• Journal of the Korean Geographical Society
• /
• v.48 no.5
• /
• pp.709-727
• /
• 2013

Recently, "aging in place" has become the principle philosophy of elderly housing policy in many countries. However, since there is ambiguity surrounding the universal definition of it, the meaning of AIP has been defined by political expediency. This study aims to discuss the meaning of AIP by examining the transition of elderly housing issues and policy in Japan. During the last two decades, the Japanese government has tried to launch a new elderly welfare system to shift the responsibility of elderly care from the family to the society and from the society to the region. And the focus of elderly housing policy has shifted from the promotion of three-generation dwellings to supporting the development of private residences. However, since the main goal has been limiting the welfare budgets rather than enhancing the quality of life, elderly housing issues have been reduced to a matter of choosing either elderly care facilities frequently located in suburbs or not. This paper suggest that we should pursue the true AIP idea in housing policy, and argues that to do so we need to consider AIP from diverse aspects such as temporal continuity, the range of space, the dynamics of place experience and the capability of communities.

• Korean Journal of Clinical Laboratory Science
• /
• v.50 no.4
• /
• pp.511-524
• /
• 2018

The purpose of this study is to provide policy recommendations for manpower planning by forecasting the supply and demand of Medical Technologists. Supply was estimated using an in-and-out movement method with a demographic method based on a baseline projection model. Demand was projected according to a demand-based method using the number of clinico-pathologic examinations taken for Medical Technologists. Over- or undersupply of Medical Technologists will depend on the productivity scenario and assumptions and ultimately on governmental policy direction. In other words, whether the production of Medical Technologists is higher or lower than the current level depends on the government policy to consider insurance finances. In this study, we assessed 'productivity scenario 3' based on the productivity as of 2012, when the government's policy direction was not considered. Based on the demand scenario using the ARIMA model, the supply of Medical Technologists is expected to be excessive. This oversupply accounts for less than 10% of the total and therefore should not be a big problem. However, given that the employment rate of Medical Technologists is 60%, it is necessary to consider policies to utilize the unemployed. These measures should expand the employment opportunities for the unemployed. To this end, it is necessary to strengthen the functions of laboratories in the public health center, to increase the quota of Medical Technologists, to assure their status, to establish a permanent inspection system for outpatient patients, and to expand the export of Medical Technologists overseas.

• The Journal of the Convergence on Culture Technology
• /
• v.9 no.5
• /
• pp.349-355
• /
• 2023

This study attempted to examine the effect of Korean and Japanese college students' perception of welfare for the elderly, dementia perception, and dementia attitude on dementia policy. The main results are as follows. As a result of analyzing the impact of Korean-Japanese college students on their perception and attitude of dementia policy, it was found that Korean-Japanese college students' perception of welfare for the elderly and dementia attitude had a positive (+) effect on dementia policy perception. As a result, I would like to present the following implications. Korea and Japan have developed social insurance systems for the elderly in a low birth rate and aging society, and are developing and implementing support services suitable for the culture of both countries. In the perception of dementia policies of college students in Korea and Japan, the influence of long-term care insurance for the elderly in Korea and nursing care insurance in Japan has led to changes in the perception of dementia among college students. However, it has been shown that dementia awareness does not affect dementia policy awareness, indicating that college students lack dementia awareness. Dementia awareness can increase the demand for the development of various dementia-related services or dementia policies, but low dementia awareness can lead to misunderstanding or negative perceptions of dementia. This can also affect the perception of dementia policies, and services and policies such as social support, prevention, and treatment related to dementia may not be sufficiently developed. In order to compensate for these problems in the future, efforts should be made to improve awareness through the provision of various information such as the government and society to help improve and understand dementia awareness for college students.

