• Title/Summary/Keyword: Health welfare

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A Comparison of Social Welfare Evaluation Systems between Korea and the United States (한국과 미국의 사회복지 평가체계의 특성비교)

  • Kim, Tong-Won
    • Korean Journal of Social Welfare
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    • v.45
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    • pp.126-155
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    • 2001
  • It has been 5 years since evaluation systems were introduced to the social welfare field in Korea. More than half of social welfare agencies (617 out of 1,267) were evaluated in the past two years. Most areas of the agencies were the target of an extensive evaluation in 2000. As "the Evaluation Era" has come, problems were raised especially regarding the Accreditation system of the Ministry of Health and Social Welfare. More specifically, the problems were related to operation and management of the evaluation systems including the issue of evaluators' objectivity and fairness. In addition, evaluation costs have been too high to the government. The evaluation systems of OECD nations including the United States were quite different. These nations have used the Performance Measurement in order to secure the objectivity and the fairness. Although the quantity of information was limited compared to that of the Accreditation system, these nations have taken the lead in the governmental evaluation. In this context, this study compared social welfare evaluation systems between Korea and the United States. It presented the current status and problems of the Accreditation system of the Ministry of Health and Social Welfare, discussed the American Performance Measurement and its limitations, and compared the strengths and weaknesses of the two evaluation systems. In addition, this study suggested the strategies of Korean evaluation systems in the long term as well as in the short term.

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The need for oral welfare products services among elderly facility workers (일부 노인시설 종사자의 구강복지용구 서비스 요구도에 대한 연구)

  • Choi, Yong-Keum;Kim, Sun-Mi;Kim, Eun-Jeong;Jeon, Hyun-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.1
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    • pp.63-72
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    • 2022
  • Objectives: This study was conducted to prepare basic data to propose the necessity and utilization of oral welfare products in the welfare services of the long-term care insurance system, focusing on facility workers working in elderly facilities. Methods: The analysis was conducted on 144 workers working at some local elderly facilities. The questionnaire was constructed by classifying the use of oral welfare tools into 6 questions and the necessity and demand for oral welfare devices into 13 questions. Frequency analysis and technical analysis were performed for data analysis, and one-way ANOVA was performed for differences in the necessity and demand for oral welfare equipment. The statistical significance level was p<0.05. Results: As a result of examining the awareness of the necessity and demand for oral welfare equipment among workers in elderly facilities, the awareness of the necessity of including oral welfare equipment in the items of welfare equipment in the current long-term care insurance system was high at 4.15 points. As a result of analyzing the correlation between awareness of care products and the need and demand for oral welfare equipment, it was confirmed that there was a statistically significant positive correlation (p<0.01). Conclusions: In the long-term care insurance system for the elderly, oral welfare products need to be considered for welfare equipment services. The provision of oral welfare products within the long-term care insurance system for the elderly can provide opportunities and services to select various self-care tools. In addition, it is expected that it will be possible to promote changes in the long-term care insurance system for the elderly and to improve the system in a variety of positive ways.

Effects of Improved Forelimb Sensorimotor Function on the Modified CIMT Applied Under the influence of Environmental Enrichment in a Focal Ischemic Brain Injury Rat Model (국소 허혈성 뇌손상 흰쥐 모델에서 환경강화 조건 하 수정된 건측억제유도 운동치료가 앞다리 운동기능 증진에 미치는 영향)

