• Title/Summary/Keyword: community service

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Effects of Visiting Nursing Services in Long-term Care Insurance on Utilization of Health Care (노인장기요양보험의 방문간호 서비스가 의료이용에 미치는 효과)

  • Lee, Sangjin;Kwak, Chanyeong
    • Research in Community and Public Health Nursing
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    • v.27 no.3
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    • pp.272-283
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    • 2016
  • Purpose: This is a comparative study using secondary data from the Korean national long term care (LTC) insurance. Methods: Visiting nursing (VN) service users (n=666) and non-users (n=4,375) were extracted and compared in terms of medical expenditures, length of hospitalization, and annual number of ambulatory care visits to investigate effects of VN services in LTC. Results: Total health care expenditures were compared between the two groups and it was found that VN service users spent about $ 1700 than non-users for their medical costs between 2009 and 2011. The average length of in-hospital stay for VN service users was 19.4 days shorter than that of non-users. However, using VN services did not significantly influence the annual number of ambulatory care visits. Conclusion: The study has found that VN services are effective ways of providing community-based LTC services. We recommend LTC policy makers to further utilize VN services to deliver cost effective health care services.

Service Quality Influencing Visitors' Satisfaction in Yesan Apple Festival (지역축제 서비스 품질의 방문객 만족 영향요인 -예산향토사과축제-)

  • Park, Duk-Byeong;Lee, Minsoo;Kim, So-Yun;Shin, Hyun-Bae
    • Journal of Agricultural Extension & Community Development
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    • v.24 no.3
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    • pp.185-197
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    • 2017
  • Service quality in local festivals is a crucial for visitors satisfaction. The study aims to identify the factors to influence visitors satisfaction in local festival. A field survey was used to collect data from 206 visitors to the Yesan Apple Festival in South Korea. The results showed that the program and products, staff, and landscape factors could significantly has a significant on visitors' overall satisfaction, whereas facility factor don not influence significantly. The study suggested that festival managers should allocate their marketing resources for the program and products, staff, and landscape factors to increase the visitors' perception of service quality. This study encourages festival managers to provide high level of festival quality to consider extension effects of the festival experiences from long-term perspectives.

Health Promotion Programs in Primary Health Care Posts in Rural Areas and Factors Influencing Service (일 지역 보건진료소 건강증진사업 실태와 관련요인 분석)

  • Park, Choon-Hee;Bang, So-Youn;Hyun, Sa-Saeng
    • Journal of Korean Academy of Rural Health Nursing
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    • v.2 no.2
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    • pp.91-101
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    • 2007
  • Purpose: The purpose of this study was to identify health promotion services in rural areas and factors influencing this service. Method: From March to April, 2007, a structured questionnaire on services in 2006 was used to collect data from community health practitioners in all of the Primary Health Care Posts (PHCP) in North Chungchong Province. Collected data were analyzed using SPSS 12.0 Win program. Results: The most frequently offered programs were health gymnastics, walking exercise, bathing and vaccination service, and hypertension management. The main obstacles to these health services were lack of adequate space, insufficient budget, and overwork. The most frequently offered health education programs were education on hypertension, exercise, diabetes, volunteer work, and smoking cessation. The main obstacles to health education were lack of adequate space, insufficient education materials and equipment, and lack of cooperation from the citizens. Improvement and reinforcement of health promotion programs should include support of specialist, development of appropriate methods of service delivery, and education materials, and increase ease in using community resources. Conclusions: The research results show that a new model of health promotion must be developed for efficient health promotion programs in rural PHCP.

Qualitative Investigation of Assisted Living Residents′ Foodservice Experience

  • Lee, Kyung-Eun;Carol, W. Shanklin;Huang, Hui-Chun
    • Journal of Community Nutrition
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    • v.6 no.1
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    • pp.42-47
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    • 2004
  • The purpose of the study was to investigate assisted living residents' perception of foodservice experience using a qualitative approach. A total of 14 residents who lived in assisted living units of a continuing care retirement community participated in interview sessions. The interviews were semi-structured with open-ended questions. The interviews were transcribed and coded to identify themes from the responses. The residents perceived the availability of choices, variety of foods, and service positively, but expressed concerns about food preparation, food quality, and repetitive menus. They were particularly concerned with tough and dry meats. The foodservice department should consider the older residents' ability to chew and their changing taste buds when determining quality of food purchased and preparation methods. The residents considered the service pleasing and described it as satisfactory. They stated that the service staff was friendly but needed more training in proper service techniques. Communication between the foodservice department and the residents was an area to be improved. The foodservice department should increase the residents' involvement in the menu planning and evaluation of the foodservice on a routine basis. Foodservice managers and dietitians working for the older adults can utilize the findings of the study to identify strategies to improve foodservice at their facilities

