• 제목/요약/키워드: institutional care

검색결과 422건 처리시간 0.021초

FGI를 통한 노인장기요양시설 운영 개선 방향에 관한 연구 (Improvement of Management of Long-Term Care Facilities Through FGI)

  • 박성원;이원재
    • 한국콘텐츠학회논문지
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    • 제19권1호
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    • pp.587-597
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    • 2019
  • 우리나라 인구의 빠른 고령화와 일상생활이 어려운 노인들이 증가하여 사회적 연대를 위한 노인장기요양 제도가 실시되었다. 제도 도입 후 나타난 장기요양제도의 구조적 문제 해결을 요구하고 있으며 기관 및 급여유형별로 통합된 요양서비스 제공체계, 노인의료-요양의 연속성 부족에 따른 요양병원-시설 간 기능정립 문제 등도 제기되고 있다. 이 연구에서는 문제점을 개선하기 위하여 입소정원, 종사인력, 제공서비스와 관련한 연구문제를 설정하였으며 FGI를 실시하였다. 연구결과 지역 내 노인 인구와 인정자 수, 노인성 질환자수 등 장기요양 수요를 반영, 지역별 적정 기관 및 인력 수급 정책 방향 제시하고, 지자체별 목표와 수급계획을 수립하여, 장기요양기관 지정요건 절차 강화 및 지정 갱신제 등 인증제도 도입이 검토되어야 하며, 남성요양보호사 육성 및 수가 인상 등을 통한 종사자 처우개선을 통하여 원활한 인력수급이 필요하다고 보았다. 급식비의 보험적용과 유관기관과의 연계를 통한 프로그램 확대제공, 원활한 입소관리를 위한 의료외 사고 중재기구가 필요하다고 나타났다.

대구광역시 노인복지시설 유형별 수요추정 (A Study on the Forecast of Bed Demand ofr Institutional Long-term Care in Taegu, Korea)

  • 김명희
    • 대한간호학회지
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    • 제30권2호
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    • pp.437-451
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    • 2000
  • The purpose of this study was to estimate the forecast of bed demand for institutional long-term care for the elderly persons in Taegu Metropolitan City. The study subject was the total 1,877 elderly persons over age 65 living in Taegu. Among them 1,441 elderly persons were sampled from community and 436 were from the elderly admitted 5 general hospitals. Data collection was carried out by interview from 25 August to 25 December 1997. The measuring instrument of this study was the modified tool of CARE, MAI, PCTC, and ADL which were examined for validity and reliability. In order to forecast bed demand of Nursing Home, this study revised prediction techniques suggested by Robin. The results were as follows : 1. OLDi of Taegu City were 122,202 by the year 1998 and number of Low-Income Elderly Persons were 3,210. 2. The Level I : Senior Citizen Home $ADEMi=\frac{AQi * ASTAYi}{365 * AOCUi}$. AQi = OLDi * LADLi * NASi * ALONi * LIADLi * AUTILi. Predicted number of bed demand for Home Based. Elderly Persons were 4,210 and Low-Income Elderly Persons were 1,081 and Total Elderly Persons were 5,291 by the year 1998, 6,343 by the year 2000 and 8,351 by the 2005. 3. The Level II : Nursing Home $BDEMi=\frac{(BQ1i+BQ2i) * BSTAYi}{365 * BOCUi}$. BQ1i = OLDi * HADLi * ALONi * HIADLi BQ2i = OLDi * HADLi * FAMi * OBEDi Predicted number of demand for Total Elderly Persons were 668 by the year 1998, 802 by the year 2000 and 1,055 by the 2005. 4. The Level III : Nursing Home $CDEMi=\frac{COLDi * HDISi * CUTILi * CSTAYi}{365 * COCUi}+OQi/10$ Predicted number of demand for Total Elderly Persons were 1,899 by the year 1998, 2,311 by the year 2000 and 3,003 by the 2005. 5. Predicted number of bed demand of long-term care facilities in the year 1998 according to Levels were 4.3% among elderly persons in Taegu by Level I, 0.5% by Level II and 1.5% by Level III. Number of elderly persons in current long-term care facilities were 458 in LevelI I,284 in Level II. 6. Deficit number of bed demand of long-term care facilities were 4,833 in Level I, 384 in Level II, 1,899 in Level III for the elderly persons in Taegu Metropolitan City.

