• Title/Summary/Keyword: care policy

Search Result 2,590, Processing Time 0.032 seconds

A Survey for Developing Strategies to Improve the Fees for Nursing Care (건강보험 간호관리료 수가체계 개선의견 조사분석)

  • Kim, Yun Mi;Nam, Hye Kyung;Sung, Young Hee;Park, Kwang Ok;Park, Hae Ok
    • Journal of Korean Clinical Nursing Research
    • /
    • v.14 no.1
    • /
    • pp.5-14
    • /
    • 2008
  • Purpose: To examine the current fees for nursing care and propose the strategies for improvement. Method: The number of subjects for this study was 86, including 36 chief executives of the nursing department, 14 of the health insurance department and 33 nursing managers. Data were analyzed by SPSS WIN 12.0 program. A researcher-developed questionnaire with 30 items was utilized. Results: 61% hospital had improved the nursing management fee grade after adoption of the differentiated nursing management fee schedules. After grade improvement, the time for direct nursing care increased. Also, the patient health outcome, nurse's job satisfaction were improved and more nurses were employed in general nursing units. Many subjects addressed that ICU and more nursing units were needed to adopt the differentiated nursing management fee schedules and "bed to nurse ratio" needed to be changed to "patients to nurse ratio" and specialized by the nursing units. Conclusion: The health policy in reference to fees for nursing care needs to get improved further in order to provide the quality-assured nursing care.

  • PDF

Implementation of SNS-based Web Integrated System for Child Care Participate Activation (보육 참여 활성화를 위한 SNS 기반의 웹 통합 시스템 구현)

  • Han, Jin Seok;Kim, Bong Han
    • Journal of Digital Convergence
    • /
    • v.11 no.9
    • /
    • pp.139-145
    • /
    • 2013
  • In most of the child-care facility, Children's photos, newsletters, menu, training plans, etc. made in print and is delivered through the child's bag. This method does not allow the parents to check their kids' condition and the regarding information. To solve these problems, parents using internet-based CCTV monitoring, or a call to teachers and the child's condition is unknown. In reality, however, is difficult. Therefore, to enable active participation in care SNS-based web integration system is to implement. Through the implementation of this system, the cause of the problem does not completely eliminate but a large portion will be eliminated.

Infant Development, mother's parenting knowledge and father's participation of child - rearing - in rearing in relation with current state and future plan of child-care - (영아의 발달과 어머니의 양육지식 및 아버지의 양육참여에 관한 연구 - 보육실태 및 계획과 관련하여 -)

  • Kang, Gi-Sook;Han, You-Me
    • Journal of Families and Better Life
    • /
    • v.28 no.6
    • /
    • pp.71-80
    • /
    • 2010
  • This study investigates the infant's cognitive and motor development, mother's parenting knowledge, and father's participation of child-rearing according to demographic variables and child-care related variables. A total of 112 infants aged from 11.5 months to 12.5 months old were tested by Korean Bayley Scales of Infant Development II; in addition, their mothers participated in the survey. The major results were as follows: First, among five areas of parenting knowledge, mothers attained the highest score on socio-emotional development and the lowest on cognitive and language development. Second, fathers participation in child-rearing were related to their income and the time to start child-care center. Third, the development of infants were positively associated with the father's participation in child-rearing. The implications for designing child-care policy and parent education program were discussed.

Desirable Major Education through a Survey on the Needs of Education Subjects

  • CHUN, Bong-Jae;PARK, Hyeon-Young;LEE, Se-Rin;LIM, Hyeon-Jin;KWON, Young-Eun;KWON, Lee-Seung
    • Journal of Wellbeing Management and Applied Psychology
    • /
    • v.4 no.3
    • /
    • pp.10-22
    • /
    • 2021
  • Purpose: This study aims to be used as a reference for setting the direction of university major education & policy. Research design, data and methodology: The satisfaction survey were nine major curriculum surveys for each college, targeting students enrolled in a university. One university consisted of 9 colleges and 49 departments or majors. The survey period is approximately one month. Results: The highest item in the major curriculum reflects the educational goal of the department, with a score of 3.95. Conversely, the lowest item is 3.65 points, indicating that the major curriculum offers a wide range of subjects to choose from. As the questions are higher than the average score (3.83 points), the major curriculum is helping me grow my competency through academic achievement (3.90 points), the major curriculum is helping me set my career and finding a job (3.88 points), The major curriculum suggests specific performance standards for judging the achievement of a set target competency (3.88 points), and the major curriculum reflects social demands and changes (3.85 points). Conclusions: Students want that their major education faithfully reflects the educational goals of their major and that major education helps their ability to grow for academic achievement.