Qualitative Investigation of Assisted Living Residents′ Foodservice Experience

  • Lee, Kyung-Eun;Carol W. Shanklin;Huang, Hui-Chun
    • Journal of Community Nutrition
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    • v.6 no.1
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    • pp.41-47
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    • 2004
  • The purpose of the study was to investigate assisted living residents' perception of foodservice experience using a qualitative approach. A total of 14 residents who lived in assisted living units of a continuing care retirement community participated in interview sessions. The interviews were semi-structured with open-ended questions. The interviews were transcribed and coded to identify themes from the responses. The residents perceived the availability of choices, variety of foods, and service positively, but expressed concerns about food preparation, food quality, and repetitive menus. They were particularly concerned with tough and dry meats. The foodservice department should consider the older residents' ability to chew and their changing taste buds when determining quality of food purchased and preparation methods. The residents considered the service pleasing and described it as satisfactory. They stated that the service staff was friendly but needed more training in proper service techniques. Communication between the foodservice department and the residents was an area to be improved. The foodservice department should increase the residents' involvement in the menu planning and evaluation of the foodservice on a routine basis. Foodservice managers and dietitians working for the older adults can utilize the findings of the study to identify strategies to improve foodservice at their facilities.

Factors Influencing Use of de Facto Mental Health Service Systems in Persons with Chronic Mental Illnesses (대리(de Facto) 정신보건 서비스체계의 이용에 영향을 미치는 요인에 관한 분석)

  • Lee, Sun-Hae
    • Korean Journal of Social Welfare
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    • v.42
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    • pp.340-371
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    • 2000
  • The paradigm of care for persons with chronic mental illnesses has recently been shifted in Korea from institutionalization to community integration. Numerous changes in the service environment tend to target clients of mental health care organizations while a considerable proportion of people with similar clinical conditions have been institutionalized in various types of organizations whose auspices are other than mental health care. Under the current circumstances in which the subgroup of people, who tend to be socio-economically disadvantaged, has no viable alternative in the community to using such de facto mental health organizations, their chances of deinstitutionalization may decrease. This study thus aims at providing an increased understanding of the characteristics of the users and their service utilization, which in turn enables us to establish differentiated strategies within the current service context. In this study, a survey is conducted on the residential history of those with chronic mental illnesses both in the community and in institutions. Major characteristics of the users of de facto services are investigated along with the extent of their use of various existing mental and non-mental health services. Included is also an examination of the subjects' clinical and individual factors that may influence their use of de facto services. The study findings demonstrate relative disadvantages in deinstitutionalization in a subgroup of the population with chronic mental illnesses under the current mental health policies, and the author suggests intervening strategies specific to this population.

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An Empirical Study on the Relationship between Performance and Behaviors of Participants in the Knowledge Sharing Virtual Community (지식공유 가상커뮤니티에서 사용자의 성과와 행동에 관한 실증연구)

  • Cho, Hurn-Jin;Jahng, Jung-Joo
    • Asia pacific journal of information systems
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    • v.19 no.1
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    • pp.63-82
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    • 2009
  • Virtual community is a social aggregation to attain some goals in an IT-supported virtual space (Lee et al., 2002). As lots of virtual communities generate robust and reliable outputs with low control and low incentive, previous researchers was interested in the questions, "why do they participate?" or "how are they controlled?". But. as Katz (1964) said, the most important part of the high-performing organization is the behaviors of members in the organization. Therefore, this research is to examine the relationship between the performance and the behaviors of participants in the virtual community. First, we propose 6 types of behaviors related to high performance in the virtual community: 'Continuous Attendance', 'Complying with the organizational value, policies, and regulations', 'Protection', 'Suggestion for the improving', 'Self-training', and 'Favorable behavior'. The six types of behaviors are extracted from the framework of Katz (1964) and Brief and Motowidlo (1986). The reason why each behavior is positively related with high-performance is that those who continuously attend have more responsibility than temporary participants do; complying with the rules of a virtual community means that they may make more reliable outcome; 'Protection' is one of the prosocial-behaviors and those who protect the community may concern the benefit of the virtual community when they participate: those who suggest some ideas for improvement may contribute to the virtual community; 'Self-training' behavior means that participants really want to have high quality in their contribution: those who have 'Favorable attitude' consider other members in the virtual community when they participate. Then, we perform an empirical analysis with the survey from participants in the Knowledge service of Naver.com, to show those behaviors are associated with the high-performance. To make the measurement for the six behaviors, we use CVR (content validity ratio) method (Lawshe, 1975), interviewing 12 experts. The dependent variable, performance of participation, is measured by 'ratio of selected answer' given by the Naver.com. We use email survey. We sent 1200 emails to randomly selected participants in the knowledge service and received 282 responses. The results of our empirical analysis show that 4('Continuous Attendance', 'Suggestion for the improving', 'Self-training', 'Favorable attitude') are positively related to the performance, but 2('Complying with the organizational value, policies, and regulations' and 'Protection') are not significant. In line with Fitzgerald (2006), we expect that participants in the virtual community may behave similarly to employees in the off-line firms for the high performance. But 2 behaviors have different results. The reason that the 'Complying with the organizational value' behavior is not sufficiently related to performance is that the motivation of participants is more related to intrinsic pleasure or altruism than external reward. Also, the 'Protection' behavior has no significant relationship with performance, which means that the high-performing participants have little concern about the problems in the community.

