• 제목/요약/키워드: Aged Care System

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Community Welfare and Oriental-Korean Medicine for the Aged People (지역사회복지의 관점에서 고령화 시대에 대비하는 한의사의 역할에 대한 연구)

  • Lee, Hai-Woong;Kim, Hoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.2
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    • pp.168-179
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    • 2006
  • Background and Aim : As the aged society is coming, people pay attention to it and the government is also increasing subsidy into the welfare of the aged. As a branch of social welfare, community welfare is familiar and close to local residents. We could open up a new field in community welfare for oriental medicine and oriental medical doctor(OMD). Materials and Method : Analyzing the worts of community welfare center, we tried to find ways for OMDs to take part in there. We focused m community care and home care service of community welfare center and community health center. Result : Free oriental medical services are offered in many places, but a lot of them are temporary and hard to continue due to financial problem and lack of specialist. Local residents want to know about oriental medicine but few OMDs are willing to participate, thereforen, unqualified lectures of such as hand acupuncture, moxibustion, meridian massage prevail among them. This leads to illegal oriental medical services in the name of volunteer medical work. Conclusion The system is needed that local OMD association take part in community welfare of oriental medical service and care with community welfare center and community health center. Local volunteer medical services and researches of medical policy can help increase the chance for OMDs to go into social welfare system of the aged.

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Development and Application of Motivation-enhancing Self-management Program for Rural Aged with Hypertension (농촌지역 고혈압노인을 위한 동기강화 자가관리프로그램의 개발 및 적용)

  • Zhang, Hailian;Kim, Hyunli
    • Journal of agricultural medicine and community health
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    • v.41 no.3
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    • pp.152-161
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    • 2016
  • Objective: The purpose of this study was to develop a motivation-enhancing self-management program and apply to rural aged with hypertension to evaluate the applicability of the Program. Methods: The motivation-enhancing self-management program was on the evidence of Orem's self-care theory and Ford's Motivational system theory which consists of group education and tele-coaching conducted 12-week. The program evaluation was done by structured questionnaires of motivation (self-efficacy, perceived benefit, perceived barrier and emotional salience), self-care and blood pressure. There were totally 31 aged with hypertension in 2 rural areas enrolled in the program. Results: There was only perceived benefit statistically significant between the intervention and control group (t=2.05, p=.04) and self-care level was no difference between the two groups (t=0.21, p=.84) after program. But there are statistically significant differences of systolic blood pressure between the intervention and control group(t=-2.62, p=.01). Conclusion: The motivation-enhancing self-management program is necessary for the rural aged with hypertension, but it's needed modify and revise in the future study.

The Effect of Job Stress and Burnout by Job Environment of Care-givers on Job Satisfaction (요양보호사의 직무환경에 따른 직무스트레스와 소진이 직무만족에 미치는 영향)

  • Jeong, Yun-Mo;Kang, Young-Sig
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.10
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    • pp.3688-3699
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    • 2010
  • The purpose of this study is to understand attributes, stress and burnout related to job environment of healthcare facilities workers for the aged, care-givers, analyze the effect of these factors on job satisfaction, and improve their organizational task to help advance the quality of life and the healthcare facilities for the aged. A survey was made on 129 care-givers working in the healthcare facilities for the aged(care facilities, in-home facilities for the aged) located in Jeonbuk Gunsan area. This study showed that sub-factors of care-givers' job environment such as human environment, compensation system and job expertise have a significant effect on the job burnout, stress and satisfaction. This means that a well-organized compensation system, which is proportionate to the job expertise and ability for human environment, and achievement of innovative thinking, will make a positive relationship, reduce the job burnout and stress, and improve the job satisfaction at the same time. Compared to the rapid increase of old aged patients for long-term care and care-givers' real role and job in the facilities, the job specialization has to be guaranteed to improve job environment of care-givers as various beneficial workers for welfare - professional workers - and the compensation system needs to be properly systematized according to their job capacity. Consequently, the production and participation of professionals with high self-esteem may raise organizational commitment through the maximization of job satisfaction by the participation and devotion to the organization of more professionals by removing factors, which can reduce the frequent job burn-out and stress of care-givers.

