• Title/Summary/Keyword: care management

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A Study on the Affecting Factors to Utilization of Long Term Care Hospitals According to the Elderly Long Term Care Insurance System in Korea (노인장기요양보험 도입 후 요양병원 이용에 영향을 미치는 요인)

  • Lee, Yun-Seok;Moo, Seung-Kwon
    • Korea Journal of Hospital Management
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    • v.15 no.1
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    • pp.49-69
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    • 2010
  • The major purpose of this study is to find out relevant factors affecting utilization of Long Term Care Hospitals since the Elderly Long Term Care Insurance System was adopted in Korea. The sample hospitals of this study are 5 long term care hospitals located in 4 big cities and 1 local area. The research data were collected with structured questionnaire from 247 patients and patients' protectors in 5 sample hospitals. Analyzing methods are descriptive statistics, factor analysis and multiple regression with SPSS(version 12.0). Major results of this study are as follows. 1) Utilization and recommendation of patients is affected significantly by the level of hospital facilities (0.043), fee level(0.026), level of staff (0.000), and discomfort of services(0.001). 2) Level of staff is very positively correlated with utilization and recommendation of patients. 3) Discomport of services is very negatively correlated with utilization and recommendation of patients. On the basis of results this study conclude that the management of Long Term Care Hospitals is required conclude to improve the level of staff and facilities and to solve discomport problems of services for patients' marketing. And also more in-depth study on the utilization factors of long term care hospital in Korea is required.

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A Survey on the Intake Pattern and Consumption Propensity of Milk by Preschool Children in the Bucheon Area (부천 지역 유아의 우유 섭취 실태와 소비 성향에 관한 조사)

  • Cho, Shin-Ho;Bae, Mi-Ae;Kim, Han-Na;Kim, Won-Ju;Park, Min-Seong;Yoon, Hye-Young;Lee, Hyun-Sun;Oh, Su-Jung;Park, So-Hyun
    • The Korean Journal of Food And Nutrition
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    • v.24 no.4
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    • pp.607-616
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    • 2011
  • We identified the intake pattern and consumption propensity of milk and sought improvements to promote consumption of milk. We targeted 362 preschool children aged 5~7 years old who attended nursery school in the Bucheon area. Questionnaires were distributed and 328 questionnaires were collected. Approximately 36.2% of boys and 31.2% of gorls drank milk six times per week. A total of 32.9% of the preschool children drank more than 2 cups of milk/day. Approximately 72.9% of them currently drink white milk, and 46.0% preferred milk to processed milk. The reasons why they drink milk included 'want to be tall'(66.5%) and 'good health'(52.4%). Mothers(54.6%)and preschool children(39.3%) were the purchasers with the greatest impact on product purchases. Consumer propensity to buy milk was shown in the order of expiration date(4.80 points), and nutrition facts(4.01 points). (4.88 points) and enhanced nutrients(4.59 points) should be promoted for milk consumption. Therefore, it is thought that continuous nutrition education should be made together in order to increase consumption of milk of children and education targeting teachers and school parents should be conducted as well. And in order for children to drink milk without repulsion, the development of various products satisfying both symbolic aspects and nutritional aspects should continue to be made.

Primary Care Physicians and Residency Training Programs in Korea (일차진료의사 양성과 전문의수련제도)

  • 김병익
    • Health Policy and Management
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    • v.9 no.2
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    • pp.139-156
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    • 1999
  • Recent changes in the health care environment have directed increasing attention to the number and specialty mix of practicing physicians. A major concern identified in Korean health care system is the serious oversupply of specialists and a relative lack of primary care physicians. Currently only 21% of Korean physicians are primary care physicians(general practitioners and family physicians), and less than 10% of recent medical school graduates are choosing to enter primary care. More primary care physicians are needed to deal with major problems in the current health care system, such as cost and access. The infrastructure that relies on primary care physicians is needed to deliver cost-effective and efficient care. To achieve a better balance of primary care to non-primary care physicians. more medical students need to choose careers in one of the primary care specialties(family medicine. internal medicine and pediatrics). This paper suggests the necessity of reforming the Korean graduate medical education system, that is, establishing the path of training primary care physicians in internal medicine and pediatrics residency training programs.

