가정호스피스·완화의료 제도 도입을 위한 국민 인식도 조사

최정규,태윤희,최영순,Choi, Jung-Kyu,Tae, Yoon-Hee,Choi, Young-Soon 한국호스피스완화의료학회 2015 한국호스피스.완화의료학회지 Vol.18 No.3

목적: 본 연구에서는 가정호스피스 완화의료에 대한 국민의 인식을 파악하고 이 인식과 관련된 요인을 확인하고자 한다. 방법: 2014년 8월 19일부터 30일까지 2010년도 인구센서스를 기반으로 제주도를 제외한 전국에 거주하는 만 20세 이상 성인 남녀 1,500명을 대상으로 온라인 설문조사를 실시하였다. 결과: 가정호스피스 완화의료를 인지하고 있는 대상자는 15.9%였고, 가정호스피스 완화의료 이용 의향이 있는 대상자는 61.3%였다. 가정호스피스 완화의료 인지도에 영향을 미치는 요인이 거주지역, 종교 및 민간보험 가입여부이다. 서울, 광주/전라, 부산/울산/경남에 거주하는 대상자의 가정호스피스 완화의료 대한 인지도는 인천/경기에 거주하는 대상자에 비해 높았다. 종교를 보유한 대상자의 가정호스피스 완화의료 인지도는 종교를 보유하지 않은 대상자에 비해 유의하게 높았으며, 민간보험 가입자의 가정호스피스 완화의료 인지도는 민간보험 미가입자에 비해 높았다. 결론: 가정호스피스 완화의료를 활성화하기 위해서는 호스피스에 대한 국민과 의료진의 인식 개선 방안을 마련해야 한다. 또한 요양기관과 지역사회 보건소가 일정 요건을 갖춘 호스피스 완화의료팀을 구성하여 가정을 방문하여 돌봄을 제공할 수 있는 시스템을 구축하여 법제화하고, 이를 건강보험 수가에 적용하는 방안을 적극적으로 검토해야 한다. 또한, 요양기관과 보건소가 가정호스피스 제공이 어려운 지역에서는 호스피스 전문간호사 중심의 가정 방문 호스피스 센터 설치에 대한 고민도 필요한 시점이다. Purpose: This study was conducted to understand public perception of home-based hospice and identify related factors. Methods: Between August 19, 2014 and August 30, 2014, data were collected using an E-mail questionnaire that was filled by 1,500 adults who were over 20 years of age. Data were analyzed using descriptive statistics, ${\chi}^2$-test and logistic regression. Results: Among the respondents, 15.9% were aware of home-based hospice care, and 61.3% were willing to receive home-based hospice care. The factors that influenced the participants' willingness to use home-based hospice services included residential district, religion and private health insurance. Respondents who lived in Seoul (OR: 1.56, 95% CI: 1.04~2.33), Gwangju/Jeolla province (OR: 2.02, 95% CI: 1.23~3.32), Busan/Ulsan/South Gyeongsang province (OR: 1.81, 95% CI: 1.17~2.82) were more well-aware of home-based hospice care than those who lived in Incheon/Gyeonggi province. The faithful were more informed about the services than those without non-faithful participants (Roman Catholics (OR: 2.03, 95% CI: 1.30~3.17), Protestants (OR: 1.76, 95% CI: 1.22~2.53). Participants who had a private health insurance plan knew more about the services than those without one (OR: 1.45, 95% CI: 1.03~2.04). Conclusion: First, it is necessary to improve perception of the public and healthcare providers regarding home-based hospice care. The government should review a measure to institutionalize operation of a palliative care team at hospitals and community home-based hospice care centers.

동북아 물류중심과 광양항

최정규,Choi Jeong-Gui 대한경영정보학회 2003 경영과 정보연구 Vol.12 No.-

These days the surroundings around harbours are rapidly changing. Particularly in the age of Pacific Rim it is rather clear that the competition among the harbours in Northeast Asia region where are so many of worldwidely famous harbours might be intense. From 1980s on the industrialization and urbanization in the area of Kwang Yand-Bay, thanks to the regional development program, have been speedily under way. And in the year of 1987 the 1st development program of Kwang Yang-Bay container quay was started and is scheduled to be completed by the end of 1997. As the completion of the program it is expected that in 1998 the newly-opening Kwang Yang-Bay container quay on one hand will play a role in relieving the awaiting-time of vessels in Pusan Port, and on the other hand it will contribute to the balanced development of the country. In this context this thesis conducted Its study on the effect of the specification and facilities of a harbour, and especially on the effect on the regional economy resulted by the development & developmental static of Kwang Yang-Bay container quay. And progressively in the thesis the plan to provide Kwang Yang-Bay container quay with competitiveness was suggested.

