• Title/Summary/Keyword: Community care service

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Costs of Korean Clubhouses for Community Mental Health Service (한국 클럽하우스 모델의 지역사회 정신재활 비용)

  • Yeu, Kidong;Lee, Mihyoung;Lim, Ji Young;Kim, So Hee
    • Journal of Home Health Care Nursing
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    • v.19 no.2
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    • pp.119-126
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    • 2012
  • Purpose: The purpose of this study is to identify clubhouses general characteristics, core services, funding sources and costs in Korean Clubhouse Model, and to compare with Korean and international clubhouses. We explored the annual budget, cost per member, and cost per visit for 1 year. Methods: The data were collected from 14 Korean clubhouses and analyzed using descriptive statistics and Spearman's rank correlation with the SPSS 14.0 program. Results: The average of clubhouse operating period was 8.2 years. There were an average of 40.4 active members; among them, 84.1% were schizophrenia. In addition, there were an average of 5.8 staff and 15.3 services in each clubhouse. Cost estimates were as follows: annual budget (excluding housing) $223.633, cost per member $5,704, and cost per visit $21.35. There were significant difference among the annual budget, number of staff, number of service, and active members, but hours of Work-Ordered Day and social activities hours were not statistically significant. Conclusion: Findings provide a more understanding of operations, programs, and costs of Korean clubhouses.

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Influence of Hospital Social Responsibility Activities on Organizational Health and Customer Orientation (의료기관의 사회적 책임활동(HSR)이 조직건강성과 고객지향성에 미치는 영향)

  • Cho, Kyoung Won;Sagong, Mi;Kim, Seong Min
    • The Korean Journal of Health Service Management
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    • v.13 no.2
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    • pp.1-14
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    • 2019
  • Objectives: This study was conducted to analyze the effect of hospital social responsibility(HSR) activities on organizational health and customer orientation. Methods: We conducted an online survey with hospital employees and analyzed the questionnaires of 206 selected respondents. A regression analysis was performed to determine the relationship between independent and dependent variables. Results: First, 'consumer issues', 'community involvement and development', and 'fair operating practice' factors in HSR influenced 'medical environment suitability' in organizational health. The 'fair operating practice' factor in HSR affected 'management environment suitability' and 'community orientation' in organizational health. The 'labor practices' factor in HSR affected 'practices suitability' and 'vitality' in organizational health. Second, the activities on 'consumer issues' and 'environment' in HSR have influenced 'Reliability', 'Reactivity' and 'Tangibility' in Customer Orientation. The activities on 'consumer issues' have affected 'Empathy'. Conclusions: The results of this study provide a positive direction for medical institutions as they conduct HSR activities and provide a basis for establishing effective HSR strategies.

Test on the Cost and Development on the Payment System of Home Health Care Nursing (가정간호수가 적정성 검증 및 수가체계 개선 방안)

  • Ryu Ho-Sihn;Jung Key-Sun;Lim Ji-Young
    • Journal of Korean Academy of Nursing
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    • v.36 no.3
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    • pp.503-513
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    • 2006
  • Purpose: This study focused on analysing costs per home health care nursing visit based on home health care nursing activities in medical institutes. Method: The data was collected in three stages. First, the cost elements of home health care nursing services were collected and 31 home care nurses participated. Second, the workload and caseload of home care nursing activities were measured by the Easley-Storfjell Instrument(1997). Third, the opinions on improving the home health care nursing reimbursement system were collected by a nation-wide mailing survey from a total of 125 home care agencies. Result: The cost of home health care nursing per visit was calculated as 50,626\. This was composed of a basic visiting fee of $35,090{\\}({\fallingdotseq}355$)$ and travel fee of $15,536{\\}({\fallingdotseq}15$)$. The major problems of the home care nursing payment system were the low level of the cost per visit, no distinction between first visit and revisits, and the limitations in health insurance coverage for home health care nursing services. Conclusion: This study's results will contribute as a baseline for establishing policies for improvement of the home health care nursing cost and for applying a community-based visiting nursing service cost.

