• Title/Summary/Keyword: 장기인

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Determinants of Long-Term Care Service Use by Elderly (노인장기요양서비스 이용형태 결정요인 연구)

  • Lee, Yun-kyung
    • 한국노년학
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    • v.29 no.3
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    • pp.917-933
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    • 2009
  • This study examined the factors affecting forms of long-term care service use by elderly and the forms of use are classified facility care service, home care service, and unused. It is used data from the 2nd pilot program for the Long Term Care Insurance scheme and it is analysed 5,497 cases. Multi-nominal regression is used. According to the results, women use formal service more than man do, and wowen use facility care than home care. Those who eligible for National Basic Livelihood Security System(NBLSS) are shown to have higher use of formal care(especially facility care) than the middle income class, and the low income class than the middle income class has lower use of formal care. In addition, higher the family care is available, lower the taking part in the service. The big cities and mid sized cities than rural are used the formal service and moreover mid sized cities are used facility care than home care. Furthermore, the level of care need is determinants of service use and function of ADL, IADL, and abnormal behavior is also determinants of formal service(especially facility care). But nursing need and rehabilitation need are not determinants of formal service use. Based on the results, the recommendations are developed and implemented for the improvement the elderly long-term care insurance.

Study on the Efficient Integration of Long-term Care Facilities and Geriatric Hospitals by Using NHIC Survey Data (실태조사를 통한 장기요양시설과 요양병원의 효율적 연계방안)

  • Choi, in-duck;Lee, eun-mi
    • 한국노년학
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    • v.30 no.3
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    • pp.855-869
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    • 2010
  • The purpose of this study is to identify how to efficiently integrate long-term care facilities into geriatric hospitals. We conducted a survey on the current operations of facilities and medical services of 2009 of 192 long-term facilities and 168 geriatric hospitals in Korea between October and November. Technical statistics and chi-square test were conducted on the collected data using the SPSS 13.0/Win program. There was a difference between the two facility types in terms of the co-payment levels of the food services. Both types selected the budget deficit as their major management problem. Ease of access and the surrounding environment were critical factors used to select the location of both types of facilities. Facility users benefited from the discounted co-payments of both facility types. However, facility users wanted more frequent visits and support from their family members during their stay at the facilities. It was discovered that users in the long-term care facilities stayed longer, that is until they died, compared to their counterparts in geriatric hospitals. The two types of facilities provided their services totally separately to users. Users of the two types of facilities are poorly supported and cared for by their families. This study suggests that setting reasonable service fees, paying caretakers, introducing an integrated facility, strengthening facility assessment standards, introducing the family doctor system, and introducing the handling of long-term care insurance by geriatric hospitals would allow the integration between long- term care facilities and geriatric hospitals to be beneficial.

An Exploratory Study on the Experience of the female Elderly using a Long-Term Care: Centering on Users of Home-Visit Bath (장기요양보호를 이용하는 여성노인의 경험에 관한 탐색적 연구: 방문목욕 이용자를 중심으로)

  • Shin, Gun-cheol
    • 한국노년학
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    • v.30 no.4
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    • pp.1345-1357
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    • 2010
  • This research, with the participants of the female elderly using a home-visit bath among long-term care services, made an in-depth analysis of what they experience while getting a home-visit bath. We conducted in-depth interviews with 8 elderly people. According to the result, the female elderly experienced the absence of a caregiver, difficulty in carrying out daily life due to physical diseases, getting what they need by themselves, getting comfortable in body and mind, accepting their given situation though feeling shame at getting a bath, and expressing their desires. In addition, they had a close relationship with a care helper. On the basis of the results, a systematic training system which could intensify the professionalism of care helpers was suggested. For the enhancement of the elderly's emotional stability in a long-term care, an integrated case management system was also suggested, which supports the family by organizing an integrated network by region between a long-term care service, home-visit care service, welfare center, and the National Health Insurance Corporation.

Development and Validation of the Classification of Home-based Long-term Care Activities (노인장기요양보험 재가서비스 분류 틀 개발 및 타당도 검증)

  • Song, MI Sook;Song, Hyun Jong
    • 한국노년학
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    • v.34 no.2
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    • pp.369-386
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    • 2014
  • The purpose of this study was to develop the classification of home-based long-term care activities and to test its validity. In this study, the taxonomy of long-term care activities was structured according to the service domain and process. Two expert groups participated in making a draft of the taxonomy that was composed of 7 service domains, 22 care needs, 22 service objectives, and 114 activities. Reliability and validity of the taxonomy was tested in a sample of 152 elderly subjects who used the home-based long-term care services. Based on the factor analysis of 114 activities, 21 factors were extracted from 114 activities. Internal consistency of the factors was high. Content validity was confirmed by the CVI. Long-term care insurance grade was used to assess the criterion validity. Among 21 care needs, 12 cares needs were significantly different from their grade. The classification of home-based long-term care activities demonstrated reliability and validity. In conclusion, the use of this classification is recommended while communicating with the elderly subjects, service providers, and the 3rd party payers.

