• Title/Summary/Keyword: 가정방문

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Cost Analysis of Home Nursing Care Patients in Rural Hospital (농촌 지역 중소병원의 가정간호사업소 등록환자의 방문비용분석)

  • Kim, Jin-Soon;Kum, Ran;HwangBo, Soo-Ja
    • Journal of agricultural medicine and community health
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    • v.24 no.1
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    • pp.91-101
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    • 1999
  • The home nursing care system is an integral part of the health care delivery system in order to meet the various needs of consummer, in particular, early discharge patient from the hospital, patient with long term care needed and the elderly. To find out the cost of home nursing care services, the home nursing care records of patients registered by home nursing care units established in public hospital with 150beds during the period of 1996 - 1997 were analyzed. The subjects were 102patients, 45 of male patients and 57 of female patients, those who live in a rural area in Kymiggi - Do The results obtained are as follows : 1. The male patients accounted for 44.1% of the total, with 45cases : group aged 60 years and more was the largest group, accounting for 79.5%. 2. The most frequent disease revealed was the osteoporosis which constitute 35.3% of the total registered patients, followed, in order, by malignant tumor, cerebrovascular disease. 3. It revealed that the cost per visit for the male was 47,764won ; the female, 46,078 won per visit. Noteworthy the cost per visit was high in the older patient. It was clearly that the gender, years of age and the cost per visit were statistically significant at 0.01 level and 0.05 level. 4. The cost per visit for the non complicated disease was slightly higher than the complicated disease, but it is not statistically significant, the cost per visit by type of disease varied, the cost per visit for COPD was the highest, followed, in order, by in malignant tumor, cancer, diabetes, osteoporosis etc. 5. It revealed that home nursing care cost for a eligible disease for home nursing care was less than the cost for hospitalization of the same disease, therefore, we expect that the home nursing care is cost efficiency. In conclusion, the home nursing care costs are needed to analyze further in comparison with the hospitalization costs for a certain disease.

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Customer Segmentation of a Home Study Company using a Hybrid Decision Tree and Artificial Neural Network Model (하이브리드 의사결정나무와 인공신경망 모델을 이용한 방문학습지사의 고객세분화)

  • Seo Kwang-Kyu;Ahn Beum-Jun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.7 no.3
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    • pp.518-523
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    • 2006
  • Due to keen competition among companies, they have segmented customers and they are trying to offer specially targeted customer by means of the distinguished method. In accordance, data mining techniques are noted as the effective method that extracts useful information. This paper explores customer segmentation of the home study company using a hybrid decision tree and artificial neural network model. With the application of variance selection process from decision tree, the systemic process of defining input vector's value and the rule generation were developed. In point of customer management, this research analyzes current customers and produces the patterns of them so that the company can maintain good customer relationship. The case study shows that the predicted accuracy of the proposed model is higher than those of regression, decision tree (CART), artificial neural networks.

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Violence Victimization of Visiting Nurses and Prevention Strategies Adopted by Public Institutions in Korea (방문간호사가 경험하는 폭력의 특성과 예방대책)

  • Kim, Hee Gerl;Nam, Hye Kyung
    • Journal of Home Health Care Nursing
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    • v.24 no.3
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    • pp.243-254
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    • 2017
  • Purpose: This study aims to reveal violence victimization of visiting nurses and investigate the coping and prevention strategies adopted by public institutions. Method: The data were collected over three weeks in 2017 using self-report questionnaires from 237 visiting nurses. Data were collected between August 23 and September 15, 2017. Result: Among the respondents, 74.7% had experienced some types of work-related violence during the past year. Verbal abuse (65.4%) was most common, followed by physical threat (46.8%), sexual abuse (43.9%), and physical violence (5.5%). The nurses perceived the most common cause of violation as socio-economic frustration of the offenders vented out on the nurses. Besides, most reported offenders had mental health problems. The two most effective measures to prevent violence faced by the nurses are terminating visiting services for the offenders and implementing the buddy system, which has rarely been used in practice. Conclusion: These findings show that visiting nurses are exposed to a risk of serious abuse in everyday work life, and the nurses themselves or institutions have failed to handle the violence, showing shaky responses at best. Therefore, it is necessary to establish internal regulations and systems at the institutional level that can help prevent violence against visiting nurses.

