• 의료커뮤니케이션
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• 제13권2호
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• pp.159-166
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• 2018

Background: It is important to investigate patient satisfaction to improve the quality of healthcare. Among the many factors that affect patient satisfaction, perceived health status has been considered as one of the major factors. Therefore, we investigated patient satisfaction through patient experience in outpatient settings according to perceived health status. Methods: This cross-sectional study using questionnaires of patient experience and perceived health status from the Korean National Health and Nutrition Examination Survey 2015 included 4267 people aged over 19 years who met the inclusion criteria. Perceived health status was classified into three: good, fair, and poor. Questions about patient experience consisted of four items: doctor spending enough time with patients, doctor providing easy-to-understand explanation, doctor giving opportunity to ask questions or raise concerns, and doctor involving patient in decisions about care or treatment. Patient experience was classified into two: satisfied and non-satisfied. A multivariate regression model was used to analyze the data. Results: In the good perceived health status group, level of satisfaction was 79.2%, 88.5%, 83.3% and 87.2%, respectively for the four items targeting patient experience. In the poor group, level of satisfaction was 76%, 84.9%, 79.5%, and 83.1%, respectively for the four items. In multivariate logistic regression analyses, the odds ratios of good perceived health status group were 1.775 (1.347-2.338), 1.946 (1.356-2.793), 1.652 (1.218-2.240), and 1.665 (1.193-2.323) compared with the poor group. Conclusion: Perceived health status is associated with patient satisfaction. In particular, the better the perceived health status, the better the patient satisfaction through patient experience.

• 한국사회복지학
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• 제56권2호
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• pp.237-259
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• 2004

공적 연금이 미성숙한 우리나라에서는 실질적으로 공공부조가 빈곤노인을 위한 소득보장제도로 기능하고 있다. 그러나 제도상의 문제로 인하여 많은 수의 빈곤노인들이 국민기초생활보장 제도와 경로연금 제도에서 제외됨으로써 소득보장의 사각지대에 방치되어 있다. 이 연구에서는 공공부조에서 제외된 빈곤노인의 규모와 현황을 파악하고 공공부조 수급의 결정요인을 분석하였다. 분석 결과 차상위계층과 절대빈곤층이 모두 포함된 빈곤노인가구 중 절반 이상이 공공부조 수급을 받지 못하고 있으며, 공공부조에서 제외된 빈곤노인가구는 인구학적 특성과 소득특성이 열악하여 공공부조 수급의 욕구가 큰 것으로 나타났다. 그리고 노인의 공공부조 수급은 주로 인구학적 특성과, 가족부양상황을 반영하는 가족이전소득에 의해 결정되는 것으로 밝혀져, 빈곤노인들의 소득상의 욕구를 고려한 소득보장이 시급한 것으로 분석되었다.

• 대한가정학회지
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• 제39권5호
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• pp.65-74
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• 2001

The purpose of the study was to investigate relationships among life satisfaction of the elderly in poor health conditions, their self esteem, health and financial status, family relationships, and social participation. A structured questionnaire was used to interview 228 elderly who were randomly selected from Sungbuk-ku, Seoul. The regression analysis showed the most powerful predictors of life satisfaction of the poor-health elderly were self esteem, relationships with their adult children, perceived financial status, relationships with grandchildren, and the amount of allowances in that order These variables accounted for 39% of life satisfaction of the sample.

