The purpose of this study is to analyze the use of hospital, hospitalization, medical service, discharge and power of medical care patients who are concerned about moral hazard. We conducted focus group interview with 3 medical care patients and their families and 5 workers who had worked for more than 4 years in a nursing hospital. The main results and implications are as follows. First, admission to nursing hospitals was mostly based on the linkage between the medical institutions and the competition to attract the patients rather than the choice of the patients. Second, the main cause of the long-term hospitalization of medical assistance patients was the lack of social protection measures such as absences of residence and care giver, although there are factors that cause moral hazard such as low self-pay. Third, most of the patients were in need of treatment, but they were admitted to the hospital even though their needs were not higher than those of the health insurance patients. Fourth, the rehabilitation service is the mainstay of the medical service of the nursing hospital, and the roles of nursing staff and care givers are important. Fifth, medical care patients are paying medical expenses for nursing hospitals due to cost of living and family support, but they are exempted from the hospital expenses or the burden of their own expenses in the hospital. Sixth, public institutions and social welfare institutions have not managed continuously since commissioning patients to nursing hospitals and have neglected the connection with community services after discharge.
Journal of the Korea Academia-Industrial cooperation Society
/
v.17
no.10
/
pp.685-695
/
2016
This study suggests different improvement practices of adolescents' multicultural acceptability to compare the factors influencing multicultural acceptability with elementary and middle school students. The data used in this study come from the Korean Child and Youth Panel Study(KCYPS) of the National Youth Policy Institute(NYPI) comprising 4,092 responses from 5th grade elementary school students and 4th grade(middle school 2nd grade) of elementary school students. The study data were subjected to hierarchical regression analysis to give the following findings. First, Levels of Multicultural Acceptability were significantly different. Second, factors influencing multicultural acceptability for elementary school students and middle school students were different. Common factors were mother's education level, life's satisfaction, peer relationship, teacher relationship, and spirit of community. Factors for elementary school students's multicultural acceptability were subjective academic achievement, community awareness, experiences of cultural activity, and overseas visiting experiences. The factor for middle school students's multicultural acceptability was family/group travel experiences. Our findings highlight the importance of programs and education that are suitable for children's developmental level. Such peer group programs need to be offered for middle school students to achieve spirit of community and educational group program and various extracurricular activities to achieve community awareness and develop a spirit of community for elementary school students.
Journal of the Korea Academia-Industrial cooperation Society
/
v.17
no.9
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pp.279-291
/
2016
The objective of this study is to determine the structural relationships among the infant's temperament, father's involvement in child-rearing, and the infant's social and emotional behavior. To this end, research was conducted with 330 parents of infants aged 1 and 2 in 55 day care centers located in J city and I city, Jeollabukdo. Frequency analysis, reliability analysis, correlation analysis, confirmatory factor analysis, and structural model equation analysis were conducted using SPSS 21.0 and AMOS 21.0. First, the results of the structural model equation analysis showed that the infant's temperament had a negative correlation with leisure and guidance, while it had a positive correlation with activity and impulsivity, which are external manifestations of their social and emotional behavior. Father's involvement in child-rearing had a negative correlation with the adaptability and mood aspects of the child's temperament, and also with general anxiety, an internal aspect of his or her social and emotional behavior. Social and emotional behavior had a positive correlation with the approach avoidance aspect of the infant's temperament. Second, according to the results of the analysis of the route between the variables, infant temperament was found to be a significant route, having a statistically negative correlation with father's involvement in child-rearing. The results of this study showed that infant's temperament and father's involvement in child-rearing had effects on the infant's social and emotional behavior, and suggested the importance of having a proper understanding of the educational implications of the father's involvement in child-rearing, in terms of its effects on the infant's social and emotional behavior.
Journal of the Korea Society of Computer and Information
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v.18
no.12
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pp.149-157
/
2013
The purpose of this study is to listen to vivid story on economic life of marriage immigrant women using phenomenological study out of qualitative study methods, and to analyze the meaning of dynamicity of experiences through in-depth interviews. The research question is "What is the meaning of economic life that marriage immigrant women experience?" From the research, 67 meaningful statements were abstracted and 15 core meanings were organized. The 15 core meanings were categorized as 5 theme categories such as 'Tough Life', 'Unstable Income such as Children Education Expense and Insurance Premium', 'Search for Changes in Life Style for Adaptation', 'Pursuit of Economic Stability through Employment', 'Expectation of Supports and Return to Married Woman's Parents' Home.' The researcher made structural description through first person speaker for the application of hermeneutical writing. In other words, the meaning of economic life of marriage immigrant women in Korea is 'difficult coping process to family-oriented culture pursuing changes in life style to adapt themselves to difficult reality.' Various undertones of practice were proposed through those statements such as policy to expand opportunities to receive an old-age pension by applying 'Joint Scheme for Couples' (Virtual Name) to People's pension for stable economic life of marriage immigrant women in old age.
