• Title/Summary/Keyword: medical facilities

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Evaluation of Service Quality in Aged Care Facilities : A Focus Group Study (노인장기요양시설 서비스의 질 평가 탐색 : 포커스 그룹 연구)

  • Lee, JungSuk;Lee, Yong-Mi;Hwang, RahIl
    • Journal of Korean Public Health Nursing
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    • v.31 no.1
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    • pp.19-33
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    • 2017
  • Purpose: This study was conducted to explore the meaning and contents of high-quality aged care facilities and provide basic data for evaluation of service quality in such facilities. Methods: The focus group interviews and participants consisted of two user groups, for a total of 16 family caregivers of the elderly living in facilities and four service provider groups, for a total of 26 chief managers and caregivers working in aged care facilities. All interviews were recorded and transcribed as they occurred. Content analysis was used and debriefing notes were referred to in order to analyze the data. Results: Four themes of a high-quality aged care facility emerged from the analysis; 1) a place to rest for comfortable later years; 2) systematic value-based management; 3) providing professional care; 4) comprehensive service provision in response to diverse needs. Conclusion: The findings of the study showed the importance of client centered care and ethical mindset of providers, which had not been included in the existing quality evaluation programs. Based on these results, medical treatments, end-of-life care and more comprehensive and extended services including family care need to be provided in facilities to ensure good quality aged care.

A Study on Guiding Principles for Designing Interior Space of Long-Term Care Facilities for The Elderly with Dementia in Korea - Focused on the analysis of living Conditions of the elderly with dementia - (한국 치매노인을 위한 전문요양시설 실내공간디자인 지침에 관한 연구 - 치매노인의 생활행태분석을 중심으로 -)

  • Joung, Yeo-Ju;Choi, Sang-Hun
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2005.05a
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    • pp.217-222
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    • 2005
  • The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. Thus, it is the time that we need various accessing plans that can grasp the patiences' activities and specialties and solve these problems in view of designing interior space. So, I tried to make designs that manage the elderly with dementia effectively and adequate to run facilities with considerations on the state of domestic specialized long-term care facilities for the elderly with dementia and researched guiding principles on physical healing surroundings with analysis that focused on the patients' activities, especially.

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Improvement of the pre-hospital emergency medical service system in China (중국의 병원 전 응급의료체계 개선방안)

  • Wang, Chengying;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.2
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    • pp.53-66
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    • 2012
  • Purpose : Emergency medical services in China are increase in demand by people and under the greater pressure than ever before. So it is, necessary to advance the pre-hospital system in order to promote the development of emergency medical services. Methods : This is based on China-related articles, books, journals, reports, statistical data and other literature. Results : First, pre-hospital emergency medical care with the introduction of specialist training program should be established. Second, to strengthen pre-hospital emergency services and to develop the EMS guidelines. Third, the "120" reporting systems unification and awareness activation. Fourth, the preparation of the EMS facilities equipment system. Fifth, the rapid transport system establishment to the selected medical institutions. Conclusion : It is necessary to strengthen the emergency medical personnel at the scene, rapid transport, rapid patient triage and to improve the survival rate of the patients.

An Analysis on Predictors of Move Intention to Silver Town in Jeju Island (실버타운 입주의도 예측요인에 대한 분석)

  • Hong, Yeon-Sook
    • Korean Journal of Social Welfare
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    • v.58 no.3
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    • pp.313-340
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    • 2006
  • The purpose of this study was to examine predictors of move intention to silver town in Jeju Island. Participants were 449 middle age and elderly who live in Seoul, Gyungido, Inchun Metropolitan and Jeju island. Participants were completed a questionnaire and/or structured interview that included measures of socioeconomic variables, motivation to move, determinants of move selection, conditions of location, and preparation for old age. Results of descriptive analysis revealed that cognition level of sliver industry and silver town was relatively high and medical service was the best necessary field, followed by field of leisure activity, house, life and finance. Logistic regression analyses on the effects of socioeconomic variables on move intention indicated that region, occupation and house ownership had significant effects on move intention to silver town. Result of motivational effect on move intention revealed that solution of offspring's burden was the most important factor, followed by convenient life of the aged, enjoyment of freedom for the elderly life. Result on the influence of determinants of move selection indicated that medical service facilities, resort facilities and leisure, cultural service facilities had significant effect on move intention. Among conditions of location for Jeju island, mild climate, comfort environment and low-price were significant predictors on move intention. Overall, result on relative influence of individual factors indicated that low price factor was the most important predictor, followed by resort facilities, cognition on necessity of silver town, enjoyment of freedom for the elderly life, leisure cultural service facilities, and medical service facilities.

