• 제목/요약/키워드: needs for services

검색결과 2,656건 처리시간 0.032초

Un-met Supportive Care Needs of Iranian Breast Cancer Patients

  • Abdollahzadeh, Farahnaz;Moradi, Narges;Pakpour, Vahid;Rahmani, Azad;Zamanzadeh, Vahid;Mohammadpoorasl, Asghar;Howard, Fuchsia
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권9호
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    • pp.3933-3938
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    • 2014
  • Background: Assessment of supportive needs is the requirement to plan any supportive care program for cancer patients. There is no evidence about supportive care needs of Iranian breast cancer patients. So, the aims of present study were to investigate this question and s predictive factors. Materials and Methods: A descriptive-correlational study was conducted, followed by logistic regression analyses. The Supportive Care Needs Survey was completed by 136 breast cancer patients residing in Iran following their initial treatment. This assessed needs in five domains: psychological, health system and information, physical and daily living, patient care and support, and sexuality. Results: Patient perceived needs were highest in the health systems and information (71%), and physical and daily living (68%) domains. Logistic regression modeling revealed that younger participants have more un-met needs in all domains and those with more children reported fewer un-met needs in patient care and support domains. In addition, married women had more un-met supportive care needs related to sexuality. Conclusions: The high rate of un-met supportive care needs in all domains suggests that supportive care services are desperately required for breast cancer patients in Iran. Moreover, services that address informational needs and physical and daily living needs ought to be the priority, with particular attention paid to younger women. Further research is clearly needed to fully understand supportive care needs in this cultural context.

공공도서관에서의 지역사회 기반 봉사 확대를 위한 연구 (A Study for Enhancing Community-based Services in Public Libraries)

  • 차미경
    • 한국비블리아학회지
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    • 제13권1호
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    • pp.199-213
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    • 2002
  • 공공기관으로서의 공공도서관의 책임성은 지역사회를 기반으로 한 봉사의 제공에서 찾을 수 있으며, 이는 지역주민의 요구 파악과 이를 만족시키기 위한 봉사의 계획 과정을 통하여 구현된다. 예산 압박을 경험하고 있는 공공도서관에서는 과거 일정 기준에 의한 평균적인 봉사의 제공에서 벗어나 각 지역사회와 지역주민의 특성에 맞는 봉사를 확대하고 있다. 본 논문에서는 1970년대 이후 공공도서관 연구의 주요 과제라 할 수 있는 이용자 및 지역사회의 특징과 요구의 분석, 그리고 지역사회의 요구를 만족시키기 위한 봉사 계획의 수립과정에 관한 연구 성과들을 정리하고, 지역사회를 기반으로 한 봉사의 확대를 위한 지침이 필요함을 제안하였다.

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지역별 회복기 재활 의료서비스 필요도 결정요인 분석 연구 (A Study on the Determinants of Convalescent Rehabilitation Medical Service Needs at Regional Level)

  • 김정훈;김희년;최용석;정형선
    • 보건행정학회지
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    • 제33권1호
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    • pp.40-54
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    • 2023
  • Background: Based on the increase in the needs for convalescent rehabilitation medical services in Korea, this study aims to calculate the needs for rehabilitation services and examine its determinants for 229 regions. Methods: Claim data from the Health Insurance Review and Assessment Service were used to estimate patients who need to receive rehabilitation services, and data from various sources were also used for analysis. The number of cases and incidence rates of hospitalization related to convalescent rehabilitation were calculated to estimate the needs for services by region, and the results were visualized via a map. Multivariate regression and fixed effects regression using panel data were performed to identify the determinants of regional variation of the incidence rate. Results: First, the incidence rate of rural areas such as Jeolla-do, Gyeongsang-do, and Chungcheong-do was higher than urban areas (metropolitan cities). Second, the population, proportion of the elder, medical aid recipients, financial independence, traffic deaths, smoking, diabetes rate, and medical infrastructure correlated significantly with the incidence rate. Third, 'rho' values which mean the fraction of variance due to individual terms in panel data regression models were 0.965 and 0.976, respectively. Conclusion: The incidence rate of hospitalizations was correlated with most independent variables in this study and there is a gap between urban and rural areas. These regional disparities are fixed in our society. An improved regional convalescent rehabilitation system is suggested to cover the entire area including rural areas with a high rate of aging.

