• 한국사회복지학
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• 제60권2호
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• pp.155-173
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• 2008

본 연구는 지역사회 내에 거주하는 재가 장애인의 신체적, 심리적, 사회 환경적 상황을 종합적으로 평가하여 그에 적합한 서비스를 제공하기 위한 욕구 중심의 사정도구를 개발하고, 개발된 도구를 활용하여 재가 장애인 200명의 사정 데이터를 수집한 후 데이터마이닝의 의사결정 나무분석 기법을 활용하여 욕구에 적합한 서비스제공을 위한 욕구 추출 알고리즘을 구성하였다. 본 연구는 2006년 6월부터 10월까지 5개월간 이루어졌으며, 크게 사정도구 개발과 개발된 도구를 활용한 욕구추출 과정으로 나뉠 수 있다. 도구개발은 문헌고찰을 통하여 기본적인 틀을 구성하였고, 포커스집단과 전문가들을 통하여 사정도구의 주관적 호소와 욕구 문항을 개발하였으며, 도구의 타당도를 확인하기 위해 통계적인 검증과정을 거쳤다. 검증결과 본 도구는 <표 2>와 <표 3>의 결과처럼 타당도와 신뢰도를 확보하였으며, 이 도구를 활용하여 욕구추출 알고리즘 요약을 <표 5>와 같이 제시하였다. 본 연구의 결과로 제시한 사정도구와 알고리즘은 재가 장애인의 객관적 욕구를 사정하고 확인함으로써 체계적인 사례관리를 수행하는 자료로 활용될 수 있다.

• Journal of Preventive Medicine and Public Health
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• 제53권3호
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• pp.189-197
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• 2020

Objectives: Our aim was to answer the following questions: (1) Can mental health variance be partitioned to individual and higher levels (e.g., neighborhood and district); (2) How much (as a percentage) do individual-level determinants explain the variability of mental health at the individual-level; and (3) How much do determinants at the neighborhood- or district-level explain the variability of mental health at the neighborhood- or district-level? Methods: We used raw data from the second round of the Urban Health Equity Assessment and Response Tool in Tehran (in 2012-2013, n=34 700 samples nested in 368 neighborhoods nested in 22 districts) and the results of the official report of Tehran's Center of Studies and Planning (in 2012-2013, n=22 districts). Multilevel linear regression models were used to answer the study questions. Results: Approximately 40% of Tehran residents provided responses suggestive of having mental health disorders (30-52%). According to estimates of residual variance, 7% of mental health variance was determined to be at the neighborhood-level and 93% at the individual-level. Approximately 21% of mental health variance at the individual-level and 49% of the remaining mental health variance at the neighborhood-level were determined by determinants at the individual-level and neighborhood-level, respectively. Conclusions: If we want to make the most effective decisions about the determinants of mental health, in addition to considering the therapeutic perspective, we should have a systemic or contextual view of the determinants of mental health.

• 간호행정학회지
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• 제11권1호
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• pp.67-77
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• 2005

Purpose: Needs of health-welfare-medical service for the elderly is rapidly increasing in Korea. The purpose of this study was to evaluate the needs of health-welfare-medical service for the long-term care elderly in the community and to compare differences by their characteristics. Method: Needs assessment was completed in the homes of 598 persons over 65 years by using the tool of needs assessment, between November and December, 2003. We examined all the health-welfare-medical service of elderly in the community. Data were analyzed using SAS program. Result: The needs of the long-term care elderly in community was largest 'home visiting service of visiting nurse(87.5%)', and then 'religious, psychological and emotional support(73.9%)', 'home visiting therapy of physician(58.5%)', 'social support service(55.7%)', 'health improvement program of public health center and social welfare center(51.8%)', 'health examination(48.8%)' followed. The difference of health-welfare-medical service needs among characteristics(age, medical security, caregiver existence, and regions) was statistically significant by service contents(p<0.05 or p<0.01). Conclusion: We can apply it in the distribution of community resource and the development of service providing programs by figure out the needs assessment for the long-term care elderly in the community, and consequently, through this, realizing the health maintenance and promotion of the long-term care elderly.

