• 제목/요약/키워드: group home services

검색결과 228건 처리시간 0.024초

병원중심 가정간호 뇌혈관질환자의 중증도별 서비스 특성 및 비용 분석 (Analysis of Services and Cost in CVA Patients by Severity in Hospital-based Home Health Care)

  • 장인순;황나미
    • 대한간호학회지
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    • 제31권4호
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    • pp.619-630
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    • 2001
  • Purpose: The purpose of this study was to analyze the differences in terms of services and cost between CVA without typical diseases (Group I), and CVA with typical diseases (Group II), in their Hospital-based home health care. Method: The subjects of this study were 308 CVA patients who used home care nursing during the second phase demonstration project of their hospital-based home health care. Results: The results of the study was as follows 1. Group II had more home visit (15.3/12.7) (p>0.05), and cases of death when home care (16.8/11.4) (p<0.05). 2. Group II needed more services than Group I such as bladder irrigation, skin care, bed sore care, glycerin enema, finger enema, lung care, urine sugar test, monitoring and surveillance of fluid infusion and R.O.M exercise (p<0.05). 3. The variables that showed statistical significance in the regression analysis were family style, OPD visit, level of consciousness, patient's state on termination of home care, and some extend of home health care services (R2=0.373, 0.205). Conclusion: Home nursing care needs to be planned by severity in Hospital-based home health care for CVA patients.

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도시의 노인보건방문서비스를 위한 자원 및 모델 개발에 관한 연구 (Research and Development of Urban Health Infrastructure for Home Health Care for the Elderly)

  • 강복수;황인수;김창윤;김석범;이경수
    • 농촌의학ㆍ지역보건
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    • 제21권1호
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    • pp.47-60
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    • 1996
  • Home health care is one of the important components of health care services. Today, the need and demand for the home health care is increasing. To assess the effects of home visit health services by public health nurses in health center on the stat of health, use of medical services and quality of life by elderly people living at home, a randomized controlled trial was implemented for 65 years or more old people randomly allocated to intervention(93) and control(118) group. Intervention group received 2 visits a month over 6 months. Control group received no home visits. The data was collected in a one-year follow-up survey conducted at Kyongju before and after the intervention which composed of health risk assessment, risk factor education and health related behavior counseling. The prevalence rate of chronic illness was more decreased in intervention group than control group after intervention. The intervention group visited medical facilities less frequently than control group. And the home visit health services encouraged the elderly to practice regular exercise. After the intervention, the score of ADL(activities of daily living), LSI(life satisfaction index) and SSI(social support index) in intervention group were more increased than control group. And the increase of scores was more prominent in 70 years or more old people, female, non-smoker and non-chronic illed elderly rather than others. In conclusion, the regular home visit health services provided by public health nurses were beneficial for the elderly in terms of health promotion and quality of life.

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유방암 수술 환자에 대한 가정간호서비스의 경제성 평가 (Economic Evaluation of Hospital-based Home Care Services for the Breast Cancer Surgery Patients)

  • 고정연;윤주영
    • 지역사회간호학회지
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    • 제32권3호
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    • pp.356-367
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    • 2021
  • Purpose: This study conducted an economic evaluation of hospital-based home care services for the patients who had undergone breast cancer surgery. Methods: A total of 12,483 patients over 18 years of age who had received breast cancer surgery in 26 tertiary hospitals in 2018 were analyzed with the claim data from the Health Insurance Review & Assessment Service using cost-minimization analysis and societal perspectives. Results: There were 156 patients who utilized hospital-based home care services within 30 days after breast cancer surgery, and they received 2.17 (SD=1.17) hospital-based home care service on average. The average total cost was 5,250,028 KRW (SD=1,905,428) for the group receiving continuous hospital-based home care and 6,113,402 KRW (SD=2,033,739) for the group not receiving continuous hospital-based home care (p<.001). The results of the economic evaluation of continuous hospital-based home care services in patients who had undergone breast cancer surgery indicated a total benefit of 953,691,000 KRW, a total cost of 819,004,000 KRW, and a benefit-cost ratio of 1.16 in 2018. Conclusion: Continuous hospital-based home care was considered economically feasible as the total costs for the group receiving continuous hospital-based home care were lower than those of the group not receiving continuous hospital-based home care. Therefore, policy modification and financial incentives are recommended to increase the utilization of hospital-based home care services for patients who had undergone breast cancer surgery.

Implementation of Context-Aware Services Platform Supporting Mobile Agents

  • Kim, Jung-Rae;Huh, Jae-Doo
    • 한국정보기술응용학회:학술대회논문집
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    • 한국정보기술응용학회 2005년도 6th 2005 International Conference on Computers, Communications and System
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    • pp.225-228
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    • 2005
  • A context-aware services platform supporting mobile agents consists of sensor nodes and a sensor coordinator. Sensor nodes collect environmental information and transmit the collected information to the sensor coordinator through wireless sensor networks. The sensor coordinator passes the information to the context-aware service module, and the mobile agent. The context-aware service module or the mobile agent performs services suitable for a user's situation based on the environmental information and a service actuation message is delivered to an actuation node through the sensor coordinator. In this paper, we present a context-aware services platform structure employed in our project, and describe context-aware services platform interfaces with a context-aware service module and mobile agents.