인터넷마케팅을 활용한 후원자 개발에 관한 연구

최정규,Choi, Jeong-Gui 대한경영정보학회 2007 경영과 정보연구 Vol.21 No.-

Today, the principle of competition is being applied to Non-profit sector also. It is necessary for relevant persons in charge to learn the knowledge and technique about marketing technique endlessly in connection with the development of donor out of the development of social welfare resource which is being embossed as main pending problem at the point of time when the role of private sector about welfare service increased and the criterion of competition and evaluation among institutions was introduced. Especially, as for the application of marketing technique to utilize internet to have big marketing potential, the efforts for the realization and application of positive marketing to be suitable for the real situation of each institution is necessary in connection with the donor development of social welfare institution. In this study tried to examine the charge of method to develop donor which is based on the development of information technique and the popularization of internet from the viewpoint of internet marketing and suggest the basic data about the present situation of donor marketing to use the effective scheme for internet marketing.

신포괄수가 시범사업 모형 개선 이후의 지불정확도 변화

최정규,김선희,신동교,강중구,Choi, Jung-Kyu,Kim, Seon-Hee,Shin, Dong-Gyo,Kang, Jung-Gu 한국보건행정학회 2017 보건행정학회지 Vol.27 No.3

Background: Korea set up new diagnosis related group (DRG) as demonstration project in 2009. The new DRG was reformed in 2016. The main purpose of study is to identify the effect of reform on accuracy of payment. Methods: This study collected inpatient data from a hospital which contains medical information and cost from 2015 to 2016. The dependent variables were accuracy of total, bundled, unbundled payment, and payment for procedures. To analyze the effect of reform, this study conducted a multi-variate regression analysis adjusting for confounding variables. Results: The accuracy of payment increased after policy reform. The accuracy of total, bundled, unbundled payment, and payment for procedures significantly increased 3.90%, 2.92%, 9.03%, and 14.57% after policy reform, respectively. The accuracy of unbundled payment showed the largest increase among dependent variables. Conclusion: The results of study imply that policy reform enhanced the accuracy of payment. The government needs to monitor side effects such as increase of non-covered services. Also, leads to a considerable improvement in the value of cost unit accounting as a strategic play a role in development of DRG.

협조적 행위를 둘러싼 경제적 논리와 구조적 논리

최정규(Choi Jung-Kyoo) 한국사회경제학회 2006 사회경제평론 Vol.- No.27

  본 논문은 인간 사회에서 이타적 협조행위의 진화를 둘러싸고 진행된 기존의 논의를 경제적 논리와 구조적 논리로 구분하고, 각 논리에 따라 이타적 협조행위의 존재/진화가 어떻게 설명되는가를 검토한다. 경제적 논리는 이타적 협조전략에 부여되는 보수가 비협조전략에 부여되는 보수보다 커질 수 있는 물질적 보수구조에 주목하고, 이 보수구조 하에서 협조전략을 개체의 이기적 동기로부터 설명한다. 반면 구조적 논리는 개체의 이기적 동기로부터 설명될 수 없는 진정한 이타적 성향의 진화를 설명하고자 한다. 본 논문에서는 경제적 논리의 한계를 검토한 후, 그 대안으로서 구조적 논리를 제시할 것이다. 그리고 이타적 협조 행위의 진화에 유리한 조건을 창출시킬수 있는 구조적 요인들이 어떤 것이 있는가를 규명해보고자 한다.   This paper investigates the conditions for the evolution of altruistic cooperation in human societies. I categorize various hypotheses on this issue into economic logic and structural logic. Economic logic focuses on the conditions that change the material payoff structure so that cooperative strategies could be a best response for individuals. On the other hand, structural logic suggests that cooperative strategies are dominated in terms of material payoff at the individual level, but can evolve under specific interaction structures. Unlike economic logic, this logic focuses on real altruistic behaviors which cannot be explained by any material or selfish motivation. In this paper, I critically review some hypotheses based on economic logic and suggest structural logic as an alternative. I identify the structural conditions that could create favorable conditions for the evolution of altruistic cooperation.

보행 중 중족골 패드와 인솔의 생체역학적 영향성 평가

최정규 ( Jung Kyu Choi ),박인식 ( In Sik Park ),이홍재 ( Hong Jae Lee ),원용관 ( Yong Gan Won ),김정자 ( Jung Ja Kim ) 한국운동역학회 2011 한국운동역학회지 Vol.21 No.4

