• Title/Summary/Keyword: care policy

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The Effects of Early Childhood Education Teachers' Working Conditions on Professionalism: Considering the Mediating Effects of Teacher Efficacy and Well-being (유아교사의 근로여건이 전문성에 미치는 영향 분석 -교사의 웰빙과 효능감의 매개효과를 중심으로-)

  • Choi, Yoon Kyung
    • Korean Journal of Childcare and Education
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    • v.15 no.3
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    • pp.21-38
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    • 2019
  • Objective: The goal of this study was to investigate the effects of early childhood teachers' current working conditions such as welfare and wages, working hours, ECEC center's environmental characteristics, and parental involvement and community engagement on the professionalism of teachers. Method: A total of 988 respondents participated in the nationwide online survey. The data were analyzed by correlation analysis and structual equation modeling. Results: First, there were no statistically significant direct effects of ECEC teachers' working conditions on teacher professionalism. Second, there were significant direct effects of teacher efficacy and well-being on teacher professionalism. Third, there were significant indirect effects of teachers' working conditions on their professionalism, via efficacy and well-being, linking the impact of working conditions and the professionalism of teachers. Conclusion/Implication: The results of this structural model imply that policy input for teacher welfare, wage increases, and the enhancement of teachers' well-being and efficacy are valid and significant for the professional development of ECEC teachers. These results provide the data-driven evidence for the importance of welfare and socio-cognitive approaches for teachers.

The Concept of Academic Medicine and Its Potential Establishment in Korea (학술의학(Academic Medicine)의 개념과 한국에서의 정착 가능성)

  • Han, Hee Chul
    • Korean Medical Education Review
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    • v.21 no.2
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    • pp.63-72
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    • 2019
  • The purpose of this study was to introduce the concept of academic medicine to the medical societies of Korea and to identify any potential obstacles in the establishment of academic medicine in Korea. The core concepts of academic medicine include medical education, research, and patient care. Academic medicine can be practiced in the unique area of healthcare involving medical schools and teaching hospitals by faculty physicians in the academic medicine field. Through academic medicine, the next generation of healthcare professionals is trained, new discoveries can be made, and patients can find new hope for a cure. The flourishing of academic medicine has resulted in substantial advancements in medicine over the past few centuries, but at the turn of the 21st century, there was concern that academic medicine was on the decline. To address this concern, the International Campaign to Revitalize Academic Medicine was established and announced five scenarios to 2025 to debate the future of academic medicine. Although the system resembles that of Western medical societies, Korean medical societies were not familiar with academic medicine, and poor conditions caused by the distorted healthcare system in Korea have actually interfered with the nurturing of academic medicine. One of the main problems may include less interest in medical education and research relative to clinical practice by medical societies and the government. Collaborative efforts from both medical societies and the government are needed to establish academic medicine successfully in Korea for a better future.

The Effect of Welfare System of Medical Institutions on Job Satisfaction and Organizational Commitment of Female Workers (의료기관의 복리후생제도가 여성근로자의 직무만족 및 조직몰입에 미치는 영향)

  • Park, Cho-Yeal;Seo, Young-Woo;Lim, Bok-Hee
    • The Korean Journal of Health Service Management
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    • v.12 no.2
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    • pp.1-14
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    • 2018
  • Objectives : The purpose of this study was to analyze the effect of welfare system of medical institutions on job satisfaction and organizational commitment of female workers. Methods : A survey was performed with 556 female workers of 11 general hospital and 7 acute period hospital in Busan. Data were collected from October to November 2017 with a self-report questionnaire and analyzed using SPSS 24.0. Results : Among those aged over 40 years, high awareness of obligatory welfare, job education, free use of the annual leave, and flexible working system was a positive factor in job satisfaction. Among managers, free use of the annual leave, job education, flexible working system and child-care facilities was a positive factor in organizational commitment. Conclusions : In medical institutions with a relatively high proportion of married women, although interest in welfare for childbirth and child rearing is high, execution is sluggish, hence, policy support of government and medical institutions in this field is necessary.

