• Journal of Society of Preventive Korean Medicine
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• v.27 no.1
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• pp.29-42
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• 2023

목적 : 노인 인구가 급격히 증가하면서 노인 돌봄에 대한 관심이 높아지고 있다. 본 연구의 목적은 한국, 일본, 대만, 중국의 노인들을 위한 지역사회 돌봄 시스템을 비교하는 것이다. 방법 : 본 연구는 PubMed를 포함한 다양한 데이터베이스를 사용하여 4개국의 커뮤니티 케어 시스템을 파악했다. 검색은 지역사회 돌봄, 통합 돌봄, 노인 돌봄 등 다양한 용어를 사용해 이뤄졌으며 연구는 제외 및 포함 기준에 따라 식별되었다. 결과 : 본 연구에는 총 77개의 연구가 포함되었다. 이 연구는 4개국의 지역사회 돌봄체계를 분석했다. 그리고 의료정책에 초점을 맞춰 "퇴원지원"과 "방문의료"의 시스템과 운영사례를 비교하였다. 결론 : 지역사회 돌봄에서 적절한 한의 홈 헬스케어 서비스를 제공하기 위해서는 한의사에 대한 인식 제고와 예산 증액이 필요하며, 본 연구는 향후 보다 발전된 노인돌봄정책 수립에 활용될 수 있다.

• 한국노년학
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• v.40 no.4
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• pp.599-616
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• 2020

The South Korean government has introduced a new Customized Care Service for Older Adults by eliminating the six existing care services for them since 2020. It is a significant change of care service system for older adults and the service would play a key role in providing preventive services for them. The aim of the study is to examine the meaning and tasks of the introduction of the Customized Care Services for Older Adults in South Korea by using the framework of Gilbert and Terrell. The study found that the new service was designed under the government's policy contexts of the establishments of public-based social service providers and the emphasis of community care, and it has brought about a number of significant institutional changes of care system in terms of allocation, benefits, delivery, and finance. The institutional coverage of the service was increased to lower 70% of older adults and a large number of kinds of health and social care services would be provided for them. The sphere of living was set in each local area and the new service providers are entirely in charge of providing the services in each sphere. The financing system was changed to support service providers by providing government subsidies. Although a number of positive results would be expected to occur for the elderly, it is likely that some challenging tasks would happen in the fields as follows: the inadequate coverage, the vagueness of the application of self-care principle and the decrease in the amounts of direct care services, the inappropriate area of service provision, and the supplier-oriented provision of services rather than user-oriented.

• Journal of Convergence for Information Technology
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• v.10 no.6
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• pp.200-208
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• 2020

The purpose of this study was to investigate and compare health, medical and welfare service providers' and local residents' perception on community care. The participants were 68 service providers and 95 local residents. The data were analyzed using independent t-test and chi-square test. The results showed that the degree of agreement of service providers on the need for policy, and visiting services were higher. Service providers' ability to link local residents with a need for care to community resources was higher, but in the activation of self-help group in community, local residents agreed more. In add budget of policy to health insurance, local residents agreed less. In perception on priority for community care policy, high priorities were preparation of financial resources and care culture. To effectively operate community care policy, it is necessary to establish a care culture through active exchanges for reducing differences in policy and opinions of recipients.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2022.10a
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• pp.496-498
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• 2022

With the prolonged spread of the new coronavirus infection worldwide and the entry of the super-aged society, smart health care, which combines IT technology for senior health care and the health care industry, is emerging as a solution to the aging problem. The development of non-face-to-face care services using Ai is on a global trend, not in some countries, and the form of care services for the elderly using AI artificial intelligence technology is changing rapidly. The convenience of AI-based care services for the elderly is expected to be highlighted, and the technology and market are expected to develop significantly. As the number of single-person households is increasing, the shortage of welfare workers for the elderly is emerging as a social issue. It is presented as a vision to solve long-term social problems such as the labor shortage of elderly care workers as well as the advantages of convenient care services using IT technology. Therefore, we would like to propose the development direction of care services for the elderly as a case study of care services for the elderly and a countermeasure against the super-aging age.

