• Title/Summary/Keyword: 요양서비스

Search Result 446, Processing Time 0.022 seconds

Strategies of Home Health Care Services Linkages in Korea Based on Delphi Technique (델파이 기법을 이용한 우리나라 재가간호서비스 연계방안)

  • Lee, Seung-Hee;Lim, Ji-Young
    • The Journal of the Korea Contents Association
    • /
    • v.12 no.12
    • /
    • pp.282-290
    • /
    • 2012
  • Today, home health care services needs a linkage plan of the customized home visiting health service in public health center, the medical institute home health care service, and home visiting nursing service based on long term care insurance for the elderly program which acknowledges the independence and professionalism of the home health care services while minimizing overlap through linking the projects. So, this study was performed by applying the Delphi technique, which draws agreement from professional opinion, to determine a method to link home health care services in Korea. The results of this study are as follows. Specialists agreed on 24 important items within the two domains of institutional linkage and medical linkage. And the significance of this study is as follows. The 24 items deduced for the approved nursing service linkage plan are expected to improve the home health care service business system, enhance the quality of home health care service, and bring increased satisfaction for service recipients. Also, seeking ways to minimize overlap in service can increase the effectiveness of health care and public health management at a national level. In addition, it is considered that this will ultimately reduce public medical costs as well as improve home health care service.

The Structural Relationship among Job Stress, Human Rights Behavior, Social Support and Job Satisfaction (노인장기요양시설 종사자들의 직무스트레스와 인권옹호행동, 직무만족의 구조적 관계: 사회적 지지의 매개효과를 중심으로)

  • Kim, Keunhong;Song, Jiwon
    • 한국노년학
    • /
    • v.37 no.3
    • /
    • pp.747-762
    • /
    • 2017
  • Recently, as the number of patients with dementia using nursing homes increases, the interest about the quality of care services is increasing. Job satisfaction of caregivers is very important factor in the quality of care service. In addition, as perception of human rights is heightened, human rights behavior in nursing homes is also recognized as an important factor. The purpose of this study is to investigate the structural relationship between job satisfaction and human rights behavior, job stress, and social support of dementia workers who have significant influence on quality of care service. For this purpose, 210 questionnaires were collected from 300 dementia workers working in the elderly nursing home, day night care center, and domiciliary visit care center in Gyeonggi province. After excluding 13 questionnaires, the questionnaires were analysed by AMOS and SPSS 21.0. The results of the analysis are following. It was found that job stress significantly affects the social support directly (-.276). Also, social support significantly affects job satisfaction (.315). On the other hand, human rights advocacy has a direct effect on job satisfaction (.175) and an indirect effect (.102), showed a total effect of (.277). This shows that social support partially mediates human rights advocacy and job satisfaction. Job stress had a direct effect on job satisfaction(-.217) and an indirect effect(-.095), indicating a total effect of (-.312), and social support partially mediated job stress and job satisfaction Could know. The results of this study suggest that in order to improve the job satisfaction of the dementia workers, it is necessary to increase the human rights advocacy behavior and reduce the job stress in an environment that recognizes the social support.

Policy Implications of the Long-term Care Insurance System Revitalization Process for Establishing Integrated Care System in Japan (일본의 지역포괄케어시스템 구축과 개호보험제도 개정과정의 정책적 시사점)

  • Yoo, Ae Jung
    • 한국노년학
    • /
    • v.39 no.1
    • /
    • pp.1-20
    • /
    • 2019
  • Recently, the Ministry of Health and Welfare has emphasized the necessity to build community care, and the interest of health care- long-term care-social welfare system continues. In order to examine the future vision of long-term care for elderly people, which can be a core system in establishing community models for elderly people in the future, we will implement aging in place as a national policy project. It is meaningful to analyze in depth the case of Japan's policy implementation through the amendment process of long-term care insurance system. The purpose of this study is to examine the concept definition, operating system, and major promotion process of the Integrated Care System in Japan and to suggest policy implications for the future Korea long-term care insurance system. As a result of reviewing the operation status and revision process of the long-term care insurance system for establishing the Integrated care system in Japan, it is necessary to clarify the basic principles and construction of community care system, diversification of residence type and upgrading work, establishment of linkage network of health care-long term care-social welfare, expansion of support for family and self-mind.

