• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권3호
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• pp.67-74
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• 2019

Purpose: In 2012, the Child Welfare Act was revised to provide better support to children with severe disabilities in Japan. Previously, inpatient facilities had been classified according to the type of disabilities of patients. After the revision of the Act, however, these facilities were assigned into the category of "medical-type facilities for children with disabilities", or "welfare-type facilities for children with disabilities." The focus of the study is to evaluate the reorganization of the Child Welfare Act and to analyze the new layout of Center K after its transition from a facility for children with motional disabilities to a medical-type facility for children with disabilities. Methods: A literature review was conducted to identify the trend in the treatment for persons with disabilities and the process of policy making in Japan. Field research was performed twice in 2015 and 2016, before and after the renovation of the Center K facilities depending upon the revision of the Child Welfare Act. Results: There is an increasing tendency of the population of persons with disabilities in Japan, and the severity level of disability of children with disabilities. In the case of Center K, two types of ward constructed to meet the two types of disability has been reconstructed into three types of unit following the various severity level of disability. Implications: As a result, it could be argued that it is also necessary in Korea to reorganize the facilities for persons with disabilities to deal with the fact that the population of persons with disabilities in Korea has been growing and their degree of disabilities also getting severe.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제28권4호
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• pp.41-50
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• 2022

Purpose: This study aims to suggest an analysis model finding the relationship between building scale characteristics of Public-use facilities and infectious disease outbreaks around senior leisure welfare facilities and the features and their scopes where quarantine resources are to be concentrated. Methods: Reviewing previous studies found the user characteristics of senior leisure welfare facilities and scale characteristics of urban architectures. The data preprocessing was performed after collecting building data and infectious disease outbreak data in the analysis area. This study derived data for attributes of building size and frequency of infectious disease outbreaks in Public-use facilities around senior leisure welfare facilities. A computing algorithm was implemented to analyze the correlation between the building size characteristics and the infectious disease outbreak frequency as per the change of the spatial scope. Results: The results of this study are as follows: First, the suggested model was to analyze the correlation between the infection frequency and the number of senior leisure welfare facilities, the number of Public-use facilities, building area, total floor area, site area, height, building-to-land ratio, and floor area ratio varied as per the change of spatial scope. Second, correlation results varied between the infection frequency and the number of senior leisure welfare facilities, the number of Public-use facilities, building area, total floor area, site area, height, building-to-land ratio, and floor area ratio. Third, a negative correlation appeared in the analysis between the number of senior leisure welfare facilities and infection frequency. And positive correlations appeared noticeably in the study between the number of Public-use facilities, building area, total floor area, height, building-to-land ratio, and floor area ratio. Implications: This study can be used as primary data on the utilization of limited quarantine resources by analyzing the relationship between the Public-use facilities around the senior leisure welfare facilities and the spread of infectious diseases. In addition, it suggests that infectious disease prevention measures are necessary considering the spatial scope of the analysis area and the size of buildings.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제18권2호
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• pp.77-84
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• 2012

This study is to understand the architectural types and characteristics of the medical facilities during ancient period. The study is based on the research of the medical and architectural history. The medical or healthcare facilities are influenced by their social, cultural and conceptual idea, especially how they think about 'disease', 'cure' and the 'medicine'. As the results of the examination of this study can be summarized as followings. Firstly, Ancient medical facilities are classified into four types according to the ideas of 'disease' and 'cure' ; 1) God oriented facility 2) health welfare facility 3) treatment oriented facility 4) practice & educational facility. Secondly, there are three typical types of the spatial characteristics what modern hospitals have ; 1) nursing ward 2) treatment ward 3) hostel or hospice. And they are all assembled around the courtyard in common. Thirdly, their architectures are not 'designed' but 'derived' plan by reasonable other building types, and transformed by medical function. Fourthly, a consideration of the surrounding circumstances is the most important point to make the medical health facilities during ancient period.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권2호
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• pp.17-28
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• 2010

The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. This proposal aims to make a study of expansion and improvement the old people's welfare facilities by using remodeled closed Small and Midium Hospitals which are the bad effect of economic growth. Also, it can save money with re-using abolished buildings which is property of the nation and protect environment too. In this study, We examine the present conditions of old people's welfare institution, and research a factor of remodeling for welfare facilities. Then we will verify remodeling-possibility which is concrete and working by using the product of this study.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제4권7호
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• pp.75-84
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• 1998

Like all other European countries, as a result of gradual industrialization, Germany is just before the start of new social system; the so-called 'aged society'. Over half of the century, Germany focused their welfare system on facilities. However, with the start of the new 'aged society', they introduced a new concept which consists mainly on home care and community care. These new concepts resulted from the general idea that even elderly have the right to live an independent quality life. Therefore, to satisfy the elderly with such life it has been seen as necessary not only to offer them efficient protection but to introduce an economical welfare system and facility scheme. The regional integration plan for welfare is one of the open schemes in which the lifestyle of the elderly are seen as the whole. Participated by several members and specialists of all social standings, necessary facilities are planned. By looking into a project example carried out in Germany, this study is aimed to increase the quality of the elderly welfare system and facility construction plan.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제15권4호
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• pp.33-43
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• 2009

As a result of rapid aging speed in our society, many problems related to elderly people have happened in many parts of our society. Among them, supply for elderly housing is one of the biggest problems. To solve these problems, 'long-term care insurance' has been put in operation from July 2008. By the time of the insurance operation, Ministry of Health and Welfare is increasing facilities every year according to '10-year expending plan of Care service infra' from 2002. As a result, the supply rate of elderly facilities has been raised. But the differences of facility supply rate between regions are very high in some cases. Therefore older people who need care sometimes cannot get proper care services in some areas. In that case, the frail older people have to use other care facilities of other regions. This is not a proper situation from the point of "Aging in Place". In order to prevent that case, it is necessary to set up proper 'Daily Living Spheres' and establish elderly care plan for it. Considering the points above, this study proposes the size of 'Daily Living Spheres' for the elderly, the kind and amount of elderly care facilities in it for the construction of Community Based Elderly Care System.