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The Effect of Case Management for Clients with Hypertension in Home Visiting Health Services (일 보건소 방문건강관리사업 고혈압대상자의 사례관리 효과)

  • Jang, Hyo Soon
    • Journal of Korean Public Health Nursing
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    • v.28 no.2
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    • pp.258-269
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    • 2014
  • Purpose: This study was conducted in order to present the effects of case management of a home visiting health service for clients with hypertension. Method: One-group pretest-posttest design was used. The subjects were 280 clients who received case management among the first and second registered group. The data were eight-week-case management results from January to December, 2010. In order to evaluate the effect of the visiting nursing service, biological indexes(blood pressure, total cholesterol, triglyceride, high density lipoprotein, low density lipoprotein, BMI) and self-care abilities(knowledge/attitude of hypertension, management of medication, nutritional care, confidence of self care) were measured. Result: Biological indexes and self-care abilities were improved, except total cholesterol, low density lipoprotein. Conclusion: The case management of home visiting health service by public health centers is considered to be an effective nursing service. Therefore, greater effort is needed for better maintenance of case management, and more research is needed in order to examine a variety of biological indexes.

Exploring the Use of Balanced Scorecards in Swedish Health Care Organizations

  • Kollberg, Beata;Elg, Mattias
    • International Journal of Quality Innovation
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    • v.7 no.2
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    • pp.1-18
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    • 2006
  • Many Swedish health care organizations have during the last decade started implementing the Balanced Scorecard (BSC) as a systematic way of following-up and analyzing their activities. However, the knowledge of its use and contribution in a health care context is insufficient. Based on a multiple case study the authors explore the use of the BSC in the Swedish health care services. The authors conclude that the concept in a health care context is used as a quality management tool that make new demands on management. In addition, the authors bring out important factors for a long-term use of the BSC.

Analysis of Research Trends in the Korean Journal of Health Service Management (2007-2018) (보건의료산업학회지의 연구동향 분석(2007~2018))

  • Bae, Sung Kwon;Cho, Kyoung Won;Ryu, Ji Hye;Kim, Seong Min;Lee, Gyu Hee
    • The Korean Journal of Health Service Management
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    • v.13 no.4
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    • pp.1-8
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    • 2019
  • Objectives: This study is prepared to understand the past of the KJHSM (Korean Journal of Health Service Management), to analyze the papers in the KJHSM, to identify the research trends during 2007~2018, and to help the future development of research. Methods: The data for the objectives was collected major KCI index and key words of the articles in KCI web site. Results: The KJHSM has good performaces that KCI IF(2 year) is 0.98, Centrality Index(3 Year) is 1.188, Immediacy index is 0.19, and Self Citation Rate(2 Year) is 25.81. Conclusions: In order to improve the academic quantity and quality in the KSHSM, we will need the vision to corporate and participate through more good research results and performance with desirable ethic value.

Chief's Perception of Institution Management Related to Types of the Institution for the Child Care and Education - Space Usage Behavior of the Institutions Related to Child Care and Education(VII) - (아동보육 및 교육 관련 기관 원장의 운영에 관한 인식 -아동보육 및 교육 관련 시설의 공간이용행태(VII)-)

  • Park, In-Jeon;An, Ok-Hee;An, Gee-Yeon;Suk, Ju-Young
    • Korean Journal of Human Ecology
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    • v.7 no.1
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    • pp.1-9
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    • 1998
  • The major purpose of this study was to investigate chief's perception of institution management according to the types of the institution for the child care and education. The subjects for the analysis were 220 chiefs who actually run the institutions for the child care and education, including kindergarten, private nursery, group day care home, and private educational institute. The data were analyzed by the five different methods, which were frequency, percentage, chi-square test, one-way ANOVA and Scheffe test, using the 7.5 version of SPSSWIN program. The major research results were that (1) the chiefs of the institutions for the child care and education have suffered many difficulties in the administrative and financial respects ; (2) the main area in need of the government's assistance is either that of personnel expenses for teachers or that of expenditures necessary for improving their status ; and (3) on the whole chief's perception of institution management differed by the types of the institution for the child care and education.

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Child Care Arrangement and The Needs of Day Care Programs of teaching Mothers with Preschool Children (교사직 취업모의 자녀위탁 실태 및 탁아 요구에 관한조사)

  • Choi, Jung-Mi;Lee, Sook
    • Journal of Families and Better Life
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    • v.11 no.2
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    • pp.134-146
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    • 1993
  • The purpose of this study was to collect the datas about the child care arrangement and the needs of day care programs of teaching mothers with preschool children and to develop the more desirable day care programs for them. The objects were 255 teaching mothers with preschool children. The results were as follows: 1) Teaching mothers who didn't use the day care center tended to put their children in the care of the paternal or maternal grandmothers, Major contributions of those baby-sitters were to protect the children and make everyday life training (44.0%) 2) The first reason for the mothers who used the day care center was that they had no other hands for their children(43.7%) and next reason was that the concerns for their children's socialization(35.4%) 3) Teaching mothers did not want the day care service during the vacation except 20% of them. 4) Teaching mothers absolutely wanted the day care service center especially inside their jobsite(61.0%) than any other type of day care programs and also wanted supporting by the government(66.5%) About the choice criterions of the day care center nutrition health and safety were suggested as the most important factor. They also prefered the experience with other peers and the programs focusing on the emotional development of the children.

