• Title/Summary/Keyword: Demand of Home Care

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The Analysis of Need with Homebound Disabled Persons in a Country Area (일부 농촌지역 재가 장애인의 요구도 분석)

  • Jung, Byeong-Ok;Lee, Cu-Rie;Kim, Keun-Jo;Park, Heung-Ki;Kim, Bonn-Won
    • Journal of Korean Physical Therapy Science
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    • v.13 no.4
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    • pp.43-62
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    • 2006
  • The survey was conducted with participation of the 289 handicapped persons residing at the rural area OOeup-gun in Kyungbook for the period of March 2 - May 31, 2006, to study the nature in general of the handicapped and the boundaries of their need. For the nature in general of the handicapped, the study was done by gender iscrimination, age, marital status, religion, educational level, occupation, monthly income, disability cause, disabled duration, disability type, disability level. For the boundaries of their need, the study was done by demand of financial support, educational demand, demand of voluntary workers, need of rehabilitation and medical treatment, job training, improvement of living conditions, or so. Using the Win.SPSS program, we made a frequency analysis and conclusions on the nature in general of the handicapped and the boundaries of their need on a 2-test. Conclusions are : 1. Nature in general of the handicapped The existence of the handicapped shows high at the age over 51 (71.6%), male-handicapped (65.1%), primary school graduates (62.9%), farming engaging (65.2%), monthly income less than one million Won (80.5%), cause by disease (53.8%), duration more than 10 years (61.6%), disability at level 3 (39.8%), extremity disability (66.4%). 2. Correlation of nature in general with demand of the handicapped a. In demanding the financial support, support for helper’s compensation shows high (p<0.05). In demanding the necessity of voluntary workers, the male-handicapped appears high during the absence of family assistance and the female-handicapped appears differently per week and also appears high during the absence of family assistance (p<0.05). b. In educational demand of the handicapped by their age, the age below 30 demands technical-job training and the age over 31 demands medical education for health care (p<0.01). c. In demanding the financial support by educational level, support for living cost shows high (p<0.05). d. In demanding improvement of living conditions by postnatal cause of disability, improvement of house structure shows high (p<0.05). e. In demanding assistance of voluntary workers by disabled duration, "No Need" shows high in the disabled duration more than 4 years (p<0.05). f. In demanding rehabilitation and medical treatment by disability type, home-visiting treatment, oriental medical treatment and physical therapy show high (p<0.001). g. In educational demand by disability level, medical education for health care shows high (p<0.01).

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Review of Communal Housing for the Elderly in the UK (영국의 노인공동생활주택에 대한 검토)

  • 홍형옥
    • Journal of Families and Better Life
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    • v.19 no.4
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    • pp.49-68
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    • 2001
  • The purpose of this study was 1) to review communal housing in the UK, 2) to consider the policy implications for elderly communal housing in Korea. The research methods used were 1) literature review about communal housing and related policy in the UK 2) field survey in the UK 3) interpretative suggestion for the proper policy implication to develope communal housing for the elderly in Korea. Sheltered housing in the UK had been developed as communal housing for the elderly with special needs since the 1970s. The type of sheltered housing were category 1 and category 2. Very sheltered housing with more facilities and meal services was added in 1980s. Sheltered housing was evaluated as the most humanistic solution for older people in the UK in 1980s. Because of the policy of moving institutional care to community care, sheltered housing became less in demand because of more options for older people including being able to stay in their own home. So new completion of sheltered housing by registered social landlords reduced saliently. Sheltered housing already totalled over half million units in which 5% of all elderly over 65 still lived and a small quantity of private sector for sale schemes emerged in the 1990s. The reason why the residents moved to sheltered housing was for sociable, secure, and manageable living arrangements. In general the residents were satisfied with these characteristics but dissatisfied with the service charge and quality of meals, especially in category 2.5 schemes. The degree of utilisation of communal spaces and facilities depended on the wardens ability and enthusiasm. Evaluation of sheltered housing indicated several problems such as wardens duty as a \"good neighbour\" ; difficult-to-let problems with poor location or individual units of bedsittiing type with shared bathroom ; and the under use of communal spaces and facilities. Some ideas to solve these problems were suggested by researchers through expanding wardens duty as a professional, opening the scheme to the public, improving interior standards, and accepting non-elderly applicants who need support. Some researchers insisted continuing development of sheltered housing, but higher standards must be considered for the minority who want to live in communal living arrangement. Recently, enhanced sheltered housing with greater involvement of relatives and with tied up policy in registration and funding suggested as an alternative for residential care. In conclusion, the rights of choice for older people should be policy support for special needs housing. Elderly communal housing, especially a model similar to sheltered housing category 2 with at least 1 meal a day might be recommended for a Korean Model. For special needs housing development either for rent or for sale, participation of the public sector and long term and low interest financial support for the private sector must be developed in Korea. Providing a system for scheme managers to train and retrain must be encouraged. The professional ability of the scheme manager to plan and to deliver services might be the most important factor for the success of elderly communal housing projects in Korea. In addition the expansion of a public health care service, the development of leisure programs in Senior Citizens Centre, home helper both for the elderly in communal housing and the elderly in mainstream housing of the community as well. Providing of elderly communal housing through the modified general Construction Act rather than the present Elderly Welfare Act might be more helpful to encourage the access of general people in Korea. in Korea.

