• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2016년도 춘계 종합학술대회 논문집
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• pp.389-390
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• 2016

Since the Salamanca statement in 1994, inclusive education became the worldwide issue in the field of educational policy. Inclusive education is defined that equality and comprehensive education in the classroom to learning together regardless of whether with disability or not (Han et al, 2013). Inclusive education is the educational system and consist of the three domains; guarantee of rights, improvement in environment and reform in curriculum (Han et al, 2015). Diversity education has been positioned as an educational method in inclusive education. Diversity in classroom is very wide ranging; nationality, gender, culture, race, ethnicity, disability, age and religion. Diversity education is the educational method to providing the appropriate education for the children's diversity on the assumption that appreciate to the diversity. In recent years, the main purpose of inclusive education is to encompass children with disabilities. However, developmental disabilities that has no intellectual delay become a new challenge in education in addition to the physical and mental disability. This study aims to definition of the diversity education as the educational method in Japan.

• 보건행정학회지
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• 제31권4호
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• pp.518-530
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• 2021

Background: This study examined the effect of having a usual source of care on the degree of patient-centered communication among persons with disability. The role of the usual source of care has been emphasized to improve patient experience, especially for patients with complex health conditions. Methods: This study used the 2017-2018 Korean Health Panel data, and the final study observations were 22,475 (20,806 people without disability and 1,669 people with disability). We applied generalized estimating equation model to show the effect of having a usual source of care on patient-centered communication, and subgroup analysis considering the types and severity of disabilities. Results: Persons who have disabilities, compared with ones without it, significantly had more usual sources of care (32.4% vs. 24.6%). By type of disability, persons with mental (51.4%), internal organ (43.8%), visual (37%), and physical disabilities (31.6%) had more usual sources of care than hearing/speech (26.6%), and developmental disabilities (18.6%). The average score of patient-centered communication was higher among who had a usual sources of care (3.2 vs. 2.7), and the regression analysis showed that having a usual sources of care was positively associated with higher patient-centered communication score (𝛽=0.476, p<0.05). However, the positive effects of usual sources of care was not observed among persons with severe hearing/speech, developmental, and mental disabilities. Conclusion: This study showed that role of patient-centered communication was limited in persons with severe hearing/speech disabilities, developmental, and mental disabilities. The education programs and supports are needed to improve communication skills between medical staff and persons with specific types of disabilities.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2001년도 제53차 추계 학술대회 연제집
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• pp.250-251
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• 2001

• 한국사회복지학
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• 제57권3호
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• pp.363-387
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• 2005

본 연구의 목적은 영국 커뮤니티케어의 이용자 참여와 관련된 요소들의 검토를 통해서 우리나라 장애인복지서비스에서 이용자 참여를 증진시킬 수 있는 방안을 탐색해 보는 것이다. 본 연구를 통하여 발견한 우리나라 장애인복지서비스에 대한 함의는 크게 다섯 가지로 요약될 수 있다. 첫째, 영국의 커뮤니티케어에서 채택한 핵심적인 전략인 시장기제의 도입을 통한 소비자주의 접근은 크게 다른 서비스 환경 때문에 현재의 우리나라 장애인서비스에는 적합하지 못한 것으로 보인다. 둘째, 지방이양의 쟁점과 관련하여 서비스의 지방이양이 서비스의 질을 저하시키지 않으면서 이용자의 참여를 증진시킬 수 있기 위해서는 서비스의 질을 확보할 수 있는 방안이 먼저 정립되어야 한다. 셋째, 장애인들에게 사정받을 권리를 보장하고 이와 함께 사례관리 과정에 의해 운영되는 공식적 서비스 체계를 구축하는 일이 필요하다. 넷째, 이용자에게 정확한 정보를 제공할 수 있도록 하는 조치와 함께 서비스 이용자들이 쉽게 접근할 수 있는 공식화된 이의제기 절차를 마련하는 것이 필요하다. 다섯째, 전문가들이 이용자들의 개별적인 서비스 과정에 대한 참여뿐만 아니라 집단적인 이용자 운동의 참여에 대해서도 지원하는 역할을 할 수 있도록 하는 전문가 교육이 이루어질 필요가 있으며, 이용자 참여를 견인할 수 있는 장애인운동의 역할도 동시에 강조될 필요가 있다.

• 보험의학회지
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• 제2권1호
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• pp.53-64
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• 1985

• 보험의학회지
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• 제1권1호
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• pp.38-53
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• 1984

• Journal of Preventive Medicine and Public Health
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• 제39권1호
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• pp.39-45
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• 2006

Objectives: This study estimated the burden of disease especially caused by psychiatric disorders in Korea by using DALY, a composite indicator that was recently developed by the Global Burden of Disease study group. Methods: First, 11 of the major psychiatric disorders in Korea were selected based on the ICD-10. Second, the burden of disease due to premature death was estimated by using YLLs (years of life lost due to premature death). Third, for the calculation of the YLD (years lived with disability), the following parameters were estimated in the formula: the incidence rate, the prevalence rate and the disability weight of each psychiatric disorder. Last, we estimated the DALY of the psychiatric disorders by adding the YLLs and YLDs. Results: The burden of psychiatric disorder per 100,000 people was attributed mainly to unipolar major depression (1,278 person-years), schizophrenia (638 person-years) and alcohol use disorder (287 person-years). For males, schizophrenia (596 person-years) and alcohol use disorder (491 person-years) caused the highest burden. For females, unipolar major depression (1,749 person-years) and schizophrenia (680 person-years) cause the highest burden. As analyzed by gender and age group, alcohol use disorder causes a higher burden than schizophrenia in men aged 40 years and older. For females, unipolar major depression causes the highest burden in all age groups. Conclusions: We found that each of the psychiatric disorders that cause the highest burden is different according to gender and age group. This study's results can provide a rational basis to plan a national health policy regarding the burden of disease caused by psychiatric disorders.