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사례관리자들의 실천경험 연구 - 질적사례연구 방법 접근 - (A study on the experience of care managers - Approached Qualitative case study method -)

  • 김영숙;임효연;신소라
    • 사회복지연구
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    • 제40권2호
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    • pp.89-122
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    • 2009
  • 본 연구는 사회복지실천현장의 사례관리자들의 직무세계를 분석하기 위해서 그들이 수행하는 사례관리 직무의 빈도, 가장 중요하다고 생각하는 직무군의 유형과 그 이유, 가장 어렵게 생각하는 직무의 유형과 그 이유를 질적사례연구방법을 통해 살펴보았다. 사례관리 직무범주는 데이컴 방법으로 도출했으며 도출된 9개의 직무영역을 사례관리 수행빈도, 중요도, 난이도로 분석하였다. 연구참여자는 사례관리를 주 업무로 하는 3년 이상의 사회복지사 10명이 세평적사례선택을 통해 선택되었으며 자료분석은 매몰된 분석(embedded analysis) 유형을 따라 이루어졌다. 연구결과에 대한 함의에서 연구자들은 본 연구 참여자들의 사례관리실천 경험을 "이용자 중심의 서비스와 제도적 압력 사이에서 긴장을 유지하며 균형점을 찾는 과정"으로 기술했다. 연구결과를 근거로 지역사회복지네트워크 구성, 사례관리자들의 직무권한을 보장하는 제도적 장치 마련, 균형과 상향평준화를 위한 표준매뉴얼의 개발을 제안했다.

주택 내 보조설비가 미국 노인들의 생활기능 감소로 인한 주거이동에 미치는 영향 (The Effect of Built-Environment Features on Relocation among American Older Persons with Decline in Functional Ability)

  • 전경숙
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2002년도 추계학술발표대회
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    • pp.161-166
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    • 2002
  • Functional ability is an important criterion to predict the capability of older persons to maintain independent living in the community setting. This study focused on the effect of built-environment features to ameliorate declines in functional ability and reduce the likelihood of relocation. Using longitudinal data from the Asset and Health Dynamics Among the Oldest Old (1993, 1995), relocation was analyzed for 6,225 respondents aged 70 or older. Findings are that while functional decline in household activities of daily living among older persons increased their residential moves in the community, functional declines in basic activities of daily living, household activities of daily living, and advanced activities of daily living among them increased their entrance into an institutional care facility However, they were less likely to enter an institutional care facility when their home was equipped with built-environment features such as street level ramps, special railings, modifications to allow someone in a wheelchair, grab bars or shower seat in the bathroom, and special call device or system to get help.

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어머니의 거부적 양육태도가 유아의 기관적응에 미치는 효과: 유아 인성의 매개효과를 중심으로 (The Effect of Mothers' Rejective Parenting Attitude in the Process of Adapting to Institutions: Focusing on the Mediating Effect of Children's Humanity)

  • 나은숙;김경회
    • 한국보육지원학회지
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    • 제13권1호
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    • pp.167-184
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    • 2017
  • Objective: The gold of this study is to identify the correlation between mothers' rejective parenting attitude and children's humanity and adaptation to educational institutions, as well as to find out whether children's humanity could act as a mediating effect against mothers' rejective parenting attitude in the process of children's adapting to the institutions. Methods: The study was conducted on 259 children aged 4 to 5 and their mothers. The collected data were used to conduct Pearson correlation coefficient, Three-step mediated regression analysis, and the Sobel test using the SPSS 20.0 program. Results: First, children's institutional adaptability had a significant negative correlation only with 'mother's hostility'. Children's humanity had a significant positive correlation with their institutional adaptability. Second, mothers' hostile attitude had a direct or indirect impact on children's institutional adaptability. Conclusion/Implications: The results above suggest that children's good humanity and parents' friendly attitude are important in children's institutional adaptability.

