• Title/Summary/Keyword: Health Services Research

Search Result 1,960, Processing Time 0.028 seconds

Changes in the Concept of Disability and its Implications for Social Work Practice (장애개념의 변화와 사회복지실천 현장 함의)

  • Kim, Yong-Deug
    • Korean Journal of Social Welfare
    • /
    • v.51
    • /
    • pp.157-182
    • /
    • 2002
  • This study attempts to identify the changes in social reactions to disabilities in general, and to research the contextual implication of these changes in social work practice in Korea. In the early years after the Industrial Revolution, disability was conceived as social unfitness and it was assumed that the cause and responsibility could be attributed to people with disabilities. But, in the midst and late 20th century, social responsibility for people with disabilities was argued and generally accepted. As the results of these changes, conceptual models explaining disabilities have changed gradually; there has been a transition, so called, from individual model to social model. In a similar vein, WHO has refined the definition and classification of disability. Related to these changes, social welfare service paradigm for people with disabilities has shifted. This paradigm shift can be explained with the perspective of strength approach, empowerment approach, case management and independent living model. In Korea, 1998 Act on welfare for people with disabilities meant that social service for the disabled were categorized with, namely, residential service, community rehabilitation service and vocational rehabilitation service. Recently, the extent of these services has been rapidly broadened. In these situation, this study researched to identify the implications on social work practice in the context of changes in social response, conceptual model, definition and also service paradigm. Such as the followings are enumerated for the implications: disabled person's participation in assessment process, development of assessment tools focusing on social and environmental perspectives, reinforcement of information service helping self-determination, supporting on formal and informal helping network, expanding self-help programs and, finally, a shift from displacement model to support model.

  • PDF

The Effects of Emotional Awareness Level and Stress on Social Participation in Stroke Disabled Persons Living in the Community (지역사회에 거주하는 뇌졸중 장애인의 정서적 자각 수준과 스트레스가 지역사회 참여에 미치는 영향)

  • Lim, Young-Myoung;Yoo, Doo-Han
    • The Journal of the Korea Contents Association
    • /
    • v.19 no.8
    • /
    • pp.323-331
    • /
    • 2019
  • The purpose of this study was to identify the emotional and stress factors of the stroke victims living in the community and to investigate the effect of these factors on the level of social participation. Data collection collected data on the level of emotional awareness, stress, and social participation in welfare centers, public health centers, and stroke disabled people using community services. The level of social participation according to general characteristics was analyzed by descriptive statistics and one-way ANOVA. Emotional factors, stress factors, and social participation levels were analyzed by pearson correlation analysis and multiple regression analysis. As a result, there were no statistically significant factors in the sub-domains of emotional factors that affect social participation performance and satisfaction. In the sub-areas of stress factors, personal internal stress and interpersonal stress were statistically significant variables. The explanatory power showed social participation accomplishment was 34% and satisfaction was 33%. Therefore, various approaches should be made considering stressful factors to achieve rehabilitation into the local community, and additional research is needed to identify psychosocial variables that affect social participation.

A Systematic Review on Non-Medication Intervention for Self- Injurious Behavior of Individuals With Autism Spectrum Disorders (자폐스펙트럼장애의 자해행동 중재에 관한 체계적 고찰 : 비약물치료 중심으로)

  • Kim, Seul-kee;Choi, Jeong-sil
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.17 no.1
    • /
    • pp.30-42
    • /
    • 2019
  • Objective : The purpose of this study is to analyze non-medication interventions for self-injurious behavior of individuals with autism spectrum disorders, using a systematic review, and to provide evidence of appropriate services for individuals with autism spectrum disorders with self-injury behaviors in the clinical practice of occupational therapy. Methods : Using the electronic databases PubMed, Medline (ProQuest), DBpia, RISS, KISS, and NDSL, we searched for articles published in Korean and international journals from December 2004 to November 2018. The main search term were "Autism OR Autism Spectrum Disorder AND Therapy OR Treatment Or Intervention AND Self Injurious Behavior." Qualitative analysis was performed, and the results are presented in the PICO format. Results : A total of 12 articles were selected. The quality of the evidence was highest in level IV and level V. Single studies with an experimental design were the most common. Behavior therapy was the most common type of intervention. The next most common interventions were behavioral therapy, brain stimulation and control, and sensory integration therapy with behavioral therapy. The self-injury behaviors of individuals autism spectrum disorders were decreased, and was statistically significant. Conclusion : This study investigated the use of non-medication interventions for children with autism spectrum disorders who showed self-injury behavior. Future research should use higher-level designs, and investigate differences between various non-medication interventions.

