• 한국보건간호학회지
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• 제10권1호
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• pp.95-105
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• 1996

This study was uncertaken to find an effective management modality for patients with hypertension. Patients 60years or older were selected for this purpose from a general hospital and a welfare center in Pusan and from a public health clinic in Cheju Island. During the month of October in 1984. the management modality for hypertension. the incurred medical expenses. and knowledge about the hypertension were analyzed and compared. The following results were obtained: 1. The a erage total medical expense per year was highest at the general hospital followed by the public health clinic and the welfare center. 2. It was found that the patients chose the public health clinic for its low medical cost. the welfare center for its proximity as well as for its low medical cost. and the general hospital for its quality medical services Also. the study has shown that the prescription of drugs was the major service provided by the public health clinic whereas the blood pressure measurement. the prescription of drugs. and family planning were the primary service offered by the welfare center. Drug prescription and blood pressure measurement were two of the most important services by the general hospital. 3. It was shown that the knowledge of hypertension was highnest at the welfare center whereas the management of hypertension was highest at the public health clinic. Based on above results and considering the chronic nature. it is believed that family awareness of the illness was one of the most important aspects for effective management of the hypertension for the elderly patients. In addition. the health care clinics at every level should come forward to execition of the educational programs and home nursing schomes for the effective management of the hypertension patients.

• 보건의료산업학회지
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• 제13권2호
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• pp.67-79
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• 2019

Objectives: The purpose of this study was to analyze the factors affecting the utilization of emergency medical services and characteristics of emergency medical services according to age group among elderly individuals. Methods: This study conducted t-test and linear regression analysis on data of 1,960,575 participants to achieve the objective. Results: Analysis of the factors affecting the use of emergency medical services showed statistically significant correlation in all age groups. As the age of elderly people increased, the use of emergency medical service increased. Conclusions: Emergency medical policies are needed, such as coordinators with expert knowledge of medical and health administration and specialist emergency room operations that can provide specialized medical service for older patients.

• Asian Pacific Journal of Cancer Prevention
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• 제15권2호
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• pp.793-796
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• 2014

Background: This study aimed to examine possible effects of implementing a national query program on site-specific cancer mortality rates. Materials and Methods: A total of 2,874 query letters were sent out by the Department of Statistics, Ministry of Health and Welfare of Taiwan between January 2009 and December 2011 to medical certifiers who reported "neoplasm with uncertain nature" on the death certificate asking for more detailed information for coding. Results: Of the 2,571 responses, in 1,398 cases (54%) medical certifiers were still unable to determine the nature of the neoplasm. There were four neoplasm sites for which more than 50% of the responses changed the category to malignant, the gastrointestinal system (73%), urinary system (60%), stomach (55%) and rectum (53%). The liver was the cancer site that showed the largest absolute increase in the number of deaths after the query; however, the brain showed the largest relative increase, at 12%. Conclusions: Different neoplasm sites showed different magnitudes of change in nature after the query. Brain cancer mortality rates exhibited the largest increase.

• 한국콘텐츠학회논문지
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• 제17권5호
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• pp.479-490
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• 2017

본 연구는 주관적 건강수준에 따른 독거노인의 사회적 관계망이 의료기관 이용에 미치는 영향을 파악하고, 노인복지서비스 참여의 조절효과를 확인하고자 하였다. 이를 위해 한국보건사회연구원의 노인실태조사자료(2014) 중 독거노인 2,344명을 연구대상으로 선정하였고, 기술통계, 카이제곱 검정 및 포아송 회귀분석을 실시하였다. 연구결과, 독거노인들의 사회적 관계망 확대 및 노인복지서비스 참여는 주관적 건강수준이 나쁜 독거노인들의 의료기관 이용에 영향을 주는 것으로 확인되었다. 주관적 건강수준이 나쁜 독거노인들의 경우, 가족과의 왕래 및 평생교육 참여로 인해 의료기관 이용횟수가 감소하였으며, 이웃과의 왕래가 증가하거나 노인일자리사업을 신청할 경우 의료기관 이용이 증가하는 결과를 보였다. 또한 노인복지서비스 참여의 조절효과를 확인한 결과, 친목시설 및 단체에 참여한 독거노인들의 사회적 관계망이 확대 될수록 의료기관 이용횟수가 증가하는 것을 확인할 수 있었다. 본 연구는 이러한 결과에 근거하여 독거노인들의 사회적 관계망을 대체할 수 있는 노인복지서비스 확대를 제시하고, 의료이용 실태 파악을 통하여 실질적인 건강유지증진 및 예방을 지원할 수 있는 정책적 방향성을 모색했다는 점에서 의의가 있겠다.

