• 제목/요약/키워드: home health management

검색결과 999건 처리시간 0.029초

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

  • 이성학
    • 보건행정학회지
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    • 제9권1호
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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 ).

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

  • 김명순;김영숙
    • 지역사회간호학회지
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    • 제15권4호
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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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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.

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

  • 김은주
    • 한국학교보건학회지
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    • 제21권1호
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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.

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

  • 권혜정;김용권;안창식;허진강;황성수
    • 대한물리치료과학회지
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    • 제18권4호
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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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퇴원시 저출생 체중아 어머니와 퇴원 한 달 후 저출생 체중아 어머니의 간호 교육요구도 비교 (A Comparative Study on Education Needs in Low Birth Weight Infant's Mother at Discharge and after One Month at Home)

  • 최선정;권미경
    • 부모자녀건강학회지
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    • 제3권1호
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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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보건소 재기 암환자 관리사업에 대한 환자의 요구도 및 제공정도 (A Study on Demand and the Supply for Home-based Cancer Patient Management Projects of Public Health Centers)

  • 조현;손주영;허점도;진은희
    • Journal of Hospice and Palliative Care
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    • 제10권4호
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    • pp.195-201
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    • 2007
  • 목적: 본 연구에서는 전국의 시 군 구 보건소 재가 암환자 관리사업의 객관적 실태분석의 일환으로 재가 암환자 관리 사업의 주 대상자인 재가 암환자를 대상으로 개발된 조사도구를 이용하여 그들의 재가 암환자 관리 요구도와 제공정도를 파악하는데 목적이 있다. 방법: 재가암환자 관리사업의 요구도 및 제공정도로 구성된 설문지를 개발 조사하고 수집된 자료는 SPSS WIN 12.0을 이용하여 빈도와 백분율을 중심으로 분석하였다. 결과: 현재 재가 암환자 관리사업을 통해 제공되고 있는 서비스를 신체적, 정서적, 영적, 교육정보적 서비스로 나누어 재가 암환자들을 대상으로 조사한 결과 요구도와 제공정도는 정서적 서비스에서 가장 높고 다음으로 교육 정보적 서비스, 영적 서비스, 신체적 서비스 순으로 조사되었다. 각 서비스별 주요 항목을 살펴보면 신체적 서비스의 경우 통증조절은 요구도에 비해 그 제공정도가 낮았고 반면 배설장애조절과 개인위생은 요구도에 비해 그 제공정도가 높은 것으로 나타났다. 또한 정서적 서비스의 경우 전반적으로 요구도와 제공정도가 높았고 영적 서비스의 경우 요구도에 알맞게 서비스가 제공되고 있는 것으로 나타났다. 결론: 본 연구는 보건소 재가암환자 관리사업에 대한 환자의 서비스 요구도와 실제 제공받은 서비스 정도를 분석한 연구로서 향후 재가 암환자의 요구도에 근거한 효율적 프로그램 개발의 기초자료로 활용이 가능할 것으로 사료된다.

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

  • 박지일;정경이;하명옥
    • 한국치위생학회지
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    • 제17권5호
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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.

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

  • 박현희;노미진
    • 대한가정학회지
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    • 제49권6호
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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.

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

  • 김정남;권영숙
    • 지역사회간호학회지
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    • 제11권1호
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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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