• Title/Summary/Keyword: care policy

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The Analysis of East-West Integrative Care System in a Korean Medicine Hospital Using by EMR Data: Preliminary Study (EMR데이터를 이용한 일개 한방병원의 한양방협진체계 분석: 예비연구)

  • Kwon, Min-Goo;Jo, Hee-Geun;Kim, Jong-Hwan;Jeung, Chang-Woon;Go, Yong-Jun;Seol, Jae-Uk;Lee, Sang-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.2
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    • pp.93-99
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    • 2017
  • Objectives The purpose of this study is to understand the condition of the Ease-West Integrative Care system in one of Korean Medical hospital, to develop more effective system, and to collect advance information for future research. Methods We analyzed patient's status, patient's composition and the ranking of the major disease code. In addition, we investigated the operating system of how Ease-West Integrative Care in hospitals is operating in order to grasp the actual situation is being done. Results As a result of analyzing the status, there was a balanced cooperation between the Korean Medicine and Western Medicine with a ratio of 0.86:1. The disease status from Korean Medicine to Western Medicine were mostly occupied by stroke patients and from Western Medicine to Korean Medicine fragment were mostly by musculoskeletal pain patients. Conclusions The results of this study showed that the Ease-West Integrative Care system of surveyed Korean Medical hospital has more integrated medical characteristics than previous studies in terms of quality and quantitative. Future research based on detailed data collection and review for a longer period is expected in the further.

Suggestions for the Work of Dental Hygienists and a Reflection of Health Insurance Charges according to Demographic Changes

  • Lee, Myung-Jin;Oh, Sang-Hwan
    • Journal of dental hygiene science
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    • v.20 no.1
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    • pp.1-8
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    • 2020
  • Given that the demand for dental care for elderly individuals is expected to increase according to demographic changes, long-term roadmaps for the current health insurance system should be actively planned. The study aimed to investigate the health insurance system in Korea, compared to that of Japan, and suggest directions for the work of dental hygienists to provide basic data on efficient improvements in the health insurance system. Based on the collected data, the website was used to collect additional related data from Korea and Japan. The most common cause of death in Korea was malignant neoplasms, and most patients were hospitalized for diseases and disorders of the musculoskeletal system and connective tissue. Dental care covered by Korean medical insurance for individuals aged 65 years or older was treatment oriented, such as dentures and implants, while in Japan, treatment-intensive items, such as visiting a dental hygienist for guidance and provision of home-care professional oral hygiene treatment, were covered. The percentages of remaining teeth in Korea and the percentage of remaining 20 teeth were 68.9% in those aged 65 to 74 years and 51.2% in those aged 75 to 84 years in Japan. A strategy for promoting oral health among elderly individuals should be established, and a multilateral intervention approach is required to prevent oral problems from leading to deterioration of whole-body health. The role of dental hygienists in providing comprehensive assessment to elderly individuals is important. In order to provide systemic oral care, it is necessary to introduce oral care systems according to the national policy.

A Study on the Influence of Intention to Use on Supply Condition and Offer Program of Care Farming (치유농업의 공급조건과 제공프로그램이 이용의도에 미치는 영향에 관한 연구)

  • Ko, Eun-ju;Heo, Chul-Moo
    • Journal of Digital Convergence
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    • v.18 no.7
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    • pp.189-199
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    • 2020
  • The purpose of this study was to provide basic data for the development of strategic measures for the application and growth potential of care farming as a healing for office workers. Therefore this study was investigated the relationship between supply conditions and offer programs for the activation of care farming and the intention of participants to use. The analysis results of the survey conducted for general office workers are as follows. Frist, there was a significant positive correlation between all sub-factors and intention to use. Second, the higher the awareness about the convenience of using healing facilities among supply conditions of healing farming and the necessity of medical service, the higher the intention to use. Third, the higher the awareness about the necessity of cultivation of crops, animal mediation, natural activities, and cultural activities among supply conditions of healing farming, the higher the intention to use. Based on the above analysis results, this study discussed the differences from previous studies and also derived insights for establishing a strategic plan to promote care farming.

Qualitative Case Study on the Rearing Experience of Parents who Adopted a Child from Foster Care (위탁아동 입양부모의 양육경험에 관한 질적 사례연구)

  • Kwon, Ji-Sung;Chung, Ick-Joong;Min, Sung-Hye;Shin, Hye-Won
    • Journal of the Korean Society of Child Welfare
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    • no.40
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    • pp.73-107
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    • 2012
  • The purpose of this study is to understand the rearing experience of parents who adopted a child for whom they were foster parents. Several cases of foster care adoption were found. We carried out individual interviews for data collection. Within-case and across-case analyses were conducted based on the data gathered from individual interviews of four cases. As a result, we were able to grasp significant issues from each case and find out common subjects found in all cases. The common subjects were 'special encounter: accident, connection, and inevitability', 'my child already', 'fundamental but insignificant difference', 'discontinuity in social support: things that are lost, and things that are gained', 'truth that is unable to hide, and truth that needs to be hidden', and 'family's destiny'. Based on the results of this study, policy recommendations and practice guidelines were suggested to help families undergoing adoption from foster care. Also, recommendations for further research were provided to overcome the study limitations.

