• Title/Summary/Keyword: Elderly Facilities

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Reforming the Rural Health Insurance Programs in Korea (농촌의료보험의 당면과제와 개선방향)

  • Moon, Ok-Ryun
    • Journal of agricultural medicine and community health
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    • v.16 no.2
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    • pp.179-194
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    • 1991
  • Despite its universal coverage of health insurance, the rural health insurance program(RHIP) stands at the crossroads in Korea. The RHIP has weaknesses in stability of financing, problems of inequities in the provision of health services and has suffered from high cost of running the program. The author has analyzed these problems from the perspective of health insurance policy and presented several options for improvement. First of all, this study urged the importance of a firm Governmental commitment of RHIP with the 50% subsidization of contributions as the Government had promised, instead of the current 40%. This can be justified from the 20% subsidization by the Government for the contributions of private school teachers and their dependents, who belong to richer segments of the population. Second, various cost containment measures ought to be sought curbing the rising demand for medical through strengthening health education and increasing individual responsibility, and tightening the claim review process. Third, this study requires the Government to run a demonstration project on the introduction of case payment system for primary health care. Fourth introducing an income-related cost sharing scheme is another possibility. Reforming the cost sharing formula for large medical expenditures is recommendable for a beginning. This measure can take the form of tax credit for medical expenditures of the poor. Fifth, the degree of financial adjustment among health insurance plans should be levelled up for enhancing stability of RHIP and social solidarity. Sixth, health policy should be redirected toward development of rural health resources and higher priority should be put on relieving difficulties in access to care. Seventh. the insurance plan owned-hospital needs to be developed or provision of health services in the medically underserved areas, and the need of such facilities is particularly acute for geriatric care, rehabilitation and renal dialysis, etc. Eighth, more generous insurance benefits are required of the elderly who are suffering the most : elimination of the maximum 180 days of benefit period and provision of glasses and artificial dentures, etc. Ninth. the economies of scale principle is working for the operating expenses of regional self-employed insurance plan. Thus, measures should be instituted to pursue an optimum size of health insurance plans. Lastly, excessive dependence on exclusion items is an evil so that some radical remedies are urgently required to cut them.

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An Analysis of Domestic Research Tendencies of Environmental Psychology and Behavior Studies in Architecture and Interior Design Fields - Focus on the Theses of Architecture and Interior Design Institutes - (국내 건축 및 실내디자인 분야의 환경심리행태 연구경향 분석 - 건축 및 실내디자인학회의 연구내용을 중심으로 -)

  • Choi, Sang-Hun
    • Korean Institute of Interior Design Journal
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    • v.17 no.5
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    • pp.150-156
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    • 2008
  • The 'Environmental Psychology and Behavior Studies' which started from the purpose of "Building the comfortable environment for people", is one of the most essential research area in architecture and intoner design field because of the basis of humanbeing matters. As the development of science and industries, the social circumstances have been more complicated and diversified. As a result, humanbeing require much humanized and high level of quality in space design as well as environmental design. In case of domestic research situation, the research of environmental psychology and behavior studies in architecture and interior design fields, haven't been applied fully in their potential abilities due to the shortage of research history, complexity of humanbeing researches and the vagueness of studies as a major fields. Thus, my purpose of studying is to analizing the previous research tendencies focus on the domestic thesis since 1980 to 2006 from the related research Institutes. Final findings are as follows ; 1. Steadily increasing tile interest ratio of the research field of environmental psychology and behavior studies 2. Concentration of research target spaces are higher from the residential > elderly facilities > educational > and medical spaces. 3. The preference of research theme showed the environmental psychology fundamentals > behavior studies > general studies of environmental psychology > emotional engineering > human factors engineering. 4. Results of crossing analysis ; 1)Residential spaces were the main spaces for main research theme. 2)Main theme used in target spaces were 'environmental psychology fundamentals' and "behavior studies'. 3)Main research methods for the most target spaces were 'sample research' methods.

Analysis of Environmental Evaluation Elements for Universal Design at the Museum: Focused on the Use Evaluation of Visually Handicapped and Non-Handicapped People (박물관에서의 유니버설 디자인을 위한 환경 평가요소 분석 : 시각장애인과 비장애인의 사용 평가를 중심으로)

  • Kwon, Jungin;Kim, Sihoon;Lim, Kyungran;Kim, Kyungmee
    • The Journal of the Korea Contents Association
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    • v.15 no.6
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    • pp.125-135
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    • 2015
  • As the elderly and the disabled populations increase, the importance of the universal design is more highlighted to form equal and secured environment. Particularly, as the desire for the cultural experience has grown, investment and construction of the cultural space are actively carried forward at the state level, but there are a lot of restrictive elements for the disadvantaged to have the cultural experience in the public facilities. To analyze these elements, investigation into the present conditions and analysis of use evaluation were conducted over the construction environment of museums, the public cultural space, in terms of the visually handicapped and non-handicapped people. Through the literature review, this study understood the concept and principle of the universal design, analyzed and reclassified the existing evaluation elements. As a result of evaluating museums in the country based on the analyzed evaluation elements, the information, environment and supplement points in service were investigated for the visually handicapped to tour museums and remedies were drawn. This study tries to consider these disadvantaged and to suggest evaluation elements and remedies for environment construction, so that everyone can do pleasant activities.

