• Title/Summary/Keyword: Disabled Welfare

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A Study on Inequality of Health and Medical Service for the Households with the Disabled (장애인 가구의 보건의료비 불평등 실태에 관한 연구)

  • Yeum, D.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.4
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    • pp.239-244
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    • 2014
  • This research was carried out for the purpose of providing basic data to establish a policy for improving health and medical service inequality in the disabled's households, by analyzing it according to composed groups through the application of data about the panel survey of the employment for the disabled, from 2010 to 2012. The results of analysis showed that as for Gini's coefficient, disabled women, the disabled without participation in economic activities, the disabled in their 40s, physically handicapped people and severely disabled people had more and more inequality in expenditure of health care expenses, and inequality in North Gyeongsang Province continued to be on the rise. As for the entropy coefficient, disabled women, the disabled without participation in economic activities, the mentally disabled and severely disabled people had more and more inequality in consumption of health care, and the inequality got severe in Ulsan and North Gyeongsang Province. And as for the decomposition of factors by composed group, inequality in health care expenses were higher inside a group than between groups. Based on these results, research limitations and implications were suggested.

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A Policy Alternatives on Developing Health Care Delivery System for Disable Person in the Community (장애인 건강관리를 위한 지역사회 재활보건의료서비스 전달체계 구축 방안)

  • Ryu Hosihn;Lee Juyul
    • Journal of Korean Public Health Nursing
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    • v.17 no.1
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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.

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A Study on the Necessity of Home Visit Rehabilitation Therapy by Rehabilitation Professionals Working at Social Welfare Facilities (사회복지시설에 종사하는 일부 재활전문가들의 방문재활에 대한 필요성 조사)

  • Lee, Jeong-Han;Kim, Gye-Yeop;Kim, Eun-Jung
    • The Journal of Korean Physical Therapy
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    • v.22 no.5
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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.

The Effect of Solution-Focused Brief Group Therapy Program on the Interaction between Developmental disorder Children and Parents (해결중심 부모집단상담이 발달장애아동과 부모의 상호작용에 미치는 효과)

  • Kim, Sung-Chun;Jung, Soo-Youn;Chang, Hae-Lim
    • Korean Journal of Social Welfare
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    • v.48
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    • pp.179-213
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    • 2002
  • The purpose of this study is to examine the effect solution-focused brief group therapy program on a relationship between developmental disorder children and their parents. The following research question is formulated to address the purpose: (1) Does solution-focused brief group therapy program will improve interaction on parents's "warmth" and "involvement"? (2) Does solution-focused brief group therapy program will improve interaction on child's overall action and relative behavior? (3) Does solution-focused brief group therapy program will improve relationship between the developmental disorder children and their parents? For research, 12 disabled children and their parents are assigned into two groups: Experimental and Control group. Findings are that. (1) The solution-focused brief group therapy program showed positive reaction on "parent's warm heart" but there was no reaction on "involvement". (2) The solution-focused brief group therapy program affect on interaction types of the disabled children. 3) According to self-recorded report, the parents' satisfaction of consultation has been increased by frequency. These results showing that the solution-focused brief group therapy are affected the interaction between developmental disorder and their own parents. Clinically, this outcome shows a significant practical implications on social work intervention.

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Analysis of the Evacuation Safety in a Fire at Welfare Center for Disabled (장애인복지관 화재 시 피난안전성 분석)

  • Park, Sunah;Lee, Jai Young
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.315-322
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    • 2021
  • This study analyzes the Required Safe Egress Time (RSET), in the event of a fire at a welfare center for the disabled, using the emergency passage according to the floor arrangement of users to evaluate the safety and the difference in RSET for each emergency passage using the Pathfinder simulation program to suggest an efficient evacuation method. As a result of RSET, it was found that there is no problem in evacuation safety for the current state of the facility's personnel allocation by satisfying the standard RSET in case of fire, and evacuation can be completed safely by evacuating through stairs rather than using elevators if possible. It is necessary for employees to be provided sufficient education and training in advance so that they can evacuate effectively with the disabled in case of fire. This study gives significance in saving many precious lives and safely evacuate in case of fire as evacuation routes were secured through the design, construction and operation of facilities for the disabled and the RSET was shortened through regular evacuation practices. It is necessary to discuss the further RSET studies based on the automatic fire shutters open or not when a fire occurs at a specific location following the installation of automatic fire shutter at the entrance of each floor of the facilities.

A Biographical Study of Social Exclusion Experiences - Focused on the Physical and Cerebral Palsy Disabled - (장애인의 사회적 배제 경험에 대한 생애사 연구 -지체와 뇌병변 장애인 중심으로-)

  • Shin, Yu-Ri
    • Korean Journal of Social Welfare
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    • v.64 no.2
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    • pp.299-323
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    • 2012
  • The purpose of this study is to understand social exclusion experiences with the disabled through a biographical study. It is analysed the interview date conducting an interview about 10 focused on the physical and cerebral palsy disabled with social exclusion experiences. The results show that it is multi-social exclusion including the inequality of approach opportunity of education, labor, education, medical, social participation, information, social service, space, health etc. It shows their life neglected and marginalized resulted from not providing social right as citizenship. And their social relationship is isolated by social exclusion and Other-directed identity is to be shaped in accordance to the method to define as regulated social ideals. Also, there is their painful and heavy life bound with double risky factors of disability and poverty. They share common historical experiences and social events impacted on their recognition and value among participants generation in biographical narrative. On the other hand, their life is reconstructed according to each their resource and standard to interpreter and evaluate on it. It suggests political and clinical implications in order to overcome the disabled's social exclusion, which is based on practical and vivid experiential dates from the participants.

