우리나라 생활안전영역의 비의도적 손상 발생률 및 발생 양상

박건희,은상준,이은정,이채은,박두용,한경훈,김윤,이진석,Park, Kun-Hee,Eun, Sang-Jun,Lee, Eun-Jung,Lee, Chae-Eun,Park, Doo-Yong,Han, Kyoung-Hun,Kim, Yoon,Lee, Jin-Seok 대한예방의학회 2008 예방의학회지 Vol.41 No.4

Objectives: This study was conducted to estimate the cumulative incidence rate (CIR) of unintentional injuries in Korean daily life and to describe the pattern of unintentional injuries. Methods: The study population was the people who used the National Health Insurance because of injuries (ICD code: S00$\sim$T98) during 2006. The stratified sample according to gender, age and the severity of injury (NISS, New Injury Severity Score) was randomly selected. The questions on the questionnaire were developed as a reference for an international classification tool (ICECI, International Classification of External Causes of Injury). The questions included the locations of injury, the mechanisms of injury and the results of injury. Moreover, we used age, gender, region and income variables for analysis. Results: The CIR of unintentional injuries that occurred in daily life for 1 year per 100,000 persons was 17,606, and the CIR of severe injuries was 286. Many injuries were occurred at home (29.6%), public places (19.0%), school (13.7%) and near home (12.0%). The major mechanisms of injuries were slipping (48.8%), contact (14.0%), physical over-exertion (13.8%), and fall (6.6%). Infants and old aged people were vulnerable to injuries, and those who lived rural area and who were in a low income level were vulnerable too. Conclusions: We signified the risk groups and risk settings of unintentional injuries in Korean daily life. These results could contribute to establishing strategies for injury prevention and implementing these strategies.

우리나라 손상의 사회경제적 비용

박건희,이진석,김윤,김용익,김재용,Park, Kun-Hee,Lee, Jin-Seok,Kim, Yoon,Kim, Yong-Ik,Kim, Jai-Yong 대한예방의학회 2009 예방의학회지 Vol.42 No.1

Objectives : This study was conducted to estimate the socioeconomic cost of injuries in South Korea. Methods : We matched claims data from national health insurance, automobile insurance and industrial accident compensation insurance(IACI), and mortality data obtained from the national statistical office from 2001 to 2003 by patients unique identifier. Socioeconomic cost included both direct cost and indirect cost: the direct cost was injury-related medical expenditure and the indirect cost included loss of productivity due to healthcare utilization and premature death. Results : The socioeconomic cost of injuries in Korea was approximately 1.9% of the GDP from 2001 to 2003. That is, 12.1 trillion KRW(Korean Won) in 2001, 12.3 trillion KRW in 2002, and 13.7 trillion KRW in 2003. In 2003, direct medical costs were 24.6%(3.4 trillion KRW), the costs for loss of productivity by healthcare utilization were 13.0%(1.8 trillion KRW), and the costs for loss of productivity by premature death were 62.4%(8.6 trillion KRW). Conclusions : In this study, the socioeconomic cost of injuries in Korea between 2001 and 2003 was estimated by using not only health insurance claims data, but also automobile insurance, IACI claims and mortality data. We conclude that social efforts are required to reduce the socioeconomic cost of injuries in Korea, which represented approximately 1.9% of the GDP for the time period specified.

무용전공 학생의 교육서비스품질 지각이 학생만족 및 행동의도에 미치는 영향

박건희(Park Kun-Hee) 한국체육과학회 2010 한국체육과학회지 Vol.19 No.4

This study lies on the purpose of providing fundamental level of data that could benefit the university marketing strategy by examining the influence the education service quality causes to student satisfaction and behavioral purpose. Under the convenient sampling method, 521 students were sampled from 4-year colleges located in Seoul. By using SPSS 15.0, frequency analysis and exploratory factor analysis were held along with using AMOS 7.0 to perform confirmatory factor analysis and covariance structure analysis for proving the construct validity of each model. Results from these research methods and analysis of data are as follows: First, education service quality had significant influence on student satisfaction. Second, student satisfaction had significant influence on behavioral purpose. Third, education service quality had significant influence on behavioral purpose. To sum up, it can be concluded that education service quality enhances behavioral purpose through student satisfaction which prove to be the important parameters that relate to the relationship of independent and dependent variables.

