• 한국콘텐츠학회논문지
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• 제15권4호
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• pp.220-233
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• 2015

본 연구의 목적은 노인요양서비스의 공공성을 강화하고 서비스 질을 높이기 위한 것이다. 이를 위해 노인요양시설의 요양보호사들이 공공성 인식은 어느 정도이고, 공공성 인식정도가 서비스 질에 영향을 미치는가를 실증 분석하였다. 공공성 인식정도는 요양보호사가 인식하는 규범적 공공성, 조직미션의 동의정도로 측정하였으며, 통제변수로는 조직의 법인여부, 규모 그리고 요양보호사의 성별, 연령, 경력, 자격으로 하였다. 전국의 노인요양시설에서 근무하는 요양보호사를 대상으로 설문조사하여 수집된 자료(318명)를 다중회귀방법으로 분석하였다. 연구결과 요양보호사들이 인지하는 공공성의 정도와 서비스 질은 보통이상 이었다. 요양보호사의 규범적 공공성 인식정도는 서비스 질 구성요소 중 대응성을 제외한 모두에서 긍정적 영향을 보였으며, 조직미션의 동의정도는 모든 요소에 정적인 영향을 나타냈다. 또한 조직요인 중에서 조직의 규모를 보여주는 현원과 법인여부 역시 부분적으로 서비스 질에 긍정적 영향을 나타냈고, 요양보호사의 나이는 신뢰성과 공감성에 유의미한 영향을 보였다.

• 간호행정학회지
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• 제14권3호
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• pp.229-240
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• 2008

Purpose: To develop the patient classification system based on the resource utilization for reimbursement of long-term care hospitals in Korea. Method: Health Insurance Review & Assessment Service (HIRA) conducted a survey in July 2006 that included 2,899 patients from 35 long-term care hospitals. To calculate resource utilization, we measured care time of direct care staff (physicians, nursing personnel, physical and occupational therapists, social workers). The survey of patient characteristics included ADL, cognitive and behavioral status, diseases and treatments. Major category criteria was developed by modified delphi method from 9 experts. Each category was divided into 2-3 groups by ADL using tree regression. Relative resource use was expressed as a case mix index (CMI) calculated as a proportion of mean resource use. Result: This patient classification system composed of 6 major categories (ultra high medical care, high medical care, medium medical care, behavioral problem, impaired cognition and reduced physical function) and 11 subgroups by ADL score. The differences of CMI between groups were statistically significant (p<.0001). Homogeneity of groups was examined by total coefficient of variation (CV) of CMI. The range of CV was 29.68-40.77%. Conclusions: This patient classification system is feasible for reimbursement of long-term care hospitals.

• 한국사회복지학
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• 제56권1호
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• pp.71-102
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• 2004

본 연구는 학대받은 아동들의 경험을 연구한 현상학적 연구로 아동들의 생활세계의 체험을 아동의 입장에서 이해하고자 한 것이다. 아동학대는 저항할 수 없는 힘의 구조에서 받는 억압과 자유로운 발달환경의 박탈이다. 학대란 가장 친밀한 관계에서 경험한 매우 왜곡되고 부정적인 상호작용으로 아동에게 혼란스럽고 무질서한 내면세계를 만들어 놓았다. 학대받은 아동들은 그러나 탈출구가 없는 억압 속에서도 그들 나름대로 생존을 위한 최선의 전략을 구사하며 가족 지향적인 삶을 원하고 있다. 현상학적 반성을 통해 학대아동의 경험에 대한 8가지 본질적인 주제를 찾았고 이 주제들을 바탕으로 학대 경험의 의미를 살펴보았다. 이 주제들은 학대받은 아동을 위한 상담자료로 활용될 수 있을 것이다.

