• Title/Summary/Keyword: care policy

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A study on the realization of community care for the developmentally disabled: Focusing on Japanese community practice (발달장애인 커뮤니티 케어 실현방안 연구: 일본의 지역사회 실천을 중심으로)

  • Shin, Kyung-An;Lee, Eun-A;Kim, Do-Hoon
    • Journal of Industrial Convergence
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    • v.18 no.5
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    • pp.88-96
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    • 2020
  • The rate of admission to facilities for people with developmental disabilities in Korea is very high for other types of disabilities. Therefore, 'community care', which supports life in the community for people with developmental disabilities, is very important compared to other types of disabilities. However, in Korea, families with disabilities are the problem of care and are appealing for the burden of support. This study analyzed practical cases through welfare institutional visits and interviews on support for community independence in Japan. As a result of the study, the transition of people with developmental disabilities to communities in Japan was centered on group home. The private sector is providing support for people with severe disabilities in group home to live in communities, and Sapporo City Hall is conducting private connections to solve the problem of caring for the developmentally disabled elderly parents. Accordingly, as Korean policy recommendations, it is proposed to expand group home, switch functions of living facilities for the disabled, cope with the problem of caring for the disabled by elderly parents, and provide preventive services through surveys on the actual condition of adults living alone. As practical suggestions, it is necessary to develop and distribute educational textbooks such as pictures to improve daily life skills for self-reliance, expand sufficient manpower and facilities in vocational training for self-reliance, and operate shelters for adults with developmental disabilities and their guardians.

The Effects of Mothers' Previous Financial Support and Grandchild Care on Intergenerational Co-Residence - Focusing on Long-Term Reciprocity Model - (과거 모(母)의 경제적 지원과 손자녀 돌 봄이 성인자녀와의 동거에 미치는 영향 - 장기적 호혜 모델을 중심으로 -)

  • Ha, Seok Cheo
    • Korean Journal of Family Social Work
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    • no.53
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    • pp.161-198
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    • 2016
  • This study examined how previous financial and time transfers from mothers to their adult children affect co-residence of elderly mothers and their adult children in South Korea. This study employed multi-level logistic analysis considering hierarchical relationship structures between mothers and their adult children. A sample of 1,925 elderly mothers and 7,460 adult children was extracted from data which were from the first wave (in 2006) to the forth wave (in 2012) of Korean Longitudinal Study of Ageing (KLoSA). The result of the analysis suggested that past financial transfer from mothers to their adult children was not significantly associated with co-residence between elderly mothers and their adult children. However, likelihood of co-residence increased with the amount of time transfer, which was measured by unit of time for elderly mothers' caring for their grandchildren. This study discussed that long-term reciprocal relationships between elderly mothers and their adult children are built by intergenerational support relationships. However, the result that showed only grandmaternal child care affected intergenerational co-residence implies that intergenerational care may play an important role in intergenerational reciprocal relationships. Through these findings, this study suggested theoretical, practical, and policy implications.

Effects of pain, sleep and self-care behavior in patients underwent robotic minimally invasive cardiac surgeries (로봇을 이용한 심장수술이 환자의 통증, 수면 및 자가간호수행에 미치는 영향)

  • Park, Soohyun;Jang, Insil
    • Journal of Digital Convergence
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    • v.17 no.7
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    • pp.265-274
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    • 2019
  • The purpose of this study was to know the difference in pain, sleep, self-care behavior in patients performed by sternotomy and robotic minimally invasive cardiac surgeries. The participants were 64 patients with sternotomy and 64 patients with minimal thoracotomy in heart valve surgeries at a tertiary hospital in Seoul. Data were analyzed using descriptive statistics, ${\chi}^2$ test, paired t-test. with SPSS/WIN(22.0). The participants with minimally invasive thoracotomy felt severe pain than the patients with thoracotomy at post operation day 2 & 5. The severe pain site were the surgical site in both groups. The participants with sternotomy had better sleep than minimally invasive thoracotomy patients. Self-care behavior was higher in the minimally invasive thoracotomy group. Therefore, despite the many advantages of robotic surgery such as rapid recovery and shortening of length of stay in hospital, accurate pain assessment and application of differentiated protocols are needed for the management of pain in the patients with robotic minimally invasive cardiac surgeries. In addition, a structured education program intervention is needed to improve comfort by considering gender, age, and method of operation.