• 한국사회복지학
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• 제64권1호
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• pp.177-197
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• 2012

본 연구는 사회복지조직의 혁신적 측정을 위한 조직혁신성 척도 개발을 목적으로 하였다. 척도개발을 위해 먼저 문헌분석과 전문가 조사로 조직혁신성 측정을 위한 37개의 예비문항을 도출하였다. 다음으로 이들 예비 문항에 대한 사회복지현장실무자 178명 대상의 1차 설문조사자료로 실행한 탐색적 요인분석에서는 7요인(리더십 혁신, 팀워크 혁신, 업무 혁신, 프로그램개발 혁신, 환경관리 혁신, 프로그램기술 혁신, 아이디어 혁신), 31문항을 추출하였다. 이들 7요인 구조의 적절성은 2차로 실시한 사회복지현장실무자 409명 대상의 설문조사자료에 대한 확인적 요인분석을 통해 검증되었다. 또 조직혁신성 척도의 7개 하위 요인 모두는 조직혁신문화 변인과의 상관관계분석에서 정(+)의 유의한 관계로 나타나 조직혁신성 척도의 준거타당성이 확인되어 추후 연구에서 사회복지조직의 혁신적 측정에 유용한 도구로 활용되어질 수 있음을 보여주었다.

• 대한간호학회지
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• 제26권4호
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• pp.743-758
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• 1996

This paper was done to verify the use of the Profile of Mood States (POMS) which was developed by McNair, Lorr, and Droppleman(1992) with modifications so that it is appropriate for Korean elders. Through the modified tool, it is possible to examine the mood of Korean elders and to contribute to the welfare of elders. The subjects were 370 elderly persons over 60 years old and the data for 319 persons(86%) were analyzed. The research tool was the POMS translated by Yun(1993) and corrected by the researcher. Data were collected between February 12 and April 9 in 1996 and analyzed using the SAS package. The result are as follows 1. Items with low Cronbach coefficient alpha which means low correlation with total items were removed. The items were removed : friendly, tense, considerate, relaxed, sympathetic, resentful, good-natured, rebellious, trusting, carefree. 2. Overlapped or ambiguous items were discussed by colleagues and elders through verification of con-tent-validity and were removed. Five items were removed in tense-anxiety, seven, in depression-dejection, three, in vigor-activity, three, in fatigue-inertia, two, in confusion-bewilder-ment, five, in friendliness, and six, in anger-hostility. Thirty four items remainined : angry, clear-headed, lively, confused, sorry, shaky, list-less, peeved, sad, active, blue, hopeless, spiteful, uneasy, unable to concentrate, fatigued, helpful, nervous, lonely, cheerful, bitter, exhausted, anxious, ready to fight, sluggish, helpless, alert, deceived, efficient, worthless, forgetful, terrified, vigorous, and uncertain about things. 3. Factor analysis was done in order to confirm construct validity and three factors were obtained from the result. The first factor, 'anxiety-depression' included 21 items, the second factor, 'vigor' included eight items, and the third factor, 'anger' included five items. Cronbach coefficient alpha for the 34 items was. 95. Based on the result, the following is suggested : 1. a contribute to elder's welfare can be made by examining Korean elder's mood in life. 2. there is a need to develop tools appropriate to Korean culture which can be used to examine elders' mood. 3. The modified POMS tool needs to be reverified with appropriate age groups and settings.

• 한국실내디자인학회논문집
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• 제24권3호
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• pp.165-175
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• 2015

Korean medical welfare facilities for the elderly provide the conveniences to care geriatric illness such as dementia and stroke. The medical welfare facility categorizes elderly care facilities, nursing homes, and geriatrics hospitals based on the Korean welfare of the aged act. The government makes an effort to secure feed rate and finances of medical welfare facilities. However, the qualitative improvement of facilities is inadequate. The purpose of this study is to analyze the conditions and problems of existing facilities using an environmental evaluation and to discuss the improvement direction related to the daycare centers for the elderly. The method of this study is literature review and field survey. Firstly, we analyzed the previous studies to develop the tool, evaluating the environment of day care centers for the old. Secondly, the items of environmental evaluation are deduced. Thirdly, we select the facilities to conduct field survey and analyze the results of field survey. Lastly, We discussed the problems and improvement directions through the results. It is judged that this study is an useful as the basic guideline to strengthen the minimum legal standards of day care center for the elderly due to the suggestion of insufficient environmental evaluation items.

