• Journal of Korean Academy of Nursing Administration
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• v.4 no.2
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• pp.351-361
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• 1998

The purpose of this study was to explore whether there is a point within the range of physical impairment after which the cost of home care exceeds the cost of nursing home care among the elderly who require long-term care. The provision of long-term care for the elderly is a major health policy issue, in part due to the aging of the American population and dramatic increase in health care costs. The framework for this study was guided by Pollak's(1973)model of costs of alternative care settings for the elderly. This study used a retrospective, descriptive correlational design. Physical impairment was measured by the modified Index of Activities of Daily Living(Katz et al. 1963). Cost of care was measured by the average cost per patient per day. The sample for this study included 67 patients receiving long-term care at home from the Long-term Home Health Care Programs (LTHHCPs) and 67 patients receiving long-term care in nursing homes. Data were collected on patient characteristics. including activities of daily living and cognitive impairment. and on the number of physician visits. emergency room visits. and hospitalization from the patient records. For each patient. Medicaid cost data for home care services/or nursing home services were collected from the financial department of each home care agency or nursing home. The living costs and informal care costs were estimated for home care patients. The results indicated that the home care sample and the nursing home sample were similar in terms of gender. ethnic background. and marital status. The elderly patients in the home care sample were: however. younger and less physically impaired than those in the nursing home sample. The hypotheses of this study were supported: For elderly persons with physical impairment scores below 12(possible range of 0 to 14), cost of care was lower in home care than in the nursing home care setting. However, for elderly persons with physical impairment scores above 12. the cost of care was higher in home care than in the nursing home care setting. Thus. in this sample for elderly patients with extreme physical impairment, the cost of home care exceeded the cost of nursing home care.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.24 no.2
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• pp.210-220
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• 2017

Purpose: The study aimed to describe the utilization of home healthcare in patients using home mechanical ventilator(HMV) Method: A descriptive cross-sectional design was used in this study. A Questionnaires were sent to nation wide home healthcare agencies to assess their utilization status of home healthcare. A convenience sample of 158 patients data was reviewed. Result: A total of 88(55.7%) men with the mean age of 51.94(${\pm}19.52$) years were included in the study. Approximately 55.1% of patients at the outpatient department were referred to the home healthcare services after discharge. The underlying diseases were as follows : 129 amyotrophic lateral sclerosis and 27 muscular dystrophies. A total of 155 patients have invasive HMV. Efficient home healthcare nursing activities provided by a highly skilled home healthcare advanced practice nurses(HHCAPN) were tracheotomy and gastrostomy tube management and urinary catheterization. The average frequency of home visit for one patient was 2.52times per month. The duration of home healthcare utilization with >1 year was 82.9%. HHCAPNs have limited knowledge and skill for HMV. Conclusion: The government support is required to provide sufficient home healthcare services to the patients discharged with HMV. HHCAPNs should be properly educated on the effective HMV care.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.27 no.3
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• pp.356-371
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• 2020

Purpose: This study was conducted to assess the working conditions of home health nurses in hospital-based home health institutions nationwide. Methods: A secondary data analysis study was conducted based on the survey data on the working conditions of home health nurses, jointly conducted by the Korean Home Health Care Nurses Association and the Academic Society of Home Health Care Nurses in September 2020. Results: Of the home health nurses respondents, 82.4% worked in tertiary hospitals and general hospitals. Most of the working hours of home health nurses were 40 hours a week. Traffic accidents accounted for a significant proportion of accidents experienced by the home health nurse while performing their duties. Most of welfare and benefits systems applicable to home health institutions were in place. The time allocated to provision of home health nursing services was usually more than 30 minutes but less than 1 hour. The type of position of the individual in charge of home health care differed according to the type of medical institution. Conclusion: It is recommended that continuous investigation and analysis be conducted in order to establish a direction for improvement of home health nurses' working conditions, based on the related accumulated data.

• Journal of the Korean Home Economics Association
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• v.38 no.7
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• pp.79-92
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• 2000

The purpose of this study is to verify the soundness of homelife and the stress of home management perceived by housewives living in Seoul as well as to investigate how the soundness of home life affects the stress of home management. In total, 914 housewives were studied to serve as a data sources. The major result are as follows : 1. Communication variables huts the strongest effect on the soundness of home life. 2. Wife's self-actualization influences the soundness of home life and home management stress. 3. Wife's internal-external control has an positive effect on the soundness of home life and home management stress. 4. The soundness of home management variables-family unification, time, psychological health, human ability, physical health should be developed as human capital.

• Journal of Families and Better Life
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• v.15 no.1
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• pp.111-128
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• 1997

This study mainly deals with the housewife's value orientation home management strategy and home management satisfaction,. The major results are as follows; 1) The degree of communication and communication frequency in household prove the predictable variables to influence the housewife's value orientation home management strategy and home management satisfaction. 2) Among the value orientation fate control orientation predicts home management strategy. 3) Material orientation shows the negative influence on her home management satisfaction. 4) Among home management strategy the fact that household financial management strategy and housework organization strategy are the important variables in the home management satisfaction suggest that household financial management and everyday repeated housework management cause the deep influence on her life satisfaction. 5) The higher her material orientation and gender equilibrium orientation are the higher housework socialization stra egy frequency is the lower her home management satisfaction is.