The purpose of this study was to evaluate the effects of metatarsal pad (MP) compared with barefoot and MP with using different insoles on gait. 15 healthy females who had no history of injury in the lower extremity with an average age of 22.7 year (SD=1.35), height of 160 cm (SD=3.4), weight of 48.8 kg (SD=5.52) and average foot size of 232.5 mm (SD=6.8) participated in this study as the subjects. The subjects walked on a treadmill under four different experimental conditions: 1) walking with barefoot, 2) walking wearing MP 3) walking wearing a soft insole with MP (SIMP), 4) walking wearing a rigid insole with MP (HIMP). During walking, foot pressure data such as force, contacting area, peak pressure, and mean pressure was collected using Pedar-X System(Novel Gmbh, Germany) and EMG activity of lower limb muscles such as tibialis anterior(TA), lateral gastrocnemius(LG), rectus femoris(RF), and musculus biceps femoris(MBF) was gathered using Delsys EMG Work System(Delsys, USA). Collected data was then analyzed using paired t-test in order to investigate the effects of each of experimental conditions. As a result of the analysis, when MP and HIMP were equipped, overall contacting area was increased while the force, peak pressure and the mean pressure were decreased. Especially, when the SIMP was equipped, every data were significantly decreased. In case of EMG, wearing MP, SIMP and HIMP made three muscles (TA, LG, RF)`s activity decrease. A result of the analysis will be able to apply for manufacturing functional shoes, diabetes shoes, senior shoes and lower extremity orthosis. Significance of the study due to a metatarsal pad and the insole is to analyze the changes in muscle strength.

시각차단에 따른 던지기 동작의 운동학적 분석

최정규(Choi, Jung-Kyu) 한국체육과학회 2014 한국체육과학회지 Vol.23 No.5

The purpose this study was to investigate how the loss of visual sensory for a short time can influence the kinematic factors through the kinematic analysis of the ball throwing motion, and with providing a basic data of exercise learning method for visually impaired and for those who may lose the vision in the future. The subjects have performed the throwing motion with a normal vision and 30 minutes after the visual blockage and the image shooting was taken using 9 high-speed cameras. At this time, the recording speed was 100 frames/s with the shutter speed of 1/500s and for the kinematic analysis, Kwon3d XP program was used. The conclusions drawn from this study are as follows. 1. During the throwing motion according to visual blockage, the duration time has not shown a significant differences between the two groups, but in the average value, a normal vision along with P1 has shown a little longer duration time and in P2, it has shown a little longer duration time when the vision was blockage. 2. The angle variables have shown a significant differences only in the knee joint angle, but in the average value of right shoulder, elbow, wrist joint angle and the hip of the left leg, knee, angle of ankle joint and twist angle, a normal vision has shown a bigger range of joint motion than when the blockage vision. 3. The hand velocity during the release, the center of mass velocity (Y axis, Z axis) and the angular velocity of the elbow have shown a significant differences. 4. The movement range of the left leg and the center of mass have only shown a significant differences in P1 of Y axis, but when comparing with the average value, it was shown to have moved significantly during a normal vision.

시각장애인의 실명시기에 따른 던지기 동작의 운동학적 특성

최정규 ( Jung Kyu Choi ) 한국운동역학회 2008 한국운동역학회지 Vol.18 No.2

EFDC 남조류 수직 이동 모듈의 개발 및 적용 -의암호 3차원 조류 모니터링 및 모델링 연구

최정규 ( Jungkyu Choi ),민중혁 ( Joong Hyuk Min ),신현주 ( Hyunjoo Shin ),이병천 ( Byoung Cheon Lee ),박상현 ( Sanghyun Park ),송용식 ( Yong Sik Song ),이정현 ( Junghyun Lee ),김경현 ( Kyunghyun Kim ) 한국물환경학회(구 한국수질보전학회) 2016 한국물환경학회·대한상하수도학회 공동 춘계학술발표회 Vol.2016 No.-

드롭랜딩 동작 시 일반적 착지와 안전을 위한 의도적 착지의 운동역학적 비교분석

최정규(Choi, Jung-Kyu) 한국체육과학회 2015 한국체육과학회지 Vol.24 No.1

The purpose of this study was to provide the basic to prevent the injuries through the kinetic comparison analysis about of normal landing and intentional safety landing movement. 10 healthy male university students were selected for target subjects. Study subjects executed the landing movement (normal landing) from 40 ㎝ high jump stand without prior explanation. After they were explained about the safety landing, they executed intentional landing movement considering the safety. Study results are as follows. First, intentional safety landing showed longer time than normal landing. Second, intentional safety landing was identified to make flexion angles ranges of ankle joint, knee joint and hip joint bigger than normal landing. Third, intentional safety landing was identified to increase the Angular velocity of ankle joint, knee joint and hip joint at intentional landing than normal landing. Fourth, intentional safety landing was identified to surely reduce the brake power and impact power and to be helpful to prevent injury than normal landing. Fifth, landing strategies at intentional safety landing were to use knee and hip joint more than normal landing and the final finish of landing movement was to use hip joint. Sixth, workload rate of ankle was most identified at normal landing and workload rate of knee was most identified at intentional safety landing. These results showed they land using ankle more at normal landing and using knee more at intentional safety landing.