노인장기요양보험제도 시행에 따른 지역사회 중심의 방문물리치료의 인프라 측면의 현황과 과제

윤태형,김윤신,김희라,Yoon, Tae-Hyung,Kim, Yoon-Shin,Kim, Hee-Ra 대한물리치료과학회 2008 대한물리치료과학회지 Vol.15 No.2

Background: This article reviewed the current status of home-based physical therapy infrastructure in long term care insurance and then solved the problem. Method: We used two forms of data that were acquired from ⅰ) the Ministry of Health & Welfare and the Family and National Health Insurance Corporation, ⅱ) a home-visiting health care program, and ⅲ) evaluation data from the Korea Health Industry Development Institute. The home-based physical therapy program was then analyzed. Results: The role and concept of home-based physical therapy was not clearly established. There were few home-based physical therapy programs in the community. The manpower of home-based physical therapists in the home-visiting health care program was very low. The role between home-visiting nurses (caregivers) and home-based physical therapists was mixed. Research and promotion regarding home-based physical therapy was poor. Conclusion: To establish a system of legal, long-term care insurance, we must increase the manpower of home-based physical therapists and the amount of research pertaining to the demand for home-based physical therapy.

공공건축공사 사후평가 변별력 향상을 위한 항목개선 연구

윤태형,이수용,Yoon, Tai-Hyong,Lee, Soo-Yong 한국건설관리학회 2011 한국건설관리학회 논문집 Vol.12 No.2

국토해양부는 공공 건설사업의 효율화를 유도 하기위한 목적으로 건설공사 사후평가 시행지침을 2001년 05월 10일 건관 58824-318호로 제정 공포하고 이후 지금까지 5차례에 걸쳐 개정 하였다. 이 지침의 관련근거는 건설기술 관리법 시행령 제38조 18항이며, 주요내용은 사업의 당초 입안 기획에서부터 실제 공사수행 완료에 이르기 까지 전 과정에 대하여 수행성과, 효율, 파급효과 등에 관한 평가를 준공 후 실시하고 그 결과를 데이터베이스화 하는 것이다. 지침의 적용범위는 SOC사업 및 상당한 규모의 토목공사를 대상으로 하였으나, 최근 개정된 지침인 국토해양부 고시 제2010-14호(2010년 01월 15일)에서 건축분야를 추가 하였다. 그러나 개정된 내용도 평가항목의 성격이 포괄적이거나 정량적 평가기준으로는 미흡함이 많아 실제 평가결과를 차후 활용할 수 있는 방향제시의 분명함이 부족하고, 또한 평가과정에서 절대평가를 수행하기에도 어려움이 따른다. 따라서 본 연구는 공공 건축공사 사후평가 과정에 필요한 평가항목의 개선에 집중 하였다. 개선의 방향은 평가항목을 관련 전문가들에게 설문조사를 통하여 변별력 증대에 기여할 수 있도록 조정하며, 또한 현실적으로 점수화 할 수 있는 항목임에도 기준이 모호한 것은 향상된 평가지표를 제시 하고자 한다. 이를 통해 사후평가 지침의 목적인 추후 유사한 프로젝트에 활용하는 기능을 더욱 향상 시킬 수 있을 것으로 기대한다. The Ministry of Land, Transport & Maritime Affairs(former-The Ministry of Construction and Transportation)establish & promulgated the guide line of The Law of Post Evaluation on May 10, 2001(Article 58824-318) to public construction project under the Operation Law of Construction Engineering Management the 18 clause of Article 38 in order to induce & collect useful data about construction project when plan new similar project in the future about the initial planning phase, former and past accomplished businesses to construction works, results, efficiency, effectiveness. Ever since The Ministry revised 5 times, the former contents are composed for SOC, big volume civil project, and revised contents Article 2010-14(Jan 15, 2010) included some architectural project, but that was not definite the evaluation contents, direction & objective standard. So evaluation index implements are ambiguous about accomplished project. This research arranged the correctness evaluation indicators, criterions for decide the grades in order to helpful informations for similar architectural project in the future.