The Problems and its Improvement of Sea Area Utilization Consultation and Impact Assessment for Projects Related to Marine Environment Restoration (해양환경복원관련 사업에 따른 해역이용협의·영향평가의 문제점 및 개선방안)

  • Yi, Yong Min;Jun, Eun Ju;Lee, Dae In;Kim, Gui Young
    • Journal of the Korean Society of Marine Environment & Safety
    • /
    • v.25 no.1
    • /
    • pp.34-44
    • /
    • 2019
  • Marine activities are becoming more diverse and extensive due to recent social developments, exceeding the environmental capacity of the marine ecosystem. The resilience, resistance, and constancy of marine ecosystems are being damaged or degraded. This prevents the ecosystem from functioning properly, leading to a decline in ecosystem services and value. As a means of returning the damaged ecosystem to health, more and more people are interested in restoration. At a time when restoration projects are gradually expanding, various problems that may arise when implementing the Sea Area Utilization Consultation and Impact Assessment for restoration projects need to be checked, in addition to confirming the direction to be pursued. Therefore, in this study terms related to restoration from research papers and reports were summarized, and the status of the Sea Area Utilization Consultation related to restoration projects and the status of the restoration project were reviewed. In addition, problems with Sea Area Utilization Consultations were considered through a case study to ensure the successful execution of restoration projects. Based on this, we intend to present improvement measures for Sea Area Utilization Consultations and Impact Assessments for restoration projects. This will provide effective information for future policies and plans.

Personal Credit Evaluation System through Telephone Voice Analysis: By Support Vector Machine

  • Park, Hyungwoo
    • Journal of Internet Computing and Services
    • /
    • v.19 no.6
    • /
    • pp.63-72
    • /
    • 2018
  • The human voice is one of the easiest methods for the information transmission between human beings. The characteristics of voice can vary from person to person and include the speed of speech, the form and function of the vocal organ, the pitch tone, speech habits, and gender. The human voice is a key element of human communication. In the days of the Fourth Industrial Revolution, voices are also a major means of communication between humans and humans, between humans and machines, machines and machines. And for that reason, people are trying to communicate their intentions to others clearly. And in the process, it contains various additional information along with the linguistic information. The Information such as emotional status, health status, part of trust, presence of a lie, change due to drinking, etc. These linguistic and non-linguistic information can be used as a device for evaluating the individual's credit worthiness by appearing in various parameters through voice analysis. Especially, it can be obtained by analyzing the relationship between the characteristics of the fundamental frequency(basic tonality) of the vocal cords, and the characteristics of the resonance frequency of the vocal track.In the previous research, the necessity of various methods of credit evaluation and the characteristic change of the voice according to the change of credit status were studied. In this study, we propose a personal credit discriminator by machine learning through parameters extracted through voice.

A Convergence Research of Brain Wave Characteristics of Homeless People participating in the Supported Housing Program for Vulnerable Residents (주거지원사업 참여 탈 노숙인의 뇌파 특성에 대한 융합연구)

  • Kim, Mi-Hee;Weon, Hee-Wook
    • Journal of the Korea Convergence Society
    • /
    • v.12 no.4
    • /
    • pp.61-68
    • /
    • 2021
  • The purpose of this study was to derive their cognitive, psychological, and behavioral characteristics through a fusion study that analyzed the quantified results of post-homeless people participating in the housing support project after the electroencephalogram test. Participants in this study are 6 people who have lived in temporary homeless facilities or homeless living facilities and have expressed their intention to participate in the housing support project. Electroencephalogram measurements were performed using Brainmaster equipment according to the International 10-20 Law. As a result of the analysis, the study participants showed high levels of Theta wave, Beta wave, and High Beta wave, which show the peculiarity of the emotional aspect, which is a result of showing emotional characteristics such as anger, anxiety, and insomnia in the emotional aspect. Therefore, it is suggested that they provide stress management, counseling, and physical health management services in order to maintain a stable residential life in the community in the future. The results of this study presented a quantitative basis for the cognitive, psychological, and behavioral characteristics of homeless people, and suggests a support system necessary for them to maintain self-reliance in communities in the future.

Home training trend analysis using newspaper big data and keyword analysis (신문 빅데이터와 키워드 분석을 이용한 홈트레이닝 트렌드 분석)

  • Chi, Dong-Cheol;Kim, Sang-Ho
    • Journal of the Korea Convergence Society
    • /
    • v.12 no.6
    • /
    • pp.233-239
    • /
    • 2021
  • Recently, the COVID-19 virus has caused people to stay indoors longer without going out. As a result of this, people's activity decreased sharply, and their weight gained. So people became more interested in health. Home training can be an alternative method to solve this problem. Accordingly, To find out the trends of home training, we collected articles from December 1, 2019, to November 30, 2020, using the news provided by BIG KINDS, a news analysis system. We analyzed frequency analysis, relational analysis according to weighting, and related word analysis with the program using the algorithm developed by BIG KINDS. In conclusion, first, it was found that home training is led by technology and the emergence of artificial intelligence. Second, it can be assumed that people mainly do home training using content and video services related to mobile carriers. Third, people had a high preference for Pilates in the sports category. It can be seen that the number of patent applications increased as the demand for exercise products related to Pilates increased. In the next study, we expect that this study will be used as primary data for various big data studies by supplementing the research methodology and conducting various analyses.

