• Title/Summary/Keyword: medical social work

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말기환자의 전인적 돌봄에 있어서 포괄적 평가개념의 중요성

  • Yun, Uk-Hui;Lee, Gwi-Han;Yu, Seon-Hui;Gwak, Won-Yeong;Jin, Seon-Gyeong
    • Korean Journal of Hospice Care
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    • v.3 no.1
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    • pp.12-30
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    • 2003
  • We all human beings, should be reached the terminal of life in the world. There is the only difference between that comes suddenly or slowly. Persons who should be come the terminal stage suddenly due to disease, especially, malignancy, are Hospice patients. Hospice work is the work of all of us because anyone, anywhere, whenever can be suffered in terminal stage. The characters of Hospice-care are total care of wholistic human beings, comprehensive total assessment of the life and the team work composed of diverse team-members, for example, doctors, nurses, social workers, physical therapists, psychologists, ministers & volunteers. The care manager of the total care(the coordinator of Hospice care), should be worked systemically and, rationally. The comprehensive assessment concept should be entered to the infra-consultant of terminal care-program. The care manager should be have the ability of comprehensive assessment for terminal patients. It will also help standardization of Hospice, and application of medical insurance and social security.

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The Effect of Farming Labor in Later Life on the Social Welfare Expenditure (노년기 농업노동의 사회복지비용 절감 효과 분석)

  • Yoon, Soon-Duck;Park, Gong-Ju;Kang, Kyeong-Ha
    • 한국노년학
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    • v.25 no.2
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    • pp.109-126
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    • 2005
  • Recently it has been encouraged in developed countries that labor force participation of the elderly is one of the means to cut down the cost of social welfare for them. However, empirical studies have rarely explored how work in later life contributes to national economy. Especially, even though 56.6 percent of elderly workers aged 65 and older engaged in agriculture and forestry in Korea, their contribution has been socio-economically overlooked. This study aims at examining the effect of farming labor in later life on social welfare expenditure. For this purpose, social welfare expenditure was defined as social benefits provided for the elderly by the social security in public sector and measured as transportation allowance, pension, livelihood aid, medical aid, and health insurance in 2003. Data were obtained from National Health Insurance Cooperation and 37 town/village offices and analyzed by 3 age groups; 65~74, 75~84, and 85 and over using SPSS/PC windows program. Results showed that both livelihood and medical support in all age groups were expended more to non-farm than to farm workers. The amount differences per person between them were 113,959~361,132 won in livelihood support and 15,644~51,418 won in medical support. Also, participation in farming influence reduction of livelihood expenditure for the group 65~74 and 75~84 and that of medical expenditure only for the group 65~74. Based on these results, it was estimated the amount of social welfare expenditure reduced by farming labor in later life. The limit of this study and the policy implications of the results are discussed.

Spirituality and State Hope of Medical Social Workers (의료사회복지사의 영성과 상태희망)

  • Kim, Chang-Gon
    • Journal of Hospice and Palliative Care
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    • v.15 no.2
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    • pp.88-98
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    • 2012
  • Purpose: This study was designed to assess the relationship between spirituality and state hope of medical social workers in Korea and their correlation was studied to provide data in developing effective spiritual and hope intervention for medial social workers. Methods: The study surveyed 102 medical social workers in Korea from September 1, 2011 to September 30, 2011. The study employed the Korean version of the State Hope Scale (SHS) and Spirituality Scales (SS). For data analysis, descriptive statistics, t-test, ANOVA, Pearson's correlation and simple regression were performed using the SPSS WIN ver. 17.0. Results: Spirituality scores showed a significant difference according to religion. The mean score of spirituality was 3.80/5.00 and the mean score of state hope was 6.36/8.00. Spirituality scoresand state hope scoresshowed a significant positive association (P<0.001). Conclusion: This study showed a significant positive association between medical social workers' spirituality and their state hope of. Future studies would be needed to further explorespirituality and state hope.

Factors Affecting the Turnover Intention of Dental Hygienists: Emotional Labor, Job Satisfaction, and Social Support