Study Based on Grounded Theory about Job Experience of Visiting Supervisors for Multicultural Families (다문화가정 방문교육지도사의 직업경험에 관한 근거이론연구)

  • Lee, OBok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.10
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    • pp.6092-6101
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    • 2014
  • This study examined the job experience of visiting supervisors for multicultural families. To achieve the goal of this study, data was collected by in-depth interviews with 7 visiting supervisors for multicultural families. For an analysis of the data, the grounded theory approach by Strauss and Corbin [11] was employed. The results of an analysis of the categories are detailed below. Through an open coding process, a total of 124 concepts, 33 subcategories, and 13 categories were produced. The central phenomenon was 'uncertain employment '. From the axial coding, the causal conditions were 'employment for economic reasons' and 'frequent policy and regulation changes'. The contextual conditions were 'uneasiness about the evaluation result', 'unilateral work instruction system', and 'little improvement of treatment'. Intervention conditions were 'high level of satisfaction with work', 'handy source of income', and 'no other alternative'. Action/interaction strategies were 'efforts for contract extension' and 'receptive attitude'. The consequences were 'hope to retain employment' and 'agonizing over their rights'.

A study on the relationship with fathers' beliefs on child rearing & children's self-perceptions (양육행동에 대한 아버지신념과 아동의 자기능력지각과의 관계)

  • Song Soon;Song Hee-Ok
    • Journal of Families and Better Life
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    • v.23 no.1 s.73
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    • pp.197-208
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    • 2005
  • The purpose of this study was to investigate the relationships between father's beliefs on child rearing and children's self-perceptions. The subject of this study were comprised of 167 third-grade children (ages 8-10) and their father. To summarize major findings from the analyses : First, a significant difference was found in the degree of father's beliefs about child rearing by number of child , father's education, father's job, level of life, relationship between father and child in independence and by number of child, level of life, relationship between father and child in accommodation. Second, children's self-perception was related to father's education, father's income, father's job, relationship between father and child, child's gender, father's marital satisfaction, father's job. Third, according to the multiple regression analyses for the relationships between father's beliefs about child rearing and children's self perceptions, there was a positive relationship between father's belief's on the creativity, problem-solving skill, accommodation. Father's SES status, relationship between father and child was a positive relationship children's self-perceptions. Father's beliefs on the creativity was a positive relationship children's self-perceptions but father's belief's on the accommodation was a negative relationship children's scholastic performance, behavioral conduct.

The Effect of Job Characteristics on Emotional Empowerment in Visiting Health Personnel (방문간호서비스의 직무특성이 방문보건인력의 심리적 임파워먼트에 미치는 영향)

  • Lim, Ji-Young;Kim, In-A;Kim, Ji-Yoon
    • Journal of Home Health Care Nursing
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    • v.15 no.1
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    • pp.14-21
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    • 2008
  • Purpose: The aim of this study was to analyze the effects of job characteristics on emotional empowerment in visiting health personnel. Methods: Subjects were recruited in ten community health care centers in one directorial area. Data collection was done using a self-report questionnaire. Job characteristics of visiting healthcare personnel were measured using the questionnaire developed by Kang (2006), based on Hackman & Oldham (1975). Emotional empowerment was measured using the questionnaire developed by Kang (2006), based on Spreitzer (1995). Results: First, the score of job characteristics was revealed to be 3.51 points the task significance was high, and the feedback was low. Second, the level of emotional empowerment was revealed to be 3.78 points the meaning was high, and the impact was low. Third, the prediction power of job characteristics on emotional empowerment was 34% autonomy, task identity, and task significance were identified as statistically significant predictive factors. Conclusion: The job characteristics of visiting healthcare personnel are highly correlated with emotional empowerment. Autonomy, task identity, and task significance are predictive factors of emotional empowerment. These results can be used to develop more effective job planning for increasing organizational effectiveness in visiting healthcare personnel.

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Factors influencing Health Promoting Behaviors of Visiting Nurses in Seoul (방문간호사의 건강증진행위에 영향을 미치는 요인 - 서울시 방문건강관리사업을 중심으로 -)

  • Kim, Yun Su;Baek, Hee Chong
    • Journal of Home Health Care Nursing
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    • v.25 no.2
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    • pp.209-218
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    • 2018
  • Purpose: This study is to identify the health promoting behaviors, health belief, and self-efficacy of visiting nurses working for the Health Visiting Project in Seoul and to determine the predictors of influencing health promoting behaviors. Methods: Data were collected from an online survey of 496 visiting nurses form 25 districts in Seoul. Using SPSS ver. 24, the study performed descriptive statistics, t-test, one-way ANOVA, correlations, and stepwise multiple regression. Results: The mean scores for health promoting behaviors and self-efficacy were slightly higher than that of the median, whereas health belief showed in the median. The factors influencing health promoting behavior were perceived barriers, perceived sensitivity, self-efficacy, and age. These variables explained 36.0% of health promoting behaviors(F=60.62, p<.05). Conclusion: To prevent illness and to promote the health of the population, the visiting nurse mainly performs health screening, health education and counseling. To fulfill these responsibilities, the visiting nurse should be healthy and perform health promoting behaviors well, effectively serving as a model for their clients. Most of the visiting nurses were middle-aged, thus, it is necessary to strengthen health promotion activities that manage physical and psychological health at the individual level.

