• Title/Summary/Keyword: external care

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The Effects of Independent External Financial Audit on Uncompensated Care Provision (독립 외부 회계 감사가 병원 미보상 진료 공급에 미치는 영향: 미국 캘리포니아 병원 데이터를 중심으로)

  • Oh, Seungmin;Lee, Jinhyung
    • Korea Journal of Hospital Management
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    • v.22 no.2
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    • pp.1-16
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    • 2017
  • 1) Purpose: The goal of this study is to examine the association between independent external financial audits and uncompensated care. Not-for-profit hospitals are required to provide uncompensated care in return for tax exemption. These tax exemption benefits are applied to all activities that contribute to the enhancement of uncompensated care. However, some researchers argue not-for-profit hospitals do not provide uncompensated care as expected by their tax exemption. Thus, this paper examines whether independent external financial audits can help the not-for-profit hospitals to function as designed and ultimately for meeting the objectives of the not-for-profit organization, which are the clearest examples of charitable activities performed by not-for-profit hospitals. 2) Methodology: Panel data analysis was utilized with fixed effect using California hospital financial data from 2002 to 2011. 3) Findings: We found that hospitals receiving independent external financial audits provide more uncompensated care than their counterparts which do not receive audits. 4) Practical Implications: Not-for-profit hospitals provide uncompensated care to people in welfare blind spots. Therefore, they fulfill what governments cannot afford, and play a social role as a ʻnonprofitʼ organization with independent external financial audits.

The Effects of Care Stress and Internal and External Control on Depression in Caregivers of Elderly with Severe Dementia (중증치매노인보호자의 돌봄스트레스와 내외통제성이 우울에 미치는 영향)

  • Kim, Souk-Boum;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.1
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    • pp.63-72
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    • 2020
  • Objective : The purpose of this study is to identify and understand the internal and external control of the caregivers of elderly with severe dementia and the effects of care stress on depression, and to provide basic data of occupational therapy intervention. Methods : The internal and external control, care stress, and depression were examined in questionnaires for the caregivers of elderly who were diagnosed with moderate or higher degree of dementia through CDR by medical institutions. Internal and external control and depression by care stress was analyzed by using independent samples t-test and ANOVA, and the effects of internal and external control and care stress on depression were analyzed by performing multiple regression analysis. Results : The results were as follow; The first, there was a significant degree of depression according to difference of internal and external control. The second, there was a significant degree of classification in the care stress. The third, the effects of internal controls and care stress on depression were shown to be statistically significant. Conclusion : Based on the analyzed results, the caregivers of elderly with severe dementia needs to seek the role of a occupational therapist who can enhance internal control and lower care stress in intervention of occupational therapy because internal control and care stress can affect depression.

Convergence Effect of Locus of Internal & External Control, Stress and Fatigus on the Geriaic Hospital Nurses' Terminal Care Performance (요양병원 간호사의 내·외적 통제신념과 임종간호 스트레스 및 피로 관계에서 임종간호 수행의 융복합적 영향)

  • In, Hee-Young;Yun, Mi-Jin;Kwon, Young-Chae
    • Journal of Digital Convergence
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    • v.17 no.12
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    • pp.329-336
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    • 2019
  • This study is a descriptive research study that examines the level of terminal care nursing care and the effects on terminal nursing in the internal and external control beliefs of nurses in the nursing geriaic hospital.. The subjects consisted of 442 nurses, and data were collected through structured questionnaires.. The data were analyzed with descriptive that used SPSS WIN 22.0, and AMOS 5.0 statistical program was hypothetical model and path analysis of research hypothesis. As a result, terminal care of geriatric hospital nurses was statininificant to the terminal care stress, fatigue and locus of internal & external control. and the higher the internal control belief, the less stress of the terminal care and the higher the terminal care performance As a result, this study providers a more terminal care performance, It is considered that nursing hospital nurses who develop strategic programs and terminal care nursing will need to provide quality nursing education and work environment improvement.

Application of epoxy putty external skeletal fixator for stabilization of tarsocrural arthrodesis in small dogs and cats

  • Moon, Je-Sung;Lee, June-Sub;Han, Hyun-Jung
    • Korean Journal of Veterinary Research
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    • v.60 no.4
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    • pp.187-194
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    • 2020
  • Two small-breed dogs and two cats, with an average body weight of 4.88 kg (range: 4.3-5.5 kg), suffered hindlimb lameness due to luxation with or without fractures of the tarsocrural joint. These patients underwent tarsocrural arthrodesis with epoxy putty external skeletal fixator. The animals' skins were incised minimally, and the articular cartilage of the tarsocrural joint was removed, followed by autogenous cancellous bone grafting. Epoxy putty and positive Centerface®, pins with diameters 1.2 mm and 2.0 mm, were used for connecting bar and as a full pin fixation, respectively. All the patients regained the ability to bear weight on the affected limb within 3-7 days and resumed a normal gait within 9-15 weeks. The external skeletal fixator frame was removed within 13-17 weeks without major complications. Tarsocrural arthrodesis using epoxy putty external skeletal fixator resulted in excellent outcomes without severe postoperative complications in this study. Epoxy putty external skeletal fixator can be a valuable surgical option for tarsocrural arthrodesis in patients weighing less than 5.5 kg.