An Integrated Review on Main Caregiver's Burden of Elderly in Korean Nursing Home (한국 요양시설 노인의 주 돌봄자 부담감에 대한 통합적 고찰)

  • Kim, Eun Jeong;Sung, Kyung Mi
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.267-277
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    • 2019
  • The purpose of this study is to investigate the burden of caring for the care-givers of the elderly in Korea by using an integrated literature review method. A total of 23 studies were analyzed using a search database. When care-givers had higher sense of filial and guilt or more than two diseases, they showed high level of feeling of burden. Also, they had high level of feeling of physical burden by their oldness, service period (especially at the period of 1-3 years). In the feeling of economic burden, they had high level of feeling of burden by their oldness, or elderly's disease periods. The feeling of burden by psychological condition was found in elderly in aged and the beginning of admission of nursing home. The feeling of burden by environment situation was found when the functional status of the elderly was bad. Therefore, we need to concern care-givers's feeling of burden with elderly people in the nursing home. In the future, I believe that the findings of this study will be helpful for development of the intervention program for alleviate burden for the care-giver.

Path Analysis of Nurse's Turnover Intention Working at the Comprehensive Nursing Care Service Wards (간호·간병통합서비스병동 간호사의 이직의도 경로분석)

  • Yang, Hyun-Joo;Bang, Sul-Yeong;Park, Meera;Je, Nam-Joo
    • Journal of Digital Convergence
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    • v.17 no.3
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    • pp.341-351
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    • 2019
  • The purpose of this study is to provide basic data for effective human resource management by clarifying the relationship among ward operation support system of ward nurse, nursing performance, job satisfaction, burnout and turnover intention. The subjects of this study were 137 nurses working at comprehensive nursing care service wards of less than 500 beds in B and C city. Data were collected using structured questionnaires, and analysis was conducted using SPSS/WIN 21.0 and AMOS 18.0 programs. As a result of the path analysis, variables directly affecting the turnover intention of nurses working at the comprehensive nursing care service wards are ward operation support system and burnout, and indirect influences are nursing performance and job satisfaction. Burnout has the most direct effect on turnover intention, which is directly influenced by job satisfaction and nursing performance. Ward operation support system was confirmed to have a direct effect on job satisfaction. Therefore, in order to reduce the turnover intention of nurses working at the comprehensive nursing care service wards, strengthening ward operation support system in order to improve job satisfaction and measures to reduce the burnout and burden of nursing performance are needed.

Frame Analysis on the News About CCTV in Day Care Center (어린이집 CCTV 관련 뉴스보도에 대한 프레임 분석)

  • Oh, Ji Eun;Chung, Hoe Wook;Yun, Bit Na Ra
    • Korean Journal of Child Education & Care
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    • v.19 no.1
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    • pp.45-57
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    • 2019
  • Objective: The purpose of this study is to critically analyze the process of framing child abuse cases through the news coverage after the enforcement of mandatory CCTV installation policy which was initiated in 2015. Methods: The research uses the revised and supplemented frame analysis tools developed by Iyengar (1990) and Semetko and Valkenburg (2000) to investigate 25 broadcasting news reported by KBS, from September 2015 to December 2017. Results: First, according to the formal analysis, the reports on abuse cases prove to be either a mixed or episodic frame which covers the cases heavily based on a particular incident rather than holistically looks into the situation. Second, in content analysis, child abuse news is delivered mainly through "human interest frame." Conclusion/Implications: The study identifies three dominant discourses formed as a result of the child abuse CCTV news: 'CCTV is a all-around player' discourse, 'preschool teachers as potential criminals' discourse and 'preschool teachers as nonprofessionals' discourse. This study is significant in that it presents that mass media do not always say the truth, but frame social issues within an ideological delivery system.

Risk Factors of Predicting Intensive Care unit Transfer in Deteriorating Ward Patients (병동 급성악화 환자의 중환자실 전동 위험요인 분석)

  • Lee, Ju-Ry
    • Journal of Digital Convergence
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    • v.19 no.4
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    • pp.467-475
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    • 2021
  • Purpose: When a patient with acute deterioration occurs in a ward, the decision to transfer to intensive care unit (ICU) is critical to improve the patient's outcomes. However, when available ICU resources limited, it is difficult to determine which of the deteriorating ward patients to transfer to the ICU. Therefore the purpose of this study was to identify risk factors in predicting deteriorating ward patients transferred to intensive care unit (ICU). Methods: We reviewed retrospectively clinical data of 2,945 deteriorating ward patients who referred medical emergency team. Data were analyzed with multivariate logistic regression. Results: The solid cancer that diagnosed at hospitalization (odds ratio[OR] 0.39; 95% confidence interval [CI] 0.32-0.47), when the cause of deterioration was respiratory problem (1.51; 95% CI 1.17-1.95), high MEWS (1.22; 1.17-1.28) and SpO2/FiO2 score (2.41; 2.23-2.60) were predictive of ICU transfer. Conclusion: These findings suggest that early prediction and treatment of patients with high risk of ICU transfer may improve the prognosis of patients.

