취약계층 여성 직업훈련 사업 분석 : 서울시 맞춤형 여성일자리 창출사업을 중심으로

임현선(HyunSun Lim),박선혜(SeonHye Park) 성신여자대학교 한국여성연구소 2014 여성연구논총 Vol.14 No.-

본 연구의 목적은 서울시 취약계층 여성 직업훈련 사업의 실태와 현황을 분석하는 것이다. 이를 위하여 2012년 서울시 맞춤형 여성일자리 창출사업 중 취약계층 여성 직업훈련을 중심으로 프로그램 선정과정 분석 및 수료자 설문 조사를 통한 프로그램 만족도 및 취업 성과 등에 대해 분석하였다. 취약계층 여성 직업훈련의 운영실태와 성과를 분석한 결과 취업률은 46.1%였고, 훈련 수료 후 취업까지 평균 5개월이 소요되었으며, 취업자의 근무형태는 73.3%가 상용직이었다. 임금수준은 전일제 근로자의 경우 평균 1,176,800원의 급여를 받고 있었다. 직업훈련과정에 대한 만족도는 평균 4점 이상으로 높은 편이었으나, 훈련과정의 취업 효과성에 대한 만족도는 2.9점으로 보통 수준으로 나타났다. 분석 결과 서울시 취약계층 여성 직업훈련의 개선점을 제시하면 다음과 같다. 첫째, 정부 지원을 받는 무료 직업훈련이라는 점에서 좀더 다양한 취약계층을 대상으로 한 훈련 과정이 개발될 필요가 있다. 둘째, 훈련 직종 또한 학력 및 취약계층 특성을 반영하여 다양화할 필요가 있다. 셋째, 인력 수요처 확보 등 지원방안을 구체화하여 취업 연계 서비스를 강화하고 고용지속성을 높이기 위한 사후관리 서비스의 강화가 필요한 것으로 보인다. The purpose of this study is to examine and analyze the current situation with the vocational training for women in vulnerable social groups by Seoul City Government. For this purposed, I reviewed and analyzed the training goals and selection processes with a focus on the vocational training segments for women in vulnerable social groups which was a part of Customized Job Creation Project for Women administered by Seoul City in 2012. And it was accompanied by a survey with the graduates of the trainings to analyze the satisfaction level of the training and the actual employment ratio among the graduates. The result of the analysis showed that the ratio of the graduates who succeeded in finding a job was 46.1%, while it usually took 5 months in average for a trainee to find a job after training. And, the graduates were being paid 1,176,800 won per month in average, in case of full time employment. The satisfaction level was 4 points or higher in average, which could be considered high. However, the satisfaction level with the effectiveness of the training courses in finding jobs was 2.9. Based on these findings, the following suggestions were drawn for improving the job training training for women in vulnerable social groups run by Seoul city. Firstly, since the trainings are subsidized by the government, it is necessary to expand the scope of the training to accommodate more trainees from the vulnerable social groups. Secondly, the training subjects and trainings should also be more diverse in order to reflect the characteristics of people from such social groups. Thirdly, more tangible support to help the graduates find jobs should be in place, accompanied by additional follow-up monitoring services to ensure maintenance of the employment of the graduates.

외래 초진환자의 만족진료시간과 관련 추가 비용 지불 의사

이찬희 ( Chan Hee Lee ),임현선 ( Hyunsun Lim ),김영남 ( Youngnam Kim ),윤수진 ( Soojin Yoon ),박양숙 ( Yang Sook Park ),김선애 ( Sun Ae Kim ),박은철 ( Eun-cheol Park ),강중구 ( Jung-gu Kang ) 한국보건행정학회 2017 보건행정학회지 Vol.27 No.1

Background: We evaluated new patient`s satisfactory consultation time (SCT) and their willingness to pay additional costs (WPAC) for their SCT. Methods: We surveyed medical service satisfaction, SCT, WPAC for their SCT, and payable amount to 612 new patients of single general hospital and measured their real consultation time (RCT). To compare WPAC and payable amount, we divided RCT into 4 groups (≤3 minutes, 3-5 minutes, 5-10 minutes, and >10 minutes), and SCT into 3 groups (≤5 minutes, 5-10 minutes, and >10 minutes). On the basis of WPAC, we estimated new patient`s SCT. Results: RCT was 6.2 minutes, SCT was 8.9 minutes, and medical service satisfaction score was 4.3 (out of 5). The number of patients having WPAC (payable group) was 381 (62.3%) and the amount was 5,853 Korean won. Their RCT and SCT were longer than non-payable group (6.4 minutes vs. 5.7 minutes, 9.3 minutes vs. 8.2 minutes). From multiple logistic regression analysis, WPAC of RCT 5-10 minutes was higher than that RCT ≤3 minutes (odds ratio=1.78). Payable amount was highest in RCT >10 minutes (6,950 Korea won) and SCT >10 minutes (7,458 Korean won). Intuitively we suggest 10 minutes as SCT, based on payable group`s SCT (9.3 minutes) and cut-off time differentiating payable group with non-payable group (10 minutes). Conclusion: We found that new patient had WPAC for their SCT and the longer the SCT, the greater the amount. From this, we hope that current simplified new patient consultation fee calculating system should be modified combining the consultation time factor.