A Study on the Background and Architectural Characteristics of Unit-care System in Japan - Regarding with the New-Model of Welfare Facilities for Aged Japan - (일본 유니트케어의 도입배경과 건축적 특징에 관한 연구 - 일본 신형 특별양호노인홈의 사례를 중심으로 -)

  • Lee, Hyun-Jung;Min, Byung-Ho;Kwon, Soon-Jung
    • Korean Institute of Interior Design Journal
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    • v.16 no.3 s.62
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    • pp.93-101
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    • 2007
  • The purpose of this study is to propose our direction of long-tenn care facility for elderly. The long-tenn care insurance plays an important role for human well-being. The functional and architectural changes of Japanese elderly care facilities have been analysed in order to predict changes in Korean welfare facilities. In Japan, Unit-care and private rooms are essential elements after reforming welfare facilities for aged. This study proposes components of unit-care through the analysis of 20 facilities for the aged. A unit is basically consist of private rooms, rest room, public living area, kitchen, health care service station, and bath room. Besides, smoking room, tea room, public terrace, guest room, court yard, and so on can be added. A unit can be connected with other unit by semi-public spaces or can be independently organized. This relationship has been classified into 2 types; Open unit type and Separated unit type.

University Students' Recognition of Family Support and Care's Socialization in the Elderly (대학생의 노인부양과 Care의 사회화에 대한 인식)

  • Jung, Hye-Sun;Lee, Jong-Ryol;Park, Chun-Man
    • Health Policy and Management
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    • v.21 no.1
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    • pp.93-114
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    • 2011
  • This study was conducted to identify college students' supportive attitude toward the elderly and their awareness of the socialization of care for the elderly, since they will have the responsibility for and the support of the aged society in the near future. This study was also conducted to analyze the factors which affect the socialization of elderly care, and to contribute to building a care system which promotes ahealthy and happy lifestyle for the elderly. After conducting a survey of 1,100 students from13 universities around the entire country, I have analyzed 1,089 data forms, and omitted 11 data entries which had errors or were not answered. 1. Those surveyed are 1,089 students from 13 universities around the entire country. Regional distributions are as follows : 263 students from 4 universities in Daegu and Kyongsangbuk Do(24.2%), 291 students from 3 universities in Busan and Kyongsangnam Do(26.7%), 272 students from 2 universities in Jeolla Do(25.0%), 263 students from 4 universities in Seoul and Gyeonggi Do. Males are 51.7% and females are 48.3% of these students. 2. Instrumental supportive sense level is high in men and emotional supportive sense level is higher in women. Also emotional supportive sense is higher in groups of those having more family members and coming from agricultural regions. 3. The sense of living with aged parents is higher in those living with grandparents than those living separate. The sense of living with sons and daughters after aging is stronger in the students from the Science and Engineering Departments than in the Social and Human Sciences Departments; also higher for men than women. 4. Recognition of elderly care socialization is higher in those from Social and Human Sciences Departments than from Science and Engineering Departments; higher in the case of upper classmenand aged groups, groups having fewer family members than more family members, and in the case of living separated from grandparents. 5. The factors affecting the sense of living with grandparents were family cohesion and instrumental supportive sense. The factors affecting the sense of elderly care socialization were family cohesion, instrumental supportive sense, and emotional supportive sense. From the results it is concluded that to insure a healthy and happy lifestyle for aged people, elderly care socialization offered by society and the country must provide desirable, appropriate care services based on the centralized support system of the family. In order to do this, we propose that elderly care needs inter-family and inter-generational fusion programs to improve family cohesion and care recognition. Also, elderly care is in urgent need to build a strong Family and Health Welfare System for care socialization.

The Urgency of Reforming the Healthcare System for the Aged Society (고령사회에 대응한 보건의료체계 개편의 시급성)

  • Park, Eun-Cheol
    • Health Policy and Management
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    • v.28 no.2
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    • pp.105-106
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    • 2018
  • Korea, which entered the aged society in 2018, is accelerating the progress of the aged society due to the rapid decrease in birth. Although the low birth rate is the important issue, comprehensive measures to cope with the aged society should be established. In particular, the reform of the healthcare system in response to the aged society is very urgent. The reorganization of the healthcare system in response to the aged society should focus on improving the functional abilities of the elderly and should be transformed into integrated older person-centered health service. The benefit package of National Health Insurance should be diversified and appropriate payment of each benefit package should be applied. The ageism should be overcame, and it is important to recognize that the measures for the older person are investments in future society. The reform of healthcare system for older person are very urgent in Korea, which is advancing into a rapidly aged society.