• 토지주택연구
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• 제5권1호
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• pp.1-10
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• 2014

주거 공간에 건강관리에 필요한 서비스가 제공되는 것은 'aging in place'의 실현을 가속화할 것이다. 그리고 이러한 주거공간의 변화는 의료비를 절감하고 삶의 질을 향상하는 복지 측면에서도 중요하다. 본 연구에서는 고령자가 스스로 건강을 관리할 수 있도록 헬스케어 서비스(Healthcare service)를 아파트 단지 내에 적용하는 계획방안에 대해 도출하고 주거복지동의 첫 사업 대상지인 가양 7단지 영구임대주택 단지를 중심으로 내용을 전개하고자 한다. 먼저 거주자의 헬스케어 서비스 이용의향에 대해 조사하고 관심이 높은 응답자를 중심으로 실제 시범사업이 적용된 서비스의 사용모습 관찰 및 심층 인터뷰를 통해 추후 계획시 고려할 사항에 대해 도출하였다. 가양 7단지의 경우 유헬스케어 서비스에 대한 요구는 고령자보다는 고령자 진입층에서 더 강력하게 나타나지만 공통적으로 주호의 협소함으로 기기 설치 및 측정에 어려움을 느끼고 있었다. 관찰조사 결과 주호는 사용자세의 불편함으로 입식구조의 측정공간 계획이 필요하며 장비보관장소도 필요하다. 그리고 헬스케어 서비스를 위한 프로그램은 건강측정, 건강관리, 외부 시설과 연계된 시설로 나눠 계획할 수 있으며, 이는 건강측정 공간을 기본형, 즉 최소형으로 하여 점차 확대 적용할 수 있다. 가양 7단지의 경우, 별도의 복지 건물이 신축되므로 기능을 복합적으로 구성하는 혼합형의 프로그램을 적용할 수 있으며, 반자립 사용자에 대한 서비스까지 확대 적용하는 계획이 필요하다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제4권7호
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• pp.47-55
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• 1998

The average life span of Koreans has been increased recently. The percentage of the old(over 65), which was 5% in 1990, is expected to be increased to 15% in 2020. Therefore, the social problems of old people occur in various aspects nowadays, and will become more serious in the near future. In Germany, the have developed a comprehensive welfare system which enables the aged to be more independent, such as various welfare facilities for the aged that are built in consideration of the physical conditions.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제15권1호
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• pp.5-12
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• 2009

According to the rapid increase of the elderly population, especially frail older population, many kinds of elderly care facilities have been supplied within a relatively short period. Among them, elderly hospitals and elderly welfare facilities have occupied a major portion. The elderly hospital, which had emerged from 1994, has recorded sharp increase in facility numbers and bed numbers by the support of Korean government together with the increase of care demand. However, the concept and fundamental planning criteria of elderly hospitals have not yet been set up. This paper has derived the concept of the elderly hospital from the Medical Law and Elderly Welfare Law, and prospected the supply of it from domestic and international statistics. Also this paper has explored the fundamental design issues of elderly hospitals by analysing precedent studies and designs, and by surveying some facilities.

• 한국치위생학회지
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• 제5권2호
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• pp.263-278
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• 2005

This study investigated the current oral health conditions of the elderly at home and welfare facilities in their age over 65 years around some rural areas in Gangwon province, which would expect the fewer medical benefits even with lower interest than urban areas, despite of relatively high ratio of elder populations, so that it could prepare a basic document necessary to determine certain planned quantification for the benefit of elder's oral healthcare. As of the end of December 2004 both 50 elders at home and 50 elders at welfare facilities were randomly sampled in their age over 65 years in Samcheok city. As a result of this study, it was found that the elders at welfare facilities scored 15 pts. in DMFT index level typical of oral health conditions, which was higher than the elders at home. In addition, the elders at welfare facilities scored 26.0% in the coexistence of immobile bridge and partial denture higher than the elders at home with regard to the presence of intraoral prosthetic appliance. The results of analyzing the difference in the one-year dental visiting experience of respondents hereof showed that the elders at home were relatively more in ratio(62.0%) than those at welfare facilities, while many of the former group(38.0%) had relatively more handicap in masticatory movement than the latter one with regard to the conditions of dental prosthesis in use. Besides, many of the elders at facilities(30% or more) felt subjective symptoms of periodontal disease including bleeding or swelling, which indicates higher ratio than the elders at home. Finally, the elders at home used to brush their teeth at more frequency on a daily basis than those at facilities, while the latter group suffered general body disease more than the former group. Summing up, it is concluded that a formulated oral healthcare system will become more needed in near future than now for the benefit of the elderly living in welfare facilities, while nationwide policy-level supports would be urgent for them in the aspect of national welfare.