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김홍수 ( Hongsoo Kim ),윤난희 ( Nan-he Yoon ),이세윤 ( Seyune Lee ),( Hideki Hashimoto ) 한국보건행정학회 2020 보건행정학회지 Vol.30 No.1
Background: Few studies have examined the performance of the public long-term care insurance (LTCI) from the perspective of geographic equity. This study investigated regional variations and associated factors in the supply and utilization of nursing home care within and also between Japan and Korea. Methods: A comparative dataset was developed by extracting data from 2013-2015 LTCI statistics yearbooks and Organization for Economic Cooperation and Development regional statistics, as well as other comparable data in Japan and Korea. The unit of analysis was the prefecture in Japan and the province in Korea. We computed variation indices and conducted regression analyses for regional variations within each country and decomposition analyses to examine the variations between the countries. Results: The overall regional supply and use of nursing home care were higher in Japan, but the regional variations in Korea were larger than in Japan. In both countries, the nursing home supply was negatively associated with the proportion of older people with independent living. Nursing home use was also negatively associated with the supply of hospital beds and home care agencies in Korea; the relationship was the opposite in Japan, however. The country-based differences were more likely to be explained by differences in the distributions of the variables included in the analytical model than country-specific characteristics. Conclusion: Regional-level nursing home supply and use were unequal in both countries, and the contributing factors were not the same. Policy efforts are needed to advance regional equality in long-term care (LTC) and collaboration between health and LTC institutions for frail older people, especially in Korea.
연료분사장치를 이용한 PTC Heater 성능실험에 관한 연구
김준수(Joonsoo Kim),김홍수(Hongsoo Kim),박주석(Jooseok Park),유윤종(Yoonjong Yoo),김시경(Sikyoung Kim),안영수(Youngsoo Ahn) 한국자동차공학회 2002 한국자동차공학회 춘 추계 학술대회 논문집 Vol.2002 No.5_3
The purpose of this study is to evaluation the fuel evaporntion by the injection of the fuel to the high tempernture surface heated of PTC Heater for early fuel evaporntion at the cold start stage in gasoline engine. In order to do this, we checked electrical control injection system and then made the experimental equipment so that tested the performance of PTC Heater. The injection angle for MPIS was 24˚and the avernge droplet diameter was 300㎛. The heater will be installed 70mm below the injector, so that the area of the heated zone should be wider than that of a circle with 30mm diameter. During the heating experiments of the injected fuel, the best condition for efficient evaporntion was drawn, that is, Curie temperature of 180˚C and the impinging angle of 90˚.
다점연료분사방식을 위한 연료조기증발용 PTC Heater에 관한 연구
김준수(Joonsoo Kim),김홍수(Hongsoo Kim),박주석(Jooseok Park),유윤종(Yoonjong Yoo),김시경(Sikyoung Kim),안영수(Youngsoo Ahn) 한국자동차공학회 2002 한국자동차공학회 춘 추계 학술대회 논문집 Vol.2002 No.5_3
We studied the acquistion of basic data through the purchase of the Early Fuel Evaporator PTC Heater by Texas Instrument in order to manufacture teclmology of PTC Heater for Early Fuel Evaporator in multi point injection system. In order to do this, we investigated to the outward shape of the PTC Heater for Early Fuel Evaporation in multi point injection and then to the size, electrical properties, microstructural characterstics, chemical analysis for the PTC Heater element which was pulled out from PTC Heater for Early Fuel Evaporation.
다점분사방식 연료조기증발용 PTC Heater 제조에 관한 연구
김준수(Joonsoo Kim),김홍수(Hongsoo Kim),박주석(Jooseok Park),유윤종(Yoonjong Yoo),김시경(Sikyoung Kim),안영수(Youngsoo Ahn) 한국자동차공학회 2002 한국자동차공학회 춘 추계 학술대회 논문집 Vol.2002 No.5_3
The purpose of this study is to develop the PTC Heater element for early fuel evaporator in Multi point injection system in order to reduce the harmful exhaust gas at the cold start stage. In order to do this, we fabricated three type of PTC Heater element, the Curie temperature of which were 80℃, l20℃, 180℃ and then checked the electrical property. The resistances of the three type of PTC Heater element, the Curie temperature of which were 80℃, 120℃, 18 0℃ were 3.12Ω, 10.7Ω, 3.85Ω and their resistance increase ratio were 4.07 order, 4.23 order, 4.43 order, respectively.