  • Lee, Sam-Gyu;Kim, Gye-Yeop;Nam, Ki-Won;Oh, Myung-Hwa;Kim, Young-Eok;Kim, Eun-Jung;Jang, Mi-Kyoung;Kim, Kyung-Yoon;Jeong, Hyun-Woo;Kim, Jong-Man
    • Physical Therapy Korea
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    • v.14 no.3
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    • pp.48-56
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    • 2007
  • Environmental Enrichment (EE) alone is not capable of enhancing the fine digit and the forelimb functions. Therefore, we applied modified constraint-induced movement therapy (mCIMT) under the influence of EE to assess its effect on promoting improved forelimb sensorimotor functions. Focal ischemic brain injury was produced in Sprague-Dawley rats (60 rats, $250{\pm}50$ g) through middle cerebral artery occlusion (MCAO). Before MCAO induction, all rats were trained in modified limb placing tests and reaching tasks for 1 week. Then they were randomly divided into three groups: Group I: application of standard environment (SE) after MCAO induction (n=20), Group II: application of EE after MCAO induction (n=20), Group III: MCAO+EE, mCIMT and task-oriented training that was initiated at 10th day after MCAO induction (n=20). We also applied mCIMT (between 9 AM and 5 PM/daily) which included restraining the forelimb ipsilateral to the lesion using the 'Jones & Schallert' method. We assessed the change of modified limb placing, single pellet reaching test and the immunoreactivity of BDNF by immunohistochemistry (pre, 1st, 5th, 10th and 20th day). Group I showed no improved outcome, whereas group II and III significantly improved on the use of the forelimb and the immunoreactivity. The qualitative analysis of the skilled reaching test, of group III showed the greatest improvement in the fine digit and the forelimb function. These results suggest that EE combined with mCIMT is more functional in promoting enhanced fine digit and forelimb functional movements.

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The adjustment coefficient of health insurance in the successful employment package by the health insurance reform (건강 보험료 개편에 따른 보험료 조정 계수의 적합성: 취업성공패키지 대상자 선정을 중심으로)

  • Shin, Youngsuk;Kim, EunA;Lee, Jinhyung
    • Korea Journal of Hospital Management
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    • v.24 no.4
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    • pp.33-42
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    • 2019
  • Purpose: many domestic welfare programs use the amount of health insurance premiums as a way of measuring individuals' income levels for administrative convenience. As health insurance reform has been made, we examines the income level is still appropriately measured by the health insurance premiums for the employment success package as one of domestic welfare program. Methodology/Approach: we investigate whether the upper limit of the premiums of the self-employed health insured is appropriate or not after healthcare reform, which currently calculated by multiplying the insurance premium of the employee based insured by the adjustment factor (1.2). Findings: we examined appropriateness of the adjustment factors by comparing the premiums before and after the healthcare reform by utilizing the national health insurance data as well as Korea Welfare panel data. We found that the new value of adjustment factor (1.0~1.1) is smaller than the current one (1.2). Practical Implications: to improve the equity between the employee and the self-employed insured after the health insurance reform, the adjustment factor should be lower.

Review of Recent Smog Chamber Studies for Secondary Organic Aerosol (스모그 챔버를 이용한 이차 초미세유기먼지의 최근 연구 동향)

  • Lim, Yong Bin;Lee, Seung-Bok;Kim, Hwajin;Kim, Jin Young;Bae, Gwi-Nam
    • Journal of Korean Society for Atmospheric Environment
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    • v.32 no.2
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    • pp.131-157
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    • 2016
  • A smog chamber has been an effective tool to study air quality, particularly secondary organic aerosol (SOA), which is typically formed by atmospheric oxidation of volatile organic compounds (VOCs). In controlled environments, smog chamber studies have validated atmospheric oxidation by identifying, quantifying and monitoring products with state-of-art instruments (e.g., aerosol mass spectrometer, scanning mobility particle sizer) and provided chemical insights of SOA formation by elucidating reaction mechanisms. This paper reviews types of smog chambers and the current state of smog chamber studies that have accomplished to find pathways of SOA formation, focusing on gas-particle partitioning of semivolatile products of VOC oxidation, heterogeneous reactions on aerosol surface, and aqueous chemistry in aerosol waters (e.g., cloud/fog droplets and wet aerosols). For future chamber studies, then, this paper discusses potential formation pathways of fine particles that East Asia countries (e.g., Korea and China) currently suffer from due to massive formation that gives rise to fatal health problems.

