• Health Policy and Management
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• v.33 no.4
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• pp.479-488
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• 2023

Background: By applying the suggested criteria for needs-based chronic medical care and long-term care delivery system for the elderly, the current status of delivery system was identified and regional delivery systems were categorized according to quantity and quality of delivery system. Methods: National claims data were used for this study. All claims data of medical and long-term care uses by the elderly and all claims data from long-term care hospitals and nursing homes in 2016 were analyzed to categorize the regional medical and long-term care delivery system. The current status of the delivery system with a high possibility of transition to a needs-based appropriate delivery system was identified. The necessary and actual amount of regional supply was calculated based on their needs, and the structure of delivery systems was evaluated in terms of the needs-based quality of the system. Finally, all regions were categorized into 15 types of medical and care delivery systems for the elderly. Results: Of the total 55 regions, 89.1% of regions had an oversupply of elderly medical and care services compared to the necessary supply based on their needs. However, 69.1% of regions met the criteria for less than two types of needs groups, and 21.8% of regions were identified as regions where the numbers of institutions or regions with a high possibility of transition to an appropriate delivery system were below the average levels for all four needs groups. Conclusion: In order to establish an appropriate community-based integrated elderly care system, it is necessary to analyze the characteristics of the regional delivery system categories and to plan a needs-based delivery system regionally.

• 한국노년학
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• v.40 no.4
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• pp.729-746
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• 2020

For the development and better use of information and communication technology(ICT) for promoting health and quality of life in older people, it is important to understand personal factors associated with ICT use. The aims of this study were to describe the pattern of ICT use according to health characteristics of elderly and to investigate significant factors related to ICT use among three age groups. The data of 2017 National Survey of Older Koreans was used for analysis and 10,058 of older adults aged 65 and over were included for study participants. As results, first, the young old(65~74) used more functions of ICT than the middle-old(75~84) and the old-old(85 and over). Second, ICT was more used among older people with good conditions in chronic disease, subjective health, cognition, depression, vision, hearing, walking and IADL. Third, higher prevalence of ICT use was significantly associated with age, education, household income, subjective health, depression, cognitive function, vision limitation and walking limitation. Fourth, factors influencing the use of ICT were a little different among three age groups. For the young-old(65~74), subjective health, depression, cognitive decline, walking limitation, and IADL disability were significant factors affecting on ICT use. For the middle-old(75-84), subjective health, depression, cognitive decline, vision, hearing, and walking limitation were related with their ICT use. For the old-old(85 and over), only cognitive function and depression were associated with their ICT use. Based on these results, this study suggested the need to consider multiple health conditions for developing and using ICT for older adults.

• Journal of the Korea Convergence Society
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• v.11 no.10
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• pp.369-376
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• 2020

This study was to investigate the predictors of suicidal thoughts in the subjects who received the support for depression drug costs at a local public health center. The subjects were 156 depressed patients aged 18 and over. Data analysis was conducted by descriptive statistics, χ²-test, t-test and logistic regression analysis. The results of the analysis showed that the suicidal thoughts rate of the subjects was 25%, and the subjects showed significant differences in suicidal thoughts as the duration of antidepressant use was longer (t=-2.19, p<.05), the perceived physical health(t=3.03, p<.01) and the perceived mental health (t=5.21, p<.001) were lower, and the depression(x²=41.11, p<.001) were higher. The predictors of suicidal thoughts were perceived mental health(OR=0.97, p<.05) and depression(OR=8.44, p<.001). The regression equation of this study explained 42.4% of the suicidal thoughts of the subjects. Continued assessment and convergent mental health promotion programs are required for depression patients living in the community.

