• 한국실내디자인학회논문집
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• 제17권6호
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• pp.152-160
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• 2008

The Cases of advanced nations which have advanced welfare policy, they have headed for the deinstitutionalization and the protection of the local society. So they have expanded and improved the various policies and welfare facilities to be able to keep daily life on the base of local area. Many problems have been caused by rising the average life span of the elderly in Korea now. Under the tendency, there have been many alternative proposals to solve the problems. One of those proposals, the deinstitutionalization theory that is rated the ideal way, is the community-based care than the care in facilities for the elderly. It shows that the most ideal facility for the care is Daycare center and that it matters the system of spatial construction and standard of the facilities. Under the undetailed Korean standard of facility design, it is very important that system of spatial construction to correspond to the needs of the users and standard of the facilities are prepared from the point of view of the standard design of the domestic facilities for the elderly. The study of the book grasps the regional present situation of the domestic Daycare center and surveys the tendency of the stay and features of occupation of the user there through some case, and aims to have a thorough grip of the spatial scale by the user's behavior. It is to utilize for a proposal for preparation of the space scale, and an institution standard corresponding to user's needs in a Daycare center.

• 한국콘텐츠학회논문지
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• 제13권6호
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• pp.380-389
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• 2013

급성기 병원의 간호사 배치수준은 환자안전 및 성과에 영향을 미치며, 간호사 배치기준의 법제화는 환자안전에 필요한 최소 인원을 보장하는 중요한 수단이 될 수 있다. 우리나라는 의료법에 간호사 정원기준을 제시하고 있으나, 환자안전 보장 및 간호의 질 향상을 위해서 다음의 몇 가지 사항에 대한 개선이 필요하다. 첫째 1962년 제정된 현행 의료법의 간호사 정원기준은 보건의료환경 변화에 따라 적정성에 대한 재검토가 필요하다. 둘째 의료법의 간호사 정원은 의료기관이 준수하여야할 최소 인원으로 모든 의료기관이 준수하도록 관리되어야 한다. 셋째, 간호사 배치기준은 환자의 이해를 돕고, 관리가 용이하도록 근무조당 입원환자수 대 간호사 수를 기준으로 하도록 한다. 넷째, 병원 간호단위별 근무조별 간호인력 배치정보를 공개하여야 한다.

• 한국콘텐츠학회논문지
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• 제16권9호
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• pp.105-116
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• 2016

본 연구는 노인요양서비스의 품질을 높이기 위하여 노인요양시설의 리더십 유형과 조직몰입이 어떻게 서비스 품질에 영향을 미치는가를 실증분석하였다. 전국의 32개 노인요양시설에 근무하는 요양보호사를 대상으로 설문조사를 실시하였고, 총 318개 설문을 분석에 사용하였다. 연구결과 변혁적 리더십은 정서적, 규범적, 지속적 몰입, 그리고 서비스 품질에도 긍정적 영향을 보였고, 거래적 리더십도 지속적 몰입에 유의미한 영향을 보여 거래적 리더십의 유용성도 확인하였다. 규범적 몰입은 변혁적 리더십과 서비스 품질간에 매개역할을 하고 있음을 확인하였다. 이를 통해 노인요양시설에서는 변혁적 리더십, 거래적 리더십의 적절한 활용과 정서적, 규범적, 지속적 몰입이 가능하도록 하는 인적자원관리의 필요성, 그리고 이에 대한 정책적 지원의 필요성을 제안하였다.

• 재활복지공학회논문지
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• 제8권4호
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• pp.239-244
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• 2014

본 연구는 2010년부터 2012년까지의 장애인고용패널조사 자료를 적용하여 구성집단별 보건의료비 불평등을 분석함으로써 장애인 가구의 보건의료 불평등 개선정책 수립에 기초자료를 제공하는 것을 목적으로 이행되었다. 분석결과, 지니계수에서는 여성장애인, 경제활동 미참여, 40대, 신체외부장애, 중증장애인일수록 보건의료비 지출에서 더욱더 불평등하였으며, 경북지역은 불평등이 계속 높아지는 것으로 나타났다. 그리고 보건의료 소비가 낮은 그룹에서의 격차에 가중치를 부여한 엔트로피지수에서는 여성장애인, 경제활동 미참여, 정신적장애, 중증장애인일수록 보건의료 소비가 더욱더 불평등하였으며, 울산과 경북지역은 불평등이 심해지는 것으로 나타났다. 그리고 구성집단별 요인분해에서 집단 간보다는 집단 내의 보건의료비 불평등이 높게 나타났다. 이러한 결과를 토대로 연구의 제한점과 함의를 제안하였다.

