• Title/Summary/Keyword: 치매 서비스

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A Method on the Implementation of Intelligent Security Service Application based on Spatial Information (공간정보기반 지능형 방범서비스 어플리케이션 개발)

  • Choi, Woo Chul;Na, Joon Yeop
    • Spatial Information Research
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    • v.23 no.6
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    • pp.89-98
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    • 2015
  • In this study, The criteria for assessing the security-related functions and services using spatial information is deduced, and orders of priority a priority for the applicable alternatives of functions/services of intelligent security service application based on spatial information are suggested by calculating relative importance. Also this study suggested connection plan about service implementation of national security services by government ministry & local government. And, the intelligent security app service model which has possible substantiation and commercialization is proposed. This study performed the AHP as the final assessment criterions by 3 item in 1st class and 12 item in 2nd class. And, tried to implementation methods of the intelligent security service application(ex. control of emergency and the crime opportunity, real-time location tracking of protector, the device for missing child & dementia patient, user participation & provision of information).

A Study on Factors of Elderly Residential Care Service Utilization for using Decision Tree Regression (의사결정분석을 이용한 우리나라 노인의 요양시설서비스 이용 결정요인에 관한 연구)

  • Lim, Jeong-Gi
    • Korean Journal of Social Welfare
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    • v.60 no.3
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    • pp.129-150
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    • 2008
  • This study examined the factors affecting service utilization of elderly residential care among long term care services recipients during long term care insurance pilot project period in Korea. Help-seeking Behavior model developed by Andersen and Newman(1973) was used to analyze the factors affecting their utilization residential care service among 1,939 long term care services recipients. Frequency and Decision Tree Regression analysis on SPSS 13.0 used. Analyses show strong significant factor is service preference(predisposing factors), and then significant factors are enabling factors such as co-residence type, household income. According to this results, need factors such as cognition disorder, problem behavior, ADL and IADL disabilities are affecting utilization behavior of elderly residential care services. These findings provide implications and suggestions about how long term care service system would be settled in Korea. And these finding provide information about target-efficient long term care continuum system to policy makers and helping professionals.

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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.

The Study on U-Service Priority for Low-Income People Using AHP (계층화분석법을 이용한 저소득층 u-서비스 적용 우선순위에 관한 연구)

  • Byun, Wan-Hee;Yang, Dong-Suk;Kee, Ho-Young;Jeong, Man-Chul
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.10 no.1
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    • pp.100-111
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    • 2011
  • u-City(ubiquitous city) pursuing competitiveness of city and improvement the quality of life needs high cost to build and operate it. But not all people get a benefit by u-City. It is important that low-income people have experienced information divide gain practical benefits in u-City. In this paper, first we selected suitable item of u-service for low-income people and then drew a order of priority using AHP method about legal and institutional conditions, possibility of technical realization, and the generalization. As a result, we prioritize to u-service for low-income people, that is the order is prevention for missing a dotard, safety of street, and information providing about job and employment.

