• 제목/요약/키워드: Health and Welfare Human Resources

검색결과 57건 처리시간 0.033초

정신보건센터 사례관리 실천의 조직화에 관한 제도적 문화기술지 (Institutional Ethnography on Organization of Case Management Practice at a Mental Health Center)

  • 하지선
    • 한국사회복지학
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    • 제68권4호
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    • pp.199-224
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    • 2016
  • 본 연구는 현 정신건강증진센터 사례관리가 탈원화와 사회복귀의 측면에서 한계를 보이는 현상을 제도적 맥락에서 이해해보고자 사례관리 실천의 제도적 조직화를 탐구한 연구이다. 이를 위해 제도적 문화기술지(Institutional Ethnography)의 연구방법을 적용하여, 11명의 연구 참여자와의 심층면접과 3개월간의 현장관찰을 통해 얻어진 일 지식과 텍스트 자료를 분석하였다. 분석 결과, 정신건강증진센터 사례관리 실천의 한계는 효율 담론(신공공관리론)과 생의학 담론이 담지된 표준화 정책, 치료율 향상 정책, 성과주의 예산 방식, 성과 평가 체계, 인프라 기능 분할 및 연속적 연계 정책, 복지 자원 연계에 대한 무계획으로부터 텍스트적 실천을 통해 조형되었다. 제도적 조직화의 결과로써 드러난 정신건강증진센터 사례관리는 욕구의 재단과 획일화, 의료적 욕구의 편향, 접촉의 표피화, 사회복귀의 비연속적 미포괄적 지원의 특성을 띠고 있었는데 이는 그간 정책적으로 표방되어 온 사례관리의 유용성과는 간극이 크다. 연구 결과에 따라, 생의학 담론 및 효율 담론의 영향력에 주목하고, 대안 담론을 토대로 한 새로운 정책과 전략의 고안, 성과 관리 체계의 변화, 현장 텍스트들의 재검토와 내용의 재구성, 정신질환자지원에 대한 사회적 관점의 고취, 새로운 사례관리 사업에 대한 논의의 활성화 등을 제언하였다.

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미래 동물생명산업 발전전략으로써 스마트축산의 응용: 리뷰 (Applying a smart livestock system as a development strategy for the animal life industry in the future: A review)

  • 박상오
    • 한국응용과학기술학회지
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    • 제38권1호
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    • pp.241-262
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    • 2021
  • 본 논문은 과학논문을 통해 30년 후인 2050년까지 가축과 동물성식품의 동향을 예측하면서 미래 동물생명산업 발전 전략으로써 ICT-기반 스마트축산 기술의 필요성을 검토하였다. 전 세계적으로 가축사육과 동물성식품 소비는 인구증가, 고령화, 농촌인구 감소, 도시화 및 소득증가에 대한 반응으로 빠르게 변화하고 있다. 기후변화는 가축 환경, 생산성과 번식효율성을 바꿀 수 있다. 가축생산은 온실가스 배출 증가, 토지 황폐화, 수질오염, 동물복지 및 인간의 건강 문제로 이어질 것이다. 이러한 문제를 해결하기 위해 동물생명산업의 다양한 측면에서 4차 산업혁명과 융합된 ICT-기반 스마트축산을 활용하여 기후변화 대응, 생산성 향상, 동물복지, 동물성식품 영양품질 개선, 동물의 질병예방을 위한 선제적인 미래 대응전략이 필요하다. 미래 동물생명산업은 지속 가능성과 생산효율성을 향상시키기 위해 자동화를 통합해야 한다. 디지털 시대에 IoT와 빅 데이터를 사용하는 지능형 정밀가축사양, ICT-기반 스마트축산은 동물생명산업의 다양한 소스로부터 데이터를 수집, 처리 및 분석할 수 있다. 축사 내부와 외부의 환경 매개 변수를 정밀하게 원격 제어할 수 있는 디지털 시스템으로 구성되어있다. ICT-기반 스마트축산은 인터넷과 휴대폰을 통한 원격 제어를 위해 센싱 기술을 사용하여 동물의 행동복지 및 사양관리를 모니터링 할 수 있다. 농가가 필요로 하는 광범위한 정보의 수집, 저장, 검색 및 보급에 도움이 될 수 있고 새로운 정보서비스를 제공할 수 있다.

