This was a qualitative study on medical aid patients to understand the cause and process of statistical difference of health service utilization between medical aid and health insurance patients. The main results were the following; 1) There was few overuse of health service in medical aid patients. The reason of heavy utilization was mainly due to the complicated disease. Some of them were considered to overuse physical therapy and oriental acupuncture. 2) In case of medical aid patients, medical cost was paid by their welfare benefit of government or by the support of family or neighbors. They usually could not adequately use the services of uninsured benefit or large hospitals due to the cost. Some patients just endured the pain. There was still discrimination for medical aid patients in some medical institutions. 3) The health officials and institutions did not provide sufficient information to medical aid patients about the policy of medical cost support. 4) Health policies, such as selective clinic system, medial aid case management, approval of extended care, were considered to contribute in preventing unnecessary use of health service. However, this might limit adequate use of medical aid service. In conclusion, there is little evidence of overuse of health service for medical aid patients, which is different from the previous studies. A new plan is necessary, because medical aid patients thought that the necessary health service was not accessible to them.
Primary school is regarded as an important period when many health-related behaviors and life-styles begin to be formed. Acquiring them through school heath education has a strong influence on the health promotion of not only the family but also the community. Primary school health education in Korea has a systematic flaw in that health-related subjects are divided and taught under various subjects in primary school. In order to develop a proper school health curriculum, it is essential to assess what is currently being taught. In this study the current health education of the 6th grade primary curriculum was investigated to improve school health education. The purpose of this study is to identify the health education contents and time in textbooks of the 6th grade primary school curriculum. In this study, the textbooks & teacher's teaching manuals of the 6th grade curriculum were analyzed with a health instruction framework for Korean schools developed by the Korean Nurse Association & Korean School Health Education Association in 1993 and health care framework for health education curriculum presented by Kim in 1991. The results are as follows ; 1) Health education hours of the curriculum are 206 hours, about 34.3 hours a year. 2) The contents of health education were divided into nine subjects at primary schools. Organizing principles of learning experience(eg, integrity, sequence and continuity) were not considered sufficiently. The physical education & natural science subjects include a lot of health education contents. 3) The major content areas are community & environmental health areas and daily healthy life areas. 4) The major areas at each grade level are daily healthy concerns and safety & first-aid 5) The remarkable contrast to the 5th primary school curriculum are that environmental health is offered to the first grade step by step, and that drug use & abuse and mental health education are included in the 6th primary school curriculum. 6) The main contents of health education in 1st, 2nd. and 3rd grade curricula consist of treatment & recovery health functions. Those of the 4th grade curriculum consist of treatment & recovery health functions, and daily healthy life functions. Those of the 5th grade consist of growth & development functions. Those of the 6th grade consist of treatment & recovery health, growth & development functions. Most health care functions belong to physical health care. The results above suggest that we put together the divided contents of health education and manage them on the basis of systematic integration.
Low fertility has become quite commonplace worldwide, and Europe has experienced below replacement fertility for several decades. In addition, lowest-low fertility, defined as period total fertility rate below 1.3, has rapidly spread in Europe during the 1990s and is likely to expand further. After the turn of century, lowest-low fertility started spreading in Eastern Asia. Korea's TFR of 1.19 in 2008 is lower than most European countries, although it is higher than the Hongkong(1.02) and Taiwan(1.09). The purpose of this paper is to examine the socioeconomic determinants of lowest-low fertility in Korea. In doing so, this paper discusses the effects of female labour force participation, labour instability on family formation and fertility. The data includes female labour force participation rate, unemployment rate, age at first marriage, and total fertility rate from 1980 to 2008. First, the economic recession hindered young people's economic independence and propensity to marry. Married couples were also depressed with uncertainty toward the future and avoided to have children. Second, the growth in female labor force participation had a negative impact on fertility, under the low level of compatibility between women's work and childrearing. Moreover, this paper argues that the rising cost of children including public and private educational costs is thought to be the main reason of the recent low fertility in Korea. Policy implications and some comments on population policies are also presented in the final section.
