• Title/Summary/Keyword: medical and welfare

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The Factors Influencing Empowerment of 119 Emergency Medical Technicians (119 구급대원의 임파워먼트에 영향을 미치는 요인)

  • Choo, Sung-Joo;Park, Ok-Im;Kang, Hee-Sun
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.2
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    • pp.153-162
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    • 2011
  • Purpose: The purpose of this study is to investigate the impact of job stress, self-efficacy and empowerment of 119 Emergency medical technicians in Jeollanam-do. Methods: This study used the data collected from 346 respondents working for first aid in a fire station. To answer research questions, this study employed frequency analysis, reliability test, F (t)-test, ANOVA, Scheffe' post-hoc test, and multiple-regression analysis. Results: In terms of demographic characteristics, marital status and age had significant impact on job stress, but sex and education did not. In terms of job characteristics, first placement, rank, and tenure made significant difference on job stress, whereas certificate, department, and area did not. These results address that general characteristics, self-efficacy and job stress are critical variables on empowerment. Conclusion: From the research findings, it is concluded that fire fighters' job stress can be reduced if professional development programs are given to them, which is likely to provide better public services such as first aids and welfare, as well as to increase job satisfaction.

Factors Related to Physical Health Monitoring in Community-Dwelling Patients with Schizophrenia Spectrum Disorder (지역사회 거주 조현병 범주 장애 환자의 신체건강관리 관련 요인)

  • Kim, Mina;Jhon, Min;Lee, Ju-Yeon;Kim, Seon-Young;Kim, Jae-Min;Yoon, Jin-Sang;Kim, Soo-Jin;Kim, Sung-Wan
    • Korean Journal of Schizophrenia Research
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    • v.22 no.1
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    • pp.14-20
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    • 2019
  • Objectives: To identify factors related to physical health monitoring of patients with schizophrenia spectrum disorder. Methods: A total of 172 patients with schizophrenia spectrum disorder registered in mental health welfare centers and rehabilitation facilities in Gwangju were recruited. Physical health monitoring was defined by two health behaviors; fasting blood tests within recent 2 years in all participants and routine medical check-ups covered by national insurance within recent 5 years in participants aged 40 years or older. Demographic and clinical characteristics including overweight, metabolic syndrome and knowledge about physical illness were compared according to physical health monitoring. Results: Prevalence of overweight and metabolic syndrome were 62.8% and 40.1%, respectively. The rates of fasting blood tests and routine medical check-ups were 34.9% and 67.9%, respectively. The rates of fasting blood tests were significantly higher in general hospital and university hospital compared to mental hospital or private clinic. Rates of routine medical check-ups were significantly lower in individuals using daily rehabilitation service and smokers. Knowledge about cancer and chronic illness were significantly better in individuals receiving routine medical check-ups compared with those not receiving it. Conclusion: Education about physical health should be integrated to mental health service in community mental health center.

Study on optimal treatment payment by cost accounting in the artificiality kidney center in medical institutions (의료기관 인공신장실의 원가계산에 의한 적정수가에 관한 연구)

  • Moon, Seung-Kwon;Lee, Yun-Seok
    • Korea Journal of Hospital Management
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    • v.18 no.2
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    • pp.81-103
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    • 2013
  • This study is to research cost accounting practice and to analyze propriety of patients' medical payment in artificiality kidney center. The researched cost datum of the year 2012 are as follows. - Hemodialysis medical treatment was reimbursed as much as 158,001 won in case of health insured patients, but payed-off as much as 135,810 won. - The average figure of the total hospitals and clinic center is 1,603,303 won, and one time cost of hemodialysis treatment is 154,487 won. Optimal treatment pay are suggested as follows. First, Regardless of the notified classification from MOHW(Ministry of Health and Welfare), 136,000 won of fixed price payment classification needs to be reclassified by patients, severity and tobe rearranged by fixed price payment system of hospitals. Second, Fixed payment code notified by the Ministry of Health and Welfare is recommended to be simplifies and to reflect according to contents of the medical treatment rendered to patients. Third, Establishment of artificial kidney center has to be risk managed because of its huge investment. Fourth, Cost analysis model has to be maintained as basis together with appropriate application of conversion index model mixed with SGR model.

