• 제목/요약/키워드: Care House

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도시 영세지역의 가계 의료비지출 (Medical Care Expenditure of Residents in Urban Poor Area)

  • 황인수;이경수;김창윤;강복수;정종학
    • Journal of Yeungnam Medical Science
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    • 제10권1호
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    • pp.91-102
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    • 1993
  • 도시영세지역의 가계의료비 지출 정도를 파악하고자 1992년 3월 1일부터 5월 31일까지 3개월간 대구직할시 남구 대명8동의 영세지역의 85가구(대상군)와 임의로 선정한 96가구(대조군)를 대상으로 자기기업방법에 의한 의료비지출 조사를 실시하였다. 조사대상 가구원의 전체 가구원은 819명으로 대상군 377명, 대조군이 442명 이었으며, 평균연령은 대상군 31.1세, 대조군 37.1세였다. 가구당 평균 가구원수는 대상군과 대조군 모두 4.5명이었다. 가구당 평균 월수입은 대상군이 848,600원, 대조군이 1,752,300원이었다. 월평균가계지출은 대상군 635,300원, 대조군 1,414,600원이었으며, 월평균소비지출은 각각 568,800원, 1,238,400원이었다. 월평균 의료비지출은 대상군이 34,500원, 대조군이 58,400원이었다. 월평균 의료보험료는 대상군이 12,900원, 대조군 26,800원으로써 두 군 모두 소득의 1.5% 수준이었다. 월수입에서 보건의료비가 차지하는 비율은 대상군이 4.1%, 대조군이 3.3%였고, 가계지출에서 차지하는 비율은 대상군이 5.4%, 대조군이 4.1%였으며, 가계소비지출에서 보건의료가 차지하는 비율은 대상군이 6.1%, 대조군이 4.7%였다. 월평균 의료보험료를 포함 시켰을 때 가계소비지출에서 보건의료비가 차지하는 비율은 대상군과 대조군이 각각 8.3%와 6.9%를 차지하였다. 보건의료비지출을 의약품, 보건의료용품기구, 보건의료서비스 항목으로 나누어 보았을 때, 대상군은 의약품이 차지하는 비율이 57.4%, 보건의료서비스 41.4%였으며, 대조군에서는 의약품이 52.4%, 보건의료서비스가 45.7%를 차지하였다. 대상군에서는 한방의료비 지출이 전체 의료비 지출의 36.9%, 그리고 대조군에서는 병 의원 의료비 지출이 37.8%로 가장 많았다. 방문당, 이용일당 의료비지출은 대상군에서는 한방의료가 58,100원으로 가장 많았고, 다음이 민속의료로 19,900원이었으며, 대조군은 민속의료가 112,800원으로 가장 많았고, 다음이 한방의료로 66,000원이었다. 이상의 결과로 보아 대상군의 월수입, 가계지출, 소비지출에 대한 의료비의 지출이 대조군에 비하여 그 절대액수는 적으나, 상대적 비율은 높은 것으로 나타나 대상군이 대조군에 비해 의료비 부담이 과중한 것으로 생각된다. 향후 조사표본이 크고, 조사기간을 1년으로 한 의료비지출에 대한 연구가 필요할 것으로 생각된다.

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미국 노인보호주택 거주자들의 '집'으로서의 속성에 관한 사례 연구 (Residents' Awareness of Assisted Living Facility(ALF) as a 'Home': Cases of Virginia, U.S.A.)

  • 김영주
    • 가정과삶의질연구
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    • 제23권4호
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    • pp.67-77
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    • 2005
  • The purpose of this study was to identify housing attributes that make residents feel 'at home' in ALFs in Southwest Virginia. For this purpose, residents' needs, experiences, and opinions of the physical environment, the social environment and the organizational environments such as policies and programs of ALFs were identified. As a multi-case study, five ALFs in Southwest Virginia were studied using constant comparative methods of data analysis. In addition to face-to-face interviews with 25 residents and 5 administrators of five ALFs, observations were conducted with personal journal. Each facility was designed to be a single-family house or multi-family dwelling in outside appearance. Most of the respondents were satisfied with their current dwelling as a 'home' in terms of homelike attributes such as 'autonomy/ privacy', personalization,' safety and security,' services and care,' independence,' social interaction/friendship,' family support,' and 'rules and regulations.' In spite of high satisfaction with the facility, however, many people did not think of their current dwelling as a real 'home'. As the biggest difference between living in their own homes and living in the ALF, people feinted out a lack of independence and social interaction. Residents of ALFs may have reordered their priorities in their current life situation so that safety, security, and caie were more important to them than fooling "at home."

