• 농촌계획
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• 제19권3호
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• pp.89-106
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• 2013

In this study, the effectiveness of the method for the promotion council to make rehabilitation community development plan with rural villages to continue community development is investigated in Ota-district, which is affected by chuetu earthquake. Initially, Ota-district made the acting contents of the plan based on the village's request, which is considered resident life and problems in village. Next, Ota-district made the vision of plan based on the acting contents. This plan procedure has been effective to compliment the village community facilities and running on village event, in addition to setting the village's community to continue to manage community facilities and event. As a result, this way has helped good management of village event using the facilities and interchanging among residents. Also, the use of acting contents by request of the promotion council and village's community, while respecting both, has been effective in that the promotion council assists the village event after the rehabilitation community development plan is finished.

• 한국보건간호학회지
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• 제17권1호
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• pp.5-16
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• 2003

This policy alternatives for establishment of rehabilitation health care delivery system for the disabled in the community were developed based on the data of current health status and situations of health care management for disabled persons in Korea. This research was conducted with secondary data analysis for identifying health status and current situations of managing health of disabled persons, and discussed current issues for establishing rehabilitation health care delivery systems in the community. Observing the health status and current situations of managing health of disabled persons, scope and target population of disabled person extended. so prevalence rates increased. and the severity of disability intensified and specified. The summary of issues of health management for disabled persons included; 1) absence of comprehensive and systematic policy in rehabilitation health care systems. 2) absence of consumer based rehabilitation health care facilities and delivery systems that are considered as the characteristics of disabled persons 3) fixed form of projects based on the provider and lack of variety in the programs. Hereafter. to overcome these problems. policy alternatives should 1) establish a comprehensive rehabilitation health care policy for disabled persons. 2) establish comprehensive and specific community based rehabilitation health care delivery systems that can promote preventing disability. providing medical care for disabled persons, establishing rehabilitation management for disabled persons and health care when returning to society. 3) provide training and secure manpower for rehabilitation, but the training case managers who will take the roles as an expert rehabilitation nurse mediators for multidisciplinary team work are needed immediately. and 4) include efficient connection and provision of independent services for welfare rehabilitation service and health care. Conclusively. a community based rehabilitation health care delivery system should be comprehensive policy vision of the government on rehabilitation health care delivery System rehabilitation service has to be constructed systematically under suitable facilities con consumer characteristics and rehabilitation health care policy. By doing this, consumer comprehensive community rehabilitation health care delivery system could be constructed disabled person.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제3권4호
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• pp.35-49
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• 1997

The percentage of postnatal disabled people and elderly population is rapidly increased by the industrialization, and the improvement of medical technology. The disparity between the city and rural area is in the way to disabled people who need rehabilitation. To solve these problems, Community Based Rehabilitation(CBR) is suggested by WHO. In this study, at first, the CBR model considering the specific characteristics of AnSan City are presented. Secondly, the first, the second, and the third rehabilitation facilities in AnSan City are classified by the CBR model. Thirdly, the estimation of optimum space for physical therapy and occupational therapy at rehabilitation center and public health center are sugested, which are the second level rehabilitation facilities. There are some differences in the distribution of population between new and old area in AnSan City. In other words, the subject population of CBR program in old area is relatively higher than that of new area. So, the CBR program for AnSan City must reflect their regional characteristics. In this study, the therapeutic boundaries of second level rehabilitation facilities is decided through the survey of physical therapists and occupational therapists in general hospitals and nursing homes.