Patients' and Family Caregivers' Perception on Recovery from Mental Illness: "An Ongoing and Steady Change Together" (정신질환 회복에 대한 환자와 가족의 인식: "함께하는 지속적이고 꾸준한 변화")

  • Nam, Kyoung A;Jin, Juhye
    • Journal of Home Health Care Nursing
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    • v.27 no.3
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    • pp.344-355
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    • 2020
  • Purpose: Recovery has a growing influence on policy for individuals with mental illness and their families. This study was designed to examine the meaning of recovery from the perspectives of community-dwelling patients with mental illness and their families. Methods: Using a descriptive qualitative approach, in-depth, face-to-face interviews were conducted on 24 adults (14 patients with mental illness and 10 family members). All interviews were audiotaped, transcribed and analyzed using thematic analysis. Results: The findings showed that recovery for the patients with mental illness suggested gradual changes by individual will and self-awareness, the relationship with both their family and self-help group, and the support of a therapeutic environment. Seven primary themes emerged from the analysis: improving insight on illness, strong will toward hope, discovering changed myself, helping each other together, gradual influence of positivity, being oriented to a therapeutic setting, and recognizing of home as a calm place. Conclusion: The findings of this study revealed that based on the conceptual elements of recovery of the patients with mental illness and their families, we expect to improve the systematic, comprehensive, and quality mental health services.

Identification of Unmet Healthcare Needs: A National Survey in Thailand

  • Chongthawonsatid, Sukanya
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.2
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    • pp.129-136
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    • 2021
  • Objectives: This study examined demographic factors hampering access to healthcare at hospitals and suggests policy approaches to improve healthcare management in Thailand. Methods: The data for the study were drawn from a health and welfare survey conducted by the National Statistical Office of Thailand in 2017. The population-based health and welfare survey was systematically carried out by skilled interviewers, who polled 21 519 384 individuals. The independent variables related to demographic data (age, sex, religion, marital status, education, occupation, and area of residence), chronic diseases, and health insurance coverage. The dependent variable was the degree of access to healthcare. Multiple logistic regression analysis was subsequently performed on the variables found to be significant in the univariate analysis. Results: Only 2.5% of the population did not visit a hospital when necessary for outpatient-department treatment, hospitalization, or the provision of oral care. The primary reasons people gave for not availing themselves of the services offered by government hospitals when they were ill were-in descending order of frequency-insufficient time to seek care, long hospital queues, travel inconvenience, a lack of hospital beds, unavailability of a dentist, not having someone to accompany them, and being unable to pay for the transportation costs. Multiple logistic regression analysis showed that failure to access the health services provided at hospitals was associated with demographic, educational, occupational, health welfare, and geographic factors. Conclusions: Accessibility depends not only on health and welfare benefit coverage, but also on socioeconomic factors and the degree of convenience associated with visiting a hospital.

Analysis of Media Trends and Social Perceptions on Nursing Law Legislation (간호법 제정에 대한 언론 동향 및 사회적 인식 분석)

  • Lee, Seung-Hee;Joo, Min-Ho
    • Journal of Korean Academy of Nursing
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    • v.53 no.4
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    • pp.439-452
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    • 2023
  • Purpose: This study aimed to derive considerations for the enactment of nursing law by analyzing the trends and social perceptions of nursing law mentioned in major daily newspapers, cafes, and blogs. Methods: Main texts and comments that included nursing law as a keyword were collected from major daily news and online postings from January 2021 to August 2022. The data collected through web crawling were analyzed using a TousFlux program used for big data analysis. Results: During the period of study, the awareness level around nursing law enactment increased. In particular, public concern over nursing law enactment intensified due to the two political parties' policy pledges related to nursing law in January 2022 and the failure to introduce the nursing law to the national assembly judiciary committee in May 2022. Except in December 2021, public perception of nursing law enactment was generally favorable, with public opinion tilting more in favor of than against enactment. Conclusion: Public opinion should be considered when drafting and implementing the nursing law to make it easier for the people to understand what the law constitutes. In addition, it is necessary to pay attention to and continuously promote the relationship between medical care and nursing in the nursing law system of developed nations. Lastly, nursing law enactment can enhance nurses' retention intention and provide a sense of efficacy to medical services.

Public Health Center Service Experiences and Needs among Immigrant Women in South Korea

  • Chae, Duckhee;Kim, Hyunlye;Seo, Minjeong;Asami, Keiko;Doorenbos, Ardith
    • Research in Community and Public Health Nursing
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    • v.33 no.4
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    • pp.385-395
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    • 2022
  • Purpose: To support implementation of comprehensive, person-centered healthcare, this study aimed to explore immigrant women's public health center (PHC) service experiences and needs while considering Photovoice's feasibility for this purpose. Methods: This qualitative study included 15 marriage-based immigrant women. Participants were recruited from churches and multicultural family support centers using purposive and snowball sampling. Data were collected through four focus group interviews and were subjected to inductive content analysis. Results: Five categories of experiences were identified: language barriers, hectic environment, affordable and practical primary healthcare, feeling ignored and discriminated against, and feeling frustrated. In addition, five categories of needs were identified: language assistance services, ease of access, healthcare across the lifespan, expansion of affordable healthcare, and being accepted as they are. This study provides preliminary evidence that the Photovoice approach can facilitate the interview process in a qualitative inquiry involving participants with limited ability to express their perspectives in the researchers' language. Conclusion: Study findings highlight the need to implement institutional policy and procedural changes within PHCs and to provide culturally competent, personcentered care for South Korea's marriage-based immigrant women and other ethnic minority populations. The findings also provide evidence-based direction for PHC service planning.