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Status of Medical use of Elderly Inpatients in Nursing Hospitals According to Disease Groups: Using HIRA-APS (질병군에 따른 요양병원 노인 입원환자의 의료이용 현황: 건강보험심사평가원 고령환자데이터셋(HIRA-APS)을 이용하여)

  • Yun-Jeong Chang;Cho-Yeol Park
    • Journal of the Health Care and Life Science
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    • v.11 no.2
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    • pp.351-360
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    • 2023
  • 2018 aged patient dataset (HIRA-APS), 33,821 patients admitted to long-term care hospitals were classified by major disease groups to identify the characteristics of medical use and provide effective policy data. First, it is necessary to operate specialized long-term care hospitals such as dementia, rehabilitation, hospice, and recovery specialization tailored to the characteristics of the patient's disease group. Second, the paralysis group, cerebrovascular disease group, and dementia group were the longest LOS and the cognitive impairment group is the longest by patient classification group, requiring medical demand and quality management for long-term patients. Third, the musculoskeletal disease group was the highest normal discharge, and support for the post-discharge home program is required in paralysis and cerebrovascular disease.

Identifying Housing Demands on Smart Homes by Targeting Residents of Apartment Complexes in China (중국 아파트 거주자를 대상으로 한 스마트 주택 요구도 분석)

  • Dong, Xue;Kim, Mi Jeong;Cho, Myung Eun
    • Journal of the Korean housing association
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    • v.27 no.6
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    • pp.105-112
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    • 2016
  • Although smart homes have been much developed in China, smart homes has been mainly towards the adoption of new technologies. There is little development of smart homes to consider and meet residents' needs in China. This study investigated residents' living in apartments in China using a questionnaire to identify their demands on smart homes. Through the survey, this study analyzed residents' space use patterns, daily living patterns etc. according to their ages. The results implied that there are significant differences in the use of spaces and demands on daily living within apartments. The results of this study should be considered for the development of smart homes in future. For example, it might be easier for people in the 20's to adopt Internet of Things (IoT) and environmental control systems compared to other age groups because most of them in the 20's use smart phones effectively without difficulties. In case of people in their 50's who stay home more times for taking a rest and eating meals compared to other age groups, smart technologies should be applied to support their health care and works in housings. This research emphasizing residents' experiences could be basis for the development of smart homes in China.

Gender Perspective and Women's Welfare Policies in Korea -On the Basis of the Results of a Survey on the Degrees of Perceptions of Women's Welfare Policies, Needs, and Satisfactions- (성인지적 관점과 한국의 여성복지정책 -여성복지정책인식, 요구도, 만족도 조사를 중심으로-)

  • 박미석;송인자;한정원
    • Journal of the Korean Home Economics Association
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    • v.42 no.2
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    • pp.195-212
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    • 2004
  • This research is based on the survey of welfare beneficiaries, aiming to set up the gender-equal welfare policies. Through the survey, this research examines status of women in the family and society and also examines, the degree of perception of women's welfare policies, needs, and satisfaction. According to the survey results, the current welfare policies that are limited to needy women should expand its range, enforcing the infra structure. That employment policy for women turned out to be very important in welfare policies. Demand for more enlarged welfare policies is quite high, especially in housing, employment and elderly care. On the contrary, the degree of satisfaction degree appears quite low because of unrealistic welfare program and benefits. In order to improve the welfare policies, more active and realistic employment policies should be emphasized with the proper support for family life. To raise the status of women, proper policies for women's economic independence should be set up. In addition, consciousness of gender equality should be encouraged in the whole society. Also, women's participation in politics and decision-making process is necessary.