A case Study to Analyze Welfare Needs of a Single Family (독신가족의 가족복지 욕구분석을 위한 사례연구)

  • 박정윤;김진희
    • Journal of the Korean Home Economics Association
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    • v.40 no.10
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    • pp.17-31
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    • 2002
  • The number of single family is increasing because of individualism, resistance toward patriarchal family system, forced independence of women, absence of proper spouse and divorce rate, and aging. This study is to find out welfare needs in order to make family welfare measures toward continuously increasing single family. Data analysis has been tried to accomplish the purpose of study by in-depth interview, and structural questions were asked according to characteristics and degree of communication. Difficulties that single testers go through are social prejudice, financial problems, emotional and psychological factor, reduction of social network, and health. Lack of publicity, limit of welfare beneficiary, lack of service are suggested as problems, and what needs to be changed are formation of self-reliance meeting, financial independence, preparation of health and one's declining years.

The Effects of Physical Health and Assets on Life Satisfaction of the Elderly: Mediating Effects of Depression (노인의 신체적 건강과 자산이 삶의 만족에 미치는 영향: 우울감의 매개효과를 중심으로)

  • Lee, Hyoung-Ha;Ruy, Eun-Sil;Song, Min-Yeop;Lee, Geun-Hyoung;Choi, Jin-Hwa
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2019.07a
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    • pp.179-180
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    • 2019
  • 본 연구는 5차국민노후보장패널 데이터(KReIS)를 활용하여 노인의 신체적 건강과, 자산(총자산-총부채=순자산)이 우울감을 매개로 삶의 만족에 어떠한 영향을 미치는가늘 규명하고자 한다. 분석대상은 65세이상 노인 3,960명이다. 주요 분석변수는 독립변수로 신체적 건강, 순자산, 매개변수로 우울감, 종속변수로 삶의만족을 분석할 것이다. 이러한 자료분석을 위해 SPSS 21.0을 사용할 것이다.

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Factors Influencing Suicidal Ideation According to the Deprivation Indices of Different Regions in Korea

  • Yun-Young Kim;Hyung-Joo Park
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.1
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    • pp.88-94
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    • 2023
  • Objectives: This study examined how deprivation differed by region and the effect those differences had on suicidal ideation among the local population. Methods: Data collected over 10 years (2012-2021) in the Korea Welfare Panel Study were organized into 3 categories: metropolitan, city, and rural. A panel analysis was conducted on the impact of deprivation indices, socio-demographic characteristics, and life satisfaction on suicidal ideation in each category. Results: Income, divorce status, family relationship satisfaction, and medical deprivation had a significant impact on suicidal ideation in metropolitan areas, whereas these variables did not have significant effects in rural areas. In other words, income, family, and medical support were more impactful in city areas. Conclusions: Although the deprivation index was higher in rural areas than in city areas due to an aging population and reduced income levels, the mental health of rural residents was found to be generally better than that of city residents. The possibility that this is related to the strength of relationships within the respective communities should be considered in light of recent discussions on relational welfare.

Analysis of Factors Affecting Health Inequalities Among Korean Elderly (노인 집단에서 나타나는 건강 수준 차이의 요인 분석)

  • Kim, Dongbae;Yoo, Byungsun;Min, Jungsun
    • Korean Journal of Social Welfare Studies
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    • v.42 no.3
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    • pp.267-290
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    • 2011
  • This research attempts to analyze the effects of demographic factors, socioeconomic factors, health behaviors and social/familial supports on health inequalities among Korean elderly. For this end, this study adopts the multiple linear regression analysis to process data on population aged over 65 contained in 'The Third Korea Welfare Panel Study' published in 2008. The following are the results. First, the less educated they are, the smaller income they earn, the less they drink, the less satisfied with relationships with their family members, the more they turn out to feel depressed. Second, the less educated they are, the smaller income they earn, the less they drink, the less they are satisfied with relationship with family members, the more they benefit from social welfare services, the worse they turn out to rate their health. Based on these findings, three following suggestions could be forwarded. First, vulnerable aged groups including female elderly, low-income elderly, less-educated elderly need customized social supports. Second, new social policy for households is required to enhance elderly people's satisfaction with their family relationships with the rapid trend of a growing number of nuclear families and aging. Third, social welfare service programs need to be reevaluated to enhance their function for the aged.