• Women's Health Nursing
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• v.25 no.1
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• pp.99-111
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• 2019

Purpose: To develop nurses' educational needs scale for woman with infertility. Methods: A total of 201 nurses in charge of infertility health services in 4 infertility hospitals and 1 public health center were enrolled for this study. The scale was developed through literature review, in-depth interview, development of preliminary items, verification of content validity, development of secondary items, verification of construct validity, and extraction of final items. Data were analyzed using item analysis, exploratory factor analysis, Pearson's correlation coefficients, and Cronbach's ${\alpha}$. Results: Nurses' educational needs scale for women with infertility consisted of 41 items. Three factors (education for disease and symptom of infertility, supporting and counselling for infertility patients, and education for daily life of infertile patients) explained 63.7% of the total variance. Conclusions: Nurses' educational needs scale for woman with infertility demonstrated acceptable validity and reliability. Its items could be used to assess the level of educational needs for nurses in charge of infertility health services.

• Quality Improvement in Health Care
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• v.7 no.1
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• pp.18-31
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• 2000

Background : This study is to identify the inappropriate hospital services for elderly inpatients over 65 years in general hospital with acute care functioning. Consequently elderly inpatient care and the management of long-term care facilities are key issues for current government health policy. Method : The survey was conducted for two months for all inpatients over 65 in 7 general hospitals, 6 work sampling days randomly selected. In each survey day, the subjective judgement by medical staff on the degree of acute care needs and by nursing unit manager on hospital services of each inpatients was also conducted. Result : The total number of cases collected are 2,541 elderly inpatients, according to subjective judgements by medical staff on inpatient condition. However 46.8% of cases are turned out to be non-acute care group. The frequency of medical services provided to non-acute group are 2~3 vital sign checks per day 78.2%, IV injection 40.1%, antibiotics medication 20.2%. Conclusion : Lots of elderly patients' who are staving in acute hospitals, at present need to be transferred to long-term care facilities. However, there was been shortage of long-term care facilities. It is expected to identify the need of elderly inpatients and therefore, to provide cost-effective, appropriate and good quality health services to elderly inpatients depending on their needs.

• International Journal of Knowledge Content Development & Technology
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• v.9 no.4
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• pp.69-93
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• 2019

The purpose of this study is to investigate the status of specialized services and the overall satisfaction of the operation of the specialized services for the librarians and users of the specialized libraries, and based on the ISA method, compare the specialized theme data, specialized service place, specialized program, specialized theme area facilities and environment, and derive issues of the specialized library operation and improvement measures. Consequently, first, when developing the program, the specialized library needs to develop programs in possession of unique characteristics specific to the areas of the differentiated themes from the cultural and educational programs run by the existing libraries. Second, it is necessary to focus on the specialized theme area information services for the users, and to this end, it is necessary to improve librarians 'professionalism. Third, it is necessary to secure the budget for the specialized services and secure space. Since the scope of the services which may be provided as per the budget intended for providing specialized services may be limited, it would be necessary to secure and operate the budget systematic to this end. Fourth, the specialized library needs to proceed with activities in connection with local residents for the purposes of facilitating specialized services.

• Research in Community and Public Health Nursing
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• v.22 no.3
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• pp.333-341
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• 2011

Purpose: The purpose of this study was to analyze married immigrant women's utilization of health care and their demand for public health care services. Methods: This study was conducted through descriptive survey with 102 married immigrant women in 2 cities, and survey was done from November, 2010 to May, 2011. Results: The results were as follows. Of respondents, 70% were using medical services in Korea and only 38.2% of them were satisfied with services. Major difficulties in using health care services were 'access problem' (35.7%), 'communication problem' (27.7%), and 'medical cost' (19.8%). The respondents' main sources of health information were family (56%), health care center (15%). The types of health information and education demanded by respondents were children's health care (22.1%), pregnancy and delivery (21.1%), and common disease care (20.0%). The most wanted services from public health care institutions were vaccination (24.5%), health promotion (21.5%), and leisure activity programs (20.6%). There was a statistically significant difference in period of immigration and public health care demands. Conclusion: For married female immigrants, it is recommended to provide tailored public health care services such as outreach service and visiting nursing care service, and to set up different language signs for common disease patients.

• Health Policy and Management
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• v.33 no.1
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• pp.107-113
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• 2023

Unmet healthcare is an important indicator for measuring accessibility of healthcare services. We analyzed the following four data from a nationally representative sample of South Korean population: Korea Health and Nutrition Examination Survey (KNHANES, 2007-2021), Community Health Survey (CHS, 2008-2021), Korea Health Panel Survey (KHP, 2011-2019), and Korean Welfare Panel Study (KOWEPS, 2006-2021). The proportion of individuals reporting unmet healthcare needs were 6.0% (KNHANES), 5.1% (CHS), and 13.1% (KHP). Annual percentage change (APC) which identifies trend for the follow-up period was -9.4%, -9.4%, and -5.3%, respectively. The proportion of individuals reporting unmet healthcare needs due to cost were 1.2% (KNAHANES), 0.5% (CHS), 2.7% (KHP), and 0.4% (KOWEPS). The APC was -10.4%, -16.1%, -11.5%, and -19.1%, respectively. Compared to the previous year, the rate of unmet healthcare needs decreased slightly, but the rate of unmet health care needs due to cost tended to increase. Overall, higher rates of unmet healthcare needs were reported in the low-income and the elderly population. Although it was confirmed through the APC that the rate of unmet healthcare experience has decreased over the past decade, it can be seen that there is still a disparity by income level and age. These results suggest the need for an appropriate health benefit coverage policy for the low-income and the elderly.