Dementia Strategies using Welfare-technology (복지기술을 활용한 치매전략 방안)

  • Han, Jeong-Won
    • Journal of the Korea Convergence Society
    • /
    • v.13 no.5
    • /
    • pp.357-363
    • /
    • 2022
  • South Korea faces elderly care crisis with both low fertility rate and rapid ageing rate. Long-term care insurance in 2008 has taken care burden from family to nation. However, few options, lack of tailored services, and unstable community care plan caused blankness of care in some areas. Especially, increasing dementia rate has become an emergent social issue. Welfare technology could be a useful alternative to fill out the gap between demand and supply. Using FGI method on two groups(high-risk dementia group and MCI group), intimacy, accessibility and preventive way of dementia with welfare technology are analysed in this paper. Despites of a few differences of dementia progress, interests towards technology are expressed. More suggestions using TV and normal telephone to improve daily independence are presented as well. Amongst MCI group, help-service for technology-use at ADS and linkage ways of in-home services are also suggested.

A Study on Civil Complaint Communication Service Model Based on Public Data -Focusing on Communication Between Teacher and Student's Parents- (공공데이터 기반 민원 소통 서비스 모델에 관한 연구 - 교사와 학부모 간 소통을 중심으로 -)

  • ChangIk Oh;Taekryong Han;Jihoon Choi;Dongho Kim
    • Convergence Security Journal
    • /
    • v.23 no.4
    • /
    • pp.53-59
    • /
    • 2023
  • Various problems are occurring as teachers and student's parents communicate directly through mobile phones. In this study, a service model was proposed that allows teachers and student's parents to communicate through SNS platforms without knowing each other's mobile phone numbers. In the civil complaint communication service model proposed in this study provides, communication key sets are provided as public data, and a commonly used SNS platform uses the relevant relationship information to implement communication. This model also has expandability that can be applied not only to teachers, but also to ① officers who need to communicate with the parents of soldiers, ② nursing, health and nursing care personnel who frequently contact patient caregivers, and ③ welfare officials.

A Study on Family Caregivers' Preferences for Utilization of Community-based Welfare and Health-care Services (요보호 노인 부양가족의 재가복지 및 재가보건 서비스 유형별 이용의향에 관한 연구 - 2002년도 서울시 노인복지 기초수요조사 자료 분석 -)

  • Kim, Hye-Kyung
    • Korean Journal of Social Welfare
    • /
    • v.56 no.4
    • /
    • pp.123-147
    • /
    • 2004
  • The purposes of this study are, 1) to explore the factors related to the family caregivers' preferences for service utilization both of the community-based welfare and health-care services, and 2) to examine the reasons why not want to use services analyzing a survey data obtained from family caregivers(n=1,000). Anderson and Newman's Behavior model was employed to examine the factors related to the preferences for service utilization. The main results are as follows. 1) Logistic regression analyses demonstrated that predisposing factor(such as age and relations with frail elderly) and enabling factor(such as economic status, secondary caregiver, informal informational support provider, etc) were significant predictor for caregivers' preference for service utilization. Contrary to an expectation, needs factor was negatively related to the preference for service. More specifically, the more they have service needs, the less they show their willingness to use community-based service both in welfare and health-care services except for care education program. 2) Caregiver identified 'family caregiving consciousness'(family should take care of frail elderly, elderly dislike be taken care of) as an important reason not want to use community services next to financial factor. These findings have several implications for policy making especially for 'public long-term care insurance' which was planned to start in 2007.

  • PDF

The Analysis of Research Trends in Social Service Quality Using Text Mining and Topic Modeling (텍스트 마이닝과 토픽모델링 활용한 사회서비스 품질의 학술연구 동향 분석)

  • Lee, Hae-Jung;Youn, Ki-Hyok
    • Journal of Internet of Things and Convergence
    • /
    • v.8 no.3
    • /
    • pp.29-40
    • /
    • 2022
  • The aim of this study was to analyze research trends of social service quality from 2007 to 2020 based on text mining and topic modeling. Our focus was to provide foundational materials for social service improvement by discovering the latent meaning of relevant research papers. We collected 97 scholarly articles on social service, social welfare service, and quality from RISS, and implemented two segments of text mining analysis. Our results showed that the first section included 38 papers and the second 59, indicating 6.9 articles annually. Word frequency results demonstrated that the common keywords of both sections were 'service', 'quality', 'social service', 'satisfaction', 'users', 'quality control', 'reuse', 'policy', 'voucher', etc. TF-IDF suggested that 'social service', 'satisfaction', 'users', 'customer satisfaction', 'revisiting', 'voucher', 'quality', 'assisted living facility', 'quality control', 'community service investment business', etc., were represented in both categories. Lastly, topic modeling analysis revealed that the first segment displayed 'types of care services', 'service costs', 'reuse', 'users based', and 'job creation', whereas the second presented 'service quality', 'public value', 'management system of human resources', 'service provision system', and 'service satisfaction'. Future directions of social service quality were discussed based on the results.

