• 제목/요약/키워드: 요양서비스

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미국의 노인을 위한 주거대안과 서비스의 특성을 통해 본 한국의 노인주거 정책에 대한 제안 (Suggestion on Senior Housing Policy with Consideration of the Features of Service and Housing Alternatives for the Senior of the U.S.A.)

  • 곽인숙
    • 가정과삶의질연구
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    • 제21권6호
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    • pp.81-95
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    • 2003
  • While Korean traditional culture considers it necessary that children support their parents, a new trend of silver support is expanding by the recent social change, the increase of women's working, and the reluctance to support the old people. However, the number of silver welfare facilities in Korea is short for the demand with limited selections of them. Based on the situation, the following results of the study what kind of policies Korea service for the old people in the USA where early stepped into the aging society: 1. provide specific and proper social-supporting service and facilities with charge or free for the old people to be able to select one of them, according to economic, physical and psychological situation of the old people; rather to prepare service and facilities for all the old people. 2. increasing community service support for the home-staying old people 3. the development of support program for the family of the old 4. the improvement of housing environment for the home-staying senior 5. prepare the housing alternatives for the senior would be home-like environment.

장기요양보험 등급판정 대상자의 지역별 방문간호 서비스 이용 만족도 및 요구도: 대도시, 중소도시, 농촌 지역을 중심으로 (Regional Comparison of Home Visiting Care Service Satisfaction among Elder Beneficiaries of the Long Term Care Insurance)

  • 곽찬영
    • 지역사회간호학회지
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    • 제27권2호
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    • pp.114-123
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    • 2016
  • Purpose: This study aims at comparing levels of service satisfaction with and needs for visiting nurse(VN) services among their beneficiaries in order to make a plan for extending VN services. Methods: The number of the subjects of this study is 270 in total. They were selected in random sampling in which 30 VN service recipients were randomly selected from each of 7 regions based on their grades and region types. Results: The highest total score for satisfaction with the VN services was 46.30, which the rural residents gave to their received VN services, then the metropolitan residents gave 44.57, and the small and middle size cities' residents 43.64. On the other hand, the highest total score for needs for VN services was 33.03, which the small and middle size cities' residents gave to their received VN services, then the rural residents gave 31.68, and the metropolitan residents 30.88. Conclusion: As the small and middle size cities' residents showed low satisfaction with and high needs for local VN services, policies need to be made to promote service providers' expertise and accessibility.

노인데이케어센터의 지역융합형 발전방향 (Development of Daycare Center for Senior Users as Community-Cohesive Facility)

  • 한정원
    • 한국산학기술학회논문지
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    • 제15권3호
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    • pp.1489-1495
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    • 2014
  • 고령화시대를 맞아서 한국은 2008년부터 노인장기요양보험을 실시하면서 노인부양부담을 가족으로부터 국가의 책임으로 인식하기 시작하였다. 데이케어센터(주간보호센터)는 사회적 보살핌을 제공하는 시설 중의 하나로 입소생활시설과는 다른 주간이용시설인데 설립초기 자원부족 및 서비스 질 향상 등의 문제가 지적되어 왔다. 본 논문에서는 데이케어센터를 지역을 중심으로 접근하면서 그 발전방향을 논의하였다. 또한 전문가심층면접분석을 통해서 데이케어센터의 차후 비전을 제시하였다. 심층분석 결과로는 데이케어센터에서 제공하는 건강케어 프로그램은 지역사회의 문제 및 특성을 반영하여야 하고, 사용자 중심이어야 하며 지역통합적 방식을 취해야 함이 제시되었다.

요양보호사 교육기관 교육서비스 질 평가 도구개발 (Development of an Evaluation Instrument for Education Services Quality in Learning Facilities for Care Workers)

  • 진영란;이효영
    • 보건의료산업학회지
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    • 제7권4호
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    • pp.33-47
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    • 2013
  • The purpose of this study is to identify the important factors of education service quality and to develop the evaluation instrument in learning facilities for care workers. This study was processed as four steps. First, the important factors were confirmed through literature reviews and the expert board discussions. Second, the evaluation instrument was developed and validity & reliability of the instrument were checked by factor analysis and Cronbach's ${\alpha}$. Lastly, the instrument was rechecked by the expert board in language usages and importance of the items. The results indicated that the important quality factors were divided with infrastructure and service process. Especially, the process contained providing appropriate education information & counseling, providing appropriate contract & paying fees, keeping specified service principles and so on. The study instrument was developed with 28 items. This instrument will be helpful to improve the education service quality. Besides, the staffs must continuously try to improve and manage their education services using the results of this kind of evaluation instrument.