Multidetector CT Findings of Solid Organ Injury Based on 2018 Updated American Association for the Surgery of Trauma Organ Injury Scaling System (2018 개정 미국외상수술협회 복부고형장기 손상척도에 따른 다중검출 CT 소견)

  • Hyo Hyeon Yu;Yoo Dong Won;Su Lim Lee;Young Mi Ku;Sun Wha Song
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1348-1363
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    • 2020
  • The newly revised 2018 Organ Injury Scale (OIS) has a similar format to the previous American Association for Surgery and Trauma (AAST) Emergency General Surgery Grading System, dividing the criteria for grading solid organ damage into three groups; imaging, operation, and pathology. The most significant alteration in the OIS system 2018 revision is the incorporation of multidetector CT (MDCT) findings of vascular injury including pseudoaneurysm and arteriovenous fistula. Similar to the previous OIS, the highest of the three criteria is assigned the final grade. In addition, if multiple grade I or II injuries are present, one grade is advanced for multiple injuries up to grade III. This pictorial essay demonstrates the MDCT findings of solid organ injury grades based on the 2018 OIS system.

Evaluation of Physical Properties and Long-term Stability of Expansion Materials for Emergency Repair by Temperature (긴급복구용 팽창재료의 온도에 따른 물리적 특성 및 장기 안전성 평가)

  • Park, Jeongjun;Kim, Kisung;Kang, Hyounhoi;Kim, Ju-Ho;Hong, Gigwon
    • Journal of the Society of Disaster Information
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    • v.14 no.1
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    • pp.79-88
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    • 2018
  • In this study, the changes of the expansion and strength according to the temperature of the emergency repairing expansion material were examined by cup foaming test and uniaxial compressive strength test, and the accelerated compression creep test was carried out to confirm the long term stability. Ramp & Hold test and accelerated compressive creep test were performed to evaluate the creep performance. The short - term creep test was used to determine the initial creep strain of the expanding material. The isothermal method using time - To evaluate the long - term compressive creep performance.

Improvement in Long-term Behavior Estimation of Prestressed Composite Girders for Various Construction Sequences using Parametric Study (변수해석을 통한 프리스트레스트 합성거더의 시공단계별 장기거동 평가법 개선방안)

  • Bae, Doobyong;Oh, Chang Kook
    • Journal of Korean Society of Steel Construction
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    • v.25 no.4
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    • pp.369-377
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    • 2013
  • The age-adjusted effective modulus method has been known to provide more precise assessment than the traditional Yassumi method for long-term behavior estimation of prestressed composite girders. The age-adjusted effective modulus method, however, involves complicated calculation, thereby making the Yassumi method more prevalent in actual design. This study presents rational approaches to revise creep coefficients for the Yassumi method by using parametric study results obtained from the age-adjusted effective modulus method.

A Study on Storage Analysis of Topyeong Stream Watershed by Washland Construction (천변저류지 조성에 따른 토평천 유역의 저류량 분석)

  • Kim, Jae Chul;Yu, Jae-Jeong;Kim, Sangdan
    • Journal of Wetlands Research
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    • v.10 no.2
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    • pp.39-51
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    • 2008
  • In recent days, the cases of using wetlands in treating waste water, storm events, mining leachate, and agriculture effluents are increasing. But there is the lack of the data for wetlands because of the difficulty in long term monitoring. Such an aspect makes the proper use of wetland impractical. In this study for the purpose of generating a long term hydrologic data, the time series of storage amount for Upo, Mokpo, Sajipo, and Jjokjibeol in Topyeong watershed is simulated using SWAT model. Based on the SWAT-Topyeong model involved in several scenarios for constructing new washlands in Topyeong watershed, the temporal behavior of new washlands is analyzed. It is also revealed that the constructed washland can affect the Upo in some degrees.

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An Empirical Study on Factors Affecting the Relationship Quality in Shipping Service Market : Primarily on Relationship between Liner Shipping Companies and Freight Forwarders (해운서비스시장에 있어서 관계질에 영향을 미치는 요인에 관한 실증연구 - 정기선사와 운송주선인간의 관계를 중심으로 -)

  • Choi Young-Ro;Shin Han-Won
    • Journal of Navigation and Port Research
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    • v.30 no.1 s.107
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    • pp.73-83
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    • 2006
  • The purpose of this study is to analyze the dynamic market mechanism adopting relationship marketing techniques between the shipping companies and shippers. As shipping companies mainly rely on sales operation, the relational structure of shipping companies and shippers is considered to be one of the determinants in business performance and customer satisfaction In this respect, the characteristic relationship between sales person and shipping company takes an important roles in relationship marketing in shipping business industry. An empirical study was carried out to find out the determinants cf relationship quality and antecedent factors of characteristics in shipping companies and sales person.

An Estimation of the Equilibrium Error by the Short Term Disequilibrium Relations between the Markets (시장간 단기적 불균형 관계에 따른 균형오차의 추정)

  • Kim, Tae-Ho
    • The Korean Journal of Applied Statistics
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    • v.21 no.2
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    • pp.221-231
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    • 2008
  • This study attempts to perform the statistical tests for the comovement of the stock prices between Korea and U.S. by using the weekly data instead of the usual daily data. The restoring pattern, from the short-run disequilibrium to the long-run equilibrium point, is also carefully estimated if the long-run relationships exist between the stock prices. The cointegrating relations between the stock prices appear to begin to hold during the period of the financial crisis. It is found to be consistently estimated that the equilibrium error is slowly eliminated till the end of the financial crisis, while quickly removed after the period.