• Title/Summary/Keyword: care policy

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Analysis of Maternal Child Health Services in Korea - Perspective of the Premature Infant - (우리나라 모자보건 정책사업 분석 - 미숙아와 저체중출생아를 중심으로 -)

  • Lee, Hye-Jung;Lee, Kwang-Ok;Shin, Mi-Kyung
    • Child Health Nursing Research
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    • v.15 no.1
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    • pp.81-87
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    • 2009
  • In recent years, reductions in infant mortality have mainly been accomplished by improving the survival of premature and low birth weight infants, however premature infants still remain at great risk. The purpose of this study was to review the maternal child health service related to premature infants and to provide a future direction for improving maternal child health (MCH) in Korea. We reviewed two MCH services which are directly related to premature infants: 1) a registry and financial support program for families with a premature infant, and 2) financial support to build neonatal intensive care units in rural public hospitals. Suggestions are made for the development of a national vital signs record system to identify high risk infants and to monitor the trends in infant mortality due to prematurity. Prevention efforts and preconception care for childbearing women is also an important strategy to reduce the rate of preterm births. Finally, we need consider long-term follow-up plans for premature infants for a successful transit to the special education system. Developing MCH policy related to premature infants that decreases the occurrence of premature may decrease infant mortality, and also improve maternal and child health services.

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Teachers' Attachment History and Child-Teacher Relationships in Early Childhood Education Settings: Examining Mediating Effect of Teachers' Psychological Well-Being (유아교사의 애착히스토리가 유아-교사관계에 미치는 영향: 교사의 심리적 안녕감의 매개효과 검증)

  • Lee, Ga-Young;Chae, Jin-Young
    • Korean Journal of Childcare and Education
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    • v.12 no.5
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    • pp.1-16
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    • 2016
  • The purpose of this study is to examine the mediating effects of teachers' psychological well-being between teachers' attachment history and child-teacher relationships. The participants of this survey were 342 teachers from 41 day care centers and 11 kindergartens in four metropolitan cities and five provinces in Korea. The collected data were analysed through frequency and percentage calculation, Pearson's correlations, and the mediation methods suggested by Baron & Kenny(1986) were calculated by using SPSS 21.0. The findings are as follows. First, the percentage points of the attachment history of early childhood, the teachers' psychological well-being and the child-teacher relationship were higher than the average. Also, all the variables had correlations. Second, the teachers' psychological well-being partly mediated the relations between attachment history and child-teacher relationships. These results imply that teachers' psychological well-being is needed for positive child-teacher relationships, and can provide policy implications for teachers' psychological well-being in order to improve the quality of child-teacher relationships.

Suggestion on Senior Housing Policy with Consideration of the Features of Service and Housing Alternatives for the Senior of the U.S.A. (미국의 노인을 위한 주거대안과 서비스의 특성을 통해 본 한국의 노인주거 정책에 대한 제안)

  • 곽인숙
    • Journal of Families and Better Life
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    • v.21 no.6
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    • pp.81-95
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    • 2003
  • While Korean traditional culture considers it necessary that children support their parents, a new trend of silver support is expanding by the recent social change, the increase of women's working, and the reluctance to support the old people. However, the number of silver welfare facilities in Korea is short for the demand with limited selections of them. Based on the situation, the following results of the study what kind of policies Korea service for the old people in the USA where early stepped into the aging society: 1. provide specific and proper social-supporting service and facilities with charge or free for the old people to be able to select one of them, according to economic, physical and psychological situation of the old people; rather to prepare service and facilities for all the old people. 2. increasing community service support for the home-staying old people 3. the development of support program for the family of the old 4. the improvement of housing environment for the home-staying senior 5. prepare the housing alternatives for the senior would be home-like environment.

Allocation Criterion of the Economic Resources Transfers to Adult Children Among the Middle Aged and the Elderly (중.노년기 가계의 신인 자녀에 대한 경제적 자원이전의 분배기준)

  • 배희선;최현자
    • Journal of the Korean Home Economics Association
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    • v.40 no.6
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    • pp.99-115
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    • 2002
  • The purpose of this study is to investigate the allocation criteria types in transferring economic resources to adult children from the adult-childhood of children to parent's death based on theoretical backgrounds. The research results can be summarized as follows: 1) The mean of allocation criterion of exchange was the highest, the next was the criterion of compensation, and the criterion related birth factors was the lowest. 2) Allocation criteria dimensions of economic resources transfers composed of compensation, exchange, and birth factors were classified into 4 types: $\circled1$ the type that parents transfer to compensate economic status of children, $\circled2$ the type that parents transfer more resources to children who take more care of their parents, $\circled3$ the type that parents transfer more resources to primogeniture or sons, $\circled4$ the mixed type that uses the exchange criterion, the compensation criterion, and the criterion related birth factors. 3) The variables which have significance on the types of allocation criteria were age, the number of children, and marital status. The results of the study suggests the implications of income redistribution policy, financial resource management and saving products development, and the law to motivate care of parents.

