아동‧청소년의 의료비 부담 경감을 위한 본인부담상한제 소요재정 분석

구여정,최은희,임승지 한국보건경제정책학회 2023 보건경제와 정책연구 Vol.29 No.2

Limited coverage of the current National Health Insurance(NHI) cost-sharing for children and adolescents separate standards by age, disease, or medical service types, so need to adjust the system for them. Some European countries apply differential co-payment ceilings on various criteria such as age, income, and types of diseases or medical utilization, whereas the co-payment ceiling in Korea only varies across income groups, with limited consideration of medical utilization by age or diseases. This study aimed to suggest strategies to reinforce the medical security of the population under age 18 by examining the out-of-pocket maximum rules of the NHI, using NHI Claim data and Medical Cost Survey on NHI Patients from 2020. Based on this co-payment ceiling, it was expected that the number of benefited children and adolescents would considerably increase by 318%, while health finance would need an additional 45.4 billion KRW. The results demonstrate that 100 million KRW cap of co-payment for children and adolescents is effective to relieve the burden of medical expenses on households with children and adolescents.

비만수술 이후 의료이용 유형 분류 및 관련 요인 탐색

구여정,선정연,유기봉 한국보건행정학회 2023 한국보건행정학회 학술대회 논문집 Vol.2023 No.2

비만수술 이후 의료이용 유형 분류 및 관련 요인 탐색

구여정,선정연,유기봉 사단법인 대한보건협회 2024 대한보건연구 Vol.50 No.2

-연구목적:이 연구는 비만수술 이후 의료이용 유형을 분류하여 유형별 특성을 비교하고, 수술 이후 의료이용에 영향을 미치는 관련 요인 탐색을 목적으로 한다. -연구방법:국민건강보험공단의 진료비 청구자료를 활용하여 비만수술이 급여화 된 2019년부터 2021년까지 비만수술 수진자 총 6,864명을 연구 대상자로 하였다. 대상자의 비만 수술 이후 12개월 간 의료이용을 기반으로 의료이용 유형 분류를 위해 잠재계층분석(Latent Class Analysis)을 시행하였다. 의료이용 유형별 영향 요인 탐색을 위해 다항 로지스틱 회귀(Multinomial logistic regression) 분석을 실시하였다. -연구결과:수술 후 의료이용 감소 집단은 낮은 연령, 높은 소득수준, 동반질환이 적은 반면 고령, 저소득층, 동반질환이 많은 환자는 의료이용 증가 집단으로 결과가 확인되어 유형별로 연령, 소득수준 및 수술 전 건강상태가 상반되는 특성이 있었다. 더불어 해당 요인들은 수술 후 의료이용에 유의미한 영향 요인으로 확인되었다. -결론:비만 유병률 및 이로 인한 사회경제적 부담은 취약계층에서 더 높으나 비만 수술 이후 의료이용을 통한 건강관리는 소득이 높은 집단에서 더 활발한 실정이다. 비만 수술은 수술 전 건강상태 뿐 아니라 이후 정기적 모니터링을 통한 합병증 관리가 강조되는 치료법이다. 이 연구를 통해 수술 후 의료이용의 관련 요인을 선행적으로 탐색하는 기초자료를 제시함으로서 건강보험 도입 초기인 현 시점에서 향후 급여 확대 시 보다 정교한 정책 방향 수립에 기여할 수 있을 것으로 기대한다. -Objectives:This study aimed to compare the difference in medical utilization after bariatric surgery by latent classes. -Methods:We used National Health Insurance claims data from 2019 to 2022. The Latent Class Analysis(LCA) was used to identify the medical utilization after bariatric surgery. We estimated factors affecting latent classes using multinomial logistic regression. -Results:Using the LCA, three types of latent classes in medical utilization after surgery: decrease group, maintenance group, and increase group. The main results are differences in the age, income, and Charlson´s comorbidity index(CCI) score by latent classes. The decrease group was the younger age group, high income, low CCI score, while old age, low income, high CCI score was the increase group. These factors that age, income, and health status were mainly affecting medical utilization after surgery. -Conclusion:Health management by using the healthcare system is active in the high-income group, while higher socioeconomic burden due to obesity in the low-income group. Bariatric surgery was important for the management of complications after surgery as well as based on health status before surgery. This study will contribute to establishing policy improvement at the beginning of the coverage from health insurance by examining the affecting factors medical utilization after bariatric surgery.

