• Title/Summary/Keyword: 노인장기요양보험법

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A Study on the Improvement of the Korean Accounting Stipulations of The Long term Care Facilities (우리나라 장기요양기관 회계처리 지침의 개정 방향)

  • O, Dongil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.2
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    • pp.688-697
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    • 2014
  • The current accounting for the long term care facilities are enforced by either financial accounting stipulations of social welfare legal entity or the guiding principles of long term care insurance law. In addition, some facilities are not eligible to access to the Korea Health and Welfare information system and even don't have any obligation to report financial information. Thus financial position and performance of activities are not well known to the interested parties. This study investigated the way how to improve the current accounting stipulation of the long term care facilities. In conclusion, we should introduce the accounting standards based on the double entry system but on other aspect, also more simplified financial statement based on single entry system for smaller facilities. Also we should introduce three important appropriation accounts for the net income of institution which matches GAAP. For a successful plantation of accounting standards, it is necessary to establish provisions, government subsidy account, depreciations concept.

The Relationship between Job Stress and Job Satisfaction of Geriatric Care Helpers (요양보호사의 직무스트레스와 직무만족 간의 관계)

  • Lim, Jung-Do
    • The Journal of the Korea Contents Association
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    • v.11 no.1
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    • pp.225-235
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    • 2011
  • The research on the analysis of relationship between job stress and job satisfaction has been conducted targeting 355 Geriatric Care Helpers who are caring for the elderly people in the geriatric care centers in the area of Busan by the Act of Long-term Care Insurance for the Geriatric. As the method for the analysis t-test was conducted to investigate their job stress, counter-stress experience and effort, and job satisfaction. Also regression analysis was conducted to analyse the factors having effect on the job satisfaction of geriatric care helpers. The results of analysis can be summarized as following. First, job stress of geriatric care helpers at hospitals has shown significant difference from that at geriatric care centers, while job satisfaction of geriatric care helpers at care centers has shown some difference from that at hospitals. Second, measurement experience and effort of job stress was shown to some difference according to each institution. Third, the effect factors on geriatric care helpers were employment type, job stress, stress with patients in the case of hospitals, while those on geriatric care helpers were average wage, employment type, the number of charging patients, job stress, job requirement stress, and stress with patients. However, regardless of the type of employed institution, job satisfaction was shown high in case of full time job, low job stress, and high stress with patients.

Current Management Status of 'Day and Night Care Facilities' for Long-Term Care Insurance Benefit (노인장기요양보험 급여 주야간보호사업소의 운영현황)

  • Chin, Young Ran;Jeon, Gyeong Suk;Lee, Hyo Young
    • 한국노년학
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    • v.31 no.4
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    • pp.985-998
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    • 2011
  • This study was conducted to understand current management status of 'day and night care' facilities and to explore the related factors with rates of operation of them. The nationwide mailing survey was conducted with structured questionnaires from July, 14, 2010 to July, 28, 2010. The subjects were 277 facilities (response rate 24.5%). Regarding the types of operating, 79.1% of faculties was run by cooperation, and 17.8% and 3.6% for individuals and national/public institutes respectively. The average of operation rate was 70.15%. National/public institutes showed higher in the rate of operation(79.08%) than 72.49% of cooperations and 57.78% of individuals. The number of manpower was not nearly different by the types of operating bodies, but the number of nurse was significantly different among them. The national/public institutions had 1.07 nurses while individual institutions have only 0.08. We found that facilities run by national/public institutes and founded before 2008 years showed higher rate of operation. In case of providing regular monitoring and evaluation services, and music program for patients showed higher rate of operation. In addition, the number of managers, social workers, and nurses increase the rate of operation. We suggest that quality management and monitoring program for the facilities which run by individuals or established after 2008 years would be developed. We also call for development of programs for facilitating utilization of 'day and night care' facilities such as expanding the family support.

