• Title/Summary/Keyword: Hierarchical Policy

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A Study on the Spatial Structure Change of Elderly Care Facility according to Introduction of Long-Term Care Insurance (장기요양보험제도의 도입에 따른 노인요양시설의 공간구조 변화에 관한 연구)

  • Yoon, Sohee;Kim, Suktae
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.4
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    • pp.67-80
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    • 2014
  • Purpose : Long-term Care Insurance sets up facility standard and installation standard of aged care facilities and decides the presence of minimum number of rooms and its size in care facilities by using systematic instruments. Therefore, most aged care facilities had renovation in expansion and reconstruction following the revised regulations and even facility space structure and space composition are continuously improving. The study is to determine the purpose and trend by comparing before and after space composition of facilities which followed the implementation of Long-term Care Insurance and also to suggest hierarchical space composition suitable for aged care facilities through derived problems and to provide basic materials to plan the most appropriate facility for the aged. Methods : J-graph based on Space Syntax Theory will be schematized through in-site facility survey and before and after facility floor plan. Space composition trend will be analyzed by comparing indexes through S3 program. Results : As a result of 5 cases analysis, the following results were found; the average of whole space depth is increasing due to the Extension, the number of volunteers is decreasing and rooms for geriatric care helpers are being created due to the geriatric care helper introduction duty. Also, there are solariums being created to improve the health of the aged and dispensaries are being placed on every floor with the increase of documentary work for geriatric care helpers. With the policy implementation, care facility space composition and structure are changing with facility standard and it was analyzed that facilities were mostly put under the control of limited number of people in care room and total ground area per person. It was also found that there is increase in care space integration through before and after comparison of whole integration value. This is considered as the important result not only in facility standard satisfaction, but also in care support of geriatric care helpers and the aged, its main users. Implication : In order for elderly care facilities to have quality improvement and to develop as suitable facilities for characteristics of the aged, independent environmental facility standard preparation of elderly care facilities is needed through mutual cooperation of construction fields with regulation and policy related researches.

The Effects of Welfare Services Experience by the Low-Income Seniors on the Satisfaction of Life - Focusing on Mediating Effects of Family Conflicts and Depression - (저소득층 노인의 복지서비스 이용 경험이 삶의 만족도에 미치는 영향 - 가족갈등과 우울의 매개효과를 중심으로-)

  • An, Eun-Sun;Song, Soon-Man
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.9-18
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    • 2017
  • The purpose of this study is to investigate the effects of welfare services experience by the low-income seniors on the satisfaction of life focusing on mediating effects of family conflicts and depression. For this, was used 11th date (2016) of Korean Welfare Panel. And the SPSS WIN 19.0 program was used to verify the characteristics and correlation of variables related to life satisfaction and hierarchical regression analysis. The subjects were 675 seniors aged 65 and over that had experience of using welfare service. The results are as follows. First, the seniors' welfare service usage experience had a positive effect on their satisfaction of life. Second, the seniors' use of welfare services affects the satisfaction of life that had partially mediating effect on family conflicts. Third, the seniors' experience of using welfare services affects the satisfaction of life that had partially mediating effect on depression. As a result, seniors' welfare service was practically improved in quality. The necessity of social welfare policy and development of various programs that can improve the satisfaction of life by alleviating family conflict and depression was suggested.

A Study on Factors Affecting Social Integration of Visually Impaired People in Korea (시각장애인의 지역사회통합 실태와 관련 요인)

  • Lee, Ik-Seop;Park, Soo-Kyeong;Kwak, Jee-Young
    • Korean Journal of Social Welfare
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    • v.54
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    • pp.149-176
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    • 2003
  • The purpose of this study is to examine the degree of community integration of visually impaired people who have the limitation of mobility in comparison with another disabled and to find factors affecting community integration. The data were obtained through telephone interview with visually impaired people. The final sample was consisted of 1,004 respondents. The data were analyzed using statistical techniques such as crosstabulation, t-test, and hierarchical regression. In this study, the factors affecting community integration was divided into four dimensions : the attribution to disability, physical functioning, psychology and social support system. The major findings of this study were as follows: First, the factors affecting community integration of visually impaired people were age, education, economic status, social support, information support and participation of rehabilitation service. Second, the factors affecting community integration of the low vision and the blind are the limitation of daily activities and social support. But the factors affecting community integration of the blind are participation of education for braille and that of the low vision are information support and participation of rehabilitation service. Finally, the person losing eyesight since school age were the more limitation of daily activities than the person losing eyesight in babyhood. The factors affect community integration of the former are social support, information support, participation of education for braille, and rehabilitation service. The current findings suggest that intervention and policy aimed at improving social support system and formal services such as education, rehabilitation services should be considered by rehabilitation professionals and policy makers.

