• 재활간호학회지
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• 제14권1호
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• pp.5-12
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• 2011

Purpose: The purpose of this study was to evaluate the association among of Activity of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), depression and isolation in disabled people. Method: The subjects consisted of 761 disabled people in Korea. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlational statistics. Results: There were significant differences in age, cause of disability, type of disability, degree of disability, education, job, perceived health condition, and economic status between disabled people with high and low levels of ADL and IADL. Depression showed significant differences in type of disability, degree of disability, education, job, perceived health condition, and economic state; isolation showed significant differences in age, cause of disability, type of disability, education, job, residence, perceived health condition, and economic status. A significant association was identified between depression and isolation (r=.69, p<.001). Conclusion: There was a high incidence of depression in disabled men with high levels of isolation and ADL and IADL dependence. An effort to increase disabled people's ADL, IADL, and independence levels is needed, and nursing interventions should be designed and tested to increase their community involvement and decrease the sense of isolation and depression.

• 한국콘텐츠학회논문지
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• 제16권7호
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• pp.337-347
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• 2016

본 연구의 목적은 장애인의 지역사회 신뢰와 장애정체감이 장애인의 주관적 건강에 미치는 영향을 파악하고 사회경제적 지위의 조절효과를 검증하는 것이다. 이를 위해 장애인의 사회적 배제 척도개발에 사용된 조사 자료를 활용하였다. 분석결과, 첫째, 지역사회 신뢰와 장애정체감이 주관적 건강에 영향을 미치는 것으로 나타났다. 즉, 지역사회 신뢰와 장애정체감이 높아질수록 주관적 건강상태가 좋아지는 것으로 나타났다. 둘째, 사회경제적 지위의 조절효과를 분석한 결과, 사회경제적 지위는 장애정체감과 주관적 건강상태의 관계만 조절하는 것으로 나타났다. 즉, 장애정체감이 높아질수록 주관적 건강상태가 좋아지는 정도가 비수급자에 비해 수급자가 상대적으로 줄어드는 것으로 나타났다. 반면, 지역사회 신뢰와 주관적 건강상태의 관계는 조절하지 않는 것으로 나타났다. 이와 같은 연구결과를 토대로, 장애인의 주관적 건강상태를 증진시킬 수 있는 실천적 정책적 함의를 제안하였다.

• 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.

• KDI Journal of Economic Policy
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• 제42권3호
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• pp.53-85
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• 2020

We examine how certain occupational physical requirements affect labor transitions of disabled workers by exploiting a unique feature of South Korean Disability Insurance (DI), where award rules are based solely on an applicant's medical condition, independent of his previous occupations. We estimate the labor market response to a health shock by constructing a physical intensity measure from O^⁎NET and applying it to longitudinal South Korean household panel data. Our results suggest that health shocks initially lead to a 14 to 20 percent drop in employment and that this effect is greater for workers who previously held physically demanding occupations. Those who remain part of the labor market exhibit higher occupational mobility toward less physically demanding jobs. These findings imply that the magnitudes of income risks associated with health shocks vary depending on occupational and skill characteristics.

• Journal of Preventive Medicine and Public Health
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• 제39권5호
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• pp.411-418
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• 2006

Objectives: The purpose of this study was to determine whether the disabled have worse access to primary care than the non-disabled. Methods: We used the National Disability Registry data and the National Health Insurance data for the calendar year 2003, and we analyzed 807,380 disabled persons who had been registered until December 2001 and we also analyzed 1,614,760 non-disabled persons for nine ambulatory care sensitive conditions (ACSCs). The rates of physician visits and hospitalizations for the patients with ACSCs were compared between the disabled and the nondisabled. Multiple logistic regression analysis was used to evaluate the association between medical care utilization and disability and to assess the association between hospitalization and the number of physician visits while controlling for potential confounders. Results: The numbers of physician visits per 100 patients were $0.78{\sim}0.97$ times lower for the disabled than that for the non-disabled with five of nine ACSCs. The numbers of hospitalizations per 100 patients were $1.16{\sim}1.77$ times higher for the disabled than that for the non-disabled with all the ACSCs. While the ORs of a physician visit for the disabled were significantly lower than that for the non-disabled with all the ACSCs (OR: $0.44{\sim}0.70$), and the ORs of hospitalization for the disabled were significantly higher (OR: $1.16{\sim}1.89$). The lower physician visit group (number of physician visits ${\leq}$1) was more likely to be hospitalized than the higher physician visit group (number of physician visits ${\geq}$2) (OR: $1.69{\sim}19.77$). The effect of the physician visit rate on hospitalization was larger than the effect of disability on hospitalization. Conclusions: The results suggest that the disabled were more likely to be hospitalized for ACSCs due to their lower access to primary care.

• 보건의료산업학회지
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• 제8권4호
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• pp.209-220
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• 2014

This study found a relationship between the characteristics of the elderly with disabilities and extra health care monthly costs caused by disability and suggests methods for effectively managing health care spending of the elderly with disabilities. This study used data from the 2011 Survey on the Disabled conducted by the Ministry of Health and Welfare and the Korea Institute for Health and Social Affairs. The results of the analysis indicate that the relations between the socio-demographic characteristics of the elderly with disabilities and extra health care monthly costs caused by disability of the elderly are influenced by factors such as gender, age, members of the household, average monthly income and type of health insurance. Elderly people with disabilities spend too much for their medical care. To solve this problem, the government needs to find a variety of policy approaches to improve administrative procedure, establish a medical delivery system and enhance health care services.

