The purpose of this study is to analyze and assess the family policy of the Lee administration and to suggest agendas for sustainable future family policy. Traditionally, families are a unique unit of production and reproduction of family members and social laborers. In addition, families are the social safety net help people survive in a society. Therefore, family policies play an important role in contemporary society. In this context, we review the literature related to family and social policy, and the contents of Ministry for Health, Welfare and Family Affairs, which is the main authority in Korea. The results are as follow: Firstly, the Lee administration ignored the data showing that family policy should be a unique policy, and not a sub-division of welfare policy. Secondly, there is no difference between the active welfare policy of the Lee administration and policies of past administrations. Finally, this study suggests that subjects of future oriented family policy should focus on co-developing programs for the individual, family, and society, to develop problem-prevention and family needs- ordered policy, and to make integrated family policy through laws and delivery systems such as Healthy Family Centers.
The general objectives of this study were to develop a health education management information system to effectively deal with community health problems. This study aimed at 1) to development an health education management information system, and 2) to offer computer-based communication channels among the District Health System components such as health center, health subcenters, and community hospital, 3) lastly, to identify the key issues and effectiveness of health education. Major findings of the study were as follows: The major benefits and significances of this information system included: improvement of quality of health education statistics by reducing manual data processing, improvement of productivity of health educators by reducing paper works, improvement of decision-making capability of managers by providing more information for planning, organizing, and evaluating health education programes, and improvement of communication flow among health institutions. Based on the findings of the study, the following are recommended: (1) The health education information system will connect with computerized information systems of various health-related institutions in a district and computer-based communication channels among them, and of the superior agencies in the future. (2) The major functions of the computerized health education program are: to keep client medical records, to inquire about information on the client and his family's history. (3) The program will provide outputs in various forms, such as files for patient records, data on some chronic diseases, information on the patient and his family members, and various kinds of statistics.
The purpose of this study was to examine retirees' attitudes towards change of living standards. The data were drawn from the 2007 Korean Retiree Survey, as carried out by the Korean Investors Education Foundation. The major findings are as follows: 1) Some retirees were not well-prepared for retirement, i.e., they lacked financial consultation, had low personal financial literacy, and lacked sufficient wealth. Retirees suffered from health difficulties, loneliness or a sense of alienation, family conflict, or lack of pastimes. 2) Certain groups recognized the change of living standards for retirees as either positive or negative. Retirees who recognized the change of living standards as negative were not well-prepared for retirement, had low personal financial literacy, and lacked sufficient wealth. They also suffered from health difficulties, loneliness or a sense of alienation, family conflict, or lack of pastimes. 3) There was a strong probability for the negative recognition group not to be well-prepared for retirement, having low personal financial literacy, and lacking in sufficient wealth. There was a strong probability for the negative recognition group to suffer from health difficulties or lack of pastimes. Based on these findings, this research suggests that retirees should prepare for retirement with a positive attitude.
Background: Concentration of patients to large hospitals is serious problem in Korea. The purpose of this paper is to propose appropriate policy direction to relieve concentration of patients to large hospitals. It is focused on evaluation of the possibility of family doctor system as a policy alternative to relieve concentration of patients to large hospital by empirically analyzing the effect of usual source of care (USC) on large hospitals medical care use. Methods: Korea Health Panel conducted 2009, 2012, 2013 by KIHASA (Korea Institute for Health and Social Affairs) and NHIS (National Health Insurance Service) was used for analysis. For dependent variables, first, the ratio of the amount of using large hospital to total amount of using medical care, and second, the amount of using large hospital are estimated. Independent variables are having an USC and type of USC. Panel analysis was done with above variables. Results: Main results are as follows. First, having an USC increases using large hospital. Second, having a domestic clinic type USC decreases using large hospital and ratio of using large hospital. Third, the effect of domestic clinic type USC is greater in older group, less income group, worse health status group, not having private insurance group, and having chronic disease group. Conclusion: These results show that family doctor program can be a policy alternative to relieve concentration of patients to large hospital. Nonetheless, primary care system in Korea is unsatisfied. It is recommended to reinforce primary care system and family doctor system to relieve concentration of patients to large hospitals.