The Characteristics of Housing Environment of the Elderly in Apartment (공동주택 거주 노인의 주거환경 특성에 관한 연구)

  • Jun, Eun-Jung
    • KIEAE Journal
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    • v.12 no.4
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    • pp.31-40
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    • 2012
  • This study of elderly households living conditions to determine the overall status in the housing environment is to understand. To this end, the stage of elderly as a framework to target living consciousness, living space composition, housing Environment composition of elderly households with a comprehensive understanding and analyzes were employed. For this research is a survey conducted on senior citizens(over 60) in Busan, Korea. The major findings are as followings; In the living consciousness, the elderly households showed high perception of dependency but the age of the elderly increases, depends on the parent to the child. Also depending on the aging of the elderly considered health more important than economic conditions. The requirements for living space composition, most respondents prefer to stay in the same place where they currently reside. Move into the new housing was also identified. It was recognized that elderly households not only required living in co-residential space with their families, but also the necessity for individual space. The home environments composition, health care and social welfare support services appears overall the elderly of stage. The age of the elderly increases, a strong demand for care and support service were identified. Health activities in leisure and social activities and social activities, as age increased mainly done by the convenience of public transportation has been identified that are important.

Comparison of the Opinion about Senior Congregate Housing -with Special Focus to the Areas of Seoul Metropolitan Area, Busan, Gwangaju, and Daejun- (노인공동생활주택에 대한 지역별 견해 비교 -서울ㆍ수도권, 부산, 광주, 대전 지역을 중심으로-)

  • 홍형옥;지은영
    • Journal of the Korean housing association
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    • v.15 no.1
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    • pp.163-174
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    • 2004
  • The purpose of this study was 1) to analyze the attitudes about Senior Congregate Housing(SCH) among 4 urban areas, 2) to propose the various model for SCH which should be provided to satisfy the demand. Same opinions among 4 urban areas were ; 1) Whom were willing to move into SCH for later life, most of them were in early 50s. Most of the respondents desired to be serviced community alarm system, preferred one-room style, size of 11∼15 Pyung, and preferred living at suburban area. The multi-family type was preferred when not being healthy and be singled, but if healthy, preferred the type of single detached house. And they preferred the home ownership, highly valued of heating control system, health care and leisure programs. Thus for the future SCH, it should be designed all facilities were equipped with sports facilities, sauna and leisure programs. The findings indicated that the high rates of supporting with professional management for 24 hours by turn. But different opinions among 4 urban areas were; 2) Willingness live in SCH for later life had little difference in level of income, education, property. Especially, residents of Seoul Metropolitan area and Busan did not want to open their own common facilities to the public.

Comparison of the Opinion about Senior Congregate Housing (노인공동생활주택에 대한 지역별 견해 비교 - 서울 ${\cdot}$ 경기도, 부산, 광주, 대전 지역을 중심으로 -)

  • Hong, Hyung-Ock;Jee, Eun-Young
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2003.11a
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    • pp.127-131
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    • 2003
  • The purpose of this study was 1) to analyze the attitudes about Senior Congregate Housing(SCH) among 4 urban areas, 2) to propose the various model for SCH which should be provided to satisfy the demand. Same opinions among 4 urban areas were ; 1) Whom were willing to move into SCH for later life, most of them were in early 50s. Most of the respondents desired to be serviced community alarm system preferred one-room style, size of 11 ${\sim}$ 15 Pyung, and preferred living at suburban area The multi-family type was preferred when not being healthy and be singled, but if healthy, preferred the type of single detached house. And they preferred the home ownership, highly valued of heating control system, health care and leisure programs. But different opinions among 4 urban areas were ; 2) Willingness live in SCH for later life had little difference in level of income, education, property. Especially, residents of Seoul Metropolitan area and Busan did not want to open their own common facilities to the public.

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A Ethnographic Field Study for a Model Development of the Chronic Bed-ridden Patient s Home-ward (만성 재가 기동장애자의 가정병실 모델 개발을 위한 현장 연구)