• 디지털융복합연구
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• 제16권4호
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• pp.371-378
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• 2018

본 연구에서는 노인장기요양기관 입소노인의 가족관계가 시설적응에 미치는 영향을 파악하는데 연구의 목적이 있다. 장기요양기관을 평가등급과 지역에 따른 할당표본을 통한 표집틀을 구성하여, 2018년 1월과 2월에 한 기관 당 입소노인 5~6명을 대상으로 설문조사를 하였으며, 최종적으로 381명의 데이터를 분석에 사용하였다. 주된 연구결과는 첫째, 노인의 시설적응수준은 높은 편이었다. '집단행동부적응'과 '이동쇼크'와 같이 부적응차원은 2점대로 낮고, '새로운 거주지 인정'과 '친구 만들기'와 같은 적응차원은 중간수준 이상을 보이고 있다. 둘째, 노인의 시설적응에는 노인의 사회인구학적 특성이나 시설관련변수의 영향력보다는 가족관계변수의 영향력이 더 컸다. 그 중에서 가족과의 친밀감 변화 변수의 영향력이 가장 컸다. 따라서 노인이 시설에 입소하기 전부터 입소 후까지 전 과정에 걸쳐 가족과의 친밀감이 유지되도록 적극적인 지원과 노력이 필요하다는 점을 제안한다.

• 디지털융복합연구
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• 제15권10호
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• pp.513-524
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• 2017

본 연구는 심리치료학과와 경찰학과 대학생을 대상으로 범죄피해케어전문가과정(CVCS)의 융합 교과목 및 교육과정을 개발하는 것이다. 이를 위하여, 첫째, 전국 심리학과/상담학과/심리치료학과/경찰학과/경찰행정학과 교과목과 교육과정을 조사하여 양 학과의 교과목 목록을 작성하고, 양 학제의 교수진의 자문을 받아 교육과정모형안과 3단계별 교과목 목록안을 선정하였다. 둘째, 현장맞춤형 교과목/교육과정을 개발하기 위해, 전국 51명의 범죄피해지원기관의 피해자지원/상담/심리치료 전문가들 대상, 적합도와 중요도를 델파이 설문조사하였다. 도출한 최종교육과정은 기본과정, 기초과정, 심화과정으로서 기초과정은 부전공, 심화과정은 복수전공의 학제에 따라 교과목 수를 편성하였다. 기본과정은 각 학과별 5개의 교과목으로 구성되고 기초과정은 7과목, 심화과정은 4과목을 선정하였다. 마지막으로 향후 연구에 대한 논의와 함의를 제안하였다.

• 한국병원경영학회지
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• 제8권4호
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• pp.1-25
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• 2003

The wave of globalisation initiated by marketisation has increasingly penetrated into all sectors across the world, accordingly, the health & hospital service sector could not be made no escapes, and it currently faces the order of more marketised competition more than ever. Traditionally, the characteristic of the hospital services in the UK has considered as a model of social provision by government. However, contrary to our knowledge, the sphere of the hospital service in the UK has already been immersed in by the marketisation, in which the private actors have been embedded in order to tweak the activities of the hospital service with in the European Union. As the methodology of this research, the qualitative analysis, namely the interview with some doctors in Surgery, NHS Trusts staffs and relevant specialists in has been performed on April to May, 2003. And on the other hand, the various documents related to its service have been analysed. Thus, this paper will review the characteristics of the health service sector in the UK. In doing so, it will illuminate what would be the structural factors derived from its existing system, as a result, it will shed light on how the UK government makes an effort to resolve the problematic situation by reviewing the policy direction of Foundation Hospital proposed recently. In the next stage, it will analyse how all elements consist of the hospital management in the UK has been adjusted and be likely to be changed within Europe. More specifically focuses on how the private hospital service has been managed and related with the activities of its public hospital service-NHS Trusts. Also, under the circumstance, what private health insurance companies function will be studied. In conclusion, it will be concluded that what will be the implication of Korean hospital service market so as to correspond to globally open market by WTO. Now the UK health service system has faced a turning point of becoming more health care market internally and externally pressed by global and regional factors. Thus it is meaningful to scrutinize how a key part of social provision in the health care market system tends to adjust to globally marketised regulation.

