• 디지털콘텐츠학회 논문지
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• 제18권8호
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• pp.1661-1669
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• 2017

2017년 우리나라는 독거노인 130만 시대에 이르렀다. 정부는 독거노인의 안부를 체크하기 위해 생활보호사를 활용한 노인돌봄 기본서비스 사업을 추진하고 있다. 하지만 노인돌보미의 인력 부족과 서비스 이용률 저하로 관리의 어려움에 놓여 있다. 이러한 환경적 제약사항을 개선하기 위하여 본 논문에서는 온도, 습도, 동작 감지, 가스누출 감지 등의 센서를 활용하는 독거노인 모니터링 시스템을 구축하였다. 센서는 주기적으로 노인들의 각종 현황 데이터를 수집하여 서버에 전송하고, 이 데이터를 기반으로 실시간 그래프를 작성한 후 웹을 통해 모니터링하는 체제이다. 모니터링 과정에서 센서가 정해진 값의 범위를 벗어나면 보호자에게 경고 문자 메시지를 보내어 현황을 통보해 주는 기능을 추가하여 독거노인들의 안전 생활을 지원할 수 있도록 설계하고 구현하였다.

• 한국노년학
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• 제39권3호
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• pp.429-449
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• 2019

본 논문의 목적은 제2차 세계대전 이후부터 신 노동당 정부까지 영국의 노인을 위한 개인적 사회 서비스 정책의 복지 다원주의의 역동성을 밝히고, 그것의 정책적 함의를 논하는 것이다. 이를 위해 1945년부터 2010년까지 보수당, 노동당, 신 노동당 정부 및 의회 보고서, 의회 회의록, 전당대회 원고, 법률, 국립기록보존관의 비밀 해제 문서, 각종 연구 기관의 보고서를 내용분석 한 결과, 노인을 위한 개인적 사회 서비스 정책의 복지 다원주의의 역동성에서 국가는 NHS에서와 달리, 해당 시기 내내 민간 영역의 보조 역할에만 머문 것으로 밝혀졌다. 이러한 구조에서 민간 영역의 역할이 국가의 역할 보다 지나치게 강화되었을 때 영국 노인들이 겪었던 부작용은 문재인 정부의 노인을 위한 커뮤니티케어 복지 다원주의 구조 형성에 유의미한 정책적 함의를 제공해주고 있다.

• 토지주택연구
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• 제3권2호
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• pp.147-157
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• 2012

정부는 임대주택에서 고령자 주택의 의무 설치비율에 대한 기준을 2012년 2월에 마련하였고, 이에 따라 고령자 주호 수는 늘어날 전망이다. 그리고 고령화 사회에 대비하기 위해 유비쿼터스 기술을 활용하면 효율적인 의료서비스를 지원할 수 있을 것이라는 주장이 다양한 연구에서 언급되었다. 따라서 본 연구에서는 이러한 고령자의 자립정도에 따라 헬스케어 서비스를 제공하기 위한 고령자 주택의 계획요소를 도출하고 현재 기축된 4곳의 사례 적용평가를 통해 실태 파악과 추후의 전략을 도출하는 것을 연구의 목적으로 하였다. 고령자 주택계획에서 주호 내 어메니티를 지원하는 부분이 중요도가 가장 높은 것으로 평가되었으나, 실제 주택에서 반영 비율은 낮았고 공용공간의 위험 관리계획이 가장 높은 비율로 적용되어 있었다. 실제 건강측정이나 외부와의 커뮤니티 돕는 것과 같은 새로운 기술을 활용하는 부분은 아직 적용되지 않았지만 에이징인 플레이스의 개념을 실현하기 위해서는 헬스케어서비스를 다양한 측면에서 고려하여 계획할 필요가 있음을 제안하였다.

• 한국보건간호학회지
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• 제26권2호
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• pp.289-302
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• 2012

Purpose: The purpose of this study was to compare the effectiveness of case management in elderly medicaid beneficiaries according to geographic location. Methods: Data were collected from 23,633 elderly medicaid beneficiaries assigned from over users of medicaid. We used the need assessment tool developed by the government, which consists of 19 items with four subscales. Results: Among elderly medicaid beneficiaries, statistically significant differences in effectiveness of case management were observed for quality of life, self-care competency, medical care utility, and support system. Differences in case management effectiveness were higher in urban areas than in metropolitan or rural areas. Conclusion: The differentiated and tailored intervention model based on characteristics of participants, resource distribution, and geographic location may be needed for effective case management for elderly medicaid beneficiaries.

• 한국보건간호학회지
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• 제20권1호
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• pp.5-15
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• 2006

Purpose: The objectives of this study was to measure the outcomes of interventions on the health and social welfare of the elderly in a rural community in Korea. The project involved integrating services of one public health center with that of one social welfare agency, which were under different administrative structures. Method: A single group pretest-posttest design was used for this research. Seventy-five elderly residents living alone in a rural community participated in the study. All of them had coverage of free basic medical care and social welfare services by the government. Major activities for the intervention included: developing partnerships among community leaders/institutes; forming committees of community residents; educating care providers and volunteers; developing 8 integrated service programs and instruments; and organizing the networks. The 20-month intervention was care-managed by a public health nurse whom collaborated with social worker, and was assisted by volunteers. The t-test was utilized to analyze the outcome variables including the elder's health, social welfare and quality of life. A major limitation of this study was the lack of a control group. Results: The outcome of the intervention was shown by improved elder's health, social welfare needs, and quality of life. Integrating the services of public health centers with those of social welfare agencies is an effective way to improve the health of the elderly in the community. Conclusion: Developing community capacity with such integrated services will pay an important role in improving the health of the elderly who live alone.