Purpose : This study is to examine the characteristics of the elderly and their family caregivers. to study the main factors affecting Nursing Home utilization, and to help frame a policy about Nursing Home's demand. management and welfare facilities. Method: Data for this present study were collected via questionnaires randomly distributed to family caregivers of the over 60-year-old patients at general hospital and university hospital in Seoul. Kyung-Ki Do and In-Chon from 26 June to 20 July, 2000. Questionnaires were issued to 512 people and 479 were returned. The data was analyzed by frequency, $x^2$-test, t-test, ANOVA. factor analysis. correlation coefficients analysis and Stepwise multiple regression analysis using SPSS 9.0. Result First. Instrumental Activities of Daily Living(IADL), duration of hospitalization, sex, marital status, behavior problems, home ownership, and cognitive disorder about elderly patients affect family caregivers burden. one of need factors. Secondly, marital status. religion. health status, sex, education and age in the family caregiver predisposing factors are main factors on Nursing Home utilization. Third, in need factors, care burden. time burden, family relation burden, physical burden and mental burden have an effect on Nursing Home utilization. Finally, the model the most important factors that affect Nursing Home utilization is composed of six of eleven totally, care burden, religion, time burden, health status, marital status and education. When the family caregivers get care burden and time burden. are highly educated, have no religion, have health problems, and have no spouse, it is possibility for them to utilize Nursing Homes. Conclusion: The government should decrease a family caregivers burden and seek to find how to support Nursing Homes. Furthermore. Social support program for the family caregivers should be required. Thus, the family caregivers need consultation and need to meet to talk about their patients. how to care them, get information, which are the crucial field in advancing the research in nursing science.
The purpose of this study was to analyze the needs for managerial service for residents in multi-family housing. For the survey and statistical analysis, the questionnaires from 484 residents and 84 housing managers of multi-family housing within the Seoul metropolitan area were used. The analytical methods adopted in this study were frequency, percentage, t-test, and factor analysis. The results of this study are as follow : (1) Basic services within a multi-family housing included management, minimum residential self governance, basic etiquette, and community program. And additional service were categorized by the health and entertainment program, the consumer service program, the residential life services, the information and financial services program, and the children's program. (2) The favorite needs of residents' additional services were the market news and information, the programs related health, the mail services, the health diagnosis service programs etc. But, housing managers' needs were the market news and information, and the flea market. As to the results analyzing the needs for additional service fir residents, it was found there were differences between residents and housing managers.
PHAN, Minh Duc;NGUYEN, Thi Mai Thoa;DUONG, Ngoc Anh;NGUYEN, Thi Tuoi
The Journal of Asian Finance, Economics and Business
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제9권6호
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pp.343-362
/
2022
Amidst the Covid-19 pandemic, human resources play a vital role in the health industry because the staff all has to confront a lot of stresses in serving the country and the people to overcome the severe contagiousness and infection of the virus. It is also the case of Family General Hospital, Da Nang (Vietnam). Therefore, the Hospital identifies talented personnel as a core resource in its sustainable development strategy. Researching on how to retain talented staff to serve the sustainable and long-term development of a private hospital such as Family Hospital is extremely necessary, especially when there are fewer large and modern private health facilities for the healthcare system in Central Vietnam compared to the North and the South. With the analysis of survey data and in-depth interviews from both qualitative and quantitative perspectives (via SPSS 20.0), especially the ANOVA and EFA analyses, and linear multiple regression (Generation 1 methods), this study aims to clarify the aspects that affect the talent retention in the representative Family Hospital. The lessons learned have been a good reference for similar private healthcare models in the process of bringing health-related services to a new level in the competition.
