• Title/Summary/Keyword: 재가성

Search Result 388, Processing Time 0.026 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.

Effects of Freezing and Reheating on the Textural Characteristics of Mungbean Flour Gels and Mungbean Cake(Bindaedduk) (동결 및 재가열이 녹두가루겔 및 빈대떡의 조직 특성에 미치는 영향)

  • 고하영;우자원
    • Korean journal of food and cookery science
    • /
    • v.15 no.4
    • /
    • pp.353-357
    • /
    • 1999
  • The textural characteristics of mungbean flour gels and mungbean cake(Bindaedduk) were investigated in steam and microwave reheating condition after 20$^{\circ}C$, 5$^{\circ}C$ and -18$^{\circ}C$ storage. The hardness of mungbean flour gels were 2.36 kg in microwave reheating and 3.59 kg in steam reheating after 6 days frozen storage, respectively and its gumminess were increased after reheating. The hardness of mungbean flour gels did not significantly change with the storage temperature. The textural characteristics of mungbean cake made with 2 parts of mungbean flour and 1/2∼1/8 parts of nonwaxy rice flour had the similar values in spite of the different compositions. Microwave reheated mungbean flour gels had the different hardness values of 4.13 kg in non package and 1.70 kg in polyethylene film wrap after 24 hours storage at 20$^{\circ}C$. In sensory evaluation mungbean flour gels showed the high scores in hardness and the unpleasant flavor after reheating but mungbean cake of different compositions showed the good sensory qualities.

  • PDF

The Moderating Effect of Home-Based Welfare Facilities for Older Adults between ADL/IADL and Depressive Symptoms among Korean in Later Life (노인의 일상생활수행능력이 우울감에 미치는 영향에 대한 지역사회 재가노인복지시설의 조절효과)

  • Joo, Susanna;Jun, Heyjung;Choi, Bomi
    • 한국노년학
    • /
    • v.38 no.1
    • /
    • pp.243-259
    • /
    • 2018
  • The purpose of this study is to investigate the moderating effect of home-based welfare facilities for older adults on the associations between the activities of daily living (ADL) / instrumental activities of daily living (IADL) and the depressive symptoms among Koreans in later life. Multilevel analysis was conducted with Korean Longitudinal Study of Aging 5th data and the public report about welfare facilities from Ministry of Health and Welfare in Korea. Samples were 4,139 older adults over 65 years old. The dependent variable was depressive symptoms, and individual level independent variables were ADL and IADL. The ratio of home-based welfare facilities out of 10,000 older adults in each city and province was the moderator. As a result, the effects of ADL on depressive symptoms vary according to the proportion of elderly welfare facilities out of the old population in the community. In specific, the older adults who live in the place where the elderly welfare facility rate was higher were less affected by ADL. Also, the more IADL people had, the more depressive symptoms they had. However, the interaction effect between IADL and the proportion of home-based welfare facilities was not significant. It suggests that delivering welfare services helping ADL through the home-based welfare facilities may be useful for decreasing depressive symptoms. Moreover, considering the proportion of facilities and older population will be helpful to make the welfare facilities efficiently work.

A Study on the Effectiveness of Team Approach In Case Management Service for the Elderly in Puchon : A Pretest-Posttest Study (재가 노인을 위한 사례관리 서비스의 효과성 연구 - 팀접근 모델을 중심으로 -)

  • Chung, Soon-Dool;Ko, Me-Young
    • Korean Journal of Social Welfare
    • /
    • v.54
    • /
    • pp.273-294
    • /
    • 2003
  • The outcome of study has shown that team approach in case management in the community welfare center has shown a fair amount of effectiveness in increasing the quality of life for the elderly. 30 elderly people who had complex difficulties in life were selected and given case management for a 6 month period. The student volunteers supervised by a case manager visited the clients once a week and arranged a series of community resources following assessment of the clients' needs. A group of professionals active in the community was invited for supervision. Compared to the clients in the comparison group, those clients who case management showed the increase in the quality of life and life satisfaction scale. The results of the study suggest that face-to-face service for the elderly is one important factor for successful case management intervention. Also, a team approach in case management utilizing professionals and volunteers can be useful for the case manager in the community welfare center who is overwhelmed with too many case loads.