The Relationship between Quitting Time and Subsequent Time Allocation of Full-time Workers in Korea (전일제 임금근로자의 퇴근시간과 일과 후 생활시간의 관계)

  • Lee, Seungho;Park, Mijin
    • 한국사회정책
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    • v.24 no.1
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    • pp.117-151
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    • 2017
  • This study explored the relationship between quitting time and subsequent time allocation of full-time workers with young children. First, as a result of sub-group difference analysis of subsequent time allocation by quitting time, the group who finished their work early used their additional time mostly for housework and care work. And if the workers finish their work late, they decreased their housework and active leisure time first, and then supplementally reduced their care work and passive leisure time. In addition, SUR analysis showed that as the workers finish their work earlier, the proportion of housework, care work and active leisure among five activities was getting higher. Last but not least, it was verified that the relationship between the quitting time and the subsequent time allocation was moderated by gender in housework, care work, and regenerative activity. This research can contribute to the development of debate on work-life balance of workers' by providing the concrete and detailed results.

Composition of Phenolic Acids and Flavonoids and Skin Care Cosmetic Antioxidant Activity of Akebia quinata Fruit Extracts (연복자 추출물의 Phenolic acids와 Flavonoids의 조성 및 화장품 항산화 활성)

  • Jang, Ah-Ram
    • Journal of Digital Convergence
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    • v.19 no.4
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    • pp.365-371
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    • 2021
  • In order to verify the effect of using functional cosmetic ingredients for skin beauty, the composition and content of some phenolic acid and flavonoids in the hot water and 80% methanol extract of Akebia quinata fruit pericarp and seeds were analyzed, and the skin care antioxidant activity was investigated. The results are as follows. Total polyphenol and flavonoid contents were found to be higher in pericarp extract than seed extract in both hot water and 80% methanol extract. In the analysis of the composition and content of phenolic acid and flavonoids, two kinds of phenolic acids were identified in the hot water extract of pericarp, 6 kinds of phenolic acids were identified in the 80% methanol extract, and one kind of flavonoid. Two types of phenolic acids were identified in the hot water and 80% methanol extract of seeds, respectively. DPPH and ABTS radical scavenging activities tended to increase in proportion to the treatment concentration in both hot water and 80% methanol extracts, and antioxidant activity was found to be high. Therefore, from the above results, it was found that the hot water and 80% methanol extract of Akebia quinata fruit pericarp and seeds contained various kinds of phenolic acid and flavonoids, and the antioxidant activity was also high. It is believed to be of value as a natural antioxidant in skin care cosmetic ingredients.

Globalization and Independency of Populist Nations' Welfare Policies: Focusing on the Influences of Multinational Pharmaceutical Companies on the Korean Government's Policy on the Pharmaceutical Industry (세계화와 국민국가의 복지정책 자율성: 다국적 제약자본이 우리나라 제약정책 결정에 미친 영향을 중심으로)

  • Lee, Su-Yun;Kim, Young-Mi
    • Korean Journal of Social Welfare
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    • v.57 no.3
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    • pp.5-30
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    • 2005
  • Globalization has conflicting effects on pharmaceutical policies. A change into a 'populist competitive nation' due to globalization strengthens policies to reduce drug manufacturing costs while the WTO's TRIPS Agreement that is affected by multinational pharmaceutical companies increases drug manufacturing costs by bolstering the patent rights on new drugs. Currently, the independency of populist nations' policies to reduce drug manufacturing cost is being compromised because multinational organizations(such as the European Union) which represents the interests of the multinational pharmaceutical companies put restrictions on the pharmaceutical policies of populist nations for purposes of promoting the industrial goals of the multinational companies. Korea is no exception. Up until the late 1990s, the main feature of the pharmaceutical policies in Korea was keeping the drug price at the cost level based on a growth-driven ideology, and this was Korea's unique policy tools as a developing nation. However, the increase in the power of multinational pharmaceutical companies currently infringes on the independency of Korea's pharmaceutical policies. Expensive imported drugs were originally covered by the national health insurance plan, but starting from 1999 such drugs began to be covered by the plan. After separation of medical and pharmaceutical services, the use of expensive drugs was increased, and the Korean government planned to introduce the reference price policy in order to contain the cost of the national health insurance plan. However, due to pressures from the U.S. government as well as multinational pharmaceutical companies, implementation of the policy has been postponed. In addition, due to a pressure from the U.S. government, a working group was created which would affect the health care policy of the Korean government. Discussions so far on globalization was about whether the change into populist competitive nations due to globalization resulted in the reduction of welfare spending. However, this study shows not only the reduction of health care cost through policies to reduce drug manufacturing costs but increase in welfare spending by raising the strengths of multinational pharmaceutical companies that are for-profit providers of welfare service. While focusing on the contradictory effects of globalization on pharmaceutical policies of a nation, this study looked at how these conflicting effects end up promoting the interests of multinational pharmaceutical companies by examining the Korean case.

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