• 제목/요약/키워드: Self-reliance of the Aged

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재가노인의 장기요양예방과 자립지원에 관한 연구: 예방·자립지원 모형설계 방안제언 (A Study on a Prevention of Long-term Care self-reliance Support for the Elderly in Home: Proposal of an Prevention and Support for Self-reliance Support Model)

  • 김현실;황성자
    • 한국노년학
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    • 제30권4호
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    • pp.1359-1375
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    • 2010
  • 본 연구는 고령사회에 따른 장기요양재가노인 인구의 증가 현상을 예견하면서, 요양급여 의존 증을 최소화하고, 예방·자립지원의 유효성을 높이기 위하여 예방·자립지원 모형의 기초를 제시함으로 예방·자립지원의 실천적 함의를 얻고자 함이다. 연구방법으로는 첫째, 이론적 문헌연구를 통하여 장기요양노인에게 예방·자립지원에 대한 개념을 명확히 하며, 둘째, 표준장기요양이용계획서와 연구대상자가 소속된 노인복지센터의 장기요양급여 관련문서 분석을 통하여 예방·자립지원에 저해하는 요소를 분석하고, 셋째, 요양급여 이용자들의 요양급여이용실제에서 예방·자립지원을 저해하는 요소와 실제 욕구를 조사하여 이 세 가지의 질적 연구결과를 바탕으로 예방·자립지원 모형의 방향을 제시함으로써 예방·자립지원의 유효성을 높이기 위한 실천적 함의를 얻고자 하였다. 따라서 D시에 있는 주간보호센터와 노인복지센터의 사업자와 전문사회복지사의 협력과 승낙을 얻어 문서자료 수집과 연구 참여자에게 심층면접을 실시하였다. 연구 결과 문헌연구에서는 장기요양 예방·자립지원은 장기요양급여노인에게도 자신이 삶의 주체가 되어 살아가도록 이용자의 권리를 지원하는 '이용자 중심의 지원체계의 강화'로 전개되어야하는 것으로 분석되었다. 문서분석에서는 보건의료와 관련한 급여제공이 부재한 것으로 나타났고, 예방·자립지원을 위한 사회적지지체계의 미비 등이 나타났으며, 심층면접조사결과에서 장기요양급여이용노인의 예방·자립과 관련된 서비스의 강화가 요구되었으며 예방·자립을 위한 요양급여이용노인의 절실한 욕구는 ①고독감, 외로움, 불안, 공포 ② 자녀와 사람에 대한 그리움과 걱정, ③이동, 외출, ④ 보건·의료서비스·재활프로그램, ⑤ 주간보호이용욕구, ⑥주택구조의 불편, ⑦식사메뉴의 욕구, ⑧폐용증후군(disuse syndrome)의 발생 등이 도출되었다. 따라서 예방·자립지원모형은 ①이용자 중심의 지원체계의 강화, ②보건의료연계지원체계의 강화, ③사회적지지 체계강화의 3가지 축을 중심으로 예방·자립지원모형설계의 기초를 제시하고자 했다.

수도사업자의 주요 운영지표와 ILI(Infrastructure Leakage Index)와의 상관관계 분석 (Correlation analysis of key operating indicators of waterworks with the Infrastructure Leakage Index (ILI))

  • 전승희;현인환;김두일
    • 상하수도학회지
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    • 제35권3호
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    • pp.237-246
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    • 2021
  • The ILI, developed by the IWA (International Water Association), has been used in many countries as an indicator of water leakage. In Korea, the revenue water has been used as a performance indicator for waterworks although there is an opinion to replace it with the ILI. Hence, it has been necessary to investigate whether the ILI can replace the revenue water in Korea. The four main operating indicators (i.e., water service population, profit-loss ratio, fiscal self-reliance, and aged pipe rate) of 162 Korean waterworks were compared with the ILI with the linear regression method. Local water authorities with more than 1 million water service population, with more than 60% profit-loss ratio, more than 40% and less than 60% fiscal self-reliance, and more than 20% aged pipe rate showed meaningful correlation between the four parameters and the ILI. In the remaining cases, their correlations were little or weak. This means that using the ILI may not be an efficient method to represent the performance of the water supply system in Korea because of the lack of UARL (Unavoidable Annual Real Losses) data accuracy. To use the ILI in Korea, it will be required to carry out an additional research to accumulate reliable CARL (Current Annual Real Losses) and UARL data in the future.

