Recently, Web-based Survey has attempted to overcome the limitations of Paper-based survey. This method is more effective in costs and time use than traditional methods, also help respondents to understand and interest in the survey. Especially for the elderly, web-based survey is effective survey tool, because audio-visual material could be provied. The purpose of this study is to evaluate the effectiveness of two kinds of methods which were web-based survey and paper-based survey, focused on elderly residents' needs for ubiquitous home service. The participants were older than 60 and divided into 2 groups, web-based survey and paper-based survey, each group was controlled over by age, gender, computer skill. For this study, elderly residents conducted a survey passed through 2 steps, the first was residents' needs for ubiquitous home services, the second was an evaluation of survey methods. Finding were as follows : first, there was no difference between the two groups in needs for ubiquitous home service, so survey itself can not make a difference in survey results. Second, respondents of web-based survey were more interested in and felt easier about method that they conducted than ones of paper-based survey. Finally, Web-based survey will be more effective method to be figure out the need of the elderly who are familiar with computer.
We carried out this study to reduce the gaps between medical institutes and between medical personnels and help to improve medical service quality, by classifying diagnoses and related intervention through the development of standard nursing intervention and by computerizing protocols. We considered two processes: one is the development process of home nursing standard intervention, and the other is the process of computerizing its related protocols. For the former, research covered analysis of home health care practices, development of client assessment protocol, of patients diagnosis protocols, and of patients intervention protocol. For the latter, strategies for home health care information systems should be set up and it constituted four research contents of analysis, design, management and evaluation of the systems. We also trained and educated home nurses who work at home health service center, by making them use the manual of home health care information systems at a certain city of P. In this study, therefore, we developed elements of standard home health care mediation so that they could be included in the forms of home health information note, home health progress note, and home health progress summary, home health discharge summary. Because standard home health care intervention has been developed, it became easier to exchange information between different home heath service center offices, can prevent from missing or redundant information, and contribute to standardization of hospital terminologies when EMR and HMR are developed.
Purpose: This study is to identify the types of role awareness of home health care specialists working at medical institutions, to understand their role awareness correctly by grasping the quality of each type, and to provide useful help in the education of home health care specialists. Method: Q-methodology is used to objectify role awareness of medical institution specialists who may recognize situations differently according to their individual experience and comprehension based on the view of behavior. Q-classification was carried out on 30 home health care specialists working at medical institutions using 30 selected questions. Collected data were examined through factor analysis using QUANL PC program. Results: Three different types of role awareness of home health care specialists working at medical institutions were identified. Type I is 'educational-function-centered', Type II 'patient-centered' and Type III 'professional-service-centered'. Conclusion: Regardless of these types, home health care specialists commonly had a high pride as a specialist and a sense of mission regarding themselves as important persons responsible for patients' health.
The authors developed 28 needs assessment tools for integrated assessment centered on needs, which is the core element in care management for the elderly in home. Also, the authors collected the assessment data of 676 elderly persons in home from 120 centers under the Korea Association of Senior Welfare Centers by using the needs assessment tools, and finally developed needs extraction algorithm through decision tree analysis in data mining to identify their actual needs and provide social welfare service suitable for such needs. The needs extraction algorithm for 28 needs of the elderly in home are summarized in