• Title/Summary/Keyword: care management

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Administrators' Experience of Using Service Provided by Center for Children's Foodservice Management among Home-based Child Care Centers in Seoul (서울지역 가정어린이집 원장의 어린이급식관리지원센터 이용 경험 분석)

  • Lee, Joo-Eun
    • Journal of the Korean Dietetic Association
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    • v.23 no.3
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    • pp.240-262
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    • 2017
  • This study examined the experience of administrators of home-based child care centers about CCFSM (Center for Children's Foodservice Management) service using a qualitative approach. Eight administrators of home-based child care centers in Seoul with more than one year's experience of CCFSM were interviewed regarding their opinions on support activities, standards, and foodservice management. The interviews were semi-structured with open-ended questions and they were transcribed and classified according to the subjects. There were negative opinions regarding the indications after a hygiene inspection leaving photographs or records behind, but most positive opinions were about round visits for foodservice sanitation and nutrition management. The participants thought that it is not enough that the number of nutrition education sessions for children be twice a year, and there was a suggestion to increase the rentals of nutrition educational materials. There was a complaint about the menus in that were difficult to prepare for lunch time or to obtain food ingredients for. The administrators poorly recognized how to use the standardized recipes and chlorine-based disinfectants, so they could not be applied properly. They also pointed out the problems of joint purchasing as low quality and high prices in the food service operation. They felt discriminated against compared to with larger scale child care centers because of their size and expressed concerns regarding the fact that many home-based child care centers were not included due to the lack of publicity and budget. Through the results, the CCFSM should provide a differentiated service and management by creating a dedicated team or staff for home-based child care centers so they will not feel left out. In addition, It is also important to constantly gather opinions to improve the menus and to use standardized recipes practically. In addition, it will be necessary to develop nutrition educational materials corresponding to the infants' age for home-based child care centers and increase the rent to expand nutrition education.

Causal Relationship among Baldrige Health Care Criteria in Korean University Hospitals (말콤볼드리지 의료서비스 평가 모형의 인과관계 분석 : 국내 대학 병원을 중심으로)

  • Lee, Sang-Chul;Suh, Yung-Ho;Han, Sang-Suk
    • Journal of Korean Society for Quality Management
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    • v.35 no.4
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    • pp.1-15
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    • 2007
  • The purpose of this study is to evaluate the causal relationship among the MBNQA health care criteria in Korean University Hospitals. The survey instrument consists of 109 questions based on the seven MBNQA health care criteria: '1.Leadership', '2.Strategic Planning', '3.Focus on Patients Other Customers. Markets', '4.Measurement Analysis Knowledge Management', '5.Human Resource Focus', '6.Process Management', and '7.Results'. Structural Equation Modeling(SEM) is used to analyze the path coefficients among the seven categories. The results indicate that fourteen hypotheses are statistically significant, among eighteen hypotheses. Conclusively, this study found that Leadership drives systems that create Results through Foundation and Direction.

A Study of Job Educational Satisfaction for Activating of Tailor Made Visiting Home Health Care (맞춤형 방문건강관리사업 활성화를 위한 직무교육 만족도)

  • Lim, Ji-Young;Kim, Ji-Yoon
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.14 no.1
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    • pp.23-30
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    • 2007
  • Purpose: The aim of this study was to establish basic data for developing education program of tailor made visiting home health care. Method: For this study, the subject was recruited in one directorial area among 14 nation-wide areas. The data collection was done using self-report questionnaire developed by Korea Health Industry Development Institute. Ninety one questionnaires were analyzed and response rare was 88.3%. Result: The major results were as follows. Aspect of education operations, the satisfaction of education space was revealed high. However, the satisfaction of education time, hour, and schedule were low. The overall satisfaction of education contents were revealed high. The most useful curriculums were found Chronic disease management, Infant & toddler health management, and Case management of tailor made visiting home health care. However the most unuseful curriculums were Nutritional management according to subject's health problem, Health promotion for poor family, and Understanding of visiting service in community health center. Conclusion: With these results, it was identified that the most needed contents of tailor made visiting home health care education program. So these results will be used to develop the more effective education program to activate tailor made visiting home health care service in community health center.