• 디지털융복합연구
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• 제14권5호
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• pp.369-376
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• 2016

본 연구는 충남지역 일부 초등학교 학생들을 대상으로 제공된 휠체어 장애인과 함께하는 장애예방 교육이 연구대상자의 안전에 대한 자기효능감과 심리적 변화에 미치는 영향을 파악하고자 시도된 단일군 전후 설계에 의한 유사실험 연구이다. 본 연구의 대상자는 충남지역 초등학생 1,167명이며 수집된 자료 중 자기효능감의 변화는 SPSS Windows 22.0 program을 사용하여 분석하였고, 심리적 변화는 주관식 문항을 질적 분석하였다. 연구결과, 연구 대상자의 안전에 대한 자기효능감은 통계적으로 유의하게 향상되었고(Z=-26.109, p<.01), 안전 행동으로 실천하고자 하는 의지와 신념을 형성할 뿐 아니라 장애인 강사를 통해 장애인에 대한 인식이 개선됨을 넘어 감사 존경 등의 긍정적인 심리적 변화를 경험하는 것을 알 수 있었다. 그러므로 장애인 강사가 진행하는 장애예방교육은 안전문화 확립과 장애인에 대한 인식개선을 위해 더욱 활성화 되어야 할 것이다.

• 디지털융복합연구
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• 제14권10호
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• pp.455-461
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• 2016

본 연구는 장애학생의 학교생활적응에 미치는 영향 요인을 분석함으로써 장애 아동 및 청소년들이 학교생활에 잘 적응하도록 돕기 위한 방안을 수립하는 데 필요한 기초자료를 제공하는 것을 목적으로 하고 있다. 이를 위해 보건복지부에서 실시한 2014년 장애인실태조사 원자료를 분석자료로 하여, 초등학교, 중학교, 고등학교에 재학 중인 학생 197명을 대상으로 학교급별, 학교유형, 장애유형, 장애정도, 주관적건강상태, 차별경험 등 학교 및 장애 특성요인이 학교생활 적응에 영향을 미치는 지를 검증하고자 집단 간 평균비교 및 다중회귀분석 등을 실시하였다. 분석결과 학교급별, 학교유형, 장애정도 등이 장애학생의 학교생활 적응에 영향을 미치는 것으로 나타났다. 따라서 장애학생의 학교생활 적응을 돕기 위한 또래지원 프로그램 도입, 특수학급 증설, 보조인력, 제도적 보완 등이 필요하다.

• Journal of Preventive Medicine and Public Health
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• 제35권2호
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• pp.92-98
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• 2002

Objective : To estimate the burden of cardiovascular disease attributable to the total suspended particulates (TSP) and sulfur dioxide ($SO_2$) in Korea using the YLD (years lived with disability) measurement. Methods : Congestive heart failure(CHF) and myocardial infarction (MI) were chosen as the main cardiovascular diseases whose causes are attributable to the TSP and $SO_2$ levels. In order to calculate the YLD (years lived with a disability), the following parameters in the formula were estimated. : the incidence rate, the case fatality rate, The expected duration of a disability and the average age of onset were estimated. The expected duration of a disability and the average age of onset were calculated using the DISMOD method, as developed by the GBD researchers. The burden of cardiovascular disease due to TSP and $SO_2$ was estimated using the number of years that the patient lived with a disability. Results : The VLD of the CHF due to the TSP and $SO_2$ was attributed to the TSP (94.4 person-year) and $SO_2$ levels (35.0 person-year). The YLD of the ME due to the TSP and $SO_2$ was attributed to the TSP (148.4 person-year) and $SO_2$ levels(27.6 person-year). Conclusion : The YLD method employed in this study was appropriate for quantifying the burden of cardiovascular disease. Therefore, it would provide a rational basis for planning a national health policy regarding the disease burden of the risk factors in Korea.

• 디지털융복합연구
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• 제19권12호
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• pp.469-475
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• 2021

이 연구의 목적은 OECD 주요 국가를 대상으로 장애인이 차별받지 않고 자유를 완전히 누릴 수 있는 사회적 인식인 장애에 관한 차별금지법의 요소를 비교하는 것이다. 이 연구는 Chopin 외(2018)의 국가보고서에서 제시하고 있는 장애에 관한 차별금지법 요소를 분석 틀로 활용하여, 장애에 관한 차별금지법과 장애를 포함하는 일반 차별금지법, 영국의 평등법, 캐나다의 인권법을 포함하여 분석하였다. 연구결과는 다음과 같다. 장애에 관한 차별금지법에서 '직접차별', '간접차별', '혐오', '단체의 소송대리 역할', '단체의 소송지원 역할', '불이익조치 금지' 법조항 모두를 충족한 국가는 오스트리아, 벨기에, 프랑스, 스웨덴으로 나타났다. 특히, 한국은 '단체의 소송대리 역할'과 '단체의 소송지원 역할'이 포함되지 않았고 '직접차별', '간접차별', '혐오', '불이익조치 금지'에 관한 법조항을 충족한 국가였다. 마지막으로 이 연구는 법 제도적인 보완을 제언하였다.