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Health Status and the Quality of Life of the Rural Elderly (건강수준이 노인의 삶의 질에 미치는 영향)

  • Choe, Heon;Kim, Han-Joong;Jin, Ki-Nam;Joo, Kyung-Sik;Lee, Kyu-Sik;Sohn, Myung-Sei
    • Health Policy and Management
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    • v.8 no.2
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    • pp.149-165
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    • 1998
  • The purpose of this study is to examine the effect of the health status on the quality of life of the rural elderly, and to examine the conditional effect of socialsupport for that influence. 'Quality of life' used in this study was defined by unidimensional approach. The data were collected by conducting individual interviews with 296 rural elderly people aged 60 and the above who were living in one township of Kangwondo, between the time period of October and November 1995. The main findings are as follows: 1. Hierarchical regression analyses were carried out to examine the relative contribution of three set of variables on the quality of life. The first step, which included sociodemographic factors showed that the coefficient of determination (R$^{2}$) was 8% and income was a statisically significant variable. The second step, by adding health related factors, revealed that the R$^{2}$ was increased to 34% by 26% point and the degree of health recognition was the statistically significant variable. The third step, by projecting additionall social support related variables revealed that the R$^{2}$ was 42% 2. The conditional effect of social support was analyzed to examine the influence the health status has on the quality of life. The results are as follows: 1) The IADL and the degree of social contact interacted, resulting in that the higher degree of social contact boosted the stronger effect of IADL. 2) The effect of subjective health recognition on the quality of life is depended upon degree of family ontact. 3) The effect of eyesight on the quality of life is depended upon degree of satisfaction in social relation. The lower the degree of social support was, the bigger the influence of health related variables affecting quality of life became. This study explains that health status is a major factor in predicting the quality of life of the aged. Particularly the subjective health recognition was an important factor as the perception of quality of life.

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Analysis of Convergent Influence of Self Esteem, Depression, Hopelessness, Locus of Control and Type A Behavior Pattern on Job Seeking Stress among Some College Women (일부 여대생의 자아존중감, 우울, 무망감, 통제위치 및 A형 행동유형이 취업스트레스에 미치는 융복합적 영향 분석)

  • Bae, Sang-Yun;Kim, Seung-Hee
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.323-333
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    • 2016
  • This study investigates convergent influence on job seeking stress and its association with self esteem, hopelessness, depression, locus of control and type A behavior pattern among some college women. The survey was administered to 531 college women in Jeonbuk area from March 28th to April 29th, 2016. The structured self-administered questionaries were used. The results of hierarchical multiple regression analysis show the following. The job seeking stress of respondents turned out to be significantly higher in following groups: a group in which self esteem is lower and groups in which hopelessness, depression, external locus of control and type A behavior pattern are higher. Their explanatory power was 43.2%. With the analysis of covariance structure, we could confirm relationship among the four factors such as self esteem, hopelessness, depression, locus of control, type A behavior pattern and job seeking stress. The results of the study indicate that the efforts, to increase self esteem, and to decrease hopelessness, depression, locus of control and type A behavior pattern, are required to reduce the job seeking stress of the college women. The results are expected to be useful for the development of program and policy to decrease the job seeking stress of the college women. In the following study, the analysis about additional factors of influence on job seeking stress will be needed.

A Convergence Study on Influencing Factors of Paid Care Service: Andersen's Behavioral Model (유급 간병서비스 이용 영향요인에 관한 융복합적 연구: Andersen's Behavioral Model)

  • KIM, Han-Kyoul;Kim, Sung Kuk;Shim, Hyun-Jin;Lee, Hee Myung;Rhee, Hyunsill
    • Journal of Digital Convergence
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    • v.15 no.4
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    • pp.327-337
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    • 2017
  • The purpose of this study is to identify the current state of paid care services and to identify the factors that affect the utilization of private nursing services. This study constructed and utilized the Korean Health Panel data (2011-2014) in the form of panel data, and selected 5,110 patients who had experience using one or more hospitalization services per year. STATA 12.0 SE was used for data processing and analysis of this study. Frequency analysis was performed to confirm basic characteristics of hospitalized patients. Cross-analysis and t-test were conducted to confirm the status of paid care services according to characteristics. Respectively. Finally, panel logistic regression was performed by applying a hierarchical method to stepwise modeling the three categories of Andersen's Behavioral Model to identify factors affecting the use of paid care services for inpatients. The results showed that the use of paid nursing services was higher in women, elderly, long - term hospitalized and disabled. On the other hand, significant household income variables in private employment did not show significant results. The results of this study are expected to be used as basic data for the selection of the nursing care integrated services under discussion. In addition, detailed discussions on the selection of subjects should be made in the future.