• 한국사회복지학
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• 제62권3호
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• pp.83-108
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• 2010

본 연구는 고령사회 준비를 위한 현황이해 차원에서 앤더슨 모형을 이용하여 노년기 외래의료 서비스 이용궤적 및 예측요인을 살펴보고, 초기노년기와 후기노년기 간에 궤적이나 예측요인이 차이가 있는지를 살펴보는 것을 목적으로 한다. 한국복지패널의 1, 2, 3차년도 자료를 사용하여, 궤적 및 예측 요인은 잠재성장모형을 이용해서 분석하였고 연령 차이는 다중집단분석을 이용하여 분석하였다. 60세 이상 노인들은 해가 지남에 따라서 외래이용 횟수를 증가시키는 경향을 보였는데, 75세 미만의 초기 노년기의 노인들이 75세 이상의 후기노년기의 노인들 보다가 이용 횟수를 상대적으로 빨리 증가시켰다. 예측요인에 있어서는 선행요인, 자원요인, 욕구요인들의 상당수가 궤적과 유의미한 관계가 있었는데, 자원요인 보다는 욕구요인들이 의료서비스 이용궤적에 크게 영향을 주는 것으로 나타났다. 하지만 예측요인에 있어서 초기 및 후기 노년기 사이에 큰 차이는 없었다. 결과를 토대로 연구의 의의 및 함의를 논의하였다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제10권2호
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• pp.117-124
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• 2004

In this study, some methods for the organization of space in the welfare center for the disabled are suggested corresponding to the change of welfare paradigm for the disabled, by means of investigating and analyzing the existing organization of space, division of the areas and relevant programs. The results of the study are as follows. 1) The method of the spatial organization in the welfare center for the disabled is divided largely into an area of the welfare complex center used as a facility of uses and an area of the controlling center that manages and makes use of domiciliary welfare. 2) The division of counselling and management is the center for the aforementioned two areas. This division occupying the minimum space in the welfare center has to be expanded. Besides, the space for the volunteers for 'domiciliary welfare' is necessary. This can be administered synthetically along with the room for volunteers in the division of social rehabilitation. 3) It is necessary for the division of medical rehabilitation to have a common waiting area due to its close connection with other treatment rooms. It should be recommended to have it in the water treatment room. It is required to have a parents' waiting area in the treatment room for child rehabilitation. 4) In case of the division of educational rehabilitation, the daytime care center should be closely related to the division of medical rehabilitation. Meanwhile, the classrooms after school have a limited use so that they can be shared with the room for female rehabilitation in the division of social rehabilitation. 5) It is in reality for the division of social rehabilitation to have an expanded area of domiciliary welfare. The room for volunteers for domiciliary welfare should be arranged, too.

• 한국직업건강간호학회지
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• 제32권4호
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• pp.141-151
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• 2023

Purpose: This study explored caregivers' support needs to relieve their physical burden while working in long-term care facilities. Methods: Participants were 12 caregivers with more than 10 years of experience working at six long-term care facilities in Gwangju, South Korea. Data were collected through individual interviews conducted between June and July 2023. The results were analyzed using qualitative content analysis. Results: Of the four sub-categories and 13 codes, two categories emerged: "need for welfare medical devices" and "need for improved working conditions." Conclusion: Caregivers working in long-term care facilities require support in deploying and utilizing welfare medical devices to reduce their physical burden, along with improving staffing standards and ensuring they receive the proper amount of days off. Therefore, it is necessary to mandate the provision of a certain level of welfare medical devices to ease the physical burden on caregivers and improve the standards for the placement of caregivers in long-term care facilities.

• International Journal of Contents
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• 제13권2호
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• pp.14-20
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• 2017

The purpose of this study was to investigate the association of obesity with medical care use and costs according to overall diseases, cerebrovascular diseases (CVD), ischemic heart disease (IHD), hypertension (HTN) and diabetes mellitus (DM). The final sample was a group of persons who were free of diseases mentioned above and were not underweight. Their baseline screening program data and health insurance contribution data were connected with a 7-year medical claim database. The participants were classified according to their baseline BMI into normal, overweight, obese, and severely obese groups. Given the disease type, the total costs of DM showed the largest difference in each obesity group in both males and females. Also, the pharmacy costs for DM were more relevant than any other type of service to the obesity level. Considering the high prevalence of obesity and the relevantly increased medical care use and costs, there is a need for reduction in medical costs through obesity prevention efforts.

• 한국농촌간호학회지
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• 제2권1호
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• pp.60-69
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• 2007

Objectives: This study was done to identify health and functional status of rural elders, to identify the use of health and medical treatment and welfare services in order to present directions for improving use of health and welfare services by rural elders. Methods: The participants in the study were 170 elders over 65 years of age who live in the one of the 6 villages served by the Young Am Community Health Post. The elders were visited at home and interviewed the elders using the RAI tool. Descriptive statistics including frequency and range were used to analyze the data. Results: Limitations in physical function, finances and medical treatment service were identified. Conclusions: The findings of this study indicate a need to develop good quality service which is affordable and convenient.

• 한국주거학회논문집
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• 제24권5호
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• pp.9-16
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• 2013

The purpose of this study is to analyze local-based social welfare facilities to respond to secular change of the UR rental housing estates in Japan. The selected case studies for the analysis are Hibarigaoka, Hamakousien, Turumai UR rental housing estates constructed around 1960's. The analysis was done through UR website, MLIT (Ministry of Land, Infrastructure, Transport and Tourism) and MHLW (Ministry of Health, Labour and Welfare) policy report, and related literature. These case studies are connected with housing policy as well as welfare policy and performed to Stable Living Creation Project by Business Entry System for Stable Living. The types of local-based social welfare facilities are classified by welfare corporation and medical corporation. The results are as follows: 1) The implementation of cooperative and participative system not only the private sector (welfare and medical Corporation, etc.) but also the public (MLIT, MHLW, UR Renaissance Agency, Local government, etc.). 2) Repurposed of land through rent and transfer of land for local-based social welfare facilities in the process of housing stock renewal utilization. 3) The pursue of regional revitalization through attached to multi-generation facility or local community space for elderly in local-based social welfare facilities.