• Journal of Digital Convergence
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• v.20 no.4
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• pp.759-768
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• 2022

The purpose of this study is to apply a chronic disease management non-face-to-face program for the prevention and management of chronic disease and to confirm the effect of a one-group pre-and post-design similar experimental study. The program consisted of nursing, nutrition, and exercise programs for 12 weeks. The subjects were 69 adult men and women using the chronic disease management center at public health centers, and the period was from May 3 to August 6, 2021. Systolic pressure, diastolic pressure, fasting blood sugar, BMI, depression, and quality of life were measured before and after the program. Data were analyzed with SPSS 20.0. As a result, systolic pressure, diastolic pressure, fasting blood glucose, and quality of life were found to be significant. Depression was not significant, but mild depression was reduced. Developing, applying, and managing various non-face-to-face programs for chronic disease management will contribute to the prevention of chronic diseases and the promotion of health maintenance.

• Korean Journal of Psychosomatic Medicine
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• v.24 no.2
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• pp.125-132
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• 2016

Objectives : The management of disaster should be immediate and sustainable. Further, it is hard to predict where the disaster will occur, using pre-exists governmental and non-governmental organizations are important. In this study, we tried to investigate the associated activities of organizations performed in Ansan city, in Sewol ferry accident. Methods : A total 121 workers in 25 organizations were surveyd about organizations which they worked with, kind of works performed, frequency of meetings, satisfaction in activities and factors associated with dissatisfaction in usual state and in Sewol ferry accident state, respectively. The differences between those two situations were analyzed using paired t-test for continuous variables and Chi-square test or McNemar test for categorical variables. Results : The total number of linkage of institutions were decreased(from n=397 to n=251) and the mean scores of rating satisfaction were significantly lower in most of organizations in disaster state. The rigid policy in performance evaluation was more likely associated with dissatisfaction in disaster state than usual state(p=0.045). Conclusions : For effective linkage of institutions, preparedness, such as understanding the capability of organizations in the communities and developing the protocol for associated activities, is important. The unnecessary and effortful performance evaluation should be sublated.

• The Inventors News
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• no.52
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• pp.1-16
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• 2006

'2006 여성발명인걷기대회' 성황리에 마쳐/여성의 힘을 발명으로 승화하자/건강관리휴대폰 기술, 특허출원 급증/세계적 귄위 인명사전 '마르퀴즈 후즈후' 등재/고객 감동 주는 독특한 기능성 명함 등장/각 국의 상표 디자인 동향/현장 스케치/6백만불의 사나이 현실화 되다/핸드라이팅 전자펜 국내 최초 개발/특허법원이 지금 어떤 일이/중기청, 가짜 여성기업 골라 낸다/'여성 취업.창업정보 여기에 다 있어요'/중기청 여성기업.혁신형중기.재래시장 집중지원/'코리아나화장품 식물원' 개원/국민은행 '명품 여성통장' 대박/난방비 획기적 절감, '전기온풍기' 나와/3백50년 묵은 덧간장, $1\ell$ 5백만원에 팔려/한국기술거래소, 중소기업 기술 장터로 각광/순대, 기능성 음식으로 진화/해외 화제/역사 속의 발명품/하루 10분 발명교실/특허Q&A/함씨네토종콩식품 함정희 대표/중기청연구장비공동이용알선.중개계획/가짜 '메이드 인 코리아'중동지역서 판친다/아이디어 착상 및 발명 기법/여성의 사회참여 확대와 여성발명 확산/인공감미료를 만들어 낸 사람들/'중소기업청장 조찬간담회' 열려/휴면 특허율 66.8% 지식 경쟁력 걸림돌/발명가.의사 등 '이그노벨상' 수상/한국여성발명협회 '자문위원 위촉식' 갖다/한미영 회장, 간호용품아이디어대회 특강/발명인의 전당.특허고객서비스센터 오픈/여성발명인, 산재권 교육 참가 열의 높아져/생활 아이디어/11월 '지재권 및 여성발명 창의교실' 개최 안내/한국여성발명협회 회원사 발명품 가이드

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2022.10a
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• pp.517-519
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• 2022

VR based dementia service is emerged as elderly population is increasing with potential welfare cost. Current Dementia Center cannot solve the complicated problems, including limited size, case management, medical support, medical cost and care cost, and the lack preventive environment. VR based dementia service is suggested from three reasons: First, VR shows easy access and convenience; Second, development of cognitive health is easy and fun; Third, Predictive way of cognitive decline can be possible with Big Data.