A New Perspective in Health Approach and the Effect of Health Life on Health Status (건강에 대한 새로운 접근인식과 건강생활 효과)

  • 변종화
    • Korean Journal of Health Education and Promotion
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    • v.7 no.1
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    • pp.1-9
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    • 1990
  • This paper discusses a new perspective in health approach and the effect of health life on health status, and suggests some points to be improved in the establishment of health policies hereafter. Today's health problems changed from the acute epidemic diseases caused by simple factor to the multifactorial chronic diseases. Therefore, the health approach tries the holistic health approach, that is, the integrative approach by the interdisciplinary cooperation. With the advent of holistic health and holistic medicine in 1970's, the behavioral medicine was born in 1977, which is the interdisciplinary field concerned with the development and integration of behavioral and biomedical science knowledge and techniques relevent to prevention, diagnosis and treatment. As a means to the reducement of the unnecessary medical utilization and medical expense, the medical self care and self-help movement is well under way in the countries of America, England, and Canada, in which lay persons are encouraged to actively function for themselves to prevent, detect and treat common illnesses and to promote positive health habits through the health activation programs such as The Course for Activated Patients and The Health Activated Person. This study shows that the individual health life gives great positive effect to his health status with the reducement of medical expense. These above facts suggest that the preventive health programs such as health education should be developed and strengthened instead of medical care-oriented health policy.

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The Problems and Alternatives of The Subrogation Payment System for Damage (의료분쟁조정법상 손해배상금 대불제도의 문제점과 개선방안)

  • Lee, Baek-Hyu
    • The Korean Society of Law and Medicine
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    • v.12 no.2
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    • pp.163-187
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    • 2011
  • On March 11, 2011, the Korea National Assembly finally passed the bill on the Damage Relief on the Medical Malpractice and Mediation for Medical Dispute. One of the features of this Act is including "The Subrogation Payment System for Damage (abbreviated SPSD)". This System is that 'Korean Medical Dispute Mediation-Arbitration Board' pays the damages, instead of the health care provider, for the patient who isn't paid damages by the health care provider despite of the Mediation or ruling. The purpose of this study is to search the problems and make improvement on SPSD. This System was introduced extreamly to the patients in order to induce them to the mediation. However,there remains several problems. In this articles, I have examined thoroughly the legal issues on SPSD. There are legal issues about the methods and ratio of the financial burden. In this connection, wide discretionary authority has been granted to administrative agencies specifically. On this account, this System clearly contains elements of a violation against the Constitutional Law. Moreover, this System can be broadly applied to the case of court ruling or the Korea Consumer Agency's mediation. But these measures go against the aim of legislation that the medical dispute can be resolved through the mediation or arbitration by this Act. In the end, these problems must be revised through the additional discussion.

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The Criteria of Medical Malpractice of Medical Doctors and Oriental Medical Doctors in Korea (이원적 의료체계에서 의사와 한의사의 과실판단)

  • Lee, Baek-Hyu
    • The Korean Society of Law and Medicine
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    • v.12 no.2
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    • pp.123-158
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    • 2011
  • The Korea health care system has been divided into Western and Oriental (Korea traditional) medicine since 1951. In accordance with dualistic medical system, there are many conflict cases between medical doctors and oriental medical doctors. Meanwhile, there were much discussions about the meaning and criteria of medical malpractice(negligence). Especially, many cases have been built up about the criteria of medical malpractice through lawsuits. But, comparatively, there's few the medical malpractice case of the oriental medical doctors. According to a recent ruling of the Supreme Court, the legal principles of medical doctor's malpractice case are equally applied to the criteria of the oriental medical doctor's malpractice case. But there are much considerations in addition to these principles for the dualistic medical system and academic distinctiveness. This study is intended to review the dualistic medical system, the criterion of medical malpractice, and analysis this issues. To make long story short, under our dualistic medical system, judging the medical and oriental malpractice should be considered relatively. However, it makes sense that we want medical doctor or oriental medical doctor to demand the reinforced negligence to restrict the unnecessary discretion. If there is lack of evidence-based medicine or the rationality suspected, the health care providers must give enough proof.