학령기 자녀를 둔 빈곤가족의 스트레스 -일 지역 빈곤가족의 실태와 경험을 중심으로- (A Study on Stress in Poor Families with School Children)

  • 강희경
    • Child Health Nursing Research
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    • 제5권2호
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    • pp.185-197
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    • 1999
  • In the family life cycle, the most important task the families with school children should perform is ‘child education’ and ‘socialization’ However, economic stress on poor families with school children presents multiple problems through the shortage of resources necessary for child education and socialization, inappropriateness of family appraisal, and the insufficiency of the control channels for the efficient management of these confined resources and appropriate appraisal. The objectives of this article are : First, to report research on the actual conditions of the poor families in one area of Cheju and on the relevant health welfare policy, and to examine the appropriateness of the direction and the substance of this policy in terms of the intervention in economic stress on the poor families under the categories of resource management and control of appraisal. Second, to analyze qualitative data extracted from the memoirs of single-parent families living in several areas of Korea under the conceptual framework constructed by literature review in order to get a better understanding of the stress which poor families with school children have experienced. And third, to confirm the factors that can be risk factor but, at the same time, strength to these poor families from presented data and to use them as the basic data from which an intervention model can be developed, based on resource management and control of appraisal. The findings of this article are : First, while the number of absolute poor families in one area of Cheju is increasing and, as a result, the danger of the possibility that multiple problems will occur is also growing, the supporting level of the current policy is no more than a direct resource offer and there is no evidence that resource management is being professionally carried out. When it comes to control of appraisal, due to absence of the professional human resources in this matter, policy performances such as technical education training can have a negative impact. Second, a conceptual framework introduced in this article, ; Economic Pressure → Helplessness → Poor self-esteem → Marital Conflict → Parent-Child financial conflict → Inappropriate socialization → Poor child social competence : is partly verified. And third, judging from the results of the qualitative data, it is confirmed that the healing families, having overcome poverty, show several positive characteristics including : hope, strength, and social support. These findings are identified with the factors of resiliency considered above. According to these results, this article suggests the following. The anti -poverty policy in the future should focus not only on a direct resource offer but also on resource management and the control of appraisal that can magnify its effects. In particular, close attention should be paid to school children since they are in the most crucial period for socialization. Moreover, an emotional labor is such an essential resource for intervention that skilled nurses should play pivotal roles.

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사회복지사의 개인적 동기가 이직의도에 미치는 영향 - 다중몰입의 매개효과를 중심으로 - (Effects of Individual Motivation on Turnover Intention among Social Workers : Focused on the mediation effects of multiple commitment)

  • 문영주
    • 사회복지연구
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    • 제42권2호
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    • pp.493-523
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    • 2011
  • 본 연구는 사회복지사의 개인적 동기(심리적 동기, 직무 동기)가 이직의도에 미치는 영향을 살펴보되, 다중몰입(직무몰입, 경력몰입, 조직몰입)의 매개효과에 초점을 둔 연구로, 자기결정이론과 계획된 행동이론을 토대로 사회복지사의 이직의도 예측 모형을 제안하고 검증하고자 하였다. 연구목적을 달성하기 위해 전국 15개 시·도의 이용시설, 생활시설, 보건의료 기관, 기타 사회복지 관련 재단 및 협회, 각종 센터, 기관에 근무 중인 사회복지사를 대상으로 우편 설문조사를 실시하였다. 배포된 총 1,918부의 설문지 중 회수된 1,671부를 검토하여 이직의도가 있는 것으로 확인된 979부를 최종 분석하였다. 분석결과, 사회복지사의 심리적 동기와 직무 특성은 이직의도에 직접적 영향을 미치는 것으로 나타났다. 그러나 사회복지사의 역할 스트레스는 이직의도에 직접적 영향을 미치지 않는 것으로 나타나, 사회복지사의 이직의도에 대한 충동적 경로 모형이 심리적 동기와 직무 특성에 한해 부분적으로 지지됨을 알 수 있었다. 둘째, 사회복지사의 심리적 동기와 직무 동기는 다중몰입을 통하여 이직의도에 간접적 영향을 미치는 것으로 나타나, 사회복지사의 이직의도에 대한 반영적 경로 모형이 경력몰입, 직무몰입, 조직몰입 모두에서 지지됨을 알 수 있었다. 다중몰입 요인 중 이직의도에 가장 큰 영향력을 발휘하는 변수는 경력몰입이며 그 다음이 직무몰입, 조직몰입 순으로 나타나, 향후 경력몰입에 대한 학계의 관심이 증대되어야 함을 보여 주었다. 이상을 토대로 사회복지사의 경력관리 방안과 사회복지조직의 인적자원개발 방안을 제시하였다.