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당뇨병성 족부질환자에 대한 가정간호서비스의 비용-효과분석 (Cost-effectiveness Analysis of Home Care Services for Patients with Diabetic Foot)

  • 송종례;김용순;김진현
    • 간호행정학회지
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    • 제19권4호
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    • pp.437-448
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    • 2013
  • Purpose: This study was a retrospective survey to examine economic feasibility of home care services for patients with diabetic foot. Methods: The participants were 33 patients in the home care services (HC) group and 27 in the non-home care services (non-HC) group, all of whom were discharged early after inpatient treatment. Data were collected from medical records. Direct medical costs were calculated using medical fee payment data. Cost-effectiveness ratio was calculated using direct medical costs paid by the patient and the insurer until complete cure of the diabetic foot. Effectiveness was the time required for a complete cure. Direct medical costs included fees for hospitalization, emergency care, home care, ambulatory fees, and hospitalization or ambulatory fees at other medical institutions. Results: Mean for direct medical costs was 11,118,773 won per person in the HC group, and 16,005,883 won in the non-HC group. The difference between the groups was statistically significant (p=.042). Analysis of the results for cost-effectiveness ratio showed 91,891 won per day in the HC patients, and 109,629 won per day in the non-HC patients. Conclusion: Result shows that the cost-effectiveness ratio is lower HC patients than non-HC patients, that indicates home care services are economically feasible.

취약계층과 일반군 영유아의 건강관리 현황 및 방문건강관리사업 요구도 비교조사 (A Research on the Health Care and the Demand for Visiting Health Care Services for Vulnerable Children in Comparison with Non-vulnerable Children in a Region)

  • 남혜경
    • 한국보건간호학회지
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    • 제30권3호
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    • pp.556-569
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    • 2016
  • Purpose: This study aimed to provide baseline data on the health care of children and the demand for visiting health care services in one region in efforts to support the implementation of visiting health care services for vulnerable children. Methods: Seventy-three children and their caregivers from the vulnerable social group and 82 children and their caregivers from the general group were selected as research participants. The data were collected through home visiting survey by professional nurses. Results: Children from the vulnerable social group were at higher risk of poor health care than the general group. Regarding home safety, vulnerable children were more likely to be exposed to unsafe conditions. With respect to nutrition, developmental play, developmental screening test, and home safety, visiting health care services were in demand for caretakers. Conclusion: These results indicate that to promote health care and safety conditions for vulnerable children, it is necessary to implement visiting health care programs that include the management of vaccination, medical check-up, growth and development, home safety, and nutrition. These findings can be used as the baseline data for the development of visiting health care programs for vulnerable children.

보훈병원 통합의료복지서비스가 의료이용과 의료비 절감에 미치는 효과 분석 (The Effect of integrated health and welfare services on the control of medical use and medical expenses in Korean Veteran's Hospitals)

  • 구길환;동재용;이경화;서영준
    • 한국병원경영학회지
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    • 제26권2호
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    • pp.1-16
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    • 2021
  • This study aims to examine the effect of integrated health and welfare(IHW) services on medical use and medical expenses in Korean Veteran Hospitals. Data on the volume of medical use and medical expenses were collected from two patient groups of 5 Veterans' Hospitals: the beneficiary group who has received IHW services and the non-beneficiary group who has not. Each group was composed of 265 patients respectively. The results of the study revealed that the volume of home nursing services, home rehabilitation services, ambulatory services have increased significantly, whereas the average length of stay, number of using emergency services, and average medical expenses have decreased after receiving integrated health services in the beneficiary group. In contrast, the non-beneficiary group showed much more increase both in the volume of inpatient and outpatient services, as well as the average medical expenses, compared to those of the beneficiary group. This results imply that the provision of IHW services have positive impacts on the enhancing the effectiveness of the medical resources utilization for the veteran patients.

