• 한국정보통신학회:학술대회논문집
• /
• 한국정보통신학회 2022년도 추계학술대회
• /
• pp.511-513
• /
• 2022

디지털 헬스케어는 첨단 정보통신기술과 의료기술·비의료기술의 융합으로 질병치료에서 예방관리로 의료서비스의 패러다임 변화에 따라 지역을 기반으로 예방 및 모니터링 기반 건강관리의 중요성을 강조하고 있다. 4P(Predictive, Preventive, Personalized, Participatory)는 예측적, 예방적, 개인적, 참여적 헬스케어 서비스로 말할 수 있다. 기존의 노인장기요양 급여의 복지용구 품목 중심의 제한적 산업에서 벗어나 최신 기술을 활용한 AI·IoT·빅데이터 등 4차 산업혁명 기술과 접목을 통한 새로운 서비스를 제공할 필요성이 여러 분야에서 대두되고 있으며 돌봄 로봇, 웨어러블 등 신기술 개발 뿐 아니라 실증을 통한 상용화가 필요한 상황이다. 향후 빅데이터·인공지능 등 미래 신기술과 연계하여 다양한 서비스 창출이 가능하다.

• 가정∙방문간호학회지
• /
• 제10권1호
• /
• pp.5-14
• /
• 2003

Recently, there has been an increasing need for long-term care and comprehensive health care services in community settings. The Ministry of Health and Welfare introduced the Hospital-Based Home Nursing Care Program in 2000. Before this initiative, there was a Home Nursing Demonstration Center, affiliated with the Seoul Nurse Association, had offered home nursing services with the financial support from the local government. since 1993, the Center's nursing staff has been engaged in a general hospital in an effort to provide home nursing care services within Korea's health care system. The purpose of this study was to analyze and identify characteristics of community-based home nursing care supplied by a community-based home nursing team engaged in a general hospital. Also. visit nursing care services provided by public health centers were evaluated in terms of accessibility and supply versus demand, to enhance the accessibility of low-income patients living in Seoul to home nursing care services. Data were collected from home nursing insurance reimbursement claims submitted by the community-based home nursing care team from March 1 to October 30 in 2001 and a questionnaire survey on home-visit nursing services of 25 public health centers in Seoul. The subjects consisted of 197 patients and 12 public health centers. The result were as follows. First, medical institution's community-based home nursing care program was better in technical quality than health-center-based home-visit nursing care. In addition. the pattern of the subject patients was similar to that of hospital-based home nursing care program. Second, there was a high demand for community-based home nursing care while only a small number of home-visiting nurses served at public health centers in Seoul. As a result, many patients could not receive adequate care. Finally, we suggest that community-based home nursing care program should be introduced in the national health system to meet the at-home care needs of severely ill low-income patients. Furthermore, to better utilize home nursing and visit-nursing care resources and offer continued care for patients in community settings, an efficient referral network should be built among related institutions. This would require improvement of reimbursement system and amendment of the law related to health insurance system and community-based home nursing care services.

• 의학교육논단
• /
• 제24권1호
• /
• pp.10-17
• /
• 2022

South Korea is not a wasteland of publicly funded health care-instead, it has a good medical social security system known as the national health insurance (NHI). The NHI of Korea has three unique features; (1) low premiums, low insurance fees, and low coverage; (2) obligatory designation of medical institutions; (3) and allowance of non-benefit services. These features have made hospitals and doctors interested in profit-seeking. However, the commercialization of medical institutions has taken place in both private- and public-established sectors. A basic problem of commercialization is the co-existence of the obligatory designation of medical institutions and non-benefit services. The problem became worse in the Kim Dae-Jung government because it officially permitted non-benefit services. Since 2000, the Korean government has consistently pursued benefit extension policies, but the coverage rates of the NHI have stagnated. In addition, premiums and current medical expenses have markedly increased because policy-makers have emphasized accessibility to the NHI, while ignoring important principles of medical social security such as a needs-based approach and patient-referral system. In order to resolve the commercialization problem, the obligatory designation of medical institutions to the NHI should be changed to a contract system, and non-benefit services should be prohibited at NHI institutions. We must re-establish the patient-referral system via a needs-based approach. We also need to build a primary healthcare system and public health policies. We should make a long-term plan for healthcare reform.