의료취약성 정도에 따른 노인의 미충족의료 경험 비교: 의료취약계층 노인의 필수적 의료자원 보장을 위한 시사점 (Differences in Unmet Healthcare Needs among the Elderly by the Level of Medical Vulnerability: Implications for Securing Essential Healthcare Resources for the Medically Vulnerable Elderly)

  • 신세라
    • 가족자원경영과 정책
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    • 제26권3호
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    • pp.49-64
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    • 2022
  • 이 연구는 우리나라 노인들을 의료취약성 정도에 따라 네 집단으로 세분화하여 경제적, 비경제적 사유로 인한 미충족의료 경험 차이를 분석하고, 이에 따른 정책적 시사점을 도출하였다. 2018년 한국의료패널 자료를 사용하였으며, 65세 이상 노인 4,147명에 대해 분석을 실시하였다. 노인들을 세분화한 결과, 일반건강보험가입자가 79.6%, 비수급빈곤층이 13.6%, 차상위경감대상자가 1.1%, 의료급여수급자가 5.7%의 비율을 차지하였다. 분석결과에 따르면, 병의원 또는 치과진료에 대해 노인들의 12.6%는 경제적 사유로, 10.6%는 비경제적 사유로 미충족의료를 경험한 것으로 나타났다. 의료취약계층 노인의 미충족의료 경험률은 비취약계층인 일반건강보험가입자에 비해 전반적으로 높았는데, 이는 대부분 경제적 사유에 따른 경험률 차이에서 비롯된 것이었다. 경제적인 사유로 인한 미충족의료 경험률은 일반건강보험가입자가 9.8%였던 반면, 비수급빈곤층은 18.9%, 차상위경감대상자는 40.0%, 의료급여수급자는 31.5%로 큰 차이가 있었다. 다른 영향요인을 통제한 로지스틱 분석 결과, 모든 의료취약계층이 일반건강보험가입자에 비해 경제적 사유로 미충족의료를 경험할 확률이 유의하게 높았는데, 비수급빈곤층은 약 1.4배, 차상위경감대상자는 3.3배, 의료급여수급자는 2.4배 높아졌다. 반면, 비경제적 사유로 인한 경험은 일반건강보험가입자 대비 의료급여수급자의 경우에만 1.7배 증가하였고, 다른 집단에서는 유의한 차이가 없었다. 이를 바탕으로 본 연구는 의료취약계층 노인들의 필수적 의료자원 보장을 위한 정책적 시사점을 제시하였다.

The Color-Developing Methods for Cultivated Meat and Meat Analogues: A Mini-Review

  • Ermie Jr Mariano;Da Young Lee;Seung Hyeon Yun;Juhyun Lee;Yeongwoo Choi;Jinmo Park;Dahee Han;Jin Soo Kim;Sun Jin Hur
    • 한국축산식품학회지
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    • 제44권2호
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    • pp.356-371
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    • 2024
  • Novel meat-inspired products, such as cell-cultivated meat and meat analogues, embrace environmental sustainability, food safety and security, animal welfare, and human health, but consumers are still hesitant to accept these products. The appearance of food is often the most persuasive determinant of purchasing decisions for food. Producing cultivated meat and meat analogues with similar characteristics to conventional meat could lead to increased acceptability, marketability, and profitability. Color is one of the sensorial characteristics that can be improved using color-inducing methods and colorants. Synthetic colorants are cheap and stable, but natural pigments are regarded as safer components for novel food production. The complexity of identifying specific colorants to imitate both raw and cooked meat color lies in the differences in ingredients and methods used to produce meat alternatives. Research devoted to improving the sensorial characteristics of meat analogues has noted various color-inducing methods (e.g., ohmic cooking and pasteurization) and additives (e.g., lactoferrin, laccase, xylose, and pectin). Additionally, considerations toward other meat components, such as fat, can aid in mimicking conventional meat appearance. For instance, the use of plant-based fat replacers and scaffolds can produce a marked sensory enhancement without compromising the sustainability of alternative meats. Moving forward, consumer-relevant sensorial characteristics, such as taste and texture, should be prioritized alongside improving the coloration of meat alternatives.