2020년 미충족의료율과 추이 (Unmet Healthcare Needs Status and Trend of South Korea in 2020)

  • 주혜진;장빛나;주재홍;박은철;장성인
    • 보건행정학회지
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    • 제32권2호
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    • pp.237-243
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    • 2022
  • Unmet healthcare is an important indicator to measure accessibility of healthcare services. To examine the latest status of unmet healthcare needs in South Korea, four different data which is composed of nationally representative sample of South Korean population were used; the Korea National Health and Nutrition Examination Survey (KNHANES, 2007-2020), the Community Health Survey (CHS, 2008-2020), the Korea Health Panel Survey (KHP, 2011-2018), and the Korean Welfare Panel Study (KOWEPS, 2006-2020). The proportion of individuals reporting unmet healthcare needs were 6.4% (KNHANES), 5.4% (CHS), and 12.2% (KHP). Annual percentage change (APC) which identifies trend for the follow-up period was -9.9%, -9.1%, and -5.5%, respectively. The proportion of individuals reporting unmet healthcare needs due to cost were 1.0% (KNHANES), 0.4% (CHS), 2.2% (KHP), and 0.4% (KOWEPS). The APC was -11.3%, -17.0%, -12.2%, and -21.2%, respectively. Overall, the low-income and the elderly population reported a higher rate of unmet health care needs. Although the overall experience rate of unmet medical care due to cost decreased over the past decade, the disparity between the lowest and highest income groups still remained in 2020. Disparity between income levels and age groups is a challenge to address in healthcare system, and these results suggest the need for adequate health coverage for the low-income and the elderly populations.

한국과 독일 방문요양의 등급별 급여 비교 연구 (A Comparative Study on the Care Services According to Care Levels in the Korean and German Home Care System)

  • 박종덕
    • 가정간호학회지
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    • 제23권2호
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    • pp.243-252
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    • 2016
  • Purpose: This study aims to classify multiple forms of home care services from a service user's perspective. By comparing the German system to the Korean one, this study seeks to find better ways of enhancing client-centered care. Methods: The data of 121 home care users were collected from six home care centers that had under the management of nursing managers for more than five years. The researcher used a German instrument to estimate the level of care. Results: High correlation was found between German and Korean assessment criteria (r=0.81, p<.001). However, compared to their German counterparts, Korean home care providers allocated more time towards provision of domestic help per daily visit. German home care providers allocated more time towards services relating to provision of support for physical activities, including personal hygiene. It was confirmed that the level of care in Korea does not correlate with either the categories of home care services and duration. Conclusion: Therefore, care services should be offered according to long-term care needs. This study suggests a need for systematic care aimed at strengthening the client's autonomy which should be properly planned, implemented, and managed.

장애인 구강의료기관을 위한 서비스지침 개발 - 서비스디자인 기법을 활용하여 - (Developing Dental Service Guideline for Disabled Patients - Using Service Design Methods -)

  • 김소연;백혜란;김영재
    • 한국병원경영학회지
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    • 제22권3호
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    • pp.118-132
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    • 2017
  • This study developed key elements of dental service guidelines for the disabled patients. In order to provide consumer-oriented service guidelines for the dental patients with disability, service design method was applied. Using service design method guided by the double diamond design process, this study implemented consumer survey, observation, and contextual interviews for consumers' needs assessment. And customer journey map, mind maps, and blueprints were utilized to visualize consumer needs and guidelines for dental care services for the disabled. According to the study, disabled consumers have needs for expertise of the medical staff, dental care institutions specialized on the disabled, financial support, establishment of the facilities for the disabled, comfortable atmosphere in the institutions, and communication with medical staffs. Based on the needs of the disabled, 5 key elements of the dental care services were developed: convenience, expertise, empathy, financial support, and education and management. And service design guidelines were proposed to implement key elements of dental care services for the patients with disability. This study is significant in that it is the first attempt to apply the service design technique from the consumer perspectives in the field of dental care for the disabled. Furthermore the process of this study has become a reference that can be utilized and applied to other medical institution.

항공기 객실승무원의 감정노동, 건강증진생활양식과 건강증진 프로그램 요구도와의 관계 (The Relationships among Needs for Health Promotion Programs according to Emotional Labor and Heathy Lifestyle of Flight Attendants)

  • 백상이;김영임;차지은
    • 한국직업건강간호학회지
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    • 제27권1호
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    • pp.25-35
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    • 2018
  • Purpose: The purpose of this study was to figure out emotional labor, healthy lifestyle, needs for health services of flight attendants and the relationships among needs for health services according to various characteristics of flight attendants. Methods: The participants of this study were 140 flight attendants who work on major and low cost airlines. Data were collected through a questionnaire from 2017 .Jan.~2017. Feb. Data were subsequently analyzed using the SPSS 21 Program. Results: The score of emotional labor was 3.76 surface acting was 3.75 and deep acting was 3.77. The average of healthy lifestyle was 2.41, and the highest was 3.13 of personal relationship and the lowest was 1.91 of eating habits. There is a positive correlation between emotional labor-deep acting and healthy lifestyle. Flight attendants demand health services for physical exercise, stress and emotional labor management, healthy eating habits, emergency treatment, prevention of fatigue, cancer screening, sexual harassment prevention, sex education and etc. Conclusion: These results show that flight attendants need to various interventions for improving healthy lifestyle and reducing emotional labor. It is necessary to develop customized health promotion program suited to their job and general characteristics.