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Research on the Status Inquiry and Complex Characters of Public Facilities for the Community Life Style in Seoul (서울시 주민생활지원을 위한 공공시설의 현황 및 복합화 특성에 관한 조사연구)

  • Suh, Kuee-Sook
    • Journal of the Korean housing association
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    • v.21 no.2
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    • pp.19-30
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    • 2010
  • The aim of this research is to understand the characteristics and status of existing public facilities, in order to propose the necessary basic materials for the planning and development of improved public facilities to assist communities. Objects of this research are the public facilities provided by the Government throughout the 25gu in Seoul. The methods of this research were carried out through the home page of each facility, telephone inquiries and gujung backseo. Investigations were carried out 3 times between the periods of January-June and September in 2009. Results of the research are as follows - 1) Through the investigations of classifications and distribution status of 5 public facilities over 25gu, quantity supply problems were analyzed. 2) Building distributions of 5 public facilities were classified by types and analyzed. 3) A number of compound facilities were classified and analyzed to determine the complexities of the 5 public facilities. 4) Complex types and characteristics of public facilities in 25gu in Seoul were analyzed. Based on the results of the research, the following conclusions are drawn: 1) Public facilities throughout the 25gu in Seoul have common characteristics and functions and they are spread out evenly in each gu. This means that public facilities are standardized in Seoul. Characteristic public facilities suitable to each gu should be planned accordingly. 2) Public facilities in Seoul show a single form of one facility. Therefore, initiative plans for the complexity of facilities are required. 3) Complex public facilities in Seoul need to be the center of community life in each gu. It is necessary to take into account the diverse life styles and classified needs of residents for complex facilities. Based on the research, complex types such as public administrative+cultural facilities, culture+welfare facilities, medical+welfare facilities can be presented. These complex types should not be classified according to any particular use, but they should be commonly used by diverse generations and every social class. The inquiries of users of public facilities and the programs of each public facility are not included in this research. Thus, the reseaarch limits the proposals for complex public facilities. In the future, the characteristics of each gu in Seoul should be studied and understood, so that appropriate public facilities and their complex plans can be researched continuously and necessarily.

Patterns of Korean Traditional medical Services Utilization in Daegu (대구지역의 한방 의료서비스 이용 실태)

  • Kang, Su-Jin;Lee, Young-Joon
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.2
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    • pp.67-75
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    • 2010
  • Objectives : Recently, the number of elderly people has been rapidly increasing in Korea, and it led to increase demands of Korean traditional medical services. However, there is a lack of information on Korean traditional service utilization. Thus, this study was intended to identify Korean traditional service utilization patterns such as acupuncture, moxibustion and cupping, since Korean traditional services were specially used in treating chronic diseases for elderly people. It is important to understand health services utilization for quality improvement of healthcare systems. Methods:We used data of 'Survey in Daegu' in 2008 and analyzed characteristics of disease structure and utilization patterns of health care service of 1,097 cases of participated citizens. Results : The proportion of the elderly people (>50 age) in total participators is 52.4%. Male to female ratio is 1:1.65 and most common age group was between 50 and 59 years old. 84.2% of participators were admitted at oriental health care facilities. In addition, the results showed that female were more used the service than man. The most common treated disease is musculoskeletal disorders in both male and female. Conclusions : Acupuncture, moxa and cupping are widely used to treat chronic degenerative diseases such as musculoskeletal disorders at oriental health care facilities. Elders and female prefer to be admitted at oriental health care facilities.

Study of the Geriatric Health Care Facility in Japan (일본의 노인보건시설에 대한 연구)

  • 조유향
    • Korean Journal of Health Education and Promotion
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    • v.9 no.1
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    • pp.79-87
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    • 1992
  • The objective of the present study is to review of the system, type of care and utility of the Geriatric Health Care Facility(GHCF) in Japan. Geriatric Health Care Facilities in Japan were started with subsidies from the Ministry of Health and Welfare in 1987 to encourage return of the elderly from hospitals to their homes rather than other destinations such as nursing homes or hospitals. Concerning to the type of care, there is the difference between GHCF and other geriatric care facilities(i.e., geriatric hospital and nursing home). GHCF provides both medical and nursing care. The following services are available for the GHCF's user's. As institutional care services, rehabilitation training, ADL exercise, nursing care and management of medicine, are available. For the out-patients, supplying meals, taking a bath, and rehabilitation services, are also available. The medical treatment fee at the facilities is about US $ 1,500 per month. Expenses for meals, daily necessities, shall be borne by the recipient, Those expenses are about US $ 360 per month. In anticipation of the coming of the aging society, the Goverment must be formulated consecutively several vital policies of measures, especially GHCF, for the elderly in the future few years.