Journal of the Korea Academia-Industrial cooperation Society
/
v.17
no.10
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pp.527-536
/
2016
The purpose of this study was to explore the components of the geriatric robot pet, which might be helpful in caring for elderly people in the future. Focus group interview-with two focus groups-was performed between August 2014 and December 2014. Study participants were 13 geriatric experts from nursing, medicine, social work, and physical/occupational therapy. All interview data were transcribed, followed by debriefing and a qualitative content analysis. Three main themes emerged: acknowledgment of the usefulness of geriatric robot pet, establishment of elderly-centered appearance, and the functions of the robot pet to meet the needs of elders and family members. The robot pet was considered to be useful to elders who live alone since they can benefit from companionship and care provided by the robot pet. Geriatric robot pet needs to be manageable in size and weight, like a small dog. Moreover, a function that allows for interaction with and monitoring the elderly would be beneficial. The baseline elements that could guide further development of contents for the Korean geriatric robot pet were proposed from the results of FGI. Studies that validate these elements are necessary.
Journal of the Korea Academia-Industrial cooperation Society
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v.18
no.4
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pp.570-577
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2017
The purpose of this study was to provide a basis for the development of a health insurance payment system by exploring inpatient hospice & palliative care activities in a long-term care hospital by occupational personnel. The contents and frequency of inpatient hospice-palliative care activities were obtained retrospectively from the chart review of 12 terminally ill patients who died during the 6 months before their deaths. According to their occupational personnel, doctors were doing blood transfusion, family counseling, and medication guidance. Nurses' main activities were airway suction, oxygen supply, EKG monitoring, observing patient's status, helping medication and tube feeding. Other workers' activities are as follows: social workers were applying individualized programs, physical therapists were doing electrostimulation, nutritionists were giving nutrition evaluation and meal rounding, and careworkers were assisting with meals and nutrition. Although certain nursing activities, like emotional support, were performed by nurses, the hospice-palliative activities from doctors, social workers and physical therapists were largely unavailable for terminally ill patients in a long-term care hospital. And some terminally ill patients were receiving too intensive and invasive medical cares for end end-of-life care. The results highlight the importance of valid measures of hospice-palliative care quality and the need for establishing an adequate reimbursement system for ensuring and improving end-of-life care.
The Correlations Between the Labour Market Structure and Poverty of the Regions The main objectives of this study are to make an investigation into the spatial characteristics of poverty and to analyze the effects of regional labour market structure. Most previous studies on poverty were more likely to examine internal factors like the characteristics of poor households or family structures than external factors in terms of the regional environments. In order to achieve these goals, this study used the Small Area Estimation designed to estimate the income of each household and then calculate the poverty rate of each local area in order to examine the spatial characteristics of poverty. The poverty distribution in Korea showed the local labour market structures effect on the region poverty rate. The Korean economy now exhibits a big gap between the haves and the have-nots and between urban areas and rural areas. The poverty rate of particular regions will increase and those in the areas will face deteriorated circumstances falling into poverty traps. This study reflects this stern reality and empirically proved the strong need for consideration of regional characteristics in conducting studies on poverty and related policy amendments.
The total acreage of 4,894ha of upland soils in Yeongyang area, the main crop cultivated were red-pepper. They were distributed mainly on local valleys and alluvial fans(54.9%), about 61.2% had 7~15% slopes, and about 73.2% had fine loamy family in soil texture. the soils were classified into Ochrepts(73.7%). Udalfs(16.9%), Fluvents(6.2%) and Psamments(3.2%) etc. The upland soils with 100~250m in altitude and "moderately well drained" had higher contents in inorganic nutrients. The red-pepper Produced in the high altitude(>400m) were lower in quality and yields, while the content of sugar and yields of pepper produced in fine loamy textured soils were higher than other soil textures. The yields of red-pepper produced in the "moderately well drained" soils which had better water supply capacity were higher than "well drained" soils.
