• Title/Summary/Keyword: medical and welfare

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Study on the Efficient Integration of Long-term Care Facilities and Geriatric Hospitals by Using NHIC Survey Data (실태조사를 통한 장기요양시설과 요양병원의 효율적 연계방안)

  • Choi, in-duck;Lee, eun-mi
    • 한국노년학
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    • v.30 no.3
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    • pp.855-869
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    • 2010
  • The purpose of this study is to identify how to efficiently integrate long-term care facilities into geriatric hospitals. We conducted a survey on the current operations of facilities and medical services of 2009 of 192 long-term facilities and 168 geriatric hospitals in Korea between October and November. Technical statistics and chi-square test were conducted on the collected data using the SPSS 13.0/Win program. There was a difference between the two facility types in terms of the co-payment levels of the food services. Both types selected the budget deficit as their major management problem. Ease of access and the surrounding environment were critical factors used to select the location of both types of facilities. Facility users benefited from the discounted co-payments of both facility types. However, facility users wanted more frequent visits and support from their family members during their stay at the facilities. It was discovered that users in the long-term care facilities stayed longer, that is until they died, compared to their counterparts in geriatric hospitals. The two types of facilities provided their services totally separately to users. Users of the two types of facilities are poorly supported and cared for by their families. This study suggests that setting reasonable service fees, paying caretakers, introducing an integrated facility, strengthening facility assessment standards, introducing the family doctor system, and introducing the handling of long-term care insurance by geriatric hospitals would allow the integration between long- term care facilities and geriatric hospitals to be beneficial.

A Study on Analysis of the Social Vulnerable Areas Using GIS Spatial Analysis : Focusing on Local Governments in Seoul Metropolis (GIS 공간분석을 활용한 사회 취약지역의 분석에 관한 연구 : 서울특별시를 중심으로)

  • Lee, Myeong Ho;Yu, Seon Cheol;Ahn, Jong Wook;Shin, Dong Bin
    • Journal of Korean Society for Geospatial Information Science
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    • v.24 no.4
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    • pp.47-58
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    • 2016
  • The purpose of this study was to select the sectoral vulnerable areas index in welfare field and analyze the socially vulnerable areas from comprehensive analysis. For this study, preceding research and theoretical background were reviewed. Through this, we selected for the analysis index and criteria, and data corresponding to the index are collected. Based on the index and criteria, the data analysis was performed in Seoul Metropolitan City selected as the spatial extent of this study. From the results of analysis, the sectoral lower rank 10% of social vulnerable areas was determined. In addition, Junggu, Yongsangu, and Seodaemungu from the comprehensive analysis of individual vulnerable areas were derived as a final vulnerable areas. In particular, Junggu was weak in all sectors; Yongsangu was in the medical sector; and Seodaemungu was poor in housing and education. Lower vulnerability index of all sectors (energy, housing, medical, transportation, and education) in 1st, 2nd, and 3rd residential areas by examining use zoning was showed. From the results of this study, we can expect time and labor saving of policy support in public sector.

Quality of Life and Its Association with Physical and Mental Function in the Elderly People Affiliated with Long-term Care Insurance Services (노인 장기요양보험급여 이용자들의 삶의 질과 신체적 및 정신적 기능과의 관련성)

  • Kim, Hyeong-Seon;Park, Jae-Young;Kwon, In-Sun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.10
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    • pp.3808-3819
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    • 2010
  • This study was performed to determine the levels of quality of life(QOL) according to the grade of long-term care service in the elderly people who were judged from long-term care insurance, and to reveal its association with related variables. The interviews were made to 958 elderlies in urban and rural areas from March 1 to May 31, 2009. The mean scores of QOL among all subjects were $55.4{\pm}15.62$(Grade I; $49.7{\pm}14.17$, Grade II; $56.8{\pm}14.62$, Grade III; $59.4{\pm}16.36$), and they were lower according to the higher grade of long-term care insurance. The multiple regression analysis was used to reveal the explanatory powers of factors influencing on the level QOL. Such factors as educational level, monthly income, subjective health status, depression and MMSE-K were shown to affect their QOL in Grade I, Grade II, and Grade III with explanatory powers of 45~62%.

The Medicare Service Facility Location Problem (의료서비스시설 입지문제)

  • 이금숙
    • Journal of the Economic Geographical Society of Korea
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    • v.1 no.2
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    • pp.71-84
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    • 1998
  • Health has been seen as a resource necessary for both maintaining oneself and for living in a society pursuing high quality of life. Therefore, the medicare provision takes place of one of the most significant indexes for evaluating the regional welfare level. The purpose of this study is to investigate the locational characteristics of medicare service facilities. For the purpose, the distribution patterns of the medicare resources are analyzed both at the regional and local scales. The medicare resources are concentrated at the Metropolitan Seoul area in the regional scale, and they are also concentrated at the economic core areas in the local scale. Especially, higher level medicare resources, such as the general hospitals and medical specialists, show more concentration at the economic core areas than lower level services. This means that access to opportunities to receive higher level medicare is poorer in a more socially disadvantaged area. Since medicare service facilities are invested and operated by both private and public sectors, whose locational mechanisms are deferent, we analyzed the distribution patterns. Most medicare facilities are invested and managed by private sector in Korea, which is operated by market mechanism. This is related with the fact that the medicare facilities are concentrated at the economic core areas. The proportion of private sector is higher in the Metropolitan Seoul area, and thus this region shows stronger spatial disparity of medicare provision. In general, the medicare service facilities are located in the hierarchical structure, and thus the services levels and facility scales are differentiated by the hierarchy. We examined the hierarchical structure in the medicare service facilities in Korea. The referral medicare system has been applied with the assumption of the three level hierarchical structures in Korea. However, we could not find any distinct hierarchical structure in the scales of the medical service facilities.