Establishing Weights among Indicators of Rural Residents' Quality of Life Using AHP (AHP를 이용한 농촌주민 삶의 질 지표의 중요도 설정)

  • Noh, Seok-Ho;Lee, Han-Sung;Jung, Won-Ho
    • Journal of Korean Society of Rural Planning
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    • v.28 no.1
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    • pp.27-35
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    • 2022
  • This study aims to establish the indicator system of the quality of life of rural residents and to estimate the weights among criteria or sub-criteria that constitute the indicator system of the quality of life using AHP(Analytic Hierarchy Process) method. Indicator system consists of four criteria, that is, health care, eduction & culture, living environment, and income and jobs. Each criterion include three sub-criteria that make up corresponding criterion. The results show that income and jobs was most highly evaluated among the four criteria. It was followed by health care, living environment, and eduction & culture. Among the total 12 sub-criteria, annual income was most highly evaluated, followed by medical service level, job satisfaction, and public transportation environment in terms of global weight which was deduced from expert questionnaire survey. This study implies that rural development policy needs to focus on increasing rural residents' income by creating good quality occupations and increasing the level of medical services, and expanding public transportation services in rural areas. This study has failed to collect local residents' opinions regarding their quality of life in spite of the efforts to reflect the opinions from various expert groups, which is the limitation of this study.

A Study on the Current Status of Complementary Medicine in Australia (호주의 보완의학 현황에 관한 연구)

  • Yohan Ko;Byungmook Lim
    • Journal of Society of Preventive Korean Medicine
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    • v.28 no.1
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    • pp.13-30
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    • 2024
  • Objectives : This study aimed to investigate the history, current status, and regulation of complementary medicine in Australia. Methods : To investigate complementary medicine in Australia, we searched domestic and overseas academic databases, and websites of public and private organizations related to the Australian health care. Results : Complementary medicine consists of numerous services, among which massage and chiropractic care are significantly utilized by Australians. Since 2010, Australian healthcare practitioners, in the field of complementary medicine, have been supervised by the Australian Health Practitioner Regulation Agency (AHPRA). Those who AHPRA is responsible for managing acupuncturists, chiropractors, and osteopaths. Other professions are regulated by their own respective associations. Not only aforementioned services offered by specialists, but also consumption of oral supplements accounts for considerable portion of complementary medicine in Australia. Complementary medicine products, vitamins, and minerals are managed by the Therapeutic Goods Administration (TGA). In terms of insurance policy, the reimbursement of complementary medicine expenses in Australia is covered by the public healthcare insurance system, Medicare. Medicare covers acupuncture, chiropractic, and osteopathy services. Other complementary therapies are continuously reviewed to update their coverage under this scheme. Conclusion : In Australia, practitioner qualifications, education standards, and scope of procedures related to complementary medicine are systematically managed through legal regulations of the federal and state governments.

Integrated Medical Perspective View on Forest Healing Instructor Training Program and Curriculum Development (통합 의료적 관점에서 바라 본 산림치유 지도사 양성 교육과정 개발안)

  • Lee, Min Sun;Baek, Tae Sun;Shin, Hee Sung;Lee, Wang Lim;Park, Su Jin;Park, Chan Woo;Yeo, Sang Hee;Lee, Sung Jae
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.227-234
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    • 2013
  • The purpose of the study is to realize and develop the healing process that applies the Forest Healing Program to complementary and alternative therapies within the integrated medical health care place call ' Healing Forest'. Various healing programs need to develope and distribute to educate tentatively name ' Forest Healing Instructor' whom will be the key roll player on the program. Hereupon, collected the feedback of the program from 20 of professors, health care professionals and complementary alternative related professionals who are deeply related on the dendrology using Delphi examine. The study suggests the professional, who knows on dendrology, base medicine knowledge and healing power, Forest Healing Instructor Course includes education and assessment method base on education subject, course complete scope, instructor curriculum, education goal and education operation process. The Journal of Digital Policy & Management. This space is for the of your study in English.