Ecological Evaluation of Marine National Parks Based on Seaweed Community Index (해조류 군집지수에 기초한 해양국립공원의 생태학적 평가)

  • Oh, Ji Chul;Choi, Han Gil;Kim, Cheol Do;Ahn, Jung Kwan
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.49 no.3
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    • pp.385-392
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    • 2016
  • Seasonal variability in the algal community structure of intertidal zones was examined at six study sites in Marine National Parks, on the western and southern coasts of Korea from March to November 2015. A total of 193 species of algae, comprising 27 green, 40 brown and 126 red algae, were identified. Algal biomass averaged 101.50 g dry wt./m2 with a maximal at Tonggae (168.12 g dry wt./m2) and minimum at Haseom (54.49 g dry wt./m2). The dominant seaweeds by biomass were Sargassum thunbergii at five sites (Tonggae, Haseom, Namdongri, Ando amd Sinjeonri), and S. fusiforme at Soando. Community indices measured as follows: dominance index (DI), 0.31–0.69; richness index (R), 7.30–11.43; evenness index (J'), 0.33–0.49; and diversity index (H'), 1.15–1.86. As evaluated using community indices and environmental states, the EEI (Ecological Evaluation Index) of the Marine National Park was “normal”. The present results indicate that seaweed community structures and indices could be used to evaluate the environmental status of coastal ecosystems.

Factors Influencing Happiness among Pregnant Women in the Ecological Systems Theory (임부의 행복에 영향을 미치는 요인: 생태체계 이론 적용)

  • Lee, Gyuree;Choi, Hyunkyung
    • Research in Community and Public Health Nursing
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    • v.30 no.1
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    • pp.11-24
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    • 2019
  • Purpose: This study tries to systematically understand factors that explain levels of happiness among pregnant women in the Ecological systems theory. Methods: A descriptive, cross-sectional study was conducted with 169 pregnant women in Korea. Collected data from self-report questionnaires were analyzed by hierarchical regression analysis using the SPSS statistics 23 program. Results: A total of 5 models were examined according to individual, microsystem, mesosystem, exosystem, and macrosystem in the Ecological systems theory. In the first model including individual factors, extraversion, neuroticism, and physical and psychological change constitute significant factors explaining happiness. In the second model with microsystem factors and in the third one with mesosystem factors, marital intimacy appears to be a significant factor. In the fourth model including exosystem factors, community service is a significant factor. In the final model with social atmosphere, personality (${\beta}=.15$ for extraversion; ${\beta}=-.30$ for neuroticism), physical and psychological change (${\beta}=-.15$), marital intimacy (${\beta}=.35$), and community service (${\beta}=.18$) turn out to be significant. These factors explain 59% of the variance of happiness in the pregnant women in Korea. Conclusion: Considering the fact that pregnant women's happiness is explained by microsystem and exosystem factors as well as individual factors, developing intervention programs that can promote influencing factors such as marital intimacy and community service is necessary to improve levels of happiness among pregnant women in Korea.

Underserved Elements and Regions of Physical Infrastructure for the Community Care - Case Study of Mapogu (지역사회 통합돌봄을 위한 물리적 인프라의 서비스 취약요소 및 취약지역 진단 연구 - 마포구를 대상으로)

  • Kim, Hyunju;Lee, Seungji;Lee, Eunjin;Jeon, Suyeon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.27 no.2
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    • pp.39-48
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    • 2021
  • Purpose: The study aims to demonstrate regional diagnosis methods and results combined with geographical information to expand the physical infrastructure related to community care services. To this end, the physical infrastructure for the core elements of community care was analyzed in terms of the fulfilment and access of facilities to derive the underserved elements and regions. Methods: Utilizes GIS network analysis techniques that can derive physical infrastructure service areas. Underserved elements are derived by comparing and analyzing the service area for each core element. Next, the underserved regions for each core element are derived through the overlapping of the set service area and the diagnosis population. Results: Among the physical infrastructure by core elements for community care, the housing support element was considerably weak, and the nursing care facility compared to health care was also analyzed to be weak. In addition, underserved regions by dong in Mapo-gu were deduced and presented for each diagnosed population. Implications: The discovery of underserved elements and underserved regions is meaningful as a diagnostic process that can derive the physical infrastructure that needs to be expanded urgently for the realization of community care and determine the priority projects and targets of the projects.