• Title/Summary/Keyword: home health management

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The Factors Influencing the Utilization of Charged Retirement Home Services by Stage of Decision-Making (유료양로시설 이용의 의사결정 단계별 결정요인)

  • 이성학
    • Health Policy and Management
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    • v.9 no.1
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    • pp.110-138
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    • 1999
  • This study intended to understand the factors influencing the utilization of charged retirement home services for the elderly by stage of discision making. At the same time the purpose of the study is also to present the results of this study as data for the expectation of the demand. The subject of this study was non-utilizer (635 persons) and utilizer (62 persons) of charged retirement home services over the age of sixty. Non-utilizer was selected by random sampling in urban and rural area, and utilizer was investigated by census survey in the three charged retirement home. The research method was interview survey by questionaire. The questionaire was composed of 59 items, 25 variables, 5 components. The research model was to add Andersen's Prediction Model. The components were predisposing component, enabling component, need component, actualizing component, psychologic component. The results of this study were as follows. 1)In the stage of recognizing the residence problem, the recognizer were 76.7% (487 persons) of all the non-utilizer. The factors of influencing were property (B=-4.1E-05), solidarity with children (B=-.1070), house satisfaction (B=-.2517), need of charged retirement home (B=.2614). 2)In the stage of selecting an altenative as utilizing of charged retirement home services, the selecter were 41.1% (261 persons) of all the non-utilizer. The factors of influencing were perception of charged retirement home (B=.2790), need of charged retirement home (B=.2971). 3)In the stage of decion-making, the decider were 29.6% (188 persons) of all the non-utilizer. The factor of influencing was need of charged retirement home (B=.3570). 4)In the stage of the actualization, the factors of influencing were charge ability of utilization (B=.1025), significant others (B=.1868). The upper results were implemented by using the statistical methods of frequency, t-test, $$\chi$^{2}$-test, multiple logistic regression ( and P 〈 .05 ).

Evaluation Study of Home Health Care Program Operated in G Public Health Center (인천광역시 일 보건소 대도시 방문보건사업의 평가 연구)

  • Kim, Myung-Soon;Kim, Young-Sook
    • Research in Community and Public Health Nursing
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    • v.15 no.4
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    • pp.539-550
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    • 2004
  • Purpose: The purpose of this study was to evaluate the achievements of the project, and also to find out its strengths and weaknesses. Method: This evaluative study employed system theory and analytic techniques by using criteria which were relevance, appropriateness, adequacy, progress, effectiveness and satisfaction for input, process, output, and outcome of program. Study subjects were participants in the home health care program implemented in G public health center in Inchon metropolitan city in 2003. Results: Input factors including recruitment personnel, and support organization development were not adequately met for the program. However. the goal and objectives of the project were really appropriate for the community needs as well as government's policy. For the Process evaluation, home health care record form and computer data base had not progressed as scheduled, but overall program activities were finished on time. However, cooperation between organizations in the health center during service activity were not supportive. Managerial ability of program charged personnel about coordination and integration of team members was not affirmative. Output and outcome evaluation showed that people improved self care ability were 221 (17.5%). and 71 (5.62%) of subjects were moved into category of possible self-care. Client's satisfaction for this project showed a high degree. Conclusions: Based on the above results support organization and staff personnel for this program should be developed. Also, a community network of resources should be established and case management services should be focused continuously in community based home health care.

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

  • Koo, Gilhwan;Dong, Jaeyong;Lee, Kyeonghwa;Seo, Youngjoon
    • Korea Journal of Hospital Management
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    • v.26 no.2
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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.

A Study on School Footpaths Safety Facilities around Elementary Schools (초등학교 통학로 안전시설 현황 및 물리적 환경에 관한 조사 연구)

  • Kim, Eun-Joo
    • Journal of the Korean Society of School Health
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    • v.21 no.1
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    • pp.43-51
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    • 2008
  • Background: Although school footpaths must guarantee pedestrians’ safety and pleasantness, even facilities installed according to standards provided in “Rules on the Designation and Management of School Zones” are not maintained and managed properly and as a result they are not effective for securing the safety of school footpaths. Purpose: The present study surveyed the physical environment of elementary school footpaths and investigated problems posed by the absence of facilities. Methods: First, the current state of street structure was investigated using maps as well as field surveys, and the current state of street furniture was surveyed by checking if it has been installed and photographing it. In addition, traffic characteristics were investigated by measuring traffic safety while children’s going to school and home, and children’s behaviors on school footpaths were surveyed by observing their behaviors when going to school and home. Result: This study surveyed the installation and state of safety facilities on school footpaths around elementary schools in B City, analyzed items to be improved, and presented materials for reducing accidents among elementary students.