캐나다의 고령자 주거복지정책의 현황과 특징에 관한 연구 (A Study on the Current Situation and Distinct Features of the Housing Welfare Policy for the Elderly in Canada)

  • 김태일;양건
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제16권3호
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    • pp.69-79
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    • 2010
  • Canada is a democratic country, yet it keeps a social democratic system in which the government is in charge of welfare of its people. And this is one of the most significant features about the country. Her public and private pension system has been effective since the 1920s, securing its people's fundamental income. In particular, the public medical system applies to its every citizen and performs its role. This system is called the National Medical System as well as "MEDICARE" named after its related law. However, there has been a significant change in the national medical and welfare policy due to the budget deficit. In other words, the policy was mainly implemented to welfare facilities in the past, but the policy changed to a welfare policy for the elderly with a concentration on the support for self-reliance of senior citizens since the reform. The purpose of this study is to provide data and implications for Korea through the analysis of the current situation and distinct features of the housing welfare system in Canada. This study has researched the literature on the subject with an analytic focus on three aspects that are the fundamental frame of the system, essential content (support for self-reliance and facility composition), and distinct features of the housing for the elderly. In other words, they are, first, how the fundamental frame of the housing welfare system for the elderly is composed; second, how the service for self-reliance welfare and facility service are composed; and third, what their scale and distinct spatial features of general houses for the elderly with self-reliance are. A comparative study was conducted in detail on courses and characteristics of the housing welfare system for senior citizens in Canada and the USA of North America. In particular, it reveals the scale and distinct spatial features of public houses for the elderly with self-reliance in British Columbia (BC) which is one of the main provinces of Canada.

노인의 자립과 사회참가 등 사회생활환경조성을 위한 법제적 문제점과 개선방안 (Legislative issues and Improvement Devices for on the Environment of Social Life in Social Participation and Self-reliance of the Aged)

  • 노재철;고준기
    • 한국콘텐츠학회논문지
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    • 제12권12호
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    • pp.647-660
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    • 2012
  • 고령화시대에 있는 우리나라는 노인을 약자로 보는 복지정책으로는 한계성이 나타나게 된다. 건강하고 의욕이 높은 노인의 활력을 사회에서 살릴 수 있는 구조의 마련과 제도의 정비의 중요성은 고령화가 진행되는 사회일수록 더욱 높다. 우리사회는 노인의 능력을 사회에서 활성화시키는 구조, 노인입장에서 보면 사회참가의 구조를 정비하여 노인의 생활면에서 자립할 수 있는 기반을 조성하여, 노인이 건강하고 경제적 기반이 약화된 때에 사회가 지원하는 전체시스템을 검토할 필요가 있다. 이 논문에서는 노인에게 무조건 약자로서 생활지원이 강조되는 형태의 노인대책과는 다른 노인의 생활에 있어서 적극적인 지원의 필요성을 검토하고 지원을 위한 법제도적 정비방안을 제시하고자 하였다.

