• Title/Summary/Keyword: medical and welfare

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A Study on the Status of Utilization of Health Care Institution by Geriatric Patients -Focus on the Utilization of Physical Therapy- (노인환자 보건의료기관 이용실태 분석)

  • Lee, Jong-Sub;Song, Myung-Soo
    • Journal of agricultural medicine and community health
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    • v.22 no.2
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    • pp.277-293
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    • 1997
  • This study was conducted to provide basic materials required to enforce and develop welfare policies, as well as the health system, for the aged, by surveying the status of health care utilized by the daily increasing old population and the importance of receiving physical therapy. Data that need in this research was gathered from over ages of 65, during the period from Jan 4, 1996 to Jan 31, using the inquiries previously made by geriatric researchers and through literatures investigator by this writer. The data were analyzed by $X^2$, Z-test, Likert scale. The findings were as follows : 1) General characteristics of subjects. People in the age group between 65 and 69 were 55.6% and the highest number, while male were 37% and female 63%. Analysis of income group disclosed 60.6% whose monthly income, including the pocket money given by children, was less than 200,000 won. 91.1% of the elderly people surveyed owned houses; only 36.4% live with spouses; while 15.6% live alone. 2) Characteristics with respect to utilization of health care institution. 56% of the total medical institutions used by the elderly people were clinics and the rates of chronic disease and musculoskeletal disease were 73.2%. 3) Characteristics with respect to approach of health care institution. 45.1% of the respondent stated it took 20 minutes to arrive at hospital, and bus accounted for 48.6% of all transportation means used to go to hospital. 4) Degree of cognition with respect to the rights of geriatric patients. (1) There is no financial support from the government for geriatric patients(71.4%). (2) Government financial support is needed for geriatric patients(95.3%). (3) Have never been regionally surveyed or called upon for interviews with respect to treatment desire and problems relating to geriatric patients(87.2%). (4) Health and medical policies for geriatric patients must be established rapidly(98.4). (5) Expansion and construction of specialized medical facilities for geriatric patients such as elderly hospital and medical center are needed(90.2%). (6) Government's welfare policies for the elderly people is insufficient(82.0%) 5) Degree of cognition on importance of physical therapy with respect to geriatric patient. (1) Physical therapy is considered most effective in treating geriatric patients(82.9%). (2) Physical therapists specializing in only elderly people must be need of separately(76.2%). (3) It is desirable for medical specialists to visit geriatric patients at home to provide physical therapy(82.9%). (4) Hospitals specializing in physical therapy for geriatric patient are required(85.6%). Based on the result for this research, the following suggestions are presented to facilitate the utilization of health care institution for the welfare of geriatric patients. Medical facilities such as elderly hospital and geriatric patient's medical center specializing in elderly people must be constructed as early as possible; and home-visiting physical therapist system must be important to treat chronic geriatric patients; our government must establish policies to provide the old ages with means for the health care and curing chronic diseases, and carry out the plans of reasonable distribution and effective untilization of medical resources.

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The Study on the Check-list of User Paid Welfare Housing for the Elderly (유료노인 주거 계획에 관한 평가 도구 개발)

  • 이현애;윤정숙
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2002.11a
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    • pp.173-178
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    • 2002
  • An increase in population of advanced age people according to medical development and progress of small family system by industrial development, changed our traditional large family system and paved way for creating a new dwelling culture in Korea. The purpose of this study are consisted of user paid welfare housing for elderly, pointing out the typical problems on present the elderly housing by check- list.

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Outcome Assessment of a Demonstration Project on Integration of Home Visiting Health Care and Social Welfare Services (보건소 중심의 방문보건.재가복지 통합시범사업 성과)

  • Ahn Yang-Heui;Jang Sei-Jin;Choi Gyun
    • Journal of Korean Public Health Nursing
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    • v.20 no.1
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    • pp.5-15
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    • 2006
  • Purpose: The objectives of this study was to measure the outcomes of interventions on the health and social welfare of the elderly in a rural community in Korea. The project involved integrating services of one public health center with that of one social welfare agency, which were under different administrative structures. Method: A single group pretest-posttest design was used for this research. Seventy-five elderly residents living alone in a rural community participated in the study. All of them had coverage of free basic medical care and social welfare services by the government. Major activities for the intervention included: developing partnerships among community leaders/institutes; forming committees of community residents; educating care providers and volunteers; developing 8 integrated service programs and instruments; and organizing the networks. The 20-month intervention was care-managed by a public health nurse whom collaborated with social worker, and was assisted by volunteers. The t-test was utilized to analyze the outcome variables including the elder's health, social welfare and quality of life. A major limitation of this study was the lack of a control group. Results: The outcome of the intervention was shown by improved elder's health, social welfare needs, and quality of life. Integrating the services of public health centers with those of social welfare agencies is an effective way to improve the health of the elderly in the community. Conclusion: Developing community capacity with such integrated services will pay an important role in improving the health of the elderly who live alone.

