• 보건행정학회지
• /
• 제30권4호
• /
• pp.522-530
• /
• 2020

Background: In 2008, Korea implemented a new type of social insurance known as "long-term care insurance". We examined the association between ownership of long-term care facilities and the incidence of pressure ulcers after the implementation of "long-term care insurance". This study is a population-based retrospective cohort study from 2006 to 2013. Methods: We used medical claims data from the Korean National Health Insurance Corporate Elderly Cohort Database from 2006 to 2013. These data comprise a nationally representative sample. To avoid confounders, only patients admitted to one long-term care facility and who stayed for >70% of the follow-up time were included; as a result, 3,107 individuals were enrolled. The main independent variable was the operating entity of the long-term care facility (local government, corporate bodies, and private for-profit owners), and the dependent variable was the 1-year incidence of pressure-ulcers. Survival analysis (Cox proportional hazard model) was used as an analysis method. Results: Compared to patients admitted to local government long-term care facilities, patients admitted to private long-term care facilities had a significantly higher 1-year risk of pressure ulcers (hazard ratio [HR], 1.94; 95% confidence interval [CI], 1.29-2.91); the risk was especially high among patients who were cognitively dependent (HR, 2.34; 95% CI, 1.25-4.37). Conclusion: Patients admitted to private for-profit long-term care facilities were more likely to have pressure ulcers compared to those in local government and corporate body long-term care facilities. Appropriate assessment tools and publicly available information, as well as more restricted legal requirements, are needed to improve the care quality and outcomes of patients in long-term care facilities.

• 대한영양사협회학술지
• /
• 제24권3호
• /
• pp.231-245
• /
• 2018

This study was conducted to investigate the status of food allergy knowledge and management of the teachers and operators of child care facilities in the Daejeon Area. Surveys of 262 teachers and 50 operators of child care facilities in Dong-gu and Jung-gu in Daejeon were conducted. The prevalence of food allergies was found to be 3.6% (102 children). The average score of teachers in the anaphylaxis knowledge survey was $0.18{\pm}0.22$. Additionally, the needs for food allergy education among teachers and operators was 88.2% and 98%, respectively. The survey revealed that all child care facilities in this study provide food service menus to parents, but only 14 facilities (28%) provided alternative food to children with food allergies, and some of these 14 facilities did not provide adequate alternatives. To ensure the safety and healthy growth of children with food allergies, it is necessary to provide food allergy education to teachers and operators, as well as to establish safe food service and allergy management systems in all child care facilities.

• 한국실내디자인학회논문집
• /
• 제18호
• /
• pp.59-65
• /
• 1999

As women's economic participation increases, the problems of day care appears seriously in Korea. The government made of nurture law for infants in 1991 and drove more establishment day care center, However, currently only 7.3% of 1.86 million infants, of working mother's infants under age 5, are caring. The employers supporting day are facilities which have many advantages such as enable women's economic participation stability of mental state, but the number of such facilities was recorded as 114 in 1996. therefore, the support for the facilities are demanding in terms of quantity but it is required improvements of in terms of quantity because infants are easily influenced by their environment. This study aims to provide infants of employers more efficient and better interior environment for day care and education facilities. By analyzing actual condition of plans and space utilization of selected facilities were cases and found out the problems in the selected facilities. The study of study identified are explained. 1. The object of study identified are explained. 2. Relevant theories and studies on environmental structure of infant day care. 3. The present conditions of infant day care are investigated and analysed with selected facilities as cases. 4. The concept and basic direction of design was made based on above researches.

• 한국농촌건축학회논문집
• /
• 제20권3호
• /
• pp.37-45
• /
• 2018

There are many advantages to unit-care welfare facilities' care services for the elderly in Japan. The field research was conducted after holding interviews with employees at five elderly welfare facilities in Japan. This research analyzes the space arrangement of unit-care welfare facilities in Japan's Tohoku rural area. The purpose of this study is to provide design data on the space arrangement of a unit-care facility for Korea. The results of research are as follows. 1. Cafes, restaurants, and stores were operated in the elderly welfare facilities, which were open to the general public as well. Therefore, local residents frequently visited. 2. The kitchen, living rooms, private bedrooms and construction of the elderly welfare facilities were similar to that of normal residential houses. 3. The event hall is conveniently located at the center of the facility. 4. It was easy to understand the health status of the elderly by having a health office in the open living room. 5. There were open spaces which are frequently used by the homebound elderly, including room rehabilitation, daycare and short term residence. The above results will be used for space planning data in Korean unit-care facilities.

• 아동학회지
• /
• 제21권1호
• /
• pp.179-199
• /
• 2000

The quality of equipment and facilities of 89 social welfare Institutions in T. City was investigated by a questionnaire submitted to 705 day care teachers. The questionnaire was made up of 28 items about indoor equipments and 22 items about outdoor facilities. Results showed that the quality of indoor and outdoor equipment and facilities did not meet the minimum legal criteria. Recommendations wear made for systematic rating and enforcement of laws concerning day care equipment and facilities.

• Industrial Engineering and Management Systems
• /
• 제12권3호
• /
• pp.190-197
• /
• 2013

People are living longer than ever before. As a result, life expectancy is going up and the demand of long-term care facilities is increasing in most countries. The facilities provide rehabilitative, restorative, and skilled nursing care to patients or residents in need of assistance with activities of daily living. This study deals with the capacitated location and allocation problem of long-term care facilities in a city that consists of a finite number of regions. Assuming that in each region candidate locations for three types of facilities are already given, two integer programming models are developed under the closest assignment rule reflecting the demand characteristics of the facilities. Both the location and type of the facilities to be built become decision variables. To show the validity of the models, numerical problems are solved with commercial software, CPLEX. Also, sensitivity studies were conducted to identify relationships between the system parameters.

