• Title/Summary/Keyword: health care system

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A Study on the Operating Status of Community-based Home Health Care Centers (일개 지역사회 중심 가정간호사업소의 운영실태 및 운영방안)

  • Lee, Eun-Hee;Park, Sung-Ae
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.2
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    • pp.180-188
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    • 2011
  • Purpose: This study was done to evaluate the operating status of community-based home health center for revitalization of the centers. Method: In this study performance data including organization plan and service utilization plan were evaluated according process theory. Target of evaluation was the community-based home health care center. Results: The vulnerable part of the organization was the information system and financial resources. The home health center introduced PDA (Personal Digital Assistants) in 2005, however home health care nurses did not make full use of it. This service received full support from Seoul city and local government and there were no other sources of income. The vulnerable part of service utilization was service expansion and standardization due to vulnerability of organizational aspects. Conclusions: The home health care center provides high quality services to underprivileged people. In the future, these services should be provided with equity for continuous health care for this population.

Policy Implications of the Long-term Care Insurance System Revitalization Process for Establishing Integrated Care System in Japan (일본의 지역포괄케어시스템 구축과 개호보험제도 개정과정의 정책적 시사점)

  • Yoo, Ae Jung
    • 한국노년학
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    • v.39 no.1
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    • pp.1-20
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    • 2019
  • Recently, the Ministry of Health and Welfare has emphasized the necessity to build community care, and the interest of health care- long-term care-social welfare system continues. In order to examine the future vision of long-term care for elderly people, which can be a core system in establishing community models for elderly people in the future, we will implement aging in place as a national policy project. It is meaningful to analyze in depth the case of Japan's policy implementation through the amendment process of long-term care insurance system. The purpose of this study is to examine the concept definition, operating system, and major promotion process of the Integrated Care System in Japan and to suggest policy implications for the future Korea long-term care insurance system. As a result of reviewing the operation status and revision process of the long-term care insurance system for establishing the Integrated care system in Japan, it is necessary to clarify the basic principles and construction of community care system, diversification of residence type and upgrading work, establishment of linkage network of health care-long term care-social welfare, expansion of support for family and self-mind.

A Study on the Accessibity of Physical Therapy Service in Public Health Center (보건소의 물리치료서비스 접근성에 관한 연구)

  • Yoon, Hee-Jong;Yoon, Na-Mi
    • Journal of Korean Physical Therapy Science
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    • v.3 no.4
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    • pp.159-169
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    • 1996
  • Every citizen has a right to get the least health care service for their living and should be guaranteed the right of health which is specified in the constitution of Korea. Therefore, health care service should realize the equity and accessibility of service by the equitable distribution which is needed for health care. The objects of this study were the patients who was treated by the physical therapy in health care center(two of them located in cities and others are in agricultural areas). These are the results of our study. First, the age, job, sex and experience of former treatment of objects showed no meaningful statistic difference in the part of convenience of health care center, where as the system of health scurity showed highly meaningful difference. Second, The age, job and system of health care of objects showed no meaningful difference in the part of attitude and appreciation to therapist, where as the experience of former treatment in other center showed highly meaningful difference. Third, The age, job and sex of objects showed no meaningful difference in the part of the appreciation to results of service, where as the system of health scurity and the experience of former treatment in other center showed meaningful difference. To offer the effective physical therapy, the government of province or nation should invest the large amount of financial fund continuously and make the plan of efficient operating system for the physical therapy service room of public health center which is the most nearly located to native citizen. The problem of distance, low reliability to public service, public relation and reliabity should be improved to raise the utility of physical therapy room. And also, the physical therapy room should be opened in health subcenter to offer the condition of the native citizen's healthy life.

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U-health wellbeing index system design for health care of crew on ships (상선승무원의 건강관리를 위한 u-health 웰빙 지수 서비스 시스템 설계)

  • Lee, Young-Ho;Kim, In-Jea;Lee, Soo-Hyun;Kim, Jong-Hoon;Kang, Young-Chang
    • Journal of Advanced Navigation Technology
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    • v.13 no.4
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    • pp.577-585
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    • 2009
  • Various studies on individual health-care application services have been lively going on due to recent development of information and communication technology and improvement of life quality. Moreover, U-health care area is emerging as a new growth industry as the demand of U-health care service for a quality life grows with the development of medical technology and ubiquitous environment. U-health care system for crew members on ships, who need to spend much time on sea far from their families, is especially needed because they find their job much more stressful not only physically but also mentally than any other people in different jobs do and have less chance to get proper medical services in time. In this paper, we suggested how to get more accurate and objective U-health wellbeing index by complementing SF-36, the general heath care index model in order to managing health of crew. Also we designed the U-health wellbeing index service system which can provide appropriate sports programs or diet contents according to health index.