A Five-Senses Stimulation Program for preventing Senile Dementia Diseases (오감 자극 노인성 치매 예방 프로그램)

  • Chong, Min-Yeong;Park, Cheon-Gyu;Son, Myeong-Dong
    • Proceedings of the Korea Contents Association Conference
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    • 2010.05a
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    • pp.594-600
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    • 2010
  • As senile diseases increase with the aged increasing rapidly in an aging society, implementation of the aged long-term care insurance have an effect on the aged care and treatment. Though a decrease in prevalence rate can reduce social costs, the significance of that is overlooked. Especially, a program for a slight Alzheimer's disease and senile demetia in the spot of care facilities and welfare organs is nothing or a few programs which use only fragmentary techniques. So, In this paper, we propose a five-senses stimulation program for preventing senile dementia disease. It includes twenty processes stimulating five senses through proper harmony of senile dementia disease prevention techniques - hand exercises(sense of touch), remembrance therapy(sense of sight), cure recreation(sense of taste), music therapy(sense of hearing), gardening remedy(sense of smell).

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Analysis of VR Usability of MCI People and Family (경증치매노인과 가족의 VR 활용도 분석)

  • Han, Jeong-won
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.523-525
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    • 2022
  • According to Elderly Long-term Care Insurance, MCI people can be provided cognitive program at dementia center and daycare center. However, the appropriate definition or guideline of cognitive program is not clear. Considering the situation of adapting VR program at diverse elderly facilities, this paper aims to analysis of VR usability at daycare center. Usability is divided into two section; one is intimacy and the other is usage possibility. In both section, high rate is recorded. Development of VR cognitive program is needed afterwards.

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The Impact of Care Workers' Employment Characteristics and Perception of Facility Directors' Transformational Leadership on Quality of Service (요양보호사의 고용특성과 시설장에 대한 변혁적 리더십 인식이 서비스 질에 미치는 영향에 관한 연구)

  • Kim, Hye Ji;Park, Sang Hee;Kim, Bum Jung
    • 한국노년학
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    • v.41 no.2
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    • pp.217-240
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    • 2021
  • The purpose of this study is to examine the effect of care workers' employment characteristics and perception of facility directors' transformational leadership on quality of service through a hierarchical linear model. For this aim, survey data were collected amongst 240 older adults and 200 care workers who are affiliated within 45 long-term care facilities in Seoul, and analyzed using SPSS 26.0 and HLM 8.0. As a result, one's perception of transformational leadership had a positive effect, whereas, among employment characteristics, employment type and working hours had negative effects on quality of service. Regular workers with fewer working hours and higher awareness of transformational leadership toward the director provided higher quality of service. But wage, total experience and tenure didn't meaningfully affect it. Therefore, the following suggestions were presented. First, it is necessary to reorganize incentive, salary systems and budgets, changing the status of temporary workers' hourly wage system into that of regular workers' monthly one in order to strengthen employment security with acknowledging fundamental professional values through reinforcement of expertise. Reinforcement of long-term care's publicness and establishment of base facilities are also suggested. Second, maintaining appropriate hours of work and rest including annual leave under the Labor Standards Act is needed. Also, increasing the salary of and decreasing working hours for night shift workers are required. Third, education and intervention for inspiring transformational leadership of directors and strengthening qualification standards of them are required.

Effects of the Long-Term Caregivers' Job Stress on Psychological Burnout and Organizational Effectiveness and the Moderating Role of Social Support (직무스트레스가 조직유효성에 미치는 영향 : 서울소재 재가노인방문요양시설의 요양보호사를 중심으로)

  • Lee, Young-Hwa;Lim, Wang-Kyu
    • The Journal of the Korea Contents Association
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    • v.11 no.9
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    • pp.414-428
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    • 2011
  • The purpose of this study was to investigate the effects of the elderly long-term care workers' job stress on psychological burnout and organizational effectiveness and the moderating role of social support. For this study, data were collected from 290 long-term caregivers from 50 in-home visitation care facilities in Seoul using structured questionnaires. Collected data were analyzed using hierarchical regression techniques. Results showed that role three job stress variables had positive effects on caregivers' psychological burnout; that two job stress variables(role ambiguity and role conflict) and psycholigcal burnout had negaive effects on caregivers' job satisfaction whereas they had positive effects on caregivers' intent to leave; that workload negatively impacted caregivers' job satisfaction but no effect on their intent to leave; and that two social support variables played moderating roles in the relationship between job stress and psychological burnout and the relationship between job stress and organizational effectiveness.