• 지역사회간호학회지
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• 제10권1호
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• pp.121-139
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• 1999

Persons with disabilities have increased and among others, number of them in the community is at the high proportion. But they have a difficulty in physical, psychological adjusting and they don't be offered appropriate, sufficient rehabilitation services. Therefore, Community-Based Rehabilitation Services in Health Center be needed. With these backgrounds, this study was conducted to examine factors in relation to job performance of community-based rehabilitation program in Health Centers, and the factors are characteristics of district nurses, internal factors, external-environmental factors. This study provides guidelines for effective management for rehabilitation program. Subject in this study were 122 Health Centers randomly chosen. Data were collected from September, 16, 1998 to October, 9, 1998, and the data for analyses were ones of 105 respondents. The instrument of this study was job performance of community-based rehabilitation program is modified WHO guidelines. Credibility of instruments was 0.73-0.95 in main study. The summary of results was as follows. First, the mean of job performance of com munity-based rehabilitation program was 2.33 of full score 4.00. Significant differences were not obtained on the job performance among areas. Second, stepwise multiple regression analysis revealed that the most powerful predictor to job performance was community-based health program. The number of volunteer workers, the score of cooperation with other institution, the number of visiting nurse, the number of facilities for person with disabilities are accountable factor to the job performance of community-based rehabilitation program. In conclusions, for all the people with disabilities, Health Centers are necessary to promote community-based rehabilitation program and to increase participation of community residents and to cooperate with other institution.

• 한국전문물리치료학회지
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• 제29권2호
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• pp.94-105
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• 2022

Background: As South Korea enters an aged society, the government has emphasized the need for a soft landing of the older adults into the community after the acute and recovery periods under a national policy of "community care." However, the institutionalization of community rehabilitation services to implement this is insufficient. Japan had already entered an aged society when the Long-Term Care Insurance System was introduced in 2000. Thus, the case of Japan's institutionalization of the system is expected to have implications for us in supplementing a suitable system for the aged society. Objects: This study compared the institutionalization process of the Long-Term Care Insurance System in South Korea and Japan and the services currently being implemented in each country. Methods: To examine the institutionalization process and services of the system, related legal rules and regulations, government reports, and articles were reviewed. To examine the operation status of the system, statistical data provided by each country's government were analyzed. Results: Japan recognized the importance of community rehabilitation even before the enactment of Long-Term Care Insurance. Thus, community rehabilitation services, such as home-visit rehabilitation and health facilities, were already stipulated in the law. Under such institutional legacy, Long-Term Care Insurance was able to establish a service system, which balanced welfare and health-related services, including various types of services with enhanced rehabilitation functions. In South Korea, rehabilitation policies were not much considered in the process of institutionalizing the system; thus, it was composed mainly of services focusing on care and recuperation. Conclusion: In order to realize community care, rehabilitation services need to be developed in Long-Term Care Insurance System in various forms such as home-visit services, daily services, short stay, and facility services.

• 디지털융복합연구
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• 제19권3호
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• pp.445-452
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• 2021

본 연구는 그동안 분석되지 않은 장애인지역사회재활시설 종사자의 전문성인식이 직무만족에 미치는 영향, 그리고 이 관계에서 자아효능감의 매개효과를 검증하였다. 충남과 대전 지역의 14개 장애인복지관의 종사자 367명을 대상으로 조사한 설문자료를 분석하였다. 장애인지역사회재활시설 종사자의 전문성인식이 직무만족에 정적인 방향으로 유의미한 영향을 미치는 것을 확인하였다. 그리고 두 변수 간의 영향 관계에서 자아효능감의 부분매개효과를 검증하였다. 이러한 본 연구의 분석결과를 바탕으로 장애인지역사회재활시설 종사자의 직무만족을 향상시키기 위해 장애인지역사회 재활시설 종사자들의 전문성인식과 자아효능감을 향상시키기 위한 다양한 방법들을 제안하였다. 이후에는 장애인지역 사회재활시설 종사자들을 대상으로 하여 직무만족을 높일 수 있는 다양한 변수들 간의 관계에 대한 연구들이 이어지기를 기대한다.