• Child Health Nursing Research
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• 제5권2호
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• pp.185-197
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• 1999

In the family life cycle, the most important task the families with school children should perform is ‘child education’ and ‘socialization’ However, economic stress on poor families with school children presents multiple problems through the shortage of resources necessary for child education and socialization, inappropriateness of family appraisal, and the insufficiency of the control channels for the efficient management of these confined resources and appropriate appraisal. The objectives of this article are : First, to report research on the actual conditions of the poor families in one area of Cheju and on the relevant health welfare policy, and to examine the appropriateness of the direction and the substance of this policy in terms of the intervention in economic stress on the poor families under the categories of resource management and control of appraisal. Second, to analyze qualitative data extracted from the memoirs of single-parent families living in several areas of Korea under the conceptual framework constructed by literature review in order to get a better understanding of the stress which poor families with school children have experienced. And third, to confirm the factors that can be risk factor but, at the same time, strength to these poor families from presented data and to use them as the basic data from which an intervention model can be developed, based on resource management and control of appraisal. The findings of this article are : First, while the number of absolute poor families in one area of Cheju is increasing and, as a result, the danger of the possibility that multiple problems will occur is also growing, the supporting level of the current policy is no more than a direct resource offer and there is no evidence that resource management is being professionally carried out. When it comes to control of appraisal, due to absence of the professional human resources in this matter, policy performances such as technical education training can have a negative impact. Second, a conceptual framework introduced in this article, ; Economic Pressure → Helplessness → Poor self-esteem → Marital Conflict → Parent-Child financial conflict → Inappropriate socialization → Poor child social competence : is partly verified. And third, judging from the results of the qualitative data, it is confirmed that the healing families, having overcome poverty, show several positive characteristics including : hope, strength, and social support. These findings are identified with the factors of resiliency considered above. According to these results, this article suggests the following. The anti -poverty policy in the future should focus not only on a direct resource offer but also on resource management and the control of appraisal that can magnify its effects. In particular, close attention should be paid to school children since they are in the most crucial period for socialization. Moreover, an emotional labor is such an essential resource for intervention that skilled nurses should play pivotal roles.

• 한국농촌생활과학회지
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• 제6권1호
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• pp.73-84
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• 1995

The objective of this thesis is to analyse empirically the economic resource problems of the rural poor households. Data from 444 rural sample households in four provinces, divided into two subgroups, the poor and the non-poor households, were analysed and compared. The owned arable land size, level of agricultural and non-agricultural income, assets, debts and the sufficiency of living expenses of the poor households were measured and compared with those of non-poor households respectively. The significant findings and drawn conclusions are as follows : The rural poor households 1. tends to show smaller family size, older age and lower level of education of homemakers than the non-poor households, that might work as constraints to income sources and quality. 2. has not only small arable lands and agricultural income but also even smaller cash income, less than 50% of total income, with 27% of self-product consumption and depends more on non-agricultural income than the non-poor households. Such weakness of income structure might cause and increase the income instability of the rural poor households. 3. reveals significantly different level and components of assets from the non-poor households lower level of assets, less amounts of but more load of debt due to lower solvency that comes from low level of income and assets, higher debts for consumption and lower accessibility to credit. All these socio-demographic and economic characteristics of the rural poor households might have compound effects on the economic problems of the poor households and make vicious circle of poor.

• 가정과삶의질연구
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• 제26권5호
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• pp.129-142
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• 2008

This study examines how economic and psychological characteristics affect the quality of life (QoL) of elderly individuals age 60 and older, who live in the Seoul-metropolitan area. Relationships among socio-demographic status, economic conditions, psychological characteristics, family life, health status, and QoL are examined by t-test and ANOVA(Duncan's test as post hoc multiple comparisons), and the multiple regression analysis is used to estimate QoL determinants in the elderly. The major findings of the study are as follows. First, younger age, higher education levels, better health status, harmonious family relations, higher levels of household income, lower levels of loneliness, and higher self-esteems are related to higher QoL levels. Second, the impacts of factors on QoL are differentiated according to tercile groups that divide monthly allowance of respondents into three categories: below normal (threshold amount below 21MW), near normal (threshold amount between 21MW and 35MW), and above normal (threshold amount above 35MW). For each tercile group, poor health status or higher loneliness have negative effects on QoL, while harmonious family relationship has a positive effect. For the below-normal group, years of education or self-esteem have positive effects, while age or retirement status have negative effects when controlling for other factors. For the near-normal group, being married, or perceived financial insecurity create lower QoL levels, while higher self-esteem increases QoL levels. For the above-normal group, being widowed, employed, or retired have positive effects on QoL, when controlling for other variables. Third, even among elderly with high allowances, the effects of health status and family relationship are significant determinants that explain QoL levels. This result suggests that, for te elderly, poor health status and poor family relationships severely decrease QoL in later life, regardless of economic condition.