Current Situation and Perspectives for Home.Visiting and School Physical Therapy in Korea (한국 가정.방문 물리치료 및 학교 물리치료의 현황과 전망)

  • Kwon, Hei-Jeoung;Kim, Yong-Kwon;Ann, Chang-Sik;Hur, Jin-Gang;Hwang, Seong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.18 no.4
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    • pp.47-58
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    • 2011
  • The purpose of this study was to analyses the main factors of research papers for related with home physical therapy. This study was retrospective descriptive study, the period of data collection was from 1991 to 2011. The data was collected by the journal related in physical therapy, the dissertation of academic degree, National Assembly Library and the web-site for academic information. In the web-site, searched with the keyword 'home physical therapy' and 'after school voucher'. The results were as follows; 1. In the home physical therapy, visiting physical therapy, school physical therapy, there were different based on laws; home physical therapy was based on medical law, visiting physical therapy was based on law for community health and law for long term health insurance, school physical therapy was based on special education law. 2. The summary of research title/thema from 1991 to 2011 was as follows; for the home and visiting physical therapy 'the needs and necessity of home and visiting physical therapy' was 18 papers, 'the contents of service of home and visiting physical therapy' was 18 papers, 'program and skill development' was 16 papers, 'system developing and induction strategy of home and visiting physical therapy 'was 15 papers, 'costs of nome and visiting physical therapy' was 2 papers, 'perception and information of home and visiting physical therapy' was 9 papers, 'Recoding system and administration management' was 9 papers, 'the others 'was 14 papers, for the school physical therapy 'after school voucher system' was 9 papers, the others was 4 papers. The total papers was 114 papers. 3. Finally suggested 'Model of Educational Program for HomeVisiting and School Physical Therapy'.

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A Comparative Study on Education Needs in Low Birth Weight Infant's Mother at Discharge and after One Month at Home (퇴원시 저출생 체중아 어머니와 퇴원 한 달 후 저출생 체중아 어머니의 간호 교육요구도 비교)

  • Choi, Sun-Jung;Kwon, Mi-Kyung
    • Korean Parent-Child Health Journal
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    • v.3 no.1
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    • pp.73-94
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    • 2000
  • This study was designed to compare the education needs in LBW infant's mother at discharge and after one month at home for development of the educational program. The subjects of this study consisted of 61 mothers of LBW infant's at discharge and 51 mothers of LBW infant's after one month at home. They were selected by convenience from 3 general hospitals and 1 pediatric hospital in Seoul, Kangreung and Inchon. The data were collected during the period from January, 5 to March, 15, 2000. The Education Needs for LBW infant Care was measured by Questionnaire that has developed by researchers. The data were analized by descriptive statistics, non-paired t-test & ANOVA using SAS. The results of this study were as follows: 1) The educational need, of the mothers of LBW infant at discharge were higher than the mothers of LBW infant after one month at home(t=8.72, p=.00). 2) There were significant associations between the educational needs of the mothers of LBW infant after one month at home and numbers of children(F=3.61, p=0.03). 3) There were significant associations of the educational needs between the mothers of LBW infant at discharge and the mothers of LBW infant after one month at home in categories and items. (1) There were significant associations by categories such as Infant care(t=8.34, p=.00), feeding(t=6.71, p=.00), unusual behavior (t=6.54, p=.00). Management disorder (t=8.67, p=.00), attachment between parents and infant(t=5.19, p=.00) and environment (t=6.14, p=.00). (2) There were two items that represented the highest educational needs in all items. That were "How about we can do when infant has a breathing disorder" and "How about we can do when infant has a seizure". These two items included Management of disorder category. In Conclusion, when the nurse teaching the method of infant care to mother, educational contents must be included about Management of disorder emphatically.

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A Study on Demand and the Supply for Home-based Cancer Patient Management Projects of Public Health Centers (보건소 재기 암환자 관리사업에 대한 환자의 요구도 및 제공정도)

  • Cho, Hyun;Son, Joo-Young;Heo, Jeom-Do;Jin, Eun-Hee
    • Journal of Hospice and Palliative Care
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    • v.10 no.4
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    • pp.195-201
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    • 2007
  • Purpose: As a part of the analysis of home-based cancer patients management of public health renters in cities, counties and districts across the nation, this study is to understand the degree of patient demands for that management and the degree and scope of the supply for the patient's demand. Methods: Developed the questionnaire which was constituted of degree of demand and supply for home-based cancer patient management and analyzed data centering on the frequencies and percentages by utilizing SPSS WIN 12.0. Results: The services provided through the home-based cancer patients management project include physical, emotional, spiritual and education/informative services. A survey was conducted for home-based cancer patients about these services, and its result showed that the degree of demand and supply was highest for emotional service, followed by education/informative service, spiritual service and physical service in the order of the demand-supply degree. When main items for each service were examined, it was found that: in the case of physical service, pain control was provided murk lower than its demand, while excretion disorder control and individual hygiene is provided murk more than its demand. In the case of emotional service, the degree of demand was overall higher than that of supply; spiritual service was provided appropriately to the degree of demand. Conclusion: This study examines the home-based canter patients management project of public health centers and compares and analyzes the degree of demand for patient services and the degree of services that are actually provided. The findings could be used as based data for the development of effective programs in future on the basis of actual demands of home-based cancer patients.