• Health Policy and Management
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• v.33 no.1
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• pp.3-18
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• 2023

Background: A chronic disease management program including patient education, recall and remind service, and reduction of out-of-pocket payment was implemented in Korea through a chronic care model. This study aimed to assess the effect of a community-based intervention program for improving medication adherence of patients with diabetes mellitus in rural areas of Korea. Methods: We applied a non-equivalent control group design using Korean National Health Insurance Big Data. Hongcheon County has been continuously adopting this program since 2012 as an intervention region. Hoengseong County did not adopt such program. It was used as a control region. Subjects were a cohort of patients with diabetes mellitus aged more than 65 years but less than 85 years among residents for 11 years from 2010 to 2020. After 1:1 matching, there were 368 subjects in the intervention region and 368 in the control region. Indirect indicators were analyzed using the difference-in-difference regression according to Andersen's medical use model. Results: The increasing percent point of diabetic patients who continuously received insurance benefits for more than 240 days from 2010 to 2014 and from 2010 to 2020 were 2.6%p and 2.7%p in the intervention region and 3.0%p and 3.9%p in the control region, respectively. The number of dispensations per prescription of diabetic patient in the intervention region increased by approximately 4.61% by month compared to that in the control region. Conclusion: The intervention program encouraged older people with diabetes mellitus to receive continuous care for overcoming the rule of halves in the community. More research is needed to determine whether further improvement in the continuity of comprehensive care can prevent the progression of cardiovascular diseases.

• 한국노년학
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• v.30 no.1
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• pp.127-140
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• 2010

This study aims to understand the effects of a Computer - based Cognitive Rehabilitation Therapy(CBCRT) evidence based on mild dementia patients' ability to activities daily living(ADL), cognitive function and measure of occupational performance and to suggest basic data for a cognitive rehabilitation therapy for dementia patients. Method : A CBCRT was applied two times a week for 5 weeks to 14 mild dementia patients who visited Yongin Center for Managing Dementia in Gyeongi-do between February and August 2009. Based on frame of reference for Visual-Perception a CBCRT was applied at home. Moreover, a one group pretest-post test design was, which is a quasi-experiment and research, also applied in order to verify the effects of the rehabilitation therapy on the subjects' ability to ADL, cognitive function and occupational performance skills. Results: A significant effect was confirmed (p<.05) from the CBCRT which Assessment of Motor and Process Skills(AMPS) processing skills and cognitive function and occupational performance skills. Neither was found any significant effect in improving motor skills from AMPS. Conclusion: It seems that a CBCRT based on evidence and has an effect on the improvement of the ability to ADL and cognitive function of mild dementia patients living in a community. The present author hopes that, in the future, more cognitive rehabilitation programs will be developed to improve the functions of mild dementia patients living in a community.

• Therapeutic Science for Rehabilitation
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• v.12 no.4
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• pp.53-65
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• 2023

Objective : This study aimed to identify the experiences and practices of occupational therapists in mental health and provide interventions for improving body function in individuals with mental illness. Methods : Data were collected from mental health therapists between November 7 and November 14, 2022. A survey was distributed via email and 46 responses were analyzed using descriptive statistics and correlations. Results : The majority were female (58.7%), aged 20-30 years (84.8%), working in mental health centers (41.3%), and undergoing mental health occupational therapy training (91.3%). They had 1-3 years of mental health experience (65.2%) and were commonly involved in programs (71.1%), case management (62.2%), and administration (57.8%). Interventions for physical functioning were common (73.9%), including group interventions (41.2%), such as stretching, aerobic exercise, and walk training, and individual interventions (38.1%), such as walking, stretching, and aerobic exercise. Conclusion : Occupational therapists play a crucial role in enabling individuals with mental illness to engage in daily life activities. However, relevant studies in this field are lacking. This study emphasizes the importance of mental health occupational therapy and the need for evidence-based services for physical function improvement interventions to provide more effective treatments for mental illnesses.