• Title/Summary/Keyword: models of care

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An Exploratory Study on the Support of Care Work through the Social Enterprise Model (사회적기업을 통한 돌봄노동의 지원가능성에 관한 탐색적 연구)

  • Jeong, Young-Keum
    • Journal of the Korean Home Economics Association
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    • v.48 no.9
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    • pp.55-68
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    • 2010
  • Various family-friendly policies have been put into place for working mothers, but their paid and household workloads have not decreased. Many women have experienced career interruptions due to care work, so possible solutions to the problem of care work are needed. The purpose of this study was to explore the possibility of applying the social enterprise model to care work. Definitions, types, and development processes in social enterprise in several nations were discussed for the purpose of this study. Second, problems of care work in Korean households and national support for them are surveyed. Public institutions' contributions in child-care and family elder care and the alternatives for solving problems thereof were discussed. Third, several principles and advantages of applying social enterprise models to care work were suggested. Finally, this study discussed what a healthy family support center can do to reduce the workload of a household through social enterprises. This center can be a testing place that supports care work by various means from small volunteering groups to social enterprise according to profit level.

Has Income-related Inequity in Health Care Utilization and Expenditures Been Improved? Evidence From the Korean National Health and Nutrition Examination Survey of 2005 and 2010

  • Kim, Eunkyoung;Kwon, Soonman;Xu, Ke
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.5
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    • pp.237-248
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    • 2013
  • Objectives: The purpose of this study is to examine and explain the extent of income-related inequity in health care utilization and expenditures to compare the extent in 2005 and 2010 in Korea. Methods: We employed the concentration indices and the horizontal inequity index proposed by Wagstaff and van Doorslaer based on one- and two-part models. This study was conducted using data from the 2005 and 2010 Korean National Health and Nutrition Examination Survey. We examined health care utilization and expenditures for different types of health care providers, including health centers, physician clinics, hospitals, general hospitals, dental care, and licensed traditional medical practitioners. Results: The results show the equitable distribution of overall health care utilization with pro-poor tendencies and modest pro-rich inequity in the amount of medical expenditures in 2010. For the decomposition analysis, non-need variables such as income, education, private insurance, and occupational status have contributed considerably to pro-rich inequality in health care over the period between 2005 and 2010. Conclusions: We found that health care utilization in Korea in 2010 was fairly equitable, but the poor still have some barriers to accessing primary care and continuing to receive medical care.

Development of a Comprehensive and Integrated Child-Care Services Model (포괄적인 장애아 통합보육 서비스 모형 개발)

  • Choi Bo Ga;Jeon Gwee Yeon;Chung Chung Hee;Kim Soo Young
    • Journal of the Korean Home Economics Association
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    • v.43 no.4 s.206
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    • pp.79-95
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    • 2005
  • The Purpose of this study was to develop a comprehensive and integrated child-care services model for children both with and without disabilities. The comprehensive perspective included several dimensions such as education, child welfare, family welfare, and community welfare. Survey research based on theories and models regarding the integrated child-care services was carried out to determine the overall needs of child-care institutions, parents, and community members. The results revealed the need for development in the following three areas: (1) edu-care curriculums for integrated programs, (2) programs for supporting family members who have disabilities children, and (3) improved community members' perception about integrated child-care services. A model was developed for fulfil these identified needs.

An Attempt to Measure the Familiarity of Specialized Japanese in the Nursing Care Field

  • Haihong Huang;Hiroyuki Muto;Toshiyuki Kanamaru
    • Asia Pacific Journal of Corpus Research
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    • v.4 no.2
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    • pp.57-74
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    • 2023
  • Having a firm grasp of technical terms is essential for learners of Japanese for Specific Purposes (JSP). This research aims to analyze Japanese nursing care vocabulary based on objective corpus-based frequency and subjectively rated word familiarity. For this purpose, we constructed a text corpus centered on the National Examination for Certified Care Workers to extract nursing care keywords. The Log-Likelihood Ratio (LLR) was used as the statistical criterion for keyword identification, giving a list of 300 keywords as target words for a further word recognition survey. The survey involved 115 participants of whom 51 were certified care workers (CW group) and 64 were individuals from the general public (GP group). These participants rated the familiarity of the target keywords through crowdsourcing. Given the limited sample size, Bayesian linear mixed models were utilized to determine word familiarity rates. Our study conducted a comparative analysis of word familiarity between the CW group and the GP group, revealing key terms that are crucial for professionals but potentially unfamiliar to the general public. By focusing on these terms, instructors can bridge the knowledge gap more efficiently.

