• 지역사회간호학회지
• /
• 제15권4호
• /
• pp.551-565
• /
• 2004

Purpose: The purpose of this study is to develop a day care center model focused on public health institutions for the elderly residing in their homes. Method: Research design for this study was a mult-level research, which consisted of a related literature review, an Internet search for knowledge of the current situation at home and abroad, on-site interviews, questionnaires collected from a sample of residents in a rural area, and a key-informants approach. Results: 1) The subjects of service - Generalized service should be provided to the elderly, 65 years and older, regardless of their assets. 2) The contents of service - Providing pre-health oriented and post-social welfare service that can integrate and satisfy a wide variety of public health and welfare needs of the elderly would strengthen the health care service of a day care center for the elderly. 3) Delivery system - Basic-level local self-governments should become a central operating body, and establishing a properly adjusted delivery system to a rural area after considering the efficiency and the access of vulnerable rural areas is needed based on modification of 'a Special Law for Agricultural and Fishery Areas' (rural public health center>rural health sub-center ${\rightarrow}$ unified health sub-center ${\rightarrow}$ public health hospital (public health center) ${\rightarrow}$ public welfare office). 4) Facility - Public health facilities such as public health centers and sub-centers should be located in areas that can easily access the facilities. 5) Funding - For day care center for the elderly in local self-government, the central government should modify a relevant implementation of subsidy in and provide some facilities and service regardless of the degree of self reliance of local self-government. 6) Human resources - It is needed to guarantee the period of workers of a day care center for the elderly, at least 3 to 5 years, with considering their specialty on aged care and avoiding circulation based positions. Furthermore, appropriate specially trained personnel such as medical workers and social workers should be placed to take care of both health service and welfare through strengthening of 'rules of law of elderly welfare,' Conclusion: future research is needed to test the model through a demonstration study using a model which may be developed in the future and to standardize the appraisal criteria of people hoping to enter a day care center for the elderly.

• 보건행정학회지
• /
• 제23권1호
• /
• pp.59-65
• /
• 2013

Background: The purpose of this study was to analyze the related factors which decide the percentage of health care expenditure of the total fiscal expenditure of local governments and to provide the basic data to contribute for the efficient allotment of healthcare budget. Methods: This study was conducted by the percentage of health care expenditure for 3 years by classifying a total of 230 local governments into the metropolitan cities (gu, 69), the counties (si, 75), and the boroughs (gun, 86) all over the country. With the collected data, the general characteristics of independent variables and the dependent variable were analysed using SPSS ver. 18.0, The correlation analysis and multivariate regression analysis were conducted for the characteristics of variables according to regions by year. Results: In correlation between health care expenditure by year and other variables, there was a significant positive correlation with unemployment rate, metropolitan cities (gu) and other regions, the percentage of health center personnel, health care expenditure in last year as a independent factors. On the other hand there was no correlation with social assistance recipients and the percentage of aging population, financial self-reliance, industrialization rate, suicide rate, cardiac disease mortality, cerebrovascular mortality on health care expenditure. Conclusion: The study clearly shows that health care expenditure of local governance was not correlated with health care need factors comparing social welfare expenditure.

• 지역사회간호학회지
• /
• 제10권1호
• /
• pp.5-18
• /
• 1999

The aim of this study is the development of a fee - based model day care center for the elderly by inquiring into the current condition of facilities in America and in Korea, and in surveying the opinion of domestic elderly about day care facilities. A field trip to U.S. day care services was held between July 5 and July 15 in 1997, and an on-the-spot study for domestic facilities took place during March in 1998. Our research reveals that the overall supply of day care facilities can not meet future demand in terms of quality and quantity. Therefore a model must be created for day care centers of a that consists of a director from a professional group. an adequate environment, and a standardized in order to offer a qualified public health service linked to the home and community in Korea. The director of a day care center is a critical variable in determining the quality of service. Professional skills related to the needs of the elderly and the person's quality of service should be considered in appointing director for the center. This study belleves that a professional nurse should be the director of a day care center. The operating environment of a day care facility should be made up of considerable space comparable to the number of residents, should be in a comfortable and safe location, and should have equipment that provides a qualified, safe service to the elderly. Our model is designed for 20 persons and allocates 4 Peng per person. This model is comprised of a reading room. a craft room, a health room, a room for physical therapy, a dining room, a staff office, and a multi -purpose room connected to other rooms. Day care service should be a comprehensive service program meeting the multidimensional needs of the elderly. A comprehensive service program needs a team of various professionals made up of the elderly family, participants, nurses, social workers, physical therapists, nutritionists, and medical doctors. The program will also include health care service, physical therapy, speech therapy. diet, occupational therapy, transportation service, health and an education program, etc. In conclusion, a model of a day care center is developed with the following components: a professional director and an environment and program, that considers the physical, mental, and social characteristics of the elderly. A model should also motivate self-reliance self-fulfillment in the elderly in order to fulfill their health needs and to prevent isolation from society and mental depression. Furthermore, This facility will be a beneficial factor in reducing a family's burden on caring for the elderly that includes unnecessary hospital expenses. The following is a suggestion based on results this study: A service program should be developed to fit the conditions of the elderly in Korea by specifically analyzing the needs of the elderly.

