• 한국사회복지학회:학술대회논문집
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• 한국사회복지학회 2004년도 춘계학술대회 자료집
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• pp.365-382
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• 2004

The purpose of this study was to explore the concepts of health among people with mobility disabilities in order to develop a new holistic model of health and to identify implications for social work practice. A qualitative study based on face-to-face interviews with people with mobility disabilities was conducted. Nine consumers and nine social workers with mobility disabilities participated in the study. Social constructionism, heuristic paradigm, empowerment paradigm, and strength perspectives were used to form conceptual foundations to guide the study. Study participants' holistic descriptions of the concept of health encompassed five domains: biological/physical, mental/emotional, financial, relationships with others, and spiritual. Participants described health as harmony among these five domains. Harmony indicates that all five domains contribute to the concept of health, and that each domain is related to the others. Participants also viewed disability and health as an interconnected whole, not separate concept. The conceptual model developed in this study expands on the existing concepts of health by considering multiple factors at the personal and environmental levels, as well as interactions among the factors and between the levels. The personal level has five domains: biological/physical, mental/emotional, spiritual, financial, and relationships with others. The environmental level has also five domains: relationship with others, financial, social programs, social attitudes toward peoplewith disabilities, and physical environment. All factors under the personal and environmental levels also affect each other. The holistic concept of health for people with disabilities is not solely a part of the person, but rather is a function of the interaction between the person and their environment. The study demonstrated that people with disabilities have strength and resiliency, and health is an attainable goal for them, particularly when environmental and cultural barriers are addressed. The focus of social work practice should be the removal of those barriers encountered by their consumers with disabilities, as well as, the enhancement of internal factors that facilitate well-being.

• Journal of Preventive Medicine and Public Health
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• 제56권1호
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• pp.67-76
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• 2023

Objectives: Previous studies have reported that people with disabilities are more likely to be impoverished and affected by excessive medical costs than people without disabilities. Public transfer income (PTI) reduces financial strain in low-income households. This study examined the impact of PTI on catastrophic health expenditures (CHE), focusing on low-income households and households with Medical Aid beneficiaries that contained people with disabilities. Methods: We constructed a panel dataset by extracting data on registered households with disabilities from the Korea Welfare Panel Study 2012-2019. We then used a generalized estimating equation model to estimate the impacts of PTI on CHE. A subgroup analysis was carried out to assess the moderating effects of family income levels and health insurance types. Results: As PTI increased, the odds ratio (OR) of CHE in households that contained people with disabilities decreased significantly (OR, 0.92; 95% confidence interval [CI], 0.89 to 0.94; p<0.001). In particular, PTI effectively reduced the likelihood of CHE for low-income households (OR, 0.85; 95% CI, 0.81 to 0.89; p<0.001) and those who received medical benefits (OR, 0.78; 95% CI, 0.68 to 0.89; p<0.001). Conclusions: This study highlights the positive effect of PTI on decreasing CHE. Household income and the health insurance type were significant effect modifiers, but economic barriers seemed to persist among low-income households with non-Medical Aid beneficiaries. Federal policies or programs should consider increasing the total amount of PTI targeting low-income households with disabilities that are not covered by the Medical Aid program.

• 인간식물환경학회지
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• 제22권3호
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• pp.321-332
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• 2019

The purpose of this study is to investigate the changes of sensory and visual perception of children with intellectual disabilities by conducting psychomotorik (psychomotor activity) in the forest and indoor treatment rooms. Accordingly, this study divided 18 children with intellectual disabilities living in the facility for persons with disabilities located in Seoul into three groups: the experimental group participating in psychomotorik in the forest, the comparative group participating in psychomotorik in the treatment room, and the control group without any treatment at all. The program was conducted for 32 weeks, 4 hours a month. The results showed that psychomotorik promoted the sensory and visual development of children with disabilities. Psychomotorik in the forest showed significant effects on touch and activity level, form constancy and eye-hand coordination. Psychomotorik in the treatment room showed significant improvement in figure-ground with reduced motion. This suggests that psychomotorik in the forest as well as indoors is a positive factor for sensory adaptation reaction and visual development of children with intellectual disabilities.