• 한국산학기술학회논문지
• /
• 제19권11호
• /
• pp.672-681
• /
• 2018

본 연구의 목적은 한국어판 전문직 삶의 질 측정도구 - 간편형 (Korean version of Professional Quality of Life Scale - Short Form, 이하 ProQOL-K-SF)의 타당도와 신뢰도를 검증하기 위한 것이다. 건강보험 공단에서 노인장기요양 업무를 수행하는 191명의 장기요양요원에게 자료를 수집하였으며, SPSS/WIN 21.0을 활용하여 탐색적 요인 분석을 통한 타당도 검증과 내적 일관성 검사를 통한 신뢰도 검증을 실시하였다. 요인분석 결과 한국어판 전문직 삶의 질 측정도구-간편형(ProQOL-K-SF)는 총 13문항, 공감 만족과 공감 피로 두 가지 요인구조로 확정되었으며, 13문항의 타당도가 검증되었다. 공감피로의 요인 적재량 값은 .70~.86 이었고 공감만족의 요인적재량 값은 .71~.82 이었으며, 총 분산은 60% 이상으로 타당도가 확인되었다. 전체 도구와 두 개의 하부요인의 신뢰도는 .76~.90이었다. 또한 30문항의 한국어판 전문직 삶의 질 측정도구 원도구와의 상관관계 분석에서 공감 피로가 .93, 공감 만족이 .95의 높은 양의 상관관계를 나타내었다. 연구 결과 장기요양인력을 대상으로 한 ProQOL-K-SF는 적절한 타당도와 신뢰도를 지닌 전문직 삶의 질을 평가하기 적합한 도구로 확인되었다.

• 보건행정학회지
• /
• 제28권3호
• /
• pp.217-221
• /
• 2018

Korea Institute for Family Planning (KIFP) was established on July 1, 1971 (Law 2270) and Korea Health Development Institute (KHDI) was established on April 19, 1976 (Law 2857). Korea Institute for Population and Health (KIPH) was formed through the merger of KIFP and KHDI (Act 3417) on July 1, 1981. Korea Institute for Health and Social Affairs (KIHASA), the former KIPH, was renamed KIHASA on December 30, 1989 (Law 4181) with its additional function of research in social security. It was transferred on January 29, 1999 to the Office of State Affairs Coordination pursuant to the Law on the Establishment, Operation and Promotion of State-Sponsored Organizations (Law 5733). Annually it conducts approximately 50 short- and long-term research projects to accumulate a wide range of research experience. Also it studies and evaluates the primary issues of national health services, health and medical industries, social insurance, social security, family welfare, and population. it conducts joint research projects and active information exchange programs with related domestic and international organizations through seminars and conferences. It executes specific research and development projects according to the government's requests. it educates and trains people domestically and abroad by disseminating a wide-range of information on health and social affairs. it conducts national household surveys on areas of fertility, health and medical care of the disabled, the elderly, and low-income earners. The mid- and long-term research goals of KIHASA should be established and managed systematically. A new organization such as 'Center for Policy Evaluation' is needed to enhance research abilities and experiences. Able research personnels should be recruited and current researchers should try to develop their abilities.

• 대한간호학회지
• /
• 제36권3호
• /
• pp.475-483
• /
• 2006

Purpose: The goal of this study was to investigate the factors influencing health promoting behaviors in elderly individuals according to types of residency. Method: This was a descriptive study. The subjects were comprised of 243 elderly aged 65 years or over living in 3 large cities. The instruments used for this study were a health promoting lifestyle, perceived health status, geriatric depression short form scale-Korea, social support scale, and self-efficacy. The data was analyzed using SPSS Win 12.0. Result: Powerful predictors of a health promoting lifestyle were depression, self-efficacy, and perceived health status for the elderly living at home. In the cases of the elderly living in institutions, a powerful predictor of a health promoting lifestyle was identified as social support. Conclusion: For the operation of long-term care insurance, a service for home care programs is needed for the elderly living at home in order to reduce depression and to increase self-efficacy and perceived health status. In addition, social support provided by health-care professionals should be developed to promote a healthy lifestyle for the elderly living in institutional environments.

