• Title/Summary/Keyword: Home help service

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The National Hospice Care Service Development in Korea (한국형 호스피스 케어 개발을 위한 기초 조사 연구)

  • Lee, Soo-Woo;Lee, Eun-Ok;Ahn, Hyo-Seog;Heo, Dae-Seock;Kim, Dal-Sook;Kim, Hyun-Sook;Lee, Hiye-Ja
    • The Korean Nurse
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    • v.36 no.3
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    • pp.49-69
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    • 1997
  • The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.

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Policy Development on Health Administration System in the Era of Local Autonomous Government (지방자치제에 따른 보건의료사업을 위한 보건소 모델개발연구)

  • 남철현
    • Korean Journal of Health Education and Promotion
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    • v.16 no.1
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    • pp.101-126
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    • 1999
  • As the WTO system launches through the agreement of Uruguay Round, the Government has to revise the office regulations or reform the system. Also, Integrating and Coordinating the like affair in health care (i. e., children's home, industry health, school health, health manpower, the administration of health center, the administration on food hygiene, health environmental education, and so on.) which is now scattered into some government departments like the Ministry of Labor, the Ministry of Education, the Ministry of Home Affairs, the Ministry of Agriculture, and the Ministry of Environment, the Government has to prevent unspecialty, inefficiency, inconsistency, and uneconomy. The Government has to review and adopt above suggested the Proposal 1),2),3),4) of the Health Centers on the basis of the local autonomy law and it will help the successive settlement of the local autonomy system in Korea. According to the suggested proposal, the Central Government mainly takes charge of the Macro affairs as hardware, and transfer the Micro affairs as software into the Local Governments to attempt the appropriate functional allocation. To achieve it successfully, the Central Government also has to do the financial support, manpower training and technical support, allocation of health care resources, direction and control, research and development and the health care plan on the macro level. Local Governments which divided into the wide local government and basic local government also have to do their best for health improvement of the community societies like plan of health care program, implementation of health care service program, taking charge of the affairs of health insurance, activation of community residents' participation and security of health care resources etc. To achieve this goal, the Government have to be more active and reformative, the related social and health agencies and educational agencies have to cooperate and support for the goals, and especially, the community residents have to participate actively and voluntarily, When all these conditions promote, local health care administration will be developed, and health level of community residents will be secured. And going one step forward, the country and people will be more healthy

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An Improved Particle Swarm Optimization Algorithm for Care Worker Scheduling

  • Akjiratikarl, Chananes;Yenradee, Pisal;Drake, Paul R.
    • Industrial Engineering and Management Systems
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    • v.7 no.2
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    • pp.171-181
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    • 2008
  • Home care, known also as domiciliary care, is part of the community care service that is a responsibility of the local government authorities in the UK as well as many other countries around the world. The aim is to provide the care and support needed to assist people, particularly older people, people with physical or learning disabilities and people who need assistance due to illness to live as independently as possible in their own homes. It is performed primarily by care workers visiting clients' homes where they provide help with daily activities. This paper is concerned with the dispatching of care workers to clients in an efficient manner. The optimized routine for each care worker determines a schedule to achieve the minimum total cost (in terms of distance traveled) without violating the capacity and time window constraints. A collaborative population-based meta-heuristic called Particle Swarm Optimization (PSO) is applied to solve the problem. A particle is defined as a multi-dimensional point in space which represents the corresponding schedule for care workers and their clients. Each dimension of a particle represents a care activity and the corresponding, allocated care worker. The continuous position value of each dimension determines the care worker to be assigned and also the assignment priority. A heuristic assignment scheme is specially designed to transform the continuous position value to the discrete job schedule. This job schedule represents the potential feasible solution to the problem. The Earliest Start Time Priority with Minimum Distance Assignment (ESTPMDA) technique is developed for generating an initial solution which guides the search direction of the particle. Local improvement procedures (LIP), insertion and swap, are embedded in the PSO algorithm in order to further improve the quality of the solution. The proposed methodology is implemented, tested, and compared with existing solutions for some 'real' problem instances.

Qualitative Study on the Perception of Community Food-accessibility Environment among Urban Older Adults (도시지역 일부 노인에서 지역사회 식품의 접근성 측면에서의 식품환경 인식에 대한 질적 연구)

  • Yang, Narae;Kim, Kirang
    • Korean Journal of Community Nutrition
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    • v.25 no.2
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    • pp.137-149
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    • 2020
  • Objectives: This study explored the community food environmental factors affecting food purchasing using a qualitative research methodology for the elderly as well as the various food environments under their socioeconomic diversity. Methods: For the qualitative data collection, this study interviewed 20 elderly people aged 65 years or more, who participated in a public health program or lunch services operated by the senior welfare center in Seoul. Five dimensions, such as availability, physical accessibility, affordability, acceptability, and accommodation suggested in previous studies, were used to identify the community food environmental factors. Results: The elderly participants showed overall similarities to the concepts derived from existing studies on the five dimensions of food accessibility environment. In addition, other important food accessibility environmental factors that were not present in previous studies, such as acceptability for a product of domestic origin, delivery service to home, and small-packaged food sales, were derived. On the other hand, the concept of some subjects differed depending on the household income and specifically for the physical accessibility concept. This showed that the close distance factor from a grocery store at home might not apply to older adults in low-income households in Korea. Conclusions: This study found that five dimensions of the food environment suggested by previous studies could also be applied to vulnerable older adults in Korea. On the other hand, the socioeconomic characteristics of individuals and households would affect the perspectives of their local food environments differently. The findings of this study could help in the development of tools for evaluating the community food environment.

