• 보건행정학회지
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• 제23권2호
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• pp.145-151
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• 2013

Background: The objective of this study was to explore patient family's evaluation of emergency department (ED) service satisfaction and to compare these with ED staff perception of patient family's evaluation. Methods: Based on two surveys of the National Emergency Medical Center: the 2008 National Survey for Recognition and Satisfaction towards Emergency Medical Services and the 2008 Opinion Survey of Emergency Medical Service Providers, satisfaction gaps among physicians, nurses, and patient family were evaluated by Kruskal-Wallis tests and Wilcoxon-Mann-Whitney tests. Furthermore, the factors associated with satisfaction of emergency medical service were identified by ordinal logistic regression models. Results: There were statistically significant gaps among physicians, nurses, and patient family in overall satisfaction with ED visit, length of stay in ED, enough explanation, physicians/nurses kindness, and ED facilities. Age and income in the patient family model, the number of beds in hospital, job satisfaction and year of service in the physicians model, and the number of beds in hospital, job satisfaction and the number of patients per duty hour in the nurses model were statistically significant factors associated with evaluation/ perception of ED service satisfaction. Conclusion: Patient satisfaction is an important indicator of the quality of care and service delivery in the ED. To improve and understand satisfaction in ED service, a dyadic view of the evaluation of service quality and satisfaction-that is, from the perspectives of both the patient and the emergency medical service providers-should be concerned.

• Child Health Nursing Research
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• 제12권2호
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• pp.180-188
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• 2006

Purpose: The purpose of this study was to explore family function, social support, perceived quality of life(QOL) in adolescent period and to find out the correlations between family function, social support, perceived QOL in adolescents. Method: The questionnaire to get some information for this study consisted of adolescents'general characteristics, 20 questions regarding family function, 11 questions regarding social support, 8 questions regarding perceived QOL in adolescents. The subjects of this study consisted of 128 adolescents who were living in S area. The data were analyzed by percentage, mean, t-test, ANOVA and Pearson's correlation using the WINSPSS program. Result: The mean score for family function was 3.07(max. : 5) and there was significant difference according to middle-high school student. The mean score for social support was 2.86(max : 5) and there was no significant difference. The mean score for perceived QOL was 4.02(max score: 7) and there was significant difference according to disease condition. There was a positive correlation between family function, social support, perceived QOL in adolescents. Conclusion: Consequently, the development of program, policy assistance and policy implementation to elevate juveniles' perceived quality of life is strongly required.

• 한국사회복지학
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• 제62권2호
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• pp.29-55
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• 2010

본 연구는 베트남여성결혼이민자 가족의 문화적응과정에서 드러나는 문화차이에 대한 이해, 가족갈등의 유형과 변화과정 등에 대해 살펴보기 위하여, 여성결혼이민자, 남편, 시모 3명 모두가 인터뷰 가능한 가족 10사례에 대해 반구조화된 심층면접을 실시하였다. 그 결과, 상이한 의사소통방식, 가부장적 가족문화에 대한 이해 차이, 일상생활방식의 차이로 인해 갈등이 촉발되고 있었고 촉발된 갈등은 각자 자신의 입장에서 타인의 부족한 점에 대한 분노와 좌절이 반복되는 가운데 증폭되었지만, 가족의 소중함과 타인에 대한 존중과 배려를 기반으로 스스로에 대해 그리고 다른 가족구성원과의 관계에 대해 갈등을 관리하는 방법을 발굴 적용해 오고 있음을 알 수 있다.

• 가정∙방문간호학회지
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• 제19권1호
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• pp.63-73
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• 2012

Purpose: The purpose of this study was to determine the factors related to the social support, family and friend support as well as home care nurse support, in family caregivers of patients with home care service. Method: The participants were 111 family caregivers of patient, who were receiving home care services from home health care centers of 3 different general hospitals located in Seoul. The data was collected, using self-administered questionnaires. Result: The level of family and friend support varied significantly according to patients' mental status, period of home care nursing, frequency of home care service, caregiver's education level, family income, and family functioning level. On the other hand, home care nurse support varied significantly according to patients' mental status, caregiver's age, existence of interchangeable family caregivers, and family functioning level. There was a significantly positive correlation between the social support the family caregivers' perceived and family function while there was a negative correlation between family and friend support and the period of home care service. Conclusion: Thus, the establishment of nursing interventional program, with understanding of their social support, is needed for both patients and their caregivers.

• 한국치위생학회지
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• 제16권3호
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• pp.435-446
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• 2016

Objectives: The purpose of the this study is to investigate parenting stress of married dental hygienists having preschool and school aged children. Methods: A self-reported questionnaire was completed by 242 married dental hygienists from September to December, 2015 via e-mail and ordinary mail. The questionnaire consisted of demographics, job-related characteristics, family life satisfaction, and parenting stress. The data were analyzed using Stata 13.0 program. Results: As for job-related characteristics, 36.6% of the subjects answered 'not possible' in work hour flexibility. The reasons why family-work balance is difficult were 'parenting and education(58.7%)' and 'burden of family-work balance(32.4%)'. Family life satisfaction was 3.03, and parenting stress was 2.41. Parenting stress gets higher if their children are younger, monthly income is lower, and mother/father's age are lower. And parenting stress becomes higher if their career as dental hygienists is less, they are contract worker, and frequency to change jobs is higher. Concerning the reason why work-family balance is difficult, parenting stress is found to be high when they choose 'parenting and education', 'burdens of work-family balance', and 'relationship in workplace'. Family life satisfaction reduced parenting stress. According to the results of multiple linear regression analysis, frequency to change job influences parenting stress. Conclusions: Parenting stress increases turnover and career interruption of married dental hygienists. It is hard to improve work environment without policy support. It will be necessary to establish policy for employed mothers and create a work atmosphere where the policy can be utilized without difficulty.