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Determining Factors for the Use of Oriental Healthcare Services for Survey Subjects with Chronic Illnesses : 2005 National Health and Nutrition Examination Survey (만성질환자의 한방의료서비스 이용 결정요인 : 2005년도 국민건강영양조사)

  • Lee, Hyun-Joo;Yoo, Weon-Seob;Chung, Su-Kyoung
    • Journal of Society of Preventive Korean Medicine
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    • v.15 no.3
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    • pp.115-125
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    • 2011
  • Objectives : The aim of this study is to investigate the relevant factors which determine the use of oriental healthcare services among subjects with chronic illnesses. Method : This study utilized the data from the Korean National Health and Nutrition Examination Survey in 2005. Out of all the participants of the survey, 11,665 individuals who are older than 19 years old and have one or more chronic diseases were included in this study. Results : The factors that affect utilization of oriental healthcare services were significantly associated with gender, educational level, job, personal income, the number of chronic illnesses, experiences of nontreatment or delayed treatment and admission experiences for the last one year(p<.001). Although some of these factors need further studies, the determining factors for the use of oriental healthcare services are the presence of chronic illness and the number of chronic disease. That is, the chronically ill are more likely to seek oriental healthcare services. And the more chronic diseases the clients have the higher probability of seeking oriental healthcare services was found. Conclusions : The results suggest that the national integrated care services should be established for diverse development of policy regarding the quality of care of chronic illness and cost-effectiveness.

Regional Comparison of Home Visiting Care Service Satisfaction among Elder Beneficiaries of the Long Term Care Insurance (장기요양보험 등급판정 대상자의 지역별 방문간호 서비스 이용 만족도 및 요구도: 대도시, 중소도시, 농촌 지역을 중심으로)

  • Kwak, Chanyeong
    • Research in Community and Public Health Nursing
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    • v.27 no.2
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    • pp.114-123
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    • 2016
  • Purpose: This study aims at comparing levels of service satisfaction with and needs for visiting nurse(VN) services among their beneficiaries in order to make a plan for extending VN services. Methods: The number of the subjects of this study is 270 in total. They were selected in random sampling in which 30 VN service recipients were randomly selected from each of 7 regions based on their grades and region types. Results: The highest total score for satisfaction with the VN services was 46.30, which the rural residents gave to their received VN services, then the metropolitan residents gave 44.57, and the small and middle size cities' residents 43.64. On the other hand, the highest total score for needs for VN services was 33.03, which the small and middle size cities' residents gave to their received VN services, then the rural residents gave 31.68, and the metropolitan residents 30.88. Conclusion: As the small and middle size cities' residents showed low satisfaction with and high needs for local VN services, policies need to be made to promote service providers' expertise and accessibility.

Health Promotion Programs in Primary Health Care Posts in Rural Areas and Factors Influencing Service (일 지역 보건진료소 건강증진사업 실태와 관련요인 분석)

  • Park, Choon-Hee;Bang, So-Youn;Hyun, Sa-Saeng
    • Journal of Korean Academy of Rural Health Nursing
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    • v.2 no.2
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    • pp.91-101
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    • 2007
  • Purpose: The purpose of this study was to identify health promotion services in rural areas and factors influencing this service. Method: From March to April, 2007, a structured questionnaire on services in 2006 was used to collect data from community health practitioners in all of the Primary Health Care Posts (PHCP) in North Chungchong Province. Collected data were analyzed using SPSS 12.0 Win program. Results: The most frequently offered programs were health gymnastics, walking exercise, bathing and vaccination service, and hypertension management. The main obstacles to these health services were lack of adequate space, insufficient budget, and overwork. The most frequently offered health education programs were education on hypertension, exercise, diabetes, volunteer work, and smoking cessation. The main obstacles to health education were lack of adequate space, insufficient education materials and equipment, and lack of cooperation from the citizens. Improvement and reinforcement of health promotion programs should include support of specialist, development of appropriate methods of service delivery, and education materials, and increase ease in using community resources. Conclusions: The research results show that a new model of health promotion must be developed for efficient health promotion programs in rural PHCP.