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A Phenomenological Approach on the Child-Rearing Experience of Mothers Who Adopted Disabled Children -In Case of Finding Disability after Adoption- (장애아동 입양어머니의 양육경험에 대한 현상학적 연구 -입양 후 장애가 드러난 경우-)

  • Kim, Ka-Duc;You, Jeong-Suk
    • Korean Journal of Social Welfare
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    • v.62 no.1
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    • pp.83-107
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    • 2010
  • This study looked into the inner experience of foster mothers who adopted children under 3 months old and found out they were disabled while they were rearing with Van Manen's hermeneutic phenomenological approach. In-depth interviews were used with six foster mothers who live in Seoul, Gwangju, Gyeongsangnam-do, and Jeollabuk-do. The study resulted in a hermeneutic writing with titled "Love of Mothers Who Want to Make Their Children's Dreams Come True" with six essential themes as follows: 'being at a loss wrapped in a dense fog,' 'venting off the frustration,' 'gratitude amid painfulness,' 'bold confrontation with prejudices,' 'disabled children's return to the center of their moms' life,' and 'expectation for their future life.' As they are disabled, foster mothers want to rear their children with more care and attention to make their children's dreams come true. Seen above, this could be interpreted as mothers' love to a life. For foster mothers, the disability of their adopted children is not a burden but an expectation for a new world. They help the children live by themselves. It shows that every child can have his own home.

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Survey of ADL of Industrial Accident Disabled and the Caregiver Satisfaction Degree (간병요양중인 산재환자의 일상생활수행능력 및 간병인에 대한 만족도)

  • Choi, Jeong Myung;Oh, Jin Joo;Kim, Chun Mi;Lee, Hyun Joo
    • Korean Journal of Occupational Health Nursing
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    • v.17 no.1
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    • pp.5-13
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    • 2008
  • Purpose: The purpose of this study is to identify Activities of Daily Living(ADL) of industrial accident disabled with a caregiver and to evaluate the degree of satisfaction with services according to kinds of caregiver, professional or non-professional. Method: Data was collected from 178 patients in three workers' accident medical corporations of H, A and D cities from July to August, 2006. Five inspectors interviewed with the disabled by visiting the hospital. Collected data was analyzed for the frequency, percentages, t-test, etc. Results: The average score of ADL which ranged from 1 to 7 was 3.6. The 51.5 percent of caregivers for industrial accident disabled were non-professional and the 48.5 percent of caregivers were professional. 50.9 percent of the reason for the family caregivers was because of economical one. The caregiver satisfaction degree was 3.7 out of 4. The satisfaction degree with the professional caregivers was significantly higher than that with non-professional family caregivers for their excellent knowledge and techniques. Conclusion: A nursing expenses for the industrial accident disabled was intended to provide appropriate nursing services for the patient and so, it should not be a kind of income. So, the system for caring services should be investigated and the qualification of caregivers should be classified according to the health condition of the patient or ADL.

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A Study on Standards of Wheelchair User Accessible Toilet Rooms (휠체어사용자용 화장실의 규격기준에 대한 연구)

  • Shin, Dong-Hong;Park, Kwang-Jae
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.4
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    • pp.27-35
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    • 2018
  • Purpose: The diverse users and the increase of power wheelchair users have made it difficult to apply the standards of Wheelchair user accessible toilet rooms for the existing law and BF-certification. To address these issues, the standards of the relevant laws have been improved (Ministry of Health and Welfare, 2018), but there are still many problems. In this study, problems with the standards for Wheelchair user accessible toilet rooms in Korea are analyzed by comparing national and international standards. In addition, improvements to standards for Wheelchair user accessible toilet rooms will be suggested. Method: It presents improvement for standards of Wheelchair user accessible toilet rooms by comparing national, international standard and standards of many countries. Korean standard, International Standard(ISO 21542), American Standard(ADA Standards), German Standard(DIN 18040-1), Austrian Standard($\ddot{O}NORM$ B 1600) and Swiss Standard(Norm SIA 500) were investigated and analyzed. Results: Korea's standards differ from the ISO and the Standards of other countries in many ways, so there is a need for realignment. Specifications for disabled toilets and clear criteria for the size, shape, and location of sanitary appliances in toilets that are practically available to wheelchair users should be provided. Considering the increasing number of disabled toilet users, the installation of various disabled toilet rooms should be considered considering the user characteristics of those who can walk and wheelchair users. Implication: Recent partial improvements to relevant laws cannot meet the requirements of various users. Therefore, comprehensive and clear standard should be presented that take into account changing society and the environment.

The Effect of Disability Acceptance Mediated with Policy Trust on the Life Satisfaction: Group Comparison of Disability Type (장애수용이 정책신뢰도를 매개로 삶의 만족에 미치는 영향: 장애유형별 집단 비교)

  • Choi, Youn Jeong
    • 재활복지
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    • v.22 no.3
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    • pp.145-168
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    • 2018
  • The purpose of this study is to analyze the effect of disability acceptance mediated with policy trust on the life satisfaction and group difference of disability type. For this purpose, the raw data(2nd wave, 2st survey) of Panel Survey of Employment for the Disabled(PSED) conducted by the Korea Employment for the Disabled were used. Among the respondents, the data of 2,378 of the external physical disabled and 571 of mental disabled were analyzed. For the analysis, the structural equation model was used to verify the effect of mediation and group difference. The result of the study were as follows. First, disability acceptance of the disabled people effect on the life satisfaction by policy trust, and this was verified with partial mediated model. Second, In both groups, the external physical disabled and metal health disabled, disability acceptance and policy trust were the predictors of life satisfaction. Third, the difference in path coefficients between the two groups of external physical disabled and mental disabled was identified. Based on the results of this study, action plans were discussed to improve the life satisfaction of the disabled.