• 보건행정학회지
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• 제24권1호
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• pp.100-106
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• 2014

Background: There is no consensus on the definition of primary care in South Korea. This study's objective was to define the concept of primary care using a Delphi method. Methods: Three expert panels were formed, consisting of 16 primary care policy researchers, 45 stakeholders, and 16 primary care physicians. Three rounds of voting, using 9-point appropriateness scales, were conducted. The first round involved rating the appropriateness of 20 previously established attributes of primary care. In the second round, panelists received a summary of the first-round results and were asked to once again vote on the 10 undetermined attributes and the provisional definition. The final round involved voting on the appropriateness of the revised definition. The Korean Language Society reviewed the revised definition. Results: Four core (first-contact care, comprehensiveness, coordination, and longitudinality) and three ancillary (personalized care, family and community context, and community base) attributes were selected. The Korean definition of primary care was accomplished with all three panel groups arriving at a 'very good' level of consensus. Conclusion: The Korean definition of primary care will provide a framework for evaluating performance of primary care in South Korea. It will also contribute to resolving confusion about the concept of primary care.

• 가족자원경영과 정책
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• 제27권2호
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• pp.35-47
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• 2023

본 연구의 목적은 1인가구의 변화하는 가족가치관과 매일 일상 속에서 이뤄지는 돌봄노동에 주목하여, 가족의 변화나 역동성을 파악하고 이에 대응하기 위한 제도 및 정책적 과제를 제안하는 것이다. 연령·혼인상태를 고려하여 울산시에 거주하는 1인가구 11명을 선정하였으며, 1인가구의 전반적인 일상생활, 가족가치관, 가사노동 및 돌봄 특성을 분석하였다. 이에 따른 울산시 1인가구의 특성은 자신의 삶을 유지하고 살아감에 있어 '단순하지만 불안정함'이 공존하고 있었으며, 가족가치관은 다양성에 대한 인식과 실제의 격차를 보이는 양면적 특성을 보이고 있었다. 또한 가족생활을 함에 있어 '원가족 돌봄 및 관계', '경제적 요인' 등에 대한 어려움을 호소하고 있었으며, '이중가치체계'가 두드러지게 나타났다. 마지막으로 1인가구는 안정된 삶을 위해 전통적인 가족형성의 방법에만 국한하는 것이 아닌, 고립·고독감 해소 및 관계 회복을 위해 사회관계망을 형성해나가고 있는 것으로 나타났다. 이에 따라 '가족인식', '가족생활', '가족 및 사회적 관계'의 각 영역에서 변화가 도모되었을 때 가족변화에 대응할 수 있을 것으로 보이며, 연구 결과에 기반한 정책과제를 도출하였다.

• 한국컴퓨터정보학회논문지
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• 제16권4호
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• pp.243-252
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• 2011

본 연구는 사회적 지지와 가족기능이 사회참여 활동을 통하여 중 노년 삶의 만족도에 어떠한 영향을 미치는지를 구조방정식모형(structural equating modeling)을 작성하여 검증해 봄으로써 이론적 정책적 시사점을 도출해 보았다. 이를 위해 본 연구에서는 문헌연구를 통하여 인과모형과 연구가설을 설정한 다음, G시에 거주하는 50세 이상 중 노년을 대상으로 설문조사를 실시하여 검증해 보았다. 본 연구의 분석결과 중 노년의 가족기능과 사회적지지는 사회활동참여를 통해 신체적, 정신적 건강을 유지할 수 있게 하고, 또한 긍정적인 태도를 견지함으로써 전반적인 삶의 만족도가 향상되는 것으로 나타났다. 본 연구는 이러한 분석 결과를 토대로 시사점을 도출하였다.

• 보건행정학회지
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• 제26권3호
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• pp.195-206
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• 2016

Background: Concentration of patients to large hospitals is serious problem in Korea. The purpose of this paper is to propose appropriate policy direction to relieve concentration of patients to large hospitals. It is focused on evaluation of the possibility of family doctor system as a policy alternative to relieve concentration of patients to large hospital by empirically analyzing the effect of usual source of care (USC) on large hospitals medical care use. Methods: Korea Health Panel conducted 2009, 2012, 2013 by KIHASA (Korea Institute for Health and Social Affairs) and NHIS (National Health Insurance Service) was used for analysis. For dependent variables, first, the ratio of the amount of using large hospital to total amount of using medical care, and second, the amount of using large hospital are estimated. Independent variables are having an USC and type of USC. Panel analysis was done with above variables. Results: Main results are as follows. First, having an USC increases using large hospital. Second, having a domestic clinic type USC decreases using large hospital and ratio of using large hospital. Third, the effect of domestic clinic type USC is greater in older group, less income group, worse health status group, not having private insurance group, and having chronic disease group. Conclusion: These results show that family doctor program can be a policy alternative to relieve concentration of patients to large hospital. Nonetheless, primary care system in Korea is unsatisfied. It is recommended to reinforce primary care system and family doctor system to relieve concentration of patients to large hospitals.

• 아동학회지
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• 제30권6호
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• pp.85-97
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• 2009

Korean society has been facing many challenges and promises resulting from the rapid population shifts into multi-cultural and multi-ethnic family composition. Government strived to respond to the impending demands and needs of Korean cultural families, in terms of marriage and birth, caring and educating children, and labor and work. This paper overviews the current state of Korean multicultural trends and facts in terms of family, marriage, children, and work. It also overarches major issues of multicultural studies of family relations and child development. By wrapping the facts and issues in current discourse and studies, pragmatic policy points were provided and condensed into some suggestions for the policy-making and program implementation.