Status of Medical Care Psychiatric Quality Assesment in Busan (부산광역시 정신의료기관 적정성 평가지표 실태)

  • Kim, Soo Jeong;Park, Jae Hong;Kim, Seong Min;Cho, Kyoung Won
    • The Korean Journal of Health Service Management
    • /
    • v.12 no.4
    • /
    • pp.103-113
    • /
    • 2018
  • Objectives: The study aimed to compare the indicators of infrastructure of the whole country with those of Busan through National Medical Care Psychiatric (hospital level) Quality Assesment and to provide the basic evidence for presenting vision and strategies of mental health policy. Methods: National Medical Care Psychiatric (hospital level) Quality Assesment Data was used from 2011 to 2015. A total of 8 indicators were analyzed including facility and workforce. Results: The median value of the capacity per ward was decreasing with years both whole country and Busan. The number of beds out of total inpatient occupancy was improved over the years. There was no clear change in the number of inpatients per toilet in the hospitalized ward, but the indicator was decreasing obviously. Therefore, the median value of whole country and Busan was same with 10.2 in 2015. Conclusions: We confirmed that indicators for infrastructure were improving in a generally positive change over the years. The infrastructure is related to the patient-centered treatment environment, and the workforce is related to the quality of care. Therefore, the structural area should be continuously evaluated and improved.

The Influence of Professional Self-Concept, Nursing Work Environment, and Teamwork on Job Satisfaction of Nurses in Comprehensive Nursing Care Ward (간호·간병통합서비스 병동 간호사의 전문직 자아개념, 간호근무환경 및 팀워크가 직무만족에 미치는 영향)

  • Lee, Jeonghwa;Jeong, Heeja
    • The Journal of the Convergence on Culture Technology
    • /
    • v.8 no.2
    • /
    • pp.149-155
    • /
    • 2022
  • This is a descriptive study to investigate influencing factors of job satisfaction among nurses of comprehensive nursing care ward. The participants were 114 nurses working in comprehensive nursing care ward. Collected data were analyzed by using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression analysis. The results showed that professional self-concept and teamwork were influencing factors of job satisfaction. Therefore, in order to improve job satisfaction of nurses in comprehensive nursing care ward, education and policy support to improve professional self-concept and teamwork. are needed.

Analyzing the Importance and Performance of Childcare Evaluation System Indicators Using the IPA Technique (IPA기법을 활용한 어린이집 평가제 평가지표의 중요도와 실행도 분석)

  • In Sun Moon;Sung Hee Hong
    • Korean Journal of Childcare and Education
    • /
    • v.19 no.5
    • /
    • pp.65-79
    • /
    • 2023
  • Objective: The purpose of this study was to identify the importance and performance of the evaluation indicators of the childcare center evaluation system among childcare center staff and to find ways to improve the evaluation indicators of the childcare center evaluation system. Methods: A survey was conducted among 296 directors and teachers of childcare centers located in Busan and Gyeongnam. The collected data were analyzed using a paired sample t-test and an IPA analysis with SPSS 23.0 and Excel 2010. Results: There was a difference between the perceived importance and performance of childcare staff for the overall evaluation indicators, and significant differences were found in all areas and nine evaluation indicators except for "childcare environment and operation management". According to the IPA analysis, Health and Safety fell into quadrant 1, Staff into quadrant 2, and Child Care Process, Interaction, Child Care Environment, and Operations into quadrant 3. This distribution resulted in 6 indicators in quadrant 1, 4 in quadrant 2, 7 in quadrant 3, and 1 in quadrant 4. Conclusion/Implications: This study provides essential data for exploring ways to enhance the evaluation indicators of the childcare center evaluation system, with the goal of improving the quality of childcare services. Additionally, it offers policy implications.

An Evaluation of a Basic Subsidy Program for Infants (보육보조금의 효과 분석: 영아기본보조금을 중심으로)