요양병원 본인부담상한제 사전급여 개편에 따른 입원일수 변화 분석

구여정,임승지 한국보건행정학회 2023 한국보건행정학회 학술대회 논문집 Vol.2023 No.2

치하루 시오타 설치작품에 나타난 내러티브와 색채의 차원에 관한 연구

여정문,엄혁용 한국기초조형학회 2023 기초조형학연구 Vol.24 No.6

The purpose of this study is to explore the relationship between the changes in perception of objects and concepts. Chiharu Shiota, a contemporary artist from Osaka, Japan, is an unrivaled artist with installation works that utilizes threads by fusion of areas such as painting, performance, and fiber. This paper will reveal Chiharu Shiota's emotional world such as objects and concepts in her installation works, which is the basic element of contemporary art. Red and black thread began to appear in 1994, and white thread began to be used in 2017. In her works, the single-colored thread provide a glimpse into her unique unconsciousness and way of thinking, so studying the color in her works is necessary to explore her art world. Therefore, this study selected works from 2002 when she began thread works, compared and analyzed the atmosphere in which each of the three colors unfolded in a space. Based on this, by presenting a narrative such as the her memories that match the works, the three color threads are symbols of her emotional world, and through this, the changes in her perception and thinking about the same objects, concepts are illuminated. Through this, the following conclusions were drawn. First of all, red, black, and white are related to the change in she thinking about death caused by repeated health problems. In the early, three colors were mainly symbols of her emotion, but through creation, she healed and became re-aware of life and death, so the color became more meaningful. Black thread are mainly symbols of extinction and absence caused by fear and oppression, red thread is a wish that expresses anxiety, uncertainty, human relationships, and the seeds of the future. Since 2017, after the recurrence of ovarian cancer, she thought that death as a transformation and sublimation of life in a different way, so the newly created works mainly use white threads that contain transcendence of life and death and exploration of the future.

지방의료원 중환자부 건축계획을 위한 영역별 공간구성에 관한 연구

여정,채철균 한국의료복지건축학회 2020 의료·복지 건축 Vol.26 No.1

Purpose: The Intensive Care Unit (ICU) is an important inpatient care area where critical patients are treated intensively with advanced medical technology. The level of care of ICU and the modernization of related facilities is an important indicator of health care quality. At the present time, when the Regional public hospitals are frequently expanding, the rational planning of the ICU has become an important part of the medical institutions treating the ICU. The purpose of this study is to present basic data with net area which can be used in the architectural planning of the ICU. Methods: The investigation and analysis of the ICUs were conducted on 26 medical facilities, based on theoretical analysis through relevant guidelines, articles, and documents, and on the basis of the actual space composition and net area analysis through the architectural drawings. Results: This study provides basic data such as zone division, spatial composition, relationship between main activities and zones, composition of facilities in the zone and area ratio within each zone. Implications: The results of this paper are expected to be effective reference materials for future research for rational spatial organization and efficient operation of the Intensive Care Unit in regional public hospitals.

How Much Vocabulary is Necessary for the English Section of the College Scholastic Ability Test?

여정은 한국영어교과교육학회 2018 영어교과교육 Vol.17 No.4

Second language (L2) vocabulary research investigating the relationship between vocabulary knowledge and comprehension has shown that for written discourse, L2 learners need to know 98% of running words in a text to gain adequate comprehension while 95-98% of words should be known for comprehension of spoken discourse. Building on these findings, the present study examined the English section of the College Scholastic Ability Test (CSAT), administered from 2016 to 2018, to estimate the vocabulary size necessary for adequate comprehension. Using the Range program (Nation & Heatley, 2002), the study analyzed the English listening and reading passages of the CSAT, focusing on the number of words and their frequency distribution. Results revealed that 2,000-4,000 word families plus proper nouns would be sufficient to reach 95-98% lexical coverage for the listening section. On the other hand, 98% lexical coverage in the reading section required vocabulary knowledge of 6,000 word families, a sizable number of words which may pose a challenge for the students in their vocabulary learning. These findings underscore the importance of having a large receptive vocabulary, especially for reading performance on the test.

주검생활계획표 외 1편

여정 계간 서정시학 2015 서정시학 Vol.25 No.4

중국 종합병원 표준 병동부 공간구성 및 면적에 관한 연구

여정,채철균,Lyu, Cheng,Chai, Choul Gyun 한국의료복지시설학회 2018 의료·복지 건축 Vol.24 No.2

Purpose: The ward division is a representative part of the hospital, where a variety of user activities are performed. Users can be broadly categorized as patients and carers, visitors, and medical staff (doctors and nurses). The relationship between these two is a major issue with ward planning as the patient's place of life centers around the hospital room and the task of the clinical workforce centers around the nursing station (NS). Against this backdrop, the study divides the ward units of the General Hospital of China into patient areas, medical team areas, supply areas, and public domain, with the focus on the ward areas affecting most significantly in the hospital patients. Methods: The theoretical advance studies of the standard ward unit are identified by the associated guidelines, articles, and documentation. Results: This study is a summary analysis of relevant regulations, reference literature, and drawing data from the target hospital. Further work is expected to be undertaken, including further surveys and observational surveys, to produce more detailed results. Implications: It is expected that the research in this paper will provide an effective reference for the future research of China General Hospital Ward department, so as to promote and improve the work system of China General Hospital Ward department.

王夫之對朱子 「人性, 物性」論的批判 - 以《讀四書大全說》爲核心 -

呂政倚 우계문화재단 2020 牛溪學報 Vol.39 No.-

“The interconnection between the Way of Heaven and human nature and destiny” (tian dao xing ming xiang guan tong ) as Neo-Confucian innate logic originates the question, that is how to justify “the difference between the human and the animal.” Zhu Xi’s response to the question in The Exegesis of the Collections of Texts from the Four Books (Sishu Jizhu ) is full of controversies, and unexpectedly it started the “Ho-Rak debates” in the 18th-century Korean Confucianism. However, in 17th-century Chinese Confucian scholar Wang fu-zhi in his Reading on The Encyclopaedia the Four Books (Du sishu daquan shou ) had criticised Zhu Xi’s theory. This article clarifies Wang’s criticism on Zu Xi and make a preliminary investigation of Wang’s theory of material force (qi ).