• 제목/요약/키워드: Services and Programs

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방문간호 대상 노인의 인지기능, 우울 및 생활만족도 평가 (Evaluation of Cognitive Functions, Depression, Life Satisfaction among the Elderly Receiving Visiting Nursing Services)

  • 원종순;김계하
    • 대한간호학회지
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    • 제38권1호
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    • pp.1-10
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    • 2008
  • Purpose: The purpose of this study was to examine cognitive functions, depression, and life satisfaction among the elderly receiving visiting nursing services. Methods: The subjects of this study consisted of 221 elderly individuals who were receiving visiting nursing services from a public health center located in Gyeonggi-do. The Mini-mental State Examination Korea version (MMSE-K), Geriatric Depression Scale-short form-Korea version (GDS-K), and Life Satisfaction Scale were utilized to determine cognitive functions, depression, and life satisfaction, Collected data was analyzed by the SPSS PC Win 12,0 program. Results: The prevalence of cognitive impairment (MMSE-K$\leq$24) was 86.4%, and the proportion of severe depression (GDS-K$\leq$10) was 22,6%, Older age, lower education, and low income were associated with cognitive impairment, and low education, no religion, and low income were associated with depression. Cognitive function negatively correlated with depression. Life satisfaction level was fairly low and was not associated with any variables. Conclusion: The high prevalence of cognitive impairment and low life satisfaction status were determined among low-income elderly who were registered at a visiting health care center. Thus, in the future at visiting health care services, efficient and various programs for the elderly should be tried, to improve cognitive functions and reduce depression. Additionally, consistent evaluation studies for those programs will be required.

주거복지에 대한 사회복지업무 종사자의 의식조사 연구 (Perception on Housing Welfare of Social Welfare Practitioners)

  • 김영주;김미희;박남희
    • 한국주거학회논문집
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    • 제21권6호
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    • pp.119-129
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    • 2010
  • The purpose of this study was to identify perception on housing welfare of social welfare practitioners. Specific research interest was focused on the area of housing welfare services and necessity, problems when execute housing welfare services, and activating strategy of housing welfare. For the research purpose, questionnaires were distributed to 537 people who work in the field of social welfare including social welfare officials in local government authorities and social workers at community welfare centers nationwide by mail and e-mail and 405 questionnaires were analyzed using SPSS 15.0 program. Respondents thought that the supply of public rental housing was the most important service to promote housing welfare. They also indicated the most serious problem was the lack of budget and housing welfare services and programs. As main reasons of local government's passive attitude toward housing welfare services and programs, respondents mentioned low interest level of housing welfare and lack of housing welfare education. Most of the respondents agreed the necessity of introducing the curricula related to housing welfare and expected to spread interest toward housing welfare in the field of social welfare.

Prevention in the United States Affordable Care Act

  • Preston, Charles M.;Alexander, Miriam
    • Journal of Preventive Medicine and Public Health
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    • 제43권6호
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    • pp.455-458
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    • 2010
  • The Affordable Care Act (ACA) was signed into law on March 23, 2010 and will fundamentally alter health care in the United States for years to come. The US is currently one of the only industrialized countries without universal health insurance. The new law expands existing public insurance for the poor. It also provides financial credits to low income individuals and some small businesses to purchase health insurance. By government estimates, the law will bring insurance to 30 million people. The law also provides for a significant new investment in prevention and wellness. It appropriates an unprecedented $15 billion in a prevention and public health fund, to be disbursed over 10 years, as well as creates a national prevention council to oversee the government's prevention efforts. This paper discusses 3 major prevention provisions in the legislation: 1) the waiving of cost-sharing for clinical preventive services, 2) new funding for community preventive services, and 3) new funding for workplace wellness programs. The paper examines the scientific evidence behind these provisions as well as provides examples of some model programs. Taken together, these provisions represent a significant advancement for prevention in the US health care system, including a shift towards healthier environments. However, in this turbulent economic and political environment, there is a real threat that much of the law, including the prevention provisions, will not receive adequate funding.

초등학교도서관의 봉사 개선을 위한 교사의 기대 (Teachers' Expectations for Reforming Primary School Library Services)

  • 김병주
    • 한국도서관정보학회지
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    • 제32권4호
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    • pp.119-146
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    • 2001
  • 학교도서관 봉사의 목적이 학교 교육을 위한 것이므로 학교 교육의 목적과 학교도서관의 궁극적인 목적은 동일한 것이다. 학교도서관은 항상 새롭고 보다 훌륭한 시설과 풍부한 정보자료를 개발하여야 하며 유능한 전문직 사서교사는 교육과정에 적절하고 합리적인 프로그램을 개발하여 봉사하여야 한다. 학교내외에서 야기되고 있는 저해 요인들로 실질적으로 유명 무실한 학교도서관을 보다 능률적이고 새롭게 개선할 필요가 있다. 초등학교 학생에게 직접적인 영향을 주는 교사들이 학교도서관에 대한 적절한 인식과 기대를 가지고 있다면 교사와 학생들이 학교도서관을 보다 적극적으로 이용하고 활성화시키는 초석이 될 것으로 간주된다. 본 연구에서는 학교도서관의 봉사에 대한 초등학교 교사들의 인식과 기대를 파악하여 향후 초등학교 도서관이 진정한 교수학습의 장으로 활용되도록 하는 제 방향을 찾아보았다. 본 연구에서는 학교도서관 사서의 역할을 개관하고 이에 대한 초등학교 일반 교사들의 인식과 기대에 대한 수준을 측정한 후 이에 따라 활성화 방안을 제시하였다. 조사결과 학교도서관에 대한 중요도, 사서교사의 배치 필요성, 다양한 봉사에 대한 기대, 학교도서관 이용교육수강에 대한 윤곽 등을 강력히 주장하고 있다.

