South Korea faces elderly care crisis with both low fertility rate and rapid ageing rate. Long-term care insurance in 2008 has taken care burden from family to nation. However, few options, lack of tailored services, and unstable community care plan caused blankness of care in some areas. Especially, increasing dementia rate has become an emergent social issue. Welfare technology could be a useful alternative to fill out the gap between demand and supply. Using FGI method on two groups(high-risk dementia group and MCI group), intimacy, accessibility and preventive way of dementia with welfare technology are analysed in this paper. Despites of a few differences of dementia progress, interests towards technology are expressed. More suggestions using TV and normal telephone to improve daily independence are presented as well. Amongst MCI group, help-service for technology-use at ADS and linkage ways of in-home services are also suggested.
The purpose of this study is to provide useful insights into community-level support services for family caregivers in Korea by comparing them with the services in the United States. Similar to most developed countries, life expectancy has led to rapid population aging in Korea over the last several decades. However, despite increased social needs of long-term care for the elderly, many elderly Koreans are still dependent on their family for the long-term care. Yet, existing support programs for family caregivers are very limited. As a result, family caregivers often suffer from a lack of financial resources and emotional support. In this study, we comprehensively review the extensive literature, including relevant studies and documents of community-level support services for family caregivers of the elderly at home in Korea and the United States. One of the most important differences is that compared to Korea, diverse services based on the law of NFCSP to support the family caregivers, such as counseling, organization of support group, and educating have been available in the United States since 2000. Additionally, the legal definition of family caregivers in the United State is broader than that in Korea, where family caregivers are limited to those who are related by blood or marriage. Therefore, more caregivers are eligible for support programs and benefit from the programs in the United States. The findings of the study suggest that policy makers in Korea should legislate for diverse and comprehensive services for family caregivers. Further, it is necessary to define legal terms for family caregivers more broadly to extend beneficiaries of the programs.
The Journal of Korean society of community based occupational therapy
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v.1
no.2
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pp.45-59
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2011
Objective : he aim of this study is to describe on the definition of the welfare state and scope of the social welfare and to analyze the development of the social welfare policy for the disabled in South Korea. Methods : We described on the definition of the welfare state and scope of the social welfare and analyzed the social welfare policy and welfare policy for the disabled among Korean Government through literature review. Finally, We also analyzed the welfare policy for the disabled in the Roh Moo-hyun Administration. Results : Welfare policy or welfare policy for the disabled was developed as economic growth from 'selective welfare' to 'universal welfare'. Scope of the social welfare was expanded from 'minimum guarantee' of the Lee seong-man administration to 'participatory welfare' of the Roh moo-hyun administration and that was similar to the welfare policy of administration for the disabled. Conclusion : We suggest that occupational therapist based community should find unmet health need and provide home-based rehabilitation services to the disabled and the elderly.
China has already entered the aging society and is predicted to become a super-aged society in 2020. The recent studies identified that the elderly has more interest in 'Aging-in-Place' which emphasizes deinstitutionalization since welfare facilities such as care homes and silver towns have separated the elderly from their local communities where they used to live in. The aim of this research is to propose a promising way for smart housing services who support the elderly's living in their homes, China. This research is to investigate the elderly's life and to identify their demands on housings for implementing such smart services. The elderly's living in apartments in Luoyang city, China, were investigated through interviews using a questionnaire survey. The results show that smart housing services should be provided to support the elderly's health, safety, leisure activities, comfortable living, and social relationships sustainably. In addition, such smart housing services should be intuitive since the elderly need to use easily smart services for their autonomous life in their homes. The smart housing services should be developed in the direction of enhancing the elderly's healthy and desirable life, and lessening their discomforts due to aging.
Our society is showing rapid growth throughout the industry, but it is in the era of nuclear family and aging. Due to the elderly, the demand for social welfare services such as medical treatment services tends to increase sharply. However, duties of senior citizens and social workers engaged in related medical care facilities are not clearly identified, and job stress has occurred and the degree of job satisfaction is extremely low. Therefore, in this paper, in relation to the social worker's duties of elderly nursing home care facilities, in practicing welfare services, knowledge base that was convergence with duties so that you can focus on service according to better environment and standardized procedures To provide a management system. Through the proposed system, social workers are expected to be able to improve work satisfaction by quickly grasping operations and escaping from job stress through their own development and information sharing.
Background: As South Korea enters an aged society, the government has emphasized the need for a soft landing of the older adults into the community after the acute and recovery periods under a national policy of "community care." However, the institutionalization of community rehabilitation services to implement this is insufficient. Japan had already entered an aged society when the Long-Term Care Insurance System was introduced in 2000. Thus, the case of Japan's institutionalization of the system is expected to have implications for us in supplementing a suitable system for the aged society. Objects: This study compared the institutionalization process of the Long-Term Care Insurance System in South Korea and Japan and the services currently being implemented in each country. Methods: To examine the institutionalization process and services of the system, related legal rules and regulations, government reports, and articles were reviewed. To examine the operation status of the system, statistical data provided by each country's government were analyzed. Results: Japan recognized the importance of community rehabilitation even before the enactment of Long-Term Care Insurance. Thus, community rehabilitation services, such as home-visit rehabilitation and health facilities, were already stipulated in the law. Under such institutional legacy, Long-Term Care Insurance was able to establish a service system, which balanced welfare and health-related services, including various types of services with enhanced rehabilitation functions. In South Korea, rehabilitation policies were not much considered in the process of institutionalizing the system; thus, it was composed mainly of services focusing on care and recuperation. Conclusion: In order to realize community care, rehabilitation services need to be developed in Long-Term Care Insurance System in various forms such as home-visit services, daily services, short stay, and facility services.
