• Title/Summary/Keyword: 노인시설의 운영모형

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노인복지시설의 호스피스 운영모형 개발

  • Yun, Eun-Gyeong
    • Korean Journal of Hospice Care
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    • v.2 no.1
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    • pp.1-20
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    • 2002
  • The purpose of this study is to develop a management model to effectively provide hospice service of nursing home. In a method of study to achieve this purpose, a positive research and literature study have been performed at the same time. Concerning contents to be examined as a definition of notions and patterns about hospice for the aged, foreign hospice and structural elements of hospice management, a literature study to support a theoretical background has presented leading studies as an analysis form of this study through analyzing domestic and foreign literature, thesis, journal and so on. In order to attain the purpose of this study, the positive research is to carry out a survey of demand and desire of people who have already got hospice service in the first place as a fact-finding survey related to the subject of hospice service, investigate organizations to operate nursing home and hospice and relevant experts in the second place as a survey of supply system to provide hospice service, and develop an appropriate management model to connect the demand and supply of nursing home through it. Therefore, this study has developed a delivery system and a chart of the practical trend to be done minutely, presenting a model to manage a hospice of nursing home based on the above results. The management model externally has connected medical team of hospital with hospice team of home based on a community, and internally is composed centering on five elements such as administrative organization, manpower, program and contents of service, finances. In practical model of hospice management of nursing home, in order to plan a program, provide service and give a high-quality service to the aged, this study has presented a trend chart of service management on the basis of five structural elements, an analysis form of this study. In conclusion, this study could present data to develop a hospice in the field of nursing home for the aged by showing a model concerning a hospice management of nursing home, but in my opinion, a following study to be detailed and developed even more than this study should be continued.

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Effects of service quality to service satisfaction and decision making in elderly care facility (노인요양시설의 서비스품질이 서비스만족과 의사결정에 미치는 영향)

  • Kim, In;Shin, Hakgene
    • 한국노년학
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    • v.29 no.2
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    • pp.579-591
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    • 2009
  • The purpose of this study is what are the factors affecting decision making for selection of social welfare facility, esp., elderly care facility. The resident's selection for social welfare facility are relatively new terms in the Korean social work. To explore the factors, we employed an empirical study. The collected data was analyzed by using SEM(Structural equation modeling). As the results, the standardized regression coefficient of the hypothesis that the service quality will affect the service satisfaction is equal to 0.555(t=6.723, p<0.01) and the coefficient that the service satisfaction will affect the decision making is equal to 0.766. The absolute fitness of the SEM model shows χ2 = 580.151(d.f.=317, p-value=0.000) and RMSEA=0.063, so that the model is absolutely fit. Since CFI=0.915, the model is comparatively fit. Conclusively speaking, the hypothesis that service quality affects to service satisfaction was supported. The hypothesis that service satisfaction affects to decision making was also supported. By accounting for the results of the analysis, this study verified the service quality leading to service satisfaction is an important factor for resident to select a residential facility.

A Decision-support System for Care Plan in Long-term Care Insurance (의사결정나무기법을 활용한 노인장기요양보험 표준급여모형 개발)

  • Han, Eun-Jeong;Lee, Jung-Suk;Kim, Dong-Geon;Kwon, Jinhee
    • The Korean Journal of Applied Statistics
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    • v.27 no.5
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    • pp.667-679
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    • 2014
  • National Health Insurance Service(NHIS) provide care-plans for beneficiaries in the long-term care insurance(LTCI) systems that help them use LTC services appropriately. The care-plan includes recommendations for the most adequate type of care (gold standard) for beneficiaries. This study develops a decision-support system to determine the appropriate type of care plan. To develop a model, we used a data set that well-trained assessors in the NHIS investigated as a gold standard for beneficiaries: nursing home care, home-visit care, home-visit bathing, home-visit nursing, or day and night care. The decision-support system was established through a decision-tree model, because it may be easy to explain the algorithm of a decision-support system to working groups and policy makers. Our results might be useful in evidence-based care planning in an LTCI system and contribute to the efficient use of LTC services.

Service Quality Measurement by Perception of A Day Care Service Users: Based on SERVQUAL Model (주·야간보호서비스 이용자 인지에 의한 서비스품질 측정: SERVQUAL 모형을 중심으로)

  • Lee, Jin Yong
    • 한국노년학
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    • v.31 no.3
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    • pp.691-709
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    • 2011
  • The purpose of this study is to measure the utilization of a day care service and service quality by SERVQUAL model, also to discuss policy implications based on this. The data analysis is conducted with 208 users of a day care service in Deajeon metropolitan city, Chungnam and Chungbuk area. The analysis result is as follows. First, it shows positive definiteness on tangibles, reliability, responsiveness, assurance, empathy in all categories because perceived level is higher than expectations. Perceived level after using the service is more highly rated than expectations before using it by most of seniors who use the service. Second, service quality is examined in accordance with demographic characteristics, but the difference is not statistically significant. Third, examining service quality in terms of characteristics of centers, it shows statistically significant difference in perceived level depending on management type of location, a number of provided programs per week, and the size of a facility and in expectations depending on established institution. Forth, as a result of examining service quality in accordance with characteristics of service users, there is no meaningful difference statistically.