집단미술치료가 시설보호아동의 사회성에 미치는 영향 -분노 및 공감능력을 중심으로- (The Effect of Group Art Therapy on Sociality of Children in Institutional Care -Focus on Anger and Empathy-)

  • 박범진;이숙민
    • 산업진흥연구
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    • 제1권2호
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    • pp.71-78
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    • 2016
  • 본 연구는 집단미술치료가 시설보호아동의 분노조절 공감능력을 중심으로 한 사회성 향상에 미치는 영향을 검증하고자 하였다. 연구대상은 J도 I시에 소재하고 있는 아동보호시설 두 곳에서 생활하는 아동 12명을 실험집단 6명, 통제집단 6명으로 무선할당 하였다. 실험집단은 주 2회 60분씩 사전 사후검사 변화를 포함하여 총 25회기 집단미술치료프로그램을 실시하였고 통제집단은 무 처치하였다. 연구결과 집단미술치료가 시설보호아동의 사회성 향상, 분노조절 향상, 공감능력 향상에 긍정적 효과가 있었으며 HTP, KSD, DAS 사전 사후검사에서 형식적, 내용적 평가에 긍정적 변화가 있었다. 본 연구를 통해, 집단미술치료가 시설보호아동의 분노조절과 공감능력을 중심으로 사회성 향상에 긍정적인 도움이 된 것을 알 수 있었으며, 시설보호아동을 대상으로 하는 집단미술치료 연구가 치료적인 역할로 사회성 향상에 도움이 될 수 있음을 나타낸다.

구강보건의료기관 종사들의 유해화학물질 인식, 실천 및 물질안전보건자료 (MSDS) 관리에 영향을 미치는 요인 (Factors Affecting the Recognition and Practice of Hazardous Chemical Substance & the Management of Material Safety Data Sheet (MSDS) among Workers in Dental Clinics)

  • 정혜영;문원숙;김지영
    • 대한통합의학회지
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    • 제9권3호
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    • pp.79-86
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    • 2021
  • Purpose : This study was conducted to provide fundamental data to prepare for countermeasure to protect health of workers in the dental clinics from hazardous chemical substance, and to assess effecting factors on management of Material Safety Date Sheet(MSDS) and handling of hazardous chemical substance among workers in dental clinics. Methods : This study was carried out a survey with structured self-administered questionnaire which was consisted of 7 questions about the management of MSDS, 9 questions about recognition and practice of hazardous chemical substances in dental clinics, and 7 questions about general characteristics. Total subjects of this study were 204 adult who workers in dental clinics located in Busan and Gyeng-nam province area. The collected data were analysed using the SPSS statistical package program (ver. 23.0). Results : The factor that positively affected factor on recognition and practice of hazardous chemical substances in dental clinics has experience that has been institutional health-care accreditation. The factor that positively affected the management of MSDS has experience that has been institutional health-care accreditation. Conclusion : It is necessary to prepare countermeasures such as campaign and education on cognition of general chemical substances, and also the author concern that it should be perform the education on handling of hazardous chemical substances in dental clinics for more effecting management of MSDS. In order to improve the management of MSDS and improve the awareness and safety of chemicals, it is necessary to encourage the implementation of the institutional health-care accreditation system or prepare guidelines for the management of MSDS.

시설보호아동의 학교적응에 대한 미래관이나 후원자지지의 관계 (Relation between School Adjustment and Future Time Perspective or Sponsor Support of Children in Institutional Care)

  • 조강현
    • 한국학교ㆍ지역보건교육학회지
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    • 제23권1호
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    • pp.17-27
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    • 2022
  • Objectives: This longitudinal study was done to identify the relationship of school adjustment and sponsor support or future time perspective and the differences of these 3 variables between 1st and 2nd survey of children having Didimseed account in institutional care. Methods: Participants were 25 elementary fourth to sixth grade children who are living on one facility that located in G. metropolitan area at 1st survey and 2nd survey was done at five-year intervals. Data were collected from September 2012 to September 2017 and were analyzed using t-test, paired t-test, ANOVA, post-hoc test and Pearson's correlation coefficients. Results: The level of school adjustment knowledge was not different significantly according to grade, gender and admission period at 1st survey. At 2nd survey, the level of school adjustment was different significantly according to grade only. The level of school adjustment was associated with positive future time perspective(r=.74) and negative future time perspective(r=-.54) at 1st survey, and that was associated with negative future time perspective(r=-.49) and meeting frequency of sponsor(r=-.43) at 2nd survey. There were not significantly different school adjustment and future time perspective variables between both surveys. But meeting frequency of sponsor at 2nd survey was lower significantly than that at 1st survey. Conclusions: Based on the results of this study, it would be necessary to prepare the policies that could have their positive future time perspective to increase school adjustment of institutionalized children. Also the effective strategies to increase not only Didimseed account support but emotional support through qualified meeting with sponsors should be developed.