• The Journal of the Convergence on Culture Technology
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• v.5 no.4
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• pp.105-114
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• 2019

Daytime activity services based on community care signify 'participatory integrated community care service' fused with diverse forms of community participation and care for adults with developmental disabilities after school graduation. They have the characteristics of lifelong care by life cycle in that adults with developmental disabilities 18 years and older receive daytime care and community participation programs. The purpose of this study is to examine community care based daytime activity services and to search for vitalization plans for daytime activity services that must unfold in the future for care programs that can be meaningful social participation opportunities for adults with developmental disabilities. Through literature review, we analyzed the state of daytime and social activity of adults with developmental disabilities as community care.Based on these findings, we devised ways to improve the daytime activities for the significant daytime of adults with developmental disabilities. At this, it proposed an increase of activity support vouchers, daytime activity service time expansions, expanded budget formulation for an increased number of daytime activity service subjects, expanded applications for the prioritization of the 20% of those with the most severe developmental disabilities and the composition of separate teams, and the role reinforcement of support centers for people with developmental disabilities.

• 한국사회정책
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• v.19 no.2
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• pp.137-161
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• 2012

Traditionally, caring for young children and the elderly has been largely assumed and practiced intensively within the family in Korea. The Korean government established residual protection systems for the elderly as well as children whose needs could not be met by their family members alone. However, in the 21st century, a number of social forces have made it necessary to expand the state's intervention in the care provisions. The primary forces include the ageing process, low fertility, change in the women's labour market participation, changes in the family formation and dissolution, and changes in the people's perceptions of familial responsibilities regarding caring for other family members. This paper employs and further develops the idea of the care diamond conceived by the United Nations Research Institute for Social Development Project in relation to the political and social economy of care and applies it to Korea's social care expansions. The analysis demonstrates that the roles of the public and the market sector, in case of child care, increased while those of the third sector decreased. Apropos of the elderly care, the role of the market expanded dramatically, followed by that of and the state and the third sector. Nonetheless, it is important to note that the fundamental characteristics of Korea's care provision for children and the elderly have remained unchanged and even strengthened where the elderly care is concerned. The bulk of personal care demand is still met within the family, particularly by female members of the household.

• Convergence Security Journal
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• v.23 no.5
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• pp.151-156
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• 2023

Currently, ICT is widely used in caring for the elderly living alone and preventing the disappearance of the elderly with dementia. Therefore, in this study, based on the government policy direction for the 4th industrial revolution, the use of AI technology-based care services, which are gradually increasing in community care, was sought to explore the current status and prospects for utilization and activation.AI speakers and caring robots, services that can be used for community care, help solve various problems experienced by the elderly, and are also used to relieve lack of conversation or loneliness by adding emotional functions. In order to activate community care using AI technology in the future: First, there is a need for continuous education to familiarize the elderly with AI devices and 'user experience (UX) design' for the elderly. Second, it is necessary to use human-centered technology that has a complementary relationship and enables emotional mutual relationships rather than using function-oriented technology. Third, it is necessary to solve ethical problems such as guaranteeing the user's right to self-determination and protecting privacy.

• Journal of Korean society of Dental Hygiene
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• v.23 no.2
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• pp.91-103
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• 2023

Objectives: This case study was conducted to assess changes in the concentration of volatile sulfur compounds (VSCs) of older adults following home oral health care interventions based on community care. Methods: The participants were three elderly people with the halitosis. An oral health intervention programs including oral massage, oral hygiene care, and oral muscle training strenghtening were conducted for 12 weeks. Halitosis was measured using an oral malodor-checking device. Results: The program showed positive effects on changes in halitosis. The concentration of VSCs of the first case decreased rapidly from 44.5 Refres Oral Volume (ROV) on pre-test to 15.5 ROV on the first post-test. In the second case, the score decreased from 14.5 ROV on pre-test to 12 ROV on 2nd post-test. In the third case, the score decreased slightly from 6.5 ROV on pre-test to 6 ROV on the first post-test. Conclusions: Oral health care interventions contributed to decreasing the concentration of VSCs and improving the quality of life of older adults. The active promotion and customization of these programs are required.