기러기아빠의 생활 변화와 적응 문제 (The 'Kirogi` Fathers' Changes of Lives and Adaptation Problems)

  • 김성숙
    • 가정과삶의질연구
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    • 제24권1호
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    • pp.141-158
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    • 2006
  • The purpose of this study was to investigate the changes of lives and problems of 'Kirogi'(or Wild Goose) fathers, who were called fathers in the 'Kirogi' families, South Korean families separated by an ocean. They almost sent too much money that were $50-100\%$ of their family income to the families abroad, and got economic pressures so severely. More or less, they sold their own real estates, moved to much smaller sized house. and often expended the saving money. Also, they had difficulties of taking care of their children and felt lonely very much. By the hand, they might experience the adaptation process through 3 stages-troubles, acception(or wandering or enjoy), adjust (or violation). They had three types of problems, that is, family relationship problem(the isolation), psychological problem(loneliness and self-control), economic problem (financial pressure and drop of economic status). They found the strategies to overcome these problems for themselves. Firstly, they took lots of methods like email, internet chatting, phone, etc. to communicate with their family everyday and made many events to strengthen the ties among families. Secondly, they got rid of stresses mainly by joining with their colleagues at work. Finally, they decided to lower the standard of living of their family in foreign country or tried to find their wives' jobs to prevent the financial hardship.

노인 복지를 위한 응급 상황 호출 프로그램의 개발 및 구현 (Development and Implementation of the Emergency Call Program for a Welfare for the Elderly)

  • 김정환;조면균;김식
    • 대한임베디드공학회논문지
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    • 제8권2호
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    • pp.79-85
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    • 2013
  • This paper proposes a system that utilizes USN(Ubiquitous Sensor Network), Bluetooth and smart phone to improve the function of senior houses. In typical approach, a system in a senior house either directly accesses the status of elderly people by its sensor or is alerted by elderly people who trigger an emergency bell, derive a decision and take an appropriate action. In addition, it is possible for a designated social worker to check the status of senior patients through monitoring system connected by UTP(Unshielded Uwisted Pair) cables, but the responsible person has to be present to monitor patients' status. However, the new system, suggested in this paper, embed Bluetooth function in a blood pressure gauge, thus the smart phone receives patients' health information such as blood pressure through Bluebooth, if any abnormal event occurs. Consequently, the smart phone sends SMS(Short Message Service) to a responsible social worker or a designated hospital. When this program in the paper becomes a reality, an unmanned system that is able to determine suitable actions for certain events will be established, even if a social worker were absence.

직장 남성들의 근무복 실태조사 연구(2) -근무복 착용도와 관리도를 중심으로- (A Research Study on Work-Man′s Uniform(2))

  • 서미아;박선희
    • 복식문화연구
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    • 제4권3호
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    • pp.337-347
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    • 1996
  • The work-man's Uniform should be coincident with the image of his firm and accounted of the function according s its purpose. We made questions to 404 workers at 8firm in our country through the questionnaire papers to know about a work-man's uniform and researched whether the satisfactory in wearing his uniform had relation with his type of business, grade, carrier, age, marriage, and monthly income. The results of this study is as follows; 1. In the case of wearing the uniform many workers answered they always wore their uniform in the firm. It was shown that the office workers wore their uniform much more than workers in the production department. The longer the time working, the older age, the lower grade of school career are, he more workers wear. the order of the importance for he uniform was the function, the symbol, the originality, and the fashion. The longer their career in the firm was, the more important the function of their uniform was. 2. The order of dirty pat in taking care of the uniform was cuffs, color, the front of part in an upper garment and below the knee, the hip in pants It was very easy for the workers in the experts, or administrators and office workers than others to be dirty in the cuffs part of the uniform. Worn part of the uniform showed highest cuffs in an upper garment and a zipper in pants. The order of cleaning the uniform was washing by water, no ironing, and cleaning in their house.

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지역사회에 거주하는 노인을 대상으로 한 한글판 동적보행지수의 타당성 (Validation of the Korean Translated Dynamic Gait Index in Community-Dwelling Elderly)

  • 박소연;황수진
    • 한국전문물리치료학회지
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    • 제17권1호
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    • pp.43-52
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    • 2010
  • The Dynamic Gait Index (DGI) was developed and widely used as a clinical tool to assess balance performance during gait. The purpose of this study was to validate the Korean translated DGI using Rasch analysis. A total of 105 community-dwelling elderly was participated in this study (age range = 65~95 years; mean = 78.0 years). The translated DGI showed sound item psychometric properties, and the 8 items were arranged in order of difficulty for the total participants. The most difficult item was 'Steps' and the easiest item was 'Level surface'. Also, each of the original 4 rating scale categories satisfied the Linacre's essential criteria suggestions for optimal rating scale category effectiveness. Although, thirty eight person (36.2%) showed the maximal high score, but the most of them was no history of fall in the preceding year. For subjects who has falling history, all of the person's ability was arranged within the item's difficulty. The 8-item Korean translated DGI can be used to measure gain in elderly person with balance disorders without compromising important clinical measurement characteristics in Korea.

