• Journal of the Korean Home Economics Association
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• v.39 no.10
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• pp.39-53
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• 2001

Housing is the most important factor for the elderly and the disabled to live safely and independently. If they want to stay in their familiar community as long as possible, to support their stay in their house must be needed. The purpose of this study was to investigate the housing alterations for the elderly and the disabled. To accomplish the purpose of this study, three cases that had altered housing to fit their needs in three countries, were selected. In Korean case of alterations for the disabled, bathroom and kitchen were the altered spaces in the house. But active alterations were not done, because of the limited expense for the alterations and housing ownership, rented. In one case of housing construction for the elderly in Japan, there was no level difference in the interior. Two bedrooms were provided for the husband and the wife, because of the difference of time to bed. The sunroom for enjoying the outside of the nature was provided. In swedish case, due to the supports of the government and local authority, the house was altered at many spaces such as bathroom, kitchen, ramp at the entrance, elevator and so forth. In conclusion, sufficient supports of government and community services can increase the housing quality of people. The ultimate goal of housing alterations must be done not for the elderly and disabled but for all people.

• The Korean Journal of Emergency Medical Services
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• v.26 no.1
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• pp.151-166
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• 2022

Purpose: The severity classification in association with the time of visit to and the appropriateness of using a public ambulance for visiting the emergency department (ED) have not been thoroughly evaluated, and we aimed to evaluate these aspects. Methods: In this descriptive research, we retrospectively reviewed and analyzed the medical records of patients who visited the ED of the B General Hospital, Seoul from January to December 2019. Results: Of the 54,297 patients who were included in the analysis, 34,629 (63.8%) and 14,065 (25.9%) visited the ED directly and through public ambulances, respectively; 10,328 (73.4%) patients who used public ambulances were discharged home. In the daytime and nighttime, 24,891 (45.8%) and 29,406 (54.2%), respectively, visited the ED. The mean length of ED stay (LoS) of emergency and non-emergency patients was 326 and 159 minutes, respectively, and of patients classified as Korean Triage and Acuity Scale levels 1 and 2 was 427 and 430 minutes, respectively, which was longer than the total of 236 minutes. Conclusion: Patients who visited the ED using public ambulances constituted nearly 25% of all ED visits, and more than 70% of these patients were discharged home. Patients with high severity had a longer mean LoS, and daytime ED visits were characterized by higher numbers and severity of patients than nighttime ED visits.

• Research in Community and Public Health Nursing
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• v.33 no.4
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• pp.357-371
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• 2022

Purpose: This study aims to investigate factors related to long-term length of stay (LOS) of patients with chronic diseases in Korean veterans hospitals. Methods: The subjects were 196 elderly patients with chronic disease staying in the hospital for more than 10 days, Data were collected by the survey of patients with structured questionnaires and medical records review by nurses from July 15 to August 10, 2019. Collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The present and desired LOS were 37.78±32.66 days and 60.87±45.95 days, respectively. Factors affecting hospital LOS were found to be main disease (genitourinary) (p<.001), assistance in activities of daily living (p<.001), area of hospital (p<.001), payment of medical fees (p=.026), hospital satisfaction (p=.036) and the explanatory power of these variables was 26.4%. The most common health problems that need to be solved after discharge were symptom alleviation and health promotion. These problems can be solved using community-based facility services or visiting medical-welfare services (especially home care nursing). Conclusion: In order to reduce hospital LOS, the following measures are required: personalized self-management education, provision of transportation services for dialysis therapy of inactive patients, linking patients with visiting medical-welfare services including home care nursing and mobile healthcare services, operation of the case management system including the notice of the discharge date at admission, interim check of patient status, and connecting the patient with community resources or transferring the patient to long-term care facilities at discharge.

• Quality Improvement in Health Care
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• v.9 no.2
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• pp.116-133
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• 2002

Background : It is very common in Korea to take care of non-acute patients in an acute setting, due to the lack of long-term facilities. Long term hospitalization increase medical expenses and decreases the bed utilization, which can affect the urgent and emergent admissions, and eventually jeopardize the hospital financially. In this study, strategies for effective transfers to the lower levels of care, and to decrease the length of stay were presented by surveying and analyzing the patient's knowledge of the transfer needs, and the willingness to transfer those whose hospital length of stay was more than 30days. Method : The survey is subject to a group of 251 patients who have been hospitalized over 30 days in a general hospital in Seoul. Excluding those that were in the Intensive Care Unit and psychiatric ward, 214 in-patients were used as participants. They were surveyed from April 9, 2002 to April 17, 2002. One hundred and thirty seven out of 214 were responded which made the response rate 64%. Data were analyzed by SAS and SPSS. Result : Multi-variable Logistic Regression Analysis showed a significant effect in medical expenses, knowledge of referral system and the information of the receiving hospital. The financial burden in medical expenses made the patient 10.7 times more willing to be transferred, knowledge of the referral system made them 5 times more willing to be transferred, and the information of receiving hospital makes 6.5 times more willing to be transferred. Reasons for willing to be transferred to a lower level of care were the phase of physical therapy, the distance from home, the attending physician's advice and being unable to be treated as an out patient. Reasons for refusing to be transferred were the following. The attending physician's competency, not being ready to be discharged, not trusting the receiving hospital's competency due to the lack of information, or never hearing about the referring system by the attending physician. Conclusion : Based on this, strategies for the effective transfer to the lower levels of care were suggested. It is desirable for the attending physician to be actively involved by making an effort to explain the transfer need, and referring to the Healthcare Coordinating Center, which can help the patient make the right decision. Nationwide networking for the referral system is the another key factor that may need to be suggested as an alternative to decrease the medical expenses. Collaborating with the Home Health Agency for the early discharge planning and the Social Service Department for financial aid are also needed. It is recommended that the hospital should expedite the transfer process by prioritizing the cost and the information as medical expenses, knowledge of referring system and the information of the receiving hospital, are the most important factors to the willingness to transfer to a lower level of care.

