• Title/Summary/Keyword: Social burden

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Health Care System Recognition and Influential Factors of Health Care Experiences (의료서비스경험자의 보건의료제도 인식도와 영향 요인)

  • Seo, Young-Woo;Park, Cho-Yeal;Park, Young-Hee
    • The Korean Journal of Health Service Management
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    • v.12 no.4
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    • pp.59-72
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    • 2018
  • Objectives : This study was performed to investigate health care system recognition and influential factors using the data from the "2017 Health Care Experience Survey". Methods : Data on 7,000 participants in the Health Care Experience Survey were drawn and statistically examined using a t-test, ANOVA, and multiple regression analysis. Results : First, the significant factors of health care service satisfaction were education, income, region, chronic diseases, unmet medical needs, satisfaction with doctors and institutions, and the health care system's reliability and importance. Second, the influential factors of willingness to pay additional health insurance premium were age, occupation, income, health status, chronic diseases, unmet medical needs, satisfaction with health care institutions, limit to utilization of medical services, necessity of health care reform, and the health care system's reliability, satisfaction, importance. Conclusions : Since the additional burden for improving the health care has been negative to the socially disadvantaged, there should be efforts to provide stable health care funding for financial stability of the health insurances by considering public opinions and reaching social consensus.

A Study on the Regional Gap Analysis and Management of the Elderly Health in an Aging Society

  • YOO, Chae-Hyun;SHIN, Seung-Jung
    • International journal of advanced smart convergence
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    • v.10 no.2
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    • pp.168-174
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    • 2021
  • Korea is ranked as the world's No. 1 country in its aging rate. While the interest and demand for health is rapidly increasing, the health status of the elderly is in the lowest among OECD members. Increased chronic diseases, the burden of medical costs and digital/untact changes of societies after COVID-19 have caused the direction of healthcare to be changed from treatment oriented to health care and prevention oriented, along with increased income levels and a desire for a healthy life. Amid this paradigm of change, the gap in health standards and health inequality for the elderly according to local structure and social conditions affects not only socio-economic but also the quality of life for individual senior citizen. Utilizing prior data of Aging Research Panel Survey, this study aims to compare and analyze health conditions and regional gaps which are significant influences on the satisfaction of the life of the elderly, and to suggest direction of studies for health care to provide solutions for health inequalities. The findings are intended to be a basic data for researching models of the New Normal Smart Healthcare System that bridge the health gap between the elderly and enhance life satisfaction with health care models suitable for regional characteristics in aging society.

Issues in Real Estate Taxation and Rationalization of Property Taxation: Lessons from Real Estate Regulation Policy in Korea

  • CHOI, Choongik
    • East Asian Journal of Business Economics (EAJBE)
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    • v.9 no.1
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    • pp.63-69
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    • 2021
  • Purpose - This study examines the regressive estate taxation issues and seeks measures for the rationalization of property taxation. Although various discussions on the reorganization of property taxation have been made, discourses on how much property taxation burden is given to homeowners and on whether the increase of property taxation should be shifted to tenants have not been properly carried out. Research design, data, and methodology - Therefore this study examined the property taxation issues and sought measures for the rationalization of property taxation based on homeowners' social and economic characteristics. This study deals with discussions on the directions for rational real estate reorganization and what desirable real estate market stabilization polices are. Result - This study investigates what issues and disputes the powerful real estate policies to ease overheat of the real estate market have caused and seeks directions to solve those. Conclusion - The study results supports that the real estate taxation would be levied in proportion to the economic capacity of real estate owners to pay taxes. It implies that tax levy not only in conjunction with income, but also in combination with existing real estate assets would be considered to be desirable in terms of comprehensive tax justice.

