• 보건행정학회지
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• 제29권2호
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• pp.195-205
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• 2019

Background: The food and food service influence the quality of life and the general health condition of older persons living in long-term care (LTC) facilities. Purchasing good food materials is a ground of good food service. In Korea, the residents in LTC facilities should pay for the cost of food materials and ingredients out of their pocket because it is not covered by LTC insurance. This study explored what factors affect the cost of food materials paid by LTC facility residents and which factor affects most. Methods: We used data from the study on out-of-pocket payment on national LTC insurance, which surveyed 1,552 family caregivers of older residents in LTC facilities. We applied conditional multi-level model, of which the first level represents the characteristics of care receivers and caregivers and its second level reflects those of LTC facilities. Results: We found that the facility residents with college-graduated family caregivers paid 11,545 Korean won more than those with less than elementary-graduated ones. However, the income level of family caregivers did not significantly affect the amount of the food material cost of the residents. The residents in privately owned, large, metropolitan-located facilities were likely to pay more than those in other types of facilities. The amount of the food material cost of the residents was mainly decided by the facility level factors rather than the characteristics of care recipients and their family caregivers (intra-class correlation=82%). Conclusion: These findings suggest that it might be effective to design a policy targeting facilities rather than residents in order to manage the cost of food materials of residents in LTC facilities. Setting a standard price for food materials in LTC facilities, like Japan, could be suggested as a feasible policy option. It needs to inform the choice of LTC users by providing comparable food material cost information. The staffing requirement of nutritionist also needs to be reviewed.

• 아동학회지
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• 제21권1호
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• pp.141-161
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• 2000

This study examined the conditions and administration of 548 private, social welfare, and elementary school-based facilities providing after-school child care. The School-Age Care Environment Rating Scale developed by authors was administered to the teachers of these facilities. The rating scale consists of 84 items in 9 sub-areas. Seven point ratings were obtained for each item. One-way ANOVA confirmed differences between all items at the (p<.001) except for supplementary special needs items. The private facilities had the best environment for after-school child care except for staff development. The social welfare facilities showed good evaluation in staff-child interactions, activities, staff development and administration. The elementary schools obtained low evaluations except for supplementary special needs items. The evaluation of social welfare facilities was highest in Seoul and private child care facilities were highest in other areas.

• 한국디지털건축인테리어학회논문집
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• 제12권2호
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• pp.5-13
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• 2012

After elderly long term care insurance implementation (July 1, 2008), the elderly medical and welfare facilities covered by medical insurance continuously increases 30 to 63% sanction annually. Rapid growth of senior citizen welfare facilities arises in a poor residential environment issues. In most cases, it is the legal minimum criteria tailored for 4 persons accommodated in nature, such as the hospital. Therefore, 'Hometown-style traditional Korean House' is needed to rest comfortable for elderly people. Research goal is to provide direction and design materials by developing a type of architectural planning for the elderly welfare facilities unit care of the atmosphere of a traditional Korean House. The following two elements are applied to the elderly welfare facilities. Senior citizen welfare facilities in the main living space are applied to modern residential space of the elderly-friendly atmosphere of a traditional Korean House. It is applied for the Korean lifestyle and residential culture are through an analysis of Japan's leading development unit care system.

• Asian Journal of Innovation and Policy
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• 제8권1호
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• pp.122-140
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• 2019

Providing free primary care to everyone is an important goal pursued by many countries under universal health care programs. Countries like India need to efficiently utilize their limited capacities towards this purpose. Unfortunately, due to a variety of reasons, patients incur substantial travel and out-of-pocket expenses for getting primary care from publicly-funded facilities. We propose a set-covering optimization model to assist health policy-makers in managing existing capacity in a better way. Decision-making should consider upgrading centers with better potential to reduce patient expenses and reallocating capacities from less preferred facilities. A multinomial logit choice model is used to predict the preferences. In this article, a brief background and literature survey along with the mixed integer linear programming (MILP) optimization model are presented. The working of the model is illustrated with the help of numerical experiments.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권3호
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• pp.49-55
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• 2014