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Estimation for Economic Scale of Radioactive Usage in Korea using Input-Output Table 2005 (2005년 산업연관표를 이용한 우리나라의 방사선 이용의 경제규모에 대한 추정 연구)

  • Kim, Yoon-Kyung
    • Journal of Korea Technology Innovation Society
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    • v.13 no.4
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    • pp.772-793
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    • 2010
  • In this paper, author estimated economic scale of radiation usage in Korea using Input-Output table 2005 and other micro data published. This estimation focused all kind of radiation usage in whole economic activity. Estimation of economic scale is quantitative analysis for how much radiation usage increase productivity and welfare. Economic scale estimation of radiation usage in Korea 2005 is 6,297 Billion Won and it occupies 0.74% of GDP. It is smaller level compared with that of US and Japan. It is 1.5% of GDP in US (1997) and 1.2% of GDP in Japan (2005). Radiation usage in industrial sector is 5,775 Billion Won and it is 0.68% of GDP. Radiation usage in agriculture sector is 171 Billion Won and it is 0.02% of GDP. Radiation usage in medical sector is 351 Billion Won and it is 0.04% of GDP. This implied that radiation usage in industrial sector is larger than other sector. Use of medical radiology may be enlarge in the future due to population structure. The result that radiation usage occupied 0.74% of GDP arouse contribution of radiation usage in daily life. It helps people to have more understanding and public acceptance for radiation.

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A Qualitative Study on Coping strategies of Older adults with Depression: Focused on the Experience of Coping with Depression in Older Adults Living in Seoul (노인의 우울 대처 전략에 관한 질적 연구: 서울시 거주 도시 노인의 우울 대처 경험을 중심으로)

  • Eo, Yugyeong;Ko, Jung Eun;Kim, Soon Eun
    • 한국노년학
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    • v.37 no.3
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    • pp.583-600
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    • 2017
  • The purpose of this study is to explore qualitatively what kind of coping strategy the Korean older adults use when they are depressed and why. Participants were users, older than 60, of an elderly welfare center in Seoul, and answers of 34 respondents who experienced depression were included in the analysis. The collected data were analyzed through content analysis. The results of the analysis showed that strategies to cope with depression used by participants were composed of 6 domains and 11 sub-domains: health behavior (medical approach / exercise and diet), family and social contact (social interaction / going out and going on a trip / communication with family), Religious activities (Religious activities), lifelong education (hobbies / educational activities), productive activities (labor), health risk behaviors (drinking and gambling / resignation). The depression coping strategies of the older adults and their characteristics are as follows. First, older adults used diverse problem-focused coping strategies to cope with depression. Second, older adults considered various coping strategies together and used them simultaneously. Third, the facility space for older adults functions as a shelter. Fourth, although there were cases where medical approach was used, the intention to reuse was very low. Through this study, the following suggestions were made to help older adults cope with depression more successfully. First, access to various coping strategies should be promoted. Second, more places where older adults can spend their time comfortably need to be provided. Third, resistance to mental health care should be resolved.

Effects of a Mindfulness-Based Mind-Body Intervention Program using Marine Resources on the Improvement of Sleep Quality and Mood Symptoms in Korean Female Emotional Labor Workers : A Pilot Study (해양자원을 활용한 심신치유기법이 여성 감정노동자들의 수면, 우울 및 기분 증상 개선에 미치는 효과 : 예비 연구)

  • Lee, Sang-Ah;Lee, Sung-Jae;Yook, Young-Sook;Huh, Yu-jeong;Lee, Min-Goo;Choi, Hwi-young;Lee, Jae-Hon
    • Sleep Medicine and Psychophysiology
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    • v.25 no.2
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    • pp.58-67
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    • 2018
  • Objectives: The purpose of this pilot study was to examine the effects of a mindfulness-based Body-Mind Intervention Program using marine resources on the improvement of quality of sleep, mood symptoms, and cognitive function in Korean female emotional labor workers. Methods: Twelve female workers who experienced excess emotional labor participated at the training camp program for five days in Danghangpo-ocean park, Goseung-gun, Gyeongnam Province in South Korea. Participant sleep quality, mood symptoms, and cognitive functioning before, after, and 1.5 months later were evaluated and analyzed. Results: After participating in the marine resource program, participants reported significantly decreased sleep latency. Global sleep quality, cognitive functions (attention, flexibility, and inhibition control), and mood states, including depression, tension, anger, fatigue, were also improved. These effects were generally maintained after 1. 5 months (PSQI t = 2.63, p = 0.02 ; HAM-D t = 5.92, p < 0.001). Conclusion: A Body-Mind Intervention Program using marine resources was effective in relaxing emotion-related tension and improving cognitive function. To advance this pilot study, it is necessary to carry out further research to investigate the use of marine resources in mental health interventions.