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AHP를 이용한 중소기업형 의료기기 개발사업의 선정

  • 조근태;하상도;김성민;염용권
    • Journal of Technology Innovation
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    • v.8 no.2
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    • pp.1-17
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    • 2000
  • Recently, due to the primary emphasis of health industry and to the restriction of budget, setting the priorities for effective and efficient investment on the medical device and material products has been one of the critical issues in the government sector. This paper shows how an Analytic Hierarchy Process (AHP) model can be used for assessing selected medical device and material products for grant of the Ministry of Health & Welfare. The final results show that unabsorbable suture is the most attractive medical device product among 88 evaluated products, followed by IV cannula, central venous catheter.

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A Study on a Space Reprogramming for the Gyung Ro Dang Facility's Improvement - Through the remodeling of Gyung Ro Dang in Daejeon city - (경로당 시설개선을 위한 공간 재구성 연구 - 대전광역시 소재 경로당 리모델링을 통하여 -)

  • Lee, Hae-Wook
    • Korean Institute of Interior Design Journal
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    • v.19 no.6
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    • pp.241-248
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    • 2010
  • The population of the elderly is rapidly increased because maturation of the social welfare system and development of medical technology. However, welfare environments for the elderly are poor either in its quality or its quantity. The aims of this study is to confirm the space improvement possibility to change the Gyung Ro Dang to the senior life support center as a community welfare service network. This study is done by the comparative analysis between existing Gyung Ro Dang in korea and former cases in Japan based on the elderly's facility preference. The facility's space reprogramming alternative from that analysis is applied to change the Gyung Ro Dang to a network facility for the regional senior life support. Afterward, it is proposed that first, facilities should be expanded scale by the new education and health improvement facilities functional room that the modern elderly need. second, Facility space will be reconstitution because the Gyung Ro Dang have to be extended it's role as a community welfare network.

A Study on a Role of a Nurse for the Community Welfare Center Being Recognized by Nurses for the Community Welfare Center and Social Workers (사회복지관 간호사와 사회복지사가 인식하는 사회복지관 간호사의 역할)

  • Jang, Youn-Kyoung
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.4
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    • pp.495-513
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    • 2004
  • As this study is the descriptive research study that tries to present the basic data aiming to establish a role of nurses for the Community Welfare Center, by surveying the role expectation and the degree of role performance towards nurses for the Community Welfare Center that nurses for the Community Welfare Center and social workers recognize, it carried out the Questionnaire research targeting nurses who are working for the Community Welfare Center located in Seoul and social workers of institutions where nurses are working, and then analyzed the results, and the study results are as follows. Both the group of nurses and the group of social workers were highly recognizing the necessity and the importance of nurses for the Community Welfare Center, and expected that more effective services will be possible to be offered by means of that nurses do work for the Community Welfare Center. However, compared to the degree that social workers recognize a nurses specialty, the nurses thought that their specialty is not acknowledged in the Community Welfare Center, and even in case of duty friction between groups being felt while social workers and nurses are working together, nurses were experiencing further friction of duties. While nurses are well recognizing their roles, they are statistically and significantly recognizing the degree of role performance lower than expected, thus the difference between the role expectation and the role performance could be seen. Also, the group of nurses showed the higher role expectation towards nurses than the group of social workers, and in relation to roles of a counselor, referral resource, an advocator, an educator, a case manager, a and a coordinator, the degree of role expectation by the group of nurses is statistically and significantly higher than the group of social workers, thus it could be seen that there is difference in the expectation degree between both groups, as to a role of nurses for the Community Welfare Center. In particular, as to a role of universally medical services, the expectations between nurses and social workers showed mutual agreement, but in relation to a role of nurses for community in the more expanded sphere, social workers did not show a receptive attitude, thus it was indicating that there exists an element of role conflict. In relation to the role performance of nurses for the Community Welfare Center, nurses were feeling the disorder degree more than social workers, in all items of disorder factors, and there was difference in recognition between nurses and social workers, as to the priority of disorder factors. Because of, through this study, having been found the difference in recognition of role expectation, the degree of role performance, and a disorder factor between nurses and social workers, as to the nurses for the Community Welfare Center, it is required a study with a more diversified method on a role of nurses for the Community Welfare Center.

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Environmental Predictors of Atopic Dermatitis in Children - Using Answer Tree Analysis - (아동 아토피 피부염을 예측하는 환경적 요인들 - 의사결정 나무분석의 적용 -)

  • Lee, Ju-Lie
    • Korean Journal of Child Studies
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    • v.31 no.2
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    • pp.183-195
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    • 2010
  • This study sought to investigate the environmental predictors of atopic dermatitis in children. The participants were 1050 (age 3-5) children taken from data data from the Ministry for Health, Welfare and Family Affairs. A data mining decision tree model revealed that the factors of medical neglect, breakfast, attachment to mother, and mother's depression influenced atopic dermatitis in children. Our results revealed that in the factors considered above, medical neglect had the greatest influence upon atopic dermatitis in children.