제주도 노인복지시설의 물리적 환경에 대한 실태조사 -무료 노인홈과 무료 요양원을 중심으로- (Survey on the Physical Environment of Welfare Facilities for the Aged of the Jeju Province -Focused on the free home for the aged and free nursing home-)

  • 김봉애
    • 한국주거학회논문집
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    • 제11권4호
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    • pp.35-42
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    • 2000
  • The purpose of this study is to prepare desirable elderly housing facilities system in compliance with various characteristics of each region and to help establish policies regarding elderly housing facilities. Present realities and problems of the eight free welfare facilities of two sorts, a free home for the aged and free nursing home in Jeju Province have been studied. In Jeju Province, the average life span and the ratio of the aged people older than 65 are longer and higher than other provinces and the mentality of self-reliance is more widespread. The results are as follows : 1) The average age of the aged is 70 or older and more facilities are located in rural districts. 2) Some facilities are located in the places where are not adequate for life of the aged, and not even suitable as welfare facilities for the aged. 3) Housing environmental conditions of the facilities are relatively good, while indoor facilities for recreation and social life were not well equipped. 4) Life in the facilities can be assessed relatively free, while individual privacy is not well protected. 5) Major community contacting activities included home help service, participation in regional activities, opening facilities to the community.

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거주지원 노인 주거의 공간구성과 실내디자인에 관한 연구 (A Study on Interior Design of Living Unit Space in Assisted Living Facilities)

  • 김화경;김형우
    • 한국실내디자인학회:학술대회논문집
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    • 한국실내디자인학회 1999년도 춘계학술발표대회 논문집
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    • pp.16-22
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    • 1999
  • The present asylums are reported to be hurting the privacy and self-reliance of the individuals by the uniformed manugerial regulations and fragmentary service. Due to the poor linkage of service and uneven quality between facilities, when a person falls into a serious disease he should bear the inconvenience of moving to other facility for the treatment. This study is to investigate the types and pater of welfare facilities for the aged where they can be provided with flexible service in the continuous living environments and to suggest the ideal environments for them to stand on their own feet by assisting properly both in physically and mentally keeping their privacy and sociality.

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독거노인의 생활만족도와 일상생활활동에 관한 비교 (Comparison of Life Satisfaction with Daily Activities of Elderly Solitaries)

  • 류동훈;권소희;이성국;이기남
    • 대한예방한의학회지
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    • 제9권1호
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    • pp.65-75
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    • 2005
  • This study aims to explore the difference in life satisfaction and daily activities of elderly solitaries through a survey conducted from May to June 2004 to 152 who hare moi the criteria set forth for this study. Used for the survey were such tools as 11 items of questions concerning characters of the subjects, Life Satisfaction and Daily activities(K-ADL). The outcomes could be summarized as follows: 1. The majority of 152 subjects are females, aged $70{\sim}79$, living in the urban areas, non-educated with miscellaneous religions(including non-believers), jobless, self-dependent (or living expenses, without leisure, with disease, suffering from sickness despite of treatment and, thus not self-confident in health. 2. The Life Satisfaction and K-ADL of all subjects appear in general to be good with $20.03{\pm}9.74$ and $8.25{\pm}2.74$, respectively. 3. The difference in Life Satisfaction by characters of the subjects is found significantly high in those who are females, living in rural area, educated, with religions and jobs, have diseases treated and currently confident in health. 4. The difference in K-ADL by characters of the subjects is significantly high for those who are older than 80, Buddhists, jobless, affordable with living expenses by themselves, sick currently and not confident in health. Thus, it is thought vastly important to help the elderly solitaries to realize quality of life by social (including family) assistance, economic self-reliance and health promotion and prevention. Measures drawn from the analysis into issues of the elderly solitaries from various aspects may definitely contribute to avoiding and complimenting the causes of various issues relating to the elderly people and to assisting them to cope with the problems in the highly geriatric society to come.