A Study on the Effect of Internal and External Control on the Relational Aggression's Perception of the Elderly in Care Facilities (내·외 통제성이 시설거주 노인의 관계적 공격성 인식에 미치는 영향에 관한 연구)

  • Kim, Hee-Jung;Cho, Moo-Sin;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.11 no.1
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    • pp.1-10
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    • 2021
  • Objective : This study is to know how the internal and external control of the elderly in care facilities affect the relational aggression's perception. Methods : I analyzed the internal and external control and the relational aggression's perception through a survey of the elderly in care facilities. For data collection, 148 of 165 questionnaires, excluding 17 questionnaires with missing questionnaire and middle-level abandonment, were used for the final analysis. Independent variables were the internal and external control, dependent variables were the relational aggression of negative and bullying behaviors, and controlled variables were general sociological characteristics of the elderly. Results : The results were as follows: First, there was a significant difference internal and external control depending on the length of a care facility. Second, there were significant differences in the recognition of relational aggression depending on the level of education, the period of admission, the presence of spouses, and the level of economy. Third, there was a significant difference in comparison of relational aggression perceptions according to internal and external control. Fourth, internal and external control affected the recognition of relational aggression. Conclusion : According to the demographic characteristics, there was a difference in the internal and external control and relational aggression perception of the elderly living in the facilities, and the internal and external control affected the level of relational aggression perception of the elderly in the facilities.

The study on external treatment of oriental medical care on acne (여드름의 한의학적 치료에 관한 고찰;국내 논문, 외용약을 중심으로)

  • Kim, Min-Ae;Kim, Mi-Bo;Shin, Sang-Ho;Byun, Seok-Mi;Ko, Woo-Shin;Lee, Ho-Sub;Park, Sun-Gyoo;Yoon, Hwa-Jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.21 no.2
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    • pp.102-111
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    • 2008
  • Background : The purpose of this study is to make the oriental medicine treatment useful and develop the way of acne cure. Object&Metbod : This study is based on analysis of Recent paper about Oriental medicine of acne, mainly for the external treatment. Results: We analyzed recent treatis about acne cure with external treatment in clinical and analytic study. For the first, there are various clinical approaches with: single use of external treatment, external treatment and herb medicine methods and acidic ionized water. The others are about practical applications on the external treatment, and traditional chinese medical approaches. Conclusion: To develop the better medical care on acne, development and verifications of various treatment methods are necessary on the basis of the merits of oriental treatment.

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Analysis on Factors Relating to External Medical Service Use of Health Insurance Patients Using Spatial Regression Analysis (공간효과분석을 이용한 건강보험 환자 관외 의료이용도와 관련된 요소분석)

  • Roh, Yun Ho
    • Health Policy and Management
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    • v.23 no.4
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    • pp.387-396
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    • 2013
  • Background: The purpose of this study was to analyze the association between areas of Korea Train Express (KTX) region and external medical service use in Korean society using spatial statistical model. Methods: The data which was used in this study was extracted from 2011 regional health care utilization statistics and health insurance key statistics from National Health Insurance Corporation. A total spatial units of 229 districts (si-gun-gu) were included in this study and spatial area was all parts of the country excepted Jeju, Ulleungdo island. We conducted Kruskal-Wallis test, correlation, Moran's I and hot-spot analysis. And after, ordinary linear regression, spatial lag, spatial error analysis was performed in order to find factors which were associated with external medical service use. The data was processed by SAS ver. 9.1 and Geoda095i (windows). Results: Moran's I of health insurance patients' external medical service use was 0.644. Also, population density, Seoul region, doctor factors positively associated with health insurance patients' external medical service. In contrast, average age, health care organization per 100 thousand were negatively associated with health insurance patients' external medical service use. Conclusion: The finding of this study suggested that health insurance patient's external medical service use correlated for seoul region in korea. The study results imply the need for more attention medical needs in the region (si-gun-gu unit) for health insurance patients of seoul region. It is important to adapt strategy to activation of primary health care as well as enhancing public health institution for prevent leakage of patients to other areas.