• International journal of advanced smart convergence
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• 제9권1호
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• pp.47-53
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• 2020

This study intended to analyze whether the system of voucher system, which was introduced as a policy tool to expand social services, was dependent or evolving through the research methodology of historical institutionalism. The voucher system is being introduced to emphasize the user's focus in the existing supplier-centered service provision system, but problems with the existing system have been found so far. We found that despite the shift in welfare paradigm from the remaining welfare supply to universal welfare in the past, the company was partially following the existing supplier-centered social service system. However, We found that new instruments for establishing legal systems and the path evolution factors are now being developed and matured within the voucher system. In other words, it was possible to predict that the voucher system would become more positive and mature in the future through logical changes in the system. Based on the results of the analysis of the voucher system, policy suggestions for policy values and objectives that were initially oriented toward the system were presented.

• The Journal of Asian Finance, Economics and Business
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• 제8권4호
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• pp.181-191
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• 2021

The aim of the study is to empirically investigate and analyze the influence of public welfare, audit findings, and follow-up of audit recommendations on audit opinion with the disclosure level of financial reports as an intervening variable using agency theory and signaling theory. To achieve this purpose, a quantitative research method was employed. Population of this study is Provincial Government Financial Reports in Indonesia for fiscal years 2016 to 2018. There were 84 financial reports that met the criteria of purposive sampling. The data were gathered from the websites of the Audit Board of the Republic of Indonesia and the Indonesian Central Bureau of Statistics. In this study, the hypothesis-testing tool is path analysis using the Statistical Package for Social Sciences version 15. Based on the multiple regression analysis, the results show that audit findings, public income, and the disclosure level of financial reports significantly influenced audit opinion. Besides, the follow-up of audit recommendations and public health significantly influenced audit opinion through the disclosure level of financial reports. This study suggests that, in order to have better audit opinion, local governments need to improve public welfare, follow-up audit finding, and disclose more details in financial report.

• 대한통합의학회지
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• 제6권3호
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• pp.83-92
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• 2018

Purpose : The purpose of this study was to develop an index of usability that reflects the needs and characteristics of the elderly. The usability index is used primarily to assess issues in the usability of a product. Methods : In this study, 22 items for mobile toilet usability index were developed by consulting with 12 elderly users, 6 caregivers, and 12 experts. The usability evaluation index was intended to increase reliability through preliminary and main evaluations. In addition, the validity of the items used as the usability evaluation index was verified to prove that the index is effective for the evaluation. Result : The usability index is a welfare tool developed by gathering data from various sources such as previous studies dealing with usability evaluation, characteristics of users, range of use, and environment of product use. Conclusion : The development of the usability index for mobile toilets was useful for the user to quantitatively derive the problem of the product. Consequently, user needs and usability problems can be identified, which can help improve product quality.

• 대한간호학회지
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• 제31권6호
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• pp.1021-1033
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• 2001

This study sought to find a nursing intervention tool for enhancing elderly women's lives by investigating the causes and the meaning of their grief. Method: This research was derived from a phenomenological tool such as qualitative research design. The data collection took place from December of 2000 until April of 2001 Through systematic interviews and participatory observations of five elderly women attending C welfare center located in downtown Seoul the data was collected. Each interview lasted an hour and a half and was arranged five times. The analysis of this research was conducted using the Giorgi method. Results: \circled1 There was obvious physical and physiological decline caused by aging old; as well as there being spouse health problems, additional physical suffering, signs of senility, and insomnia, \circled2 Further grief was imposed by unpleasant memories of the spouse; infidelity, incapability, and even disregard of her own well-being, \circled3 Then there was pity for children; unfaithful children, uncertain futures of the children, and early death of a child, \circled4 Also, regrettable fate, painful daily acttrities, unreliable factors, bad circumstances, and feelings emptiness were reported, \circled5 Finally, anxiety for the future; ac sense of despair, loneliness, economic hardship, and the fear of imminent death increased grief levels. Conclusion: A variety of programs and social meetings for the elderly to overcome their physiological or psychological crisis should be substantially developed and supported by the government. In order to implement the social welfare for the elderly women, special consideration whether on the governmental level or the personal level, should be devoted to the elderly who live without any financial support or social concern.