• 한국보건간호학회지
• /
• 제17권2호
• /
• pp.287-298
• /
• 2003

This study was conducted to identify the health care utilization, health care costs, and potential health care demands of the disabled in the Medicaid Aid beneficiaries. This study focused on the heath care costs not included in the medical aid allowance such as transportation, informal nursing costs, and ambulatory aids etc. Participants were the 864 subjects who were beneficiaries of the National Medical Aid program living in 10 district of Korea. A questionnaires were distributed to the disabled in the Medical Aid beneficiaries during August to September, 2001 through public offices. Data were collected through a home visiting by social workers working in public offices. Direct and indirect medical costs expended for one month by the participating disabled were examined. They expended 110.748 won $({\$}100)$ for heath care costs, which was not included in the medical aid allowance during the month. The disabled with cerebral diseases or who have level 4 disability expended more health care costs compare to those with other diseases. Gradual expansion of medical aid allowance for the disabled is recommended to alleviate economic burden of the disabled and their family.

• 대한가정학회지
• /
• 제38권11호
• /
• pp.77-88
• /
• 2000

The purpose of this study was to find out the characteristics of foster care of long-distance parents who meet their children on weekend and to examine the relationships among the separation anxiety and maternal guilt in foster care. The subject consisted of 138 employed mothers who are living separately with their children. The instruments used for this study were the Separation Anxiety Scale(Cho & Park,1992), the Maternal Guilt Scale(Kim & Kang, 1997), the Parental Satisfaction Scale(Hyun & Cho,1994), and the Parental Stress Scale(Park,1994). The main results of this study were as followings: 1. Mothers had a tend to rely on family members expecially grandparents for foster care of their children. They usually have visited to meet their children weekend and made a phone call once a day. Parental satisfaction in foster care was reported to be moderately high level. 2. The subject’s separation anxiety was found to be high, and it was strong positive relationships to maternal guilt feeling in foster care. The results of this study have implications for both formal and informal support systems of employed mothers with children. The findings of this study may used as basis for understanding long-distance parents’problems in foster care, developing support programs, and public policy for employed mothers.

• Safety and Health at Work
• /
• 제14권1호
• /
• pp.50-58
• /
• 2023

Background: Occupational health services are not available for more than 80% of the global workforce. This pertains especially to informal workers, workers in agriculture and in small enterprises, and self-employed. Many are working in hazardous conditions. The World Health Organization, the International Labor Organization, the International Commission on Occupational Health, and the World Organization of Family Doctors promote as part of a solution, basic occupational health services (BOHS) integrated in primary or community health care. Quality information on this topic is difficult to find. The objective of this study is to develop an open access bibliography, a repository, referring to publications on BOHS and similar innovations, to support progress and research. Methods: The database design and sustaining literature searches (PubMed, Google Scholar, SciELO) are described. For each publication selected, basic bibliographic data, a brief content description considering copyright restrictions, and a hyperlink are included. Results: Searches resulted in a database containing 189 references to publications on BOHS such as articles in scientific journals, reports, policy documents, and abstracts of lectures. A global perspective is applied in 43 publications, a national or regional perspective is applied in 146 publications. Operational and evaluative research material is still scarce. Examples of references to publications are shown. Conclusion: The repository can inspire pioneers by showing practices in different countries and can be used for reviews and in-depth analyses. Missing publications such as from China, Russia, Japan, Republic of Korea, and Spanish/Portuguese speaking countries, can be added in the future, and translated. Search functions can be developed. International collaboration for the promotion of occupational health coverage for all workers must be intensified.