• 한국기술사회:학술대회논문집
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• 한국기술사회 1984년도 제14회 한일기술사 합동 심포지움 참관기
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• pp.77-82
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• 1984

The small group activities (SGA) was introduced into some of enterprises in Korea in 1967 and plant division, Saemaul undong Headquarters had encouraged Quality Control Circles (QCC) within the manufacturing corporations in assistance of central government. Registered small groups as of august 31, 1984 amounted up to 78,243 units and the number of members were 791,512. Meanwhile, small and medium industries have mostly introduced small group activities considerably later and less actively managed than large business. Main reasons for the less effectiveness of the activities are due to lack of management skills and less awareness of it from management and workers group. Effective small group activities are presumed to be successful only with labor management cooperation on the basis of human-oriented management philosophy. The small group activities are also prevalent in service sector. More derivative methods have been developed and more members are willingly participating in training programs. The small group which is basically a horizontal organization unit, promotes communication within the whole organization. In consideration of the social circumstances and traditions, the flexible model of the small group activities suitable to the corporate environment, will contribute to industrial development.

• 보건의료산업학회지
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• 제6권3호
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• pp.127-140
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• 2012

This study involved an investigation of perception of dental hygienists based on a self-reported survey of a sample of 230health care personnel working at long-term care hospitals located in Gyeonggi Province, Korea. The primary objective was to provide basic data for establishing various policies related to building up a positive image of dental hygienists as a profession. The results were as follows. 79.1% of the respondents recognized dental hygienists as a profession. Among the titles for a dental hygienist, "teacher" was the most common with 47.4% of all. Female respondents and respondents who were able to discern between dental hygienists and nursing assistants were more likely to perceive dental hygienists positively than male respondents and ones who were not, respectively. Among social perceptions of dental hygienists was there a negative finding, that is, there was no appropriate title to address dental hygienists. This negative finding indicates that there is a vital need to enhance the perception of who are dental hygienists as a professionals level at the individual as well as institutional level.

• Journal of Nutrition and Health
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• 제31권9호
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• pp.1498-1507
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• 1998

The purposes of this study were to : a) examine the current foodservice management practices of twenty-one seniors centers in charge of hoke-delivered meal programs, b) evaluate the attitudes of one hundred and ten recipients of meal service program, and c) provide feedback for the efficient and effective foodservice management for the elderly. Statistical data analysis was completed using the SAS package program for descriptive analysis, T-test, and ANOVA. The results of quantitative analysis indicated that the costs of meals, containers and special foods were mostly dependent on the support from local government(Seoul city). The centers where the volunteers were over seventy five p ercent of the workers were frtty-eight percent and sixty-seven percent of the subjects in food preparation and food delivery to the homebound clients, respectively. Meal preparation and food purchasing were mainly practiced by social welfare worker. Standardized recipes were not developed and meal preparation was controlled under the cook' and volunteers' experiences. The survey results of recipients who participated the home-delivered meals program showed that the mean of meal satisfaction score was rated over three point five in the five-point scale. There were significant differences between dependent variables(volunteer's kindness, plate waste, menu variety) and independent variables(sex, receiving periods and family type of the subjects). (Korean J Nutrition 31(9) : 1498-1507, 1998)

• 지역사회간호학회지
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• 제13권3호
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• pp.444-455
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• 2002

Purpose: This study was performed to develop the case management program that can provide the qualitative health care service to satisfy the increasing needs for health care elderly and prevent the increase in medical cost cased by prolonged and repetitive hospitalization. Method: The survey was completed as follows. First, 290 elderly patients who would be soon discharged in 4 hospitals are participated in the survey on needs of nursing care and case management programs. Second, 70 professionals working at 5 hospitals including doctors, nurses, social workers and so on are participated in the survey on the case management team operation. Result: Level of needs to Nursing care and case management programs showed so high. Professionals suggested on the case management team operation. Finally, based on the survey and literature review, the case management program was developed. Conclusion: In this study, the specific models for the five case management services were suggested. It is thought that the service provision by the case management team based on the multi-disciplinary case management program model suggested in this study would be suggested as a constituent of the effective health care delivery system for the hospitalized elderly patients.