A Study on Human Rights Behavior of Korean Care Workerin Long Term Care Facilities: The Interaction Effect of Human Rights Awareness and Service Orientations (장기요양기관 요양보호사의 노인인권옹호행동 영향요인: 개인의 인권의식과 조직의 서비스 지향성을 중심으로)

  • Kim, Min-Kyoung;Kim, Mee-Hye;Kim, Ju-Hyun;Chung, Soon-Dool
    • 한국노년학
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    • v.36 no.3
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    • pp.673-691
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    • 2016
  • As the provision of long-term care policy takes root and with a gradual increase in elderly population, the use of elderly care service has become a growing norm. More than ever, there exists an urgent need for a paradigm shift in the building of an institutional basis for the improvement of care service, from the prevalent practice of 'need based service' toward the concept of 'human rights based service'. A great focus is being shed on care-workers, at the 'front line' of advocating human rights, as their human rights advocacy behaviour is seen as a key variable in providing high quality care service for elders. This study aims to examine how care-workers' individual human rights awareness levels, and the influence of their respective organizations, as an environmental factor, affect their human rights advocacy behaviour. The study includes a comprehensive analysis of the interactions between the regulatory effect of environmental factors (service orientation?) on an organizational level, human rights awareness (individual level) and the service environment (organizational). The analysis sample consisted of 782 registered non-profit corporation of long-term care facilities all over the country in 2014. The findings of the thesis suggest that human rights awareness at individual levels has a significant influence on human rights advocacy behavior. The interaction of human resources management in service orientations was also found to influence human rights advocacy on a significant level. Both human rights awareness at individual level and service orientations at organizational level were thus determined as key variables for improving the human rights awareness of care worker in long-term care facilities in Korea.

The Effects of the Quality of Elderly Day Care Services on Customary Satisfaction, Referral Intention, and Repurchasing Intention (주간보호시설의 서비스품질이 고객만족, 추천의향 및 재이용의사에 미치는 영향)

  • Lee, Jin-Yong;Sohn, Eui-Seong;Yoon, Kyeong-A
    • 한국노년학
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    • v.32 no.3
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    • pp.715-727
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    • 2012
  • This study measured the quality of Elderly Day Care Services by surveying service users; data were analyzed to see the causality between quality of services, customary satisfaction, referral intention, and repurchasing intention, and to find out the mediating effect of customary satisfaction. The quality of Day Care Services has been measured based on the SERVQUAL model, and structural equation model has been used to observe the causal connection between the five factors, tangibles, reliability, responsiveness, assurance and empathy, and customary satisfaction, referral intention, and repurchasing intention. The following is the main result from the causal effect model affecting the customary satisfaction and repurchasing intention by five quality factors of the service quality. First, it was shown that tangibles and responsiveness, as quality factors, directly affected the customary satisfaction, and reliability, credibility, and empathy did not. Second, it was shown that tangibles, reliability, responsiveness and empathy, quality factors, did not directly affected the referral intention and the repurchasing intention. But the effect of service quality on referral and repurchasing intention was mediated by customer satisfaction. Third, it is shown that customary satisfaction directly affected the referral intention and the repurchasing intention.

Mediating Effect of Job Satisfaction between Directors' Leadership and Workers' Organizational Commitment in Senior Clubs (시니어클럽 관장의 리더십과 종사자의 조직헌신의 관계에서 직무만족의 매개효과)

  • Lee, Byoung-Rock
    • Journal of Convergence for Information Technology
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    • v.12 no.4
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    • pp.199-204
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    • 2022
  • This study analyzed mediating effect of job satisfaction between directors' leadership and workers' organizational commitment in senior clubs. A survey of 288 workers in Chungcheong and Daejeon was conducted. The statistical analysis methods were frequency, correlation, confirmatory factor analysis, and bootstrap. The analysis result was that directors' leadership had positive effect on workers' organizational commitment and mediating effect of job satisfaction was verified. For improving directors' leadership, it is necessary to develop various leadership education and training programs, to induce voluntary participation in the programs, and to include the participation of leadership program in facility evaluation. To advance workers' job satisfaction, we need various exchange programs with colleagues and peer groups, mentoring and rest service to manage emotional labor, and professional job education and supervision.