• 간호행정학회지
• /
• 제4권2호
• /
• pp.351-361
• /
• 1998

The purpose of this study was to explore whether there is a point within the range of physical impairment after which the cost of home care exceeds the cost of nursing home care among the elderly who require long-term care. The provision of long-term care for the elderly is a major health policy issue, in part due to the aging of the American population and dramatic increase in health care costs. The framework for this study was guided by Pollak's(1973)model of costs of alternative care settings for the elderly. This study used a retrospective, descriptive correlational design. Physical impairment was measured by the modified Index of Activities of Daily Living(Katz et al. 1963). Cost of care was measured by the average cost per patient per day. The sample for this study included 67 patients receiving long-term care at home from the Long-term Home Health Care Programs (LTHHCPs) and 67 patients receiving long-term care in nursing homes. Data were collected on patient characteristics. including activities of daily living and cognitive impairment. and on the number of physician visits. emergency room visits. and hospitalization from the patient records. For each patient. Medicaid cost data for home care services/or nursing home services were collected from the financial department of each home care agency or nursing home. The living costs and informal care costs were estimated for home care patients. The results indicated that the home care sample and the nursing home sample were similar in terms of gender. ethnic background. and marital status. The elderly patients in the home care sample were: however. younger and less physically impaired than those in the nursing home sample. The hypotheses of this study were supported: For elderly persons with physical impairment scores below 12(possible range of 0 to 14), cost of care was lower in home care than in the nursing home care setting. However, for elderly persons with physical impairment scores above 12. the cost of care was higher in home care than in the nursing home care setting. Thus. in this sample for elderly patients with extreme physical impairment, the cost of home care exceeded the cost of nursing home care.

• Human Ecology Research
• /
• 제62권2호
• /
• pp.279-294
• /
• 2024

The purpose of this study was to synthesize and interpret the findings of previous qualitative studies that investigated the lived experiences of Korean emerging adults who aged out of the foster care system. Based on our selection criteria, we extracted and analyzed 14 papers that were published between 2010 to 2023. Our meta-synthesis found that the emerging adults' life world consisted of seven domains: family experience, life tasks, education and work, financial issues, home and family, interpersonal relationships, and psychological and emotional issues. We restructured the emerging adults' lived experiences using van Manen's concepts of lived time, lived space, lived things, lived self-other, and lived body. Our meta-synthesis revealed that these emerging adults experienced multidimensional difficulties due to shortcomings of formal and informal social support after aging out of the foster care system. Their difficulties accumulated in their interaction with lived time. Based on the level of their accumulated difficulties, we categorized the emerging adults into stable, struggling, and isolated groups. However, it is important to note that many of them adapted to their own life world and strived to move forward. This qualitative meta-synthesis provides a comprehensive understanding and new interpretation of emerging adults who transition from foster care to independent living in the context of Korea.

• KDI Journal of Economic Policy
• /
• 제31권1호
• /
• pp.139-167
• /
• 2009

본 논문은 65세 이상 고령인구의 수와 노인들의 건강상태 등만을 중심으로 한 기존의 연구에 더하여, 노인장기요양보험제도 제2차 시범사업의 자료를 이용한 계량분석을 통해 장기요양서비스 수요의 결정요인을 분석하였다. 분석 결과에 따르면, 우선 노인장기요양보험제도상 장기요양서비스 이용에 대한 보험 적용 대상자를 정하는 등급판정에 일상생활활동에서의 장애가 노인들이 많이 앓고 있는 고혈압, 관절염, 치매 등의 질환을 통제하고서도 통계적으로 유의한 영향을 미쳤다. 또한 노인들의 건강상태, 여성, 기초생활수급자 여부, 노인가구 형태, 노인가구의 월평균 소득 등이 장기요양서비스이용 및 이용 양태에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 특히, 노인가구의 월평균 소득을 통제하고서도 장기요양서비스를 무료로 이용할 수 있는 기초생활수급 대상 노인들의 재가서비스 이용확률이 높게 나타나는데, 이는 소득과 더불어 장기요양서비스의 가격도 장기요양서비스 이용을 결정하는 중요한 요인임을 의미한다.