Needs assessment of a home-visit safety management training program for visiting nurses (지역사회 방문간호사의 가정방문 안전관리를 위한 실무교육 요구 분석)

  • Kim, Eunjoo;Kim, Hyori
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.2
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    • pp.138-147
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    • 2023
  • Purpose: This study aimed to identify the concrete educational needs of visiting nurses working in a community health setting in Korea. Methods: We conducted four focus group interviews from October 7 to October 18, 2021. Twenty-five visiting nurses who worked in public health centers were recruited through purposive sampling. A qualitative content analysis was used to analyze the interview data. Results: The demands of educational contents for visiting nurse safety management practical training were: (1) coping with physical and verbal violence, (2) coping with sexual violence, (3) infection control for infectious diseases with a high prevalence in the community, and (4) preventing and coping with animal bites during home visits. In addition, visiting nurses suggested training programs that comprised: (1) case-based learning, (2) short video clips, and (3) recurrent integrated education. Conclusion: Safety management training programs for visiting nurses should be implemented to the extent that they add no burden on their workload and are easily accessible at any time. In addition, training programs should be based on actual cases and be focused on contents that can be applied in home visit situations. A practical safety management training program should be developed based on the educational needs of visiting nurses, as identified through this study.

The Status of Home-Based Hospice Care in Korea (국내 가정 호스피스 운영 실태)

  • Park, Chai-Soon;Yoon, Soojin;Jung, Yun
    • Journal of Hospice and Palliative Care
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    • v.16 no.2
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    • pp.98-107
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    • 2013
  • Purpose: This study was conducted to investigate how home-based hospice care is provided in Korea. Methods: From July 2011 through August 2011, 29 hospice facilities that provide home-based hospice care were surveyed using a questionnaire. Items included in the questionnaire were general characteristics of the organization, staff members, service programs, difficulties. Results: Among the surveyed, hospice care was hospital-based for 11 (37.9%) facilities, hospital-independent center-based care for four (13.8%) and home-based care only for 10 (34.5%). Near half the participants were located in Seoul and Gyeonggi-do. Caregivers included nurses for 62.1% of the participants, volunteers 62.0%, pastors 44.8%, social workers 37.9%, coordinators 31.0% and doctors 31.0%. The facilities offered service programs such as family counseling (96.6%), transfer to other facilities (93.1%), psychological support (89.7%), bereavement support (86.2%), dying care (79.3%), clinical care (75.9%) and spiritual support (75.9%). The major obstacles were financial issues (24.1%), lack of trained staff (20.7%) and staff members' lack of awareness of home-based hospice care (13.8%). Conclusion: In Korea, home-based hospice care is provided by an insufficient number of facilities. Moreover, the service providers are experiencing difficulties such as lack of trained staff, insufficient financial resource and staff's lack of awareness of home-based hospice care. It is necessary to increase the number of home-based hospice care facilities with consideration of even distribution across regions and standard staffing and service programs and develop related insurance policies.

A Comparative Study on Estimation Models for the Value of Access to a Natural Recreation Site: Focusing on the Estuary Area of Yeongsan River (자연휴양지 방문편익 추정모형의 비교 연구 - 영산강 하구를 대상으로)

  • Shin, Youngchul
    • Environmental and Resource Economics Review
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    • v.21 no.4
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    • pp.981-998
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    • 2012
  • In this paper, several count data model of travel cost recreation demand with Poisson and negative binominal specification are applied to estimate the value of access to the estuary area of Yeongsan river from visitor survey data. The results show that the negative binomial model that accounts for truncation and overdispersion provides the better goodness-of-fit, and therefore the value per visit(i.e. consumer surplus) is 89,350 won for resident of Jeolla province and 432,526 won for that of other provinces. If don't correct overdispersion by relying on Poisson estimates, the consumer surplus will be underestimated. Whereas the consumer surplus will be overestimated unless correct truncation by using estimates of untruncated models. As a result, the truncated negative binomial model should be applied to estimate the travel demand and the consumer surplus per visit by using survey data from single site visitors.

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