• 한국콘텐츠학회논문지
• /
• 제18권8호
• /
• pp.51-61
• /
• 2018

본 연구는 2005년부터 2015년까지 10년간 지역 자살률의 변화와 그 변화에 영향을 미치는 지역 환경요인의 변화 영향을 확인함으로써 자살률 감소를 위한 지역차원의 정책을 제언하기 위해 수행되었다. 주요한 분석결과는 다음과 같다. 첫째, 10년간 시 군 구 자살률 변화를 확인한 결과 군 지역, 시 지역, 구 지역의 순서로 자살률이 감소하는 것으로 나타났다. 둘째, 경제적 요인의 경우 1인당 지방세금 부담이 증가하는 지역일수록, 재정자립도가 증가하는 지역일수록 지역 자살률이 감소하였다. 셋째, 사회통합요인의 경우 기초생활수급자비율이 감소하는 지역일수록 지역 자살률이 감소하는 것으로 나타났다. 또한, 노인여가복지시설수가 증가하는 지역일수록 지역 자살률이 감소하였다. 넷째, 사회해체요인의 경우 조이혼율이 증가하는 지역일수록, 우울감 경험률이 증가하는 지역일수록, 1인 가구 비율이 증가하는 지역일수록 지역 자살률이 증가하는 것으로 나타났다. 따라서 지역전체의 경제능력 향상과 사회통합을 위한 노력, 지역 내 사회해체현상의 감소를 위한 노력을 통해 지역 자살률을 감소시킬 수 있을 것으로 기대된다.

• 한국사회복지학
• /
• 제56권1호
• /
• pp.23-43
• /
• 2004

신노동당 정부에서 뉴딜이 도입된 이래 5년이라는 시차(time difference)는 뉴딜이 청년실직자, 장기실직자, 편부모, 장애인 등 사회적 배제집단을 노동시장에 편입시키고, 근로연령세대를 위한 소득관련 급여지출의 감소를 가져왔으며, 노동시장에서 근로연령세대의 고용률을 높이는 데 크게 기여하였다는 것을 보여준다. 뉴딜은 일자리우선모델보다는 인적자원개발모델에 보다 근접한 성격을 지니고 있다. 뉴딜은 근로능력이 있는 복지수급자를 일자리로 유인하기 위하여 근로연계복지를 지향하는 국가들에게 다음과 같은 정책학습의 기회를 제공한다. 첫째, 개인에게 책임과 의무를 부여함과 동시에 교육 및 직업훈련을 중심으로 한 적극적 노동시장사업을 통하여 개인의 자발적 참여를 유도할 수 있어야 한다. 둘째, 지역단위에서 복지와 고용을 연결하여 통합관리할 수 있는 분권적 전달체계를 갖추고, 다양한 고용사업을 진행하기 위하여 민간부문, 특히 기업가들과의 협력체계를 조성하기 위하여 노력하여야 한다. 셋째, 근로능력이 있는 복지수급자 개인에 대한 사례관리의 도입이 필요하다. 끝으로, 확고한 정치적 리더십에 의하여 주도되고 뒷받침되어야 한다.