  • Cho, Yoon Young
    • KDI Journal of Economic Policy
    • /
    • v.29 no.3
    • /
    • pp.29-73
    • /
    • 2007
  • This paper evaluates the effects of the Basic Subsidy Program provided to families with infants cared for in private day care centers. There has been a discrepancy in the price and quality level between public and private day care centers. Public day care centers which receive government support in their labor costs are able to maintain relatively higher quality at lower price than their private counterparts, while the majority of children are cared for at private day care centers. To reduce the gap of the price and quality of care between public and private day care centers by improving the quality and decreasing the price of private day care centers, the Basic Subsidy Program was introduced in 2006 to the private day care centers. The subsidies mainly aim to improve the quality and the accessibility of child care, and encourage mothers' labor supply. For this purpose, the provision of the Basic Subsidy Program imposed prerequisites to the care providers including minimum wage and four major insurances for teachers, and child-staff ratio. I examine whether the subsidies improve the quality of care, help mothers balancing work and family, and increase satisfaction with child care from mothers' perspective. Since the outcome variables that measure the quality of care are difficult to obtain, I instead use the input variables for quality production. Child-staff ratio, teachers' welfare, and care environment are considered. The relationship between these variables and the introduction of subsidies is examined. The 2004 National Survey of Child Care and Education and the 2004 National Survey of Day Care Centers are used for the base data set. To reflect the outcomes after the Basic Subsidy Program, equivalent data sets for households and care providers are constructed by the KDI Data Analysis Unit. Using these nationally representative data sets, information regarding child care is collected. The findings show that the subsidies contribute to the quality of care improving the input variables of quality production. The welfare of teachers is improved, and the child-staff ratio significantly decreases. As a result, the usage of private day care centers greatly increases even though the price level rarely changes. However, mothers' satisfaction with child care are rarely affected by the subsidies. Although the subsidies with no eligibility criteria enlarge the recipients, the actual effects to increase maternal labor supply or to improve satisfaction is limited. Given this findings, I suggest some modifications of subsidies to raise the effectiveness of the subsidy program.

  • PDF

A Study of Home Care Needs of Patients at Discharge from a General Hospital (가정간호 요구에 관한 연구 - 일 지역 종합병원 퇴원환자를 중심으로 -)

  • Jung Young-Suk;Kim Hyeon-Ok
    • Journal of Korean Public Health Nursing
    • /
    • v.8 no.1
    • /
    • pp.84-102
    • /
    • 1994
  • This study was conducted to provide basic policy of home care service centered on early discharging patients from general hospitals. This subjects for this study were 291 discharging patients from university hospital in Chon-ju area. The data were collected during the period from July 1, 1993 through July 16, 1993. The measurement tools were developed based on 9 categorized human responses patterns suggested by NANDA and modified by the research team. The collected data were processed with SPSS/PC + frequency, percentage and mean were used for analysis. From the study, the following summerized conclusions have been drown. A. For home care needs, the mean was $19.0\%$ of possible to total 100 and in a range of $6.2\~39.5\%$ 1. Exchanging Pattern: $17.8\%$ 2. Communication Pattern: $8.6\%$ 3. Relating Pattern : $15.4\%$ 4. Valuing Pattern: $13.4\%$ 5. Choosing Pattern : $6.2\%$ 6. Moving Pattern : $22.9\%$ 7. Perceiving Pattern: $16.5\%$ 8. Knowing Pattern : $30.8\%$ 9. Feeling Pattern : $39.5\%$ B. Response to home care services, 1. $85.6\%$ of subjects didn't hear about home care service. 2. Over $90.0\%$ subjects approved home care service. 3. $83.5\%$of subjects were willing to use home care service. 4. $85.9\%$ of subjects will follow to early discharge order. On the basis of this findings, further studies are required to compare home care needs between patients, their family and community health people groups. And also required to develop to information strategies for home care nursing service.

  • PDF

Development of a Family Nursing Model for Prevention of Cancer and Other Noncommunicable Diseases through an Appreciative Inquiry

  • Jongudomkarn, Darunee;Macduff, Colin
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.23
    • /
    • pp.10367-10374
    • /
    • 2015
  • Background: Cancer and non-communicable diseases are a major issue not only for the developed but also developing countries. Public health and primary care nursing offer great potential for primary and secondary prevention of these diseases through community and family-based approaches. Within Thailand there are related established educational curricula but less is known about how graduate practitioners enact ideas in practice and how these can influence policy at local levels. Aim: The aim of this inquiry was to develop family nursing practice in primary care settings in the Isaan region or Northeastern Thailand and to distill what worked well into a nursing model to guide practice. Materials and Methods: An appreciative inquiry approach involving analysis of written reports, focus group discussions and individual interviews was used to synthesize what worked well for fourteen family nurses involved in primary care delivery and to build the related model. Results: Three main strategies were seen to offer a basis for optimal care delivery, namely: enacting a participatory action approach mobilizing families' social capital; using family nursing process; and implementing action strategies within communities. These were distilled into a new conceptual model. Conclusions: The model has some features in common with related community partnership models and the World Health Organization Europe Family Health Nurse model, but highlights practical strategies for family nursing enactment. The model offers a basis not only for planning and implementing family care to help prevent cancer and other diseases but also for education of nurses and health care providers working in communities. This articulation of what works in this culture also offers possible transference to different contexts internationally, with related potential to inform health and social care policies, and international development of care models.