• Journal of Family Resource Management and Policy Review
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• v.25 no.3
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• pp.69-85
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• 2021

The purpose of this study was to explore ways to revitalize the community-based child care community by identifying the factors that are hindering and activating the operation and use of this community by elementary school students. To this end, an in-depth interview survey was conducted of operators of child care communities in Jeollabuk-do and users of caring communities. Detailed themes, sub-ranges and upper ranges were determined through a qualitative research method. As a result of the study, it was determined that the basic environmental weakness of the caring community and its lack of power are the things hindering the operation and use of rhe communities the most. On the other hand, the main activation factors for community-based child care community activities were the stabilization of the environment and the strengthening of the internal capacity of the care community. This study is meaningful as basic data for the safe establishment and activation of a community-based child care community, which is emerging as an alternative to the child care gap due to the prolonged effects of COVID-19.

• Journal of Family Resource Management and Policy Review
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• v.25 no.3
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• pp.31-45
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• 2021

Despite efforts to expand public care services as social demands increase, the problem of the after-school self-care of elementary school students who were in the situation of care cliff remains. Thus, this study focused on community-based childcare to solve the issue of school-age childcare in Korea. The purpose of this study was to explore the experience of community-based childcare of participants who had school-aged children who lived in Seoul and GyeongGi province (Korea). Focus group interviews were conducted with ten married working mothers among clients of a community-based childcare provider that has been operating for more than five years. Based on the findings of this study, it is clear that community-based childcare is a useful welfare resource. In addition, the results of this study can be used as data for developing policies and programs for school-age childcare or the after-school self-care of elementary school students. Furthermore, it may broaden the horizons of research related to community-based childcare.

• The Journal of Learner-Centered Curriculum and Instruction (JLCCI)
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• v.22 no.1
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• pp.243-276
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• 2018

This paper analyzes the possibilities and practical limitations of ecological welfare commons in the case of Hansalim Seoul's community care. As a commons against social-ecological crisis, the localized Salim movement in Hansalim Seoul is noteworthy as an articulation of ecological transition and socialization of care. Community care as a part of the localized Salim movement suggests the possibilities of good care by pursuing comprehensive care beyond functional(or physical) care and trying to improve the conditions of care work. In addition, Hansalim Seoul's community care is experimenting with the combination of care service and ecological transition based on a comprehensive definition of care. Of course, the scale of welfare commons in Hansalim Seoul is limited and it is not enough to fundamentally solve the undervaluation and feminization of care work. However, the tension between welfare commons and universal welfare is alleviated by pursuing open welfare commons. In the localized Salim movement, commoning focuses on experimenting with the articulation of ecological transition and socialization of care and on spreading alternatives based on its experiments. If such commoning is spread and public support is strengthened, the ecological welfare commons will be able to develope as an alternative that combines ecological welfare and good care.

• 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.

• Journal of agricultural medicine and community health
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• v.47 no.3
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• pp.143-153
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• 2022

목적: 병원에서 재가 및 시설로 퇴원한 환자가 지역사회에서 건강을 유지하기 위해서는 전환기 돌봄서비스(Transitional care services)가 필요하다. 이를 위해 지역사회 내 의료서비스와 자원을 연계하는 주치의의 역할이 중요시된다. 본 연구에서는 선행연구를 바탕으로 일차진료 의사들의 환자중심성에 대한 인식을 파악하여 환자중심 기반의 서비스 제공을 위해 필요한 정책을 제시하였다. 또한 Transitional Care Service에 대한 일차진료 의사들의 인식을 확인하고 인구사회학적 요인과의 관계를 확인함으로써 서비스 우선순위를 도출하고자 하였다. 방법: 본 연구는 전국의 가정의학과, 내과, 신경과 등 노인 질환과 관련 있는 과의 전문의 자격증이 있으며 자발적으로 온라인 설문조사에 참여할 의사를 표현한 일차진료 의사 259명을 대상으로 수행되었다. 환자중심성 및 전환기 돌봄서비스에 대한 인식을 살펴보기 위해 구조화된 설문지를 개발하였으며, 조사전문업체를 통해 2019년 10월 28일부터 2019년 11월 22일까지 온라인으로 설문조사를 수행하였다. 결과: 본 연구에 대한 주요 결과는 다음과 같다. 첫째, 일차진료 의사들을 대상으로 9가지 전환기 돌봄서비스 인식에 대해 살펴본 결과 "입원 시 진단, 건강상태, 치료계획 및 결과 에 대한 설명(4.4)"과 "퇴원 후 자가 건강관리를 위한 정보 및 훈련 (4.2)"에 대한 필요성이 높게 나타났다. 둘째, 35세 이상 일차진료 의사가 34세 이하 일차진료 의사보다 전환기 돌봄서비스에 대한 인식이 높게 나타났다(F=7.3, p<0.01). 또한, 환자중심성에 대한 인식이 높을수록, 연령이 높을수록, 서울 외 지역에서 근무할수록 전환기 돌봄서비스에 대한 인식이 높게 나타났다. 결론: 본 연구에서는 일차의료를 제공하는 의료진들을 위한 교육프로그램과 지역사회에서 일차의료 의사들을 중심으로 하는 지역 연계 방안을 제시하였다는 점에서 의의가 있다.