Design and Implementation of U-Health System for Active Oxygen Measurement Data based on Mobile Phone (활성산소 측정 데이터를 위한 모바일 기반의 U헬스 시스템 설계 및 구현)

  • Lee, Chang Moo;Oh, Seung Kyo;Choi, Deok Jai
    • Smart Media Journal
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    • v.1 no.4
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    • pp.52-58
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    • 2012
  • In recent years the combination of IT and BT for U-Healthcare Medical Services has attracted popular attention as an alternative for solving health problems due to aging issue. Active oxygen as free radicals causes unstable state of the body resulting to other disease on which approximate 90% of the diseases are associated with active oxygen. The severity is even higher along with increasing age. Therefore, there is a need for systematic management of active oxygen saturation for the elderly and chronic patients. In this paper, the data about active oxygen measurements from the body measurement is sent to the data storage of medical facilities by the service provider. Medical information is measured by devices provided complying with the standard, support and information using Bluetooth communication. Users can check their health status themselves using the proposed system through 3G/4G mobile devices like smart phone to medical institutions in which the smart phone act as a gateway for medical data transferred from patient to medical institutions and vice versa. Users can get and experience a diagnosis and effective U-Environmental Health Services from Medical institutions anywhere using the proposed built system.

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Measuring Technologies of Traffic Conflict Risk between Vehicles and Pedestrians (차량-보행자간의 상충위험도 측정 기술 연구)

  • Jang, Jeong-Ah;Lee, Hyeon-Soo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.2
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    • pp.255-260
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    • 2017
  • In Korea, traffic accidents between pedestrians and vehicles in 2015 account for 38.8% of all accidents. This study proposes a system design that can measure the risk of conflict between a vehicle and a pedestrian. Firstly the systemdetect and estimate the position, speed, and directional data of the vehicle and the pedestrian. And then it estimate the conflict point between a vehicle and a pedestrian. The risk of conflict is quantified by estimating the pedestrian safety margin (PSM), which is the time difference between the arrival of the pedestrian at the crossing point to the point of conflict and the vehicle approaching the point. In this system each data is acquired through an external monitoring based evaluation module and an individual wearing module. In the future, such a system can be used for decision making such as the design of road hazard improvement facilities and the designation of the elderly protection area.

Deterioration Characteristics through Evaluating the Level of Deterioration of High-rise and High-density Apartments (고층고밀 아파트단지의 노후특성 평가 연구 - 1기 신도시 중 분당신도시의 아파트단지를 대상으로 -)

  • Cho, Sung-Heui;Lee, Tae-Kyung;Oh, Deog-Seong
    • Journal of the Korean housing association
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    • v.20 no.6
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    • pp.89-99
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    • 2009
  • The purpose of this research is to determine the deterioration characteristics of high-rise and high-density apartment complexes in 1st period new towns in order to regenerate apartments as sustainable residential environments in Korea. For this purpose, the level of deterioration was evaluated by using 'evaluating indicators of the level of deterioration of high-rise and high-density apartments'. The deterioration characteristics were determined inclusively and concretely based on evaluation results. In addition, the deterioration level according to residents' awareness of the deterioration of their apartment was evaluated. This study was conducted by methods of field data collection, staff interview, field measurement, and resident survey according to the measurement of the evaluating indicators. And the re-organized questionnaire based on the evaluating indicators was utilized for a survey of resident's awareness. The results are as follows: In the physical dimensions of apartments, the deterioration characteristics included deteriorated equipment and a decline in structural performance due to the aging of the apartment, a shortage of parking spaces, and the low flexibility of the bearing wall structure, etc. In terms of the social dimensions, the apartments showed an increase in the number of elderly households, a shortage of community facilities, and a lack of the opportunity for community participation etc. In terms of the economic dimensions, the apartments showed limitations in maintenance & repair and a lack of environmentally friendly features.

A Case Study of Layout Plan and Use of Indoor Community Spaces in Rental Apartment Complexes (사례분석을 통한 임대아파트 실내 커뮤니티공간의 배치 및 이용실태)

  • Hwang, Yeon-Sook;Byun, Hea-Ryung;Lee, Song-Hyun;Eo, Sung-Sin
    • Journal of the Korean housing association
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    • v.21 no.4
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    • pp.99-109
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    • 2010
  • The purpose of this study is to provide basic data needed for planning apartment community spaces in order to vitalize rental apartments. Indoor community spaces of 12 rental apartments in Seoul and Kyunggi were examined. The results are as follows. First, the layout types of indoor community spaces in rental apartment complexes were found out to be mostly the building type planned in the piloties of the apartment, or the singular type placed in a singular building. Depending on the layout type, the spaces were mostly concentrated at the outskirt of the complex or the in-between space of the main building, thus lowering their recognition. Thereby, they were not satisfactory for utilization of the spaces and association of residents. Second, Indoor community space legal establishment standard and square measure did not reflect resident's feature except elderly spaces, and there was problem in activation of space. Third, as for the spatial planning of indoor community space, although each space was categorized by the users' age, the furniture and appliance planning considering users was not satisfactory. The area calculation by the type of space did not reflect the users' characteristics, thus causing problems in using the facilities. Fourth, as for the management and programs of the indoor community space, spaces were managed after categorized by the major user classes such as children, seniors, and adolescents. Depending on eagerness of program managers of each apartment complex, the level of program management varied. The survey results showed that, in most cases, almost no programs were used or merely basic management and programs were being provided.