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Nurses' Perceptions Regarding Sign & Symptom Management in End of Life Care in Nursing Homes (노인요양시설 간호사의 임종 징후 관리에 대한 인식)

  • Lee, Se-Hyun;Chang, Sung-Ok;Kim, Mi-So
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.2
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    • pp.209-219
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    • 2010
  • Introduction: The phenomenon related to sign & symptom management for end of life of the patients is of interest to researchers in nursing society today. This study was conducted to clarify and to conceptualize the factors of sign & symptom management in end of life care though nurses' perceptions on this phenomena. Methods: The qualitative study method was used to explore the experienced nurses' perceptions related to sign & symptom management in end of life care. It included a field study carried out in South Korea using in-depth interviews with 30 experienced nurses from three nursing home facilities. Results: This study identified the following categories related to end of life care with sub-categories for each category: (1) nurses' modes in identifying the signs related to patients' end of life, (2) nurses' perceived directions on patients' end of life care, (3) nurses' perceived strategies in end of life care and (4) nurses' perceived barriers in end of life care Conclusion: Through this study, characteristics of the way nurses' provide for patients' end of life care are identified, along with how nursing decisions are made to manage the sign & symptom indicating patients' end of life.

Clothing Management Behavior and Care Label Use of College Students (대학생의 의복관리행동과 섬유품질표시 인지도)

  • Lee, So Young;Shim, Huen Sup
    • Fashion & Textile Research Journal
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    • v.23 no.6
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    • pp.852-859
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    • 2021
  • The purpose of this study is to investigate the clothing management behavior and the recognition of care label of college students, as well as the effects of sex and the learning experience of clothing life area on middle and high school students. A survey consisting of 61 questions was conducted on 475 college students(240 males and 235 females) enrolled in a university in Cheongju City, and 450 college students' data were finally analyzed. The results are as follows. First, the level of washing behavior(2.54) was the lowest compared to purchasing behavior(3.13) and storage behavior(3.09). Second, college students were well aware of the attachment of fiber care labels, but 64.7% of the college students did not check the care label. About 30% of them did not know why the care labels were attached, and about 57% did not know whether manufacturers were obligated to attach them. The meaning of precautions for handling in a care label was well inferred from the symbols. Third, there was the positive effect of the learning experience of clothing life area during middle or high school on the college students' clothing management behavior and the level of recognition of a care label. This study is meaningful in confirming the positive effect of clothing life education in adolescence on adult clothing life behavior.

Factors Associated with the Types of Unmet Health Care Needs among the Elderly in Korea (우리나라 노인들의 미충족 의료 유형별 관련요인)

  • Choi, Hee-Young;Ryu, So-Yeon
    • The Korean Journal of Health Service Management
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    • v.11 no.2
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    • pp.65-79
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    • 2017
  • Objectives : This study aimed to investigate the types of unmet health care needs of the elderly and factors affecting them. Methods : This study used data from the 2012 Community Health Survey. Multinomial logistic regression analysis was conducted to identify the relevance between each type of unmet health care needs and predisposing, enabling, and needs factors, based on the cases without unmet health care needs. Results : Persons with unmet health care needs were 4,460 (9.5%) of the total sample. By types of unmet health care needs, 1,171 (2.5%), 1,026 (2.2%), and 2,263 (4.8%) persons reported inaccessibility, non-accommodativeness, and unaffordability respectively. It was concluded that the there were differences in the associated factors according to the types of unmet medical needs. Conclusions : It is suggested that unmet health care needs in the elderly should be examined from diverse angles rather than from a single aspect of partial limits. In particular, diverse types of unmet health care needs for health care in the elderly according to limited accommodation shoulder be examined. Finally, strategies to decrease unmet health care needs that reflect the associated factors should be developed.