우리나라 주택 내에서 발생하는 비의도적 손상의 양상

이은정,이진석,김윤,박건희,은상준,서수경,김용익,Lee, Eun-Jung,Lee, Jin-Seok,Kim, Yoon,Park, Kun-Hee,Eun, Sang-Jun,Suh, Soo-Kyung,Kim, Yong-Ik 대한예방의학회 2010 예방의학회지 Vol.43 No.1

Objectives: To investigate the patterns of unintentional home injuries in Korea. Methods: The study population was 12,382,088 people who utilized National Health Insurance services due to injuries (main diagnosis codes S00 to T28) during 2006. Stratified samples(n=459,501) were randomly selected by sex, age group and severity of injury. A questionnaire was developed based on the International Classification of External Causes of Injury and 18,000 cases surveyed by telephone were analyzed after being projected into population proportionately according to the response rates of their strata. Domestic injury cases were finally included. Results: Domestic injuries (n=3,804) comprised 21.1% of total daily life injuries during 2006. Women were vulnerable to home injuries, with the elderly and those of lower income (medical-aid users) tending to suffer more severe injuries. Injury occurred most often due to a slipping fall (33.9%), overexertion (15.3%), falling (9.5%) and stumbling (9.4%), with severe injury most often resulting from slipping falls, falls and stumbles. Increasing age correlated with domestic injury-related disability. Conclusions: The present findings provide basic information for development of home injury prevention strategies, with focus on the elderly.

무용학원 발레수업 참여에 따른 자신감이 대인관계만족도에 미치는 영향 (초등학교 고학년 여학생 중심으로)

권경미 ( Kwon Kyoung-mi ),박건희 ( Park Kun-hee ) 한국무용교육학회 2017 韓國舞踊敎育學會誌 Vol.28 No.3

The purpose of this study was to investigate confidence of upper-grade female elementary students on their satisfaction with interpersonal relationship in accordance with participation in private ballet lessons. In the results of the study, first, regarding differences in confidence and satisfaction with interpersonal relationship in accordance with the frequency of participation in ballet lesson, period of participation, and hours of participation, students participating twice or more a week than students participating once a week, students participating for more than a year than students participating less than a year, and students practicing one and half hours or more each time than students practicing less than an hour, showed higher social confidence, general self-value, general interpersonal relationship, and interpersonal relationship with the teacher. Regarding the differences in accordance with the matter of participation in the ballet stage performance, students with the stage performance experience showed higher social confidence, general self-value, physical confidence, and general interpersonal relationship than the students with no experience while the students with no stage experience showed high peer interpersonal relationship. Second, the social confidence and general self-value of elementary school girls participating in ballet lesson had effects on general interpersonal relationship which is a sub-variable of the satisfaction with interpersonal relationship while confidence had no effects on interpersonal relationship with parents. Social confidence has effects on interpersonal relationship with teacher. When physical confidence got higher, the peer interpersonal relationship got lower. The findings in this study suggest various ballet performance programs should be proposed in ballet classes for elementary students in order to help them form self-confidence and positive interpersonal relationship and enjoy active school life.