• 한국사회복지학
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• 제57권4호
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• pp.253-274
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• 2005

이 연구의 목적은 장애인이 활동보조서비스를 이용하기 이전과 이후에 삶의 변화를 알아보고자 하는 것이다. 이 연구를 위해 서울의 한 장애인자립생활센터에서 실시한 활동보조 서비스를 이용한 장애인 9명을 대상으로 비구조화된 질문지를 가지고 직접 면접에 기초한 질적 연구를 수행하였다. 활동보조서비스를 이용한 이후 장애인의 외출의 빈도가 증가하고, 외출 장소가 다변화되는 등 행동영역이 넓어지고, 신체적 활동의 증가는 신체적인 기능이 향상을 가져왔다. 심리적인 측면에서는 장애인이 본인의 삶과 환경에 대해 행사하는 통제력이 증대되고, 본인들의 장애에 대한 긍정적인 수용과 함께 자신감이 증대되었다. 사회적인 관계 측면에서는 대인관계가 향상되고, 가족과의 관계가 이전의 의존적인 관계에서 수평적, 독립적 관계로 변화하였다. 마지막으로 이 연구는 장애인의 삶에 중대한 변화를 가져온 활동보조인의 확대를 제언한다.

• 한국콘텐츠학회논문지
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• 제22권7호
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• pp.361-369
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• 2022

본 연구에서는 국내에서 시행되고 있는 발달장애인을 위한 연극프로그램의 효과성을 통합적으로 검토하기 위하여, 발달장애인을 위해 시행된 연극프로그램의 효과성 연구들을 메타 분석하였다. 2022년 1월까지 국내에서 발표된 발달장애인을 위한 연극프로그램들을 검색하였고, 최종 13편의 논문을 선정하여 메타분석을 실시하였다. 메타분석을 위해서는 통계프로그램인 CMA(Comprehensive Meta-Analysis) software 2.0을 활용하였다. 주요 연구결과는 다음과 같다. 첫째, 발달장애인을 위한 연극프로그램의 평균효과크기는 사회성의 평균효과크기가 0.8335로 큰 효과크기를 나타냈고, 자기표현은 0.6512로 중간효과크기를 나타내었다. 둘째, 발달장애인의 사회성 향상을 위한 연극프로그램의 효과성이 조절변수에 따라 차이가 나는지 검토해 본 결과, '참여자의 연령(발달장애아동>발달장애청소년>발달장애성인)', '총회기수(20~29회>10회~19회>30회 이상)', '연극프로그램유형(연극놀이>교육연극>연극치료)', '진행자 전공(연극놀이>교육연극>연극치료)'에 따라 통계적으로 유의미한 차이를 나타내었다. 이와 같은 연구결과를 바탕으로 향후 국내에서 발달장애인을 위한 연극프로그램의 효과적인 실행방안을 제안하였다.

• 지역사회간호학회지
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• 제31권3호
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• pp.244-255
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• 2020

Purpose: As the daily life experiences of community-dwelling people with mental disabilities are closely correlated to mental health recovery, this study aimed to analyze their daily life experiences in depth to determine their significance. Method: Participants included eight community-dwelling people with mental disabilities. A total of 12 in-depth interviews were conducted once or twice per participant. The collected data were analyzed using the phenomenological analysis method described by Giorgi. Results: The daily life experiences of community-dwelling people with mental disabilities were categorized into the following four components: "encountering shocking reality in the outside world", "life tied down by the mental illness", "happiness and gratefulness encountered in daily life", and "wishing for a change and self-sustaining life". Conclusion: This study found that the recovery and welfare of community-dwelling people with mental disabilities were promoted and that these patients made necessary efforts to become a member of the local community. These findings could be used as a reference for establishing social welfare policies which enable people with mental disabilities to participate as functioning members of the community that facilitate the prevention of relapse, to promote their integration into the community. Furthermore, the present results will contribute to the development of nursing intervention programs to promote recovery and prevent relapse, to ultimately establish a mental health management system.