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Factors Influencing the Health Status and Life Satisfaction of Elders in Free and Charged Welfare Facilities (무료 및 유료 노인복지시설 노인의 건강상태와 생활 만족도에 영향을 미치는 요인)

  • Kim, Yoen-Kyoung;Park, Kyung-Min;Kim, Chung-Nam
    • Research in Community and Public Health Nursing
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    • v.19 no.2
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    • pp.317-325
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    • 2008
  • Objectives: The purpose of this study was to investigate factors influencing the health status and life satisfaction of elders in welfare facilities. Methods: The subjects of this study were selected randomly among those without cognitive impairment from free (140 persons) and charged (140 persons) welfare facilities in the Yeongnam area. Data was analyzed using t-test and stepwise multiple regression. Results: Health status and life satisfaction were 2.52 and 1.98, respectively, in the elders from free welfare facilities, and 2.67 and 2.08 respectively, in the elders from charged welfare facilities. In those from free facilities, life satisfaction and motivation for getting into the welfare facility were the influencing factors of health status. In those from charged facilities, life satisfaction, gender, motivation for getting into the welfare facility, limited service such as physiotherapy, age, and lack of staff and professionalism were the influence factors of health status. In those from free facilities, health status, relationship conflict with fellow elders, lack of staff and professionalism, insufficient facilities and inadequate environment, and indifference of sons and daughters were the influence factors of life satisfaction. In those from charged facilities, health status, education and age were the influence factors of life satisfaction. Conclusions: It was found that both health status and life satisfaction of elders in charged welfare facilities were higher than those in free welfare facilities.

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A Study on the Analysis and Improvement of the Welfare Ordinance for the Elderly in Gwangju and Jeonnam

  • Kim, Kyung-Sook
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.8
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    • pp.177-183
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    • 2022
  • The purpose of this study is to examine the current status of the elderly welfare ordinances currently enacted and operated by local governments, analyze the actual conditions and problems of the contents, and suggest the direction of enactment and revision of the elderly welfare ordinances for actively responding to the demand for various welfare services for the elderly. To this end, the scope of the study was specified by ordinances in Gwangju Metropolitan City, five autonomous districts, Jeollanam-do, and 22 cities and counties, and the criteria for content analysis of the elderly welfare ordinance of these local governments were selected and compared and analyzed in the four major areas of elderly welfare: income and jobs, care, health, leisure activities, and social participation. According to the analysis results, the direction of enacting the ordinance is to secure financial resources for the elderly welfare budget, develop differentiated welfare policies for the elderly that reflect the characteristics of each local government, expand ordinances related to infectious diseases, enact ordinances for medical support for non-infectious diseases, and enact customized ordinances for the elderly living alone. Finally, the limitations on the research subject and analysis scope of this study and future research directions were presented.

A Study on the Establishment of Welfare Facilities for the Aged Using the Facilities Characteristics of Closed Schools - Focused on the Northern Area of Gyeonggi-Do - (폐교의 시설 특성을 활용한 노인복지시설 구축에 관한 연구 - 경기 북부지역을 중심으로 -)

  • Kim, Hak Cheol
    • Journal of the Korean Institute of Rural Architecture
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    • v.23 no.2
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    • pp.17-24
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    • 2021
  • Changes in the population structure caused by a decrease in the birthrate and an extension of life expectancy cause problems in utilization inefficiencies of closed schools and shortage welfare facilities for the aged. The closed schools have location characteristics that are close to the existing residence and facilities such as land and school buildings, so it is expected that the schools will be used as welfare facilities for the aged in the community. The purpose of this study is to compare and analyze the facility characteristics of closed schools in northern Gyeonggi-Do and present the types of aged welfare facilities that can be built, providing basic data for developing customized aged welfare facilities. The results of this study are summarized as follows: 1) The proportion of aged people in northern Gyeonggi-Do is higher than in southern Gyeonggi-Do, but welfare facilities for the aged are insufficient, so it is necessary to expand welfare facilities for the aged in northern Gyeonggi-Do. 2) Urban areas such as Paju and Goyang City have a lot of residential proximity, Dongducheon and Yangju have a lot of residential proximity, while schools located in urban and rural areas such as Yeoncheon have a lot of residential proximity. 3) Closed schools in urban areas such as Goyang City and Paju City are desirable to use them as residential facilities for senior citizens, day and night protection and short-term protection facilities, while closed schools in Namyangju City, Pocheon City, and Gapyeong County are desirable to use them as senior citizen centers and medical welfare facilities.