Investigation & Study Analysis of Health Affairs for the Old (공공보건기관의 노인보건 업무실태 분석에 관한 조사연구 -제주도내 4개 시.군 중심으로-)

  • Hyun, In-Sook
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.44-52
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    • 1999
  • This investigation & study has been made in oder to revitalilize the health care for the elderly in public health centers. The date subject, including 88 persons in charge health services in public heal centers, were from Chejudo. These were largely female, the average age was 38.4 at the health center. Their responsibilities included home visitation, nutrition management for the early, health education, and physical therapy. The most important problem were personal management and a lack of facilities, especially in home visitation, health education, physical therapy. Systematic networks of various activities are needed to encourage not only the patient but also volunteer who will also take part in these services. The numbers of members in charge of the elderly are not only to be increased and educate with facilities and equipment but also better provided with proper facilities and equipment. This is the best way to conduct health services the elderly.

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Analysis of Hospital-based Home Care Service Utilization Using National Health Insurance Claim Data from 2008 to 2017 (건강보험 자료를 이용한 전국 의료기관 가정간호 실시 및 이용 현황 분석: 2008년-2017년)

  • Ko, Jeong Yeon;Yoon, Ju Young
    • Journal of Home Health Care Nursing
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    • v.26 no.1
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    • pp.36-50
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    • 2019
  • Purpose: The purpose of this study is to analyze the status quo of hospital-based home care utilization in Korea from 2008 to 2017. Methods: Data from a total of 1,396 medical institutions, 350,390 patients, and 3,563 home care nurses were analyzed using claim data from the Health Insurance Review & Assessment Service. Results: The number of hospital-based home care agencies decreased from 177 in 2008 to 115 in 2014. This number started to increase in 2015 and reached 179 in 2017. The number of hospital-based home care patients declined from 35,056 in 2008 to a low of 26,848 in 2013. This number started to increase in 2014 and reached 67,863 in 2017. Essential hypertension was the most common disease among hospital-based home care patients from 2008 to 2015. The number of hospital-based home care visits declined from about 500,000 in 2008 to a low of 362,000 in 2013. This number started to increase in 2014 and reached 658,000 in 2017. Conclusion: It is necessary to vigilantly monitor hospital-based home care agencies, patients, and the utilization of services. This may help establish platforms for providing community and home-based nursing services for the super-aged society in Korea.

Development of Convergence Skin Care Education Program to Foster Creativity and Character Building of University Students - Focusing on life care - (대학생의 창의인성 함양을 위한 피부미용 융·복합 교육프로그램 개발 - 라이프케어를 중심으로 -)

  • Park, Jeong-Yeon;Kang, Soo-Kyung
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.439-446
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    • 2020
  • This study aimed at developing a convergence education program about skin care and social welfare with the purpose of operating liberal arts courses to foster the creativity and character building of university students and the development findings are as follows. The name of the developed course is "beauty treatment welfare and community service" and details were developed for the course overview, goals of the course, textbooks, course management, assignments, and assessment. The lesson goals of this course are character building by fostering creative and outstanding individuals demanded by the society and equipped with the basic knowledge of majors like skin care and social welfare as well as the capability to share and consider through service learning related education for the increase in convergence critical thinking skills and the convergence of skin care and social welfare. The details of the course comprised of introduction about the course, understanding the concept of convergence, understanding the concepts of skin care and social welfare, convergent thinking education and practicum, and education about service learning performance sharing meeting. The service learning is targeted on the socially disadvantaged, such as children and elders, and students can engage in service twice a week with 3 hours for each service session. The assessment is evaluated with midterm (30%), final exam (30%), report (20%), and attendance (20%). This study stresses importance on the development of a convergence education program for skin care and social welfare, which are still undeveloped while convergence education is expanding in university, and with this research as the start, it is anticipated for various approaches to be actively implemented about convergence education in the field of beauty treatment.