• 대한장애인치과학회지
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• 제2권1호
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• pp.17-30
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• 2006

Federal disability law has evolved from several laws geared to protect people with disabilities since the late 1960s and early 1970s. When U.S. Congress passed the Americans with Disabilities Act (ADA) in 1990, no federal statute prohibited the majority of employers, program administrators, owners and managers of places of public accommodation and others from discriminating against people with disabilities. Toward the ends to assure equality of opportunity, full participation, independent living, and economic self-sufficiency for individuals with the disabilities, the ADA pursues three major strategies: Title I addresses inequality in employment, Title II, inequality in public services, and Title III, inequality in services and accommodations offered by private entities. The purposes of the study were to analyze the impact of the ADA on health care for persons with disabilities and to review the ongoing health policy reforms at the federal and state governments. Essential remedies that the ADA contemplates are based on two principles, simple discrimination and reasonable accommodation, which significantly improved access to quality care, especially long-term care, by persons with disabilities. However, the ongoing Medicaid policy reforms to control rising health care costs in the U.S. could threaten the access to care by persons with disabilities in optional groups and to optional care services by persons with disabilities in mandatory groups.

• 한국콘텐츠학회논문지
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• 제16권7호
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• pp.337-347
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• 2016

본 연구의 목적은 장애인의 지역사회 신뢰와 장애정체감이 장애인의 주관적 건강에 미치는 영향을 파악하고 사회경제적 지위의 조절효과를 검증하는 것이다. 이를 위해 장애인의 사회적 배제 척도개발에 사용된 조사 자료를 활용하였다. 분석결과, 첫째, 지역사회 신뢰와 장애정체감이 주관적 건강에 영향을 미치는 것으로 나타났다. 즉, 지역사회 신뢰와 장애정체감이 높아질수록 주관적 건강상태가 좋아지는 것으로 나타났다. 둘째, 사회경제적 지위의 조절효과를 분석한 결과, 사회경제적 지위는 장애정체감과 주관적 건강상태의 관계만 조절하는 것으로 나타났다. 즉, 장애정체감이 높아질수록 주관적 건강상태가 좋아지는 정도가 비수급자에 비해 수급자가 상대적으로 줄어드는 것으로 나타났다. 반면, 지역사회 신뢰와 주관적 건강상태의 관계는 조절하지 않는 것으로 나타났다. 이와 같은 연구결과를 토대로, 장애인의 주관적 건강상태를 증진시킬 수 있는 실천적 정책적 함의를 제안하였다.

• 디지털융복합연구
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• 제17권7호
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• pp.417-422
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• 2019

정보통신기술분야(ICT)의 발전은 우리의 삶을 더욱더 편리하게 하고 있으며 우리 삶의 다양한 영역에 많은 변화를 일으키고 있다. 특히 장애인의 정보 및 물리적 접근성을 가능케하며 장애인들이 노동시장 진입에서 겪게 되는 불편함을 해소하는 역할을 하며 ICT기반의 원격근무는 전통적인 근무환경과 직무배치에서 벗어나 물리적 접근성을 용이하게 함으로써 장애인을 위한 고용가능성을 향상시킬 수 있다. 이에 본 논문은 ICT의 발전이 장애인의 노동시장과 고용환경에 어떠한 변화를 일으키는지 알아보고 장애인을 위한 국내외 원격근무 사례를 소개하였다. 또한 ICT기반의 근무환경과 직무배치 활성화를 위하여 이 분야의 직무개발과 관련 교육 훈련의 체계화, 실무서 및 지원인프라 등을 포함한 원격근무 지원의 다양화 노력 등 몇 가지 필요한 전략을 제시하였다.

• 대한치과의료관리학회지
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• 제11권1호
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• pp.70-77
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• 2023

This study surveyed and analyzed attitudes toward people with disabilities, awareness of considerations in dental treatment for individuals with disabilities, the need for education on dental treatment for people with disabilities, and the educational requirements for dental hygienists working in dental medical institutions. The study was conducted to highlight the importance of dental treatment education for people with disabilities and to provide foundational data for future dental treatment education programs targeting dental hygienists. A total of 221 dental hygienists working in dental care institutions nationwide participated in a self-administered online questionnaire from November 2 to 15, 2022. This study concludes that there is a significant correlation between the attitudes of dental hygienists toward the disabled, their recognition of considerations in dental treatment for the disabled, the need for education on dental treatment for the disabled, and their educational experience in providing dental treatment for the disabled. In order to improve these factors, it is important to implement and expand systematic dental care education for people with disabilities in the school curriculum, as well as in supplementary education and seminars.