• 대한간호학회지
• /
• 제29권2호
• /
• pp.371-382
• /
• 1999

Nurses are at the forefront of providing hands-on care to patients infected with HIV(Human Immunodeficiency Virus). Therefore, appropriate and sensible infection control precaution should be taken at all times. The purpose of this study is to find out nurse's loaming needs about HIV/AIDS ; and nurse's willingness to perform nursing care to HIV/AIDS patients ; and the degree of fellowing universal precautions in nursing care ; and the degree of knowledge of HIV/AIDS to provide information on the guide for the further continuing education. The respondents of this study were 280 nurses in a university hospital in Kwang-Ju city. Data were collected using a self-administered questionnaire and analyzed by using percentages, means, Pearson's correlation, t-test, ANOVA, Duncan's grouping. The findings were as follows ; 1. The mean age of the nurses was 28.9 years, and the mean duration of their clinical experience was 6.8 years. Majority of the nurses(83.9%) had no experience in taking care of the AIDS patients. 2. The content s nurse's need to learn were showed in order such as clinical manifestations, infection control, patient care, and the mode of transmission of HIV/AIDS. 3. Even though the nurses had quite low knowledge about HIV/AIDS(mean score was 12.2 from the total of 26), they are willing to take care of the AIDS patients (mean score was 39.5 from the total of 60), and the degree of following universal precaution was also not so bad (mean score was 40.8 from the total of 50). 4. Nurses who are over 35 years old and had informal education regarding HIV/AIDS better following universal precautions. Nurses who had over 12 years of clinical experiences have more willingness to perform nursing care to the AIDS patients. Nurses who had experiences in taking care of the AIDS patients were more knowledgeable about HIV/AIDS. These findings suggest that some strategies should be develope to increase the willingness to perform the nursing care to the AIDS patients. And also continuing education program should be develope and run for the clinical nurses so that they can provide effective and appropriate nursing care to the AIDS patients.

• 대한간호학회지
• /
• 제35권8호
• /
• pp.1514-1521
• /
• 2005

Purpose. This paper is derived from a larger study of nurses' perceptions of their role as patient educators. The focus is to examine nurse' performance in patient education in relation to issues of their perceived responsibility and their ability to prioritize patient education. Method. A multiple-method survey design, using a questionnaire and in-depth interviews, is used to produce a comprehensive picture of the research problem examined. Result. The findings suggest that although nurses consider patient education as an integral part of their care, they fail to deliver as much as they desire in the face of work constraints. Nurses' patient education activities are mainly informal and reactional, in which case they can be easily regarded as a low priority when faced with time constraints. Conclusion. The findings suggest that there is a need for systematic approaches that enable the inculcation of patient education into routine daily care.

• 아동학회지
• /
• 제20권2호
• /
• pp.41-55
• /
• 1999

This study examined the effects of support systems and traditional value beliefs about the role of women on the parenting stress of dual-career mothers. The subjects were 203 employed mothers with one child 4- to 36-months of age. The influential independent variables affecting parenting stress listed in order of significance were satisfaction with child care, value placed on traditional maternal roles, sex of child, and cost of child care. Contrary to the researchers assumptions, social support systems had no effect on parenting stress. The results of this study have implications for formal and informal support systems for employed mothers with young children.

• 대한가정학회지
• /
• 제40권9호
• /
• pp.207-221
• /
• 2002

The purpose of this study was to examine the effects of perceived gain in caregiving on the positive aspects of psychological well-being. The data were gathered from 262 informal caregivers who provided care for relatives or friends in need due to illness or disability. The main results were as follows: First, overall level of perceived gain in caregiving was above the median level. Second, higher gains were perceived by the caregivers who were more educated and who had more remote relationships with care recipients. Third, perceived gain was a significant variable influencing caregiver' psychological well-being. In addition, when the perceived gain variable was added to the regression model, no socio-demographic characteristics of the caregiver and the caregiving context were found to be related to psychological well-being. Theoretical and practical implications of these results were discussed.