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Oral health knowledge among nursing home employees and needs to educate on elderly oral care (일부지역 노인요양기관 종사자의 구강보건지식 및 교육 필요도)

  • Park, Ji-Il;Jeong, Kyung-Yi;Ha, Myung-Ok
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.5
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    • pp.805-816
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    • 2017
  • Objectives: The purpose of this study is to analyze the oral health knowledge among workers at nursing homes, and needs to educate them on elderly oral care. Methods: A self-reported questionnaire was filled out by 241 workers at nursing homes in Gwangju and Jeonnam, Korea from May to June, 2016. The data were analyzed with the SPSS 19.0 program for independent t-test or one-way ANOVA analysis. Results: The data analysis showed that workers at nursing homes had lower knowledge about periodontal diseases (65.1%) than about denture management (78.5%). The knowledge of periodontal disease and denture management of workers with experience of oral care education for elderly was significantly higher than that of non-experienced ones (p<0.01). On the question whether those workers should get oral health care education is necessary or not, respondents answered positively (They scored 4.10 points on the 5-point Likert scale from 1 point - Not at all to 5 points - definitely yes). Conclusions: It is necessary to provide elderly oral care education to workers at nursing homes. Furthermore, oral health professionals should be deployed for systematic and practical oral care for elderly.

The Influence of Product Attribute of Smart Clothing on Initial Trust and Purchase Intention: Focused on Sensor-Based Smart Clothing (스마트의류 제품속성이 초기신뢰와 구매의도에 미치는 영향: 센서기반 스마트의류를 중심으로)

  • Park, Hyun-Hee;Noh, Mi-Jin
    • Journal of the Korean Home Economics Association
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    • v.49 no.6
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    • pp.13-22
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    • 2011
  • This study investigated the influence of product attribute on initial trust and purchase intention of sensor-based smart clothing. Questionnaires were administered to 256 university students in Daegu, Korea. The results were as follows: First, there were 5 factor solutions in product attribute of smart clothing; comfortableness, health usefulness, management easiness, safety, and aesthetic appearance. Second, there were significant effects on initial trust in heath usefulness, management easiness and safety. Third, there were significant effects on purchase intention in health usefulness, management easiness and aesthetic appearance. Fourth, there was a significant effect on purchase intention in initial trust.

Parishioner's role Expectations of Parish Nursing (한국 교인들의 목회간호 역할기대)

  • Kim, Chung-Nam;Kwon, Young-Sook
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.231-244
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    • 2000
  • Parish nursing is a community health nursing role developed in 1983 by Lutheran Chaplain Granger Westberg. An increasing emphasis on holistic care, personal responsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The purpose of this study is to investigate what the korean parishioners want in parish nursing and what type of role expectation from parish nurse. The subjects were 1138 parishioners of 23 churches of various denominations in nationwide Korea. Data were collected by self-reported question naires from Feb 4 to June 25. 1999. The data were analyzed by using percentage. frequency. $x^2-test$. multiple Response set with SPSS program. The results are as follows: 1. Desired parish nursing contents by parish nurses are: psychological counselling(23.4%) out of private counselling. stress management(21.1 %) out of private health education. Emergency care(14.1%) out of group health education. Blood Pressure check-ups (19.0%) out of Health check ups. home visiting(44.9%) out of patient visiting method. B T. pulse, respiration and blood pressure check(15.0%) in Care to serve in home visiting. spiritual preparation to accept the death(41.7%) in hospice care, advices to choice of medical treatment using guide(50.1%) in introducing and guiding of health care facilities, pray(21.7%) in spiritual care' faith support. 2. Desired Health Teaching Content According to Period of Clients by Parish Nurse are: Vaccination(22.5%) in infant and toddler health management. sexual education(25.3%) in adolescent health management. prenatal care (29.5%) in pregnant health management. osteoporosis prevention and management (22.4%) in Middle aged health management. dementia prevention and management(25.5%) in elderly health management. 3. The expectant role from parish nurse is spiritual care faith support(14.1%). patient visiting care(13.2%), hospice care(12.9%), private counseling(12.8%), health check ups (11.1 %), volunteer organization and training out of believer(11.0%), private health education (9.3%), group health education (8.3%). 4. In Necessity of Performing Parish Nursing according to Region, Most(over 95%) responded that nursing program is needed. so there is no significance between regions. In Performing Parish Nursing in their church, Most(92.2%) responded they want to perform program. 5. In case of performing parish nursing, 52% out of the subjects responded they want to participated in parish nursing volunteer's activity, for example. to be in active to be a companion to chat(42.1%), necessity support (25.3%), donation support(25.0%), exercise support(18.2%), vehicles support (9.9%). As a result. in holistic care and spiritual care, the need of parish nursing and the role expectation from parish nurse are very high among korean believers. Therefore, I suggest parish nursing centering around Taegu and Kyungbuk province should be extended to nationwide. For extending parish nursing program. more active advertisement and research is needed. After performing parish nursing program through out the country, further comparative research between regions should be practiced and Korean parish nursing program will be developed and activated.

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