For the life quality improvement of rural elderly family placed in risk of frail, this study was investigated. Health habit, food habit, and dietary management were analyzed between elderly and middle aged family The subjects 1870 collected in 9 provinces 88 cities or guns by sampling with probability proportional to size(PPS). Questionnaire method was used. Survey was conducted by trained interviewers. Statistical analyses were performed using SAS(version 8.1). Chi-square tests and General Linear Models were used. The elderly families' characters were odd pair$(42.0\%)$, with patients$(17.6\%)$ and health examination per 1 or 2 years$(44.0\%)$. The elderly families' health habit: high of no-drink$(55.2\%)$ and low of smoke$(31.3\%)$ situation was better than those of middle aged families'. The states of diets of elderly family: having breakfast$(94.1\%)$ but 1-2 kinds$(17.7\%)$ or 3-4 kinds$(59.4\%)$ of side dishes allowed to guess lower status of food intake balance. Nutritional supplements$(27.5\%)$with tablets of vitamins$(63.5\%)$ were the most frequent states in elderly family. The aspects of dietary habit of elderly family: no instant foods$(72.6\%)$, no snack$(3.08\%)$ and no dine-out$(67.7\%)$ were significantly different with those of middle aged family. Dietary habit score(8.28/12 points) of elderly family was not significantly different with 8.22/12 points of middle aged family. Food purchase place of elderly family was mainly at traditional market$(43.6\%)$, but it was significantly different with super-market$(47.6\%)$ of middle aged family. In elderly family, traditional dish preparation was seldom$(49.8\%)$ except winter kimchi$(91.5\%)$, but significantly higher rate of in middle aged families' traditional dish preparation and winter kimchi$(94.5\%)$. From these results, more of snack, traditional dishes and dine-out were needed to improve quality of life for rural elderly.
The purpose of this study was to examine the effect of eating with family or alone on the self-rated mental or physical health and then work out strategies of making people recognize the importance of eating with family and its practice. Study subjects were 610 primary school 5th- and 6th-grade students in Daejeon Area. A questionnaire survey was carried out. 57.9% of students had working mothers. The frequency of meal in a day was $2.90{\pm}0.42$ and this frequency was lower in students who had working mothers (p < 0.05). The frequency of skipping breakfast (times/week) was $1.02{\pm}1.77$. The frequencies of eating alone (times/week) were $1.04{\pm}1.65$ for breakfast and $0.97{\pm}1.52$ for dinner. Also, the frequency of eating alone for dinner was higher in students who had working mothers (p < 0.001). When the frequency of eating alone for breakfast or dinner was higher, the frequencies of skipping breakfast and dinner were also higher (for all, p <0.01). When the frequency of eating alone for breakfast or dinner was higher, the self-rated positive mental health were lower (p < 0.05 and p < 0.01 respectively) and the self-rated negative mental health (for dinner, p < 0.05) and the self-rated negative physical health was higher (p < 0.05 and p < 0.01 respectively), thus presenting negative health. The frequencies of eating with family (times/week) were $3.37{\pm}2.50$ for breakfast and $4.14{\pm}2.19$ for dinner. Also, the frequency of eating with family for dinner was lower in students who had working mothers (p < 0.01). When the frequency of eating with family for breakfast was higher, the frequency of skipping breakfast was lower (p < 0.01). When the frequency of eating with family for dinner was higher, the frequency of skipping dinner was lower (p <0.01). In addition, when the frequency of eating with family for breakfast or dinner was higher, the self-rated positive mental health were higher (for both, p <0.01) and the self-rated negative mental health was lower (for breakfast, p < 0.01) and self-rated negative physical health were lower (for both, p <0.01), thus presenting positive health. Therefore, in order to maintain positive health, it is necessary to recognize the importance of eating with family at home and educate people to carry out a systematic and continuous dietary life, thus increasing eating with family and reducing eating alone and skipping a meal.
Objectives: This study was to explore how elderly with chronic disease in a health management program managed their health and to describe their health management strategies. Methods: The data were collected through in-depth interviews, with a purposeful sample of twelve in an urban community. The collected information was analyzed through grounded theory approaches by Strauss and Corbin. Results: Though open coding process, 35 concepts, 17 subcategories, 8 categories were identified. As for the participation experience process, four stages had surfaced, namely, 'Perception of chronic disease', 'Concerned about health', 'Developing life pattern', 'Restoring health'. These processes were within 'Restoring Health Equilibrium', core category. Consequently, the participants revealed in restoring relationship-oriented life and settling in family-focused life. Conclusions: These findings have implications for the understanding of health promotion for the elderly with chronic diseases and contributing to make a basic data for developing elderly health management program.
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