재가 장기요양 서비스 이용과 노인 가족돌봄제공자의 돌봄 스트레스
김지연(Kim, Jiyeon),김홍수(Kim, Hongsoo) 한국간호과학회 2016 Journal of Korean Academy of Nursing Vol.46 No.6
Purpose: The purpose of this study was to examine the association between utilization of home care services under the national long-term care insurance system and family caregiver distress. Methods: A secondary data analysis was conducted in this study using data collected in 2011 and 2012 from the Korean version of International Resident Assessment Instrument (interRAI) Home Care assessment system. The study sample included 228 clients receiving community based home care and their family caregivers in Korea. Descriptive statistics, χ² test, t-test, and Heckman selection model analysis were conducted using SAS 9.3. Results: Presence of family caregiver distress was significantly associated with days of nurse visits (ß=-.89, p=<.001) and home helper visits (ß=-.53, p=.014). Level of caregiver distress was also significantly associated with days of nurse visits (ß=-.66, p=.028). Other factors which were significantly associated with caregiver distress were depression, cognitive function, inadequate pain control, social support for older adult, and caregiver relationship to the older adult. Conclusion: The results of this study show that visiting nurse service and appropriate support programs for Older Adults and family caregivers experiencing caregiver distress should be developed and provided to families based on the health care needs of older adults and their family caregivers for effective and sustainable home care.
김수정(Kim, Soojung),박연환(Park, Yeon-Hwan),김홍수(Kim, Hongsoo) 한국노년학회 2011 한국노년학 Vol.31 No.2
이 연구는 지역사회에 거주하고 있는 중고령자의 미충족 돌봄요구 현황을 파악하고 관련요인을 밝히고자 수행한 이차자료 분석연구로, 전국의 45세 이상 일반가구 거주자를 대표하는 표본(n=10,254)을 표집하여 조사한 2006년 제 1차 고령화연구패널을 이용하였다. 미충족 돌봄요구는 기본적 일상생활수행과 도구적 일상생활수행에 있어 다른 사람의 도움을 필요로 하는 상태임에도 돌봐줄 수 있는 사람이 없는 경우로 정의하였다. 모든 분석은 대상 인구집단을 대표하는 추정 통계치를 구하고자 가중치를 적용하여 수행하였다. 연구 결과, 중장년의 7.3%, 젊은 노인의 14.5%, 그리고 고령 노인의 41.8%가 돌봄을 필요로 하는 상태였으나, 이 중 각각 34%, 33%, 24%가 돌봄요구를 충족받고 있지 못한 것으로 나타났다. 미충족 돌봄요구 관련요인은 연령 그룹에 따라 달랐는데, 중장년에서는 교육과 소득수준이 미충족 돌봄요구와 음의 상관관계를 갖고 있었던 반면, 젊은 노인과 고령 노인층에서는 독거만이 음의 상관관계를 가진 요인이었다. 결론적으로, 우리나라 지역사회 거주 중고령자 중 상당수가 미충족 돌봄요구가 있으며, 그 관련요인은 생애주기에 따라 차이가 있었다. 연구결과는 지역사회 거주 중고령자의 미충족 돌봄요구를 최소화할 수 있도록 지역사회기반 재가서비스의 확충이 시급하며, 특히 교육수준이 낮은 중장년과 독거노인 대상의 서비스 개발 및 보급이 중요함을 시사한다. This study examined the prevalence of and factors associated with unmet care need among community-dwelling middle-aged and older people in Korea. Data were from the 2006 Korean Longitudinal Study on Ageing (KLoSA), a national survey of 10,254 non-institutionalized adults aged 45 or older. Having unmet care needs was defined as needing personal assistance with activities of daily living (ADL) or instrumental activities of daily living (IADL) but having no available helper. Weighted logistic regressions were fitted to examine factors associated with unmet care needs. Overall, 7.3%, 14.5%, and 41.8% of subjects among the middle-aged, younger old, and older old, respectively, reported care needs of these, 34%, 33%,and 24% had unmet needs. Factors associated with unmet needs differed among the three groups: Education and income level were negatively associated with unmet needs among the middle-aged, but living alone was the only factor positively associated with unmet needs in both the younger and older old. The prevalence of and factors associated with unmet care needs differ by life-stage. Needed are home- and community-based care and services to meet the need for personal assistance among the elderly living alone in a community.