• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제12권2호
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• pp.41-50
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• 2006

Introduction of new longterm care policy for elderly in Korea would change many aspects of elderly care service facilities. Especially elderly home care services like adult daycare centers will expand drastically after beginning of longterm care insurance. The purpose of this study is to estimate demand of adult daycare centers by comparing with the U.S and Japanese cases. Korean government is expecting that adult daycare centers will expand ten times within 4 years. This estimate is exceeding the facility demand estimate of the U.S. and Japan. The results of population study and expecting growth rate of adult daycare centers in Seoul indicate that more than 300 centers, 4 times of the number of existing centers, are in need based on Seoul elderly population in 2004. To supply these numbers of facilities in short period, more in depth study should be followed. Existing adult daycare facilities' in Seoul were analyzed by their building and management types. Interior spaces of adult daycare centers in Korea are similar to the U.S. and Japan in space arrangements but much smaller in size. In depth study of space programming as well as overall demand survey of adult daycare centers is urgently in need for more realistic expansion of adult daycare centers.

• 한국멀티미디어학회논문지
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• 제21권2호
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• pp.271-280
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• 2018

Recently, big data has been growing rapidly due to the development of IT technology. Especially in the medical field, big data is utilized to provide services such as patient-customized medical care, disease management and disease prediction. In Korea, 'National Health Alarm Service' is provided by National Health Insurance Corporation. However, the prediction model has a problem of short-term prediction within 3 days and unreliability of social data used in prediction model. In order to solve these problems, this paper proposes a disease prediction model using medicine prescription data generated from actual patients. This model predicts the total number of patients and the risk of disease in each region and uses the ARIMA model for long-term predictions.

• Journal of Hospice and Palliative Care
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• 제22권4호
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• pp.145-155
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• 2019

목적: 호스피스 완화의료에의 접근성 향상을 위해 요양병원을 호스피스 전문기관으로 지정하는 개정안이 최근 시행되었다. 호스피스 전문기관의 양적 증대도 중요하지만, 이러한 개정에 따른 서비스의 질적 저하 역시 충분히 고려되어야 한다. 이러한 관점에서 본 연구는 1,001명의 암환자, 1,006명의 가족 간병인, 928명의 의사 및 1,005명의 일반인이 해당 개정안이 가진 이점과 비용에 대해 어떻게 인식하고 있는지 확인하였다. 방법: 2016년 7월부터 10월까지 다기관 단면조사를 시행하였다. 연구 참여자들은 전문가 인터뷰 및 선행연구에서 추출된 본 개정안의 이점과 비용에 대해 각각 얼마나 동의 혹은 동의하지 않는지 응답하였다. 분석에는 카이제곱 분석, 단변량 및 다변량 로지스틱 회귀분석을 활용하였다. 결과: 참조집단인 일반인 집단과 비교했을 때, 의사 집단은 요양병원이 양질의 호스피스 완화의료 서비스를 제공하기 위한 시설 및 인력이 충분하지 않다는 점에 더 동의하였으나, 요양병원에서 과한 진료비를 청구할 것이라는 점에는 더 동의하지 않았다. 가족 간병인의 경우 일반인에 비해 요양병원에서 서비스를 제공한다면 접근성이 좋아질 것이라는 점에 더 동의했으나, 호스피스 정신이 훼손될 수 있음과 가족들이 환자 돌봄에 신경 쓰지 않을 것을 더 우려하였다. 일반인과 비교했을 때, 암환자 역시 마찬가지로 호스피스 정신이 훼손될 수 있음을 더 우려하였으며, 서비스의 질이 좋아질 것이라는 점에 대해서는 더 동의하지 않았다. 결론: 본 연구를 통해 호스피스 완화의료의 잠재적인 서비스 이용자 및 제공자가 해당 개정의 이점뿐만 아니라 비용 역시 인식하고 있음을 확인하였다. 본 연구 결과 및 유럽 국가들의 사례를 통해 개정안이 실제로 현장에서 실행되기 전에 호스피스 전문기관으로서 요양병원이 새롭게 갖추어야 할 요건 및 방향성에 대해 제언하였다.