• Korea Journal of Hospital Management
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• v.28 no.4
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• pp.62-72
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• 2023

Based on the basic ideology of health care, this study realized the seriousness of annual unmet medical need and conducted a study to confirm the relationship between the subjective perception of regional healthcare environment and unmet medical needs. The independent variable was classified into attitude 'satisfaction' and 'unsatisfaction' toward regional healthcare, and the dependent variable was classified as whether unmet medical needs occurred annually. Based on previous studies, the control variables were selected as demographic and socioeconomic characteristics that can affect the occurrence of unmet medical care annually and characteristics related to health behavior. Descriptive statistics were conducted for each variable on the extracted sample, and multivariate survey logistic regression analysis was conducted to confirm the association between variables. As a result, more unmet medical needs occurred annually than those who were satisfied with the medical services in the area where they lived. In addition, more unmet medical need occurred annually in "unsatisfied" households compared to households "satisfied" with local medical services. In residential areas, women live in "metropolis" and "rural areas" compared to "urban," women live in men, lower education levels, and poor subjective health levels, and less satisfied with local medical services. As such, the impact of environmental factors in the community on the use of health and medical services is one of the major areas of interest in the field of health science, such as health policy and social dynamics. Therefore, hospitals in each region need to make efforts in terms of hospital management to increase the overall satisfaction of medical services in the region by continuously monitoring the attitude of residents to achieve universal health security, and policymakers should also be interested and propose new policies.

• 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.

• Journal of Korean Academy of Nursing
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• v.34 no.1
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• pp.191-201
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• 2004

Purpose: This study aimed to evaluate economic viability of public health center visiting nurse services for the low-income elderly with long-term care needs. Method: The sample consisted of 252 community dwelling elderly who enrolled in public health center visiting nurse services for three months or more. Data was collected on physical (ADL and IADL) and cognitive impairments of the elderly, contents and frequency of visiting nurse services, cost per visit, and costs of alternative services for long-term care. Result: The mean score of ADL and IADL levels of the elderly was 2.80.4904, which indicated these patients were mostly independent. Eighty four percent of the elderly subjects were cognitively intact. Among visiting nurse services supplied, providing assessment was 34%, followed by education and counseling 26%, medication 22%, and referral. The mean cost per visit was 17,824.1 won, which transformed into a total cost per person per year of 161,130.2 won. Comparing the cost of a visiting nurse service with those of other long-term care alternatives, the visiting nurse service was the least costly alternative, followed by an outpatient clinic, hospital based home care, and nursing home. Conclusion: Overall, the results of the study provide evidence of the economic viability of visiting nurse services for the low-income elderly among long-term care alternatives.

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 2008.11a
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• pp.316-321
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• 2008

As people are aging, there are changes about biological psychological sociological. For these reasons, it will arise that changing body size, decreasing power of body, shrinking of living, becoming dull the senses, and feeling alienation loneliness sense of distance about society. Many studies have been done to give residential space supporting older adults' living. Recently many ubiquitous technologies are being development and applied to residential space. The purpose of this study was to classified ubiquitous services by housing supporting concept and older people's physical, psychological and social characteristics and to identify needs for ubiquitous services by older adults. The researches developed a survey instrument and collected the data from 260 people in July to August, 2008 who were more than 40 years old. The results of this study found that residents' current needs and suggested ubiquitous services in future residential environment for older adults.

• Journal of Agricultural Extension & Community Development
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• v.19 no.1
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• pp.1-28
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• 2012

The Extension Program accountability will continue to be an influential force to develop agriculture and rural area. As we incorporate new approaches into our service program and respond to new domains of knowledge, we must also consider how our assessment strategies may need to change in order to meet local and other external standards. The main purpose of the study was to be what the best way of Extension Service is set farmers' educational needs met and to be what kind of methodologies and role of Extension system should provide for their faced problem solving effectively. The major results of the study on Farmers' needs toward Korean Extension Services are summarized as follows. First, it is observed that, when the farmers' perceptions were analyzed, the most ranked by the farmers' needs was "having nice extension workers to get advice and solve their problems on the farm in all at once." Farmers had especially more positive attitudes in the categories of interest and careers in ag-technology. To do services level up, the headquarter of Rural Development of Administration must be work with local branches to effectively deliver their missions and educational objectives to target crops and farmers group. And farmers were strongly needed "a specialized service team will be organized" to work closely with operating services for ag-products processing, packing and marketing. The recommendations were made by: farmers' needs should be identified and announced by computer networking development to solve their problems faster. Also, provincial and county level service members should have a chance to working at research institute or related work places with their incentives, which system will be easer to meet farmers' needs and deal with their problems so that the systematic approaches should be managed and recorded their educational attendings, education contents and even their farming corporations. Finally, Agricultural Extension Service should be met to general ag-technology literacy and be balanced with knowledge of other industries and be competitive service with better values in non-agricultural sectors.