• Title/Summary/Keyword: 노인 서비스

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The Conceptualization of Caring Justice and an Evaluation of Long-Term Care Policy in Korea (돌봄정의(Caring Justice) 개념구성과 한국 장기요양정책의 평가)

  • Seok, Jae-Eun
    • 한국사회정책
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    • v.25 no.2
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    • pp.57-91
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    • 2018
  • Despite the rapid growth of social care, understanding of care is segmental and caring is still marginalizing. The socialization of caring is actually a 'half-socialization' that is the result of injustice surrounding caring. Therefore, it is necessary to approach the problem of caring in terms of justice. In this paper, I discuss the limitations of social justice based on John Rawls 's social contract theory in the discussion of caring justice through feminists'writings on caring ethics. And then applying Nancy Fraser' s three scales of Justice-redistribution, recognition, and representation, the concept of caring justice has been newly constructed. The concept of caring is defined as a unified concept of caring including the aspect of the social rights of the care recipient as well as the labor rights of the care provider. Based on the analysis of care justice, we derive the ideal types of care policy and then evaluate the long-term care policy for the elderly, which is the central axis of Korean care policy. The results of this study are as follows: First, it is necessary to strengthen the labor rights of care providers especially for the socialization of care responsibilities and the proper allocation of social resources. Second, a service delivery system and care culture are needed to ensure the relational autonomy of care-receivers and care-givers for caring ethics and individualization of care. Third, the issue of care should be treated as the central agenda of politics in order to distribute care responsibility democratically and to distribute legitimate resources. This requires a paradigm shift from marginalization of care to mainstreaming of care. Ultimately, we should aim for a Caring Society.

Qualitative research of single-person household for a wearable healthcare system providing ischemic heart disease information and a cardiac arrest alarm: Focusing on unmarried workers in their 30s (허혈성 심장질환과 심정지 알람을 제공하는 웨어러블 헬스케어 시스템에 대한 1인 가구원의 질적 연구: 30대 미혼 직장인을 중심으로)

  • Kim, Hyo-Jin;Chae, Ha-Eun;Lee, Joo-Hyeon
    • Journal of Digital Convergence
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    • v.17 no.3
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    • pp.235-251
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    • 2019
  • The purpose of this study was to investigate the single-person household's demand for a wearable healthcare system that provides the ischemic heart disease and cardiopulmonary alarm to be developed. In this study, in-depth interviews were conducted with six unmarried individuals in their thirties who were in the workplace and the results were interpreted by Giorgi's phenomenological analysis method. The study results indicated that although the wearable healthcare system was implemented with high-technology functions that serve the intended purpose, it is necessary to comprehensively consider factors such as aesthetics, comfort, and ease of washing. In this study, we found that the variables influencing the interviewees' intent to accept healthcare services are complex and cannot be attributed to one factor alone; this study has also shown a variety of interpersonal correlations. In addition, although health-care research focusing on the elderly has been conducted in the past, it is suggested that younger generations such as those in their thirties can also be studied as health care service adopters.

The Structural Relationship among Job Stress, Human Rights Behavior, Social Support and Job Satisfaction (노인장기요양시설 종사자들의 직무스트레스와 인권옹호행동, 직무만족의 구조적 관계: 사회적 지지의 매개효과를 중심으로)

  • Kim, Keunhong;Song, Jiwon
    • 한국노년학
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    • v.37 no.3
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    • pp.747-762
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    • 2017
  • Recently, as the number of patients with dementia using nursing homes increases, the interest about the quality of care services is increasing. Job satisfaction of caregivers is very important factor in the quality of care service. In addition, as perception of human rights is heightened, human rights behavior in nursing homes is also recognized as an important factor. The purpose of this study is to investigate the structural relationship between job satisfaction and human rights behavior, job stress, and social support of dementia workers who have significant influence on quality of care service. For this purpose, 210 questionnaires were collected from 300 dementia workers working in the elderly nursing home, day night care center, and domiciliary visit care center in Gyeonggi province. After excluding 13 questionnaires, the questionnaires were analysed by AMOS and SPSS 21.0. The results of the analysis are following. It was found that job stress significantly affects the social support directly (-.276). Also, social support significantly affects job satisfaction (.315). On the other hand, human rights advocacy has a direct effect on job satisfaction (.175) and an indirect effect (.102), showed a total effect of (.277). This shows that social support partially mediates human rights advocacy and job satisfaction. Job stress had a direct effect on job satisfaction(-.217) and an indirect effect(-.095), indicating a total effect of (-.312), and social support partially mediated job stress and job satisfaction Could know. The results of this study suggest that in order to improve the job satisfaction of the dementia workers, it is necessary to increase the human rights advocacy behavior and reduce the job stress in an environment that recognizes the social support.

