• Title/Summary/Keyword: Care and management system

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The Role and Issues of Housing Management in Community Care for Older People (노인의 지역사회보호에 있어서 주거관리의 역할과 장점)

  • 홍형옥
    • Journal of Families and Better Life
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    • v.20 no.5
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    • pp.51-67
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    • 2002
  • The purpose of this study is to find the role and issues of housing management under the community care system which cover the middle class older people. Research method was qualitative research by the interview of 21 subjects with open-ended questionnaire. Most of the older people want to live in the community alone with poor supporting system, because present community care system does not established well, so it cannot cover the staying put service for independent living, such as community alarm, care and repair, handyman, floating support, and meal service within the community. The result showed that community care might be partially avaliable from the welfare center but not well established or transfer to Dong-Office as an agency of community welfare center. However, the subjects had higher needs about housing management for older people than previous study on the hypothetical level. Successful pilot project might be required to develop the community care system focused on housing management for older people.

The improvement of long-term care service in Korea through the review of Australian aged care system (호주의 장기요양 시스템 고찰을 통한 우리나라 장기요양서비스 개선 방향)

  • Lee, Hyo Young;Park, Eunok;Chin, Young-ran
    • The Korean Journal of Health Service Management
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    • v.12 no.4
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    • pp.85-102
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    • 2018
  • Objectives: In order to cope with the quality and the substantiality issues in long-term care for the elderly, we should have a wider view of long-term system components based on the understanding of health care organizations, management services, support for care providers and beneficiaries, education of the workforce, and management of finance and resources. Methods: For resolving the issues raised and offering guidance in the area of long-term care, we reviewed 20 reports and documents of the government and government-related institutions using the Internet home pages of the Australian government and the related organizations in the health care sector. These organizations are undergoing a huge system reform to implement consumer-directed care since 2015, in the areas of service, resources, finances, organization, and management. Results and conclusions: The study outcomes can have some implications for the long-term care system in Korea based on the differences in the service components. The results can provide basic information for improving the long-term care service, and can have several other implications for long-term care in Korea.

Job Analyses of Health Care Managers in Group Health Care System (보건관리대행사업에서 보건관리자의 직무분석)

  • Kim, Kyoo-Sang;Park, Chong-Yon;Roh, Jae-Hoon
    • Journal of Preventive Medicine and Public Health
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    • v.27 no.4 s.48
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    • pp.777-791
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    • 1994
  • For developing the Group Health Care System, health managers' job structure were analysed in the aspects of content, amount, and process. As a trial research, data were collected by a standardized job analysis table to 6 doctors, 40 nurses, and 11 industrial hygienists of Group Health Care System. Health care managers were performing complex and intellectual jobs such as healh education for workers, managing health care, conference as well as more simple jobs like as filling diary. Especially, job was consisted of general job and health care management job in the proportion of 1:2.18. The major general job were data management related with the health statistics, and major health care management jobs were managing health care, health counselling, environmental management of working sites. Each specific jobs were required differentiated intellectual capacity, creativity, autonomy, psychic stress, and physical work; most respondents perceived that health care management jobs should require more inputs than general jobs. Additionally job satisfaction and perceived need on specific Job items were anzlysed. Results of this research, suggested through the field experiences in working sites, should be considered for improving the Group Health Care System.

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Implementation of a care coordination system for chronic diseases

  • Lee, Jung Jeung;Bae, Sang Geun
    • Journal of Yeungnam Medical Science
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    • v.36 no.1
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    • pp.1-7
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    • 2019
  • The number of people with chronic diseases has been increasing steadily but the indicators for the management of chronic diseases have not improved significantly. To improve the existing chronic disease management system, a new policy will be introduced, which includes the establishment of care plans for hypertension and diabetes patients by primary care physicians and the provision of care coordination services based on these plans. Care coordination refers to a series of activities to assist patients and their families and it has been known to be effective in reducing medical costs and avoiding the unnecessary use of the hospital system by individuals. To offer well-coordinated and high-quality care services, it is necessary to develop a service quality assurance plan, track and manage patients, provide patient support, agree on patient referral and transition, and develop an effective information system. Local governance should be established for chronic disease management, and long-term plans and continuous quality improvement are necessary.

A Study on Evaluation and Improvement of Long-term Care Hospitals for Changing Long-term Care Hospital Fee System (요양병원형수가제 전환에 대한 요양병원의 평가 및 개선방안 연구)

  • Kim, Young-Bae
    • The Korean Journal of Health Service Management
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    • v.5 no.2
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    • pp.105-117
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    • 2011
  • The purpose of this study is to investigate evaluation and improvement of long-term care hospitals for changing long-term care hospitals fee system. Data were collected from 104 CEOs in nationwide long-term care hospitals using structured self-administered questionnaires during August 17 to 31, 2009. Major results of the empirical analysis are as follows; first, to change fixed sum medical fee per day caused to decline the level of geriatric service in 87% of CEOs. Second, 79% of CEOs were dissatisfied with changing fixed sum medical fee per day, and 47% of them were dissatisfied with graded fee for doctor and nurse management. Finally, they suggested that to specialize and to differentiate of long-term care hospitals will drive to improve long-term care hospitals function and to measure workforce based on rate of filled vacancies will increase efficiency and productivity of doctor and nurse management.