건설현장 근로의 양질화를 위한 정책적 개선 방안

윤태형,이수용,Yoon, Tai-Hyong,Lee, Soo-Yong 한국건설관리학회 2012 한국건설관리학회 논문집 Vol.13 No.2

우리 건설 산업의 국가전체산업 대비 기여현황을 살펴보면 제조업 대비 45%정도의 종사인원이나 산업생산 유발계수가 제조업과 거의 대등하고 부가가치 유발계수는 제조업보다 훨씬 높다. 이러한 건설 산업의 현장생산직 근로자들이 겪고 있는 열악한 근로실태와 개인 삶에 대한 현황을 조명하여 우리사회 구성원으로서의 동반자로서, 또 건설 직업인으로서 긍지를 갖고 직무에 충실할 수 있도록 정부와 업계가 함께 노력하여, 그들의 위상을 강화시킴으로서 한 차원 높은 건설생산문화가 유발될 수 있고 업계의 세계화에 따른 경쟁력 향상에도 이바지하게 될 것이다. 이러한 건설생산직 근로자들을 위한 전문적인 교육 훈련, 신분보장, 자격제도 확립, 사회보험혜택, 안정적 임금수령, 작업환경개선 등 전문 직업인으로서의 자부심을 가질 수 있는 제도화된 환경을 통하여 그동안의 실적위주 정량적 건설에서 정성적 건설로 변화하는 기틀을 마련하도록 하여야한다. 우리나라의 행복지수는 100점 만점기준 67.8점으로 OECD 30개 국가 중 25위에 그친다. 건설현장 근로의 보다나은 양질화를 유도하기 위하여 현장생산직 근로자들의 직업 및 사회적 자기만족도 향상을 위한 대책으로서 기존관습에서 탈피하여 개선시켜야하는 문제요소들을 도출, 정부와 업계가 함께 노력하여 점차 세계화되고 있는 우리건설업계의 국제경쟁력에 이바지할 수 있는 차원 높은 건설생산인력으로 변화시킬 수 있도록 해야 한다. Engaged number in the construction industry is 45 percentage level against to manufacturing industry. And Induction -factor of Production is much the same to mfg. field, Value added Induction-factor is more higher than manufacturing industry, therefore we research again about workers' inferior working & personal life condition in our society in order to they feel happiness their life with pride for the job construction occupation. So construction companies & government will be contribute to strengthen their phase & to achieve more higher level of construction working culture for elevate competitive power. We have to prepare the basis to turn to the qualitative construction businesses by break away from only the amount of work volume in company with the system of workers' self-conceit on the ground of professional education/training, qualification system, social insurance benefits, working condition improvement, stable job. Our nations does not feel well-being senses, only 25 class level in the 30 countries of OECD. We draw the questions at issue with slough off old customs in order to qualitative improvement for profession & self-contentment of construction workers, and present the useful plan to contribute to international competitiveness with our construction firms in the globalize construction field under Government's & company's policy.

기후변화에 따른 고삼저수지의 환경유량 영향평가

윤태형,강호영,김종석,문영일,Yoon, Tae Hyung,Kang, Ho Young,Kim, Jong Suk,Moon, Young Il 한국농공학회 2016 한국농공학회논문집 Vol.58 No.6

This study conducted a quantitative assessment on the environmental flows associated with climate change in the Gosam Reservoir, Korea. The application of RCP 8.5 climate change scenario has found that the peak value of High Flow Pulses has increased by 36.0 % on average compared to historical data (2001 ~ 2010), which is likely to cause disadvantage on flood control and management but the increase in peak value is expected to make a positive impact on resolving the issue of green algal blooms, promoting vegetation in surrounding areas and encouraging spawning and providing habitats for native species by releasing a larger amount of landslides as well as organic matters than the past. However, the decreasing pattern of the peak value of High Flow Pulses is quite apparent with the trend of delay on the occurrence time of peak value, necessitating a long-term impact analysis. The peak value of Large Floods shows a clear sign of decrease against climate change scenario, which is expected to lead to changes in fish species caused by degraded quality of water and decreasing habitats. A quicker occurrence of Small Floods is also expected to make an impact on the growth cycle of aquatic plants, and the reduction in occurrence frequency of Extreme Low Flows is to contribute to increasing the population of and raising the survival rate of native fish, greatly improving the aquatic ecosystem. The results of this study are expected to be useful to establish the water environment and ecological system in adapting or responding to climate change.