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방문건강관리사업 담당 영양사와 연계전문인력을 위한 영양부문 교육 프로그램 운영과 평가 (Implementation and Evaluation of Nutrition Capacity Training Program for Dietitians and Related Professionals Working at Customized Home Visiting Health Services)

  • 김숙배;윤진숙;김경원
    • 대한지역사회영양학회지
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    • 제19권1호
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    • pp.71-83
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    • 2014
  • The purpose of the study was to implement and evaluate a nutrition capacity training program for dietitians and other professionals working at customized home visiting health services (CHVHS). This program focused on nutrition services for hypertension or diabetes mellitus patients including topics regarding CHVHS, and composed of 10 sessions with lectures, discussion and practice. Dietitians (n = 54) and other professionals (n = 20) participated in the program and completed the questionnaire to assess their understanding of nutritional management, nutrition services and CHVHS before and after the program, and to examine program satisfaction and education needs. Subjects were mostly women (98.6%) and college or university graduates (93.2%). Total score (p < 0.001), as well as all items (p < 0.001 or p < 0.01) of understanding regarding nutritional management, nutrition services and CHVHS, were significantly increased after the program both in dietitians and in other professionals. Subjects were generally satisfied with the program, showing more satisfaction with items regarding subject's participation, acquiring new knowledge, usefulness of the program for CHVHS, and education materials. In future nutrition capacity training programs, subjects wanted to have classes regarding nutrition services for specific chronic diseases, development of education materials, methods for dietary life education, modifying eating habits and so on. Other professionals compared to dietitians, showed higher education needs in meal management (p < 0.01) and nutrition counseling skills (p < 0.05). This study showed the effectiveness of a nutrition capacity training program for home-visiting dietitians and other professionals, and suggests the need and direction for future nutrition capacity training programs.

노인장기요양보험 시설서비스 이용자의 비급여 본인부담 크기 및 영향요인 (Magnitude and its effected factors of non-covered services expenditures among long-term care facilities benefits user in Long-term Care Insurance)

  • 권진희;이정석;한은정
    • 보건행정학회지
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    • 제22권1호
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    • pp.145-162
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    • 2012
  • The purpose of this study is to understand magnitude and its related factors of user's cost-sharing for non-covered services in long-term care facilities. We corrected data for 1,016 subjects, based on the long-term care benefits cost specification. Eighteen subjects were excluded from the data analysis due to missing data on family care-givers characteristics. Finally, 998 subjects were included in the study. The average cost of non-covered services per month was 209,093 won and distributed from 0 to 1,011,490 won. There was a significant difference by the characteristics of family care-givers and long-term care facilities. The monthly average cost for meal materials per person was 199,181 won(0~558,000), average cost of additional charge caused by using private bed was 232,992 won (50,000~600,000), and costs for haircut and cosmetics were 8,599 won. For the rest, there were various programs costs(93,328 won), diaper and its disposal cost(109,628 won), purchase cost for daily necessaries(24,435 won) and etc. The related factors for the magnitude of non-covered services expenditures were education level of family care-givers, occupancy rate and location of LTC facilities, and the costs of using private bed, haircut and cosmetics, and various programs among non-covered services. These findings suggest that present level range of LTC facilities users' cost-sharing is wide and it is urgent to prepare the standard guideline for cost and level in non-covered services.

키워드 프로파일링에 기초한 국외 공공도서관 프로그램 분야의 연구 동향 분석 (Research Trends Analysis in the field of Overseas Public Library Programs based on Keyword Profiling)

