• 제목/요약/키워드: medical social workers

검색결과 222건 처리시간 0.031초

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

  • 윤순덕;박공주;강경하
    • 한국노년학
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    • 제25권2호
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    • pp.109-126
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    • 2005
  • 본 연구는 65세 이상 노인에게 공공의 사회보장부문에서 제공하는 사회적 급여를 사회복지비용이라 정의하고, 노인의 농업노동 참여가 사회복지비용 지출에 어떻게 영향을 미치며 농업노동 참여여부에 따라 1인당 그리고 한 해 사회복지비용 지출이 얼마나 차이가 있는지를 파악하고자 하였다. 이를 위하여 노인의 소득·의료보장을 위해 지출된 2003년도 교통수당, 경로연금, 국민기초생활보장 생계급여와 의료급여, 국민건강보험급여 등 생계지원비 및 의료지원비를 37개 동·읍·면사무소와 국민건강보험공단에 자료제공 협조를 요청하여 만 65세 이상 노인 799명에 대한 원자료를 수집·활용하였다. 65~74세, 75~84세, 85세 이상 등 3개 연령집단별로 분석한 결과, 첫째, 생계지원비 및 의료지원비 모두 모든 연령집단에서 농업노동에 참여한 노인보다 농업노동을 하지 않았던 노인에게 더 많이 지출되었다. 노인 1인당 차액은 연령집단에 따라 약간 차이가 있었는데 생계지원비는 113,959~361,132원, 의료지원비는 15,644~51,418원이었다. 둘째, 노인의 농업노동 참여여부는 65~74세, 75~84세 연령집단의 생계비 지출에, 65~74세 연령집단의 의료지원비 지출에 유의미한 영향을 미치는 것으로 나타났다. 이 결과를 기초로 하여 노년기 농업노동 참여에 따른 한 해 사회복지비용 절감액을 산출한 결과, 2003년도 기준 1304억원이었다.

비정규직 여성근로자의 고용특성 및 건강에 미치는 인자: 산재보험패널조사 (Effect of Temporary Employees and Health Characteristics Female Non-Regular Female Workers)

  • 최길용;양경수
    • 보건의료산업학회지
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    • 제10권3호
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    • pp.235-244
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    • 2016
  • Objectives : Using several waves of the Panel Study of Worker's Compensation Insurance(PSWCI), this study analyzed the effect of female workers on the health and lifestyles of korean workers in the sample year of 2014 (The first survey was completed in August-October 2013;, the second survey was completed in August-October 2014.) Methods : The research subjects were 24,672 women among workers who responded to the 2014 PSWCI panel report. Statistical analyses were performed with SAS version 9.4 (SAS Institute Inc., Cary, NC, USA). Results : According to the results of the analysis, women showed differences in female temporary workers, working conditions, classification of occupation, working period, and health conditions based on work-time conditions. The results show that female workers with disabilities have a direct positive effect on life satisfaction as we anticipated in the hypothesis. Conclusions : Female workers should focus on factors identified in this study when developing employment interventions to improve a health promoting lifestyle for their work environment.

계층별 한방의료 이용 실태에 관한 연구 (A Study on the Patient's Attitude of Korean Medicine by Social Classes)

  • 이한울;정명수;이기남
    • 대한예방한의학회지
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    • 제11권2호
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    • pp.71-86
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    • 2007
  • This study aims at looking into the use of oriental medical services in treating disease and patient's attitude of oriental medicine by social classes. The first to be explored through this study is medical accessibility, classifying them by age, gender and job. Second is to examine kinds of oriental medical services and expenses incurred in treating the disease. Third is to compare satisfaction for the services offered and investigate into relations between disease and oriental medicine through cross-analysis by class, and provide fundamental materials for enhancing accessibility to oriental medical centers for treating chronic diseases. The 1,376 households for the period of time from Apr. to Jun. 2005, were asked to answer to the questionnaires offered. The conclusion from the survey can be summarized as follows. Medical services for the onset of disease were less offered to females, older group, low schooling, and low-income bracket. It is attributable to an economic cause, in both genders. The in- and outpatients' rate were found higher in groups of female, older age, low-income and blue-color workers. Use of oriental medical centers were higher in outpatients than inpatients probably for low-income brackets were less frequently put on regular physical checkups, more exposing to diseases. Each hospitalization was found over six days longer in average; 19.7 days for oriental medical hospitals, 12.5 for hospitals. The hospital charges that patients should pay for one hospitalization showed 909,000 won in oriental medical hospitals, much higher than 518,000 won in hospitals. Outpatients were also found to pay more for oriental medical services; 55,000 won for oriental medical hospitals, 19,000 for hospitals. As to outpatients' satisfaction, oriental medical hospitals were generally found to be a little more satisfactory than general hospitals; 11.2% of respondents answered Very Satisfactory. Satisfaction to services offered to outpatients showed 82.2% of respondents responded to Over Satisfactory for herb clinics, 76% for general hospitals. For future intention to use oriental medical services, females, over 51 years old, lower education and income, and blue color workers showed more intention to use them. To be more competitive in treating chronic diseases, it is necessary that oriental medical services become more accessible through extending its coverage of insurance into more medical herbs and their prepared packs, as well as mapping out extensive publicity strategies to make known to the public about high efficacy of medical herbs and their safety.

