• Title/Summary/Keyword: choice of care

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A Study on the Policy for Free Child Care for 0-2 Year old Children (영아 무상보육 정책 분석)

  • Hwang, Ock Kyeung
    • Korean Journal of Childcare and Education
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    • v.9 no.1
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    • pp.81-100
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    • 2013
  • This study has attempted to suggest the direction for child care policy for 0-2 year old children in Korea from analysis on the issues included in the policy for free child care services of the Korean Government. For the analysis, such materials as governmental statistical reports of child care and policy and articles regarding free child care service in daily news papers during 2012 have been collected. From this study, it has been suggested that the policy for free child care for 0-2 year old children, in future, should take into account reliably carrying out matemity leave and parental leave arrangements, equity childcare support for working couples, realization of parental subsidies, expand parental choice, introduction of a small family day care system, providing information and knowledge on the development of infants and parenting. The suggestions of this study will contribute to the development and practice of an effective child care policy for 0-2 year children, which consider the needs and requirements of young children and their parents.

Public Reporting of Hospital Level Surgical Volumes: Its Influence on Patient Behavior

  • Han, Kyu-Tae;Park, Eun-Cheol;Nam, Chung-Mo;Kim, Tae-Hyun;Hahm, Myung-Il;Lee, Sang-Gyu
    • Quality Improvement in Health Care
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    • v.24 no.2
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    • pp.62-75
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    • 2018
  • Purpose: The objective of this study was to publicly report the hospital-level surgical volume for 7 types of surgery including gastrectomy. Also, to investigate the changes in patient behaviors after the public reporting among patients with gastrectomy. Methods: This study used data from the National Health Insurance Service Cohort. The data comprised of 2,214 patients who were diagnosed with gastric cancer and underwent gastrectomy during 2004-2012. An interrupted time series analysis was performed to investigate the association between patients' choice and public reporting. Results: 79.27% of the patients visited a hospital with high surgical volume. The time trend after introduction of public reporting was positively associated with visiting a high volume hospital (per 1 month, RR: 1.004, p=0.0329). However, after adjusting the health policies by reducing copayment, public reporting on surgical volume was not associated with visiting a high volume hospital. Sub-group analyses had also similar results. Conclusion: Patients were more affected by policies on economic support than on public reporting, and the changes in treatment options may have been affected by the increasing preference for large size hospitals. Thus, public reporting did not significantly improve the options available for patients and their decision making on health care utilization.

A Case of Nonspecific Interstitial Pneumonitis Improved After Cyclosporin Therapy (Cyclosporin 치료로 호전된 비특이성 간질성 폐렴 1예)

  • Ahn, Sang Mi;Jo, Suk Kyoung;Lim, Seung Kwan;Song, Young Jun;Choi, Jun Hyuk;Sheen, Seung Soo;Oh, Yun Joung;Choi, Young Hwa;Park, Kwang Ju;Hwang, Sung Chul
    • Tuberculosis and Respiratory Diseases
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    • v.55 no.6
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    • pp.631-635
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    • 2003
  • Idiopathic interstitial pneumonia is a group of lung disease classified by clinical, radiological and pathologic findings. Steroid is described in many reports as an effective treatment for the idiopathic interstitial pneumonitis. For the treatment of steroid non-responders, immuno-suppressive or cytotoxic agents are used as second line drug of choice. We experienced a case of nonspecific interstitial pneumonitis who was treated initially with glucocorticoid and antibiotics without effects, but later did respond to cyclosporin treatment. This 63 year-old patient was admitted due to dyspnea, cough, and sputum production. He was started on glucocorticoid and antibiotics after he was diagnosed as having nonspecific interstitial pneumonitis by open lung biopsy. The initial steroid treatment was not effective, however, after cyclosprin treatment, the patient showed clinical and radiologic improvements.