• Proceedings of the Korea Contents Association Conference
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• 2017.05a
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• pp.471-472
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• 2017

There are 3,931,822 elderly who receives long-term care at home and 1,704,469 elderly who stay at long-term care facilities in those of 34,610,000 of +65 years old population in Japan; thus, the elderly people who need home care are 2.3 times more than facilities (2016).In the near future, the number of elderly people with a degree of daily life independence and dementia category II or more will increase to 4.7 million (12.8% of the elderly population). Therefore, the use of home-care robots is essential for the disaster evacuation of the overwhelming majority of those elderly who need home care and for of vitals checks to keep family, caregivers, and medical professionals informed to reduce the risk in chronic health conditions in welfare evacuation centers. This also helps to care for the caregivers who are caring for the elderly, and the introduction of home-robots to evacuation centers should receive prompt attention from our care-friendly society.

• International Journal of Computer Science & Network Security
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• v.21 no.1
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• pp.214-219
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• 2021

As the number of elderly increased rapidly every year, many elderly still choose to stay independent despite of difficulties and challenges faced in their daily routine. Elderly has desperate needs for support for their living. Internet of Things helps to support and improve elderly's life in many ways to meet the needs and requirements. Home Automation Control (EHAC) is a research based system that support elderly with controlled automation solution that control and operates various home electrical appliances based on the measurement of heart pulse rate and environment temperature. This paper works on EHAC system to evaluate the performance of the system in elderly's daily routine. This paper presented experiments conducted with approach of IoT testing and discussion on analysis of the results.

• Journal of the Korean Society of Food Culture
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• v.7 no.2
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• pp.91-96
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• 1992

Eight hundred college students in Seoul area were surveyed for consumer behaviors and opinions about fast food restaurants at library, student center and class room from August 26 to 30, 1991. The result of this study showed that 70% of college students preferred to eat hamberger or chicken and 49% of them visited to fast food restaurants 1-3 times per month. The reasons given by students for patronizing fast food restaurants were the following, from most to least frequence: 'convenient', 'pleasant atmosphere', 'nice place to stay with friends', 'taste of food', 'speed of service', 'to be able to stay as long as I want', 'hygiene', 'variety of food price', 'nutritious food'. Majority of college students(71%) selected their food by preference, but 22% of them done by price. They were least satisfied with price and quantity of fast food. Therefore, it is important to develop domestic brand fast food restaurants to lower the price of fast food.

• Journal of Families and Better Life
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• v.19 no.5
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• pp.115-128
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• 2001

Housing is the most important environment for the disabled because they spend most of this in their housing. However, their housing do not fully support their housing needs. Most of the hoses are designed for the healthy young people. Therefore, the disabled often have accidents in their homes. The physically disabled people want to stay in their homes and familar environment as long as possible. In order for the disabled to live in the housing as long as they want, the housing should support their safe and independent living. For this purpose, the housing is required to be altered to fit their needs. Sweden is one of the best welfare countries in the world. The Swedish government supports all the expenses for the disabled to stay in their housing and familiar environments. The study was to investigate a case on housing alterations for the physically disabled woman in Sweden. In addition, this study suggested the applications and adaptability of the housing alterations for the physically disabled in Korea.

• Proceedings of the Korean Society of Computer Information Conference
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• 2023.07a
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• pp.359-361
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• 2023

관광산업은 뉴 노멀(New Normal) 시대에 언택트에서 온택트(On-tact)형식의 메타버스(Metaverse)로의 새로운 관광 패러다임 전환을 맞이하고 있다. 이에 이 연구는 뉴 노멀 시대에 직면하여 관광산업의 변화방향에 대한 문제의식을 가지고서 지역의 관광활성화 방안 중에서도 체류형 지역 관광 활성화를 위한 방안으로 메타버스를 활용한 관광 홍보마케팅에 대한 효율적인 방안들에 대해 제안한다.

• Journal of Hospice and Palliative Care
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• v.3 no.2
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• pp.144-151
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• 2000

Purpose : This investigation was to identify the relationship of social support, stress, health and quality of life in caregivers of home-stay cancer patient. Method : We used a questionnaire and obtained data from the records of 79 caregivers of home-stay cancer patient in a community. Window SPSS-PC was used for the data analysis and the statistical method used were the t-test, ANOVA and Pearson's correlation coefficient. Result : The mean score of family support(3.24) was higher than nurse's support(3.03). The mean score of stress was 3.52 and that of health status was 2.98. The mean score of quality of life was 2.34. The health status of caregivers of cancer patient was influence by age(F=3.17, p=0.018) and education(F=3.59, p=0.032). There was a correlation between nurse's support and family support(r=.263, p<0.05). There was a correlation between stress and health status(r=0.597, p<0.01). The quality of life was correlated with stress(r=-.678, p<0.01) and health status(r=-0.741, p<0.01). Conclusion : The above result indicate that we must consider of social support, stress and health status to promote of quality of life of the caregiver of cancer patient.