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한국어판 사회복지실천기술 척도(Practice Skills Inventory)의 신뢰도와 타당도 평가 I - 의료사회복지사와 정신보건사회복지사를 대상으로 - (Reliability and Validity of A Korean Version of the Practice Skills Inventory I)

  • 김용석;김장배;이영숙;이현주
    • 한국사회복지학
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    • 제62권4호
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    • pp.5-32
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    • 2010
  • 사회복지실천기술은 사회복지실천의 3대 요소 중의 하나임에도 불구하고 이에 대한 연구는 매우 부족하다. 그 이유는 사회복지사의 사회복지실천기술 활용을 측정할 수 있는 도구의 부재와도 관련이 있다. 본 연구는 이러한 문제를 인식하고 사회복지사들이 실천현장에서 사용하는 실천기술이 어떤 것이고 어느 정도인지를 측정할 수 있도록 하기 위하여 한국어판 Practice Skills Inventory(PSI)를 개발하고 평가하는 목적을 갖고 수행되었다. 임상현장에서 활동하는 의료사회복지사와 정신보건사회복지사 310명을 대상으로 한국어판 PSI를 평가한 결과 한국어판 PSI도 영어판 PSI와 마찬가지로 4개 요인으로 구성된 척도로 확인되었다. 또한, 한국어판 PSI는 양호한 수준의 신뢰도와 타당도를 가지고 있는 것으로 평가되어 비록 PSI가 외국에서 개발된 척도이나 국내 사회복지사의 사회복지실천기술을 측정하는데 유용한 도구임이 입증되었다. 마지막으로 사회복지 연구, 실천, 교육을 위한 함의가 제공되었다.

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Shift Work and Health: Current Problems and Preventive Actions

  • Costa, Giovanni
    • Safety and Health at Work
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    • 제1권2호
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    • pp.112-123
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    • 2010
  • The paper gives an overview of the problems to be tackled nowadays by occupational health with regards to shift work as well as the main guidelines at organizational and medical levels on how to protect workers' health and well-being. Working time organization is becoming a key factor on account of new technologies, market globalization, economic competition, and extension of social services to general populations, all of which involve more and more people in continuous assistance and control of work processes over the 24 hours in a day. The large increase of epidemiological and clinical studies on this issue document the severity of this risk factor on human health and well being, at both social and psychophysical levels, starting from a disruption of biological circadian rhythms and sleep/wake cycle and ending in several psychosomatic troubles and disorders, likely also including cancer, and extending to impairment of performance efficiency as well as family and social life. Appropriate interventions on the organization of shift schedules according to ergonomic criteria and careful health surveillance and social support for shift workers are important preventive and corrective measures that allow people to keep working without significant health impairment.

사회계급과 건강행위가 유병률에 미치는 영향 (The Relationship of Social Class and Health Behaviors with Morbidity in Korea)

  • 손미아
    • Journal of Preventive Medicine and Public Health
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    • 제35권1호
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    • pp.57-64
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    • 2002
  • Objective : To explore the relationship of social class and health behaviors with self-reported morbidity. Methods : The 1995 General Household Survey in Korea was used to investigate self-reported morbidity. Logistic regression was used to examine the relationship of social class and health behaviors with self-reported chronic disease and perceived general health. Results : For chronic disease and general perceived health, age adjusted odds ratios were higher for manual workers, lower-educated group as well as those in the lower income group; this held true for both men and women. Health behaviours had little effect or the relationship between social class and morbidity. The relationship between health behaviors and morbidity was very weak. The lower social class expressed higher levels of negative health behaviors, although this relationship appeared to be very weak in Korea. Conclusions : This study suggests that an understanding of health differentials that addresses the issue of social inequalities in Korea is required.

고용불안정과 가구소득 대비 개인 의료비 지출 비중의 연관성 (Relationship between Work Unstability and Personal Medical Expenditure Ratio)

  • 정우영;한윤수;김찬호;황윤태;이예진;노영민;노진원
    • 한국병원경영학회지
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    • 제24권2호
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    • pp.1-11
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    • 2019
  • Purpose: The purpose of this study is to identify relationship between work unstability and personal medical expenditure ratio focusing on wage workers' contract period. Method: This study analyzed 2015 yearly data beta version of Korea Health Panel, co-managed by Korea Institute for Health and Social Affairs and National Insurance Corporation for data analysis. When executing linear regression, Household income was applied with equivalized income, and the proportion of personal medical expenditure was naturally logged to perform linear regression and the demographic and socioeconomic factors were taken into account. The demographic and socio-economic factors were also considered. Findings: As a result of reviewing the used factors, it was found that the more unstable work status, the higher personal medical expenditure ratio. This result corresponds to 'The Theory of Fundamental Causes' by Link & Phelan. Conclusion : It indicates that policy efforts should be made to improve the working environment and health level of socially unstable workers.