A study for quality assurance of visiting nurses service of a public health center (보건소 방문 간호 사업의 질보장을 위한 연구)

  • Yun, Soon-Nyoung;Lee, In-Sook;Hyun, Hye-Jin;You, In-Ja;Kim, Jai-Nam;Bae, Jung-Hee
    • Research in Community and Public Health Nursing
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    • v.6 no.2
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    • pp.275-285
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    • 1995
  • The purpose of the study is to evaluate the visiting nurses service of a public health center. Data were collectd from the 36 clients who received services from a public health center. In terms of the process evaluation, the tool is composed 4 parts, 27 items such as assessment planning, implementation, and evaluation. It was measured through the health records by 2 peer review. In terms of the outcome evaluation, the level of client satisfaction was measured by self report or interview by 2 supervisor. The result were as follows: 1. 30% of 36 health records showed narsing process was not and out of them, nursing care plann including spectific activities were rarely established or unclear. 2. The lack of systematic data collection' showed and nursing diagnosis was not adressed in health records review. 3. Client satisfaction score was 32, 97, out of maximum score 36. 4. The lack of sufficent objective data, care plan, record of client's health status change, and evaluation was founded therefore quality assurance for visiting nurses service and in-service education are required and the development of standardized record system need.

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A Study on the Perception of Crisis in Home Support Service for the Elderly (재가노인서비스 위기 인식에 관한 연구)

  • Lim, Byung-Woo
    • Journal of Industrial Convergence
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    • v.19 no.6
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    • pp.165-175
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    • 2021
  • The purpose of this study was to identify the crisis perception of the existence on home support service for older people and to make policy and practical suggestions for the workers who provide the on home support service for older people. For data collection, in-depth interviews were conducted by sampling four voluntary participants recommended by the Korea Association of Community Care For The Elderly 00city in the metropolitan area. As a result of the analysis, the main crisis-related factors of the home support service center for older people were found to be three: psychological, policy, and role. First, in terms of policy, not only could they not actively accept policy changes, but there were limits to their efforts for change. Second, in the psychological aspect, identity confusion and negative perception in the community. Third, in terms of roles, there was a disappointment in the active roles and support of institutions, corporations, and associations.

A Study on the Needs for Development of the Community Services associated with Welfare Education (복지보육과 연계한 지역사회 서비스개발을 위한 욕구도 조사)

  • An, Eun Suk;Lee, Ji Young
    • Korean Journal of Childcare and Education
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    • v.2 no.1
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    • pp.17-40
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    • 2006
  • While the government has put forwards several programs associated with community services under a nursing guideline linking nursing facilities with community, few nursing facilities seem to make use of them effectively. In such a circumstance, this study was aimed at surveying parents' comprehensive and extensive needs for nursing services associated with community services, and thereupon, suggesting the ways for the successful nursing services meeting the needs from parents as well as community, and thereby, providing some data useful to development of the nursing services ensuring individual children's rights of being nursed as well as meeting the social needs. To this end, the researcher surveyed parents - with their children being cared by nursing facilities - for their life styles and their perception of community services. In this vein, the community services of nursing facilities were divided into four areas such as community services, community PR, engagement in community and use of community resources, and thereupon, current community service programs were analyzed to determine the differences among them depending on parents' needs and their demographic variables, and thereby, the effects of the community service programs on parents' comprehensive needs for community services were analyzed.

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A Study for Exploring the Prevalence and Associated Factors of Unmet Health Care Needs due to Reduced Mobility: Evidence for Estimating Subjects of Visiting Health Care (거동불편 사유로 인한 미충족 의료의 규모와 관련 요인 탐색 연구: 방문의료 대상자 추계를 위한 근거)

  • Choi, Jae Woo;Kim, Chang-O
    • Health Policy and Management
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    • v.32 no.1
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    • pp.53-62
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    • 2022
  • Background: This study was designed to examine regional proportions for people who experienced unmet health care needs due to reduced mobility or unhealthiness and factors associated with experience of unmet health care needs by them. Methods: A total of 11,620 people were retrieved from the Korea Health Panel data (2014-2018). Regional proportions for people who experienced unmet health care needs due to reduced mobility or unhealthiness were estimated using cross-sectional weights and the factors associated with them were analyzed using generalized estimating equation. Results: The number of people who experienced unmet health care needs due to reduced mobility or unhealthiness was estimated as 278,083 in 2018. Women, the aged (65+), below elementary school, single as marital status, low income, bad self-rated health, people with disabilities, and long-term insurance beneficiaries were statistically significantly associated with experience of unmet health care needs due to reduced mobility or unhealthiness. Conclusion: Given high and dispersed demand for visiting health care, government need to expand the infrastructure and finance to facilitate visiting health care.