Analysis of Performance Requirement for Long-term Care Workers of Home Visit Care and Home Visit Bathing based on Korean Long-term Care Insurance System (방문요양.방문목욕 장기요양기관의 요양보호사 업무수행 요구도 분석)

  • Chang, Hyun-Sook
    • The Korean Journal of Health Service Management
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    • v.5 no.3
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    • pp.77-88
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    • 2011
  • As same time of starting on the Korean Long-term Care Insurance System, the government developed a program to train new qualification of long-term care workers. The number of enrolled long-term care workers are 950,000 persons in 2010. Mostly they are working in home based care work places such as home visit care centers and home visit bathing centers covered insurance. The purpose of this study is to understand the difference of task performance requirement according to long-term care workers' responsibilities which divided into home visiting care and home visiting bathing. The comparison analysis was conducted to task performance requirement in basic management, safety management, administration management, practical services. Key result was found that task performance requirement of long-term care workers whose responsibilities are home visiting care were more higher than the home visiting bathing. Finally, To improve quality of home visiting care and home visiting bathing, it is necessary to provide the fields based continuing education and reflect new reimburse system.

A Health Management Service with Beacon-Based Identification for Preventive Elderly Care

  • Li, Jian-Wei;Chang, Yi-Chun;Xu, Min-Xiong;Huang, De-Yao
    • Journal of Information Processing Systems
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    • v.16 no.3
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    • pp.648-662
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    • 2020
  • Bluetooth low energy (BLE) beacon is an actively push-to-broadcast electronic signal and can be used for object identification. This paper uses such beacon-based identification and Internet of Things (IoT) technologies for the elder health management service system to simplify the user interfaces and steps for preventive elder care. In the proposed system, an elder's family member, caregiver, or medical worker can conveniently and quickly record daily health management information. Besides, through the statistics and analysis of the data on the back end of the system, it is helpful for the elderly to refer to the data of daily care management and future management trends. Similarly, it is also an essential reference data for system maintenance and the new preventive health care services development.

Development of a Home Care Nursing Management System for Computerization of Home Care Nursing Practice (가정간호업무 전산화를 위한 가정간호관리 시스템 개발)

  • Yoo, Ji-Soo;Kim, Cho-Ja;Shin, Hye-Sun;Choi, Hee-Jai
    • Journal of Home Health Care Nursing
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    • v.8 no.1
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    • pp.62-73
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    • 2001
  • This study was conducted to develop a home care nursing management system based on the validated and useful data base found through literature review. The contents and structure according to a development procedure for a computer system were as follows. 1. A data base on home care nursing patients was accumulated by putting data respectively in both steps and fields - from selection criteria. basic information. prescription. plan of home visits. to application of nursing process. 2. Accumulated data was classified and designed to search by basic information. drug/injection prescription. examination prescription, treatment prescription. supply. and a record of the nursing process. 3. Various forms of retrieval including graphs were elaborated in terms of diagnosis and intervention aspects.

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Consumer Impairment and Its Improvement on Longterm Care Insurance Service : Focused on the Current Conditions and the Analysis of Counseling Cases in Korea and Japan (노인장기요양보험 서비스에 관한 소비자피해와 개선방안 : 한일 서비스이용현황 및 상담사례 분석을 중심으로)

  • Lee, Hyun-Jin
    • Journal of Families and Better Life
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    • v.28 no.1
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    • pp.51-67
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    • 2010
  • This study looked into the current conditions in Korean and Japanese care management for the elderly, cases of consumer counseling in these countries, and the supporting institutions for Japanese users regarding the use of care management for the elderly. The number of recipients of care management for the elderly in both Korea and Japan is growing every year, and more Japanese users receive various services compared to Korean users. The results of an analysis on consumer counseling regarding the use of Korean and Japanese care management revealed, two types of complaints: counseling for the improvement of the institution and complaints related to the procurement of service. Regarding the insurance system, the complaints were mostly related to affirmation of a rating and the burden incurred by cost-sharing. Regarding the use of service, such key impairment cases were related to in-service medical accidents, illegal acts including caregiver contract violations and forced retirement, careless service by workers, and human rights violations of the elderly. Japan has developed governmental and, related-administrative and business services as well as a local governmental system to redress customer impairment issues as this pertains to service for better quality care management. In addition, they have enlarged the locally closed service, provided exact information about the services offered, and improved service appraisal techniques. The Japanese cases will serve as a good reference to improve the Korean system. In particular, the construction of a system that reduces customer losses and the availability of more counseling information are urgently required to improve the system in terms of customer experiences when they seek care management.

The Performance and Implication of A Market-oriented Health Care System in United States (미국 시장지향 의료체계의 성과와 시사점)

  • Lee, Key-Hyo
    • Korea Journal of Hospital Management
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    • v.9 no.1
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    • pp.1-21
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    • 2004
  • The United States has a unique health care system, which is unlikely any other health care systems in the world. The major part of basic functional components of the system -financing, insurance, delivery, and payment- is in private hands. A market-oriented economy invites the participation of numerous private entities that are interested in carrying out the key functions of health systems. Due to this central feature, U.S.health care is not delivered through a network of interrelated components designed to work together coherently. For lack of standardization, the various components of the system fit together only loosely. The involvement of numerous players in the key functions leads to duplication, overlap, inadequacy, inconsistency, and waste, which add to the complexity and also make the system inefficient. Hence, cost containment remains an elusive goals. Moreover, the system falls short of delivering equitable services to all americans, though consumption of health care services is the largest in the world. On the other hand, United States leads the world in the latest and the best in medical technology, medical training, and research. It offers some of the most sophisticated institutions, products, and processes of health care delivery. This article discuss the characteristic features of the U.S. health care system. and its performance, trying to seek its implication on Korean health care system.

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