원거리 이용자들의 도서관 서비스 이용과 선호도에 관한 연구 (A Study on the Remote Library Users : Needs of Library Services and Preferences)

  • 김미현
    • 한국문헌정보학회지
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    • 제34권3호
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    • pp.61-76
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    • 2000
  • 가상 교육을 받는 학생들의 정보 이용 형태와 선호도를 검토해 본 결과, 원거리 이용자들은 접근성과 이용의 편이성으로 인해 원문을 쉽게 획득할 수 있는 온라인 데이터베이스와 인터넷을 선호하나, 온라인 데이터베이스와 인터넷의 정보로는 만족하기 어려워, 불편을 감수하면서도 도서와 논문을 주 정보원으로 이용하는 것으로 나타났다. 또한, 가상교육을 받는 원거리 이용자들의 86.7퍼센트가 전자도서관 서비스는 가상교육 프로그램을 선택하는데 중요한 고려대상이며 교수가 도서관 이용에 가장 많은 영향을 미친다고 응답하여 가상교육 프로그램과 전자도서관 정보서비스 체계의 파트너쉽의 필요성을 보여주었다. 마지막으로, 가상교육을 받는 학생들은 웹 페이지의 디자인보다는 정보의 근거와 정확성 그리고 내용의 적합성을 우선적으로 중요시하는 것으로 나타났다. 따라서, 도서관은 많은 양질의 디지털화 된 정보를 확보하는 것이 무엇보다 우선되어야 할 것으로 보인다. 컴퓨터의 대중화가 이루어지고, 교육과 정보의 환경이 변화하고 있는 현 시점에서, 서비스의 질적 향상을 도모하고자 하였으며 앞으로 많은 연구들이 계속되어져야 할 것으로 믿는다.

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On-Demand Broadcasting for Healthcare Services using Time-Parameterized Replacing Policy

  • Im, Seokjin
    • International journal of advanced smart convergence
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    • 제9권2호
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    • pp.164-172
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    • 2020
  • The interest and importance of the convergence services for healthcare expand more and more as the average life expectancy increases. Convergence of ICT and healthcare technology unfold efficient and quick health services. Recently, healthcare services provide to clients with apps over web. On-demand wireless data broadcast supports any number of clients to access their desired data items dynamically by responding the needs for data items from the clients. In this paper, we propose an on-demand system to broadcast FHIR bundles for efficient healthcare services. We use time-parameterized replacing policy for renewing the bundle items on the wireless broadcast channel. The policy lets the on-demand broadcasting dynamic by controlling the time duration for the bundles to reside over the wireless channel. With simulation studies using an implemented testbed, we evaluate the performances of the proposed system in access time and tuning time. For evaluation, we compare the time-parameterized replacing policy of the proposed system with regular-number replacing policy. The proposed time-parameterized replacing policy shows shorter access time than the regular-number replacing policy because the policy responds more actively and dynamically to the change of the needs of the clients for FHIR bundles.

가족가치관과 돌봄노동지원정책 욕구의 관련성 연구 (A Relation between Family Values and Needs for Care-Support Family Policy)

  • 변주수;진미정
    • 가정과삶의질연구
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    • 제26권5호
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    • pp.259-277
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    • 2008
  • Traditional familism and family value is known as the value that most Koreans share with. Strong family solidarity and family-centered perception among Koreans influences other social values and ideology. Under the family value, caring for family members is family responsibility instead of government responsibility. Previous studies argued that the family value played a role to impede the development of family policy in Korea. The aim of this study was to explore a relation between the family value and the needs for care-support family policy. This study investigated how the family value were related to the specific needs for care-support family policy. The data were drawn from the Seoul Families Survey conducted on 2006 by Seoul Women and Family Foundation. The survey data consisted of 2,500 married males and females living in Seoul. The statistical techniques used for analysis were frequencies, means, t-test, ANOVA, crosstabs, multiple regression models, and multinomial logit models. The major findings of this study were as followings. First, while the traditional familism appeared to be held at a certain level, the general attitudes towards cohabitation, divorce, and single-parent family seemed to be less traditional. Second, the familism was found to be partly associated with the needs for the care-support family policy. The respondents who had less traditional value on arriage and child-rearing showed the higher level of needs for daycare center. This finding implied that nontraditional attitudes were related to the needs for an alternative care service such as caring through facilities rather than to the needs for supportive or complementary services. Lastly, the respondents who had higher level of traditional familism showed a higher preference for direct economic service (supportive service) than for other types of service in child care. And the less traditional their attitudes towards marriage and child-rearing, the more likely they are to prefer flexible child care services and programs to other types of child care services. These results implied that the family value was partly influential to family policy. However, it is worthy to note that the family value was related to family policy preference rather than to family policy needs. In other words, traditional family value appeared to influence the types of family policy rather than the level of needs for family policy.