A Study on Community Rehabilitation Program of the two Public Health Center (2개 보건소의 방문보건재활사업에 관한 연구)

  • Jo, Kye-Suk;You, In-Ja;Bae, Jung-Hee;Lee, Young-Ja
    • Journal of Home Health Care Nursing
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    • v.4
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    • pp.86-100
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    • 1997
  • The purpose of the study is to evaluate the community rehabilitation program of the two Public Health Center. Data were collected from the 138 clients who received rehabilitation services from visiting public health nurses. Data were analysed by SAS computer program. The result were as follows. 1. The clients have been average 7years disabled state until public health nurse visit them. 78.3% of them can't advance rehabilitation process because of insufficient family or social support. 2. The clients' burden due to their family's help was average 80.0 and that due to economic distresst was average 76.0. That factors were same that interfere rehabilitation process. 3. The clients needed exercise and modality therapy(78.2), economic support(76.0) and rehablitation advices (64.0). The needs of welfare benefit, medical service and social participation were 68.0, 61.5 and 54.5. 4. The pulblic health nurse visited the clients 2.3 time every month. And they have served emotional support (95.7%, exercise therapy (94.9%), family education(82.6%) and blood pressure management (71.7%), One client have received average 60% of the medical rehabilitation services and 27% of the refer services. 5. The rehabilitation effects of clients' attitude, knowledge and practice were 73.3, 81.0 and 68.7. The physical rehabilitation effect was 70.0. After receving rehabilitation services, the clients' preforrence to pulblic health center was 82.0. 6. The clients hopped that public health nurse visit them earlier (80.0). On the basis of this results, the following suggestions are proposed. 1. The pulblic health center is important institution in community rehabilition program, and every pulblic health center must participate in this program. 2. Various strateges have to be tryed and analysed to improve the visiting nurses' rehabilitation services. 3. For successful community rehabilitation, social welfare rehabilitation program must be developed and correlated with that of the pulblic helth center.

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Effects of Shopping Value, Fashionb Shopping Mall Attributes, Emotions and Purchasing Intention on Purchasing Behavior in Internet Fashion Shopping Malls (인터넷 패션 쇼핑몰에서 쇼핑가치, 인터넷 패션 쇼핑몰 속성, 감정 및 구매의도가 구매여부에 미치는 영향)

  • Park, Eun-Joo;Kang, Eun-Mi
    • Journal of the Korean Home Economics Association
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    • v.43 no.7 s.209
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    • pp.117-128
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    • 2005
  • The purposes of this study were 1) to examine the conceptual structure of shopping value, fashion shopping mall attributes and emotions related to internet shopping, 2) to compare between hedonic consumers and utility consumers of fashion shopping mall attributes, emotions and purchasing intention and 3) to investigate the effects of shopping value, fashion shopping mall attributes, emotions and purchasing intention on purchasing behavior in internet fashion shopping malls. Data were obtained from 423 internet fashion shopping mall consumers who have bought products or visited an internet fashion shopping mall. The data were analyzed by using factor analysis, Cronbach's alpha, t-test and discriminant analysis. The results showed that shopping values perceived by internet fashion shopping mall consumers consisted of two factors: Hedonic value and Utility value. Internet fashion shopping mall attributes were composed of Visual information, Loading speed, Space composition, Product assortment, Checkout service and Help desk. Emotions were composed of Excitement Confidence, Displeasure and Uneasiness. There results demonstrated that hedonic consumers were more likely to perceive the factors of fashion shopping mail attributes, to experience various, emotions and to have more purchasing intention than utility consumers. Additionally, the findings suggest that shopping value is important in predicting the purchasing behavior of consumers' at internet fashion shopping malls. They gave insights into the promotion development of internet fashion shopping malls. Implications are drawn for the information useful to consumer behavior researchers and retailers of internet fashion shopping malls.