Survey of Foodservice Management Status according to Welfare Facility Type for Disabled Persons (장애인 복지시설 유형에 따른 급식관리 실태 조사)

  • Dayoung Oh;Woori Na;Seohyeon Hwang;Jung Joo Lee;Yu Jin Yang;Hyeok, Lee;Ji Hyeon Bang;Hae-Young Lee;Cheongmin Sohn
    • Journal of the Korean Dietetic Association
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    • v.29 no.3
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    • pp.173-189
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    • 2023
  • This study aimed to determine foodservice and hygiene management statuses at welfare facilities catering to disabled persons by facility type to provide basic data for foodservice management guidelines. An online survey was distributed to workers at 1,984 welfare facilities for disabled persons in Korea, and 531 facilities responded, which represented a response rate of 26.8%. The survey requested general information about the facilities, facility users, meals, hygiene, and management. Statistical analyses were performed, and frequency analysis and the chi-square test were used to investigate responses by facility type. The survey results revealed that daycare centers were most common and accounted for 27.4% of responses. Residential facilities for the severely disabled and sheltered workshops accounted for 16.9% and 16.4%, respectively, and residential facilities by disability type accounted for 13.0%. The presence of dietitians at welfare facilities varied by facility type. Welfare centers for the disabled (94.7%) had the highest percentage of dietitians, followed by residential facilities for the severely disabled (87.8%). On the other hand, sheltered workshops and daycare centers for disabled persons had the lowest percentages of dietitians (10.3% and 4.1%, respectively). This study highlights the variations that exist in foodservice management across different welfare facilities for disabled persons and emphasizes the challenges faced by those responsible for managing foodservices and maintaining hygiene, particularly in large facilities with no dietitians. Therefore, we recommend tailored meal management guidelines be developed for each type of welfare facility for disabled persons.

Automated detection of panic disorder based on multimodal physiological signals using machine learning

  • Eun Hye Jang;Kwan Woo Choi;Ah Young Kim;Han Young Yu;Hong Jin Jeon;Sangwon Byun
    • ETRI Journal
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    • v.45 no.1
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    • pp.105-118
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    • 2023
  • We tested the feasibility of automated discrimination of patients with panic disorder (PD) from healthy controls (HCs) based on multimodal physiological responses using machine learning. Electrocardiogram (ECG), electrodermal activity (EDA), respiration (RESP), and peripheral temperature (PT) of the participants were measured during three experimental phases: rest, stress, and recovery. Eleven physiological features were extracted from each phase and used as input data. Logistic regression (LoR), k-nearest neighbor (KNN), support vector machine (SVM), random forest (RF), and multilayer perceptron (MLP) algorithms were implemented with nested cross-validation. Linear regression analysis showed that ECG and PT features obtained in the stress and recovery phases were significant predictors of PD. We achieved the highest accuracy (75.61%) with MLP using all 33 features. With the exception of MLP, applying the significant predictors led to a higher accuracy than using 24 ECG features. These results suggest that combining multimodal physiological signals measured during various states of autonomic arousal has the potential to differentiate patients with PD from HCs.

A Wearing Conditions of Caregivers' Uniform -Focusing on Women Caregivers in Medical Welfare Facilities for the Aged- (여성간병인 유니폼 개발을 위반 착의실태조사 -노인의료복지시설 여성간병인을 대상으로-)

  • Lee, Eun-Young;Kim, Eun-Kyong
    • Journal of the Korean Society of Costume
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    • v.57 no.1 s.110
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    • pp.147-162
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    • 2007
  • The purpose of this study is to grasp the inconvenience and problems with caregivers' uniforms and preferred designs by examining the wearing conditions of these uniforms in medical welfare facilities for the aged. To attain this purpose, a questionnaire was completed by direct observation and by interviewing caregivers in specialized hospitals for the aged and those engaged in nursing and then a preliminary examination was carried out. The questionnaire was given to 228 caregivers. Following are the results of this research. It was found that the caregivers in medical welfare facilities for the aged were women in their 50s, wearing primarily a size 77 uniform. It was revealed that when the caregivers bathe patients, they usually get wet from the knees to the bottom part of their pants and many of them (61.2%) change both their tops and pants after giving a bath. The caregivers said that every part of the tops of existing uniforms, except the armpits, were a little large or too long. It turned out that the area of the armpits, the front buttons, crotch, hip area, and knees are mostly the areas that readily wear out in the uniforms. It was reported that the uncomfortable parts in the uniforms a.e the armpits, shoulders, and the front adjusting parts of the tops and the hips, thighs, and the crotches of the pants. The material for the uniforms have problems in ventilation, fluffing, absorption of sweat, and permeation of odor.