중동호흡기증후군에 대한 공포감이 병원종사자와 일반인의 사회심리적 건강에 미치는 영향 : 외상 후 스트레스의 매개효과 (Influence of Fear about Middle East Respiratory Syndrome Event of Hospital Worker and General Public on Socio-Psychological Health : Mediating Effect of Posttraumatic Stress)

  • 김신일;김태형;최말례;정주리;권혁민;김형욱;김병조;은헌정
    • 대한불안의학회지
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    • 제15권1호
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    • pp.45-52
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    • 2019
  • Objective : The objective of this study is to determine the effects of fear of Middle East respiratory syndrome (MERS) on socio-psychological health during an outbreak of MERS and the post-traumatic stress as a mediator on the relationship between stress and socio-psychological health. Methods : Visual Analog Scale, Impact of Event Scale -Revised, Psychosocial well-being index short form was implemented for 150 medical persons who worked at the hospital in which exposure to MERS cases had been confirmed and 96 ordinary people. A Pearson correlation coefficient and a hierarchical multiple regression was carried out to confirm the effect of fear of MERS and the mediating effect of post-traumatic stress between fear and socio-psychological health. Results : The higher the fear, the lower the socio-psychological health in both healthcare workers and the public (r=0.32, p<0.01) and the higher post-traumatic stress (r=0.32, p<0.01). But, the research results showed that only healthcare workers had a partially mediating effect of post-traumatic stress in the relationship between fear and socio-psychological health (${\beta}=0.45$, t=6.33 p<0.001), (${\beta}$ value : 0.39>0.26). Conclusion : This study demonstrated that the post-traumatic stress can indirectly lead to a negative effect on the socio-psychological health of healthcare workers when under the fear of MERS and shows adverse effects on psycho-social wellbeing. This suggests that clinical intervention and psycho-social approach aiming at reducing post-traumatic stress is important to maintain mental health during crisis development.

병원종사자의 직업성 스트레스에 관한 연구 - 서울시내 500병상 이상 병원종사자를 중심으로 - (Occupational Stress of Hospital Workers)

  • 이우천
    • 한국병원경영학회지
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    • 제3권1호
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    • pp.1-33
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    • 1998
  • The purpose of this thesis is to study theoretical access to the methods that have been used for the research of occupational stress, thereby providing management methods of occupational stress of hospital workers. With a stress model of hospital workers set up from the viewpoint of organization management, 929 sets of questionnaires were collected from intern doctors, resident doctors, nurses, nursing aides, pharmacists, medical technicians, workers in patient affairs(reception and medical insurance workers), administrators and clerks from the 8 hospitals in Seoul with more than 500 beds. Upon variance analysis, correlation analysis and regression analysis of the collected questionnaires, this work examined how differences in stress caused by specific occupations and formulated a method of stress management for the hospital workers. The results are as follows. 1) If some duties of the nurses suffering from role-overloaded stress are transferred to the nursing aides dissatisfied with insufficient role, the two grunting groups can be satisfied at the same time. It is also necessary to transfer some jobs of the overloaded workers in patient affairs to the administrators, or the other way around. To reduce stress of conflict and ambiguity of role caused by the obscure division of roles between the workers, the role of each occupation should be delineated and the clear division of roles should be translated into action strictly according to that delineated. 2) Stress of inefficiency of organization from which the student doctors suffer can be relieved by management of participation. If they have access to the process of decision-making in general hospital affairs and consequently their understanding and the autonomy of job performance are promoted, such stress will be reduced. 3) To cope with stress of career development from which nurses, medical technicians, administrators, workers in patient affairs suffer, it is necessary to establish whether they have a chance to revive their careers, whether there are any ways of remotivation for less contributive workers, and whether they encourage each other to develope their careers. If they are given a chance to develope their careers, such stress will be relieved. 4) Pharmacists, suffering from stresses of living and personal relations, have strong cohesive power among themselves and organize a well-integrated team; thereby reducing the stress of personal relations and increasing productivity. 5) For administrators and student doctors confined to lesser social supports and for nurses and workers in patient affairs whose recognition of stress and job satisfaction are affected by social supports, emotional and informational supports for job performance help alleviate an individual's mental, and physical stress. 6) In addition to the above-mentioned stress-management methods, if an organizational coping strategy is provided according to the types of stress from the general viewpoint of the whole group of hospital workers, it would be of great help to managing stress. For example, the redesign of jobs, the management of objective, the improvement of working environment, the formation of an autonomous working group and various working plans can be set up for those who suffer from stress related to inappropriate role, while career counseling and development of career process can be provided for those dissatisfied with career development. Participation in the process of decision-making and the restructuring of the organization are needed for those who suffer from stress of malfunctioning organization, whereas creation of a supportive organizational atmosphere is desired for those who feel stressed due to personal relations. As well, such organizational coping strategies. as the increase of welfare facilities, seminars and educational programs and provision of health-promotion facilities can be provided.

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

  • 이문규;임형호
    • 대한추나의학회지
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    • 제3권1호
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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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