• International journal of advanced smart convergence
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• 제13권3호
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• pp.89-100
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• 2024

Integrating advanced technologies such as the Internet of Things (IoT), artificial intelligence (AI), and big data is transforming elderly care services, particularly in nursing homes. This study explores the impact of these technologies on the quality of care in nursing homes in Tongling City, China. Using a mixed-methods approach, data were collected from 298 elderly residents across 12 nursing homes through detailed surveys and interviews. The findings indicate that smart platforms and intelligent terminals significantly enhance service quality, with institutional conditions and social participation emerging as the most influential factors. Although the study's regional focus may limit the generalizability of the findings, it introduces novel applications of AI in dietary management and IoT in personalized environmental monitoring, which contribute original insights to the broader field of smart elderly care. These results underscore the transformative potential of advanced technologies in improving elderly care and offer a model that can be adapted to similar contexts globally. Future research should focus on longitudinal studies to assess the long-term impact of these technologies and explore their applicability in diverse cultural and regional settings.

• 대한장애인치과학회지
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• 제10권1호
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• pp.1-8
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• 2014

Patients with disabilities are a significant segment of Korea population. However, they encounter more challenges when seeking dental care. So, dentists and students who are future dental providers should have a responsibility to provide oral care services for them. In this study, we hypothesize that the education of special care dentistry may influence positive attitudes of the disabled. The attitudes are influenced by demographic variables such as gender, religion, experience of volunteer activities and marital status. Therefore, the objective of this study was to explore the change of attitudes of students towards people with disabilities between before and after class of special care dentistry. 72 students enrolled at the Kyung Hee University were surveyed. All participants attended class of Special Care dentistry in the third grade. The survey was conducted two times, just before class and after class. The attitudes of students were assessed using the well-documented ATDP (Attitude Toward Disabled Person)-O(Original) scale and MAS (Multidimensional Attitudes Scales Toward Persons with Disabilities) scale through the methodology of questionnaires. The results indicated that gender, experience of volunteer activities and marital status did not affect their ATDP and MAS score. In religious affiliation, only, there were statistically significant difference in student attitudes between before and after class of Special care dentistry. It means that habitual religious activity may offer stronger effects on student's attitude than short-term education. Therefore, long-term and specific educational experiences are needed to promote positive attitudes for people with disability.

• 한국병원경영학회지
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• 제4권1호
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• pp.1-20
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• 1999

Since the late 1980s, there have been radical changes in the managerial environment of Y University Medical Center(YUMC). Externally, the competition among hospitals has intensified due to the establishment of universal health insurance in 1939 and the entrance of large enterprises into the health care industry in the early 1990s. In addition, government regulation of medical institution is becoming stricter. Also, consumer groups have continued to demand the respect for patient rights and improvement of the quality of medical services. Internally, the financial condition of YUMC has worsened, not only because weak control and poor mediation in its large-scale structure have made its operation inefficient, but also because the rates of increase in the prices of goods and labor have grown faster than any increases in revenues. This study on materials management at YUMC presents a way for YUMC to reduce costs and increase its productivity, thereby overcoming its financial difficulties and dealing with external pressures. This study utilized the case studies of the materials purchasing and medical supply management in the United States and the comparative analysis of management to suggest short-term and long-term alternatives for innovation in YUMC. The goals of the short-term alternatives for innovation are to centralize the purchasing and supply departments and to simplify the decision-making processes. Through these attempts, it is estimated that YUMC's costs could be reduced by $600,000 per year. In the long-term, it is necessary to consider introducing a Supply Processing Distribution(SPD) system and setting up a centralized electronic system for supply and inventory management, although it is difficult to estimate the effect of cost-cutting because of the lack of analysis data. Thus, YUMC should thoroughly analyze initial investment costs and economical efficiency generated from long-term alternatives.

• Journal of Preventive Medicine and Public Health
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• 제56권2호
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• pp.190-195
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• 2023

Objectives: Pregnancy complications, including pre-eclampsia, gestational diabetes (GDM), and perinatal mood and anxiety disorders (PMADs), impact long-term health. We compared the frequency of screening documentation for pregnancy complications versus a general medical history at well woman visits between providers in primary care and obstetrics and gynecology. Methods: We conducted a retrospective cohort study of subjects with at least 1 prior birth who presented for a well woman visit in 2019-2020. Charts were reviewed for documentation of a general medical history (hypertension, diabetes, and mood disorders) versus screening for comparable obstetric complications (pre-eclampsia, GDM, and PMADs). The results were compared using the McNemar and chi-square tests as appropriate. Results: In total, 472 encounters were identified, and 137 met the inclusion criteria. Across specialties, clinicians were significantly more likely to document general medical conditions than pregnancy complications, including hypertensive disorders (odds ratio [OR], 2.45; 95% confidence interval [CI], 1.18 to 5.48), diabetes (OR, 7.67; 95% CI, 3.27 to 22.0), and mood disorders (OR, 10.5; 95% CI, 3.81 to 40.3). Obstetrics and gynecology providers were more likely to document any pregnancy history (OR, 4.50; 95% CI, 1.24 to 16.27); however, they were not significantly more likely to screen for relevant obstetric complications (OR, 2.49; 95% CI, 0.90 to 6.89). Overall, the rate of pregnancy complication documentation was low in primary care and obstetrics and gynecology clinics (8.8 and 19.0%, respectively). Conclusions: Obstetrics and gynecology providers more frequently documented a pregnancy history than those in primary care; however, the rate was low across specialties, and providers reported screening for clinically relevant complications less frequently than for general medical conditions.

