• Quality Improvement in Health Care
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• v.2 no.2
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• pp.112-129
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• 1996

Background : A small number of high cost patients usually spend a larger proportion of scarce health resources. Aged, long-term care and readmitted patients usually belong to these high cost patient group. Among others, long length of stay and readmission can be reduced by checking its cause, and these are the areas needed most of quality improvement activity. Characteristics of high cost medical users between health insurance program and medical assistance program were reviewed. Methods : The inpatient claims of health insurance and medical assistance program were analyzed. Patients were divided by 6 groups; long-term, mid-term, short-term, readmitted, cancer and aged. We defined high cost patients as those who had spent one and half million won and over per 6 months. Characteristics of high cost patients for each group were reviewed. Results : medical assistance patients used much more resources than the insured members in the average hospital cost per case but less in daily hospital cost. The former had a longer length of stay and had much heavier diseases. Major diseases of both group were cancer, diseases of circulatory system and chronic degenerative diseases. Gallstone and schizophrenia were more in the insured program. However, pulmonary tuberculosis, asthma were more common among the medical assistance patients. Early readmission before 2 weeks were 28-30% of the total readmission. Readmission rate in the malignat neoplasm and renal failure were 80% and more. Q.A program should be installed to prevent unnecessary readmissions. Conclusion : Almost 30% of early readmissions and admissions due to complications and long length of stay should be reviewed carefully to keep cost down and to enhance the quality of hospital care.

• Journal of Korean Public Health Nursing
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• v.26 no.1
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• pp.101-112
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• 2012

Purpose: The purposes of this study were to identify differences of duties, tasks, and task elements of care helpers between long term care (LTC) facilities and client's home (CH), and to provide data for the development of educational programs and policies. Methods: This study was a descriptive investigation; the subjects of the study were 418 care helpers. Duties, tasks, and task elements were measured using the framework proposed by Shin et al. (2012). Data were analyzed by t-test using PASW 18.0. Results: All of the jobs were statistically significant differences between LTC and CH. Dietary assistance and Daily work assistance were more frequently in CH, and the frequency of other tasks was higher in LTC than CH. Tasks with higher-reported difficulty by those who worked in LTC were as follows: personal hygiene, position change and movement, exercise and activity assistance, safety care, communication assistance, dietary assistance, environment management, daily work assistance, emergency prevention, early detection and speedy reporting, and dementia patient care. Conclusion: These findings suggest that training for care helpers of each facility type will be differentiated. Tasks and task elements reported by care helpers were modified and added to the standard textbook.

• Korean Journal of Social Welfare
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• v.56 no.2
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• pp.93-119
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• 2004

This article investigates 230 public assistance recipient elderlies and 354 community elderlies in order to find out the current status and influencing factors on elder abuse. It surveyed at Gwangju metropolitan city. The result from the research were 1) the degree of elder abuse is generally low, and the primary type of abuse is psychological abuse and neglect. The victims of abuse experienced psychological pain rather than physical pain. 2) the abuser are mainly in early forties, and very unstable economically. 3) based on personal characteristics of the recipient and non-recipient elderlies, there are significant differences between respondents' sex, age, education level, income, ADL, IADL, chronic disease, depression, social support, and number of friends. 4) the factors affecting elder abuse of public assistance recipient elderlies are depression, alcohol, social support(elderly-related factors), alcohol, childhood abuse(abuser- related factors), and emotional relationship, number of family members(family- related factors). And, the factors affecting elder abuse of community elderlies are childhood abuse, social support(elderly-related), relationship with victims(abuser -related), and emotional relationship(family-related). Finally, the research recommends that differential intervention strategies are needed in order to prevent elder abuse of the public assistance recipient elderlies and the community elderlies.

• 한국사회복지학회:학술대회논문집
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• 2000.04a
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• pp.89-111
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• 2000

Welfare-to-work으로 표현되는 근년의 미국 복지 환경의 급속한 변화는 공적 부문 사회복지인력의 역할 변화를 요구하고 있다. 강력한 민간 사회복지의 전통에 밀려 역할과 기능이 상대적으로 미약했던 미국의 공공복지부문은 지난 100여 년간 상당한 정체성 혼란을 겪어왔고 공공복지에서의 사회복지사의 역할과 기능은 해결되지 않는 논점이었다. 이 글에서는 뉴딜에서부터 미국사회복지의 일대 변혁이라고 일컬어지는 1996년의 복지개혁입법 Personal Responsibility and Work Opportunity Reconciliation Act 까지, 미국 공적부조(public assistance)의 변화와 이 부문 실천가들의 역할 변화에 주목하고자 한다. 신연방주의, 복지다원주의 등으로 대표되는 복지환경의 변화에 대해 공공부문 사회복지의 변혁과 발전방향, 그리고 미국 공공부문 사회복지사들의 정체성에 관한 고단한 탐색 작업은 국민기초생활보장법의 통과로 예상되는 우리나라 공공복지의 변화와 직업적 정체성 고민을 거듭하고 있는 공공복지 인력인 사회복지전문요원들의 역할에 대한 시사점들을 읽어내는데 도움이 될 것이다.

