실시하였다. 프레임 해체 및강화유리 박리 공정까지는 경제성이 있었으나, 유가금속 회수를 포함한 전체 공정을 포함하면 생산자 책임(EPR) 제도의 시행에 따른 재활용 분담금의 지원이 이루어지지 않는 한 경제성이 박약하였다. 향후 태양광 폐 모듈의 수거, 재사용 인증기준, 철거비 부담, 효율적인 처리 기술 확보, 관련 법규제정 및 EPR 제도 등의 문제가 해결된다면, 경제성 확보가 용이하여 상용화가 가능할 것이다.

Recently, it is increasing a amount of installed solar-cell rapidly, and end-of-life photovoltaic(ELP) modules are generated in according to the reduction of cell efficiency largely. Recycling of ELP modules are begun at an advanced nation already, but there are bring about environmental contamination and resource recovery problems owing to not treated ELP modules because of economic cost completely. First of all, there were researched basic study for treatment conditions of used solar cell inspection, dismantling of aluminum frame, crushing / grinding & separation of tempered glass, removal of back sheet & EVA film, leaching & precipitation recovery of valuable metals and treatment of waste water. Therefore, we establish optimum conditions through carried out of designed apparatus, installation of equipment, test operation & trouble shooting in scale of 1ton/day pilot plant test. Following to economic review, it does have the economic efficiency until to the case of tempered glass recovery, but does not have the economic value in case of total processes until to recover the valuable metals. However, there are guaranteed economic value if we are gained a large amount of the expenses through EPR supported system. It was confirmed the commercialized possibility of ELP modules recycling if there were established on the collecting ELP modules, reusing criteria, economical technology, enactment of directives and enforcement of EPR supported system efficiently.

Purpose: The purpose of this study was to identify differences in health status and the utilization of long-term care service between urban and rural aged residents in Korea. Methods: Through convenience sampling, 1,405 elders (829 from urban areas and 576 from rural areas) were selected during March 1 to May 31 in 2004. All the subjects agreed to participate and filled out the survey questionnaire after signing the consent form. The instruments utilized in this study were the impairment of physio-sensory function, ADL IADL, cognitive function, and psycho-social function scale. This instrument was developed by modifying the scale developed by Gurland & Wilder (1984). Data was analyzed using the SPSS Win program. Results: There were significant differences in economic status, duration of living and type of medical insurance between rural and urban elderly(p<.05). Physio-sensory functions (t=4.53, p<.001), ADL (t=3.61, p<.001), IADL (t=2.45, p=.014), cognitive functions (t=-2.63, p=.024) and psycho-social functions (t=3.69, p<.001) were significantly different between the two groups. The utilization of long-term care facility in the urban elderly was significantly higher than that in the rural elderly (x2=10.14, p<.001). Conclusion: Considering these findings, the need for long-term care should be assessed by residence characteristics. Because of different utilization of long term care facility according to the elderly's needs, long-term care services should be considered the residence characteristics.

Purpose: The purpose of this research was to identify the health behaviors, health status,and utilization patterns of health care institutions for homeless shelter residents as well as to compare these research outcomes between younger and older male homeless shelter residents. Methods: The subjects in this study were 357 homeless shelter residents that were recruited by simple random sampling. Data were collected from August to September 2009. Health behaviors, health status, and utilization patterns of health care institutions were measured using structured questionnaires. Data were analyzed using the Chi square test and Fisher’s exact test using SPSS 14.0. Results: Both younger and older male subjects showed unhealthy behaviors, and their health status was lower than that of the Health & Nutrition Examination Survey conducted in 2009. Subjects preferred to utilize national or municipal hospitals as well as pharmacies as opposed to general hospitals,clinics, and public health centers. Conclusion: Differentiated comprehensive health care services and monitoring should be provided to homeless shelter residents based on the needs of each group in order to improve their health status as well as to prevent communicable diseases and complications of chronic diseases.

Purpose: This study identified sociodemographic characteristics, health status, health care utilization and related factors of Asian immigrant women in Korea. Methods: Data were collected from 465 immigrant women from China, Vietnam, the Philippines, and other Asian countries using standardized questionnaires. Descriptive statistics and X2-test were performed utilizing SPSS version 17. A p-value〈.05 was considered statistically significant. Results: Subjects had relatively good subjective health. The most prevalent conditions were, in order, anemia, gastrointestinal diseases, gynecological diseases, and depression. Subjects utilized mostly hospitals or clinics when sick. There were significant relationships between health care utilization and factors including residence, time since immigration and economic status. The rate of non-treatment in hospitals or clinics was 30.1% during the previous year, with significant relationships between non-treatment and factors including time since immigration and economic status. The major reasons for non-treatment were the burden of hospital expenses followed by communication difficulty. Conclusion: Public health efforts should be targeted to Asian immigrant women to improve their health status and support health care utilization.