• 보건의료산업학회지
• /
• 제12권1호
• /
• pp.95-107
• /
• 2018

Objectives : This study was performed to investigate the health status and social support among elderly living alone with restricted daily functions using the data of the "2014 the Korean Elderly Survey". Methods : Data on 2,407 elderly living alone were drawn and statistically examined using a t-test, an ANOVA, and a multiple regression analysis. Results : The study found that first, the elderly living alone with restricted daily functions comprised 22.1% of the total elderly living alone, and those who were older elderly, illiterate, with low-income, having poor nutrition management, and with a poor health status. Second, among the elderly living alone with restricted daily functions, there was a group with very little support from the family and only 14.0% were covered by long-term care insurance. Third, the life satisfaction of the elderly with restricted functions was lower than that of the non-restricted elderly, and was affected by income, health conditions, depression, access to senior welfare centers, and communication with others. Conclusions : The elderly living alone with restricted daily functions have serious health risks and social support, and hence they should be provided with more proactive support for life, health care and social care to live independently within their communities.

• 근관절건강학회지
• /
• 제22권3호
• /
• pp.205-218
• /
• 2015

Purpose: This study was performed to analyze the visiting nurses' job using Developing a curriculum (DACUM). Methods: The DACUM committee with 6 visiting nurses participated in the workshop. In this workshop, the visiting nurses role was defined and their duties and tasks were identified. After content validation via the experts, the pilot test was conducted to 78 nurses. Results: A total of 13 duties and 82 tasks were identified on the DACUM chart which represented the importance, difficulty, and frequency of tasks with alphabet A, B, and C as its higher degree. Regarding duties, 'visiting nursing for high risk group' is the highest, while the lowest was 'public welfare events'. Regarding to tasks, 'discovering a new patient' was the highest, while 'selecting patients and offering medical supplies (nutritional supplement, patch)' was the lowest one. Conclusion: The results showed that visiting nurses working in the visiting health care service center were doing more various duties and tasks than those working according to 'Act on Long-term Care Insurance for the Aged'. The results can be used to develop training programs for visiting nurses and evaluation-scale of their job performance.

• 한국정보통신학회:학술대회논문집
• /
• 한국정보통신학회 2022년도 추계학술대회
• /
• pp.509-510
• /
• 2022

현재 경증치매를 갖고 있는 노인은 노인장기요양보험법에 의해 치매안심센터나 지역의 주간보호센터에서 인지프로그램을 제공받을 수 있지만, 지역의 독거노인은 치매 고위험군이면서 장기요양제도의 혜택은 받지 못하고 있는 상황이다. 독거노인의 비율은 점차로 높아져 가고 있지만 자립생활을 위한 일상생활능력향상 프로그램이나 치매예방을 위한 인지프로그램의 제공은 상당히 미미한 상황이다. 본 논문에서는 지역의 독거노인을 대상으로 ICT나 VR을 활용한 인지프로그램 개발의 필요성과 활용성을 조사, 분석하였다. 독거노인들은 새로운 기술에 대한 호감이 높았고, 기술활용에 대한 두려움과 호기심을 가지고 있었다. 다만, 새로운 기구나 기술을 접목할 때의 인간 관계와 유대감이 매우 필요함을 알 수 있었다.

• 한국지역사회생활과학회지
• /
• 제18권3호
• /
• pp.369-378
• /
• 2007

This study purposed to examine elderly welfare facilities by type, to analyze their local variations, and ultimately to contribute to the expansion of elderly welfare infrastructure. The results are expected to help inspect elderly welfare infrastructure for providing the aged with social services before the execution of 'the insurance for elderly long term care' and establish welfare facilities by area in the future. For these purposes, we used the national data "The Current State of Elderly Welfare Facilities in 2007" produced by the Ministry of Health and Welfare. We digitized elderly welfare facilities in 163 cities and counties by type and analyzed them by area. We also examined the differences in the local distribution of representative elderly welfare facilities such as elderly welfare centers, home based facilities (home helper centers), asylums for the aged and elderly care facilities in 16 cities and provinces. Furthermore, we analyzed differences and problems in their local distribution urban areas, mixed areas of urban and rural communities, and rural areas. In addition, we studied the current state of institutionalized care and home based care, which are two major directions of current elderly welfare policies, based on the local distribution of facilities and analyzed differences in the trends according to area. According to these results, the urban had more home based care facilities than the rural. However, the rural had more institutionalized care facilities than urban. Also, each local self-governing body showed unique characteristics. Therefore, these results suggest that we need to establish elderly welfare policies based on the distribution of facility types by area.