우리나라 보건의료 정보체계와 정보화사업의 현황 및 문제

  • Lee Yeong-Seong
    • 대한예방의학회:학술대회논문집
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    • 2001.04a
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    • pp.1-26
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    • 2001
  • 국가 보건의료체계(health care system)가 올바르게 기능하기 위해서는 의료체계를 구성하는 각 요소들간의 유기적인 상호 작용이 대단히 중요하다. 정보체계는 이러한 유기적인 상호 작용을 위해 보건의료체계의 각 영역에서 꼭 필요한 시스템이다. 보건의료 서비스를 효율적으로 생산하기 위해서 투입하는 자원의 개발과 배치 체계는 물론 생산된 보건의료 서비스를 소비자가 효과적으로 이용할 수 있도록 하는 서비스 전달체계(delivery system)의 전과정에서 보건의료정보체계는 중요한 인프라가 되고 있다. 정보체계는 궁극적으로 보건의료체계가 지향하는 목적을 달성할 수 있도록 짜여져야 한다. 다시 말해, 의료체계의 각 하부영역에서 의료이용의 접근성(accessibility), 형평성(equity), 서비스의 의과학적 질(scientific technical quality), 포괄성(comprehensiveness) 등 보건의료체계가 추구하는 가치를 정보체계에서도 그대로 담아 낼 수 있어야 한다. 또한 정보체계를 구축하기 위한 요건으로 각 사업 영역별 표준화, 사업 영역간의 상호관계, 공공과 민간의 역할 분담, 정보 관련 시선과 인력, 정보기술 등의 인프라, 각 사업 영역별 정보화에서 담아야 할 정보 내용(contents, DB) 등에 대한 사전 기획이 수립되어야 한다. 그 동안 보건의료분야의 정보화사업은 1996년부터 보건소기관의 행정, 진료, 보건 업무지원을 위한 보건소정보화사업과, 1995년부터 초고속공공응용서비스 사업의 일환으로 추진해 온 전염병, 혈액유통, 장기이식, 외래진료예약, 원격진료, 응급의료, 원격치매진료 시스템 구축사업 등이 있으며, 응급의료, 혈액관리, 장기이식, 전염병정보, 외래진료예약시스템을 통합한 보건의료정보통합서비스시스템(1998년) 구축사업 등이 있었다. 이러한 사업들에 대해 현재 평가되고 있는 문제점들로는 정보화 사업에 대한 전략과 비젼이 부재한 상태에서 지나치게 정보기술 중심으로 추진되다 보니 보건의료 정보의 공유나 활용이 전혀 이루어지지 않거나 매우 제한적이었고, 시범사업의 경우는 초기 사업을 추진하기 위한 주체가 명확하지 않았고, 관련 인력의 훈련과 양성이 안 되었으며, 사업 확대를 위한 법적 기반의 취약, 정보화 사업이 부실한 데 대한 평가 기준과 대안 제시 등이 매우 취약한 것이 문제점으로 나타났다. 특히, 정보 내용과 DB 구축을 위한 표준화 등에 대한 사전 설계 부재는 개발된 정보시스템의 운영을 결정적으로 어렵게 만든 요인이 되고 있다. 전반적으로 기존의 정보화사업은 사업 추진을 위해서 꼭 필요한 비젼 수립, 비젼에 따른 목표 설정, 전략 개발, 관리체계 구축, 운영방안 수립 등 단계적인 정보화 계획이 부재한 것으로 평가되고 있어 보건의료정보체계 구축을 위한 종합 비젼 기획(ISP)이 시급한 실정이다.

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The Lived Experience of Occupational Therapists in Public Health Centers Regarding Community Rehabilitation and Health Services: Phenomenological Study (보건소 작업치료사의 지역사회 재활 및 보건서비스 제공에 대한 업무 경험에 관한 현상학적 연구)

  • Park, Kang-Hyun;Jeon, Byoung-Jin;Jung, Min-Ye
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.63-75
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    • 2021
  • Objective : The purpose of this study was to examine the roles and practices of occupational therapists in public health centers based on their working experience of occupational therapists who are working in these facilities. Methods : We used Giorgi's descriptive phenomenological research method. Six occupational therapists were interviewed, and their recorded data were analyzed using Claizzi's thematic analysis. Results : As a result, 4 categories, 16 themes, and 24 elements were elicited. The major roles of occupational therapists in public health centers were the evaluation of clients, home-visit occupational therapy, management of dementia programs and community connection projects. Interventions that are needed to create a healthy community include case and program management, compensatory approaches, and healthy lifestyle interventions. The difficulties experienced by occupational therapists include their limited number job insecurity, performance-oriented administrative policy, and the lack of communication among professionals. Occupational therapists require education in health management and practice in public health centers to build their capacities. Conclusion : The results of this study could be used for guidelines for occupational therapists who work in community healthcare centers, as well as basic training for competent occupational therapists in the community.

Factors Influencing Care Burdens of Caregivers of Elders with Dementia who Request Dementia Domiciliary Welfare Services (재가복지서비스 신청 치매노인 주부양자의 부양부담감 영향 요인)

  • Lee, Young-Whee;Kim, Hwa-Soon;Cho, In-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.3
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    • pp.274-283
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    • 2008
  • Purpose. The purpose of the study was to identify the factors, which predict care burden perceived by caregivers of elders with dementia. Methods: The participants in this descriptive survey were 92 caregivers who used one of six daycare centers located in Incheon. The data were collected by questionnaires composed of items on general characteristics of the elders and caregivers, care burden, caregiver fatigue, and functional status of the elders. Results: General characteristics of the elders associated with care burden were age, gender, religion, and the presence of a spouse. Features of caregivers related to care burden were education, relationship with elderly, amount of rest, intention to care, monthly family income, and perceived family economic status. There were significant correlations among care burden, fatigue of caregiver and functional status of the elders. In stepwised multiple regression analysis, significant influencing factors were identified as caregiver fatigue, functional status of the elders, intention to care, relationship with the elders, amount of rest and elder's gender. Those variables explained 46% of variance of care burden. Conclusion: Functional status of elders and amount of rest were significant predictors and are supported by other previous studies. Future interventions for caregivers need to be focused on the slowing down of functional status of elders and increasing of number and length of caregiver's rest periods.