본 연구는 국민건강영양조사를 활용하여 소득에 따른 건강상태를 반영한 의료이용 형평성의 변화를 확인하는데 그 목적이 있다. 분석결과는 다음과 같다. 첫째, 소득계층별 의료이용량에 대한 분석결과 집중지수가 모두 음(-)의 값으로 저소득층에 의료이용이 집중되어 있는 것으로 나타났으며, 저소득층 집중정도는 점차 약화되고 있었다. 둘째, 주관적 건강상태 집중지수를 산출한 결과 모든 건강상태 집중지수가 음(-)의 값으로 나타나서 저소득층에 의료필요가 집중되어 있었으며, 의료필요 집중정도가 점차 심화되고 있어서 저소득층의 건강상태도 악화되고 있는 것으로 판단되었다. 셋째, 소득계층별 건강수준 특성을 반영한 의료이용의 형평성을 확인할 수 있는 도구인 Le Grand계수의 연도별 변화를 분석한 결과 대체로 저소득층의 이용량이 많은 것으로 나타났지만, 그 격차는 크지 않았으며 점차 고소득층의 이용량이 증가하고 있었다.

This study aims at analysing a equity changes in health care utilization by health status(health needs) in income class Using the National Health and Nutrition Examination Survey and It will be submitted base data for rational policy establishment. In order to this ends, First, low income class's health care utilizations are the higher than high income class, and all concentration index(CI) shows negative. In addition, low-income concentration was gradually deepened. Second, An low income class's health status concentration index show negative. Therefore, Health needs is concentrated in low-income's peoples. In addition, the health status of low-income is increasingly deteriorating. Third, the analysis of Le Grand index changes analysis by annual, Health care utilizations was concentrated in low-income's peoples. But, after 2001 it were increased by the use of high-income.

본 연구는 최근에 이루어진‘건강보험 보장성 확대’정책의 효과를 개인의 의료이용 및 건강수준을 중심으로 평가하였다. 2005년부터 시행된 건강보험 보장성 확대 정책은 암 등 의 중증질환자에 대한 본인부담 경감, 입원환자 식대의 급여전환, 비급여항목의 급여전환, 본인부담상한제 시행 등을 주요 내용으로 한다. 이러한 정책 변화에 대해 만성질환을 보유하고 있어 의료욕구가 일반적으로 높은 제도의 주요 수혜집단에 비해 급성질환 등으로 의료서비스를 이용한 집단의 입원이용이 상대적으로 증가한 것과 제도의 직접적인 수혜집단인 중증질환자 집단의 입원이용이 상당 정도 증가한 것을 확인하였다. 또한 이러한 건강보험제도의 변화가 입원이용에서 혜택을 누린 중증질환자의 단기간의 건강평가지표인 2주간이환경험 면에서 긍정적인 개선을 이끌어내고 있음을 확인하였다. 본 연구는 건강보험제도가 의료이용 및 건강수준에 인과적인 효과를 나타내고 있음을 확인하였고, 이후 건강보험보장성 확대의 정책설계에 대한 정책적 함의를 제공한다.

The purpose of this study is to identify the relationship between health insurance and health by evaluating the impacts of health insurance coverage expansion on health care utilization and health status. To analyze the causal relationship between health insurance and health, this study employed a “difference-in-difference method” that could compare changes in health care utilization and health status across groups in health insurance coverage expansion in 2005. The researcher predicted that the expansion of health insurance coverage would be an exogenous source of variation in the prices of health service use. First, the difference-in-differences estimator between ‘illness group’ and ‘non-illness group’ revealed that the increase in coverage of inpatient care services would result from the increases in the stay of length of ‘non-illness group’ rather than that of ‘illness group’. However, the difference-in-differences estimator between ‘serious illness group’ and ‘chronic illness group’ identified that the policy change that focuses on expansion of the coverage for ‘serious illness’ effects on the increases in health care utilization and promotion of health status. In summary, the changes of health insurance coverage focusing on serious illness and inpatient care have positive effects on health care utilization and health status of serious illness group. But, ‘non-illness groups’ with acute illness receive more benefits from the policy change than ‘illness group’ with chronic illness.

본 연구는 당뇨병 환자의 의료이용 현황과 삶의 질에 영향을 미치는 요인을 살펴보는 데 목적이 있다. 2009년 한국의료패널조사 자료를 이용하였으며, 삶의 질 조사에 응한 만 50세 이상 응답자 6,146건을 대상자로 하였 다. 분석대상자의 의료이용 현황을 파악하기 위하여 기술통계를 실시하였으며, 당뇨 환자의 삶의 질에 영향을 미치는 요인을 파악하기 위해 다중 회귀분석을 실시하였다. 연구 결과, 당뇨 환자의 건강관련 삶의 질은 성, 연령, 교육수준, 보험유형, 가구소득, 당뇨질환 외래진료비, 기타질환 외래이용 건수 등과 유의하게 관련이 있었다. 여성, 연령이 높을 수록, 교육수준이 낮을수록, 의료급여 환자인 경우, 가구소득이 낮을수록, 당뇨질환 외래 진료비가 높을수록, 기타질 환 외래 이용 건수가 많을수록 삶의 질이 유의하게 낮은 것으로 나타났다. 따라서 당뇨 환자들의 삶의 질 향상을 위 한 보다 적극적인 사회적 프로그램을 도입하고, 문제의 원인과 대상에 맞는 구체적인 접근방안을 모색하는 노력이 필 요할 것이다. 이러한 결과들은 향후 보건의료정책 수립에 기초 자료로 의미 있게 활용되어질 수 있으리라 여겨진다.