일개 시지역의 가정간호 수혜자들의 만족도 조사 (A Survey on Clients' Home Care Satisfaction in Taejon City in Korea)

  • 김선숙;소희영;이태용
    • 가정∙방문간호학회지
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    • 제5권
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    • pp.73-83
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    • 1998
  • This study enrolled one thousand five hundred twenty one clients that were receiving home care services at five health centers and a home care services center in the city of Taejon from November 17 through December 7, 1997. The purpose of this study was to analyze satisfaction levels, general characteristics and efficacies, of the client served home care. The main results were as follows; The age group of most of the subjects was 70-79 years: 76.9% of them were female and 87.3% were over 65 years. In education variables, over 90% of the clients were below primary school. In marital status variables, 63.4% of them had no spouse, 57.5% of them were widows and widowers. In living arrangement variables, alone(35.8%) was the most. In insurance status variables, medical aid(69.9%) was the most. In household income variables, below 000 won(72.6%) was the most. In hospitalization variables, 53% of the clients had no hospitalization. The satisfaction level of home care service of male and female was similar. The older the age, the higher the satisfaction level. The satisfaction level of the group having religion was higher than the group having no religion and the Christianity group had the highest satisfaction level(p<0.001). In education variables, the over high school group was the highest satisfaction level(p<0.01). In living arrangement variables, the other (sisters or neighbors etc.) group indicated the highest satisfaction level(p<0.001). In insurance status variables, the other group(except for medical aid) was the highest satisfaction level(p<0.001). In household income variables, below 390,000 won was the highest satisfaction level(p<0.001). In hospitalization variables, 'over 4 times' group indicated the highest satisfaction level (p<0.01). Home care took place more in health centers than in home care services center. In frequency of home care per month three times was the most. In opinion of home care frequency per month 82.8% of the people answered 'proper'. A lot of present illness was neuralgia, arthritis, digestive disease, hypertension & CVA. In contents of home care services variables, education & counselling was the most and medication was second. In duration of illness variables, over 10 years was the most. In place of treatment before home care service variables, hospital(57%) was the most. In illness condition after home care variables, 'moderate' was the most and 'much better'(85.5%) was second. In help of home care variables, 'much help'(71.5%) was the most and 'moderate'(28.1%) was second. In contents of counselling variables, treatment method of illness was the most. Home care services center indicated higher level of satisfaction than health center(p<0.001). In opinion of home care frequency per month variables, 'less' was the highest satisfaction level (p<0.001). In duration of illness variables, below one year was the highest and over 10 years was second(p<0.001). In place of treatment before home care service variables, health center was the highest (p<0.001). In illness condition after home care variables 'much better' was the highest and 'worse' was second (p<0.001). I n help of home care variables, 'much help' was the highest (p<0.001). In contents of counselling variables, cause of illness was the highest(p<0.001). According to the 14 items which consisted of 3 point scales the total level of satisfaction of home care service was very high, with total mean score 36. According to the above results, most clients taking home care services are satisfied. However, organization and a fund are required to support high quality home care services to those who need them. Furthermore, a follow-up survey should be accomplished to evaluate the status of clients.

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Effectiveness of Home Health Care Service for Elders after Spinal Surgery

  • Jun, Myunghee;Jung, Ji Young
    • 대한간호학회지
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    • 제42권7호
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    • pp.1009-1018
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    • 2012
  • Purpose: This study was done to evaluate effectiveness of home healthcare services (HHCS) specialized for elders who received spinal surgeries. Methods: A non-equivalent control group pre-post test quasi-experimental study was performed. HHCS was developed based on the Rice model of dynamic self-determination for self-care. For data collection, a control group (n=23) and an experimental group (n=23) were selected by matching age, BMI, pain, general characteristics and type of spine surgery. Measurement tools to evaluate uncertainty and knowledge were developed by the authors. The Numeric Rating Scale (NRS) and Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were used to evaluate pain levels. Muscular strength in the legs was measured using a digital muscle tester and tape ruler. Questionnaires were used to evaluate disability in performing ADL and psychological distress levels. Results: The experimental group showed significant decrease in uncertainty (p=.028), increased knowledge (p=.038), and partially decreased pain (p=.003-.331). Partial muscle strength increased significantly (p=.021-.644). Disability in performing ADL and psychological distress in the experimental group decreased significantly compared to control group (p=.002, p=.004). Conclusion: Results indicate HHCS is an efficient home care nursing program for these elders. Further experimental studies with larger samples are required to confirm effects of HHCS.

스마트홈 환경에서의 안전한 디바이스 관리를 위한 그룹키 관리 기법 (Group Key Management Method for Secure Device in Smart Home Environment)

  • 류호석;곽진
    • 정보보호학회논문지
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    • 제25권2호
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    • pp.479-487
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    • 2015
  • IT 발전에 따라 스마트홈 서비스는 네트워크 기반의 스마트 디바이스를 통해 원격 서비스, 모니터링 서비스 등 다양한 서비스를 제공하고 있다. 그러나 스마트홈 환경에서는 악성 디바이스를 통한 데이터 위 변조, 불법 인증, 프라이버시 침해 등과 같은 보안 위협들이 존재한다. 이러한 보안 위협들에 대응하기 위한 스마트홈 환경에서의 보안에 대한 연구가 활발히 진행되고 있으나 디바이스 관리를 위한 연구는 초기 단계에 머물고 있으며, 스마트홈 환경에서의 그룹키 관리에 대한 연구가 부족한 실정이다. 따라서 본 논문에서는 스마트홈 환경에서 안전한 디바이스 관리를 위한 그룹키 관리 기법을 제안한다.