Substantial Improvement of Medical Care for Detainees in Republic of Korea (대한민국 수용자 의료처우의 실질적 개선)

  • Samin Hong
    • Health Policy and Management
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    • v.33 no.3
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    • pp.370-375
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    • 2023
  • The responsibility to ensure the health rights of detainees, particularly their medical rights, fundamentally lies with the state in all nations. However, in the correctional facilities of the Republic of Korea, these rights are currently not adequately safeguarded. Numerous detainees express dissatisfaction with the medical services provided and show a preference for voluntary external treatment. However, barriers such as prolonged application processes for external treatment and the requirement for detainees to cover their medical expenses present significant challenges. Therefore, the National Human Rights Commission of Korea has advocated for an increased medical budget in correctional facilities and a bolstered professional medical workforce to improve the medical care of detainees. Recommendations for improvements include: (1) establishing dedicated correctional hospitals for detainees, (2) setting up specialized correctional wards, (3) collaborating with military hospitals, (4) launching mobile medical buses for diverse specialties, (5) enhancing collaboration with public and private medical institutions, (6) increasing compensation for partnering external medical institutions, (7) improving the working conditions of medical officers, (8) safeguarding the defense rights of medical staff, (9) improving the working conditions of public health doctors from the Ministry of Justice in correctional facilities, and (10) pre-assigning public health specialists and military doctors to correctional facilities. By implementing these measures, it is anticipated that the quality of medical services in the Republic of Korea's correctional facilities will improve, reducing the demand for external treatments among detainees and ensuring their health and medical rights are realistically upheld.

A Study about Self-care for Hypertensives in Rural area (일부 농촌지역 고혈압 환자의 자가간호 수행요인 연구)

  • Park, Young-Im
    • Research in Community and Public Health Nursing
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    • v.8 no.1
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    • pp.45-60
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    • 1997
  • Essential hypertension is a typical chronic disease requiring adequate and continuous management. Many studies supported that self-care was the essential factor to promote the wellbeing of hypertensives and self-efficacy increased healthy, behavior. The comprehensive self-regulation program was conducted as a nursing intervention on the promotion self-care performance for hypertensives in company. And this self-regulation program was recommended to apply for hypertensives in rural area. The purpose of this study is to identify the general characteristics affecting self-care and interrelationship among the factors including self-care, self-efficacy, HLOC, perceived benefits, barriers and family support. 40 subjects were interviewed from Dec. 1996 to Jan. 1997 and the data was analyzed by the SPSS PC+ program with t-test and multiple correlation to determine the variables affecting the self-care behavior. The results were as follows: 1) Level of self-care was significant difference according to sex(t= -2.27, p=.0l9). religion (t=1.57, p=.055) and smoking habit (t=4.42, P=.000). Perceived self-efficacy was more significantly high among the non-smoking group (t=3.25, P=.000) and female group (t=-2.534, p=.0l3). 2) There were significant positive correlation among the variables: self-care and self-efficacy (r=.5460, p=.000), external-LOC and self-care(r=.2548, p=.056), external-LOC and self-efficacy(r =. 2901, p=.035), self-efficacy and perceived benefits (r=3307, p=.019). And there were significant negative correlation between self-care and barriers (r=-.5438, p=. 000), self-efficacy and barriers (r= - .4153, p=.004). From the above results, it can be concluded that the self-care is more required in male hypertensives and self-efficacy is one of the important factors to increase healthy behavior in cluding self-care. Thus self-regulation program can be recommended in the management of the hypertensives in community settings.

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The Study on the Relation of the Telecasters's Beauty Service - Focusing on the Appearance Management Behavior, External Image, Self-efficacy - (방송인의 뷰티서비스 관계 연구 - 외모관리 행동, 외적이미지, 자기효능감을 중심으로-)

  • Kim, Min-Shin
    • Journal of the Korea Fashion and Costume Design Association
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    • v.16 no.1
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    • pp.153-167
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    • 2014
  • The purpose of this study is to compare and analyze about the Telecasters's appearance management, external image & awareness on Self-Efficacy. The method of this study is carried out form 2 January 2013 until 20 January. with the 164 telecasters who announcers, voice actors, gag men, singers. The results of the research is summarized below: First, Among the telecasters, singer is the highest awareness of the beauty services importance about the fashion, makeup, hair, skin care, cosmetic surgery. Especially, about the awareness of the beauty services importance about the fashion, makeup, hair, singers> announcers> voice actors> gagmen appear one after another. Second, about the importance awareness of the beauty services importance & the relation of self-efficacy, for announcers, the more higher awareness the fashion, makeup, hair, the higher self-efficacy of the confidence, effective expression, etc.. For voice actors, the more higher awareness the hair, skin care, the fashion, make up, cosmetic surgery, the higher self-efficacy of the new image making, the confidence, task efficiency improvement, etc... For gagmen, the more higher awareness the fashion, hair, skin care, makeup, cosmetic surgery, the higher self-efficacy of the self-expression, the confidence, the new image making, task efficiency improvement, etc.. For singer, the more higher awareness the makeup, hair, cosmetic surgery, skin care, fashion, the higher self-efficacy of the task efficiency improvement, the self-expression, the confidence, the new image making, etc.. Third, about the importance awareness of the appearance management behavior, external image, about the importance awareness of the appearance management behavior, singer is the most higher awareness, announcers> voice actors> gagmen appear one after another. about the importance awareness of the external image, singer is the most higher awareness, voice actor> announcers> gagmen appear after another. The meanings of this study provide the telecasters's image's fields with the effective basic data.

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