• KDI Journal of Economic Policy
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• v.31 no.1
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• pp.139-167
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• 2009

A new public insurance for long-term care was introduced in July 2008 to provide for the rising demand for long-term care as the population is aging rapidly. The demand for long-term care is expected to rise further because more and more elderly are living alone or in households with only other elderly, such as his/her spouse, without informal care of their adult children. Even when the elderly are living together with their adult children, daughters and daughters in law, once the main informal care-givers, are not available because they choose to become economically active and work more over time. Experiences of countries such as Japan and Germany with similar public long-term care insurance scheme highlight the importance of detailed analysis on the demand for long-term care for the financial stability of the insurance scheme. Countries which had underestimated the demand for long-term care at the time of adopting the scheme went through financial instability of insurance schemes. This study analyzes the determinants of the demand for long-term care using data from the second demonstration project (April 2006~April 2007) of the long-term care insurance scheme for the elderly in Korea. Taking full advantage of detailed data on the long-term care, this paper analyzes the eligibility for the long-term care insurance scheme and its use. According to study results, even when common diseases among the elderly such as cancer, diabetes, arthritis, dementia, hypertension, etc. are controlled together with other individual and socioeconomic factors, limitations the elderly are faced with in their twelve activities of daily living significantly affect the eligibility for the Korean Long-term Care Insurance Scheme. This means that limitations in daily living activities are more critical than common diseases among the elderly are to the eligibility for the Korean Long-term Care Insurance Scheme. Bathing and toileting problems have been found to be the most important factor affecting the eligibility for the insurance scheme, followed by eating, dressing and moving around inside the house. Moreover, the choices of whether to use long-term care and which to use between home care and institutional care are found to be significantly influenced by health status and various socioeconomic factors of the elderly. In particular, those with more limitations in daily living activities and the female elderly are more likely to use long-term care and institutional care rather than home care. As for home care users, those living alone or with adult children and those with monthly household income of more than 500,000 won are more likely to use home care. Most importantly, even when the monthly household income of the elderly is controlled, the elderly recipients of the National Basic Living Security, who are not charged for long-term care, are more likely to choose home care. This implies that price as well as income is a critical factor for the decision to use long-term care. Further study on the duration of long-term care use will surely enhance the long-term care policy, when panel data is available for simultaneous analysis of the likelihood of long-term care use and its use duration.

• Journal of the Korea Society of Computer and Information
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• v.25 no.3
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• pp.219-227
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• 2020

It is expected that Korea will be entering with super aged society with its rapid changing to aging society compare to other developed countries. Such phenomenon is recognized from a long time ago and government has enacted Elderly Long Term Convalescence Insurance Regulation back in 1999. However, different from its actual purpose, there are many problems and improvements to be made, leading to legislative revision for several times. Still, it is left with many issues. This is one example showing there has been a continuous problem with elderly long term convalescence insurance system. Even this system in Germany which have started 4 years before us is to continuously revising regulation by raising issues to make strong structure for elderly welfare and long term convalescence, aiming to enhance life of elderly people by providing detailed standard for convalescence. Elderly related legal systematization may not enhance their welfare service or daily life right away. However, if details in regulation and its theory is systematically arranged, this will greatly reduce administrative confusion as well as increasing understanding and use of this system for the nation.

• The Journal of the Korea institute of electronic communication sciences
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• v.18 no.6
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• pp.1371-1378
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• 2023

Kiosks are gaining popularity as an essential tool that offers unmanned services and payment systems, and their use is rapidly increasing in the service industry. However, the use of kiosks can be challenging for the elderly who are not accustomed to digital technology and touchscreens. Consequently, this study develops an educational program that utilizes metaverse technology to enhance the digital skills and kiosk service accessibility of older adults. This research has created an educational system that allows the elderly to learn digital skills and kiosk access through play.

• 한국노년학
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• v.29 no.1
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• pp.329-352
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• 2009

This study examined life in old age and images of the aged perceived by middle-aged and old-aged generations through indepth interviews with 30 persons aged 40s through 80s residing in three areas (city or county) in capital region in Korea to use it as basic information in planning social welfare policy and reorganizing social services in response to population aging in capital region in Korea. In terms of economic life of the middle-aged and olde-aged generations perceived older people's opportunities for work were rarely given to the aged due to ageism and negative stereotypes of aging and the aged, and the aged tended to regard themselves less able or unable to work. In terms of social life of the aged both middle-aged and old-aged generations perceived that the frequency of social participation was low, and the daily life of the aged was found mostly aimless, unorganized and unplanned. In terms of psycho-social life of the aged both generations still felt that they were not alienated from the family, neighbors, and the society. In terms of social welfare services both generations thought the aged needed basic services such as income maintenance, health care, housing services, and particularly they felt lack of social services. The old-aged generation was willing to travel to the distance taking more than one hour to receive social services that they would need. Both the middle-aged and the old-aged agreed upon the necessity of preparation for old age and the benefits of earlier preparation, however, they said that they could not prepare for their old age due to lack of social programs to help preparation for old age and due to spending for rearing and education of their children. In terms of perceived life in old age both middle-aged and old-aged generations tended to be slightly positive, but the degree of positiveness differed between respondents from urban area and those from rural area regardless of generations. Images of the aged were perceived to be overwhelmingly negative while positive images were very few in number regardless of generations. This finding may suggests that negative stereotypes on aging and the aged are also prevalent in Korean society like in Western societies. Based on findings of this study some implications for social policies in response to population aging in capital region were suggested.