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A Comparative Study on the Operation Status of Comprehensive Nursing Care Ward (간호·간병통합서비스 제공 병동의 운영현황 비교연구)

  • Lee, Kyoung A;Lee, Seon Heui
    • Journal of muscle and joint health
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    • v.25 no.3
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    • pp.196-204
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    • 2018
  • Purpose: The purpose of this study was to contribute to the activation of comprehensive nursing care services by comparing and analyzing the working environment and operational status of comprehensive nursing care wards with general wards. Methods: A questionnaire survey was conducted at hospitals operating comprehensive nursing care services. We collected data on patient characteristics, workforce, working environment, and work support facilities of 40 hospitals voluntarily participating in the survey. The collected data were analyzed by dividing it into an comprehensive nursing care ward and a general ward. Results: Compared with the general ward, the comprehensive nursing care ward had fewer hospitalized patients, but the severity of the patients and the need for nursing were high. The number of nurses, assistant nurses, and ward support workers per patient was higher in the comprehensive nursing care ward than in the general ward, and the implementation rate of night shift fixed system, the fixed shift system, and the preceptor system were higher. In terms of structural environment, comprehensive nursing care wards had more room for interviews. Conclusion: The comprehensive nursing care ward had more nursing staff and provided a better working environment than the general ward, but required additional support for the structural environment.

Functional Status Evaluation of Disabled Persons in Urban and Rural Areas (도농복합지역 재가복지대상자의 기능상태평가)

  • Mun, Mi-Seung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.2 no.2
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    • pp.127-132
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    • 2007
  • Purpose: The purpose of this study was to provide the basic techniques in utilizing the systematic home-rehabilitation service with a Minimum Data Set for Home Care (MDS-HC) 2.0 navigator system. Methods: The present study was conducted with 50 persons receiving home-care services from a Welfare Center. Respondents were selected from urban and rural areas in and around the Wonju area. Results: The results showed that MDS-HC2.0 was useful to evaluate the functional status of disabled persons in the fields of health and home-care services. Furthermore, this navigator system provided basic information about the functional health problems of respondents and therefore can provide guidance for health and home care services for disabled persons. Conclusions: Through the present study, a comprehensive model for health and home-rehabilitation was developed. The author believes that respondents will have the satisfaction of high quality service if the developed model is used as the standard in planning and providing home-rehabilitation services.

Ideology of Social Health Insurance and Health Policy (건강보험의 이념과 의료정책)

  • Lee, Kyu Sik
    • Health Policy and Management
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    • v.28 no.3
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    • pp.202-209
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    • 2018
  • Health care has two different facets. One is commodity and another is a right of human being. Health care as a commodity is utilized by demand approach in market. Demand is determined by economic factors such as price and income. From the last third of the 19th century until the early 1920s, priority of sickness insurance was replacing the income that workers lost as a result of illness and injury. By the 1920s, the capacity of applied biological and medical science was remarkably developed. Development of medical science stimulated the cost of medical care, and the burden of increased medical care cost required new role of medical care security system. In 1942, Beveridge report was published in United Kingdom, and health care was considered as a right of human being. In 1948, United Nations declared heath care as a right in the Universal Declaration of Human Right. In most countries introduced new medical care security policy based on health care as a right. The viewing health care as a commodity must be shifted toward need based care as a right. Need were understood to rest on demographic, epidemiological, scientific, and medical knowledge factors. Bring needed care to the population could best be achieved institutionally by a hierarchy of provider organizations, guided by planning bodies, which would provide comprehensive benefits. In Korea, health care in social health insurance (SHI) is considered as a commodity not a right. However, health policies under SHI must be need approach based on health care as a right. Mismatch between health policies and ideology of SHI made big troubles. It is important to realize ideology of SHI for good health policies.

Zigbee & PLC Integrated Gateway Development for U-Health Care Environment and Intelligent Home Network (유비쿼터스 헬스케어 환경 및 지능형 홈 네트워크를 위한 Zigbee & PLC 통합 게이트웨이 개발)

  • Son, Hui-Bae;Kim, Sung-Yun;Rhee, Young-Chul
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.2 no.4
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    • pp.73-80
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    • 2009
  • In this paper, we implemented the integrated gateway for health care and home network system based on PLC(Power Line Communication) and Zigbee. The designed system is consists of sensors, integrated gateway, Zigbee module and PLC modem. The integrated gateway will transmit the data which is collected by health care sensors to health care control system and control an appliance for comfortable environment to medical facilities. The implemented gateway can support various health care and home network service.

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The System and Utilization of Health Education in the United States (미국의 보건교육사 제도와 활용)

  • Rogers, Modestine
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 1998.07a
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    • pp.49-50
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    • 1998
  • This is a good time to be a health educator in America. The focus of the United States health care system is being redefined by managed care. As the system steadily moves from an emphasis on sickness to wellness, there is increased awareness of the significant role that health education and health educators play in promoting health and wellness in our communities.(omitted)

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