• Korean Journal of Social Welfare
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• v.46
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• pp.178-209
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• 2001

This paper aims to provide a critical assesment of Conservatives's and new Labour's social assistance reforms in the U.K. and their differential impacts on low income groups. During the period of 18 years in power, the Conservative governments enforced benefit recipients being capable of work to be out of benefits and to get into work. They employed not only 'carrots' to encourage beneficiaries being capable of work to have full-time work, but also 'sticks' to discourage them to depend on benefits. The reforms under the Conservative governments were closer to the workfare model. The new Labour government has continued to emphasize work regarding social security reform. It has raised 'from welfare to work' as the main reform objective. However, it has not necessarily focused on 'carrots and sticks' in order to get beneficiaries into work. Instead, the new Labour government has put its priority regarding social assistance reform on human capital development in order to develop the capability of beneficiaries for work. Britain under the new Labour government seems to be moving from workfare to activation model. These differentials between the Conservative governments and the new Labour government regarding social assistance reforms bring about the different policy outcomes. Under the Conservative government, social assistance programmes were prone to strengthen the state's control over benefit recipients and to increase stigma to them. Punitive, demeaning, stigmatising programmes of work and unending job search activities harm the bases of self-respect. On the contrary, the activation programmes under the new Labour government has contributed positively to both socially significant participation and autonomy of beneficiaries.

• Korean Journal of Social Welfare
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• v.3
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• pp.125-177
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• 1982

• Korean Journal of Social Welfare
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• v.28
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• pp.221-250
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• 1996

• Korean Journal of Social Welfare
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• v.46
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• pp.60-88
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• 2001

This paper examined the impacts of the welfare reform program, California Work Pays Demonstration Program(CWPDP), implemented in 1992. CWPDP was designed to move welfare recipients into the labor market by reducing the amount of AFDC grants and one-third earned income disregard. The evaluation of the policy impacts on the welfare recipients was conducted in two areas: employment and earnings. This study used a subset of a database created by the California Department of Social Services, and University of California Data Archive and Technical Assistance. The subset is composed of 3,936 AFDC-FG cases selected in LA County: 1,311 control cases and 2,625 experimental cases. The control group was kept on the AFDC rules as of September 1992, while the experimental group was subject to AFDC rule changes implemented under CWPDP. The analyses of the employment and earnings using the random effects probit model and the random effects regression model, respectively, indicated that CWPDP did not effectively encourage female heads to participate in the labor market. It also revealed that CWPDP did not significantly increase the earnings of female heads. The findings imply that the disincentive structure of the public assistance program is not the main barrier preventing female heads from getting jobs and leaving the welfare rolls. Rather, participation in the labor market and exit from welfare is mainly determined by their own demographic characteristics and the economic cycle. Based on the findings, policy implications are suggested on the National Minimum Protection Program in Korea. Those include a flexible exemption rate for the earned income of beneficiaries, affordable child care services, and guaranteed public jobs.

• Korean Journal of Occupational Health Nursing
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• v.29 no.2
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• pp.140-149
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• 2020

Purpose: This study analyzed the effects of a health policy capacity development education program as a publicprivate partnership (PPP) model in official development assistance (ODA) for health policy administrators. Methods: Between October 2015 and September 2017, 41 participants from underdeveloped countries completed the three-week education program at K university, following the official selection process of the Korea International Cooperation Agency (KOICA) and each country's embassy. Results: The effects of the health policy capacity development education program differed significantly according to participants' age (p=.043), country region (p=.045), and academic or professional degree (p=.007). Academic or professional degree significantly predicted the effects of the program (β=.41, p=.007), explaining 21.7% of the variance in the regression model. Conclusion: The current selection process for ODA program participants considers recommendations from each country's embassy to determine eligible candidates. The hosting institution's opinions or suggestions regarding participants' professional expertise or work experience, country region, or demographic characteristics should also be considered in the participant selection process.

• Journal of Auto-vehicle Safety Association
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• v.7 no.3
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• pp.30-34
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• 2015

This study examined the Korean drivers' acceptance of SAS(Speed Assistance systems) and traffic sign conditions in Korea roads for SLIF(Speed Limit Information Function) that is a part of SAS. Exceeding the speed limit is a factor in the severity of many road accidents and SAS would help the driver to observe a speed limit by warning and/or effectively limiting the speed of the vehicle. SAS are in the initial phase in Korea, Korean drivers could not be familiar with automatical speed limiting during driving, SAS interface design would be considered to be more readily acceptable to the public. And advanced SAS have been introduced onto the market which are able to inform the driver of the current speed limit based on camera and/or digital maps based SLIF. These systems are based on external data using sensors, so environmental conditions are an important factor which could cause malfunction of SLIF functions.