An Empirical Study of Consumer Empowerment for Chinese Elderly Consumers (중국 노인 소비자의 소비자역량에 관한 실증연구)

  • Zhao, HongZhi;Jung, Minji;Chung, Jae-Eun
    • Human Ecology Research
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    • v.56 no.6
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    • pp.507-525
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    • 2018
  • This study examines the consumer empowerment index for Chinese elderly consumers, the impact of socio-demographic variables, exposure to mass media, and communication about consumption on consumer empowerment. The consumer empowerment index is composed of three factors: consumer knowledge, consumer attitude, and consumer skill. Data were collected from 301 Chinese elderly consumers aged 60 to 80 years old via a professional online survey firm. The findings of the analysis were described using frequency, t-test, ANOVA, and multiple regression analysis. The results are as follows. First, the average of consumer knowledge was 35.69 points out of 100, consumer skill was 65.71 points, and consumer attitude was 68.87 points. Second, socio-demographic variables indicated that education level, previous occupation, type of residence and communication about consumption impact consumer empowerment. Elderly consumers with higher education had higher consumer attitudes and better overall consumer empowerment than those with lower education. Consumers who were self-employed workers had higher consumer skills than those of technical or service workers. Elderly consumers who live alone had higher consumer skills than those who live in a nursing home. Third, according to communication about consumption, family communication is positively associated with consumer attitudes, skills and overall empowerment, while friend communication is positively associated with consumer attitudes and overall empowerment. The findings of this study are useful in developing guidelines that help the government make consumer education systems for the elderly who want to improve consumer empowerment levels evenly among these factors.

Outdoor Care System using WEMOS and Arduino MEGA (WEMOS와 아두이노 MEGA를 이용한 외출 케어 시스템)

  • Jeong-Geun Choi;Chang-Hyun Kim;Chan-Gyu Lee;Geon-Ho Choi;Boong-Joo Lee
    • The Journal of the Korea institute of electronic communication sciences
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    • v.18 no.4
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    • pp.677-686
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    • 2023
  • In this paper, we study the design and implementation of a smart home outing care system that recognizes the user's purpose of going out and delivers useful information that can help when going out. RSS service data of the Korea Meteorological Administration can be transmitted in real time using ESP8266, and a system that can provide weather information to users after analyzing the data using Arduino MEGA is implemented. Using App Inventor, you can pack the necessary items without forgetting, and you can change the settings according to the desired weather and purpose. The position of the microphone was placed outside to increase awareness by 12%, and the sensitivity of the pressure sensor was set to a maximum of 210 kΩ. If there is an obstacle between the doors, the doors open automatically. An ultrasonic sensor was placed on the ceiling of the drawer to recognize an object within the range of 0.5cm to 10cm to check the existence of an object, and a camera was installed to research a security reinforcement system.

Proposal for a Cognitive Reconstruction Program for Female College Students Experiencing Body Dissatisfaction (신체 불만족을 경험하는 여자 대학생을 위한 인지적 재구성 프로그램 제안)

  • Hyun Ju Lee;Helen Ha;Yuan Mei Cui;Jee Hyun Lee;Min Ju Kang
    • Human Ecology Research
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    • v.62 no.2
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    • pp.369-383
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    • 2024
  • The aim of this study was to develop and implement a program based on Cognitive Behavior Therapy (CBT) for female college students experiencing body dissatisfaction. To systematize the program development process, we adopted the service design method. First, we conducted In-Depth Interviews (IDIs) to identify the difficulties faced by six female college students who experience body dissatisfaction, and to determine what kind of help they needed. Second, content analysis of the findings revealed that female college students were experiencing emotional-behavior problems which derived from the discrepancy between their ideal body image and the reality. Third, a prototype of a cognitive reconstruction program was developed to help transform their perceived 'body distortion' to a rational cognitive concept and thus reduce maladaptive consequences of 'body dissatisfaction'. The overall program consisted of three therapeutic components and seven steps. Fourth, to assess the effectiveness of the program, survey and IDIs were conducted. The results revealed that it is appropriate to use a cognitive model to solve problems caused by body dissatisfaction, and that understanding and reconstructing one's own cognitive processes can be effective in reducing body dissatisfaction. However, based on feedback from participants, a number of revisions were proposed, such as including sufficient induction regarding the behavioral change.

Common Command-Scripting Language for network-based Robots (CCSLR) and Translator System Architecture (네트워크 기반 로봇을 조종하기 위한 공통 명령 프로그래밍 언어(CCSLR)와 번역 시스템 구조)

  • Lee, Il-Gu;Nguyen, Dong To;Kim, Do-Ik
    • The Journal of Korea Robotics Society
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    • v.2 no.1
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    • pp.48-54
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    • 2007
  • A network-based robot [1] is a robot that explores service servers in the network environment for analyzing sensor data and making decision. Since network-based robot architecture was proposed, it's possible to reduce costs of robots. We hope robots would be all around at home environment. Therefore, normal users who are not experts need to be able to control those robots by using easy commands. We developed a scripting language, named CCSLR, to help users and developers who control various robots in ubiquitous environment. We focused on how to design the common language for various robots and how to translate a CCSLR script into a sequence of low-level commands of the target robot. In this paper, we propose scripting methods, with three layers. The CCSLR system reads the profile information from the knowledge representation database. Users don't have to know all about kinematical and mechanical details of a robot. Then again, the CCSLR system will use the profile information to translate the script into separated executable library commands. The CCSLR system manages robot's changing state every time a robot executes a command.

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