일부 노인 장기요양보호기관 종사자간의 서비스연계 조사 (The Analysis of Factors on the Service-Linkage of Long-term Care Workers for the Elderly)

  • 유재응;김경;차용준
    • The Journal of Korean Physical Therapy
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    • 제24권1호
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    • pp.35-40
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    • 2012
  • Purpose: This study was to analyze the factors that affect the service relationship of long term care workers for the elderly and to provide basic resource for the successful connection of long term care services. Methods: 259 subjects who were engaged in long term care units completed a self-administered questionnaire that measured the extent of service linkage among one another. The Cronbach's ${\alpha}$ score determined the internal consistency of the acquired data and the discriminated validity was estimated by Pearson's correlation coefficient. Multiple regression analysis was conducted to investigate the influence of the known factors on the service linkage. Results: Acceptance and participation negatively influenced on the service linkage. Reliance, comprehension, recognition on service, and frequent contact with others positively activated the service linkage of long term care workers. Conclusion: The establishments of systemic training courses providing education that emphasizes reliability and recognizes other services, including work environment to contact easily are needed to improve the service-linkage of long-term care workers for the elderly.

심리적 권한위임이 노인요양병원 종사자의 자발적 서비스태도에 미치는 영향: LMX의 조절효과 (An Effect of Psychological Empowerment on Employees' Voluntary Service Attitude in the Elderly Care Hospital: Moderating Effect of LMX)

  • 신옥순;조철호
    • 품질경영학회지
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    • 제46권1호
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    • pp.75-94
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    • 2018
  • Purpose: This research intended to explore a causal relationship among empowerment, job satisfaction, organizational citizen behavior, and customer orientation of employees working at the elderly care hospital, and we intended to explore mediating role of job satisfaction and organizational citizen behavior(OCB) and moderating role in the relationship of them. Methods: A survey tool was questionnaire that had obtained validity and reliability through literature survey and pretest survey, and sample 388 was analyzed through SEM using SPSS21.0 and AMOS21.0. Results: All theoretical relationships on research model were turned out except one between empowerment and customer orientation. Job satisfaction and organizational citizen behavior play an important mediating role in the research model. LMX plays a moderating role in the research model. Conclusion: In order to delegate the duties of the elderly nursing facility and to manage and operate the efficient human resources, the quality of the LMX should be raised so that the empowerment, job satisfaction and organizational citizenship behavior of the employees ultimately strengthen the customer orientation of them.

장기요양서비스 노인 주 부양가족의 가족부담감, 가족지지, 우울, 만족도 평가 (Relationship between Family Burden, Family Support Depression, and Satisfaction of the Elderly Caregiver)

  • 이주영;김영애
    • 지역사회간호학회지
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    • 제20권1호
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    • pp.41-48
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    • 2009
  • Purpose: This study was aimed to explain the relationship of family burden, family support, depression and satisfaction among caregivers of the elderly. Methods: The study population were 126 caregivers of 5 elderly residing in institutionalized nursing homes in Seoul and Kyunggi. The research tool of this study was a structured questionnaire on family burden, family support, depression and satisfaction. The data were collected from March 13 to April 30, 2008, and analyzed by Cronbach's alpha, descriptive statistics, t-test, ANOVA and Pearson's correlation coefficient and multiple regression by using the SPSS/WIN 14.0 program. Results: The major findings of this study were as follows: a significant positive correlation between family support and depression (r=.65, p=.001) was found. A significant positive correlation between family support and satisfaction (r=.68, p=.001) was perceived. Significant factors influencing Satisfaction were Family Support, which explained 38.2% of the variance of Satisfaction of Elderly Caregiver. Conclusion: This study suggested that we should develop programs and policies to increase the satisfaction of caregivers for their family support. In conclusion, the study was done to give suggestions to improve caregiver satisfaction of the aged and to serve as a basis for policy strategies by examining the current conditions of the nursing facilities.