Improvement of Dementia Service through an Analysis of Dementia Knowledge of Care-givers at Adult Day Service Center (노인주간보호센터 돌봄 종사자의 치매지식 분석을 통한 치매서비스 개선 방안)

  • Han, Jeong-Won
    • Journal of the Korea Convergence Society
    • /
    • v.13 no.5
    • /
    • pp.559-565
    • /
    • 2022
  • As South Korea has become an aged society, the dementia rate has also been increasing. With the introduction of both de-institutionalization and community care in 2017, the importance of community-based care has increased. Perspectives on dementia have also been shifting from the medical model and social model to the person-centered model. This paper suggests ways to improve dementia service through analyzing the dementia knowledge of care-givers at ADS. The paper includes an FGI with the care-givers who have worked for more than 2 years. Based on such FGI, the paper draws sub-themes from 7 areas. Among the suggestions for improvement are: community-based service with daily routine practice, improving awareness of dementia for co-living, and person-centered service based on individuality and diverseness.

The Effects of Visiting Nursing Services in Long-term Care Insurance: A Difference-in-Difference Analysis (이중차이분석을 활용한 노인장기요양보험제도의 방문간호서비스 효과)

  • Kim, Jieun;Lee, Insook
    • Research in Community and Public Health Nursing
    • /
    • v.26 no.2
    • /
    • pp.89-99
    • /
    • 2015
  • Purpose: The purpose of this study was to demonstrate the effects of visiting nursing services in long-term care (LTC) insurance on changes in health status and physical functions among the elderly. Methods: We analyzed survey data on the living status and welfare needs of the elderly from 2008 and 2011 using the difference-in-difference method with propensity score matching. Results: The subjects were 76 elders including 38 visiting nursing service users(intervention group) and 38 home-based LTC service users (control group). Results from DID analysis confirmed that the subjective health status level of the intervention group was 2.2 points higher (p=.044) and the depression level was 0.3 point lower (p=.039) than the control group. In addition, the intervention group's ADL score was 1.9 (p=.027) and IADL 3.9 (p=.030), showing that their health was deteriorated less. Conclusion: Visiting nursing service in LTC insurance was associated with delayed deterioration of subjective health status, depression, ADL and IADL. These findings suggest the need of rebuilding visiting nursing service programs focusing on prevention services, which will be more contributive to elderly health care and the reduction of social costs.

Inclusion of Home-based Rehabilitation Services in the Long-Term Care Insurance - Review on the Home-based Physical Therapy in the OECD - (노인장기요양보험제도를 통한 방문재활 서비스 도입방안 -서비스 공급주체로서 OECD국가 가정방문물리치료의 고찰-)

  • Yoon, Tae-Hyung
    • The Korean Journal of Health Service Management
    • /
    • v.5 no.4
    • /
    • pp.161-175
    • /
    • 2011
  • The purpose of this study was to expand the home-based rehabilitation services in the long term care insurance. This study was reviewed on the home-based physical therapy in the OECD. The way of this study was literature search and review. This was to reviewed Proquest, Sciencedirect, SpingerLink, Pubmed. Kew word is "home-based therapy". This was collected 71 articles and final analyzed article was 49. The results were as follows; The article number is seven in Canada, fifteen in USA, five in UK, six in Australia, three in Sweden, five in New Zealand, two in Netherlands, one in Turkey, South Korea, Japan, France, Spain, Italy respectively. Randomized controlled trial is fifty, case-control study is eleven, interview is three, literature review is two, and case report, cost-analysis, cost-effectiveness, pilot study, single blinded parallel design, demonstrative study, survey is one respectively. Physical therapist played an important role in home-based rehabilitation among OECD than nurse. Therefore, we must introduce home-based physical therapy in long term care insurance in South Korea.