• The Journal of the Korea Contents Association
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• v.15 no.10
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• pp.193-204
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• 2015

This study investigated how the ageism of geriatric care helpers influenced on elder abuse during their long-term care service for elderly, and analyzed the mediating effects of counselling from public organizations on the causal relationship between ageism and elder abuse. The data used in this study was collected from 627 of care helpers working at elderly long-term care institutions in Gyeongsangnam-do Province, using structured survey(or questionnaire), and analyzed by Baron and Kenny(1986)'s multiple regression method. Ageism has a meaningful influence on elder abuse and counselling from public organizations has meaningful mediating effect on the relationship between ageism and elder abuse. These results show that elder abuse according to ageism can be improved by counselling from public organizations and It presents some practical implications for ageism and counselling from public organizations.

• Journal of Convergence for Information Technology
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• v.10 no.2
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• pp.154-159
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• 2020

The purpose of this study is program development for efficient medical institution management and finding comprehensive measures to increase the credibility of medical institutions. For this purpose, a survey on medical service satisfaction was conducted for elderly people aged 65 or older living in four other areas. The results of the analysis were as follows: First, the survey participants had higher confidence in private medical institutions. Second, there was no relationship between the reliability of public and private medical institutions and the selection of medical institutions. Third, the environment of the survey subjects was related to the selection of medical institutions. The credibility of the surveyed public and private medical institutions affects the selection of medical institutions, and the economic power and understanding of the medical institutions also influence the selection of medical institutions.. Therefore, it is suggested that public medical institutions need to improve the satisfaction of medical services in the future, and management efficiency of public medical institutions in addition to private medical institutions is urgently needed.

• 한국노년학
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• v.31 no.2
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• pp.371-380
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• 2011

This study was to address changes on hospital-based home care utilization after long-term care insurance(LTCI) was launched. National electronic data information(EDI) on hospital-based home care from Health Insurance Review Agency in 2007.7~2008.6(prior to LTCI) and in 2009(posterior to LTCI) was analyzed. After the launch of long-term care insurance, 40 hospital-based home health care agencies(HHCA) were diminished and regions not having any HHCA were increased from 53% to 59%. Hospital-based home care utilization was decreased in the elderly(clients 13.4%, visits 20.9%) as well as non-elderly(clients 3.5%, visits 3.9%). It is presumed that diminished HHCAs result in decreased accessibility to hospital-based home health care for non-elderly. The clients, visits, and reimbursed cost per agency were not changed. It is presumed that small agencies were closed already. The total reimbursed cost per agency in 2009 was 121,850,000 won. Results suggest that the government has to give support to open more HHCA to increase the accessibility for non-elderly. Also, hospital-based home care services utilization has to be monitoring regularly.

• Journal of Internet of Things and Convergence
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• v.6 no.3
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• pp.53-58
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• 2020

The purpose of this study was to explore the experience of relational aggression that old users of institutions for seniors have, understanding what that experience means. In detail, the study tried to determine the nature of the experience through a structural description of what and how the elderly users experience relational aggression. For the purpose, this study made profound interviews with 7 elderly persons who sustained such aggression while using the seniors' institution in Busan. In the interview, a non-structured questionnaire survey was conducted. Data were analyzed using Colaizzi's phenomenological approach. As a result, the study identified 32 meanings of relational the experience which were in turn divided into 16 subjects, and 5 categories like 'I who am powerless', 'I who am in an unmanned island', 'whirlwinds in my mind', 'I who send myself into the world' and 'I who am dwindling'. Based on this result, this research made practical suggestions for preventing relational aggression as mentioned above.

• 한국노년학
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• v.29 no.2
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• pp.645-656
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• 2009

The purpose of this study was to address the current status of hospital-based home care(HBHC). We analyzed the data on HBHC from national electronic data information of Health Insurance Review Agency. Beside, we surveyed 75 hospital-based home care agency. In 2006, 20,343 elderly(64.0% from all HBHC user) used 333,889 visits(76.8%from all visits). Medical diagnosis was composed of circulatory disease including cerebrovascular diseases 41.3%, endocrine system disease including Diabetes mellitus 10.4%, neoplasm 9.7%. Some of subjects used HBHC in excess of maximum covered 8 visits a month by National Health Insurance, decubitus 7.0%, the cancer 5.4%, the diabetes 2.5%, the hypertension 1.1%, and the stroke 0.9%. This results will contribute to expand the coverage of hospital-based home care by National Health Insurance. There was distribution difference in medical diagnosis and nursing intervention between HBHC and Public health center-based home care(PBHC) subjects. Therefore, HBHC subjects had more severe medical diagnosis, and were intervened more injections, examinations, than PBHC subjects. These differences must be considered to set up functional role among the three types of home visit care.