• 한국사회정책
• /
• 제23권1호
• /
• pp.125-150
• /
• 2016

본 연구는 복지지위가 복지인식에 미치는 영향이 각 개인의 정부신뢰 수준에 따라 상이하게 나타나는지 실증적으로 분석하는데 그 목적이 있다. 복지인식의 유의미한 예측요인으로 알려진 복지지위에 주목하며, 각 개인의 복지지위를 단일한 차원으로 측정하고자 복지부담-혜택 간 격차를 '물질적 희생(material sacrifice)'이라는 개념으로 정의하였다. 또한 '물질적 희생'과 정부신뢰가 '복지확대를 위한 비용부담의지'로 구체화되는 복지인식에 가지는 직접효과와, '물질적 희생'이 복지인식에 미치는 영향을 조절하는 기제로서 정부신뢰의 상호작용효과를 검증하였다. 이를 위해 "한국복지패널 8차년도"의 "복지인식부가조사"에 응답을 완료한 4,185명을 연구대상으로 위계적 다중회귀분석을 실시하였다. 연구결과, 복지지위에서 복지부담(조세 및 사회보험료지출)이 복지혜택(사회보험, 공공부조급여 및 각종 정부보조금)보다 커지는 '물질적 희생'이 증가할수록 '복지확대를 위한 비용부담의지'에 부(-)적 영향을 미치는 것으로 나타났다. 그러나 정부가 사회정책을 유능하게 수행할 것이라는 신뢰가 높아질수록, '물질적 희생'이 '복지확대를 위한 비용부담의지'에 미치는 부(-)적인 영향이 완화됨이 확인되었다. 이는 복지태도를 결정하는 일차적 동기인 자기이해 역시 정부기능에 대한 믿음이나 기대에 의해 조절될 수 있음을 의미하며, 복지확대를 위한 사회적 합의를 견인하기 위해 사회정책에 대한 신뢰 확충이 뒷받침되어야 함을 시사한다.

• 농촌지도와개발
• /
• 제3권1호
• /
• pp.17-41
• /
• 1996

In the situation of rapid industrialization based on the lopsided development of economy since 1960, Korean rural society has faced a crisis of disruption. As a result, the civilian government has tried a few actions to change the circumstance. However, it is said that the coral polices were not satisfactory. Those who were concerned with the rural problems of these days argue that it is necessary to adopt new policies and further to change the policymakers` philosophies concerning the matter. The arguments are certainly based on the beliefs that the sound policies come from the sound philosophies. This study aims to analyze the existing rural polices and their policymakers` philosophies and to design of a new paradigm. For the purpose, this study was set there specific objectives: First, to overview the moor points of Quantitative Utilitarianism of Jeremy Bentham and the Social Justice Theory of John Rawls, the contrasting frameworks of the moral philosophies; Second, to trace the major or trade of the rural policies since 1960s in Korea; Third, to analyze the policymakers` philosophies reflected on the rural policies; Fourth, to design a new paradigm of the rural policies. This study mainly adopted descriptive method based on the various source of government and non-government statistics, white papers and other researches. The major findings of this study may be summarized as follows: 1. The historical epochs of the rural policies in Korea was divided into the periods: (1) An organizational and institutional establishment for self-reliance of main crops and the New Village Movement $(1969{\sim}70)$; (2) An initiation of `open-door` policies to the foreign farm products $(1970{\sim}80)$; (3) Completion of the UR meetings and the recommendations of the Rural and Fishery Development Commission (1980-present). 2. It was found that the philosophical foundations of coral policies were directly reflected from the utilitarianism of the national development. Under the philosophy it was the modem sector of economy that was to spearhead the national development, and the rural sector was situated to the peripheral position and hardly in the spot-light. Therefore, it may be said that the present situation of the rural society was largely rooted in the model of economic development. 3. As a new direction of the coral policies, many studies were focussing on the NTC (non-trade concerns) functions of agriculture for the present and future society. The researchers argue that the cost of protecting and supporting agriculture and rural society may be higher than that of the burden which the nation should be bear in the case of failure of agriculture. Although it tray be true, however, it should be noted that the argument is another type of utilitarianism which prevailed in the past. As a philosophy of rural policies, utilitarianism is straight forward and persuasive, however, it has also limitations in terms of relativism in broad sense or social justice in specific manna. 4. This study suggests to set the philosophical foundations of rural policies on the basis of Rawl`s Theory of Justice mentioned earlier. It emphasizes the inviolability of social justice which was neglected for the national benefits timing the period of development dictatorship in 1960s and 1970s. The principles of social justice for coral people were identified as twofold; (1) The principle of the t equal liberty; (2) (a) Difference principle, (b) The principle of fair equality of opportunity.