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Parishioner's role Expectations of Parish Nursing (한국 교인들의 목회간호 역할기대)

  • Kim, Chung-Nam;Kwon, Young-Sook
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.231-244
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    • 2000
  • Parish nursing is a community health nursing role developed in 1983 by Lutheran Chaplain Granger Westberg. An increasing emphasis on holistic care, personal responsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The purpose of this study is to investigate what the korean parishioners want in parish nursing and what type of role expectation from parish nurse. The subjects were 1138 parishioners of 23 churches of various denominations in nationwide Korea. Data were collected by self-reported question naires from Feb 4 to June 25. 1999. The data were analyzed by using percentage. frequency. $x^2-test$. multiple Response set with SPSS program. The results are as follows: 1. Desired parish nursing contents by parish nurses are: psychological counselling(23.4%) out of private counselling. stress management(21.1 %) out of private health education. Emergency care(14.1%) out of group health education. Blood Pressure check-ups (19.0%) out of Health check ups. home visiting(44.9%) out of patient visiting method. B T. pulse, respiration and blood pressure check(15.0%) in Care to serve in home visiting. spiritual preparation to accept the death(41.7%) in hospice care, advices to choice of medical treatment using guide(50.1%) in introducing and guiding of health care facilities, pray(21.7%) in spiritual care' faith support. 2. Desired Health Teaching Content According to Period of Clients by Parish Nurse are: Vaccination(22.5%) in infant and toddler health management. sexual education(25.3%) in adolescent health management. prenatal care (29.5%) in pregnant health management. osteoporosis prevention and management (22.4%) in Middle aged health management. dementia prevention and management(25.5%) in elderly health management. 3. The expectant role from parish nurse is spiritual care faith support(14.1%). patient visiting care(13.2%), hospice care(12.9%), private counseling(12.8%), health check ups (11.1 %), volunteer organization and training out of believer(11.0%), private health education (9.3%), group health education (8.3%). 4. In Necessity of Performing Parish Nursing according to Region, Most(over 95%) responded that nursing program is needed. so there is no significance between regions. In Performing Parish Nursing in their church, Most(92.2%) responded they want to perform program. 5. In case of performing parish nursing, 52% out of the subjects responded they want to participated in parish nursing volunteer's activity, for example. to be in active to be a companion to chat(42.1%), necessity support (25.3%), donation support(25.0%), exercise support(18.2%), vehicles support (9.9%). As a result. in holistic care and spiritual care, the need of parish nursing and the role expectation from parish nurse are very high among korean believers. Therefore, I suggest parish nursing centering around Taegu and Kyungbuk province should be extended to nationwide. For extending parish nursing program. more active advertisement and research is needed. After performing parish nursing program through out the country, further comparative research between regions should be practiced and Korean parish nursing program will be developed and activated.

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Development of the Curriculum for Care Manager of the Elderly (노인 케어매니저 양성을 위한 교육과정(안))

  • Han, Suk-Jung;Yoon, Soon-Ho;Kim, Young-Hye;Kim, Il-Ok;Shin, Sung-Rae;Lee, Kyung-Soon;Oh, Pok-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.11 no.2
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    • pp.240-251
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    • 2005
  • Purpose: The purpose of this study was to develop a curriculum for care manager based on the results of professional workshops and through the analysis of the roles and curriculums of care managers in other countries. Method: The process of this study included a review of literature, getting advice from various experts, a review of the present state of education programs at abroad. Result: This study revealed the basic content of care manager education which includes understanding health care and welfare delivery system. process of care manager, resource management, legal and ethical issues, management of health and a life style of elderly, communication, stress management. The major roles of care manager was revealed as the one who assess the needs of elders, making a care plan, evaluator, supporter, coordinator and a risk manager who coordinates, validates and reassesses various services needed by elderly. Conclusion: These results can be utilized in care manager educational program for raising the quality of care manager and care management services.

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