Life experience of NEET youth after discharge from out-of-home-care (가정외보호 퇴소청소년의 무업자 생활 경험)

  • Chang, Hae-lim;Lee, Jung-Ae;Kang, Ji-Yeon;Chung, Ick-Joong
    • Journal of the Korean Society of Child Welfare
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    • no.57
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    • pp.9-42
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    • 2017
  • The purpose of this study is to understand the life experience of youth who discharged from out-of-home-care and lived as the unemployed NEET(Not in Education, Employment or Training) youth not established in life. For this study, we collected in-depth interviews with five youth in career moratorium or early discharge from out-of-home care. The results of the study were as follows: we divided into six themes such as "I cannot lean on family of origin", "unstable life", "strayed by wandering and prejudice", "I need someone to rely on", "belated regrets", and "constantly dreaming of resurgence"; and the six themes were analyzed separately in the sub-categories. As a result, we found out that the youth in career moratorium lived a life of regret and recovery in the unstable life journey. Based upon the results, we suggested social welfare practice and policy implications in order to systematically support the NEET youth after discharge from out-of-home-care.

The correlations among oral health education experience, oral health behavior, self-efficacy and subjective oral health level of elderly in some area (일부지역 노인의 구강보건교육 경험과 구강건강행위, 구강건강관리 자기효능감 및 주관적 구강건강수준과의 관련성)

  • So, Mi-Hyun;Cho, Youn-Young
    • The Journal of Korean Society for School & Community Health Education
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    • v.19 no.2
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    • pp.53-63
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    • 2018
  • Objectives: This study was intended to provide resources for the development and operation of the elderly's oral health education programs by comparing the difference of oral health behavior, oral health care self-efficacy and oral health levels according to their oral health education experiences and by researching the correlation of oral Health Behavior, self-efficacy, subjective oral health level and oral health education experience. Methods: An interview survey using structured questionaries was done on 180 senior citizens older than 65 years old residing in some areas of Gyeonggi-do from April 19 to May 25, 2018. The data was analyzed with Chi-square, t-test, spearman correlation coefficient with the use of SPSS 20.0. Results: 1. Those who are older than 75 years old and have higher levels of education and finance have more experiences of oral health education. 2. Those who have experiences of oral health education brush their teeth more than three times a day, use more oral health care items and get more regular preventive treatments such as oral examination and scaling. 3. As they has experiences of oral health education, their oral health behaviors, oral health care self-efficacy(tooth care, dietary control, regular checkup) and subjective oral health levels are high. Conclusion: It is necessary to try to improve the elderly's oral health levels by motivating the importance of oral health care and changing their oral health behaviors positively with the implement of oral health education on the elderly. Especially, oral health education programs that are operated on the elderly should be planned with practical programs that can cause the change of their oral health behaviors and should be processed to reinforce oral health care self-efficacy. Furthermore, preventive treatments for the elderly such as oral health education, oral examination and scaling should be implemented systematically and continuously by policy.

Skin Beauty Manual Technique Effects on Skin Manager's Job Psychology (피부미용 매뉴얼 테크닉이 피부관리사의 직무심리(職務心理)에 미치는 영향)

  • Park, Jang-Soon
    • Journal of Digital Convergence
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    • v.19 no.8
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    • pp.345-350
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    • 2021
  • In the explosive development of the beauty industry, skin care workers are negatively affected by their health and work attitudes due to excessive work intensity or excessive working hours, so there is an urgent need to study the working environment and job psychology. To this end, hypotheses were established and the main effects on skin care workers' job efficacy and job satisfaction in connection with manual technique were analyzed. As a result of the study, in the effect of the skin care manual technique on the skin care professional's sense of job efficacy, the scrutiny method had a significant effect, and in the effect on job satisfaction, the flexible method, the gait method, and the vibration method had a significant effect. In the skin care room, research and development of in-depth manual technique according to the purpose and scope of application of the customer is necessary for the skin care professional's job efficacy and job satisfaction as well as customer satisfaction. It is expected that it will be used as a basic data.

A Study on the Applicability of the Population-Based Health Care Model: Focusing on Social Cooperative-type Medical Clinics in a Local Area (인구집단 기반 건강관리모형의 적용가능성 검토: 한 지역의 의료복지사회적협동조합형 의료기관을 중심으로)

  • Lee, Keun-Jung;Oh, Ju-Yeon;Lee, Da-Hee;Hahm, Myung-Il;Lee, Jin-Yong
    • Quality Improvement in Health Care
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    • v.26 no.2
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    • pp.95-103
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    • 2020
  • Purpose: This study was to examine whether a health care model that provides comprehensive medical services based on population groups to members of the medical cooperative is applicable as a policy alternative in terms of medical use and cost. Methods: Data were derived from National Health Insurance claim data in 2019. We compared the medical volume and expenses of patients who visited social cooperative-type medical clinics with other patients, control group who visited other clinics in a local area. Results: The average number of visit days was 25.3 days in social cooperative-type medical clinics, more than 24.2 days in the control group (p=.004). However, the average medical cost per visit was KRW 46 thousand in social cooperative-type medical clinics, which was significantly lower than KRW 51 thousand in the control group (p<.001), and the total medical cost was also KRW 16.1 billion in social cooperative-type medical clinics and KRW 16.9 billion in the control group. Conclusion: We identified that a population-based health care model might change patients' behaviors to health care services and decrease total medical cost. Further population based experiment is needed to develop alternative healthcare model.