• Journal of Korea Entertainment Industry Association
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• v.15 no.8
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• pp.423-432
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• 2021

In this study, we investigated and the following conclusions are presented by identifying the current status and problems in order to expand the future's value of the community care project introduced and implemented to improve the quality and care for the elderly's life. First, the needs analysis of the elderly receiving services is composed of patient-centered rather than investigator-centered, and in particular, medical management through medical staff visits should be strengthened, and specialized service items according to gender, age, disability type, and personal preference should be strengthened. This will have to be gradually strengthened. Second, by analyzing the satisfaction, redundancy, and effectiveness of service items, we save money, and consider the consumer-oriented service item composition and application of items necessary for new services. Third, through the introduction of an integrated schedule management system, it is necessary to specialize in pre-booking and visit schedule management between the elderly and the direct service organizations that provide services. Fourth, as an effort to solve the financial problem, it is necessary to prepare a rational resource sharing system with health and medical finance, long-term care insurance system, and social welfare financial project. and it may consider that putting the medical personnel who are from local public medical college input. Through these proposals, the community care business will be able to complete and have future value as a universal aged care system.

• Journal of agricultural medicine and community health
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• v.45 no.3
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• pp.141-153
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• 2020

목적: 한국은 지역사회 기반 통합 돌봄(커뮤니티케어)을 통해 노인들을 위한 보건 및 사회복지 서비스의 확대를 추진하고 있다. 본 연구는 노인의 경로당 이용에 대한 인구사회인적 요인, 삶의 만족도, 건강상태 등이 미치는 영향을 파악하고자 한다. 연구방법: 2017년 노인실태조사 자료를 이용하여, 횡단 분석 연구가 실시하였다. 이용패턴을 파악하기 위해 기술통계를 하였고, 경로당 이용과 관련된 요소들을 결정하기 위해서는 다변량 로지스틱 회귀분석을 실시하였다. 연구결과: 지난 12개월간 노인 1만299명 중 22.7%가 경로당을 이용하였다. 경로당을 이용하는 이유 중 가장 많은 응답은 경로당 동료들과 여가를 보내기 위함이었으며, 대상자의 95% 이상이 제공되는 서비스에 만족하고 있었다. 사회인구학적 특성에 대해서는 여성(AOR=1.20; 95% 신뢰 구간(CI), 1.05-1.38), 80세 이상 노인(AOR= 3.94, 95% CI, 3.30-4.71), 문맹자(AOR=5.27; 95% CI 3.80-7.30), 교육 수준이 낮거나 읍면 지역 출신(AOR=6.42; 95 % CI, 5.72-7.20)이 경로당을 이용할 가능성이 가장 높았다. 생활 만족도 부분에서는 재정적 만족도(AOR=1.21; 95% CI, 1.06-1.37), 문화에 대한 만족도(AOR=1.49; 95% CI, 1.24-1.79) 및 친구들과 사회에 대한 만족도(AOR=4.24; 95% CI, 3.17-5.66)가 높은 사람이 경로당을 더 많이 이용하는 것으로 나타났다. 질병이 없다는 응답자에 비해 만성 질환을 2개 이상 보유한자(AOR= 2.01; 95 % CI, 1.60-2.53)의 경로당 이용률이 2 배 더 높았다. 결론: 정부의 지역사회 기반 통합돌봄 정책 수립을 위하여 경로당 이용에 영향을 미치는 인구사회학적요인, 삶의 만족도, 건강상태와 관련된 요인들을 고려하여, 이용률을 높이고, 건강관리를 위한 통합 돌봄 시설이 될 수 있도록 하여야 할 것이다.