• The Journal of Korean Physical Therapy
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• 제22권5호
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• pp.95-102
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• 2010

Purpose: The purpose of this study was to analyze the necessity of home visit rehabilitation therapy by rehabilitation professionals working at social welfare facilities. Methods: The subjects of this study were 227 rehabilitation professionals (social worker, nurse, physical therapist, occupational therapist, speech-language therapist, special education teacher, and staff of institutions for the disabled who were working at community rehabilitation centers. The data were collected over 65 days (2008. 09. 10~11. 14). The results were analysed statistically by the Chi-square test. Results: The results are as follows: Long-term care service was established in Korea by the Ministry of Health in July, 2008. But there are limits to their being able to provide various rehabilitation services for chronic patients and old people. According to a recent survey, almost all rehabilitation professionals (N=227) stated that home visit rehabilitation therapy is necessary. Conclusion: In Korea, the long-term care service has a nursing service and a service supporting physical activities of daily living, but not physical therapy. So, home visit rehabilitation services should include physical therapy, rehabilitation exercise, and pain management.

• 농촌지도와개발
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• 제16권2호
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• pp.337-362
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• 2009

The purposes of this study are to review the community-based care programs for the elderly among NPOs, focused on the Regional Council on the Social Welfare and Elderly Club, in Japan and to examine the way these programs help the community elderly to live independently in their own home in the community. First, the community welfare policy for the aged and service delivery organizations in Japan are reviewed. Second, using the informations about the elderly support programs carried out by the Regional Council on the Social Welfare and Elderly Club, various kinds and processes of specific programs developed to meet the local characteristics are introduced. Applicability of these programs to rural Korea is discussed.

• 보건의료산업학회지
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• 제5권3호
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• pp.77-88
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• 2011

As same time of starting on the Korean Long-term Care Insurance System, the government developed a program to train new qualification of long-term care workers. The number of enrolled long-term care workers are 950,000 persons in 2010. Mostly they are working in home based care work places such as home visit care centers and home visit bathing centers covered insurance. The purpose of this study is to understand the difference of task performance requirement according to long-term care workers' responsibilities which divided into home visiting care and home visiting bathing. The comparison analysis was conducted to task performance requirement in basic management, safety management, administration management, practical services. Key result was found that task performance requirement of long-term care workers whose responsibilities are home visiting care were more higher than the home visiting bathing. Finally, To improve quality of home visiting care and home visiting bathing, it is necessary to provide the fields based continuing education and reflect new reimburse system.

• 한국사회정책
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• 제23권1호
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• pp.227-256
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• 2016

본 연구는 노인 재가서비스의 확대가 노인을 돌보는 가족 구성원의 생활시간에 미친 효과를 분석하였다. 고령화와 가족구조의 변화 등으로 노인에 대한 가족의 돌봄부담이 가중되면서 공적 노인돌봄서비스를 확대해야 한다는 사회적 공감대가 형성되었고, 2000년대 이후부터 관련 제도가 본격화되었다. 본 연구에서는 가족의 노인돌봄 부담을 구성원이 직접 노인을 돌보는 부분과 이로 인해 노동이나 가사, 여가 등의 다른 주요 생활에 제약을 받는 부분으로 구분하고, 노인 재가서비스의 확대로 이러한 부담이 감소하였는지를 확인하였다. 분석자료는 통계청의 생활시간자료를 이용하였으며, 제도 확대의 효과는 건강이 취약한 노인을 돌보는 중하위 소득수준의 가구를 처치집단으로 삼아서 비교적 건강한 노인을 돌보는 가구 및 고소득 가구와의 비교를 통해 제도 효과를 추정하는 삼중차이(DDD) 방법을 통해 확인하였다. 분석결과, 노인 재가서비스의 확대는 노인을 돌보는 가족 구성원의 노인돌봄 시간을 감소시켰다. 이는 제도 확대의 목적과 부합하는 결과이지만, 돌봄 시간의 감소 정도가 크지 않았고, 여성 가구원에게만 그러한 효과가 관측되었다는 점에서 한계도 드러났다. 또한 노인돌봄 시간이 감소한 여성 가구원의 경우에도, 가사, 노동, 여가, 비노인돌봄 및 개인유지 등의 다른 생활시간 범주에서는 유의미한 변화를 보이지 않았다. 가족의 노인돌봄 부담을 실질적으로 줄이기 위해서는 공적돌봄의 대체효과를 높이기 위한 노력이 더 필요해 보인다.