A Phenomenological Study on the Working Life of Older Wage Earners: Focusing on the Elderly in Seoul (고령 임금근로자들의 일하는 삶에 대한 현상학적 연구: 서울지역 거주 노인을 중심으로)

  • Park, Jisung;Yoon, Min-Suk
    • 한국노년학
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    • v.37 no.2
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    • pp.497-516
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    • 2017
  • This study explored the meaning and essential structure of the life of 12 older wage earners who are 65 years old or older residing in Seoul. For the in-depth analysis of the qualitative interviews, Giorgi(2012)'s phenomenological research method was used. Results presented a total of 349 meaning units, 35 core meanings, 16 emerging themes, and 6 essential themes. These essential themes consisted of a life tolerating contempt and prejudice, the hungry belly in the later years, a yoke of the subordinate, an unclimbable vertical wall, reviving the hours of youth through working, and labor pride. These six essential themes led to the essential structure of'small happiness that is felt at times out of the weary working life in later years. The research participants felt worn out by the social discrimination and unfair working conditions against older wage earners, but they felt relieved that they were able to work in old age and had a sense of self-esteem through their work. Working was the important tools for older wage earners to experience happiness in later years because it not only relieved their financial burden but also brought a sense of self-esteem and labor pride. Based on the results, we suggested as following: 1) with respect to social discrimination and unfair working conditions against older workers, the whole society should discuss it as the protection of human rights and take legal actions; 2) various service jobs need to be created so that older workers can contribute to the society by utilizing their experiences; and 3) educational programs of computer or internet use must be expanded through which older wage earners can improve their job skills.

Gendered innovation for algorithm through case studies (음성·영상 신호 처리 알고리즘 사례를 통해 본 젠더혁신의 필요성)

  • Lee, JiYeoun;Lee, Heisook
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.459-466
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    • 2018
  • Gendered innovations is a term used by policy makers and academics to refer the process of creating better research and development (R&D) for both men and women. In this paper, we analyze the literatures in image and speech signal processing that can be used in ICT, examine the importance of gendered innovations through case study. Therefore the latest domestic and foreign literature related to image and speech signal processing based on gender research is searched and a total of 9 papers are selected. In terms of gender analysis, research subjects, research environment, and research design are examined separately. Especially, through the case analysis of algorithms of the elderly voice signal processing, machine learning, machine translation technology, and facial gender recognition technology, we found that there is gender bias in existing algorithms, and which leads to gender analysis is required. We also propose a gendered innovations method integrating sex and gender analysis in algorithm development. Gendered innovations in ICT can contribute to the creation of new markets by developing products and services that reflect the needs of both men and women.

rences in the Impact of Social Capital on Well-being between Korean Liberation Generation and Baby-boom Generation (해방세대와 베이비붐세대 간 사회적 자본이 안녕감에 미치는 영향의 차이)

  • Park, Seoung-Tag
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.755-765
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    • 2021
  • The objectives of this study are to subdivide the group of elderly population into the liberation generation as a poor generation that experienced the barley hump, and the baby boom generation to verify differences in the mean of social capital and well-being between those groups of two generations, to verify the effects of social capital on the well-being, and then to review differences between those groups of two generations regarding the effects of subfactors of social capital on the well-being. This study collected and analyzed data from 200 people excluding missing values from the baby boom generation and liberation generation born in 1945-1963, in the D region from July 1st to July 31st, 2018. The main results of this study are as follows. in the results of comparatively reviewing the social capital having effects on the well-being of each group of liberation generation and baby boom generation, when relieving the statistical significance level to 90%, the network was working as a variable having effects on both groups. In this case, when mutually comparing the influence of regression coefficient as �� value, the network had a relatively larger effect on the well-being of the liberation generation.