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A Study of the Nutrition Information on the Labels of Vitamin-Mineral Supplements and Consumer Use of this Information in Korea

  • Chang, Soon-Ok
    • Nutritional Sciences
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    • 제4권1호
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    • pp.55-62
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    • 2001
  • Consumers'frequent use of micronutrient supplements has caused concerns o possible overdoses and prompted the view that the appropriate provision of nutrition information on such supplements is needed. In this study the nutrition information on vitamin-mineral supplements in Korea was evaluated based on the labels on the supplements. Consumers'use, reliance on and demand for nutrition information were examined by self-administered questionnaire. Subjects were 1,203 middle-aged housewives. Under examination were 141 multinutrient products (86.6%) and single nutrient products (13.4%). Various names and units were used for the same nutrient and the labels were not informative to consumers. The mode of nutrients contents in the supplements were several fold of RDA though not in the range of toxicity. %RDA value was seldom shown on the label. Currently these supplements are classified as general drugs in Korea so they are not subject to regulations on nutrition labeling. Half of the subjects read the nutrient content list but two-thirds of them did not understand the information. Numerous health claims related to diseases were listed on the label and more than half of the subjects read them and one-third believed those health claims. These results indicate the need for an appropriate format for nutrition information on vitamin-mineral supplements.

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의복쇼핑성향과 의복구매만족과의 관계 연구 - 대구지역 여성소비자들을 대상으로 - (Purchasing Satisfaction of Apparels on Shopping Orientation in Daegu)

  • 최태용;박화순;조은영
    • 대한가정학회지
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    • 제40권8호
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    • pp.123-135
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    • 2002
  • The purpose of this study is to examine the relationship between shopping orientation and purchasing satisfaction of apparels. To achieve the purpose, this study was carried out by means of questionnaires with female consumers aged from 20s to 50s in Daegu. The data were analysed by the frequency analysis, percentage, reliability test, factor analysis, Pearson's correlation analysis, cluster analysis, one-way ANOVA and Duncan's multiple range analysis. The statistical package for social science 9.0 for Window was used for the statistical processing of the data. The result of this study is summarized as follows. 1. To examine factors which construct female consumers' shopping orientation for apparels, a factor analysis was done, therefore, which obtained 6 factors. Also A factor analysis was done to examine the motivative factors of satisfaction with purchased apparels, 6 factors were obtained. 2. Based on the average score of shopping-orientation factors for apparels, a cluster analysis was done and it was classified into 3 clusters. There were differences in purchasing satisfaction of purchased apparels between the 3 clusters. 3. The differences in variety, shopping convenience, dignity, brand & preference, and convenient selection between the clusters were entirely p<0.001 which were very significant. There were no differences in the quality and service factors between the brand-/practicality-oriented cluster and entertainment-oriented cluster. With other factors, entertainment-oriented cluster was most satisfied than brand-/ practicality oriented cluster. But, self-reliance-oriented cluster was lowest purchasing satisfaction of apparels.

일본의 노인주거정책에 관한 연구 (A Study on the Housing Support Policy for the Elderly in Japan)

  • 이서영
    • 한국주거학회논문집
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    • 제21권4호
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    • pp.41-50
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    • 2010
  • In recent study, we are referencing the necessity by examining the environment for housing policies for elderly Koreans. In reality, Japan, who is ahead of our country, has already experienced and is currently in progress for the aging society. They have developed a profound housing policy under all circumstances with the change of aging society. There forth, we are in progress of examining the series of helpful characteristics being presented by Japan, and how they have expanded and improved their housing support services. Our country must clearly ensure a resolution for investigating a new direction in housing policy and housing support services by learning through the development process of Japan's housing support services for the aging society. For instance, Japan have provided housing policy in both housing and welfare for senior citizens. Recently, the reason they are well adjusted for housing and welfare linked with special care and supportive living services and being skillfully focused on the maintenance policy is because they have great implications on how to successively organize housing policies for the aged society. Recent studies show preferred living arrangement and housing policy of the elderly for stabilization in the aging society. First, must be aware of the leading factors for housing in later life, organize dwelling patterns for diverse characteristics and give consideration for future life plans. Second, must continuously maintain an accessible environment in all community levels without changing the required services in their livelihood by adjusting to diverse changes for the aged. In addition, must organize flexibility in choice following these housing-support services for the elderly's desire and self reliance which raises profound questions on cultural policy.