• 한국실내디자인학회논문집
• /
• 제16권3호
• /
• pp.93-101
• /
• 2007

The purpose of this study is to propose our direction of long-tenn care facility for elderly. The long-tenn care insurance plays an important role for human well-being. The functional and architectural changes of Japanese elderly care facilities have been analysed in order to predict changes in Korean welfare facilities. In Japan, Unit-care and private rooms are essential elements after reforming welfare facilities for aged. This study proposes components of unit-care through the analysis of 20 facilities for the aged. A unit is basically consist of private rooms, rest room, public living area, kitchen, health care service station, and bath room. Besides, smoking room, tea room, public terrace, guest room, court yard, and so on can be added. A unit can be connected with other unit by semi-public spaces or can be independently organized. This relationship has been classified into 2 types; Open unit type and Separated unit type.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제15권4호
• /
• pp.33-43
• /
• 2009

As a result of rapid aging speed in our society, many problems related to elderly people have happened in many parts of our society. Among them, supply for elderly housing is one of the biggest problems. To solve these problems, 'long-term care insurance' has been put in operation from July 2008. By the time of the insurance operation, Ministry of Health and Welfare is increasing facilities every year according to '10-year expending plan of Care service infra' from 2002. As a result, the supply rate of elderly facilities has been raised. But the differences of facility supply rate between regions are very high in some cases. Therefore older people who need care sometimes cannot get proper care services in some areas. In that case, the frail older people have to use other care facilities of other regions. This is not a proper situation from the point of "Aging in Place". In order to prevent that case, it is necessary to set up proper 'Daily Living Spheres' and establish elderly care plan for it. Considering the points above, this study proposes the size of 'Daily Living Spheres' for the elderly, the kind and amount of elderly care facilities in it for the construction of Community Based Elderly Care System.

• 가정간호학회지
• /
• 제12권1권
• /
• pp.70-91
• /
• 2005

Purpose: Long-term care facilities have a responsibility to provide care service that enables residents to maintain their maximal functional capacity and quality of life. Also their needs must be reflected to the service programs. In oder to provide an adequate service, we should assess the elderly's physical, psychological and social health status and the need. In addition to this, the long-term care facilities must be defined clearly by the type of services. This study would contribute to conduct appropriate services in public long-term care policy for the older population in the future. This study would provide informations of long-term care facilities' services and older persons' needs for long-term care. Method: To achieve this objectives, this paper investigates the types, service programs of long-term care institutes and job descriptions of workers. The subjects were consisted of 150 long-term care institutes. 150 institutes of long-term care facilities were drawn from all over the country by a nonrandom, convenience sampling. The data were analyzed by frequency, percentage, $x^2$-test using SPSS program. The instruments of this study were self-reported questionnaires for long-term care institutes. The data were collected from March 1, 2004 to may 31, 2004. Results: Service programs of long-term care institutes were not enough for residents' demands. The job descriptions among nurse, social worker and physical therapist were not clearly defined. The nurse's main role was medication and checking vital sign(49.7%), that of social worker's was observation and supervising (31.2%). The most significant problems were lacking of diverse service programs for residents. Conclusion: Considering these findings and conclusion, the needs of long-term care services should be provided by individual physical and psychological level. And the professional manpower for elderly should be educated in multi disciplines.

• 지역사회간호학회지
• /
• 제9권2호
• /
• pp.324-335
• /
• 1998

This study describes the extent of recognition of problems to the aged in a future society, the recognition and necessity of day care facilities, and the service contents and patterns preferred as a method of mediation for nursing the aged and increasing their quality of life. It also tries to certify the relations between those subjects. The result of the study is as follows: 1. Concerning problems of the aged of social significance the aged of the next generation consider the difficulties in nursing the aged to be the most important at 63.6%. 2. Concerning the nursing of parents, 49.4% of those answered 'children should take care of their parents and live together', while 46.7% answered that 'it is enough for children to provide an economic support, not necessarily living together. 3. Concerning information of day care facilities, 66.9% answered that they have no information. 4. Concerning the use of day care facilities, 54.6% answered that 'they would under certain circumstances', and 21.0% that 'they had better use them in the future'. 5. Concerning the feelings of the aged using day care facilities, 46.6% say 'they do not look poor', and 33.4% said that 'they look a little poor'. 6. Concerning the reasons for using day care facilities, 56.1% answered' because children do not proride care', and 48.5% answered 'because their economic ability is not sufficient'. 7. Concerning the programs potentially needed, food supply, medical services and physical therapy were ranked in that order. 8. Concerning social facilities necessary for the aged, centers that specialize in dementia, free day care facilities, home care services, and fee - based day care centers were ranked in that order. 9. Concerning institutions providing day care, welfare centers for the aged, those centers auxiliary to hospitals, asylums, and individuals were ranked in that order. 10. Concerning the responsibity running day care facilities, social workers, doctors/nursing assistants, nurses, and entrusted visitors were ranked in that order. Based on the results of this study, the study proposes that the study of applied cases of therapy in day care facilities for the aged continue.