  • 김태연;정연강
    • Journal of Korean Academy of Nursing
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    • v.24 no.4
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    • pp.597-615
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    • 1994
  • This study is designed to facilitate the creation of home environment conducive to the family taking care of chronic bed-ridden patients with more effective method. The need for this study has emerged against the background of marked changes in the structure of ailments and causes of death, resulting in the number and plights of chronic bed-ridden patients as well as of a rapid increase in demand for medical care and resulting premature discharge. Keeping these in mind, this study focused on home-wards where the majority of chronic bed-ridden patients are being cared for. Despite. their overriding importance, home-words are less than efficient in caring (or chronic bed-ridden patients. These circumstances require the designing of home-wards that can offer greater comfort to patients and at the same time make things easier for caregivers, on the basis of an overall analysis of patients' life and home - ward situation. According1y this study adopted a Participant Observation Method derived cultural anthropology, Toward this end, 3 patients were chosen as subjects of this study for intensive interviewing and participant observation. In the process of this field re-search efforts were made to collect emprical data, that is, to faithfully record the words of the subjects and their caregivers for analysis and interpretation. The findings of these analyses are as follows. Firstly, the chronic bed-ridden patients are mostly being taken care by close family members. Secondly, a room for the exclusive use of the patient, floor, kitchen, bathroom and multipurpose space were found to be necessary for proper caring of the patient. These spaces were respectively used with a view to 1) accomodating the patient as well as caregivers' activities, 2) keeping general and medical supplies and other appliances for patient's care and drying the patient's washing, 3) preparing and keeping the patient's foods and beverages, 4) keeping the supplies necessary for cleaning the patient's body and treating the patient's eliminations, 5) washing the patient's clothes, underwears and bedclothes. The patient's room in turn is subdivided into six portions in terms of uses : specifically the places for accomodating 1) the patient, 2) medical supplies, 3) medicines, 4) linens St clothes, 5) bedclothes and, 6) diapers. Thirdly, the activities of the caregiver are subdivided into seven key areas : hygiene, exercise, diet, elimination, therapeutic nursing, prevention of sore, and other activities. Each area is further classified into several different activities of caring. These activities we mainly carried out in the patient's room. Fourthly, the supplies for caring the chronic bed-ridden patient is divided into two large domains : medical and general supplies. Finally, three main problems areas were found in this study on the part of caregivers, that is, sore prevention, hygiene problem related frequent urination / defecation, the caregiver's physical, psych ological and emotional burden. In consideration of the aforesaid problem areas, a model home-ward was developed in this study. The newly-developed model has been found to have the following six advantages. Firstly, the time and effort required for maintaining the patient's hygiene are reduced, thus relievins the caregiver's physical and psychological bur-den. Secondly, the patient's hygiene can be maintained in satisfactory conditions, because the patient's eliminations are more easily removed. Thirdly, skin irritations caused by the patient's eliminations were remarkably reduced and so were the patient's sores due to moisture and bacteria. Fourthly, the home-ward have a tilt-table ef-fect thanks to the inclining room floor. This improves the patient's cardiovascular function as well as constantly changes pressed skin areas and thus prevents sores. Fifthly, improved shelf arrangements help make the best use of patient's supplies. Sixthly, the trouble of continuously changing clothes, underwears, diapers & bedclothes is remarkably reduced simply by covering the patient with cotton sheets when laid in bed. This is espected to cut down expenses by reducing the comsumptions of diapers and other disposable supplies.

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A Study on the Management and Living Environment of the Group-homes for the Elderly -Focusing on Jeonju and Kwangju- (노인그룹홈의 운영과 생활환경에 관한 연구 -전주시와 광주시를 중심으로-)

  • Ahn, Kyung-Ohn
    • Korean Journal of Human Ecology
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    • v.18 no.4
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    • pp.841-855
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    • 2009
  • The main objective of this study is to examine the situations of group-homes for the elderly and clarify the problems of them. This study investigates the present conditions of welfare facilities and supply conditions. 4 group-homes were surveyed in Jeonju and Kwangju cities. Data was collected through various ways including the survey conducted by facility operators, the measurement of living space, and photo-takings. The major results of this study are as follows: 1) With the introduction of nursing care insurance in 2008, the increase of the demand and supply to group-home will be expected, due to less cost for recuperation. The care of elderly in homelike atmosphere is effective to the elderly suffering from dementia. Therefore, it is proper that the supply of group-homes for dementia will be needed. 2) Group-homes for the elderly are being supplied under the standards of welfare facilities in the present. Separate supply standards, however, are needed because they are not suitable for small scale group-homes. 3) To supply Group-homes for the elderly on a one-unit basis would cause various problems such as economical unreality, personnel distribution and so on. It is necessary to supply more than two units for more efficient management. 4) The management of group-homes for the elderly is financially unstable because the operating funds heavily depend on the users or people who are connected with the facilities through private networks. Therefore, additional support is needed to settle the financial problem. It would be helpful to build the public networking that provides information about the group-home for the elderly for the public. 5) In case of the increase in the supply of the group-home in a residential area, it could be helpful to promote the group-home to the public. 6) The operators state that the main problems of group homes for the elderly lie in financial difficulties and the shortage of professionals and volunteers. The financial, personnel, and material support for personnel and the supervision of management are required for the transparency and effectiveness of the facility management. In addition, the closer network and cooperation system with the community is required. 7) The present living environments for group-homes for the elderly leave much room for improvement, considering the physical condition of the elderly. The more careful selections in the color, shape, material, and equipment of the facilities should be made for the convenience of the elderly users.