• 디지털융복합연구
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• 제19권7호
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• pp.391-396
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• 2021

본 연구는 장애인복지관 전문인력의 임파워먼트와 조직몰입의 관계와 직무만족의 매개효과를 검증하였다. D광역시와 C도 지역의 14개 장애인복지관의 전문인력 348명을 대상으로 설문조사를 진행하였다. 분석결과, 장애인복지관 전문인력의 임파워먼트가 조직몰입에 미치는 영향과 직무만족의 매개효과가 검증되었다. 임파워먼트의 조직몰입에 대한 직접효과에 비해 직무만족을 매개한 간접효과가 더 큰 것으로 분석되었다. 분석결과를 기초로 장애인복지관 전문인력의 조직몰입을 증진시키기 위해 임파워먼트와 직무만족을 향상시킬 수 있는 대책을 제안하였다. 임파워먼트를 높이기 위해 의사결정권, 전문성향상을 위한 연수기회, 적합한 슈퍼비전 등이 제공될 필요가 있다. 직무만족을 향상시키기 위해 전문적 윤리의식의 교육, 사례발표의 진행, 감정노동의 적절한 관리 등이 바람직하다.

• 한국융합학회논문지
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• 제12권6호
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• pp.217-223
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• 2021

본 연구는 장애인지역사회재활시설 종사자들을 대상으로 동료관계가 소진에 미치는 영향에서 조직헌신의 매개효과를 검증하였다. 대전과 충남의 14개소 장애인지역사회재활시설에서 종사하는 직원 352명의 설문지를 분석하였다. SPSS 18.0 및 Amos 18.0을 활용하여 기술통계와 빈도분석, 신뢰도와 상관관계, 그리고 확인적 요인분석과 Bootstrap 검정 등을 사용했다. 종사자들의 동료관계가 소진에 부적 방향으로 유의하게 영향을 미쳤고 그 관계에서 조직헌신의 매개효과가 검증되었다. 분석결과를 기초로 장애인지역사회재활시설 종사자들의 소진을 감소시킬 방법들을 제안하면 다음과 같다. 첫째, 종사자들의 동료관계를 개선시키기 위해 대인관계증진 교육, 동료관계에서 발생하는 스트레스를 관리할 슈퍼비전 체계, 동료관계를 개선시키는 의사소통 프로그램 등이 필요하다. 둘째, 종사자들의 조직헌신도를 높이기 위해 임파워먼트 향상을 위한 자조모임의 활성화, 감정노동의 적절한 관리, 업무수행과 상황대처 능력을 향상 시킬 수 있는 전문적인 보수교육 등이 필요하다.

• The Journal of Korean Physical Therapy
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• 제22권5호
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• pp.95-102
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• 2010

Purpose: The purpose of this study was to analyze the necessity of home visit rehabilitation therapy by rehabilitation professionals working at social welfare facilities. Methods: The subjects of this study were 227 rehabilitation professionals (social worker, nurse, physical therapist, occupational therapist, speech-language therapist, special education teacher, and staff of institutions for the disabled who were working at community rehabilitation centers. The data were collected over 65 days (2008. 09. 10~11. 14). The results were analysed statistically by the Chi-square test. Results: The results are as follows: Long-term care service was established in Korea by the Ministry of Health in July, 2008. But there are limits to their being able to provide various rehabilitation services for chronic patients and old people. According to a recent survey, almost all rehabilitation professionals (N=227) stated that home visit rehabilitation therapy is necessary. Conclusion: In Korea, the long-term care service has a nursing service and a service supporting physical activities of daily living, but not physical therapy. So, home visit rehabilitation services should include physical therapy, rehabilitation exercise, and pain management.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2022년도 추계학술대회
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• pp.318-320
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• 2022

병원 내 치료를 마치고 지역사회로 복귀하는 운동재활자가 운동재활을 위해 처음 접하게 되는 어려움은 운동재활자의 현재 건강상태를 기반으로 적절한 운동지도자와 함께 운동을 어디에서 진행해야 되는 지에 대한 선택의 어려움에 있다. 이에 병원의 임상데이터 연계를 통해 개인의 질환 정보에 따른 건강상태를 기반으로 지역사회에서 개인맞춤형 운동재활 서비스(AI based Rehabilitation Exercise Service system: 이하, ARES 시스템)의 제공이 요구되고 있다. 본 연구에서는 ARES 시스템의 지역사회 운동재활을 위한 시설 및 코치와의 접근성 향상을 위하여 O2O(Online-to-Offline) 연계 코치 매칭을 위한 자원관리 시스템을 설계하였다.