Development and Application of Advance Care Planning Workbooks to Facilitate Communication with Children and Adolescent Patients: A Pilot Test

  • Moon, Yi Ji;Lee, Jung;Choo, In Sil;Kang, Sung Han;Kim, Cho Hee;Song, In Gyu;Kim, Min Sun
    • Journal of Hospice and Palliative Care
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    • v.23 no.4
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    • pp.212-227
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    • 2020
  • Purpose: This study presents the process of designing workbooks for advance care planning appropriate for the Korean cultural setting and describes actual case studies. Methods: This study focused on single inductive case studies of the utilization of an advance care planning workbook and recruited individual participants. Results: The workbook for adolescents contained six sessions and the workbook for children contained seven sessions. The workbook sessions led to four major discoveries: 1) considering the Korean cultural context, discussions on life and death must be held indirectly; 2) the role of the counselor as a supporter is crucial for the workbook to be effective; 3) the workbook must be accessible regardless of the seriousness of the illness; and 4) patients must be able to make their own choice between the workbook versions for children and adolescents. Six facilitating factors improved engagement: 1) the role of the counselor as a supporter; 2) building trust with the patient; 3) affirming freedom of expression on topics the patient wished to avoid talking about; 4) having discussions on what private information to keep secret and to whom the information can be disclosed; 5) discovering and regularly discussing relevant topics; and 6) regular communication and information-sharing with the patient's medical service providers. Conclusion: It is necessary to build on actual case studies regarding workbooks for children and adolescents in order to expand the usage of these workbooks to all relevant medical institutions in Korea.

Gender Characteristics and Consumption Propensity Depending on Golfers' Choice Criteria for Golf-wear (골퍼의 골프웨어 선택기준에 따른 성별 특성과 소비성향)

  • Kim, Ju-Ae
    • Fashion & Textile Research Journal
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    • v.8 no.6
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    • pp.655-664
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    • 2006
  • This study aims to examine the gender characteristics depending on golfers' criteria of choosing golf-wear and to identify the differences in consumption propensity. The research methodology was through the use of questionnaires, completed by golfers in Gyeongnam. As a result of examining the gender differences in the criteria of choosing golf-wear, it has been found that female golfers give more considerations to suitability to body, care convenience, and functionality than male golfers do when choosing golf-wear. As a result of analyzing the factors regarding the consumption propensity of golf-wear, they are categorized into ostentaion, fashion, aesthetic appreciation and practicality. According to the consumption propensity, male golfers were classified into three groups: ostentatious perfection, practical, common group. Female golfer were classified into three groups: practical, common, ostentatious perfection group. Groups of men golfers showed significant differences in the factors of ostentation, fashion and aesthetic appreciation of the consumption propensity. Groups of women golfers, however, showed significant differences in the factors of ostentation and practicality of the consumption propensity. It is considered that marketers need to develop golf-wear according to the gender characteristics by referring to the fact that choice criteria differ according to gender and consumption propensity.

Korean Long-Term Care Insurance System and Caring Justice (노인장기요양보험제도와 돌봄 정의)

  • Choi, Hee Kyung
    • 한국사회정책
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    • v.25 no.3
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    • pp.103-130
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    • 2018
  • The study aims to analyse Korean Long-Term Care Insurance system in terms of caring justice on the premise that elder care should be included in discussions and policies of care. Caring justice means an ideal of equal sharing duties and rights of care by all citizens. Four dimensions of caring justice(decommodification, defamilialization, degenderization and elderly participation and power) were established for the analysis. The results of the analysis were presented that Korean Long-Term Care Insurance system was maintained by commodificated and gendered care services attempting defamilialization with the exclusion of elderly beneficiaries, which represented typical caring injustice. Policy suggestions were made to realize caring justice: improving the status of caring labour by achieving proper service price and public employment, reorganization of life cycle based caring system integrating children, disabled adults and elders, and developing user-centered long-term care system to guarantee participation and choice of people in caring relationships.