Analysis on Supply and Demand for Medical Expenditure by Age and Income Brackets: An Application of GARCH Model (GARCH 모형에 의한 연령별 소득계층별 국민의료비 수급 분석)

  • Rhee, Hyun-Jae
    • The Journal of the Korea Contents Association
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    • v.15 no.12
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    • pp.560-571
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    • 2015
  • This study aims to examine primary determinant for medical expenditure depending on different age and income brackets. The age and income brackets are simultaneously taken into account for a forming of structural models, and GARCH methodology is utilized in analyzing the model. Empirical evidence reveals that no matter how general medical care system is appropriately operated, medical expenditure is vulnerable in taking care of potential socially-disadvantaged class and the group of catastrophic medical expenditure as long as the age and income brackets concern, simultaneously. It signifies that more elaborately designed medical-related policy seems to be established to improve its effectiveness. On the contrary, ageing society is comparatively well-treated by public health law and act on long-term care insurance for the aged.

A Study on the Local Governments' Autonomous Laws Regulating Social Insurance Premium for Medical Security (의료보장을 위한 지방정부의 사회보험료 지원 자치법규에 관한 고찰)

  • Kim, Jesun
    • The Korean Society of Law and Medicine
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    • v.20 no.1
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    • pp.203-242
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    • 2019
  • Since 2006, local governments in Korea have been providing premiums for social insurance, such as the National Health Insurance System, for the health care of local residents. The purpose of this study is to analyze the content of self-governing legislation that defines these policies. The method of conducting the research was based on the articles of the ordinance related to the 'public health insurance premium' of the self-governing statutes published on the website of the National Law Information Center. As of May 2019, 201 municipalities have enacted ordinances to support public health insurance premiums. In the case of state local governments, 8 out of 17 were found, and in the case of basic local governments, 193 out of 226. The constitution of the ordinance consisted of purpose, time of enactment, type of social insurance premium, object of social insurance premium, amount of social insurance premium support, method and process of social insurance premium support, time of social insurance premium support. This study analyzed contents of these articles. Finally, this study presented issues that could be controversial from the policy and legal viewpoints and suggestions for improvement.

Does Sarcopenic Obesity Affect Physical Function and Physical Fitness of Korean Older Women? (근위축비만이 국내 여성고령자의 신체기능과 체력에 미치는 영향)

  • Hong, Seung-youn
    • 한국노년학
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    • v.30 no.3
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    • pp.831-842
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    • 2010
  • BACKGROUND: Sarcopenic obesity(SO), a condition of the reduction in muscle mass paired with an increased fat mass has been paid attention because of its association with disability in later life. A few evidence, however, has reported the association with these factors. PURPOSE: To explore the association among SO, physical function and fitness in older women. METHOD: 257 older women(age of 74) were recruited from Y city and 7 physical functions and 4 fitness tests were measured. Participants were classified into one of four groups based on their body fat and muscle mass: Normal group (GR-A), high fat(GR-B), sarcopenia(GR-C), and sarcopenic obese(GR-D). GLMand LSD-test were conducted with SPSS 12.0. RESULTS: Chair stand, arm-curl, back-scratch, 2-min steps of GR-A was higher than GR-C and GR-D(p<.05). One-leg stand of GR-A was higher than GR-D(p<.01) and of GR-C was higher than GR-D(p<.01).8ft-TUG of GR-D was lower than GR-A(p<.01). Grip strength, knee extension of GR-A was higher than that of GR-C and GR-D(p<.01) and knee flexion of GR-A was also higher than that of GR-C and GR-D(p<.01). CONCLUSION: Based on our findings, we conclude that SO is significantly associated with lower physical function and fitness in older Korean women, which alarm the risk of frailty induced by SO.