  • Noh, Sun-Mi;Lim, Hee-Jung;Kim, Myoung-Hee;Im, Ae-Jung;Lim, Do-Seon
    • Journal of dental hygiene science
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    • v.18 no.5
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    • pp.271-279
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    • 2018
  • This study aims to contribute to managing the human resource of dental hygienists and qualitatively enhancing dental medical services by examining factors that affect their turnover intention. Therefore, it attempted to examine their degrees of emotional labor, job satisfaction, and social support and the effects of each variable on turnover intention. This study administered self-reporting questionnaires to dental hygienists working in dental hospitals, dental clinics, and general or university hospitals in Seoul Metropolis and Gyeonggi-do by conducting convenience sampling, from May 18, 2017 to August 4, 2017. Among a total of 224 copies that were distributed, a total of 223 copies, excluding 1 copy with poor responses, were used in the data analysis. The research tools comprised 12 questions on general characteristics, 24 questions on emotional labor (4-point Likert scale), 16 questions on job satisfaction (5-point Likert scale), 8 questions on social support (4-point Likert scale), and 4 questions on turnover (5-point Likert scale). The scores of dental hygienists were as follows: emotional labor, 2.49 out of 4; job satisfaction, 3.14 out of 5; social support, 3.04 out of 4; and turnover intention, 3.07 out of 5. Their turnover intention has a positive correlation with emotional labor, but a negative correlation with job satisfaction and social support. It was found that some factors that significantly influence turnover intention included the amount of overtime work and job satisfaction. Thus, dental medical institutes should search for measures, including improvement of the working environment, to reduce the amount of overtime work and enhance job satisfaction.

Community Welfare and Oriental-Korean Medicine for the Aged People (지역사회복지의 관점에서 고령화 시대에 대비하는 한의사의 역할에 대한 연구)

  • Lee, Hai-Woong;Kim, Hoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.2
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    • pp.168-179
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    • 2006
  • Background and Aim : As the aged society is coming, people pay attention to it and the government is also increasing subsidy into the welfare of the aged. As a branch of social welfare, community welfare is familiar and close to local residents. We could open up a new field in community welfare for oriental medicine and oriental medical doctor(OMD). Materials and Method : Analyzing the worts of community welfare center, we tried to find ways for OMDs to take part in there. We focused m community care and home care service of community welfare center and community health center. Result : Free oriental medical services are offered in many places, but a lot of them are temporary and hard to continue due to financial problem and lack of specialist. Local residents want to know about oriental medicine but few OMDs are willing to participate, thereforen, unqualified lectures of such as hand acupuncture, moxibustion, meridian massage prevail among them. This leads to illegal oriental medical services in the name of volunteer medical work. Conclusion The system is needed that local OMD association take part in community welfare of oriental medical service and care with community welfare center and community health center. Local volunteer medical services and researches of medical policy can help increase the chance for OMDs to go into social welfare system of the aged.

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Comparative Study on the Cognition and Attitudes toward the Mentally III Person Among EMT College Student Before and After Psychiatric Nursing Course Work (정신위생 교육 전·후 대학생의 정신질환자에 대한 인식과 태도 비교)

  • Kim, Mi-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.6 no.1
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    • pp.5-14
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    • 2002
  • The purpose of the study was to compare on the cognition and attitudes toward the mentally ill person among EMT College Student before and after Psychiatric Nursing Course Work. The data was collected twice before and after Psychiatric Nursing course work during one semester 16-weeks from 71 EMT department Students. Used measurements were self-reported questionnaires about cognition and CAMI questionnaires about attitudes. Analysis of data was done by frequence, percentage and t-test with SAS program. The cognition was changed over positively after then before Psychiatric Nursing Course. Especially, It was answered that needed to learning, caring and curing for mental illness. The study of attitudes for mentally ill person was that authoritarianism, benevolence and social restrictiveness were changed over positively but community mental health ideology was not changed. In conclusion, follwing the results of this study, the psychiatric nursing course work was influenced very much to changing of attitudes and cognition toward mentally ill person. Accordingly, psychiatric nursing curriculum will be offered and psychiatric educators have to emphasize the understanding of attitudes and cognition toward mentally ill person.

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The Effect of Voice Disorders on Quality of Life(QOL) in the Korean (한국인의 음성질환이 삶의 질에 미치는 영향)

  • 송윤경;심현섭;권기환;이경철;이용배;진성민
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.11 no.1
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    • pp.51-60
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    • 2000
  • Background and Objectives : Quality of life(QOL) is a construct representing physical, mental and social well-being. QOL has been used as a device for measuring the severity of health-related condition and treatment outcomes. As the social welfare system develops, the attention to QOL increases as well. The aims of this study was to examine whether the patients with voice disorder perceived significantly more the effects of voice disorder on QOL than nonpatient group did and if any, identify the sociodemographic risk factors influencing QOL of patients. Materials and Methods : This study asked 113 adults with voice disorders who were enrolled in Voice Clinic in the Department of Otolaryngology, Kangbuk Samsung Hospital between lune 1998 and January 1999 and 111 nonpatients to complete a questionnaire designed to elicit information about the effete of voice disorders on quality of lift. The questionnaire included items concerning sociodemographic areas, voice symptoms, job, effects of voice disorders on QOL domains(work, social, psychological, physical, and communication areas), potential risk factors to exposures, familial and medical history of voice disorders. Results : The sociodemographic characteristics of the patient group are as follows : (1) 75.2% of total patient group were female and the rest were male. (2) Age of total patient group ranged from 20 to 65 years. Hoarseness was the most commonly reported complaints, followed by complaints of high note difficulties during singing and voice fatigue. The patient group perceived effects of voice disorders on the areas of work, social, psychological, physical and communication more adversely than the comparison group did (p<0.05). QOL impairments were evaluated as a function of age, gender, education, and income, controlling other independent effects. The results were that (1) age was significantly associated with work problems and (2) gender and income were significantly associated with psychological problems. Conclusions : The findings indicated that the patients with voice disorders would perceive markedly adverse effect on all QOL domains, that is, work, social, psychological, physical, communicational areas. Therefore, the results of study suggest that lurker investigations about the nature of voice disorders, the prevention, treatment, and coping strategies are needed in the future.