A study on community care using AI technology (AI 기술을 활용한 커뮤니티케어에 관한 연구)

  • Seungae Kang
    • Convergence Security Journal
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    • v.23 no.5
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    • pp.151-156
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    • 2023
  • Currently, ICT is widely used in caring for the elderly living alone and preventing the disappearance of the elderly with dementia. Therefore, in this study, based on the government policy direction for the 4th industrial revolution, the use of AI technology-based care services, which are gradually increasing in community care, was sought to explore the current status and prospects for utilization and activation.AI speakers and caring robots, services that can be used for community care, help solve various problems experienced by the elderly, and are also used to relieve lack of conversation or loneliness by adding emotional functions. In order to activate community care using AI technology in the future: First, there is a need for continuous education to familiarize the elderly with AI devices and 'user experience (UX) design' for the elderly. Second, it is necessary to use human-centered technology that has a complementary relationship and enables emotional mutual relationships rather than using function-oriented technology. Third, it is necessary to solve ethical problems such as guaranteeing the user's right to self-determination and protecting privacy.

Appling Nursing Theory to Clinical Practice of Home Health Care (가정간호실무에 적용가능한 이론적틀)

  • Woo, Seon-Hye
    • Journal of Home Health Care Nursing
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    • v.11 no.1
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    • pp.5-13
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    • 2004
  • The home health care industry has grown rapidly and can be expected to continue to grow in the foreseeable future. Home health care refers to the practice of nursing applied to clients with a health condition in the clients place of residence. clients and their designated care givers are the focus at home health nursing practice. The goal of care is to initiate. manage and evaluate the resources needed to promote the clients optimal level of well-being and function. Nursing activities necessary to achieve this goal may warrant preventive maintenance and restorative emphases to prevent potential problems from developing. Many project program were suggested home health care model for Korea's health care system and policy direction for expansion and establishment of home health care .But the aim of this paper is to provide on overview for theoretical frame work in home health care. Theories and conceptual frameworks or models are important nursing because they define and guide the boundaries of professional practice and identify key nurse-patient-caregiver relationships that emerge with caring. Following is the research with an investigation of the literature review in the University of Arizona international medline database, In conclusion, are as followers: First, many nursing theorists have had a tremendous impact on nursing practice. the following highlights those nursing theorists that are particularly helpful in understanding home health care. 1. Florence Nightingale : Our earliest theoretical legacy. Nightingale's believes are reflected in basic infection control practice such as hand washing and infectious waste disposal and are key nursing interventions in home care. 2. Martha Roger's :Science of unitary human beings theory. Rorger's believed that the focus of shared. non invasive healing modelities is the human environmental field rather than direct physical care. These modelities continue to evolve as our awareness (reflecting greater diversity, faster rhythms, motions, and ways of knowing) transcends time and space, allowing individuals to get in touch with their integral nature of unbroken wholeness. On people as ever changing energy fields have special relevance in home care especially with hospice and palliative care applications. 3. Madeline Leininger's; Transcultural nursing theory. Home care nurses move through a variety of communities and often care for patients from different cultural back grounds. Therefore Leininger's work has a good that with home care because home care nursing practice is very culturally focused. 4. Dorothea Orem's : Self care deficit theory. Orem's theory views care as something to be performed by both nurses and patients. The role of the nurse is to provide education and support that help patients acquire the necessary activities to perform self-care. Orem's theory is foundational to have care because it begins to truly acknowledge the role of the patient in managing his or her own health. which is referred to as self-care. 5. Margaret Neuman's; Health as expending consciousness theory. Neuman believes that health compasses disease and reflects an underlying pattern of person-environment interaction. A key application of 'Neuman's work to home care is for nurses to understand that health and illness do not necessarily exist at opposite ends of a continuum. 6. Jean Watson's: Theory of human caring. Watson's theory of human caring in nursing proposes human caring as the moral ideal of nursing. Nurses participate human caring to protect, enhance and preserve humanity by assisting individuals to fing meaning in illness. pain and existence and to help others gain self knowledge. self control. and self healing such thinking lends richness to theory development. as well as clinical practice in home care. Second, Robin Rice : Dynamic self determination for self care. (A theoretical framework for home care) Dynamical self determination for self care can be useful to home care nurses in a variety of ways. As research tool it can be reflected in the interview process when the home visit. The home care nurse's role is that of facilitator of patient self-determination for self care through numerous strategies. including patient education and case management.

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