A Prediction Triage System for Emergency Department During Hajj Period using Machine Learning Models

  • Huda N. Alhazmi
    • International Journal of Computer Science & Network Security
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    • v.24 no.7
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    • pp.11-23
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    • 2024
  • Triage is a practice of accurately prioritizing patients in emergency department (ED) based on their medical condition to provide them with proper treatment service. The variation in triage assessment among medical staff can cause mis-triage which affect the patients negatively. Developing ED triage system based on machine learning (ML) techniques can lead to accurate and efficient triage outcomes. This study aspires to develop a triage system using machine learning techniques to predict ED triage levels using patients' information. We conducted a retrospective study using Security Forces Hospital ED data, from 2021 through 2023 during Hajj period in Saudia Arabi. Using demographics, vital signs, and chief complaints as predictors, two machine learning models were investigated, naming gradient boosted decision tree (XGB) and deep neural network (DNN). The models were trained to predict ED triage levels and their predictive performance was evaluated using area under the receiver operating characteristic curve (AUC) and confusion matrix. A total of 11,584 ED visits were collected and used in this study. XGB and DNN models exhibit high abilities in the predicting performance with AUC-ROC scores 0.85 and 0.82, respectively. Compared to the traditional approach, our proposed system demonstrated better performance and can be implemented in real-world clinical settings. Utilizing ML applications can power the triage decision-making, clinical care, and resource utilization.

Influence of Attachment Relationship Between Group-home Adolescents and Surrogate Care-givers on Psycho-social Adjustment - The Mediating Pathway of Optimism - (그룹홈 청소년이 맺는 대리양육자와의 애착관계가 심리사회적응에 미치는 영향 -낙관성의 매개효과를 중심으로-)

  • Yi, Soocheon;Kim, Hyoung-Tae
    • Korean Journal of Social Welfare Studies
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    • v.43 no.2
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    • pp.87-111
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    • 2012
  • This study designed a mediating pathways models to examine the theory, 'the influence of attachment relationship between adolescents and their parents affects on adolescents' psycho-social adjustment through the mediating variable of optimism'. Authors tried to examine if this theory is applied to group-home adolescents who live with surrogate care-givers instead of their parents. For this study, two models, 'Psychological Adjustment Model' and 'Social Adjustment Model' were constructed. Each model has path, 'Attachment with Care-givers → Psychological Adjustment' and ''Attachment with Care-givers → Social Adjustment' respectively. 'Optimism' is mediating variable in between these two variables. The results were very clear. In two models, no direct effects from 'Attachment' to 'Psychological Adjustment' and from 'Attachment' to 'Social Adjustment' were found. However, indirect effects from 'Attachment' to 'Psychological Adjustment' and from 'Attachment' to 'Social Adjustment' were statistically significant through the mediating variable of 'Optimism'. This study suggests that more research on 'Optimism' which has not been focused among social welfare researchers needs to be followed.

Maternal and Hospital Factors Impacting the Utilization of Rooming-in Care in South Korea: Secondary Analysis of National Health Data (모자동실이용에 영향을 미치는 산모와 의료기관 요인: 전국 자료를 이용한 2차 분석)

  • Kim, Yun-Mi;Kim, Eun-Young
    • Journal of Korean Academy of Nursing
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    • v.41 no.5
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    • pp.593-602
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    • 2011
  • Purpose: In this study analysis was done of utilization of rooming-in care in South Korean hospitals in order to examine the factors related to mothers and hospitals that affect rooming-in care. Methods: With the involvement of 254,414 mothers who gave birth across 953 hospitals, the analysis used the health insurance qualification data of the National Health Insurance Corporations and Health Insurance Review and Assessment Service (2006). Factors associated with rooming-in care were analyzed using a GEE logistic regression analysis to consider factors related to both mothers and hospitals. Results: Only 45.1% of the mothers used rooming-in care. The results of the regression analysis revealed that individual factors of the mothers were not associated with rooming-in care, whereas group factors of the hospitals were. Rooming-in care use was primarily related to small hospital, location of hospital, and higher nurse staffing level. Conclusion: The findings of this study indicate that the utilization of rooming-in care is not associated with factors an individual mother, but rather with the group factors of the hospitals. Thus, a policy-based approach considering both of these types of factors is required to enhance the utilization of rooming-in care.