• Korean Journal of Childcare and Education
• /
• v.9 no.6
• /
• pp.197-221
• /
• 2013

The purpose of this study was to examine the relationship between the child care support policies and the birth rate in 33 OECD countries. In the structural equation modelling, the birth rate was the dependent variable while the cash-support policies, the child-care facility service policies, and the tax benefits policies were the independent variables. The analysis showed that the most effective factor on the birth rate was the child-care facility service policies. Regarding the effectiveness of the policy expenses, the cash-support policies showed stable fluctuation of effectiveness according to the fluctuation of cash amount, the child-care facility service policies. In conclusion, in order to increase the effectiveness of the cash-support policies, the adequate cost calculation to decrease the parents' burden for child-bearing, re-allocation of budget, and support methods and timing should be continually discussed. In addition, for the better effectiveness of the facility service policies, more various, comprehensive and high-quality facility service policies that could balance home and work, should be implemented.

• Korean Journal of Occupational Health Nursing
• /
• v.25 no.1
• /
• pp.19-28
• /
• 2016

Purpose: This study was a descriptive research to identify the effects of communication skills, compassion satisfaction, compassion fatigue on burnout among staff of long term care insurance for the elderly in National Health Insurance Services in Korea. Methods: A descriptive cross-sectional design was used. The participants were 191 staffs of long-term care insurance in National Health Insurance Services. Data were collected via mail from the 24 branch offices which were randomly selected among the total of 226 centers of National Health Insurance Corporation. Stamm's professional quality of life (ProQOL) and Communication Skills Test tool were included in questionnaire to detect. SPSS/WIN 20.0 was used to conduct the descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression. Results: Compassion fatigue had a significant positive effect on burnout, while Compassion satisfaction had a negative effect on burnout. The explained variance for burnout was 69% and compassion fatigue was the most significant factor in burnout among staff of long term care insurance services. Conclusion: The results indicate that the factors influencing staffs' burnout are compassion fatigue, compassion satisfaction, and education level. Therefore, strategies to decrease compassion fatigue and improve compassion satisfaction are needed to decrease burnout for staffs of long-term care insurance in National Health Insurance Services.

• Korea Journal of Hospital Management
• /
• v.9 no.1
• /
• pp.46-65
• /
• 2004

The study was designed to investigate what effect of working time reduction which will be gradually expanded to corporate size from June, 2004 could give to medical industries, and to provide basic information for hospitals and government to prepare the policy. 276 hospitals were surveyed about medical service income and manpower realities during the first half of 2003, using a structured survey tool. Response rate was 8% and 20 hospitals were finally analyzed. The effect of working time reduction in hospital management was different to the size of hospitals and the alternative. Income to existing service income was decreased by $2.2{\sim}4.6%$ in tertiary hospitals, by $3.2{\sim}5.7%$ in general hospitals with more than 300 beds, and by $3.7{\sim}6.0%$ in general hospitals with less than 300 beds. In preparation against such decrease in income, government is required to raise insurance payment, to calculate added service charge for day-off on Saturday forenoon, to retain emergency care payment, to expand emergency care facilities, to secure duty doctors, and to support middle and small sized hospitals. Hospitals are required to give self improving efforts such as fortifying of weekday care, development of weekend care program, strengthening of care capacity and function of emergency care center, and making manpower operation efficient.

• Journal of Korean society of Dental Hygiene
• /
• v.19 no.6
• /
• pp.931-939
• /
• 2019

Objectives: The purpose of this study was to determine the importance of brushing before sleeping by comparing the use of oral care products, frequency of dental clinic visits, and oral conditions between individuals who brush and do not brush their teeth before sleeping using data from the 5th and 6th Korean National Health and Nutrition Survey (KNHANES). Methods: Statistical analysis was performed using SPSS 21.0 on data files obtained according to a complex sampling design, and a significance level of <0.05 was set. General characteristics of the participants and year were analyzed using chi-square analysis. Data on the oral conditions, use of oral care products, and frequency of dental clinic visits were analyzed using logistic regression and linear regression. Results: Individuals who brushed their teeth before sleeping showed greater use of oral care products and more frequent dental clinic visits, oral examinations, preventive treatment, and treatment for simple caries (p<0.05) than individuals who did not. Individuals who did not brush their teeth before sleeping showed higher prevalence of permanent teeth caries and periodontal disease, as well as chewing and speaking problems (p<0.05), than those who bushed before sleeping. Conclusions: Individuals who do not brush before sleeping exhibit poorer oral health and lower use of oral care products and frequency of recent dental treatment than those who brush before sleeping. Therefore, it is necessary to alter the government's active policy and improve education about the importance of brushing before sleeping to improve oral health.