The authors developed 28 needs assessment tools for integrated assessment centered on needs, which is the core element in care management for the elderly in home. Also, the authors collected the assessment data of 676 elderly persons in home from 120 centers under the Korea Association of Senior Welfare Centers by using the needs assessment tools, and finally developed needs extraction algorithm through decision tree analysis in data mining to identify their actual needs and provide social welfare service suitable for such needs. The needs extraction algorithm for 28 needs of the elderly in home are summarized in
. The Need No. 8 "Having need of help in going out" of the decision-making model, for example, was divided into 80.3% of asking for help and 11.4% not asking for help with Appeal No. 23 as a major variable. The need increased by 87.9% when the elderly appealed for help to go out and they had a caregiver but decreased by 47.4% when they had no caregiver. When the elderly asked for help in going out, they had a caregiver, and they needed complete help in cleaning, their need of help in going out was shown as 94.2%. However, seen from their answer that they needed complete help in bathing of ADL even if they did not ask for help in going out, it was found that the need of help in going out sharply increased from 11.4% to 80.0%. On the other hand, when they needed partial help or self-supported in bathing, the potential for them to be classified as asking for help in going out was shown to be low as 7.7%. In the said decision-making model, the number of cases for parent node and child node was designated as 50 and 25, respectively, with level 5 of the maximum tree depth as stopping rule. By this, it was shown that their decision-making was found to be effective as 182.13% for the need "Having need of help in going out". The algorithm presented in this study can be useful as systematic and scientific fundamental data in assessment of needs of the elderly in home.
Purpose: The purpose of this study was to identify the frequency and duration of primary health practitioners' work, and their job satisfaction, and to confirm differences in work and job satisfaction by type of primary health care post. Methods: Work frequency, duration of work, and job satisfaction were estimated by 371 primary health practitioners. Chi-square test and t-test were used to identify the differences in working patterns and job satisfaction by type of primary health care post. Results: Primary health practitioners were found to spend more time working with the elderly population than with students, pregnant women, children, people with disabilities, and multicultural families. Those in costal areas were more concerned with students than those working inland. In the latter group of practitioners, more time was spent working with patients with chronic diseases, pregnant women, women, children, multicultural families, and mental health clients. Also, the job satisfaction of inland primary health practitioners was significantly higher than that of costal practitioners. Conclusion: It is necessary to identify the characteristics of primary health practitioners' work, focusing on changes in the medical service environment. Furthermore, it is necessary to provide job training according to type of primary health care post, as practitioners' approaches should differ between posts.
IEMEK Journal of Embedded Systems and Applications
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v.8
no.2
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pp.79-85
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2013
This paper proposes a system that utilizes USN(Ubiquitous Sensor Network), Bluetooth and smart phone to improve the function of senior houses. In typical approach, a system in a senior house either directly accesses the status of elderly people by its sensor or is alerted by elderly people who trigger an emergency bell, derive a decision and take an appropriate action. In addition, it is possible for a designated social worker to check the status of senior patients through monitoring system connected by UTP(Unshielded Uwisted Pair) cables, but the responsible person has to be present to monitor patients' status. However, the new system, suggested in this paper, embed Bluetooth function in a blood pressure gauge, thus the smart phone receives patients' health information such as blood pressure through Bluebooth, if any abnormal event occurs. Consequently, the smart phone sends SMS(Short Message Service) to a responsible social worker or a designated hospital. When this program in the paper becomes a reality, an unmanned system that is able to determine suitable actions for certain events will be established, even if a social worker were absence.
Journal of The Korea Institute of Healthcare Architecture
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v.20
no.4
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pp.81-89
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2014
Purpose : An aging phenomenon was recognized as only negative aspect, which impediment a development with the decrease of a developing population and increase of social burden. Nevertheless, the problem of aging cannot be treated as a problem of individuals or social burden. Because Every mankind sometime will be the person directly involved the aging. Methods : Korea, predict to reach the aging society with over 20 percent of elderly in the whole population in 2020, should find an active political plan for responding. Because a previous discussion about the aging phenomenon focused on social welfare, the housing plan for the elderly with a consideration of the physical environment for sustaining elderly's life with happiness will be primary task. Results : This research considers housing policy, focusing on the medical service. It is because statistics, which 85 percent of elderly people suffer from chronic diseases because of physical aging signify the importance of medical service to the elderly in every-day-life. Implications : We prescribe the elderly as a population over 65. In this duration, the elderly retirees from the workplace e and spend the majority of time in their home. Thus, for the elderly, the residential space is a field of action and passageway connecting with the surroundings For the solution of physical space preparing the aging phenomenon, the combination of residential and medical function creates a new type of a lifestyle.
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