• Journal of the Korean Applied Science and Technology
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• v.36 no.4
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• pp.1373-1384
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• 2019

This study is a descriptive research to analyze the factors affecting the care burden of dementia patients in the community. The data was collected from 223 dementia patients in the community for 10 days from November 30 to December 9, 2018. The results showed that there was a statistically significant difference in caring burden according to demographic characteristics according to the age group of the main caregivers, the relationship with dementia patients, the duration of caring for dementia patients, and the difficulty of caring for dementia patients. Had a negative correlation with dementia knowledge(r=-.145, p=.030). The factors affecting the care burden of dementia patients were as follows: dementia care period(β=.408, p=.006), difficulty in caring for dementia patients(β=-.307, p=.023), relationship with dementia patients(β=-.299, p=.013), and age group of primary caregivers of dementia patients(β=-.265, p=.007). Therefore, in order to alleviate the burden of caring for dementia patients in the community, a practical and continuous care intervention program is needed

• Journal of Convergence for Information Technology
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• v.11 no.9
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• pp.50-57
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• 2021

The purpose of this study was to typology the integrated care needs of communitydwelling elderly, explore the socio-demographic characteristics of each type, and determine their effects on depression. The secondary data analyses using the 2017 National Survey of the elderly were conducted. The research results are as follows: First, as a result of typology patterns of care needs of the elderly based on the number of chronic diseases, ADL/IADL, dwelling satisfaction, social activities, and social support networks, three clusters were derived; 'low care needs group (LCN), 'high social needs group (HSN)' and 'complex care needs group (CCN)'. Second, compared to HSN, CCN was characterized by older, women, low educational level and urban residence. Third, the level of depression in LCN was lower than that of the HSN, and the depression level of CCN was higher. The practical and policy implications of the results were discussed.

• 한국노년학
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• v.31 no.2
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• pp.195-209
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• 2011

This study examined the prevalence of and factors associated with unmet care need among community-dwelling middle-aged and older people in Korea. Data were from the 2006 Korean Longitudinal Study on Ageing (KLoSA), a national survey of 10,254 non-institutionalized adults aged 45 or older. Having unmet care needs was defined as needing personal assistance with activities of daily living (ADL) or instrumental activities of daily living (IADL) but having no available helper. Weighted logistic regressions were fitted to examine factors associated with unmet care needs. Overall, 7.3%, 14.5%, and 41.8% of subjects among the middle-aged, younger old, and older old, respectively, reported care needs of these, 34%, 33%,and 24% had unmet needs. Factors associated with unmet needs differed among the three groups: Education and income level were negatively associated with unmet needs among the middle-aged, but living alone was the only factor positively associated with unmet needs in both the younger and older old. The prevalence of and factors associated with unmet care needs differ by life-stage. Needed are home- and community-based care and services to meet the need for personal assistance among the elderly living alone in a community.

• The Journal of the Convergence on Culture Technology
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• v.10 no.2
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• pp.225-236
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• 2024

This study was conducted to identify research trends on the integrated community care system in Korea and suggest future research directions. The scoping review method was conducted according to the JBI methodological guidelines. A literature search was conducted in 5 databases (RISS, DBpia, NDSL, KISS, NAL), and 34 papers were selected for the final analysis. The analysis was categorized into user and provider aspects related to community care, and the results from the user aspect showed that variables related to service satisfaction and physical health status were used the most and showed positive results. Provider aspect results mainly studied problems and improvements due to service provision, and many studies showed the need to revitalize inter-agency collaboration systems and the lack of manpower to perform services. Based on the results of this study, in the future expansion of the integrated community care system, it will be necessary to not only establish criteria for selecting subjects, but also secure the expertise of service providers, establish a collaboration system between regions and institutions, and prepare measures to resolve service differences.

• Korean Journal of Social Welfare
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• v.58 no.3
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• pp.371-398
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• 2006

The purpose of this study is to investigate the level of mother's caregiving satisfaction of a person with mental disorder and factors influencing to it as a positive aspect of caregiving experience. A survey conducted upon 231 mothers who live together with their adult-children with mental disorder through community mental health centers, social rehabilitation facilities and day hospitals. Collected data were analysed by t-test, Oneway-ANOVA, hierachical multiple regression analysis, and so on. The results are as follows: 1) The mean of mother's caregiving satisfaction is 3.06 in 5 point scale. Among the total items of the caregiving satisfaction scale, the means of the items 'finding strength through caregiving' and 'personal growth through caregiving' are higher than any others. 2) In the final regression model, statistically significant factors influencing to the caregiving satisfaction are 'the relationship quality between mothers and the mentally disordered', 'perceived social support from family, significant others, and friends', 'marital status of mothers', and 'family income'. Better relationship quality between mothers and the adult children with mental disorder and higher social support from family, significant others, and friends explained higher caregiving satisfaction of mothers. The level of a widow or divorced mother's caregiving satisfaction is higher than married one. The less family income affected to higher caregiving satisfaction. Variables related to mental disorder of adult-children, such as social function, years of mental disorder and frequency of hospitalization were not statistically significant influencing factors to mother's caregiving satisfaction. Through this research, the implications of social work practice were suggested in many ways.