• Physical Therapy Rehabilitation Science
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• 제9권4호
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• pp.261-268
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• 2020

Objective: This study was conducted to provide basic data on physical function improvement activities of elderly care facilities by identifying the degree of physical improvement activities of elderly caregivers. Design: Descriptive correlational study. Methods: The instrument of this study consisted of 12 questions on the general characteristics of the subject. For the assessment of improvement in physical function activities, the measuring tool used for the elderly consisted of a total of 20 questions. For data analysis, Pearson's correlation coefficient & Spearman's rho and multiple regression were used. Results: The higher the age of the subjects, the lower their educational background (r=-0.273, p<0.05), and the higher the probability of having a religion (r=-0.258, p<0.05), the more stable the employment type (r=-0.333, p<0.05). The higher the level of education, the higher the monthly income (r=0.187, p<0.01), and the shorter the career (r=-0.204, p<0.05). The more stable employment, the more unstable duty (r=-0.245, p<0.05), and the more unstable work, the higher the monthly income (r=-0.206, p<0.05) and the longer the career, the higher the monthly income (r=0.247, p<0.05). The more stable the employment, the more activities to improve physical function were found (r=0.341, p<0.05), and the more unstable the duty, the more activities to improve physical function were found (r=0.321, p<0.05), and the higher monthly income, the less physical function improvement activities (r=-0.196, p<0.05). Conclusions: It is necessary to provide regular services by a dedicated physical therapist for physical function improvement activities in order to improve the quality of life of the elderly in the future.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2016년도 춘계 종합학술대회 논문집
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• pp.231-232
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• 2016

요양보호사는 치매와 같은 질병을 가진 이용자를 돌보는 과정에서 폭력, 폭언 등에 무방비로 노출되어 있으며, 실제로 장기요양기관의 요양보호사가 언어폭력이나 신체적 폭력을 경험한 것으로 나타났다(머니투데이, 2012. 07. 01, 보건복지자원연구원, 2012). 이에 본 연구는 장기요양서비스의 이용자에 의한 폭력경험이 요양보호사의 이직의도에 미치는 영향을 분석하고자 한다. 본 연구는 290명의 요양보호사를 무작위 추출하여 최종 191부를 분석에 활용하였다. 위계적 회귀분석 실시 결과 이용자로 부터의 폭력경험이 이직의도에 영향을 미치는 것으로 나타났다. 이러한 결과를 통해 요양보호사의 이직의도를 예방하는 함의를 제공하고자 한다.

• 한국융합학회논문지
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• 제13권5호
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• pp.357-363
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• 2022

한국은 저출생 현상과 급속한 고령화로 인하여 노인돌봄 위기에 처해 있다. 2008년 노인장기요양보험이 본격적으로 실시되면서 노인돌봄의 사회화가 이루어지게 되었으나 다양하지 못한 서비스 선택권, 맞춤형 돌봄의 부족, 커뮤니티 케어의 불안정함 등으로 돌봄의 공백은 아직 사회문제로 남아있다. 또한 고령화의 진전에 따라 치매유병율의 증가는 새로운 사회위기이다. 이러한 상황에서 복지기술은 부족한 자원과 증가하는 수요의 공백을 메꾸어줄 미래의 중요한 대안이다. 본 논문에서는 지역에서 다양하게 제공되고 있는 치매서비스를 경험한 바 있는 경증치매노인 집단그룹면접, 치매고위험군 집단그룹면접을 통해 복지기술에 대한 친밀성, 접근성, 치매예방방안 등을 파악하였다. 치매 정도에 따른 차이는 있으나 두 그룹 모두 복지기술을 활용한 치매서비스에 관심이 높았다. 특히, 일상생활에서 자립적 훈련은 친밀한 도구인 TV나 전화를 활용하는 방안이 제시되었고 경증치매노인군의 경우 데이케어센터에서 기술활용을 위한 도움서비스와 가정 내 연계방안의 필요성이 제시되었다.