• 호스피스학술지
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• 제5권1호
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• pp.50-62
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• 2005

The elderly people was over 8.3% in 2003. This seament is projected to grow to 14.4% by 2019(Aged society) and over 20% by 2026(Super aged society). As the elderly population is increasing and young population is declined social issues around elderly care are emerged in Korea. As a result of that, they are in the condition of poor system of the welfare of the old and it is the worst one in Korea. And because of the worst financial independence and difficulty in Korea, welfare facilities and medical instruments are so insufficient and deteriorated, so the quality of service is getting low. Furthermore the mortality of cancer is rapidely increased in recent years. So it is expected that the number of families who are caring for terminal cancer patient will be increased. We can not solve those problems only with government's policy such as to secure ample budget and to enlarge the aged welfare institutions. Definitely, to acheve the suggetions persistence concern about old people is most important, and family, community and national government should be linked to accomplish to goal. Accordingly, for this study attempts to provide conceptual framework of the respite care, spiritual care and home hospice, nursing home for the elderly. And this study is to discuss the necessity and effect about the construction of housing welfare infrastructure and to make a cooperation and linkage system among the aged welfare institutions, government and the aged welfare programs. As is well known, the issue of the increasing aged people is neither a matter of individuals nor of the family, but rather a complex matter of whol society. Therefore it can be resolved by the active participation of government. Conclusively this study tries to provide an direction of the improvement with regard to the welfare policy for the elderly. The study is as follwos: Chapters 1: The theological base, conception, essentiality, respite care, spiritual care and home hospice, nursing home for the elderly. Chapters 2: Definitions of respite care, spiritual care, hospice, patient of termina cancer and quality of life. And relations between respite care and nursing home. Chapters 3: The necessity of long-term care insurance and the perspectives of spiritual care. Chapters 4: Conclusions and summarizing(The directions of improvement of welfare policy for the elderly). To sum up, the problems of the aged people has not effects only to the aged people. This means that the problems of aged is the problems of the young generation today. Because young generation will be the old generation in the near future.

• 지역사회간호학회지
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• 제10권1호
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• pp.106-120
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• 1999

Japan has been prepared for aging society from 1970. In 1970, the percentage of distribution of population of 65 years old and over was 7.1%. It is similar to present percentile of the elderly in Korea. Therefore, it will be needed to study about home care and home visiting nursing in Japan at present. This study was aimed to prepare the fundamental documents for home care nursing in Korea and to know the background of new health care system of Long-term Care Insurance in Japan, by studying home care and home visiting nursing in Japan. With the continuing aging of the population, especially the increase in the number of latter stage elderly, it is predicted that there will be an increase in the number of the elderly who are bedridden and suffering senile dementia. To ensure that these people will be able to continue living in the communities and homes they are accustomed to, surrounded by their families and neighbors, Japan substantially improve and expand in-home services. There were also long-term effort to reach the level of services outlined in the Gold Plan and the New Gold Plan within the decade between FY 1991 and FY 1999 in the field of health care and welfare. Under this plan, the most noticeable change was occurred in home care, home was permitted as the field of care and visiting nursing was established in law. Through this 10- Year Strategy for Promotion of Health and Welfare Services for the Aged, many problems have been improved and solved, but some problems remained such as inadequate service supply and consumption of medical insurance for the elderly. Japan will be a society composed 25% of elderly people of total population in 2020, and it will be soon faced with a shortage of welfare and medical facilities and manpower. As for equalizing the benefits and cost burdens, and other future arrangements for health care and welfare, Long-term Care insurance system was established in 1994. This system will be enforced from April 2000 and use present facilities and services. To know home care and home visiting nursing in Japan, we need to consider present conditions well and to take notice of changes and measures to cope with an aging society continuously.

• 한국노년학
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• 제27권2호
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• pp.445-458
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• 2007

본 연구는 재가노인의 문제를 해결하는 데 있어서, 지역사회가 중심이 된 다양한 자원에 접근하기 위한 기초자료를 제공하기 위해 노인의 지역사회 거주의사와 이에 영향을 미치는 요인들을 알아보고자 하였다. 이를 위해 <2005년 부산광역시의 사회복지 욕구 조사> 데이터를 이차자료로 활용하여 분석하였다. 조사대상은 부산광역시에 거주하는 65세 이상의 노인이 포함된 1,673가구이고, 이 가구의 노인이 해당 설문에 직접 응답하였다. 자료 분석방법은 로지스틱회귀분석을 이용하였다. 이를 통해 나타난 연구결과는 다음과 같다. 첫째, 노인의 80%가 지역사회에 거주하고자 하였고, 자녀가 없는 경우(55.2%)는 배우자가 없는 경우(76.4%)보다 지역사회거주의사가 낮은 것으로 나타났다. 둘째, 지역사회 거주의사에 건강할 때에는 자가유무, 자녀유무, 배우자유무, 지역사회자원지각정도, 만성질환수가 적은 경우가 유의미한 영향요인으로 나타났고, 병약할 때에는 교육정도, 기초생활수급유무, 직업유무, 일상생활수행정도, 만성질환수, 자녀유무, 배우자유무가 유의미한 영향요인으로 나타났다. 특히 병약할 때에는 자가유무, 국민기초생활수급유무와 같은 사회경제적 변수가 가족변수보다 더 큰 영향을 미치는 것으로 나타났다. 셋째, 지역사회 거주의사를 가진 노인들의 재가복지서비스이용의사욕구는 낮은 편이었다. 마지막으로 본 연구결과를 통한 정책적 제언과 제한점이 논의되었다.