A Study on the Residents' Behaviors in Living Area of Special Nursing Homes for the Elderly (노인전문요양시설 입소노인의 거실이용실태에 관한 조사연구)

  • An, Byeong-Young;Cho, Jun-Young;Yang, Nae-Won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.14 no.1
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    • pp.31-38
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    • 2008
  • Nursing Homes are different from other medical facilities, because they have a living space. And most of residents in a nursing home have dementia, therefore nursing homes are in control of outdoor activities for resident's safety and most of residents live in the living room at the daytime. The purpose of this study is analysis of spacial behaviors of residents in the living room, and reflection of the analysis into the architectural plan of nursing homes.There are two activities, individual activity and social interchange activity, in a living room and the role of a living room is semi-private space that includes both of them. Most numerous activities are watching TV and take a eat. Activities are different in accordance with the position at the living room. Individual activity and social interchange activity is same ratio in the middle and the ratio of social interchange activities are more than individuals in outside of living room. but alcove use of private.The types of living rooms are distinguished by combination of functions of livingroom, activity-room, and diningroom. The activity of use of residents have been shown different phases following the types of livingroom. The type of combination has been seen high rate of use and private activities and social communications are expressed evenly. The type of mixing has been seen low rae of use, but two activities, the above, are equal. The type of separation has been seen not only low rate of use, but also there has been only private activities.

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The Effects of Oriental Herbal Tea on the Brain Function Quotient of Elders at Health Facility (한방차가 시설이용 노인의 뇌기능지수에 미치는 효과)

  • Youn, Mee Kyung;Lee, Jung Eun;Kim, Soo Kyung;Lee, Se Won;Kim, Jeong Hwa;Woo, Kwi Ok
    • Journal of East-West Nursing Research
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    • v.19 no.2
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    • pp.128-137
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    • 2013
  • Purpose: This study was performed to identify the effects of oriental herbal tea on the brain function elders at the day care center and the nursing home. Methods: This study used a pre-post quasi-experimental design with a non-equivalent control group. Total 38 of elderly population (20 of experimental group and 18 of control group) was recruited. 100 mL of a type of oriental herbal tea developed for purpose of this study was given to each subject 3 times a day for 30 days (from May to Jun 2013). The brain function quotient was used to measure brain function. The data were analyzed by SPSS/WIN 18.0. Results: After drinking the oriental herbal tea, more significant improvement on attention quotient (AQ), anti-stress quotient (ASQ), emotion quotient (EQ) and brain quotient (BQ) were found in the experimental group than control group. Conclusion: This study shows that oriental herbal tea can be a health promotion option in elders. Therefore the tea can be utilized as an effective intervention for the health of elders in health facilities.

A Relationship of Care Time with Functional Status and Patients Characteristics among Patients in Long-term Care Hospitals (장기요양환자에서 환자 특징 및 기능상태와 환자돌봄 시간과의 관련성)

  • Yi, Jee-Jeon;Kim, Jeong-In;Yu, Seung-Hm;Yoo, Hyeong-Sik;Yi, Sang-Wook
    • Journal of Preventive Medicine and Public Health
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    • v.37 no.3
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    • pp.282-291
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    • 2004
  • Objectives : The aim of this study was to investigate the functional status variables related to the care time of health professionals for patients in long-term care facilities. Methods : The functional stati of 1001 patients in 8 long-term care hospitals were examined by the Resident Assessment Instrument for Long-term Care Facility Version 2.0. The care time of health professionals for patients was calculated using data from a self-reported task survey by nurses, auxiliary nurses, private aides, doctors, physiotherapists and social workers. Results : The average care time per diem was 240.6 minutes. The care time by doctors, nurses and private aides were 11.0, 71.0 and 139.5 minutes, respectively. The lower the function of activities of daily living (ADL) and the greater the symptoms of extensive services, special care and clinical complexity, the more care time was served. On the contrary, the greater the symptoms of nursing rehabilitation, depression, cognitive disorder, behavior problem and psychiatry/mood disorder, the less care time was served. Age and gender were not significantly related to the care time. Conclusions : Developing a case mix classification system for elderly long term care patients may be helpful for both of patients and health care providers. The ADL, extensive services, special care and clinical complexity of variables should be considered in the development of a case mix system for the long term care of patients in Korea.