노인의 자녀와의 상호간 지원 교환이 성공적인 노후생활에 미치는 영향 (The Effect of the Mutually Supportive Relationship with their Children on the Successful Lives of the Elderly)

  • 곽인숙
    • 가족자원경영과 정책
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    • 제15권4호
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    • pp.107-127
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    • 2011
  • The purpose of this study is to examine demographic characteristics, psychological characteristics and patterns of supportive relationships with their children that affect the successful lives of the elderly. A survey was conducted of 410 people aged between 65 and 85, and 405 samples were used for the analysis. First, the supportive relation between the elderly and their children was categorized into four groups depending on the total amount and direction of support. The four groups consisted of the elderly who exchanged little or no support, those who only received support from their children, those who only gave support, and those who both gave and received support. Second, the more the elderly exchanged support and gave emotional support to their children, the better the chance that the elderly would lead a successful life in later years. Third, subjective health conditions most significantly affected the successful lives of the elderly who exchanged little or no support. The level of education was most significant for the elderly who only received support. The level of housing satisfaction mostly affected the elderly who only gave support. Mutual support primarily affected the elderly who both gave and received. Thus, we should provide health programs for the elderly who exchange little or no support to encourage a healthier lifestyle. In addition, opportunities for continuing education should be provided for the elderly who only receive support to make up any deficiency in education. Because spouses are mostly affected for those elderly who exchange little or no support and the elderly who only receive support, we should provide educational programs about how to be better lifetime companions to each other and also provide medical and in-home care for the remaining spouse even after the other partner is gone. Because housing satisfaction greatly affects the elderly who only give support, improvements in the residential environment are essential. Since the level of mutual support is crucial to the elderly who both give and receive support, programs on the development of human resources are needed for the elderly to interact dynamically and intimately with their children.

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독립형 호스피스 센터 모델 개발에 관한 연구 (A Study on the Development of an Independent Hospice Center Model)

  • 노유자;한성숙;김명자;유양숙;용진선;전경자
    • 대한간호학회지
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    • 제30권5호
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    • pp.1156-1169
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    • 2000
  • The study was aimed at developing an independent hospice center model that would be best suited for Korea based on a literature review and the current status of local and international hospices. For the study, five local and six international hospice organizations were surveyed. Components of the hospice center model include philosophy, purpose, resources (workers, facilities, and equipment), allocation of resources, management, financial support and hospice team service. The following is a summary of the developed model: Philosophies for the hospice center were set as follows: based on the dignity of human life and humanism, help patients spend the rest of their days in a meaningful way and accept life positively. On the staff side, to pursue a team-oriented holistic approach to improve comfort and quality of life for terminally ill persons and their families. The hospice center should have 20 beds with single, two, and four bed rooms. The center should employ, either on a part-time or full-time basis, a center director, nurses, doctors, chaplains, social workers, pharmacists, dieticians, therapists, and volunteers. In addition, it will need an administrative staff, facility managers and nurses aides. The hospice should also be equipped with facilities for patients, their families, and team members, furnished with equipment and goods at the same level of a hospital. represented by a center director who reports to a board and an advisory committee. Also, the center director administers a steering committee and five departments, namely, Administration, Nursing Service, Social Welfare, Religious Services, and Medical Service. Furthermore, the center should be able to utilize a direct and support delivery systems. The direct delivery system allows the hospice center to receive requests from, or transfer patients to, hospitals, clinics, other hospice organizations (by type), public health centers, religious organizations, social welfare organizations, patients, and their guardians. On the other hand, the support delivery system provides a link to outside facilities of various medical suppliers. In terms of management, details were made with regards to personnel management, records, infection control, safety, supplies and quality management. For financial support, some form of medical insurance coverage for hospice services, ways to promote a donation system and fund raising were examined. Hospice team service to be provided by the hospice center was categorized into assessment, physical care, emotional care, spiritual care, bereavement service, medication, education and demonstrations, medical supplies rental, request service, volunteer service, and respite service. Based on the results, the study has drawn up the following suggestions: 1. The proposed model for a hospice center as presented in the study needs to be tested with a pilot project. 2. Studies on criteria for legal approval and license for a hospice center need to be conducted to develop policies. 3. Studies on developing a hospice charge system and hospice standards that meet local conditions in Korea need to be conducted.