• 생물정신의학
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• 제25권3호
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• pp.72-78
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• 2018

Objectives The high suicide rate has risen as a main concern in South Korea. Given the complexity of the mechanism resulting in complete suicide, studies targeting various populations are needed for broader understanding of its risk factors. This study aims to analyze the factors affecting the suicidal tendency in the population of the elderly living alone in Seoul depending on basic elderly-care services. Methods A total number of 415 people participated in the study. Home-visit interviews were administered by trained interviewers. Suicidal tendency was measured by the Korean version of mini international neuropsychiatric interview (K-MINI). Health-related quality of life was measured by a brief version of the World Health Organization Quality-of-life Scale (WHOQOL-BREF). Alcohol problem was assessed by the Korean version of the alcohol use disorders identification test (AUDIT-K). Among total subjects of 415 interviewees, the actual responses of 408 people were used for the final analysis. Results The result showed that the suicide risk was high in persons isolated from social support [odds ratio (OR) = 4.49], having depression (OR = 14.85), and having low quality of life (OR = 4.39). Conclusions We found that social support, depression and health-related quality of life are associated with suicidal tendency in the elderly living alone on basic services. Our evidence will contribute to suicide prevention policy for the elderly living alone on care services.

• 동의생리병리학회지
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• 제28권2호
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• pp.243-250
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• 2014

This study examined the knowledge and understanding of integrative medicine in Korea, specifically conflicts between western and oriental medicine within Parallel (Dual) health care systems. Qualitative methodology using grounded theory guided semi-structured, in-depth interviews with Western Medical Doctors (W.M.D., n = 6), Oriental Medical Doctors (O.M.D., n = 5) and Traditional Chinese Medicine Practitioners (T.C.M.P., n = 4). Thematic analysis was used to determine broad themes from the interviews. 15 professionals (W.M.D. (40%), O.M.D. (33%), T.C.M.P. (27%), 10 males (67%) and 5 females (33%), mean age 45) were interviewed, recorded, and transcribed. Thematic analysis revealed three key themes: systematic conflicts, integration and future directions. Subthemes of systematic conflicts included: credibility of Oriental Medicine, commercial imperatives, maintaining social standing of O.M.D., professional qualifications and lack structures supporting collaborative practice. Integration subthemes included lack of academic linkage and clarity for appropriate triage, opposing medical paradigms and limited social imperative. Future directions should include: social justification, guarantee of oriental medicine legitimacy, role of government and understanding of scientific evidence. To successfully integrate dual medical systems there is a need to address differences in social-environmental factors and perceptions of scientific understanding, as well as developing strong academic links in clinical practice.

• 근관절건강학회지
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• 제27권2호
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• pp.177-188
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• 2020

Purpose: This study aimed to shed light on the experiences of women caregivers' in nursing homes who provide care for older men; it focuses on sexual behavior and provides baseline data that can help improve quality of care. Methods: Colaizzi's phenomenological method was used for data analysis. Participants included 10 caregivers working at a nursing home. Face-to-face in-depth interviews were conducted for data collection between January and February, 2020. Results: Five theme clusters were identified based on women caregivers' experiences of sexual behavior when caring for older men: "The weight of charge and exhausted stamina", "Unwillingness to face awkwardness", "Unacceptable sexual desire by older men", "An incurable wounded heart", and "Hardship in its entirety becomes my share of responsibility". The analysis further yielded ten themes. The participants stated that was hard to accept the older men's sexual behavior through relationships with the older men. Conclusion: These results should be considered in planning caring interventions for older men with respect to sexual behavior in nursing homes. The findings support the need for educational strategies and programs to improve the ability of nursing home caregivers to adequately care for older men, with consideration for their sexual behavior and for developing relevant policy supports.