• 한국융합학회논문지
• /
• 제7권3호
• /
• pp.1-14
• /
• 2016

힐링요가를 수련하는 여성노인들을 대상으로 신체조성 및 신체능력, 그리고 스트레스에 미치는 영향을 알아보고 노인의 건강한 삶의 방향을 긍정적으로 제공해 줄 수 있는 자료를 제시하는데 그 목적이 있다. 연구의 참여자는 A광역시에 소재하고 있는 B복지관에 참여하는 65세 이상의 노인을 대상으로 일상생활에서 신체활동에 지장이 없는 노인으로 이 연구의 취지에 동의한 자로서 자립적으로 보행할 수 있는 16명을 선정하여 힐링요가수련 집단 8명과 통제집단 8명으로 단순무선 표본추출(simple random sampling)로 할당하여 참여하였다. 자료처리는 사후검사 측정값을 서로 비교하는 공분산 분석(Analysis of Covariance)으로 분석하였으며, 모든 통계적 유의수준은 .05로 설정하였다. 그 결과 힐링요가집단에게 12주간의 힐링요가 프로그램을 주3회, 50분씩 총 36회기를 프로그램을 실시하였으며 신체조성, 신체능력은 힐링요가집단에서 긍정적 변화를 보였으며, 스트레스 수치의 변화인 하위 요인에서 집단 간 통계적 변화를 보이지 않았지만 평균값을 비교해보면 힐링요가집단이 사회적 역할수행 및 자기신뢰에서 많은 증가를 보였고, 우울 수면장애, 일반건강 및 생명력 요인에서 통제집단보다 많은 감소를 보였다.

• 농촌계획
• /
• 제22권3호
• /
• pp.71-80
• /
• 2016

Korea is becoming a model country for the developing countries' agricultural and rural development. Drawing implications for Vietnam from Korea's experiences can help make development strategies and policies for other developing countries including North Korea as well as for Vietnam itself. Vietnam is facing an inefficiency in agricultural production and the gap between urban and rural growth has been widening. Farm sizes per household are small and farmlands are scattered. Diversification in rural industry is very restricted. To attack these problems, investment is urgently needed for rural infrastructure building as well as agricultural structure adjustment. In the process of rural development, there have been also encountered such problems as financial procurement, community's spontaneous participation, manpower development for adjusting to industrial structural change. Korea's experiences may be helpful for establishing rural development strategies and policies in Vietnam. Benchmark scopes can go beyond Saemaul Undong in 1970s. Korea's pre- and post-Saemaul Undong era as well as the Saemaul Undong era can be referred. In the wake of globalization, Vietnam has not only experienced compressed rapid economic growth but also encountered policy tasks to eradicate poverty, to realize self-reliance and income increase, and to lessen urban-rural development gap, at the same time. Korea's experiences show that priority needs to be put on the establishment of national and rural development strategies based on Vietnam-specific conditions, utilization of village's resources including community tradition and social capital, fund raising for rural development, farmland development and mobilization, production and living infrastructure building, technology transfer for farmers and vocational training for new job seekers.

• 한국콘텐츠학회논문지
• /
• 제16권6호
• /
• pp.706-716
• /
• 2016

최근 높아진 삶의 질에 대한 사회적 인식으로 여가에 대한 관심이 늘어나고 있다. 이에 따라 문화와 체육과 관련된 다양한 자원을 통해 해당 도시를 성장시키고자 하는 정책적 관심이 증가하고 있다. 본 연구는 이러한 시점에서 지역 내 문화체육자원이 도시성장에 미치는 영향을 확인하고, 이를 통한 정책적 방향을 살펴보는 것을 목적으로 하고 있다. 본 연구는 전국 228개 시군구를 대상으로 문화체육자원을 중심으로 사회 교통 공간성격의 범주에 포함되는 도시의 다양한 개별자원 지표를 이용해 지역의 인구, 산업, 재정측면의 성장에 있어서의 영향관계를 준로그 다중회귀분석을 사용해 파악하였다. 분석 결과, 문화체육자원을 포함한 다양한 지역 내 자원들은 해당 도시의 성장에 중요한 영향을 미치고 있는 것으로 나타났다. 특히 인구성장 측면에서는 공공체육시설 및 프로스포츠시설의 확충을, 산업성장 측면에서는 프로스포츠시설의 유치를 통한 지역 내 소비증가를, 재정건전성 측면에서는 연관산업에 대한 파급효과가 큰 프로스포츠시설 유치를 적극적으로 고려할 필요가 있다는 결과를 도출하였다. 이러한 결론을 통해 본 연구는 생활체육을 바탕으로 한 삶의 질 환경 조성 및 산업기반으로서의 문화스포츠 기반조성은 도시성장에 있어 중요하며, 이러한 자원을 활용한 도시성장 정책은 차세대 전략으로 지방정부가 관심을 가질만한 충분한 가능성이 있음을 확인하였다.