A Study on the Development of a Clinical Pathway of Korean Medicine for the Management of Patients with Ankle Sprain (족관절염좌 환자 관리를 위한 한의표준임상경로 개발 연구)

  • Yoon, Sangdo;Song, Mi-Yeon;Chung, Won-Seok;Kim, Hyungsuk;Shin, Woo-Chul;Kim, Taeoh;Cho, Whi-Sung;Seo, Yeonho;Seo, Sangwoo;Seo, Joonwon;Kang, Junhyuk;Yu, Seung-Ho;Kim, Seyun;Cho, Jae-Heung
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.32 no.3
    • /
    • pp.141-151
    • /
    • 2022
  • Objectives The purpose of this study is to improve the accessibility of Korean medicine by standardizing managements, improving quality of medical services, and reducing medical costs in ankle sprain by develop clinical pathway (CP). Methods The development of CP in this study is based on clinical practice guideline (CPG) for ankle sprain, and aims to maximize the quality of treatment, such as reducing treatment time and medical costs, and increasing patient satisfaction through standardized pathway. The CP was revised after consultation and review by the advisory committee. The advisory committee is consisted of a stakeholder group applying the CP. Results In previous research studies, there were no Korean medicine CP studies on ankle sprain. Based on CPG for ankle sprain and analysis of medical records, 6 types of time task matrix type CP (for Korean medicine doctors, medical assistant, patients) and 4 types of algorithm type CP (for Korean medicine clinics, Korean medicine hospitals, and cooperative practicing hospitals, public medical centers) were derived as a result. Conclusions Ankle sprain CP is expected to not only increase patient satisfaction and maximize the quality of treatment, but also reduce the financial burden of health insurance by reducing medical costs.

Comparison of Responses in Psychological and Supportive Factors Between Proxy and Self-respondents in Severely Disabled (중증장애인의 대리응답 여부에 따른 심리적·지지적 요인의 응답 비교)

  • Hyunsuk, Choi;Youngshin, Song
    • Journal of Industrial Convergence
    • /
    • v.20 no.11
    • /
    • pp.49-55
    • /
    • 2022
  • This study is a secondary data analysis study to confirm the difference in responses to psychological and supportive factors of severely disabled according to proxy responses using the National Survey of the Disabled 2020. 738,169 people with severe disabilities who were 19 years of age or older, whose main disability was not an intellectual disability, were analyzed. χ2-test and t-test were performed using IBM SPSS Statistics 26.0. As a result of the study, the proxy response was more negative in sadness or hopelessness (χ2=952.20, p<.001), suicidal ideation (χ2=369.45, p<.001), and subjective health status (t=30.61, p<.001). And the proxy respondent answered that they need more support from others for daily life (t=209.43, p<.001) and have many difficulties in communication when using medical services (t=41.74, p<.001). When using a proxy response, the researcher should clearly state the point of view that the proxy respondent should take, and interpret the results considering that proxy response may be affected by various factors.

The Effects of Job Stress on Depression by Burnout in The Hospital Employees (의료기관 종사자의 직무스트레스가 정서적 소진, 우울에 미치는 영향)

  • Kyoungjin Song;Jeongwon Lee
    • Journal of Service Research and Studies
    • /
    • v.12 no.3
    • /
    • pp.26-44
    • /
    • 2022
  • Job stress experienced during work has a positive effect on the organization, such as performance improvement, but if not properly managed, it can cause physical diseases such as digestive diseases and mental diseases such as depression and neurological diseases. If job stress persists for a long time, it causes emotional exhaustion and depression, which has a significant adverse effect on individuals and organizations, so proper management is essential. Therefore, in this study, a descriptive survey study was conducted using a self-report questionnaire method to find out the relationship between job stress, emotional exhaustion and depression of medical institution workers. As a result of the analysis, it was found that job stress of medical institution workers had a significant (+) effect on emotional exhaustion and depression, and emotional exhaustion of medical institution workers had a significant (+) effect on depression. Through this study, it was found that there was a significant relationship between job stress, emotional exhaustion, and depression of hospital employees, and that emotional exhaustion acts as a parameter in the relationship between job stress and depression. Considering that job stress of hospital employees causes adverse organizational effects, such as threatening workers' mental and physical health and causing deterioration in the quality of medical services, organizational efforts will be needed to relieve and properly manage job stress of hospital employees.