Influential processes for the acceptance of protectors toward emergency care for patient based on an elaboration likelihood model (보호자의 응급처치 수용의도에 관한 연구: 정교화 가능성 모델 중심)

  • Hwang, Ji-Young;Kim, Yun-Kwon;Kim, Ki-Young
    • The Korean Journal of Emergency Medical Services
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    • v.19 no.3
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    • pp.51-68
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    • 2015
  • Purpose: This study validated the influential relations between the effects of emergency care quality, credibility of 119 emergency medical technicians (119 EMTs), and perceived usefulness and attitude of emergency care, focusing on the moderating effect of protectors' characteristics (education, experience, age, and recognition of patient severity). Methods: This study was based on elaboration likelihood and technology acceptance models. In total, 172 protectors with experience in utilizing prehospital service were surveyed from April 1 to July 31, 2011. Results: The results showed that the emergency care quality and the credibility of 119 EMTs were the main determinants of the perceived usefulness and attitude of emergency care, irrespective of the protector's characteristics (p <.001). In addition, the findings showed that the protector's intention of emergency care had a moderating role. The impact of the quality of emergency care on its perceived usefulness was greater for high-level protectors (p <.001). By contrast, the impact of the credibility of 119 EMTs on the perceived usefulness of emergency care was greater for low-level protectors (p <.001). Conclusion: The protectors' characteristics have different influences on the relations between the effects of emergency care quality, the 119 EMT credibility, and the perceived usefulness and attitude of emergency care.

Questionnaire Survey on the Physical Environment of Child Care Centers for Children with Disability (장애아 보육시설의 물리적 환경에 대한 설문조사연구)

  • Ju, Seo-Ryeung
    • Journal of Families and Better Life
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    • v.26 no.3
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    • pp.101-114
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    • 2008
  • Eater Seal, the child care experts, observes that children with disability significantly benefit from receiving appropriated care along side their peers. Typically developing children serve as role models from which children with disabilities learn age-appropriated communications and social behavior. Therefore the children with disability can actively participate in well-designed child care settings. But unfortunately in Seoul, Korea, only 2% of children with disability are taken care of in child care centers. And even the disabled children at the child care centers are mostly mentally or emotionally disabled because the building, programs and services of the centers are restrictive to the children with severe physical disabilities. This study reviewed Korean domestic physical environment of child care centers for children with disabilities. Questionnaire survey was conducted to 103 centers located in Seoul by mail. Our survey revealed that they need more areas for nursing room and special rooms and the accessibility to buildings has to be improved. Also, there are no elevators in all buildings surveyed. Accessibility to toilet is noted as significant problem, especially wet floors in toilets. In a nursing room, a space for psychological rest and special education is needed for children with mental disability. Technical specifications on how to make buildings and facilities accessible for the children with disability should be developed. The goal of this study is to provide basic information to develop domestic design guidelines to ensure that the child care centers are safe, convenient, and usable for everyone possible.

A Study on Physical Environment of Child Care Centers for Children with Disability (장애아 보육시설의 물리적환경 실태조사)

  • Kim, Min-Kyoung;Ju, Seo-Ryeung
    • Journal of the Korean housing association
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    • v.18 no.5
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    • pp.121-131
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    • 2007
  • Eater Seal, the child care experts, observes that children with disability significantly benefit from receiving appropriated care along side their peers. Typically developing children serve as role models from which children with disabilities team age-appropriated communications and social behavior. Therefore the children with disability can actively participate in well-designed child care settings. But unfortunately in Seoul, Korea, only 2% of children with disability are taken care of in child care centers. And even the disabled children at the child care centers are mostly mentally or emotionally disabled because the building, programs and services of the centers are restrictive to the children with severe physical disabilities. This study reviewed Korean domestic physical environment of child care centers for children with disabilities. 15 centers located in Seoul were surveyed. Our survey revealed that the accessibility to buildings is poor. There are many places with difference in height of floors. Also, there are no elevators in all buildings surveyed. Accessibility to toilet is noted as significant problem, especially wet floors in toilets. In a nursing room, a space for psychological rest and special education is needed for children with mental disability. Technical specifications on how to make buildings and facilities accessible for the children with disability should be developed. The goal of this study is to provide basic information to develop domestic design guidelines to ensure that the child care centers are safe, convenient, and usable for everyone possible.