Common Scope of Practice for Advanced Practice Nurses in Korea Derived from Expert Agreement (전문가 합의로 도출된 한국 전문간호사의 공통 업무범위)

  • Leem, Cho Sun;Choi, Su Jung;Lim, Kyung-Choon;Yi, Young Hee;Jeong, Jae Sim;Shin, Yong Ae;Kang, Young-ah;Park, Hayoung;Kim, Eun Mi
    • Journal of Korean Critical Care Nursing
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    • v.12 no.3
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    • pp.35-49
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    • 2019
  • Purpose : This study aimed to propose a common scope of practice (SOP) for 13 specialties of Advanced Practice Nurses (APNs) in Korea. Methods : The first draft of a common SOP was extracted from domestic and international laws with a literature review by 17 experts from the Korean Association of Advanced Practice Nurses (KAAPN). Then, the common SOP was finalized after comparing the activities of APNs in clinical settings. Results : A total of 70 duties were identified and six categories were suggested for the common SOP. The SOP proposed by the KAAPN featured the following: 1) identification of and discrimination between health problems; 2) prescription and implementation of diagnostic tests; 3) treatment of injuries and diseases while implementing measures to prevent exacerbation; 4) prescription of medicinal products in line with 1) to 3); 5) referral and consultation; and 6) education and counseling. It was then confirmed that the proposed six categories in the common SOP reflected all the duties performed by APNs in clinical practice, including all 40 activities. Conclusion : The results of this study can be used as evidence for the legalization of a common SOP for APNs. Given the increasing multidisciplinary team approach adopted in Korean hospitals, it may be desirable to establish a broader SOP to reflect the diverse duties of APNs.

Counseling Outcomes Research Trend Analysis Using Topic Modeling - Focus on 「Korean Journal of Counseling」 (토픽 모델링을 활용한 상담 성과 연구동향 분석 - 「상담학연구」 학술지를 중심으로)

  • Park, Kwi Hwa;Lee, Eun Young;Yune, So Jung
    • Journal of Digital Convergence
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    • v.19 no.11
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    • pp.517-523
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    • 2021
  • The outcome of the consultation is important to both the counselor and the researcher. Analyzing the trends of research on the results of counseling that have been carried out so far will help to comprehensively structure the results of consultations. The purpose of this research is to analyze research trends in Korea, focusing on research related to the outcomes of counseling published in 「Korean Journal of Counseling」 from 2011 to 2021, which is one of the well-known academic journals in the field of counseling in Korea. This is to explore the direction of future research by navigating the knowledge structure of research. There were 197 studies used for analysis, and the final 339 keyword were extracted during the node extraction process and used for analysis. As a result of extracting potential topics using the LDA algorithm, "Measurement and evaluation of counseling outcomes", "emotions and mediate factors affecting interpersonal relationships", and "career stress and coping strategies" are the main topics. Identifying major topics through trend analysis of counseling performance research contributed to structuring counseling performance. In-depth research on these topics needs to continue thereafter.

A case of distichiasis treatment using electroepilation in a dog (개에서 전기제모술을 이용한 첩모중생의 치료 1례)

  • Myeong-Gon, Kang;Dong-Hyun, Han;Sei-Myoung, Han;Eun-Gyeom, Jung;Gyeong-Min, Kim;Shin-Ho, Lee;Yoon-Joo, Shin;Ju-Bin, Kang;Dong-Bin, Lee;Phil-Ok, Koh;Jae-Hyeon, Cho;Chung-Kil, Won;Chung-Hui, Kim
    • Korean Journal of Veterinary Service
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    • v.45 no.4
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    • pp.325-330
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    • 2022
  • Distichiasis is one of the diseases commonly encountered in companion animals, and these abnormal eyelashes cause corneal ulcers, continuous eye irritation, eye pain, glare, epiphora, foreign body sensation and can cause corneal opacity and vision loss in severe cases. In this study, an eyelash epilation needle for animals was developed and applied to a real case, and the results were observed. In a case of corneal ulcer caused by distichiasis of a 2-year-old Shih Tzu, a high-frequency surgical instrument for animals was converted into an electric epilation needle to attempt a procedure to destroy the eyelash hair follicles on the upper eyelid. A epilation needle was developed to have a diameter of 0.1 mm and a length of 4 mm at the end of the handle of DOCTANZ 400, an electrosurgical instrument for animals only. In the procedure, 2~3 mm of an epilation needle was inserted into the hair follicle, and 1 watt of electric power was applied to the hair follicle for about 5 sec. to carry out electrolysis until white bubbles were generated around the meibomian glands thereby destroying the hair follicle. As a result, no eyelashes grew any longer in the treated area indicating that the treatment was successful. It is hoped that the method developed in this study will be applied so that it will be widely used as a treatment method for distichiasis in companion animals that can be frequently seen hereafter.