The Changes of Health Care Utilization and Cause of Outpatients at an Oriental Medicine Hospital

  • Kim, Ji-Yong;Park, Seong-Sik
    • The Journal of Korean Medicine
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    • v.28 no.4
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    • pp.95-103
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    • 2007
  • Objectives : The aim of this study was to investigate the changes of attitude toward the oriental medicine for 10 years. Methods : A questionnaire was done about general characteristic of patient, the decision-maker of use and the reason of choice or alteration for oriental medicine hospital. Results : The results of this survey are as follows: For 10 years, sex ratio of outpatients is similar, but age distribution is even at all ages. The choice for oriental medicine is more determined by oneself than by others. The recommenders are more variable increasingly. The most common cause of moving from western medicine is to get the more effective treatment. The more the concomitant users are increasing, the more the patients that did not give notice to the western doctor about the dual therapies is increasing, also. The most frequent reason without a notice is "being afraid of western doctor's bias". Conclusions : The appropriate transfer system between oriental and western clinic must be constructed and the proper recognition about dual therapies will be needed among patients and especially dual doctors.

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Conceptual Analysis of Career Anchors of Nurses (간호사의 경력 닻 개념분석)

  • Oh, Jae Woo;Kim, Mi Ran
    • Journal of Korean Academy of Nursing
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    • v.53 no.1
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    • pp.28-38
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    • 2023
  • Purpose: This study aimed to provide a theoretical basis for career anchors of nurses by defining and organizing its concept. Methods: Using the Walker and Avant concept analysis, a total of 29 articles were analyzed through a literature search in this study. Results: The career anchors of nurses are individual career choice motives, a self-concept where in competency and values are harmonized, which act as a desire for growth and development in nursing, and are actions that maintain careers. Additionally, they indicate the direction for achieving individual career goals and act as a core value expected of nurses by nursing organizations, indicating continuous and integrated professional growth and development of the nursing profession. Conclusion: The career anchors of nurses identified in the results contribute to securing patient safety, providing quality care through policies, institutionalizing bases for career development, preventing nurse turnover, and retaining skilled nurses.

The Health-related Experiences of Foreign Wives in Korea (다문화가정 결혼이주여성의 건강 관련 경험)

  • Yih, Bong-Sook
    • Korean Journal of Adult Nursing
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    • v.22 no.5
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    • pp.477-487
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    • 2010
  • Purpose: The purpose of this study was to explore health-related experiences of the foreign wives. Methods: A qualitative research design was used to understand the health-related experiences of foreign wives. Ten informants were interviewed from December 2007 to December 2009. Results: The health related life experiences of foreign wives were analyzed within a self development process; Choice and struggle, Change and opportunity, and Settlement and expectation. The theme of choice and struggle includes physical and emotional stress in the initial stage of marriage. The second process of change and opportunity focused on the coping strategies of the women having power after knowledge acquisition from the multicultural family support center. The last theme was health and happiness from the women' perspectives. Conclusion: This study has emphasized the health condition of the foreign wives. Since foreign wives are members of Korean society, health care professionals need to design health services to meet their needs.

A Case Study of a Mobile Hospital Information System Usability (모바일 병원정보시스템 사용성에 대한 실증연구)

  • Ahn, Myong-Jin;Yang, Joon-Young;Ryu, Hyo-Seon;Park, Chan-Seok
    • Korea Journal of Hospital Management
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    • v.18 no.4
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    • pp.97-112
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    • 2013
  • This study is a proposal of quality scale and measurement for the Mobile Hospital Information System Usability used to the Chungnam National University Hospital in Daejeon Korea. This study is to provide decision- making guideline for hospital managers and to provide feedback for the users' information needs in Mobile Hospital Information System. The target people of the study were medical doctors in Chungnam National University Hospital. The service contexts of usability were request of medical Care, Vital sign check of Patient, Care Agreement of Patient, Blood management, Check of care state, Sign of choice doctors, Query of doctor order and patient measurement result. The Usability factors were the efficiency, effectiveness and satisfaction of quality model ISO9241-11. This study shows that the Mobile HIS is used for the communication and education between doctor and patients. Especially, The Care Agreement of Patient is a part of the most utilized in the Mobile HIS.

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