  • 김판준
    • 한국문헌정보학회지
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    • 제56권3호
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    • pp.27-46
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    • 2022
  • 오늘날 공공도서관은 다양한 프로그램을 통해 이용자의 요구를 파악하고 대응하기 위한 능력과 서비스를 강화하면서 우리사회에 깊이 기여하고 있다. 그러나 공공도서관 프로그램의 연구 현황이나 시간의 흐름에 따른 변화를 분석한 연구는 찾아보기 어렵다. 따라서 국외 공공도서관 프로그램 분야의 연구 동향을 체계적으로 파악하기 위한 목적으로, 키워드 프로파일링에 기초한 지적구조 분석을 수행하였다. 구체적으로 LISTA 데이터베이스에서 검색한 학술지 논문의 통제키워드(주제어)에 기초하여 주제어 분석, 네트워크 분석 및 군집 분석, 시기별/연도별 분석을 수행하였다. 그 결과로 첫째, 전역·인기·지역주제에 모두 해당하는 9개 주제들이 국외 공공도서관 프로그램 분야의 연구를 주도하고 있는 것으로 나타났다. 둘째, 국외 공공도서관 프로그램 분야의 5개 연구 영역(문화 프로그램, 아웃리치 프로그램, 활동 프로그램, 공공서비스, 지역사회)을 시각화하여 명확하게 식별할 수 있었다. 셋째, 국외 공공도서관 프로그램 분야의 연구는 1990년대 후반에 본격적으로 시작되어 2000년대 중반부터 2010년대 초반까지 활성화되었고, 그 이후 최근까지는 다소 정체된 상황에 있는 것으로 나타났다. 본 연구는 최근 공공도서관의 주요 업무로 부상한 프로그램에 대한 연구 동향을 구체적으로 규명한 결과로서, 향후 공공도서관 프로그램의 발전 방향을 모색할 수 있는 기초적인 데이터 및 사전 지식으로 활용될 수 있을 것이다.

미국 대학보건실의 건강증진 서비스 제공체계 - 캘리포니아 주에 소재한 일부 대학의 운영사례를 중심으로 - (Health promotion services of health care center at some universities in California, the U.S.)

  • 김영복;박천만
    • 한국학교ㆍ지역보건교육학회지
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    • 제12권2호
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    • pp.113-127
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    • 2011
  • Background: University health services have provided comprehensive medical care, counseling, health promotion, and public health services to their students and several other local institutions. To their faculty and staff, university health care centers have served occupational health services and employee assistant program. Purpose: We performed this study to review the health promotion services on two kinds of health care center with different style of university formate. Methods: We tried to collect the data by literature review and interview with executive and provider at health care center in University of California at Berkeley and San Jose State University. Results: Our results were as followed. First, students could use the medical services just as they would their regular doctor's office and urgent care center. Second, the health promotion unit offered programs and services for keeping students healthy and safe, including many opportunities for students to get involved in shaping the public health of the campus. Third, the health promotion recommendation offered from ACHA was useful guideline to improve health status of their member in university campus. Finally, the student satisfaction surveys were used for evaluation and quality improvement. Conclusions: The systematic approach to improve health status of students, faculty and staff can use to maintain a state of optimum health among the diverse student community in support of academic excellence. Coupled with health promotion and public health programs, university health service have to reach all segments of the healthy campus community. To achieve study goals in university, the health care center contributes to promote accountability and responsibility for the health and well being of the members in their campus.

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A Model for Community Participation in Breast Cancer Prevention in Iran

  • Ahmadian, Maryam;Samah, Asnarulkhadi Abu
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권5호
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    • pp.2419-2423
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    • 2012
  • Context: Genuine community participation does not denote taking part in an action planned by health care professionals in a medical or top-down approach. Further, community participation and health education on breast cancer prevention are not similar to other activities incorporated in primary health care services in Iran. Objective: To propose a model that provides a methodological tool to increase women's participation in the decision making process towards breast cancer prevention. To address this, an evaluation framework was developed that includes a typology of community participation approaches (models) in health, as well as five levels of participation in health programs proposed by Rifkin (1985&1991). Method: This model explains the community participation approaches in breast cancer prevention in Iran. In a 'medical approach', participation occurs in the form of women's adherence to mammography recommendations. As a 'health services approach', women get the benefits of a health project or participate in the available program activities related to breast cancer prevention. The model provides the five levels of participation in health programs along with the 'health services approach' and explains how to implement those levels for women's participation in available breast cancer prevention programs at the local level. Conclusion: It is hoped that a focus on the 'medical approach' (top-down) and the 'health services approach' (top-down) will bring sustainable changes in breast cancer prevention and will consequently produce the 'community development approach' (bottom-up). This could be achieved using a comprehensive approach to breast cancer prevention by combining the individual and community strategies in designing an intervention program for breast cancer prevention.

국방 표준 식단 작성을 위한 전산화 프로그램 개발에 관한 연구 (Development in Computer Program for Standardized Quantitative Recipes in Military Services)

  • 문수재;손경희;양일선;손춘영;김대엽
    • 한국식품조리과학회지
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    • 제7권3호
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    • pp.61-68
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    • 1991
  • The purpose of this study was to develop a computerized menu planning for military who need balanced diet for 365 days so that more effective and efficient food service can be provided. For this purpose, the evaluation of current military menu planning and production management system was carried out and the result was being applied to the computerized memo planning program which was being developed on this study. The contents of the computerized programs developed for this study were summerized as follows: 1) Programs for calculating nutrient value of foods and standarized meals. 2) Programs for outputing of meal table by a day or month. 3) Programs for outputing standardized recipes. 4) Programs for calculating nutrient value per day. 5) Programs for outputing one-sowing, one hundred-serving size and price. 6) Programs for calculating average of nutrient value by monthly and yearly. 7) Programs for calculating average of the amount used for a year. The personal computer type IBM PC-AT was used for the development of the software for this programs. Also, a work performance file was made by using the DBase III plus package.

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