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A Study on Changes of Primary Caregivers' Fatigue, Depression and Life Satisfaction by Using Dementia Day Care Service (치매노인의 주간보호서비스 이용에 따른 주부양자의 피로, 우울, 생활 만족도 변화)

  • Lee, Young-Whee;Park, Kyung-Hee;Seong, Yeon-Sil
    • Korean Journal of Adult Nursing
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    • v.20 no.3
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    • pp.443-451
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    • 2008
  • Purpose: This study is to examine how dementia day care service affects fatigue, depression and life satisfaction of caregiver. Methods: The study was conducted using a convenient sampling method from 6 Dementia Day Care Center in Incheon. Thirty nine primary caregivers answered the questionnaires. Pre-test was done before demented elders start using the dementia day care center and post-test was done five months after. Data were analyzed by using descriptive statistics and paired t-test. Results: There was a significant difference in caregivers' fatigue level after using dementia day care service(t=2.188, p=.035). Results of subcategories were as follows; There was a significant difference in caregivers' physical fatigue level(t=2.270, p=.029) and psychological fatigue level(t=2.277, p=.029) after using dementia day care service. However, there was not significant difference in caregivers' neurological fatigue level(t=1.312, p=.197). There was a significant difference in caregivers' depression level(t=3.066, p=.004) and life satisfaction(t=-2.131, p=.040) after using dementia day care service. Conclusion: The results indicated that dementia day care service is helpful for family with demented elders. Therefore it is necessary to expand dementia day care center in terms of its size and numbers in order to support increasing number of demented elders and their families.

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A Study of Factors Affecting the Grade Maintenance of the non-graded of Long-Term Care Insurance (노인장기요양보험 등급외자의 등급유지 영향요인 분석)

  • Suh, Sujin;Moon, Yongpil
    • The Journal of the Korea Contents Association
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    • v.20 no.7
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    • pp.149-160
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    • 2020
  • The purpose of this study is to analyze factors affecting a grade maintenance of the non-graded group by LTCI(Long-Term Care Insurance, NHIS). The predictors were examined grade maintenance of the non-graded group(non-grade of A, B, C). The results were as follows: this study found that predisposing factors of the grade maintenance of non-graded of LTCI were significantly related to age, sex, death. Enabling factors of the grade maintenance of non-graded of LTCI were significantly related to household state, income level. Need factors of the grade maintenance of non-graded of LTCI were significantly related to dementia, grade of first grading, retry of applying for long-term care assessment. Based on the finding of study, implications and future research directions were discussed for policy considerations.

A Study on the Intention to Use Community Care Service by Pre-Caregivers Based on Dementia Under the Long-Term Care Insurance System for the Aged -Special dementia rating (5 rates) in the focus (예비치매 부양자의 재가서비스 이용에 관한 연구 -치매특별등급(5등급) 중심으로)

  • Son, Yi-Suk;Lee, Kyung-Soo;Chung, Jae-wook
    • Journal of Korean Clinical Health Science
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    • v.4 no.3
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    • pp.603-614
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    • 2016
  • Purpose. The purpose of this study was to provide basic data regarding the intention to use community care service based on special grading for dementia in the South Korean Society. Methods. A survey was conducted using a questionnaire adapted on the basis of literature review regarding the first to fourth grade under the long-term care insurance system for the aged from May 1 to 30, 2015 and a total of 272 questionnaires were statistically processed using SPSS 21.0. Frequency analysis, descriptive statistics, and cross-tabulation analysis were performed. The non-parametric type of test, ${\chi}^2$ test, was used for statistical testing. Results. This study obtained the following results: First, caregivers had greater intention to ask recipients to use daytime and nighttime care service. Second, there were statistically significant differences in caregivers' education, occupation, monthly average income, co-residence status, intimacy, and care-giving burden (emotional, financial, and social) and recipients' activities of daily living, instrumental activities of daily living, mental health status, dementia status, and intention to use community care service based on special grading for dementia. Conclusions. There are very few statistical data and academic materials regarding special grading for dementia, which has recently been established. The results of this study are therefore expected to help make a systematic analysis of the intention to use community care service by caregivers based on special grading for dementia.