저소득층 노인이 지각한 건강상태와 우울 및 일상생활수행능력 간의 관계 (A Study on the Perceived Health Status, Depression and Activities of Daily Living for the Low-income Elderly in Urban Areas)

  • 김명희
    • Journal of Korean Biological Nursing Science
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    • 제11권2호
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    • pp.149-156
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    • 2009
  • Purpose: This study was designed to identify the correlation among perceived health, depression and activities of daily living in low-income community dwelling elderly. Methods: The subjects consisted of 254 basic livelihood security person aged over 65, who live in house located in Buk-gu, Daegu city. The data was collected through interview with questionnaire from July 1 to August 20, 2009. Results: The average number of the perceived status in study subjects was 2.37. The average scores of activities of daily living (ADL) were 5.55. There was a significant relationship between perceived health status & ADL (r=.270, p=.01) and between depression & ADL (r=-.163, p=.01). The general characteristics which significantly affected depression was sex (t=-1.986, p=.49), education (F=8.968, p=.000), marital status (F=2.588, p=.037), occupation (t=33.258, p=.000). The general characteristics which significantly affected ADL was occupation (t=-7.677, p=.000). Conclusion: The finding of this study give useful information for constructing an intervention program and care for low-income elderly.

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공급체인에 있어서 이차원천과 재고의 통합적 통제에 관한 연구 (An Integrated Control Problem of Secondary Sourcing and Inventory in A Supply Chain)

  • 김성철
    • 한국경영과학회지
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    • 제32권1호
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    • pp.93-104
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    • 2007
  • We consider a supply chain where products are shipped to warehouse from manufacturing system to customers. Products are supplied from either in-house regular manufacturing or the secondary source such as subcontractor. The inventory in warehouse is controlled by base-stock policy, that is, whenever a demand arrives from customer, an order is released to the manufacturing system. Unsatisfied demand is backlogged. The manufacturing system is modeled as M/M/s+1/c queueing system, and the orders exceeding the given limit care blocked and lost. The steady state distribution of the outstanding orders and the throughput of the manufacturing system are functions of the level of engagement In the secondary source. There is a profit obtained from throughput and cost not only due to the engagement of the secondary source in the manufacturing system but also inventory positions. We want to maximize the total production profit minus the total cost of the production system by simultaneously determining the optimal level of engagement of the secondary source and the optimal base-stock level of the inventory. We develop two algorithms : one without guarantee of the optimal solution but with the small number of computations, the other optimal but with more computations.

20대 여성의 골밀도와 골감소증의 위험요인 비교 (Difference of Bone Density and Risk Factors Related to Osteopenia of Young Women in Their Twenties)

  • 변영순
    • 성인간호학회지
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    • 제18권5호
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    • pp.790-797
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    • 2006
  • Purpose: The purpose of this study was to investigate bone density and risk factors related to osteopenia to unmarried young adult women. Methods: The subjects consisted of 125 female college students. SPSS 12.0 program was used for the data analysis with t-test, ${\chi}^2-test$. The BMD of the calcaneus and body mass index (BMI) were measured with peripheral dual energy X-ray absorptionmetry. Other physical characteristics were measured with a scale and questionnaires. Results: The general characteristics of these people showed that the average age was 22.1 years old and that the average BMI was 20.8. The mean of BMD was normal, but 24.8% were osteopenia, 75.2% were normal. In the normal and osteopenia groups, there were significant differences in the status of the BMD according to age, height, weight, BMI, regular exercise, house chores, and the experiences of being on a diet. Conclusion: Women in their twenties had some osteoporosis risk, but they can change their BMD by doing regular exercise and by eating food to peak bone mass. For building peak bone mass, they need take exercise programs and education programs to prevent osteoporosis and follow-up care.

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초량왜관(草梁倭館)의 창건(創建), 수리(修理) 및 중수(重修)에 관한 연구(硏究) (A Study on The Construction of Choryang-Waegwan)

  • 김순일;정예정
    • 건축역사연구
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    • 제10권2호
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    • pp.35-54
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    • 2001
  • This study concerns especially Choryang-Weagwan which was the largest Japanese House left in Pusan through Chosun Dynasty. Choryang-Waegwan was known to have been jointly constructed by Korean and Japanese carpenters. Therefore, Weagwan was a place for exchange of architectural tradition (special features such as sliding door and straw mat) between Korean and Japan. Judging from this point of view, It is certain that mutual influences helped to shape architecture of Choryang-Weagwan. After establishment Choryang- Weagwan was gradually extended, owing to the prosperity of trade with Japan. But since late 18th century government of Chosun did not give as much care to maintaining Choryang- Weagwan as a result of deteriorating condition of commercial and diplomatic relations with Japan. From the beginning of Choryang- Weagwan construction, Superintendents of the construction were called Hun-do and Byl-cha, who acted as official interpreters as well. And, during construction works, they were called Gamdong-gwan, At the start of construction, Weagwan was built partly in Japanese-style by the carpenters from Tokugawa Shogunate. But as time passed, the participation rate of Japanese carpenters diminished gradually. After 1831, Japanese technician vanished extremely and repairing construction was continued by the Korean workers only.

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