Prevalence of and Risk factors for Latent Tuberculosis Infection among Employees at a Workers' Compensation Hospital (산재요양기관 종사자에서 잠복결핵감염 유병율 및 위험요인)

  • Hwang, Joohwan;Jeong, JiYoung;Choi, Byung-soon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.27 no.3
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    • pp.238-244
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    • 2017
  • Objectives: The major objective of this study was to investigate the prevalence of and risk factors for latent tuberculosis infection (LTBI) among employees at a workers' compensation hospital. Methods: Among the 394 employees at Incheon Hospital, 362 were enrolled in the study. An interferon-gamma release assay(IGRA) for diagnosis of LTBI was performed using QuantiFERON$^{(R)}$ TB Gold In-Tube(QFT-IT). Risk factors for LTBI were analyzed using logistic regression analysis. Results: The overall prevalence of LTBI was 32.0%(116/362). The non-medical departments have a significantly high prevalence compared to medical departments(39.7% vs 23.2%). In multivariate logistic regression analysis, experience working in the pneumoconiosis hospital(OR, 3.6; 95% CI, 1.3-10.3) was associated with development of LTBI. Conclusions: Korean guidelines for the management of tuberculosis recommend annual regular health examinations for TB and LTBI for health care workers(HCWs). Considering the high prevalence of and risk factors for LTBI among non-HCWs, it suggests a need for annual regular health examinations for TB and LTBI for all employees at workers' compensation hospitals, including pneumoconiosis hospitals.

Gender Differences in Factors Affecting Musculoskeletal Diseases among the Korean Workers (성별에 따른 근로자의 업무상 근골격계질환 산재 승인 영향요인)

  • Hwang, RahIl;Kim, Kyung Ha;Suk, Min Hyun;Jung, Sung Won
    • Journal of muscle and joint health
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    • v.21 no.1
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    • pp.65-74
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    • 2014
  • Purpose: This study examined gender differences on Musculoskeletal disease (MSD) medical status, the characteristics of the approved patients in workers, and the factors affected approval. Methods: Claim data for the MSD to the Korea Worker's Compensation & Welfare Services (2011) were employed. The medical status by gender was analyzed using t-test, chi square-test and multivariate logistic regression models. Results: The number of claims for MSD has continuously increased in females but not in males since 2006. The severity measured by the care duration, surgery experience and disability grade has been substantially higher in males than in females. Age, size of company, types of occupation, work duration and the weight of materials handled daily were associated with the approval. When males were considered, the work duration, the weight of materials handled daily and parts of the body were statistically significant predictors of approval in males. In case of female, there were meaningful predictors in types of industry and parts of the body. Conclusion: These findings suggest that gender-specific risk factors of MSD should be measured and the management program for MSD should be developed.

A Study on the Overcome Factors through Status Analysis of Organizational Management Appearing in Public Social Welfare Delivery System (공적 사회복지 전달체계에 나타난 조직운영 상의 실태분석을 통한 극복요인 연구)

  • Choi, Jung-Won;Kim, Bo-Ki
    • Industry Promotion Research
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    • v.1 no.1
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    • pp.79-89
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    • 2016
  • This study recognized public social welfare delivery system will be more important in the future according to the developing trend of social welfare that and intended to find overcome factors by analyzing actual status of operating organization. The study results showed that characteristics of delivery system, ineffectiveness of task, delivery system and inconcinnity of personnel are the overcome factors of social welfare. Consequently, this study revealed that public social welfare delivery system will go on smoothly at last when the problems of the overcome factors get solved.