A systematic review of interventions for family caregivers of the elderly with dementia in Korea (국내 치매노인 가족 부양자 중재에 대한 체계적 고찰)

  • Jeong, Seonghee;Hwang, Jeonghae;Oh, Doonam
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.3
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    • pp.306-320
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    • 2021
  • Purpose: This study was a systematic review to assess the contents and effects of an intervention program for family caregivers of the elderly with dementia in Korea. Methods: A literature search was done using Medline, CINAHL, RISS, KISS, and DBpia to identify studies reported in English or Korean from 2000 to 2021. Results: A total of 1,162 articles were searched; finally, 23 articles were used in the analysis based on the inclusion and exclusion criteria. The most applied intervention contents were knowledge provision and emotional support. Fourteen articles (60.9%) reported on complex interventions, including emotional, social support, relaxation, and various activities. The most frequently measured outcome variable in the reviewed literature was "burden," followed by "depression" and "coping strategy." Conclusion: The review results can provide basic data for establishing evidence and suggesting directions of interventions for family caregivers of the elderly with dementia.

The Study of SNS Users' Switching Behavior: In the Perspective of SNS Fatigue and Migration Theory (SNS 사용자 이동 영향요인 연구: SNS 피로감과 이주이론을 중심으로)

  • Chang, Eun Jin;Kim, Jeoung Kun
    • The Journal of Information Systems
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    • v.30 no.4
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    • pp.43-69
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    • 2021
  • Purpose Although companies occupied the network market take the advantageous position first and can be successful in securing users over a certain size, it is important to satisfy the customers' demand and prevent the outflow of users toward a new alternative SNS. What is more, there are frequent changes in the flow of users toward new SNSs. Despite these dynamic market circumstances, there is a lack of research to explain the switching behaviors of SNS users. Design/methodology/approach The objective of this study is to explain and verify a specified migration theory(Push-Pull-Mooring model) focused on SNS fatigue in the psychological point of view, as well as reviewing previous studies on functional and technical characteristics of SNSs themselves. Moreover, this study tried to highlight factors affecting users actual SNS switch rather than their switching intention. Findings According to the statistical analysis, the most influenced pull factor to switch SNS was the alternative attractiveness. On the other hand, undesired relationship burden, service innovation and important mooring factors to prevent users' SNS switch. This study has a significant contribution to the theory, which analyzed users' actual SNS switch, and examined SNS users' psychological factors(SNS fatigue), reviewing the characteristics of existing services. To secure more users and to keep them, companies providing social network service need to develop differentiated strategies by analyzing psychological characteristics of various users.

Translation and psychometric evaluation of the Korean version of the fertility awareness and attitudes towards parenthood questionnaire

  • Shin, Hyewon;Hong, Minjoo;Jo, Minjeong;Lee, Jungmin
    • Child Health Nursing Research
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    • v.27 no.3
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    • pp.256-265
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    • 2021
  • Purpose: This study presents a translation, cultural adaptation, and psychometric evaluation of two instruments of the Fertility Awareness and Attitudes Towards Parenthood (FAAP) questionnaire (Conditions and Life changes) for use in South Korea. Methods: This methodological study included 166 university students for psychometric evaluation in the sixth step. The first five steps included forward translation, backward translation, committee review, assessment of content validity, and a pre-test. In the sixth step, psychometric properties, including internal consistency, construct validity, and criterion validity, were evaluated. Exploratory factor analysis and confirmatory factor analysis were conducted to identify the structure of the tool and to assess its validity. Results: The Korean version showed acceptable internal consistency. Cronbach's α was .73 for FAAP-Conditions and .83 for FAAP-Life changes. FAAP-Conditions showed a four-factor structure (social conditions, relationship with partner, external environment, and child-rearing support) and FAAP-Life changes had a two-factor structure (reward and burden). In the confirmatory analysis, CMIN/DF, TLI, IFI, SRMR, CFI, and RMSEA were satisfactory. Conclusion: This study provided preliminary evidence of the acceptability, reliability, and validity of the Korean version of the FAAP questionnaire in university students in South Korea. Nonetheless, further evaluation among Korean young adults is warranted to validate this instrument.

Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis

  • Park, Jisu;Choi, Eun Kyoung
    • Child Health Nursing Research
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    • v.28 no.2
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    • pp.154-165
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    • 2022
  • Purpose: This study aimed to analyze the concept of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Methods: The hybrid model by Schwarz-Barcott and Kim was used to analyze the characteristics of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Results: Transfer anxiety was defined by the following attributes: 1) stress concerning the adaptation process, 2) concern about the child's condition worsening due to the parent's caregiving, and 3) involuntary changes in daily life due to the treatment. Transfer anxiety has the following antecedents: 1) uncertainty; 2) a lack of knowledge about the illness, medical devices, and caregiving; and 3) a lack of social support. It resulted in 1) caregiver burden, 2) a decrease in the capacity for coping with caregiving, 3) delays in the child's physical and psychological recovery, and 4) decreased quality of life. Conclusion: It is necessary to develop an assessment scale that considers the attributes of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Furthermore, an effective nursing intervention should be developed to reduce transfer anxiety.

Development of Digital Contents for ADHD Treatment Specialized for VR-based Children

  • Dae-Won Park;Chun-Ok Jang
    • International Journal of Advanced Culture Technology
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    • v.11 no.3
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    • pp.302-309
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    • 2023
  • This study aimed to develop a VR-based digital therapeutic intervention for the diagnosis and treatment of ADHD. The research combined medical data with virtual reality technology to develop an algorithm for ADHD diagnostic scales and implemented a VR-based digital therapeutic platform using a head-mounted display (HMD). This platform can be used for the diagnosis and treatment of ADHD in children and adolescents. Additionally, we four VR games were developed, including archery timing, Antarctic exploration, grocery shopping, and rhythm-based drumming(RBD), incorporating various psychiatric treatment techniques based on cognitive-behavioral therapy(CBT). To evaluate the usability of this digital therapeutic intervention, a group of experts specialized in counseling psychology participated in the study. The evaluations received highly positive feedback regarding the ability to access the system menu while wearing the HMD, the consistency of terminology used in menus and icons, the usage of actual size for 3D graphic elements, and the support for shortcut key functionality. The assessments also indicated that the games could improve attention, working memory, and impulse control, suggesting potential therapeutic effects for ADHD. This intervention could provide a daily treatment method for families experiencing financial constraints that limit hospital-based therapies, thereby reducing the burden.

A Prediction Model for Psychiatric Counseling for Depression among Subjects with Depressive Symptoms (우울증 대상자의 정신 상담 경험 여부 예측 모형)

  • Han, Myeunghee
    • Journal of Korean Public Health Nursing
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    • v.37 no.1
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    • pp.125-135
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    • 2023
  • Purpose: The number of patients suffering from depression is rapidly increasing worldwide, and by 2030, it is expected to pose a severe social and economic burden. Reports suggest that approximately 30% of subjects with symptoms of depression do not attempt treatment. Therefore, predicting the characteristics of subjects with depressive symptoms who have not even attempted counseling treatment is essential to increase the participation rate for such treatment. This study intends to predict the participation rates for psychological counseling treatment for depression among subjects with depressive symptoms. Methods: This study used data from the 2021 Korea Community Health Survey (KCHS). Data analysis was carried out using a decision tree to design a model that predicted participation in psychological counseling for depression. Results: The results showed that subjects aged 65 to 74 had difficulty understanding the explanations of medical staff even though they did not have cognitive impairment. Only 11.1% of this group received psychological counseling, which was the lowest rate among the various age groups. Among the subjects, 62.4% of those aged 19-44 or 45-64, who had suicidal thoughts and attempted suicide, received psychological counseling and this was the highest rate among the age groups surveyed. Conclusion: The identification of people showing depressive symptoms is crucial for encouraging them to undertake treatment. Also, proper depression-oriented medical services should be developed and implemented for people with depressive symptoms who exhibit a blind spot towards attempting treatment.

Refugee Medical Administration in Republic of Korea (대한민국의 난민 의료지원)

  • Samin Hong
    • Health Policy and Management
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    • v.33 no.2
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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.