  • PDF

A Study on the Determinants of Private Long-Term Care Insurance and First Home Care Use in the United States: Using Discrete Time Model (미국의 민간장기요양보험 가입과 재가요양서비스 이용의 결정요인에 관한 연구: 이산시간모델을 사용하여)

  • Kim, So-Yun;Hong, Gong-Soog;Montalto, Catherine P.
    • Survey Research
    • /
    • v.11 no.2
    • /
    • pp.97-121
    • /
    • 2010
  • Using the 1998-2004 Health and Retirement Study(HRS), this study explored the determinants of private long-term care insurance(LTCI) ownership and the first home care use. To account for the interaction between LTCI purchase and home care use, this study used two-period utility model as theoretical framework. Discrete time model was used as an empirical model to incorporate the time-dependent feature of LTCI ownership. And this study accounted for the endogeneity of LTCI ownership and home care use by employing full information maximum likelihood estimation. This study indicated insignificant effects of private LTCI ownership and Medicaid eligibility on the home care use. Also, the effects of income and assets on home care utilization were negligible. Those who have poor health condition and who do not have potential informal caregivers were more likely to use home care. For private LTCI ownership, income and assets have positive relationship with LTCI purchase, and poor health status and age were negatively related to LTCI purchase. The elderly living with children and those who have more siblings were less likely to have private LTCI, and those who lived with spouses with no children were more likely to buy private LTCI. Based on the findings, this study provides implications to design long-term care(LTC) policies in the U.S. and to develop LTC planning education programs.

  • PDF

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

  • Lee, Yun-kyung
    • 한국노년학
    • /
    • v.29 no.3
    • /
    • pp.917-933
    • /
    • 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.

Assessment of Sensory Attributes and Safety of Cook-Chilled Buchu-jeon (Cook-chill 부추전의 관능성 및 안전성 평가)

  • Lee, Kyung-Eun;Lyu, Eun-Soon;Jeong, Dong-Kwan
    • Journal of the Korean Society of Food Science and Nutrition
    • /
    • v.34 no.6
    • /
    • pp.850-856
    • /
    • 2005
  • The sensory and safety of cook-chilled Buchu-jeon were evaluated to provide to foodservice operation during chilled storage for 5 days. The sensory evaluations of cook-chilled Buchu-jeon were conducted according to 3 reheating methods which was frying pan, steam/convection oven and microwave oven. The sensory evaluations were made on 4 sensory attributes (taste, odor, color, and texture) by a 9-member panel using quantitative descriptive analysis (QDA). The Buchu-jeon reheated in the steam/convection oven, after 1 day storage at $3^{\circ}C$, obtained higher score in taste, odor and texture than the ones reheated in a frying pan and microwave oven. Three reheating methods didn't show any difference in taste, odor, color, and texture of Buchu-jeon at $3^{\circ}C$ for 3 days. The Buchun-jeon reheated in microwave oven at $3^{\circ}C$ for 5 days had a significant $(p\leq0.05)$ lower score odor and color than the ones reheated in frying pan and steam/convection oven. The safety of Buchu-jeon was also evaluated by measuring total count, coliform count, psychrotrophic count, acid value and peroxide value during 5 days of storage periods at $4^{\circ}C$C. Total counts of Pajeon was ranged from $5.0\times10^{1}$ CFU/g to $2.2\times10^{2}$ CFU/g and the coliform and psychrotroph were not detected at most experiments. The acid values were ranged from 1.80 to 2.18 mg of KOH/g of fat until 5 days at $4^{\circ}C$. And the peroxide values were ranged from 4.44 to 17.87 meq of peroxide/kg of fat until 5 days of storage period. Therefore, these results demonstrated that the cook-chilled Buchu-jeon is microbiologically and chemically safe during 5 days of storage period at refrigeration temperature.

Disabled People of activities of daily living and quality of life relationship (재가장애인의 일상생활활동과 삶의 질의 관계)

  • Kim, Jeong-Won;Oh, Myung-Hwa;Chung, Hyun-Ae
    • The Journal of the Korea institute of electronic communication sciences
    • /
    • v.8 no.1
    • /
    • pp.173-180
    • /
    • 2013
  • This study investigated the quality of life, activities of daily living, and 20 years of age or older and disabled people living in Gwangju, Naju area. Performance of Basic daily life activities and instrumental activities of daily living, and quality of life were investigating the extent to Learn these correlations, bivariate correlation analyzes were conducted. The results showed lower quality of life, lower performance of activities of daily living was instrumental activities of daily living, quality of life and more relevant. Through this study of disabled people, more independent and to lead the life of quality is high, it is trying to be helpful in the future.