Purpose: AIn recent years, the rapid progress of aging and the increase in the elderly people with dementia is becoming a big social issue. Therefore, this paper studies the development of therapeutic environmental rating scales for the elderly people with dementia in korean nursing homes. Methods: We identify the development process and structure of TESS-NH and understand the details of its nature and features. Then, based on the detailed items, we provide major scale factors which do influence on therapeutic environmental rating scales using PCA. Results: In the results, TESS, in the case of the initial stage of TESS-NH, has an advantage to evaluate on physical environments for a short period of time. TESS-2 + sets a large rage of activities of the elderly people with dementia, and tries to evaluate ongoing cares. TESS-NH has a complete set of well-thought-out assessment features for improving quality of care (Quality of Care) On the other hand, the main factors affecting the therapeutic environmental rating scales in nursing homes are "a consideration for facility management (Care for facilities' maintenance)", "a consideration for spatial cognition (Care for spatial cognition) ", and "a consideration for the safety (Care for safety)". Implications: In the future, to develop the therapeutic environmental rating scales on Korea's dementia nursing home, we should actively consider cares of spaces and facility utilization which the residents (the elderly people with dementia) are more secure and comfortable.

• 대한간호학회지
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• 제43권2호
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• pp.145-153
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• 2013

Purpose: The purpose of this manuscript is to discuss the need for use of evidence based practice (EBP) in LTC, the current use of evidence in long term care facilities and what we know about adoption of the use of EBP in LTC. Methods: Literature review and reporting of findings from the M-TRAIN study that was a quasi-experimental design to test the effectiveness of an intervention to increase the use of EBPs for urinary incontinence and pain in 48 LTC facilities. Results: Barriers to adopting EBPs include lack of available time, lack of access to current research literature, limited critical appraisal skills, excessive literature to review, non-receptive organizational culture, limited resources, and limited decision-making authority of staff to implement change. Strategies to promote adoption of EBP include the commitment of management; the culture of the home; leadership; staff knowledge, time, and reward; and facility size, complexity, the extent that members are involved outside the facility, NH chain membership, and high level of private pay residents. Findings from the M-TRAIN add, stability of nurse leader and congruency between the leaders perception of their leadership and the staff's perception of the leadership. Conclusion: There is clear evidence of the need and the benefits to residents of LTC and to the health care system yet adoption of EBP continues to be slow and sporadic. There is also evidence for the process of establishing best evidence and many resources to find the available EBPs. The urgent need now is finding ways to best get the EBPs implemented in LTC. There is growing evidence about best methods to do this but continued research is needed. Clearly, residents in LTC deserve the best care possible and EBPs represent an important vehicle by which to do this.

• 디지털융복합연구
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• 제15권4호
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• pp.251-258
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• 2017

본 연구의 목적은 노인요양시설 종사자들을 대상으로 내부마케팅요인이 조직 구성원의 직무만족, 감정노동과 조직몰입에 미치는 영향을 분석하는 것이다. 구조화된 설문조사를 통해 자료를 수집 하였으며, 최종분석 대상자는 경남지역과 경북지역의 노인요양시설에 근무하는 191명이고 연구모형의 가설검증은 AMOS 18.0을 이용하여 경로분석을 시행하였다. 본 연구의 주요 결과는 다음과 같다. 내부마케팅 요인이 직무만족에는 내부커뮤니케이션, 경영자지원만 영향을 미쳤으며, 감정노동에는 경영자지원만, 조직몰입에는 내부커뮤니케이션과 경영자지원이 영향을 미치는 걸로 나타났다. 본 연구결과의 시사는 장기요양시설 종사자들의 조직몰입 성과를 높이기 위해서는 바로 내부마케팅 역량 강화가 아니라 1차적으로 직무성과를 높여야 하며, 2차적으로 직무성과를 높이기 위해서는 종사자들의 직무만족과 감정노동에 대한 서비스 질의 변인을 좀 더 다양화한 연구가 필요하다.