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A Study on the Behavioral Affordance of Healing Environment and Concept of Sustainability - Focused on the Eco-Friendly Low-Rise Medical Facilities - (치유환경의 행태지원성과 지속가능성 개념에 관한 연구 - 저층 친환경 의료시설 사례 중심으로 -)

  • Chun, Jong-Woo;Kim, Kwang-Ho
    • Korean Institute of Interior Design Journal
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    • v.22 no.4
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    • pp.158-166
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    • 2013
  • The purpose of this study is to suggest a direction for eco-friendly healing space design for healthcare facilities in the future. Theoretical review and case study on the concept of sustainable design, spatial expression and behavioral affordance were used as research method. Through these reviews, the 3 elements of the total healing environment -physical, psychological and social- have correspondence with elements of spatial expression; Refuge, Flow, Prospect and Void. And these are related to the eight kinds of Behavioral affordance which are subdivided into WORK&STUDY, REST, CIRCULATION, VISUAL SEQUENCE, SOCIAL EXCHANGE, REFRESHMENT, COMMUNITY and MEDITATION. And the concept of sustainable design consists of 6 principles ; Natural system, People, Place, The cycle of life, Energy & natural resources and Process. Through correlation analysis of behavioral affordance and 6 principles, the result of this study presents that the physical elements of the total healing space was mainly associated with the principles of people, place and the cycle of life. Psychological element was related to principle of natural system, human, place and process. And social element was associated with the principles of human, place and process. According to this analysis, the case study of four low-rise eco-friendly medical facilities was undertaken. Sustainability was evaluated in total healing environmental through this case study.

A Study on the Change of Area Resulted of Welfare Facilities on the High-Care degree Elderly in Japan - Focused on the Geriatric Health Services Facility and Special Nursing Home for the elderly - (일본 요개호노인 거주시설의 면적변화에 관한 연구 - 개호노인보건시설과 개호노인복지시설을 중심으로 -)

  • Park, Yeongchol;Park, Jaeseung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.2
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    • pp.55-64
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    • 2010
  • The Japanese elderly welfare policy has focused on facility policy for the aged and preventive care service for healthy elderly people. This paper has conducted a comparative analysis on Geriatric Gealth Services Facility and Special Nursing Home for the Elderly. For this, each service function has been divided into six categories; daily life / nursing and caring / medical service / management / supply / miscellaneous. Then the change in real structure by category has been analyzed through a plan analysis on case facilities. In the Geriatric Health Services Facility, the biggest change was observed in 'livelihood' among six categories. In the Special Nursing Home for the Elderly, 'the nursing and care parts' and 'medical service part' are decreased since 1999. At that time, the facilities started to be individualized and divided into a unit. To pursue home-like care instead of unit care, there was a change in construction planning to help the aged with dementia live a self-sufficient life.

Middle East respiratory syndrome clinical practice guideline for hemodialysis facilities

  • Park, Hayne Cho;Lee, Young-Ki;Lee, Sang-Ho;Yoo, Kyung Don;Jeon, Hee Jung;Ryu, Dong-Ryeol;Kim, Seong Nam;Sohn, Seung Hwan;Chun, Rho Won;Choi, Kyu Bok;The Korean Society of Nephrology MERS-CoV Task Force Team
    • Kidney Research and Clinical Practice
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    • v.36 no.2
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    • pp.111-116
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    • 2017
  • The Korean Society of Nephrology participated in the task force team consisting of government authorities and civilian experts to prevent and control the spread of Middle East respiratory syndrome (MERS) in 2015. The Korean Society of Nephrology MERS Task Force Team took an immediate action and drafted 'the clinical recommendation for hemodialysis facilities' to follow when the first and the only confirmed case was reported in the hemodialysis unit. Owing to the dedicated support from medical doctors, dialysis nurses, and related medical companies, we could prevent further transmission of MERS infection successfully in hemodialysis units. This special report describes the experience of infection control during MERS outbreak in 2015 and summarizes the contents of 'the clinical practice guideline for hemodialysis facilities dealing with MERS patients' built upon our previous experience.