• Journal of Digital Convergence
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• v.18 no.11
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• pp.395-407
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• 2020

The current study aims to examine whether dementia service utilization is associated with cognitive function and whether health literacy moderates the relationship between dementia service utilization and cognitive function. Data were drawn from the 2016 Dementia Literacy Survey collected by K University. The final analytic sample included 522 community-dwelling older Koreans aged 60 to 79. Results from multivariate regression analyses showed that both dementia service use and higher levels of health literacy were related to better cognitive function and that health literacy had significant moderating effects. When older adults used dementia service, those with higher levels of health literacy reported higher levels of cognitive function than those with lower levels of health literacy. Our findings suggest that health literacy plays an important role in determining the cognitive health benefits arising from dementia service utilization.

• The Journal of the Korea Contents Association
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• v.19 no.11
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• pp.190-200
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• 2019

This study was to examine the effects of fall prevention educational program on the related knowledge, attitude, and self-efficacy of nurses working in Comprehensive Nursing Care Unit, general hospital. A quasi-experiment with a nonequivalent control group non-synchronized design was used, Participants included a total of 40 nurses as the subjects (Intervention: n=20, Control: n=20) working in Comprehensive Nursing Care Unit, general hospital, Seoul. Data were collected form March through May, 2017. Data were analyzed by using the SPSS/WIN 21.0 program. Intervention group showed significant higher knowledge (F=189.03, p<.001), attitude (F=761.74, p=.003), and self-efficacy (F=188.50, p=.002) scores than them of control group. The fall prevention educational program was an effective intervention for improving the related knowledge, attitude, and self-efficacy of nurses working in Comprehensive Nursing Care Units, general hospital. Therefore, the results show the necessity of developing and applying the systemic nursing intervention to improve preventive behavior on falls.

• Fire Science and Engineering
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• v.32 no.5
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• pp.105-111
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• 2018

Based on the Statistical Yearbook of 119 Emergency Medical Services in 2017 (National Fire Agency, 2018) and Population Projection by Province: 2015~2045 (Statistics Korea, 2017), this study analyzed the effects of population changes, such as low fertility and aging on the use of ambulance services in the future. The population of Korea is expected to decline after peaking in 2031, but the number of elderly people aged over 70 is expected to continue to increase. The rates of emergency ambulance transport (REAT, the number of patients transferred per 1,000 inhabitants) are not changed significantly, compared to the recent trends, but the ambulance services for elderly over 70 years of age will increase exponentially. Therefore, the population changes due to low fertility and aging is accompanied by a quantitative and qualitative change in ambulance services, and from the long term perspectives, it is necessary to consider not only the effective response of ambulance services due to aging, but also the adjustment of existing jurisdictions due to population changes and the relocation of manpower and resources.

• The Journal of the Korea Contents Association
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• v.8 no.11
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• pp.375-385
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• 2008

This research was conducted with the aim of providing basic data to a non profit organization's strategies by determining the influence of the service quality cognition of the aged people's excercise program on service satisfaction. The subject of this study was sixteen districts in city B, and aged people who participates in the district's exercise programs. 320 subjects were selected based on a purposeful sampling, and the survey sheets of 308 subjects, excluding 12 of those who lacked sincerity were used for th analysis. To prove the hypothesis of the study based on the sampled data, t-test, One-way ANOVA and regression analysis were conducted using the SPSS Ver. 12.0 statistics program, and the results are as follows: First, perceived service quality differed, but service satisfaction did not differed on the gender. Second, perceived service quality partially differed, but service satisfaction did not differed on the age. Third, perceived service quality partially differed, but service satisfaction did not differed on the frequency. Fourth, perceived service quality and service satisfaction partially differed depending on the period. Fifth, performance, out of the perceived service quality factor, was found to had positive influence on service satisfaction.

• Korea journal of population studies
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• v.33 no.3
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• pp.101-121
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• 2010

The purpose of this study is to examine the job characteristics of care workers in elderly care voucher service emphasizing a social service quality management approach. The study sample was composed of randomly-selected 233 centers which dispatched care staffs to clients' home. Descriptive analyses were performed for examining the unique aspects of relationship-based labor of care staffs, and logistic regression analyses were performed for investigating the association between service quality structure and human right violation against staffs. As the first empirical study focusing on staff-side service quality factors, this study found out that human right violation against staffs was mainly influenced by record-keeping and document management capacity of center, risk protection under insurance, compliance of standard contract procedure, and regular supervision. These results suggest particular policy attention should be given to basic protection for and set-up of core activity boundaries of care workers as well as clients-centered rights both for preventing human right violation and improving overall social service quality.

• 한국보건간호학회:학술대회논문집
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• 1998.02a
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• pp.33-75
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• 1998

노인인구의 증가에 따라 노인성 질환이 증가하고, 대표적 노인성 질환직 하나인 치매도 점점 증가하고 있다. 이제까지 치매가 노화의 한 정상적인 과점으로 여겨져왔고 최근에 와서야 하나의 질병으로 인식하기 시작하였기 때문에, 그간 치매노인의 의료복지적 측면의 관리가 소홀하였고 가족의 어려움이 켰었다. 본 연구는 치매노인 시설을 이용하고 있는 치매노인 가족간호자를 대상으로 치매노인의 일상생활 기능손상정도 및 건강상태, 가족간호자의 간호부담정도, 사회적지지, 치매노인과 가족간호자의 삶의 질 정도, 그리고 그들이 어떤 사희복지적지지 서비스를 이용하려 하는 지를 파악하여, 앞으로의 치매노인과 그 가족간호자의 부함을 경감하고 삶의 질을 개선할 수 있는 대안마련의 기초자료를 제공할 목적으로 수행되었다.