• 한국식품영양학회지
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• 제19권4호
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• pp.435-447
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• 2006

This study was carried out to investigate foodservice management of child care centers in Ansan and to suggest the basic data for foodservice management improvement. A questionnaire survey of 48 child care centers in Ansan was undertaken. Child care centers were categorized large (children eve. 100) and small(children less than 100) by size and public and private by type. Survey questionnaires consisted of general background, employee, food inspection and storage, kitchen, cooking facilities, food distribution and hygiene utensils. The results of this study are summarized as follows: because 46.9% to 56.3% of the centers took a dietitian in employment, foodservices in most of centers were not managed by professionals. The average of employee were 0.77 persons in smalll centers and 1.65 persons in large centers. The average space of kitchen were 3.86 pyung in smalll center, 6.06 pyung (1 pyung=$3.3058m^2$) in large centers. According to the data analyzed from Food inspection and storage, kitchen, cooking facilities, food distribution and hygiene utensils, the results indicate that the foodservice management of child care centers were in a relatively poor state. The director in child care centers should recognize the importance of the sanitation management and pay more attention to food service facilities. To improve foodservice performance at child care centers, it is required fur the Ministry of Gender Equality and Family to develop both the kitchen facility model based on the general sanitation standards and guidelines for child care centers.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권4호
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• pp.17-25
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• 2015

Purpose: At the moment, There is a facility standard for intensive care units on the Korea medical services Act. However, the contents of regulation are so limited and difficult to apply. Therefore, it is necessary to draw up the guideline to complement the regulation for efficient operation of intensive care units. This study aims to suggest basic data for guideline of intensive care units. Methods: 2 Methods have been used in this paper. 1) Comparative analysis between the national regulation of Korea with the design standard of the United States America, the United Kingdom and Australia. 2) A literature survey about operation method for intensive care unit, focused on materials published in intensive care medicine society of each country. Results: In comparison with guideline of abroad cases, additional supplement are required, with regard to item such as operation environment, size, nursing manpower ratio, bed space area, space program of intensive care units for healing environment. Implications: This study is a basic research for guideline of intensive care unit, and need to be followed by further study using various perspectives and methods.

• 산업융합연구
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• 제21권4호
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• pp.165-170
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• 2023

이동약자가 집에서 밖으로 나오는 순간부터 이동에 대한 어려움을 겪는 경우가 있다. 보호자들 또한 시간적 여유가 없어 사회적 약자인 가족을 보호시설에 위탁하게 되는 경우 피보호자의 위치를 알기 위해서는 보호자가 직접 확인할 수밖에 없다. 이러한 보호자의 불안감과 수고를 덜어주고, 보호시설 관계자와 이용자의 편의성을 제공하기 위해 AI 홈케어 솔루션에 대한 설계를 하게 되었다. 비영리재단, 보호시설에 서비스를 무료로 배포하여 사용하는 시설이 많아진다면 보호자의 걱정이 줄어들고, 시설 이용자들을 관리해야 하는 시설 관계자의 부담도 줄어들게 될 것이다. 본 논문에서는 이동약자를 고려하여 이동과 관련한 모든 데이터인 보호자에게 피보호자의 위치, 상태 알람뿐만 아니라 위급한 일이 발생하면 보호자에게 긴급 알림서비스 기능을 제공한다. 나아가 시설 관계자의 편의와 부담을 덜어주기 위해 내비게이션 기능을 사용하여 최적의 경로를 추천해주는 서비스 기능도 제공할 필요가 있다. 이동약자가 이용하는 셔틀의 위치, 승하차 시간 등 보호자에게 필요한 정보를 제공하여 불안감을 덜어줄 필요가 있다. 또한 서비스를 무료로 제공하면서 시설 관리자는 봉사의 질, 이동약자는 서비스의 질을 높여주는 데 목표가 있다.