A Review of Person-centered Care in Nursing Homes (노인요양시설의 인간 중심 케어 (Person-centered care)에 대한 연구)

  • Yoon, Ju Young;Roberts, Tonya;Bowers, Barbara J.;Lee, Ji Yun
    • 한국노년학
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    • v.32 no.3
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    • pp.729-745
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    • 2012
  • The purpose of this study is to review person-centered care models and the scientific evidence for the impact of person-centered care in U.S. nursing homes, and to analyze the applicability of person-centered care for Korean long-term care system. The most commonly recognized person-centered care models were Eden Alternative, Green House, and Wellspring model. The core components of the three models were autonomy, close relationships, homelike environment, and staff empowerment. Thirty eight empirical studies including 10 model testing studies and 28 studies to examine the impact of person-centered care interventions indicated generally positive outcomes in terms of residents, family, and staff/organization level. The authors analyzed the current situation in the Korean long-term care system with respect to the specific core constructs of person-centered care, and proposed applicable models and practical suggestions in consideration of Korean context. Lastly, future considerations regarding policy and research were discussed.

Policy Supports for Informal Caregivers: Focusing on Policy Changes in the United States and United Kingdom (비공식 돌봄자를 위한 정책 지원 비교 연구: 미국과 영국 최근 정책 동향 고찰 중심으로)

  • Rhee, YongJoo
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.389-399
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    • 2020
  • Diverse official policies in community are available for caregivers to take care of the elderly in the US and the UK. This study aims to examine the recent changes in government supports based on The Recognize, Assist, Include Support and Engage (RAISE) in the US, and those by Carer Act 2014 in the UK, to take any good lessons for Korean policy. Caregivers will play a new role to develop innovative treatment for patient-centered care. The UK strengthens to provide various efforts for working carers while assuring economic efficiency in labor market with empirical evidence. The major four ways to support carers were developed agreed with the acknowledge of caregiving value and their human right; financial support, direct services for carers, flexible work time, and advocacy. Korean supports policies for carers in long-term care and social welfare will be more effective in community care system if more evidence based policies are prepared.

Development of prediction model identifying high-risk older persons in need of long-term care (장기요양 필요 발생의 고위험 대상자 발굴을 위한 예측모형 개발)

  • Song, Mi Kyung;Park, Yeongwoo;Han, Eun-Jeong
    • The Korean Journal of Applied Statistics
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    • v.35 no.4
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    • pp.457-468
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    • 2022
  • In aged society, it is important to prevent older people from being disability needing long-term care. The purpose of this study is to develop a prediction model to discover high-risk groups who are likely to be beneficiaries of Long-Term Care Insurance. This study is a retrospective study using database of National Health Insurance Service (NHIS) collected in the past of the study subjects. The study subjects are 7,724,101, the population over 65 years of age registered for medical insurance. To develop the prediction model, we used logistic regression, decision tree, random forest, and multi-layer perceptron neural network. Finally, random forest was selected as the prediction model based on the performances of models obtained through internal and external validation. Random forest could predict about 90% of the older people in need of long-term care using DB without any information from the assessment of eligibility for long-term care. The findings might be useful in evidencebased health management for prevention services and can contribute to preemptively discovering those who need preventive services in older people.

Concepts and Legal Problems Related to the Health-vulnerable Class, and Measures to Ensure Health (건강취약계층의 개념과 법적 문제점, 그리고 건강보장을 위한 방안)

  • Kim, JESUN
    • The Korean Society of Law and Medicine
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    • v.22 no.3
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    • pp.125-144
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    • 2021
  • The purpose of this study is to present a legal improvement plan for health protection of the health-vulnerable class in our society in the 'COVID-19'. The contents of the first study examined the meaning of the existing (social) vulnerable class, and then critically considered the health-vulnerable class as an expanded concept in connection with the social risk of health. The term "vulnerable class" tends to have both meaning as the traditionally marginalized class such as the elderly, the disabled, and women, as well as the condition of having no ability to live due to low income, such as the low-income class. The concept of the health-vulnerable class is meaningful in that it appears as a recently expanded concept as it is linked to the concept of the vulnerable class and social risks such as health threats. The content of the second study looked at the problems that appeared when the health-vulnerable class was used together with the health care-vulnerable class in laws. Due to the laws used in both terms, there was a problem that the social security system related to health and health care could create blind spots. The contents of the third study suggested legal improvement directions for social security measures for health for the underprivileged.