• 농촌의학ㆍ지역보건
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• 제32권1호
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• pp.27-39
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• 2007

Objectives: The challenge of an increasing elderly population has coupled with everpresent social concerns in Korea. A major problem in health center for the frail older people is that medical, healthcare, and welfare services are often fragmented in terms of providers and settings without appropriate coordination. The purpose of this study was to investigate the need of health center-based integrated healthcare services and its related factors for the elderly. Methods: A total of 110 elderly people who had visited at a county Health Center were interviewed using a self-administered questionnaire from November to December, 2005. The questionnaire consists of five domains according to the Program of All-inclusive Care for the Elderly. Results: Respondents had high need (total mean score with the 5-point Likert-type sacle: 3.67) of health center-based integrated healthcare services including home visiting service (mean: 4.08), chronic disease care service (mean: 4.06), and transportation service (mean 4.05). According to the results of hierarchical multiple regression analysis, among three regression models the magnititude of the variance of full model that is explained by the need of welfare-domain service was significantly larger than two reduced model. Income was a significant variable in increasing the need of health care and welfare services. Conclusions: This study suggests that the health center-based integrated healthcare services for the elderly must be continuously developed and provided for the health promotion and improved the quality of life of the elderly who live in rural area in Korea.

• 한국주거학회논문집
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• 제11권4호
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• pp.35-42
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• 2000

The purpose of this study is to prepare desirable elderly housing facilities system in compliance with various characteristics of each region and to help establish policies regarding elderly housing facilities. Present realities and problems of the eight free welfare facilities of two sorts, a free home for the aged and free nursing home in Jeju Province have been studied. In Jeju Province, the average life span and the ratio of the aged people older than 65 are longer and higher than other provinces and the mentality of self-reliance is more widespread. The results are as follows : 1) The average age of the aged is 70 or older and more facilities are located in rural districts. 2) Some facilities are located in the places where are not adequate for life of the aged, and not even suitable as welfare facilities for the aged. 3) Housing environmental conditions of the facilities are relatively good, while indoor facilities for recreation and social life were not well equipped. 4) Life in the facilities can be assessed relatively free, while individual privacy is not well protected. 5) Major community contacting activities included home help service, participation in regional activities, opening facilities to the community.

• 지역사회간호학회지
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• 제15권4호
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• pp.551-565
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• 2004

Purpose: The purpose of this study is to develop a day care center model focused on public health institutions for the elderly residing in their homes. Method: Research design for this study was a mult-level research, which consisted of a related literature review, an Internet search for knowledge of the current situation at home and abroad, on-site interviews, questionnaires collected from a sample of residents in a rural area, and a key-informants approach. Results: 1) The subjects of service - Generalized service should be provided to the elderly, 65 years and older, regardless of their assets. 2) The contents of service - Providing pre-health oriented and post-social welfare service that can integrate and satisfy a wide variety of public health and welfare needs of the elderly would strengthen the health care service of a day care center for the elderly. 3) Delivery system - Basic-level local self-governments should become a central operating body, and establishing a properly adjusted delivery system to a rural area after considering the efficiency and the access of vulnerable rural areas is needed based on modification of 'a Special Law for Agricultural and Fishery Areas' (rural public health center>rural health sub-center ${\rightarrow}$ unified health sub-center ${\rightarrow}$ public health hospital (public health center) ${\rightarrow}$ public welfare office). 4) Facility - Public health facilities such as public health centers and sub-centers should be located in areas that can easily access the facilities. 5) Funding - For day care center for the elderly in local self-government, the central government should modify a relevant implementation of subsidy in and provide some facilities and service regardless of the degree of self reliance of local self-government. 6) Human resources - It is needed to guarantee the period of workers of a day care center for the elderly, at least 3 to 5 years, with considering their specialty on aged care and avoiding circulation based positions. Furthermore, appropriate specially trained personnel such as medical workers and social workers should be placed to take care of both health service and welfare through strengthening of 'rules of law of elderly welfare,' Conclusion: future research is needed to test the model through a demonstration study using a model which may be developed in the future and to standardize the appraisal criteria of people hoping to enter a day care center for the elderly.