A Study on the Programs of the Betterment in Medical Care Guarntee for Korean Seniors (한국 노인의료보장제도의 개선방안에 관한 연구)

  • Cho Young-Hwan;Kim Hyun-Joo;Park Young-Han
    • The Journal of Korean Physical Therapy
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    • v.10 no.1
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    • pp.105-125
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    • 1998
  • We are confronted by increase in old people due to the improvement in medical science, public hygiene and socioeconimic status in 20th century. But our medical security system for old people dees not meet the need for medical service of old people. Current medical insurance system restricts term and extent in allowance although the characteristics of the disease of the aged people need medical care of Bong duration and high cost. And in the medicaid system the speciality of the aged people is not recognized and the budget of the government is scanty. In addition many old people to our country are in economic distress due to low income. But the government authority does not give sufficient consideration for eld people in law, policy and budget. To improve social security system for old people it is necessary to increase the budget for the security of old people, to enhance the traditional respect for the aged, to improve medical security system by improving the accessibility to medical service and by expanding the allowance of medical insurance, and to expand the public welfare institutions. And these are roles for all the family. the society and the nation as well as the aged people themselves.

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An Analysis of the Elderly Care and Management in Hospital-Based Home Care Agencies (노인대상 의료기관 가정간호사업의 운영실태)

  • Song, Chong-Rye;Kang, Im-Ok;Kim, Yun-Ok;Jo, Hea-Sook;Hwang, Moon-Sook
    • Research in Community and Public Health Nursing
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    • v.19 no.4
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    • pp.660-672
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    • 2008
  • Purpose: To analyze the home care services provided to the elderly aged 65 and older by a hospital-based home care agencies and to investigate the effects of long-term care insurance for the elderly. Method: The subjects were the home care service recipients aged 65 and older in 172 hospital-based, home care agencies registered in Health Insurance Review & Assessment Service in January, 2007. The data were collected using a questionnaire from March 16 to April 15, 2007. The questionnaire return rate was 43.8%. Result: The hospital-based home care agencies were able to visit 66.5% of the national administrative districts. Of the home care service recipients, over 50% were 65 years old and older. About 43% of the agencies reported that over 50% of their patients would be subject to the long-term care insurance. They expressed concern that home care services would be withdrawn once the insurance system is initiated. Conclusion: This study suggests that hospital-based home care agencies need to manage home care services with long-term care insurance. It also recommends developing guidelines for the use of services and referrals.

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The relations of the Long-term care insurance awareness and the aged parent-supporting (장기요양보험제도 안식과 노부모 돌봄과의 관계)

  • Yang, Sook-Mee
    • Journal of Digital Convergence
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    • v.9 no.5
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    • pp.45-54
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    • 2011
  • The purpose of this research was to examine the whether to recognition of the long-term care insurance have affected on aged parent-supporting. The research method was used self-report questionnaire to 331 persons who was supported their parents. And I used the Frequency, simple linear regression as an analysis methods. The result demonstrated that Educational background, the emotional intimacy of the subjects, and the recognition degree of the long-term care service have significant influence on their physically parent supporting consciousness. The researchers suggest the need of family support system based on the result for decrease the parent-supporting burden in middle age generation.

A study on the Improvement of Welfare System for Care Worker in Seoul (서울시 요양보호사 처우개선을 위한 지원방안 연구)

  • Kim, Jihye;Kim, Seokjoon;Lee, Junyoung;Lee, Okjin;Oh, Gayoung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.17 no.4
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    • pp.15-23
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    • 2011
  • Long-term care Insurance system for the Elderly was started to respond to the aged society on July 2008 in Korea. So responsibility of the care for the old is being changed from the family to the society. The introduction of that insurance system has brought the growth of demand for care service. To improve the level of quality for care service providers in long-term care, the role of care worker in providers is recognized as important. But welfare system for the care worker seems to be poor. So the Seoul Metropolitan Council is preparing an ordinance for the care worker and the purpose of this study is for the ordinance as well. Questionnaires, interviews, documentary surveys were used to carry out this study. The results of this study are summarized as follows. The job stability is the most important thing for the care worker, so local government has to make efforts to promote the job stability of care worker. A welfare center for care workers is needed for the health for care workers in the local government. And the local government has to supervise service providers more strictly and evaluate them in treatments of care worker.