This study is aimed to improve the youth theft prevention program with rationality and practicality, based on the needs of practitioners who conduct these programs in fields. The survey questionnaire was prepared based on previous researches, and the survey was conducted on 72 probation officers and education instructors nationwide running a youth theft prevention program. As a result, practitioners reported the lack of self-control and high impulsivity as the main characteristics of the theft delinquent adolescents. And they recognized peer alignment and family problems as the causes of theft. As for the contents of the program, they reported that recidivism prevention skills such as understanding psychological problems, peer relationships, raising a sense of law compliance, anger, impulse control, dealing with negative emotions, and finding alternative behaviors, as well as moral development, are necessary. These results indicate that multi-dimensional interventions such as individuals, families, and peers are needed to prevent recidivism of juvenile theft. Implications of these results, future research directions, and limitations and significance of the study were discussed.
This study was conducted to empirically verify the factors that affect work-life balance according to the age of social workers. The subjects of the study were social workers working at social welfare centers, welfare centers for the disabled, and welfare centers for the elderly located in Jeollabuk-do, and 313 copies of 42 facilities that participated in the survey were used for the final analysis. The research method used a multi-level model that calculated individual factors (Level 1) and institutional factors (Level 2). The main research results are as follows. First, 20.2% of the total variance in the work-life balance of social workers was found to be different for each local welfare center. Second, as a result of examining the factors affecting work-life balance of social workers by age, it was found that job demands had a negative effect on work-life balance in all age groups. In particular, in their 30s, family demands and women's work-life balance were more negative than men's, and economic status was found to be an important influencing factor on work-life balance. Based on these results, we discussed ways to improve work-life balance for social workers.
The Korean Mask-Dance Theatre has been developed closely related to Korean Shaman rituals. As many scholars noticed, the performers of the Mask-Dance Theatre were closely related to the Shaman family. In addition, there are mask-dance performances in actual shaman rituals. and are the representative performances among them. This essay intends to compare these two mask-dance performances in the shaman rituals to the similar performance of Old Grandpa and Grandma episode in the regional Mask-Dance Theatre. This study would bring us further in proving the close relation between the shaman ritual and the Mask-Dance Theatre. is one episode, Keori, in the shaman ritual of 'Baeyeonsin-kut' and 'Taedong-kut' in the mid-west seashore area. 'Taedong-kut' is the village shaman ritual for fertility and prosperity, while 'Baeyeonsin-kut' is a private shaman ritual for a large catch of the ship. is held in the later part of the whole shaman ritual since the later part tend to be more for entertainment than actual ritual. The story of is very similar that of in Pongsan Mask-Dance Theatre of the mid-west region. In addition, some of their dialogues are very similar. Only the later part is different. These similarities indicate that the Mask-Dance Theatre, which came into being in later period than the shaman ritual, has likely taken the story motif of the shaman ritual. is also a performance in the shaman ritual of east coasts. is more elaborate and recreational than of the west coasts. is also performed near the end of the ritual, and sometimes it is not performed at all. This indicates that has little ritual meaning left. When we compare it with the regional Mask-Dance Theatres such as Keosung Okwangdae, Tongyong Okwangdae, and Suyong Yaryu, the structure and the story lines are also very similar. It is a question why only the motif of the Grandpa and Grandma isfound both in the shaman ritual and the Mask-Dance Theatre. Many other motifs of other episodes in the Mask-Dance Theatre are not found in the shaman rituals. It seems that the Grandpa and Grandma motif is related to the ur-belief in fertility. In other words, this motif seems to be originated from the old belief in the fertility couple of Chonha Taechanggun and Jiha Yeochanggun. The shaman ritual for fertility first picked up this motif, and then the mask-dance theatre also adapted this motif for its recreational purpose. When we compare with , still has more aspects of fertility ritual, while lost its ritualistic meaning and its main purpose is to develop dramatic needs. and are invaluable existent performances to prove theatre's origin in ritual. The existence of mask-dance performances in the shaman rituals shows us the transit performance between theatre and ritual.
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