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장기요양서비스 수급 후기노인의 인지향상 프로그램 중재 효과 (Effects of a Cognition Activation Program for the Institutionalized Old-Old in Korea)

  • 이홍자;이도현
    • 지역사회간호학회지
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    • 제24권4호
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    • pp.427-437
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    • 2013
  • Purpose: This study was conducted to test effects of a cognition activation program on ADL, cognitive functions, depression, and QOL in the institutionalized elderly. Methods: The subjects were 40 elders who were admitted to a nursing home, with 20 of them in the experimental group and the other 20 in the control group. Data were collected from September 1 to December 17, 2012. The experimental group participated in a 12 week intervention program. ADL, cognitive functions, depression, and QOL were measured before and after the intervention. Data were analyzed by t-test and regression analysis of the SPSS and AMOS programs. Results: ADL (t=2.468, p=.017), depression (t=-2.625, p=012), and QOL (t=2.428, p=.020) were more significantly improved in the experimental group than in the control group, but there were no statistical differences in cognitive function between the two groups. Cognitive functions had positive effects on ADL (CR=-2.263, p=.024) and depression affected QOL (CR=-7.248, p<.001). Conclusion: The intervention program had positive effects on ADL, depression, and QOL except cognition. Cognitive functions of elders dramatically decrease after age 85, and it takes too much time to improve it. Therefore the program for the improvement of cognitive functions should be provided as early as possible.

IOT기반 사회적 약자 보호시스템에 대한 연구 (The Study of humancare system for the weak based on IOT)

  • 김민철;박경환;김은지;이길흥;김우제
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2016년도 제53차 동계학술대회논문집 24권1호
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    • pp.117-119
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    • 2016
  • 본 논문에서는 IOT 서비스와 접목하여 사회적 약자를 보호할 수 있는 시스템에 대해 제안하고자 한다. 최근 사회적 약자(영유아, 노인, 환자 등) 대상의 보호시설 내부에서 폭행 사건이 빈번하게 발생하고 있다. 안전해야 할 보호시설(보육시설 및 요양원, 실버타운)에서 발생하는 문제로 인해 보호자들은 기관을 신뢰할 수 없게 되었고 이는 매출감소 및 이미지 악화 등의 연쇄적인 사회적 문제로 발전하고 있다. 이러한 문제를 감소시키고자 방범용 CCTV, 녹음 어플리케이션의 사용이 해결책으로서 제시되고 있지만, 폐쇄적인 시스템 구조로 인해 기록의 은폐 및 추가적인 병리 현상 발생의 가능성이 염려 되어 근본적인 문제 해결이 어렵다고 판단되었다. 그래서 보호시설 내부에 비콘과 영상장비를 설치하고 웨어러블과 같은 모바일 디바이스를 활용하여 보호자가 피보호자(사회적 약자)의 위치를 실시간으로 파악하고 상태를 볼 수 있도록 하는 휴먼케어시스템의 개발을 제안하고자 한다.

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노인요양병원 입원환자가 지각하는 의료서비스품질 평가 -Kano모델에 근거한 Revised IPA를 활용- (Assessment of Medical Service Quality Perceived by In-patients of Geriatric Hospitals -Using Revised IPA Applying the Kano's Model-)

  • 고민석
    • 보건의료산업학회지
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    • 제7권1호
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    • pp.133-144
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    • 2013
  • The present study is aimed at assessing medical service quality as perceived by in-patients of geriatric hospitals and at analyzing the excitement factors by using revised IPA Applying the Kano's model for users' satisfaction. The data was collected from Nov. 5 to Dec. 7, 2012. Among a total of 503 cases of questionaries, only 419 cases were used. To data were analyzed by PASW statistics 18.0 and revised IPA applying Kano's model. The paired t-test results reveal that satisfaction was higher than the expectation level at a statistically significant level across all the medical service quality factors. The revised IPA results categorized facility convenience, hospitalization and care, and kindness as basic factors and medical reliability and access as excitement factors. In conclusion, medical reliability and access, which were identified as excitement factors of medical service quality, are essential opportunity factors for users and should accordingly be used as strategic factors to increase satisfaction with a geriatric hospital and induce customer surprise.