• 디지털융복합연구
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• 제15권1호
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• pp.519-526
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• 2017

본 연구는 장애인의 주관적인 건강수준이 일상생활만족도에 미치는 영향과 장애인의 심리적 기제인 우울과 장애수용의 매개효과를 분석하였다. 본 연구의 목적은 장애인의 주관적인 건강수준과 생활만족도와의 관계를 밝힘으로써 구체적인 실천적 개입 전략과, 정책적 제도방안 수립의 기초자료로 활용하는데 있다. 본 연구는 한국장애인고용공단 고용개발원에서 조사한 제4차 장애인고용패널조사(Panel Survey of Employment for the Disabled, PSED)의 원자료(raw data)를 이용하여 분석하였다. 연구결과를 요약하면 다음과 같다. 첫째, 장애인의 주관적 건강수준, 장애수용, 우울, 일상생활만족도 간의 상관관계를 분석한 결과, 일상생활만족도는 주관적 건강수준과 장애수용과는 정의 상관관계를 보인 반면, 우울과는 부의 상관관계를 보였다. 둘째, 주관적 건강수준이 일상생활 만족도에 미치는 영향과 장애수용 및 우울의 매개효과에서는 주관적 건강수준은 일상생활만족도에 통계적으로 유의미한 영향을 미치며, 이들 간의 관계에서 장애수용과 우울은 부분매개효과가 있음이 확인되었다. 이런 결과를 토대로 장애인의 일상생활만족을 위하여 실천적 정책적 제언을 제시하였다.

• 한국사회정책
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• 제19권3호
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• pp.247-281
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• 2012

본 연구는 현 국민연금 장애연금이 직면하고 있는 문제점을 포괄범위의 보편성, 급여수준의 적정성, 제도의 형평성 세 관점에서 고찰하고 그 개선방안을 모색하려 하였다. 연구결과, 낮은 보편성 문제는 제도의 넓은 적용사각지대 그리고 좁은 장애범주의 설정과 엄격한 장애판정기준에 기인하는 것으로 판단된다. 따라서 국민연금의 장애범주를 사회심리적 질환으로 확대하고 장애판정체계를 소득활동능력기준의 체계로 전환하는 것이 개선안으로 제안되었다. 또한, 장애연금의 급여수준은 장기적으로 볼 때 노령연금에 비해 크게 후퇴할 것으로 전망되었다. 낮은 급여수준은 낮은 기준가입기간과 낮은 장애등급별 지급률에 기인하는 것으로 판단되어, 이를 극복하기 위한 대안으로 기준가입기간의 상향조정과 장애등급별 지급률의 상향조정이 검토되었다. 그 결과, 등급별 지급률 상향조정이 가입자간 형평성 문제를 악화시키지 않으면서 급여수준 정적성 문제를 해결할 수 있는 방안으로 나타났다. 한편, 장애연금의 형평성 문제와 관련해서는 본 연구는 가입상태에 따라 다르게 설정된 수급 요건이 그 주요 원인이라고 보고, 이를 최근의 납부 요건이나 생애 일정비율 납부요건 또는 그 혼합형의 수급요건으로 단일화하는 방안을 검토하였다.

• 한국사회복지학
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• 제43권
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• pp.106-130
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• 2000

When parents as primary care takers to the mentally disabled adult are no longer taking care of their care-needed offsprings because of their own death or illness, instead themselves. who take care of their offsprings with the mental disability? Therefore, 'permanency planning' is very important for reduction of parents' care burden and social integration of mentally disabled adults. Accordingly, this study aims to find out factors which are related to permanency planning for adults with the mentally disability For the purpose of the study, 192 parents of the adult with the mental illness and mental retardation were conducted a survey regarding type of permanency planning, and its related factors including social functioning level of the mentally disabled, care burden, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability. Furthermore, this study examined correlation between these factors and residential planning. Results obtained by the study were as follows: 1) 51% of the parents are having a plan for institution and most parents want other family member to take care for financial planning for their mentally disabled offsprings. 2) As a result of multiple regression for finding out factors which affect parents' permanency planning, social functioning level of the mentally disabled, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability were statistically significant influenced factors, which has 23.3% of explanatory power. 3) As a result of step-wise multiple regression, financial ability, parents' self-perception of being aged, and help from offspring without mental disability were the most powerful influenced factors for permanency planning. 4) In case of having a plan for residential types-which are institution and community living-, parents who have a plan for the mentally disabled offsprings' future residence as community living than institution have the offsprings with more social functioning and also have more help from offspring without mental disability. Therefore, this study concluded that welfare policy for mental health and the handicapped which secure various types of community living facilities and income security is strongly needed. At the same time, mental health profession is needed to have more active interest and intervention for permanency planning for their adult clients and parents.