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The Oriental Medical Study of the Occupational Medicine (산업의학(産業醫學)의 한의학적(韓醫學的) 고찰(考察))

  • Lee, Moon-Kyu;Lim, Hyung-Ho
    • The Journal of Korea CHUNA Manual Medicine
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    • v.3 no.1
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    • pp.125-139
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    • 2002
  • Objectives : The purpose of this study is to review and summarize about occupational medicine and to applicate the occupational medicine to oriental medicine. Methods : We investigated several books, articles and related internet sites to know occupational medicine's present conditions in Korea and other countries, and researched the plan on oriental medical participation in the industrial health. Results and Conclusion : The conclusions are as follows, 1. Recent years, industrialization has changed working environment and health condition in workplace, so industrial health service has became important part. 2. Occupational medicine has the purpose of protection. prevention, fitness, health management, medical treatment. rehabilitation, and primary medical service. The range of occupational medicine is enlarged mental, social good health and social, economical production capacity recently. 3. After research each country's occupational medicine, we can know the purpose is same, but the system and work contents are different one another. 4. Oriental medical participation in the industrial health has various benefits, satisfaction of workers, efficiency of cost, and increasing rate of medical treatment through the western and oriental medical cooperation.

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Medical charges and the cold reality of surgeons of Korea (외과 수가와 외과의사의 현실)

  • Jung, Soo-Min
    • Journal of the Korean Medical Association
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    • v.61 no.11
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    • pp.638-642
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    • 2018
  • Surgery is a very hands-on area of medical care, in that surgeons identify problems in patients' bodies and directly change them through operations. Therefore, it is not only necessary for surgeons to have a high level of expertise, but also to take considerable responsibility for the outcomes of each operation. However, surgery, which was once an object of envy, has long been a process to avoid, due to various circumstances, such as abnormal medical expenses in the medical field and social phenomena that avoids difficult work. It is unfortunate that medical professionals do not receive sympathy from others within the same medical field because of the general difficulties of the profession. The fundamental problem in this situation is the abnormal profit structure of the Korean medical system. Efforts by various related organizations will be needed to objectively evaluate the problems of the current medical insurance system and to make reasonable adjustments considering the difficulty, frequency, and resource-intensiveness of medical care.

The Effect of International Marketing and Social Capital on International Management Performance in the Service Trade Market: The Mediating Effect of Global Competency and National Images

  • Kim, Seong-Jin
    • Journal of Korea Trade
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    • v.25 no.1
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    • pp.112-132
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    • 2021
  • Purpose - This study aims to analyze the international marketing strategies of domestic medical institutions in the international medical market, and to determine whether such strategies increase international market share. With this approach, this study examines the impact of international marketing and social capital on international management performance through global competency and national image. It is hoped that this study can provide some insight on international marketing strategies. Design/methodology - In order to verify the research hypotheses, this study investigates medical institutions based in Incheon, Seoul, Gyeonggi Province, which provides medical services for foreigners. The target population is medical staff and interpreters in charge of administrative work, and a total of 194 copies were collected for 30 days. Of the collected questionnaires, a total of 171 copies were chosen for final analysis, excluding questionnaires with lack of information. Structural equations were used for analyzing the data by employing the R program. Findings - Our analysis suggests that international marketing and global competency performance have an effect on management performance. However, social capital appears to have no effect on global competency and management performance. Originality/value - Given the lack of research on international medical institutions, this study can be useful in the sense that it can help companies improve international marketing performance. Further, global competency was empirically proved to have a strong mediating effect that enhances total effect, while playing a mediating role between international marketing activities and management performance. This study is of great academic value in that it has comprehensively reviewed and systematized existing studies, and conducted empirical studies in the absence of domestic studies.