• 가족자원경영과 정책
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• 제17권3호
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• pp.39-58
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• 2013

The purpose of this study was to identify the factors determining the participation of the poor elderly in economic activity. This study analyzed secondary data of the second wave of Korean Longitudinal Study of Ageing. Binary logistic regression was used to identify the factors that are associated with the economic activity of the poor elderly. The results of the analyses showed that age, gender, region, public assistance, education, health status, chronic illness, contacts with acquaintances, and support from children were associated with participation in economic activity. The study's findings have several implications for policies and services. The study identified the need for an age- and gender-specific approach to promoting participation in economic activity among the poor elderly. Regional differences should also be considered in the creation of work opportunities for older adults. In terms of human capital, the positive effect of good health indicates that strategies are needed to address the needs of older adults with health issues. In addition, there is a need for more jobs for elderly job seekers with high levels of education. Finally, policy makers and practitioners should explore interventions for enhancing the social network involvement and community support for the elderly living in poverty.

• 한국생활과학회지
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• 제14권2호
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• pp.341-350
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• 2005

The purpose of this research is to identify stereotypes toward the poor drinker held by students. Stereotypes toward the poor drinker were examined at two levels: to assess students' beliefs about the traits of the poor drinker and to categorize the traits into stereotypes. The main results of this study were as follows: 1) Students reported 97 traits associated with the poor drinker. 2) Hierarchical cluster analysis of the trait groupings revealed two high-level clusters: a cluster of 35 positive traits and a cluster of 62 negative traits. Within the positive and negative clusters, 15 middle-level categories, 5 positive categories(a kind patriarch, pure, thrifty and diligent, self-controlled, prudent), and 10 negative categories(isolated, dull, passive, not confidant, unsociable, repressed, unstable, egocentric, naive, childish) were identified. This results suggested that students believed negative stereotypes are more typical than positive ones.

• Nutrition Research and Practice
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• 제3권2호
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• pp.141-148
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• 2009

The purpose of this study was to investigate the degree of family support for diabetic patients and the diet therapy practice of patients themselves, and to analyze the relationship between family support and diet therapy practice and blood glucose control, and thus to prepare basic data for the development of effective education programs to improve blood glucose control in diabetic patients. The study subjects were 82 patients with type II diabetes, aged over 20 in the Chungbuk area. The gender distribution of subjects was 52.4% males and 47.6% females, and BMI showed 29.3% overweight and 35.3% obesity. Among the 82 study subjects, the relationship between diet therapy related family support and blood glucose control was examined in 67 subjects who answered practicing diet therapy, and the results showed that the family support score of a group with excellent blood glucose control was significantly higher than those of groups with fair or poor control (p<0.001) and the correlation between the two factors was very high (r=0.341, p<0.001). For the relationship between diet therapy practice by patients themselves and blood glucose control, diet therapy practice of a group with excellent blood glucose control was significantly higher than those of other groups (fair or poor control groups) (p<0.001) and the correlation between two factors was very high (r=0.304, p<0.001). For other factors influencing blood glucose control, a group with diabetes education showed significantly better blood glucose control compared to other groups without education (p<0.05). From the above results, diet therapy practice by patients, family support, and the necessity of diabetes education were confirmed to control blood glucose of diabetic patients. In conclusion, development and operation of education program should include not only patients but also their family members.

• 대한가정학회:학술대회논문집
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• 대한가정학회 1997년도 Program & Abstracts * The 7th Korea-Japan Home Economics Joint Syposium
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• pp.49-49
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• 1997