This study aims to identify utilization status of medical care and factors to affect quality of life in diabetes mellitus patients. The research selected 6,146 adults aged over 50, who appeared with EQ-5D, from the Korean health panel. We analyzed states of medical care utilization using descriptive statistics. Multiple regression analysis was used to examine the main factors associated with quality of life in diabetes patients. The result shows that quality of life(EQ-5D) in diabetes is significantly associated with gender, age, insurance type, education level, household income, diabetes ambulatory medical cost and the number of ambulatory medical utilization for other diseases. Females, higher age, lower levels of education, medicaid, the lower household income, the higher diabetes ambulatory medical cost, and the higher the number of ambulatory medical utilization for other diseases were the significant factors of lower quality of life. Therefore, it is necessary to develop effective social programs and individualized approach to improve the quality of life in diabetes patients. In the future, these findings can be used as important data for health care policy and assessment.

Purpose: This descriptive study was conducted to compare the teaching status, utilization of the teaching materials, and the need to solve matters of sex education between the school health educators and teachers working in an elementary school in Busan. Method: 182 school health educators and 125 teachers participated in the research. Data was collected using a self-administered questionnaire, and analyzed by frequency and x2 -test using the SPSS WIN 10.0 Program. Results: While school health educators carried out most of the sex education in the extra curriculum and physical education class, teachers did in the regular curriculum and physical education class. Regarding the utilization of the teaching materials on sex education, although the majority of school health educators used the teacher's manual, only a few teachers used it. Most of the school health educators used the ICT teaching materials while only half of the teachers did. Regarding the methods to solve matters on sex education, school health educators responded that a sex-related subject should be combined with a health subject, and an independent sex-related subject was necessary. The teachers, however, responded that it was necessary to secure enough time for sex education, the sex-related subject combined with a health subject was necessary, and there is a need to designate a sex educator. Conclusion: School health educators utilized more teaching materials for sex education and suggested more active methods to solve matters related to sex education. Therefore, school health educators should be more active as sex educators, and the subject of sex education should be adopted as a regular course.

국민 삶의 질을 개선하기 위한 청사진으로 생활SOC와 학교시설복합화 연계를 추진하고, 저출산과 사교육비 등 사회 문제를 보완하고자 학교복합시설을 활용하여 방과후 ｢돌봄학교｣ 시범운영과 ｢그린스마트 미래학교｣ 운영 등 범정부적인 노력이 시도되고 있다. 학교복합시설의 인프라와 운영형태, 권한과 책임, 안정성 보장, 재정지원 등이 어떠해야 하는가는 현재까지 학교복합시설을 추진하는 교육청과 지방자치단체의 궁극적인 질문이다. 최근 법적인 뒷받침으로 학교복합시설과 관련된 주요 쟁점인 사업비 부담, 시설계획 과 인프라 도입기능, 운영방식, 소유권 및 운영권, 운영 재원 등이 개선되고 있다. 본 연구에서는 학교복합시설의 추진배경과 법적 근거, 학교복합시설 운영사례를 통한 체계적이고 합리적인 운영방안을 모색하고자 하였고 결과는 다음과 같다. 첫째, 학교복합시설의 특성을 발휘하기 위해서는 실현가능한 목표와 사업의 일관성과 지속성이 전제되는 비전과 미션 수립이 선행되어야 한다. 둘째, 학교복합시설에 부합하는 담당 공무원 배치 및 교육과정과 프로그램 운영에 있어 충분한 전문적 소양과 경험을 갖 춘 인력을 보장하여야 한다. 셋째, 학교복합시설 설치에 있어 환경적 필요성, 지역사회의 특성, 주민의 요구와 수요 분석 반영, 공간 활용성을 고려한 상호 연계성 확보가 필요하 다. 넷째, 학교복합시설은 주민편의, 복지, 교육 등 다양한 기능과 모든 세대가 이용하는 시설이므로 운영의 명확한 기준과 우선순위, 운영과정의 선택과 집중이 요구된다. 다섯째, 기획 단계부터 시설특성을 검토할 수 있는 물리적 여건을 제고하고 관계기관은 상호 대 등한 관계로서 적극적인 협력을 제안하였다.