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Rainfed Areas and Animal Agriculture in Asia: The Wanting Agenda for Transforming Productivity Growth and Rural Poverty

  • Devendra, C.
    • Asian-Australasian Journal of Animal Sciences
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    • 제25권1호
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    • pp.122-142
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    • 2012
  • The importance of rainfed areas and animal agriculture on productivity enhancement and food security for economic rural growth in Asia is discussed in the context of opportunities for increasing potential contribution from them. The extent of the rainfed area of about 223 million hectares and the biophysical attributes are described. They have been variously referred to inter alia as fragile, marginal, dry, waste, problem, threatened, range, less favoured, low potential lands, forests and woodlands, including lowlands and uplands. Of these, the terms less favoured areas (LFAs), and low or high potential are quite widely used. The LFAs are characterised by four key features: i) very variable biophysical elements, notably poor soil quality, rainfall, length of growing season and dry periods, ii) extreme poverty and very poor people who continuously face hunger and vulnerability, iii) presence of large populations of ruminant animals (buffaloes, cattle, goats and sheep), and iv) have had minimum development attention and an unfinished wanting agenda. The rainfed humid/sub-humid areas found mainly in South East Asia (99 million ha), and arid/semi-arid tropical systems found in South Asia (116 million ha) are priority agro-ecological zones (AEZs). In India for example, the ecosystem occupies 68% of the total cultivated area and supports 40% of the human and 65% of the livestock populations. The area also produces 4% of food requirements. The biophysical and typical household characteristics, agricultural diversification, patterns of mixed farming and cropping systems are also described. Concerning animals, their role and economic importance, relevance of ownership, nomadic movements, and more importantly their potential value as the entry point for the development of LFAs is discussed. Two examples of demonstrated success concern increasing buffalo production for milk and their expanded use in semi-arid AEZs in India, and the integration of cattle and goats with oil palm in Malaysia. Revitalised development of the LFAs is justified by the demand for agricultural land to meet human needs e.g. housing, recreation and industrialisation; use of arable land to expand crop production to ceiling levels; increasing and very high animal densities; increased urbanisation and pressure on the use of available land; growing environmental concerns of very intensive crop production e.g. acidification and salinisation with rice cultivation; and human health risks due to expanding peri-urban poultry and pig production. The strategies for promoting productivity growth will require concerted R and D on improved use of LFAs, application of systems perspectives for technology delivery, increased investments, a policy framework and improved farmer-researcher-extension linkages. These challenges and their resolution in rainfed areas can forcefully impact on increased productivity, improved livelihoods and human welfare, and environmental sustainability in the future.

단마와 장마 영여자의 항산화능 및 항돌연변이 활성 검정 (Evaluation of Antioxidant Capacity and Antimutagen Activity of Bulbil Extracts of the Dioscorea japonica Decaisne and Dioscorea batatas Decaisne)

  • 박정섭;이정호;방극수
    • 한국자원식물학회지
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    • 제25권2호
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    • pp.200-208
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    • 2012
  • 단마와 장마 영여자에 대한 항산화 및 항돌연변이원성을 비교 평가하였다. 단마와 장마 영여자 80% 메탄올의 폴리페놀함량은 2.2 와 3.9 mg/g로 장마에서 높았다. 또한 분획물에 있어서는 장마 영여자 에틸아세테이트 분획물에서 가장 높은 함량을 나타냈다. 그리고 DPPH과 ABTS 라디칼소거능 및 지질과산화 억제효과에 있어서는 총폴리페놀이 높은 장마와 에틸아세테이트 분획물에서 가장 높은 활성을 나타냈다. 한편 단마와 장마 영여자 80%메탄올 추출물 1mg/plate의 1-NP, $AFB_1$, Trp-P-1에 대한 항돌연변이원성은 $S.$ $typhimurium$ TA98($his$D3052)에서 37.5, 24.5, 37.9% 돌연변이 억제효과를 나타내었으며, 장마 영여자는 31.7, 53.9, 56.85%의 돌연변이 억제효과를 나타냈다. 또한 분획물 중에는 단마와 장마 영여자 클로로포름과 에틸아세테이트 분획물에서만 돌연변이 억제효과를 나타내었으며, 농도 의존적으로 증가하였다.