국민건강보험공단 노인 코호트 자료를 이용한 완전 무치악 환자의 치매 발병률 분석

구본석,유진주,김만용,임현선,윤준호,Koo, Bonsuk,Yoo, Jin-Joo,Kim, Manyong,Lim, Hyunsun,Yoon, Joon-Ho 대한치과보철학회 2020 대한치과보철학회지 Vol.58 No.3

목적: 대규모 인구집단데이터를 사용하여 양측 또는 편측 완전 무치악 여부와 치매와의 관련성에 대하여 알아본다. 재료 및 방법: 만 60세 이상을 대상으로 구축된 건강보험공단 노인 코호트 데이터베이스를 사용하여 후향적 코호트 연구를 설계하였다. 실험군은 완전 무치악 코호트로 2012년 7월 1일부터 2013년 12월 31일 까지 1개 이상의 상악 또는 하악 레진상 완전의치 보험 처방 이력이 있는 사람을 대상으로 하였고, 대조군은 유치악 코호트로 같은 기간 동안 잔존치아에 대한 보존적 치아 처치 이력이 있는 사람을 대상으로 하였다. 모든 대상자들은 이 기간 동안 치매로 진단 또는 치료 받은 기록이 없었다. 성향점수매칭법에 따라 연령과 성별, 그리고 거주지역을 고려하여 실험군과 대조군을 1:1 동수로 매칭하였고, 두 코호트 집단간 2년 동안 치매로 이환된 비율을 비교하였다. 결과: 실험군과 대조군을 비교했을 때, 실험군인 양측 또는 편측 완전 무치악 환자에서 치매 발병률(12.13%)은 대조군인 유치악 환자의 치매 발병률(9.74%) 보다 유의미하게 높다는 것을 확인할 수 있었다 (P < .05). 다른 요인들과 치매와의 명확한 관련성은 확인되지 않았다. 결론: 대규모 인구집단데이터 분석을 통해 양측 또는 편측 완전 무치악 환자에서 치매 발병률이 높다는 것을 확인할 수 있었다. Purpose: To investigate the relationship between dementia and complete tooth loss on both sides or one side using large demographic data. Materials and methods: A retrospective cohort study was designed using the National Health Insurance Service-Elderly Cohort Database (NHIS-ECD) which was established for people over the age of 60. The experimental group was the complete edentulous cohort, which had a history of treatment for national health insurance covered complete denture on both sides or one side from July 1, 2012 to December 31, 2013. And the control group was the dentulous cohort, which had a history of conservative dental treatment for the same period. All subjects had no history of diagnosis or treatment of dementia during this time. These cohorts were matched 1:1 by age, gender, and place of residence according to the propensity score matching method. Then the incidence of dementia was compared between these cohorts. Results: Compared with those groups, the incidence of dementia was significantly higher in the experimental group (12.13%) than in the control group (9.74%) (P<.05). No clear association between other factors has been identified. Conclusion: The analysis of large-scale demographic data shows that the incidence of dementia is high in complete edentulous patients on both sides or one side.

대상포진 수막염 및 수막뇌염의 임상적 연구

김수민 ( Soo Min Kim ),조남준 ( Nam Joon Cho ),임현선 ( Hyunsun Lim ) 대한피부과학회 2017 대한피부과학회지 Vol.55 No.1

Background: Herpes zoster meningitis and meningoencephalitis, rare complications of herpes zoster, may follow the onset of rash, precede it, or even occur without rash. There have been few studies describing the order of occurrence of neurological symptoms and zoster. Objective: We compared the clinical and laboratory features, treatments, and progress of the conditions among patients with herpes zoster meningitis and meningoencephalitis according to the timing of zoster onset in relation to neurological symptoms and also according to the immune status. Methods: We performed a retrospective review of 21 patients with meningitis and 3 patients with meningoencephalitis who showed the characteristic rash of herpes zoster at National Health Insurance Service Ilsan Hospital between March 2000 and June 2015. Results: The 11 patients in whom zoster preceded neurological symptoms had a shorter duration of neurological symptoms (median 3 days; range 1∼10) than did the 13 patients who experienced neurological symptoms first (median 10 days; range 4∼27) (p<0.05). The intervals between the onset of neurological symptoms and a) presentation to the hospital, b) cerebrospinal fluid tests, and c) intravenous acyclovir treatment were all shorter in the patients with zoster preceding neurological symptoms (p<0.05). No significant differences in age or immune status were observed between the two groups. In the 9 immunocompromised patients, higher incidence of meningoencephalitis and neurologic complications was noted in comparison to the 15 immunocompetent patients (p<0.05). Conclusion: Antecedent zoster rash in varicella zoster virus-induced meningitis and meningoencephalitis appears to lead to more rapid initiation of diagnostic tests and antiviral treatment. The possibility of central nervous system complications should not be overlooked even in patients with herpes zoster. (Korean J Dermatol 2017;55(1):27∼ 35)