A Study on the Function Overlap and Irrational Hierarchy System of Logistics Complexes of Inland Base: Focusing on the Case of the Integrated Freight Terminal in the Yeongnam Area (내륙 거점 물류단지 기능중첩 및 연계체계 불합리성에 관한 연구: 영남권 복합물류 터미널을 사례로)

  • JUNG, Jin Uk;PARK, Woonho;JOH, Chang-Hyeon;PARK, Dongjoo
    • Journal of Korean Society of Transportation
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    • v.34 no.4
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    • pp.304-317
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    • 2016
  • The advancement in technology including transportation and information communication has accelerated the flow of supplies, and the importance of the national logistics policy has increased following the expansion of the regional range of logistics to a national range. The rapid growth of the domestic logistics market results in the deficit of logistics facilities, inefficient operation of logistics facilities, and a complicated distribution structure. It has precipitated a plan aimed at efficiency improvement by building base logistics facilities, but this market is now undergoing difficulties due to low performance. Many studies on the revitalization of base logistics facilities have been conducted, but a causal analysis focusing on the function overlap of private logistics businesses has been absent. Therefore, this study has analyzed the function overlap of logistics facilities and the irrationality of the system, which resulted from the lost function of Inland Freight bases in the Yeongnam region. By suggesting the cause of disuse of base logistics complexes from the function overlap in the ground transportation of domestic freight, the study can provide the policy implication for the national logistics infrastructure.

The Effect of Welfare Status on Welfare Attitudes: Focusing on the Moderating Effect of Trust in Government (복지지위가 복지인식에 미치는 영향: 정부신뢰의 조절효과를 중심으로)

  • Choi, Go Eun
    • 한국사회정책
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    • v.23 no.1
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    • pp.125-150
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    • 2016
  • This study was carried out to empirically analyze the hypothesis that the impact of the welfare status on the welfare attitudes is moderated by each individual's level of confidence in government. To do this, this study focused on the welfare status known as the significant predictors of welfare attitudes and measured the welfare status as a gap between 'welfare contribute' and 'welfare benefit' in a single dimension, which is defined as 'material sacrifice'. Also, this study examined the main effect of material sacrifice and trust in government on the welfare attitudes and moderating effect of trust in government on relationship between material sacrifice and welfare attitudes. This study was performed with secondary data from 8th year of "2013 Korea Welfare Panel Study". Hypothesis of this study were verified using hierarchical multiple regression analysis. The major findings of this study are summarized as follow. 'Material sacrifice' was found to be negatively associated with the welfare attitudes. However, as the confidence in which social policies will be carried out competently by government increases, it was confirmed that the negative effect of material sacrifice on the welfare attitudes was moderated. It suggests that self-material interests associated with welfare could be moderated by beliefs and expectations about the government's functions, which means that expanding the reliance on the social policy is an important task in order to lead a social consensus for the welfare expansion.

A Study on the Factors Affecting Suicidal Ideation in People with Mental Disabilities (정신장애인 자살생각에 영향을 미치는 요인에 관한 연구)

  • Song, Seung-Yeon;Lee, Yong-Pyo
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.765-775
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    • 2021
  • The purpose of this study is to investigate factors that affect the suicidal ideation of the people with mental disabilities. To this end, the independent variables were analyzed by categorizing them into individual psychological factors, social factors, and demographic characteristics. The analysis data include 969 people with mental disabilities who participated in the 2017 Ministry of Health and Welfare's Research, 'Survey on the Current Status of Mental Disabilities in Community'. The analysis method was frequency analysis, descriptive statistics, and hierarchical multiple regression analysis with SPSS 23.0. As a result of the study, in terms of individual psychological factors, the higher the depression and the lower the mental health confidence, the more suicidal ideation increase. In terms of social factors, the more unregistered disabled groups, the more exposure to violence and discrimination, and the more they live in large cities, the higher their ideation of suicidal. The regression model explained 26.9% of suicidal ideation. The practical and policy implications for the prevention of suicide of the people with mental disabilities based on these results are as follows: First, social factors should be evaluated and considered together, rather than focusing only on individual psychological factors, in seeking policies and intervention programs that reduce suicidal ideation in the people with mental disabilities. Second, in seeking suicide prevention policies for the people with mental disabilities, Protection & Advocacy services should be provided to reduce violence and discrimination experiences. Third, in order to reduce the suicidal ideation of the people with mental disabilities, the mental disability registration system should be reorganized, and policy alternatives should be devised so that those experiencing mental distress can be included into the system.

Implementation agency effect on Self-Sufficiency of Participants in Self-Support Program (자활사업 집행기관이 자활사업 참여자의 자활효과에 미치는 영향 - 위계선형모형(HLM)의 적용을 중심으로 -)

  • Lee, Young-Chul;Kim, So-Joung
    • Korean Journal of Social Welfare Studies
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    • v.40 no.2
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    • pp.227-252
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    • 2009
  • This study set out to investigate implementation agency effect on participants' self-sufficiency in self-support program. Self-support program's implementation agency consist of civil groups and social welfare corporations. The final sample size was 602 program participants and 18 implementation agencies in Gwangju city, South Korea. Two-level hierarchical linear model was used for analysis. The major findings of this study are as follows. First, civil groups' participants were healthier, more often participated in business model, earned higher monthly income, participated shorter time rather than participants in social welfare corporation. Second, civil groups' participants showed low level of self-sufficiency than participants in social welfare corporations. These results means that self-support policy is not delivered uniformly because front-line implementation agencies develop work habits that influence the outcome of policy. And limitations and implications of this study were discussed with respect to further studies.