• Journal of Digital Convergence
• /
• v.15 no.10
• /
• pp.315-326
• /
• 2017

This purpose of this study was to identify factors influencing performance about practice of infections management by child care center teachers about respiratory tract infection. The participant were 432 teachers working in child care center. Data were collected from July 2 to August 20, 2015 through a self-report questionnaire survey. The data was analyzed using the SPSS/WIN 18.0 program with descriptive analysis, t-test, one-way ANOVA, Pearson's correlation coefficient and Stepwise multiple regression analysis. Knowledge about causes and symptom of respiratory tract infections(${\beta}=.096$, p<.001),parenting experience(${\beta}=-1.993$, p<.001), and nursing knowledge(${\beta}=-.371$, p<.001) had significant positive effects on the practice of infection management. Explained variance for the practice of infection management was 43.4% and nursing knowledge was the most significant factor in the practice of infection management of child care center teachers.

• Research in Community and Public Health Nursing
• /
• v.21 no.1
• /
• pp.31-42
• /
• 2010

Purpose: The aims of this study were to identify successful strategies and propose a community-based participatory global health project model for primary health care capacity development. Methods: The study used case study methodology. A The unit of analysis was an international cooperation health project entitled "Community-based Primary Health Care Improvement in San Lorenzo, Ecuador" using community-based participatory research conducted in 2007~2008. Data were collected through windshield surveys, focus group discussion, key informant interviews, and provider surveys. Results: Identified successful strategies for the international cooperation health project were reciprocal partnership between researchers and community, partners' capacity building, south-to-south cooperation, and continuous monitoring and feedback. Community participation was found to be an essential tenet to guarantee the improvement of primary health care in the underserved rural community. Evidence from the activities of community health practitioners in Korea was applicable to the development of training programs for primary health care providers in Ecuador. Conclusion: Strategies for strengthening primary health capacity may be tailored depending on socio-cultural, political, and economical situations of each country. The model, however, would be applicable to the entire process of community-based global health projects in underserved rural communities of other countries.

• International Journal of Human Ecology
• /
• v.2 no.1
• /
• pp.39-55
• /
• 2001

Concerns about paid-facilities for the elderly with dementia from middle and upper class families have been discussed lately in Korea. Small-scale, home-like group homes for the elderly with dementia were developed in Sweden in the 1980, but they have not been effectively introduced in Korea where they remain a comparatively new concept. The group home, however, would provide a good alternative to Koreans who feel guilty when they have to leave their frail parents in large-scale facilities or hospitals instead of caring for them at home. The aim of this paper is, first, to define the care of the demented elderly who come from upper and middle class families in Korea and, secondly, to discuss the need for group homes to help care for them. A survey was done by questionnaire and was answered by 577 respondents who belonged to middle and upper class families living in Korea in December 2000. Methods of analysis were frequency, mean, and Chi-square. The results of this study were as follows: 1) the traditional notion that the eldest son should be burdened with the primary responsibility for a demented parent has weakened remarkably; 2) a small-scale long-term care facility was considered the most desirable living environment for the demented elderly; 3) the facilities families needed for professional hospitals for victims of dementia, senior citizen centers, large and small-scale long-term care facilities, day-care centers, and short-stay and service housing. The study also revealed that there was low awareness of the group home. The most preferred type of structure for group homes was a single-family detached house, and the most preferred management system was small-scale that could create home-like atmosphere. Additionally the respondents wanted group homes to consist of 6-8 residents with 2-4 persons per room. The results of this study strongly suggest that policy makers should encourage the development of smallscale group homes as an alternative form of housing for the elderly with dementia.