양.한방협진에 대한 지역주민의 인식 - 일부 보건소 이용자를 중심으로 -

윤태형,박해모,Yoon, Tae-Hyung,Park, Hae-Mo 대한예방한의학회 2010 대한예방한의학회지 Vol.14 No.1

Objective : The purpose of this research was to provide basic data for developing the collaborating care of Korean traditional medicine and western medicines by analyzing the perceptions of residents visiting local health centers on the collaborating care. Method : To this end, a self-administrated questionnaire was surveyed to 417 participants from March 10 to March 19, 2005. The questionnaires were regarding medical preferences, effectiveness, co-operative treatment types, and the demographic characteristics of the study population. The main statistical methods employed for analysis were frequency chi-square test analysis, using SPSS system 12.0 software for Windows. Result : First, the perceptions of collaborating care, such as preference and effectiveness, were better for residents who had experienced Korean traditional medicine(p < 0.05). Second, the most favorable collaborating care type was the neuromuscular disease and rehabilitation, and in particular, the preference of the patient who had experienced Korean traditional medicine was much higher than those who had not experienced it(p < 0.05). Third, as for recognizing the future of collaborating care, respondents insisted that collaboration care has to be conducted under evidence-based research. The reasons why collaborating care has not been active were reported as "difference in solving disease problems between oriental medicine and western medicine." The most important role of the Korean traditional medicines in the public sector was to provide specialized service for the elderly and low income households. Conclusion : Most respondents expected the positive effects of the collaborating care and wanted it to develop, particularly for neuromuscular diseases. As for the health promotion program in health centers, it was more popular than the home visiting program for the elderly and preventive rehabilitation for stroke. Now we must plan to balance between the need of the community and the medical provider on collaborating care.

노인장기요양보험제도에 있어 방문물리치료서비스에 대한 보건소 방문사업팀의 인식도 조사

윤태형,김희라,박래준,Yoon, Tae-Hyung,Kim, Hee-Ra,Park, Rae-Joon 대한물리치료과학회 2009 대한물리치료과학회지 Vol.16 No.3

Background: The purpose of this study was to investigate the perception of home care team's home based physical therapy in public health center Method: We surveyed 11 questionnaires for hone care team in health center from 1st to 30th, November in 2008. Results: The person who recognized the exclusion fact of home-based physical therapy in long term care insurance was 64.2% in whole 109 people. About necessity of home-based physical therapy, "absolutely necessary" as the person answer was 43.1%. Home-based physical therapy in the insurance must come to be provided with a precedence was 81.3%. About starting time of hereafter home-based physical therapy "after 1 years" the opinion which was 60.7%. Opinion about operation institution of home-based physical therapy "the pubic hospital or health center" was 52.3%. In composition form of the home-based physical therapy team "with the physical therapist and occupation therapist come together" was investigated with 37.4%. Conclusion: As long term care insurance will be developed, discussion about quality- of-service must be continuous and depth. Relates hereupon, the academic, researchers, and the persons concerned must consider the best quality of life improvement of the citizen and prepare the ground which systemic, rational, and actual on starting of home-based physical therapy in long term care insurance.

지역사회 건강문제 및 건강증진 방안 모색 : 부산시 일지역주민 관점에서

윤태형,김수정,배경의,Yoon, Taehyung,Kim, Soojeong,Bae, Kyungeui 대한통합의학회 2017 대한통합의학회지 Vol.5 No.3

Purpose : This qualitative study aimed to determine the health problems and thoughts regarding health promotion of residents of the community. Method : Eighteen residents living in S-gu (local area) located in Busan city and health professionals working in health-related workplaces in the area were selected as participants. Focus groups were extracted and composed, and a focus group interview was conducted for six months from November 2015 to April 2016. Data were analyzed using a phenomenological method outlined by Colaizzi. Result : There were 187 significant statements derived from the data obtained from focus group interviews. These statements were categorized into 33 meaning units based on the researcher's interpretation. Thirteen themes were derived from the derived meaning units and finally categorized into five theme clusters: "People who are trapped in," "Health is what you make yourself," "Pathetic health problems in our community," "Finding solutions to health problems," and "Shortcuts to healthy community." Conclusion : The study results can be applied to the identification of a community health problem and the construction of a long-term health promotion system. In future research, it will be necessary to conduct an experimental study on various programs and approaches for promoting community health, which reflects the solutions to the health problems in the community.

노인들의 건강행태와 삶의 질 수준

윤태형(Tae-hyung Yoon),천승철(Seung-chul Chon),이충휘(Chung-hwi Yi) 한국전문물리치료학회 2009 한국전문물리치료학회지 Vol.16 No.3

The purpose of this study was to assess the level of quality of life and related factors among the elderly in Korea. In particular, we focused on factors affecting the quality of life of the elderly in long term care. We used the third Korean National Health and Nutrition Examination Surveys (KNHANES) from 2005. We sampled a total of 3,571 (10.5%) elderly from the national survey. We compared the mean of quality of life to socioeconomic status, Activities of Daily Living (ADL), health behavior, and disease variables. We used EuroQol-5D among KNHANES to assess the quality of life. In this study, the mean score of the quality of life among the elderly was 2.57. Logistic regression showed that the elderly who were male, with spouses, with health insurance, and with good ADL levels enjoyed higher quality of life scores and odds ratios than those who were female, divorced, uninsured, and with low ADL levels (p<.05). The quality of life of the elderly was affected by socioeconomic, ADL, health behavior and disease variables. To improve long term care and the quality of life among the elderly, we need detailed research to clarify the effects of these factors.