Case Analysis to Establish an Integrated Care System for Seniors (노인 통합케어 시스템 구축을 위한 사례분석)

  • Yoo, Yong-Shik
    • The Journal of the Korea Contents Association
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    • v.11 no.2
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    • pp.367-375
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    • 2011
  • This study conducts analysis on integrated care cases in Korea and other nations regarding health, medical, and welfare services that are segmented and fragmented in order to provide foundational data to establish an integrated care system appropriate for the situation of Korea. According to the result of the cases, integrated care provides various services in common through cooperation with organizations, collaborative participation of various professionals, provision of intervention and individualized protection, and experts for taking care of the cases. Based on those cases, this paper provides suggestions to establish an integrated care system of Korea. In fact, it is necessary to build integrated care general support centers, arrange service providing places in common, establish a care management system, develop resources and expand manpower, develop an integrated care case management system, and develop integrated care computer network.

Health Care Needs and Health Problems of the Subjects in a Health Center (보건소 방문간호 대상자의 건강문제와 방문간호 요구)

  • Kim, Soon-Lae;Lee, Kyeong Yeao
    • Korean Journal of Occupational Health Nursing
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    • v.8 no.1
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    • pp.103-108
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    • 1999
  • In order to investigate the basic data for the visiting nursing care plan of Health Center in Korea, the questionnaire survey in regard to health care needs and health problems of the subjects with visiting nursing care was carried out on 131 subjects with visiting nursing care. The results were as follows : 1. The subjects consisted of 38.2% in male and 61.8% in female. 77.1% of the subjects had no job. 2. In the health problem, the subjects symptoms were 31.2% of hypertension, 20.6% of arthritis, and 19.1% of diabetes and other chronical illness. Utilization of medical care facilities were 61.8% of private clinics or general hospitals and 29.0% of Health Center. 3. 10 areas of health care needs that subjects wanted were disease management(19.5%), demand for welfare concerns(15.7%), health promotion and disease prevention(14.2%), information for medical institution(12.3%), health management for the aged(10.8%), hospice care(8.0%), prevention of dementia(8.0%), care for mental hygiene(6.7%), management for drinking, smoking and drug abuse(3.3%), home care nursing and rehabilitation nursing(1.2%).

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A Time Study of Nursing Activities by Home Care Nurses for Non-Cancer Terminal Patients (가정전문간호사의 비암성 말기환자 간호행위 시간 분석)

  • Lee, Hanul;Lee, Jong-Eun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.26 no.2
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    • pp.180-188
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    • 2019
  • Purpose: To investigate the duration of each nursing activity performed by home care nurses for non-cancer patients and the relationship between patients' palliative prognostic index (PPI) and duration of each nursing activity. Methods: Nursing activities performed for six non-cancer terminal patients were timed using a stopwatch, and 18 parameters were measured by visiting each patient thrice. The mean and standard deviations of duration for each category of nursing activities were computed. The relationship between category-specific duration of nursing activities and PPI was analyzed with Spearman's correlation and multiple regression analysis. Results: Among nursing activities, the highest greatest duration of time was spent on traffic time (11.91 min), followed by urinary catheter management (10.65 min) and insertion and management of nasogastric tube (9.03 min). In terms of nursing categories, after excluding movement time, the greatest duration of time was spent on excretion care (5.48 min), nutrition care (5.40 min), and medication (3.82 min). PPI correlated with hygiene care, excretion care, and patient and information management. Multiple regression analysis revealed that PPI increased with increasing duration of hygiene care. Conclusion: These study findings provide grounds for the increased nursing time of hygiene care for people reaching the end of life.

How-to of MB Government's Health Care Policy: Private Health Insurance and For-Profit Hospitals (신(MB) 정부의 보건의료정책과 의미: 민영건강보험의 활성화와 영리병원의 허용)

  • Kim, Won-Shik
    • Health Policy and Management
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    • v.18 no.4
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    • pp.185-206
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    • 2008
  • The National Health Insurance (NHI) has been the main body of health care system in Korea for the last 30 years since the NHI was founded. However, the inefficient management and strong regulations of the NHI have hindered the development of health care industry. The establishment of the MB government, whose interest lies on economic growth rather than equity, is expected to help the health care services gain a momentum. The essential measures that can step up public health care services overall are the following: the introduction of competition within NHI, the activation of private health care insurance, and the allowance of for-profit hospital. The private-public mix with market mechanism would level up the health care service for the public.