• Journal of Families and Better Life
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• v.7 no.1
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• pp.43-57
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• 1989

In the materialistic societies, individuals get money return according to the importance of their roles. But unlike wage workers who are engaged in market production , housewives engaged in home production do not get that return. It is because the result of home production is not transacted in the market and the price is not given to it, so the value of home production is not estimated. Hence this study trcognizes again the value of home production, suggests the estimation methods of it in input and output based on home production systems and attempts to actualize those methods socially. This home production develops the human attributes of family members to act as a member of a society and potentially contributes to home income and Gross National Products, so it has social and economic value. In spite of that significance, the value of home production is not estimated, so its nor recognized and housewives engaged in home production are not acknowledged their ability. Hence based on home production systems form input to output, this study suggested opportunity cost method and market cost method in input, method by saving money expenditure, hybrid method and method by comparing with market in output.

• Korean Journal of Child Studies
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• v.6 no.2
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• pp.1-20
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• 1985

The relationship between home environment variables for infants and toddlers and the nature of primary caregivers were examined in the present study. The purpose of the study was to explore the possibility of home stimulation deprivation when infants were not cared by their own mothers. Primary caregivers were classified into mothers, blood related adults, and unrelated adults. The home environment was assessed with the Korean version of HOME (Home Observation for Measurement of the Environment) by means of interview and observation. The subjects of this study were 126 infants aged 3 to 36 months and their primary caregiver, adults who provided more than 8 hours day-time care for infants at home. The results were as follows : 1) The primary caregiver had an effect on the infants' home environmental stimulation. That is, the group of mothers as primary caregivers had the highest HOME scores, the second highest were blood related adults, and the unrelated adults were the last. 2) There were no sex differences in HOME scores. 3) There were significant relationships between the educational level of the caregiver and HOME. That is, the higher educational levels showed higher HOME scores.

• Journal of Korean Home Economics Education Association
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• v.10 no.1
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• pp.95-106
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• 1998

The purposes of this study is to find middle school student's application of Home Economics course and its related variables. The samples are 323 middles school students in Kangneung. For the statistics analysis of this study, frequency, mean, Cronbach's a coefficient, ANOVQ, t-test, Pearson'correlation and multiple regression were calculated. The results of this study are summarized as follows ; 1. It is appeared that middle school student's application of Home Economics course are the food, human development and family relationship family, resources management and the consuming, the clothing. 2. Variables that affect middle school student's application of Home Economics course are the vocation of father, way of learning about home life skill, agreement with educational goal of Home Economic, evaluation of Home Economic teacher, evaluation of education field, participation in class of Home Economic and needs for Home Economics. 3. The explanation degree of these seven variables is 27.7% and needs for Home Economics is the most domineering variables.

• Journal of the Korean Home Economics Association
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• v.33 no.1
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• pp.1-18
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• 1995

This study examined the confronting problems in home economics and its historical and philosophical causing background, and suggested the future direction for home economics and home economics education. This study, hoped to help home economics overcoming its chaotic situation, and to establish academic characteristics through a philosophical consistency: 1. What are the significant problems which home economics has confronted, and the consequences of those problems\ulcorner 2. What are the fundamental caues of the problem\ulcorner 3.What should be the nature of home econimics to be able to overcome the confronting problems and what can be proposed for the future of home economic\ulcorner Each research question was addressed by analyzing Journal articles, theses, philosophical studies in the field. The results were as follows; 1. such problems as the ambiguity in research focus and the nature of academic charateristcs, and the limitation of research method have resulted fragmentation and specialization in the field, and the lack of philosophical research. Also they led home and family. Moreover each problem brought chaos into curriculum of home economics and that of home economics deucation. 2. The philosophical causing backgrounds of present problems are western ideas such as pragmatism, positivism, Social Darwnism and Korean ideas such as Confucian tradition, Practical Science movement in the 19th century, and modernization and industrialization from the middle of 20th century. Along with influencing historical situation these backgrounds have distorted home economics to be technical science oriented. 3. To solve these problems academic characteristics of home economics must be reestablished as practical science and as profession. This study proposed following for the future of home economics and home economics education: (1) For the future of home economics, first, it needs to recover the unity as one academic field with its focus on family by overcoming fragmentation and specialization trend in the field. Secondly, philosophical and historical studies must be carried o for the unity of all specialized field in home economics. Thirdly, home economics must try to reestablish and reflect in pratice its acadimic characteristics as practical science and as profession. (2) For home economic eduation, first, it should not be the instrument for idelogies of powerful social systems. And teacher education for home economics teachers must inclued principles of home economics and philosophy and history of home economics enabling teachers to achieve purposes of home economics. Secondly, its curriculum contents should be composed of practical ones beyond technical ones.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.14 no.2
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• pp.65-75
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• 2007

Purpose: This study was conducted to provide fundamental information for policy integration of the home health care system. Methods: Focused review was performed from 8 studies out of 48 literature related to home care needs. Results: Females utilized home care based on hospital and public health centers at a higher rate than males. While there had been more rate of the elderly above 60 year-old at hospital and community based home care, on the other hand below 45 year-old at public health center. The most common disease amongst users in all three types was cerebrovascular disease, the second was cancer based at hospitals, hypertension and arthritis at public health centers. There were more needs for those using artificial respiratory equipment, cancer patients, and puerpera. However, the needs for hospital and community based home care were very similar. Conclusions: Due to similar disease characteristics but varied severity at the three home care based settings, they should be managed with flexibility. Home care curriculum should be developed according to common disease type, and home care services should be strengthened for its expertise.