DACUM 기법을 활용한 대학 행정실 직무분석

윤태형 ( Yoon Taehyung ) 대한통합의학회 2017 대한통합의학회지 Vol.5 No.2

Purpose : The purpose of this study was to identify the difference in roles between administrative staff and head resident officer in a university. In health care service design, the DACUM has been used to understand relationships between nurses and nurses` aides. Methods : Administrative staff and head resident officer`s jobs were analyzed using DACUM. We organized a DACUM committee and workshop. The committee comprised of six members discussed their roles, duties, and task elements. Result : The DACUM for administrative staff consisted of 8 duties and 30 task elements, and for the head resident officer it consisted of 8 duties and 23 task elements. Conclusion : In conclusion, the role of the administrative staff and head resident is similar but different in terms of task elements. To increase job efficiency, it is important to separate roles and responsibilities in the job.

어린이 기호식품 중 트랜스지방 및 포화지방 실태조사

윤태형(Taehyung Yoon),이성민(Sungmin Lee),신희준(Hee Jun Shin),이수연(Soo Yeon Lee),홍진(Jin Hong),노기미(Ki-Mi No),박경식(Kyoung Sik Park),임동길(Donggil Leem),이광호(Kwangho Lee),정자영(Jayoung Jeong) 한국식품영양과학회 2011 한국식품영양과학회지 Vol.40 No.11

어린이 기호식품 중 트랜스지방 및 포화지방 함량을 조사하고 그 지방산 조성을 확인하기 위하여 과자류 134건, 제빵류 55건, 도넛류 74건, 햄버거 60건(20종)을 서울 및 경기지역을 중심으로 수거하여 분석하였다. 조지방 함량은 과자류가 24.2±6.9(범위: 4.6~41.1)g/100 g으로 가장 높았고, 도넛 23.9±5.8(범위: 14.1~39.5), 제빵류 15.7±7.9(1.4~30.0), 햄버거 9.5±3.4(4.5~18.5)의 순이었다. 트랜스지방 최고값은 제빵류에서 1.3 g/100 g으로 업계의 저감화 노력을 확인할 수 있었다. 포화지방은 과자류가 11.6±4.8(범위: 2.0~22.7) g/100 g, 도넛 11.2±4.0(범위: 4.8~23.2) g/100 g, 제빵류 6.9±4.1(범위: 0.6~15.4) g/100 g, 햄버거 3.0±1.0(1.0~5.8) g/100 g의 순이었으며 조지방 함량에 의존성이 있는 것으로 확인하였다. 지방산 중 포화지방산 및 불포화지방산의 비율은 제품의 특성에 따라 매우 다양하게 나타났으며 식물성 유지를 사용하여 유탕하는 제조공정의 제품군이 다른 제품과 비교 시 포화지방산이 낮은 경향을 나타내었다. We studied the amounts of trans fatty acids and saturated fatty acids in child-favored foods. Confectioneries, breads, donuts and hamburgers were included in this study. The total fatty acid content and the amount of each type of fatty acid were determined by gas chromatography with a flame-ionized detector. Confectioneries were shown to have the highest content of crude fat. The mean content was 24.2±6.9 (range: 4.6~41.1) g/100 g food. The mean content of crude fat in donuts, bread and hamburgers was 23.9±5.8 (range: 14.1~39.5) g/100 g food, 15.7±7.9 (range: 1.4~30.0) g/100 g food, and 9.5±3.4 (range: 4.5~18.5) g/100 g food, respectively. Bread had the most trans fatty acids at 1.3 g/100 g food. This result inferred that manufacturers have tried to reduce the trans fat content. The mean content of saturated fatty acids in confectioneries, donuts, bread, and hamburgers was 11.6±4.8 (range: 2.0~22.7) g/100 g food, 11.2±4.0 (range: 4.8~23.2) g/100 g food, 6.9±4.1 (range: 0.6~15.4) g/100 g food, 3.0±1.0 (range: 1.0~5.8) g/100 g food, respectively. This content depended on crude fat. The composition of fatty acids varied according to the oil and fat used in the manufacturing process of each food, and the natural content. Foods that were fried in vegetable oil tended to be especially low in saturated fat.