노인 장기요양 재원조달체계: 제도의 유형과 정책 과제

권순만 ( Soon Man Kwon ),박건희 ( Kun Hee Park ) 한국노년학연구회 2006 한국 노년학연구 Vol.15 No.-

장기요양에 대한 사회적 수요증가에 따라 많은 나라들은 장기요양이라는 새로운 사회적 위험에 대비하는 공적재원체계를 도입하고 있다. 장기요양 재원조달 체계의 발전과정을 보면 새로운 사회보험체계를 도입한 국가(예, 독일), 조세로 건강을 보장하는 국가에서 기존 사회보장 및 건강보장을 확대한 국가(예, 덴마크), 사회보험으로 건강을 보장하는 국가에서 기존 사회보장 및 건강보장을 확대한 국가(예, 프랑스) 등 다양하다. 장기요양을 위한 사회보험제도에서는 육체·정신적 장애를 근거로 한 객관적 기준에 따라 급여 자격이 명시적으로 부여되며, 일반적으로 공공과 민간 부문이 모두 서비스 제공에 참여한다. 반면 북유럽의 경우 건강보장과 사회보장이 그러하듯이 장기요양의 재원 역시 세금에 기반하고 장기요양에 대한 수요가 있는 모든 인구 집단을 포괄하며, 공공 조직이 서비스 관리와 제공을 주도하는 체제로 운영되고 있다. 우리나라에서도 장기요양보험을 도입할 때 본인부담금, 강제저축, 민간보험과 같은 다양한 재원을 고려하고, 가족 역할의 유지를 위한 현금급여 도입 역시 신중히 검토하며, 노인만을 위한 제도보다도 연령에 상관없이 모든 유형의 장기요양에 대한 보장 제공이 바람직하다. This paper aims to classify long-term care (LTC) financing in developed countries and examine policy options and challenges for Korea. Financing for elderly LTC has been influenced by history and path dependence associated with welfare state development, relationship with existing health care financing and public assistance, culture, political ideology, etc. Social insurance for LTC can be separate from health insurance (Japan & Germany) or an extension of health insurance to LTC (France & Netherlands). Tax-based financing for LTC have developed by extending the public assistance program in its population and benefit coverage, which takes into account not only the physical functions but also economic status of the beneficiary. Tax-based system varies in terms of universal coverage (Scandinavian countries), near-universal coverage (UK), and program based on means test and residualism (US). In the design of LTC insurance, Korea needs to consider the role of cash benefits for informal care, level of benefits, diversification of funding sources, and whether to cover all types of disability rather than age-related LTC.

VLF tan δ의 길이보상 필요성 및 발생오차에 관한 통계적 해석

임재성(Jae-Seong Im),박건희(Keon-Hee Park),김태완(Tae-Whan Kim),이건호(Kun-Ho Lee),정우성(Woo-Sung Jung),임장섭(Jang-Seob Lim) 대한전기학회 2021 대한전기학회 학술대회 논문집 Vol.2021 No.7

중환자실의 중증도 보정 사망률 변이

강철환 ( Chul Hwan Kang ),김용익 ( Yong Ik Kim ),이은정 ( Eun Jung Lee ),박건희 ( Kun Hee Park ),이진석 ( Jin Seok Lee ),김윤 ( Yoon Kim ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.6

Background: This study aimed to estimate risk adjusted mortality rate in the ICUs (Intensive care units) by APACHE (Acute Physiology And Chronic Health Evaluation) III for revealing the performance variation in ICUs. Methods: This study focused on 1,090 patients in the ICUs of 18 hospitals. For establishing risk adjusted mortality predictive model, logistic regression analysis was performed. APACHE III, surgery experience, admission route, and major disease categories were used as independent variables. The performance of each model was evaluated by c-statistic and goodness-of-fit test of Hosmer-Lemeshow. Using this predictive model, the performance of each ICU was tested as ratio of predictive mortality rate and observed mortality rate. Results: The average observed mortality rate was 24.1%. The model including APACHE III score, admission route, and major disease categories was signified as the fittest one. After risk adjustment, the ratio of predictive mortality rate and observed mortality rate was distributed from 0.49 to 1.55. Conclusions: The variation in risk adjusted mortality among ICUs was wide. The effort to reduce this quality difference is needed. (Korean J Anesthesiol 2009; 57: 698∼703)

小兒의 栗粒性結核에 對한 臨床的觀察

白仁基,朴健熙,吳知燮,姜眞無 金原出版 1978 小兒科 Vol.19 No.9