• 지역사회간호학회지
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• 제21권4호
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• pp.386-397
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• 2010

Purpose: The purpose of this study was to compare functional status and the level of health care needs in elderly Koreans in health care institutions. Methods: Data were collected from 2,521 elderly patients admitted in 50 health care institutions (hospitals, oriental hospitals, geriatric hospitals, and health care facilities) selected through proportional stratified sampling in 2008. We used a long-term care (LTC) assessment tool developed by the government, which consists of 52 items with 5 subscales. Results: Statistically significant differences were detected in functional status and the level of health care needs among the subjects in different health care institutions. Of the sample population in geriatric hospitals, 48.9% were eligible for LTC Category 1, 20.9% for Category 2, and 17.2% for Category 3, and 13.1% of the subjects were not eligible for any of the categories. Of the sample population in health care facilities, 29.9% were eligible for LTC Category 1, 20.5% for Category 2, and 21.8% for Category 3, and 27.0% of the subjects were not eligible for any of the categories. Conclusion: The findings of this study indicate the necessity of the development of an evaluation system that helps determine whether a subject is eligible for LTC.

• Journal of Nutrition and Health
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• 제29권7호
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• pp.830-838
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• 1996

The purpose of this study were to : a) examine the current foodservice management practices by different types of elder-care sites, b)evaluate the attitudes of recipients of meal service programs, and c) provide feedback for the efficient and effective foodservice management of elder-care sites in Korea. A total of 91 elderly congregate sites was analyzed in Survey 1 and opinons of 190 recipients were surveyed in Survey 2. According to the result of meal cost analysis, the meal cost per a day was ranged from ￦728 to ￦5,500. Only 16.5% elder-care sites had one dietitian due to the lack of budges and the isolated geographical location of sites. These results suggested that financial and dystematical supports by the government would be very necessary to meet the goal of nutritional-balanced meal services at congregate sites. The survey results of recipients at sites, the mean of meal satisfaction score was rated 3.63 at the five-point scales. Significante differences were found between dependent variables(food, convenience, atmospere, menu, facility, and service) and independent variables(site type, gender, living years at sites, and health status). Thus, foodservice managers must consider characteristics of participants for menu planning, service, and distribution.

• The Journal of Korean Physical Therapy
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• 제11권1호
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• pp.179-185
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• 1999

The Purpose of this study was to review the necessity of home care service for the handicapped. The Present momentum for home care for the handicapped become when the circulating rehabilitation service center for the handicapped was designated by the government in Korea. That was 1992. Home care service is a burgeoning segment of Korea health Service, driven by factors which include an expanding elderly population and increasing the disabled persons. To ensure quality of life for the disabled persons with diminishing financial resources allocated to health me, it is essential that community based rehabilitation and home care service be extended.

• 한국전문물리치료학회지
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• 제29권2호
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• pp.94-105
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• 2022

Background: As South Korea enters an aged society, the government has emphasized the need for a soft landing of the older adults into the community after the acute and recovery periods under a national policy of "community care." However, the institutionalization of community rehabilitation services to implement this is insufficient. Japan had already entered an aged society when the Long-Term Care Insurance System was introduced in 2000. Thus, the case of Japan's institutionalization of the system is expected to have implications for us in supplementing a suitable system for the aged society. Objects: This study compared the institutionalization process of the Long-Term Care Insurance System in South Korea and Japan and the services currently being implemented in each country. Methods: To examine the institutionalization process and services of the system, related legal rules and regulations, government reports, and articles were reviewed. To examine the operation status of the system, statistical data provided by each country's government were analyzed. Results: Japan recognized the importance of community rehabilitation even before the enactment of Long-Term Care Insurance. Thus, community rehabilitation services, such as home-visit rehabilitation and health facilities, were already stipulated in the law. Under such institutional legacy, Long-Term Care Insurance was able to establish a service system, which balanced welfare and health-related services, including various types of services with enhanced rehabilitation functions. In South Korea, rehabilitation policies were not much considered in the process of institutionalizing the system; thus, it was composed mainly of services focusing on care and recuperation. Conclusion: In order to realize community care, rehabilitation services need to be developed in Long-Term Care Insurance System in various forms such as home-visit services, daily services, short stay, and facility services.

• 한국주거학회논문집
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• 제13권1호
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• pp.44-52
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• 2002

As a result of the expansion of the nuclear family in society, there has been an increase in the number of elderly people who want to live independently of their children. Australia is one of the countries which has initiated an extensive welfare program for its senior citizens. These services include maintenance of, and alterations to their own homes to make living conditions safer and more manageable. This case study was aimed at finding ways of adapting the services provided in Australia, to meet the needs of elderly Koreans who are in similar situations. It evaluated houses which had been renovated and altered fur the normal as well as the disabled elderly in both Melbourne and Sydney. results of research were as following : 1) Most elderly usually wished to remain as long as possible in their own home and it made them very stable in psychologically. 2) Housing maintenance and alterations were provided as one of social care services fur elderly with low expense and loan from government. 3) Many elderly were also getting various kinds of social services, fur example, meals on wheels, transportation and cleaning service with housing alterations and these ones let their quality of life more improved. 4) Occupational therapist and Architect were always involved in the process of housing alterations for disabled elderly. 5) The alterations which related to bathroom, toilet and steps were very popular and those were considered essential design guide applications for planning of housing for elderly in the future.