• The Journal of the Korea Contents Association
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• v.17 no.5
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• pp.479-490
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• 2017

The objective of this study is to examine the association of social networks and medical care utilization of elderly living alone depending on self-rated health status, and also to measure the moderating effects of welfare services for elderly. To this purpose, the data which was collected from the 2014 National Survey on Elderly in Korea was analyzed by Chi-square test and Poisson regression. According to the results, social networks and elderly welfare services affected to medical care utilization of elderly living alone, only who aware of their self-rated health status as bad. With this group, the frequency of contact with family and participation in lifelong education had a significant effect on increasing medical care utilization. In contrast, the frequency of contact with neighbors and the participation in elderly employment program were significant to reduce the utilization of medical care. Furthermore, the moderating effects of elderly welfare services were also measured that formal social gathering has an effect of increasing the medical care utilization of elderly living alone by expansion of their social networks. Based on these results, this study consequently has an implication for suggesting expansion of elderly welfare services, which might be an alternative to social networks of elderly living alone, and also for seeking the direction of political intervention that helps health promotion and disease prevention through the research of medical care utilization.

• 한국노년학
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• v.38 no.3
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• pp.395-408
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• 2018

The purpose of this study is to investigate the effects of staffs' general characteristics and institutional characteristics on the staff members' recognition of the level of ethical management in the elderly welfare institutions and to provide basic materials for raising standard of ethical management in the elderly welfare institutions. For this purpose, we conducted a questionnaire survey using structured self-filling-type questionnaires for 245 staffs of elderly welfare institutions in Seoul and Gyeonggi-do. This study sets general characteristics of staffs and institutional characteristics as the independent variables and the staff members' recognition of the level of ethical management as the dependent variable. The variables are investigated through the descriptive statistics such as frequency, percentage and average analysis, and the difference of effect on the staff members' recognition of ethical management in the elderly welfare institutions by each independent variable was analysed by t-test, ANOVA and multiple regression analysis. The results of the study shows that in terms of general characteristics of staffs, the higher male to female ratio and the higher educational level; and in institutional characteristics, the less experience in basic ethics education and the better ethical working environment of the institution are the positive factors for that the staff members estimate the level of ethical management of their workplace high. Based on these results, for making staff members recognize the level of ethical management in the elderly welfare institutions higher, we should create actual atmosphere of the ethical working environment in the institution and implement not formal but step-by-step intensive ethics education that make employees can apply it in the real situations. In conclusion, this study gives the practical suggestions for improving the staff members' recognition of ethical management level in the practice field of elderly welfare on the fast-changing trends including downsizing and privatization.

• The Journal of the Korea Contents Association
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• v.18 no.6
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• pp.267-282
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• 2018

This study analyzes the impact of the experiences of elderly using social welfare organizations in socio-economic deprivation on their relational aggression damage experiences, and verifies the mediating effects of rejection sensitivity. For data collection, 275 of 290 questionnaires, excluding 15 questionnaires with inadequate responses, were used for the final analysis. The SPSS and AMOS programs were used for data analysis through the following procedures. The analysis showed that socio-economic deprivation experiences, relational aggression damage experiences, and rejection sensitivity were higher for the groups of male elderly, higher age, education above college, absence of spouse, and longer institutionalization. The size of indirect effect (${\beta}=.32$) was larger than that of direct effect (${\beta}=.14$), signifying that the indirect impact through rejection sensitivity was larger than the impact of socio-economic deprivation on the experiences of damage by relational aggression. With the above findings, this study makes practical suggestions for institutional measures to reduce the elderly's relational aggression damage experiences and rejection sensitivity and programs on socio-economic deprivation, etc.

• Korean Journal of Social Welfare
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• v.55
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• pp.283-307
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• 2003

The social services for the elderly have been expending in order to respond to the rapid speed of aging. However, low utilization, exclusion and duplication have been pointed out as significant problems in service utilization of the elderly. This study tried to find out the utilization patterns of social services for the elderly: what kinds of and how many social services the elderly receive from what kinds of and how many organizations, and factors influencing utilization of the social services. It surveyed the entire population of the public assistance recipient elderlies at Kyonggi province in 1999. The results show that duplication is not so significant problem as the low utilization of social services. However, the fact that more than forty five percent of the elderly receives social services from more than two organizations requires the efforts for service linkage and coordination in social service delivery system. The factors, which have relatively big influence on the number of organizations which the elderly use for each social service, were sex and age among the predisposing factors, "living alone" and place for residency among the enabling factors and the number of illness, Activities of Daily Living, Instrumental Activities of Daily Living and inconvenience of housing among the needs factors. These results call for expansion of social services for the elderly especially in the way of achieving distribution balance between the rural and urban area and activation of case management practice and local association of social service delivery agencies for service linkage and coordination.

• Journal of the Korea Convergence Society
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• v.8 no.6
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• pp.325-336
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• 2017

In this study to identify a causal relationship between daily stress, ego-resilience and the quality of life of the elderly in long-term care facility, a causal relationship model was set up and path analysis was performed. The data collected from 380 elderly users in private long-term care facilities in Greater Seoul Metropolitan area were analyzed using SPSS 22.0 and AMOS 22.0 to analyze the correlation between daily stress, ego-resilience, and the quality of life of the elderly. The results of this study are as follows; First, daily stress of the elderly showed a negative (-) direct effect on the quality of life. Second, the ego-resilience of the elderly had a positive (+) direct effect on the quality of life. Third, daily stress of the elderly showed a positive (+) direct effect on ego-resilience. Fourth, daily stress of the elderly showed indirect effect and partial mediating effect on the quality of life through ego-resilience. Therefore, in order to improve the quality of life of the elderly, it is necessary to develop programs and institutional support to reduce daily stress and increase ego-resilience.