• 보건행정학회지
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• 제33권2호
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• pp.214-222
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• 2023

Refugees who are persecuted can apply for refugee recognition in the Republic of Korea in accordance with the Refugee Convention and the Refugee Act. They can do so either at the port of entry or during their stay in Korea. After undergoing screening, individuals may be recognized and protected under different categories, such as recognized refugees, humanitarian status holders, refugee applicants, and refugees seeking resettlement. Recognized refugees are entitled to the same social benefits and basic livelihood guarantees as Korean nationals. Humanitarian status holders and refugee applicants may receive support such as minimum living expenses, housing facilities, medical care, and education. In the medical field, refugees and their unmarried minor children are eligible for medical support through the "Medical Service Support Project for Marginalized Populations, Including Foreign Workers." This support is in addition to the national healthcare coverage and medical benefits provided by the government. However, there are pressing concerns regarding the inadequate budget allocated to this project and the excessive cost burden placed on participating medical institutions. It is crucial to secure additional funding and implement administrative improvements. Furthermore, it is essential to develop medical support measures that ensure the minimum right to health for individuals who choose not to undergo the refugee recognition process at the port of entry.

• 대한간호학회지
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• 제3권1호
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• pp.97-104
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• 1972

This study was designed to investigate differences in some aspects of value conceptions in fundamentals of nursing functions between nursing service personnel and nurse-educators. The purpose of the study was to identify the difference of value conceptions between the hospital nurses and school instructors, to contribute as a reference in strengthening the educational program in establishing nay hinder professional growth. The questionaries of this study were focused in the following aspects: 1) establishment of nursing service management system, 2) strengthening of the professionalization of nursing service, 3) hindrance in accomplishment of independent nursing functions, 4) communication skills in nurse-patient relationship, 5) activities directly related to nursing care planning, 6) communication skills in nurse-doctor relationship, 7) attitude towards taking responsibilities for patient- centered nursing approach, and 8) nursing educational approach towards preparation of professional competence in practicing independent nursing functions. 265 graduate nurses from 14 general hospitals and 88 nursing instructors from 18 schools, collegiate and diploma, were sampled. The main findings of the study were as follows; 1. Both groups responded highly in the lack of public recognition of nursing profession and hospital administrators support in establishment of nursing service management system. Further investigation is needed to define some relationship between the intrinsic and extrinsic factors which might give influence to the professional development. 2. while hospital nursing personnel responded on environmental pressure such as a heavy nursing load as the factor giving hindrance to independent nursing functions, the nurse educators responded highly on lack of nursing competence of individual nurses. An emphasis should be placed on the development of nursing interaction through professional education. If the professional model is not well established, nursing function will be limited to medical assistance. 3. 3. The patient-centered approach for nurse-patient communication had given positive respond for both group, tut lacks in team concept in problem solving process. There exist a social distance between nurses and other professional co-workers in the hospital hierarchy. 4. It was indicated that, as an intrinsic factor in the development of nursing service and nursing education, building up a philosophical basis is an utmost importance. This question is opened for further and extensive study to clarify whether existence of philosophical absence or philosophical stasis in nursing profession hinders the development.

• 보건의료산업학회지
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• 제5권3호
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• pp.13-23
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• 2011

This paper investigated the operating environment for the representative of each agency and the facility workers on the basis of analytical result of recognition changes of the operating environment changes under the operating the long-term care insurance. It was described plans to take positive effect on the operating as follows. The first, on the result of regression analysis, the service administrative range takes the biggest effect on the general recognition of executing the long-term care insurance off and on. The affirmative recognition of the service administrative range had the general recognition on the system be positive effect. But the operator of facility asserts that the care manager's professionalism related quality of service be strengthened. The second, on the result of regression analysis, in the financial accounting administrative it is revealed the more positive recognition it is, the more positive effects it has. From the difference verification of an operation size from operation subject, the small operation size and personal facility recognize the long term care insurance positively. On the other side the facilities where the operation size is big recognize the system negatively. The long-term care facility should rearrange a support program newly and the government needs to promote the donation activity, because it is needed to reduce the financial burden of facilities.