Vast volumes of studies of the medical and public health aspects of fertility and family planning have been published by the various institutes of health related research and university scholars in Korea. None of them, however, have dealed with the population problems associated with biologically and mentally handicapped people. It must be emphasized that the purpose of Korea's population policy should be to improve the quality of the population rather than to decrease its rate of increase. In this spirit, the first report of this study is to identify problems related with mentally and physically less fitted population, and to attempt to offer the possible solutions to the health planners and policy-makers. Several nation-wide surveys of the handicapped people in Korea have been compared. Each survey shows a wide range of difference in the prevalence of the handicaps(see Table 13). In this study, the data on the handicaps are collected by two independent system ; one by the nation-wide survey and the other by the reporting system existing at the Seoul National University Demonstration Health Project. The Chandrasekar-Deming technique was used to estimate the total number of handicaps. The estimates are summarized in the tables 8, 9 and 10. Estimate of total number of handicapped people in Korea is 601, 400 with the prevalence rate of 16.1 per thousand persons. Even if taking a number of conditions which may result in a biased estimate of the total number of the handicaps into consideration, the proportion of handicapped people in Korea has increased in the past two decade as the result of the rapid decline in fertility and childhood mortality, which consequently prolonged life expectancy of persons with congenital or acquired impediment. An increase in the proportion of handicapped people will eventually bring about serious problems of social welfare, medical care, and population qualities from various aspects including eugenics. To tackle the problem, there must be an increased emphasis on the prevention of handicaps from the government and private sector. Based on the amount and quality of data, and from the practical point of view, this study prepared a set of recommendations for the government to strengthen its programs of the preventive activities during the prenatal period and early childhood, early finding from routine examinations, and proper social and medical rehabilitation.
This study collected and analyzed big data from 1995 to 2020, focusing on the keywords "unwed mother", "single mother," and "single mom" to present appropriate government support policy directions according to changes in perspectives on unwed mothers. Big data collection platform Textom was used to collect data from portal search sites Naver and Daum and refine data. The final refined data were word frequency analysis, TF-IDF analysis, an N-gram analysis provided by Textom. In addition, Network analysis and CONCOR analysis were conducted through the UCINET6 program. As a result of the study, similar words appeared in word frequency analysis and TF-IDF analysis, but they differed by year. In the N-gram analysis, there were similarities in word appearance, but there were many differences in frequency and form of words appearing in series. As a result of CONCOR analysis, it was found that different clusters were formed by year. This study confirms the change in the perspective of unwed mothers through big data analysis, suggests the need for unwed mothers policies for various options for independent women, and policies that embrace pregnancy, childbirth, and parenting without discrimination within the new family form.
The study aims to analyze the effects of socio-economic deprivation on suicidal ideation. The analysis data were used as a guide for Korea Welfare Panel Study 9. the frequency analysis, mean difference analysis, correlation analysis, and logistic regression were performed by SPSS programs. The results of analysis are as follows. First, The results of frequency analysis by deprivation type showed a high frequency of deprivation in the following order. Experience of not receiving a public pension, experience of being able to work but unemployed, experience of not being able to eat a balanced diet due to financial difficulties, and experience where you had nothing to eat but no more money to buy. Second, the average difference analysis shows that when a person does not have a spouse, the lower the academic background and the income level, the higher the likelihood of suicide. Third, regression analysis shows that the following deprivation patterns have a statistically significant effect on older adults' thoughts of suicide. Experience in which the respondents or their family could not go to hospital because they had no money, experience that move house because is back rent more than 2 months or can not pay rent, experience that they could not afford to buy food and eat well-balanced meals, experience of failing to pay your bills on time, experience of being able to work but not having a job, and experience in which financial difficulties left them short of food and no money to live. Based on such research results, some policy measures, such as the expanding management of medical care benefits cases, the improvement of elderly housing, residential conditions and the diet survey for the elderly, and the expansion of measures to support elderly people's tax rates, were proposed.
Korea is facing one of the fastest aging population problems in the world due to the extension of life expectancy and low birth rates due to economic development and the development of health care. It has become difficult to take care of elderly people in need of long-term care at home, and social problems such as dementia and the increase in stroke cases are serious problems. The government is enacting and implementing the Long-Term Care Insurance Act for the purpose of improving the quality of life for senior citizens subject to long-term care and alleviating the burden of family support in order to solve such social structure and problems for senior citizens. However, as a result of the implementation of the long-term care insurance system for the elderly, the privatization of the facilities and the disorder are causing widespread requests for public accountability of the services and the enhancement of the quality of the facilities. In addition, various arrangements are needed for the production of low-wage medical care workers, tasks for quality improvement, problems regarding financing methods, and so on. In order to maintain and develop the long-term care insurance system for the elderly, the government will consider seeking ways to improve the legal and institutional aspects according to changes in the social environment of the age, as well as seeking mental and psychological measures for the stabilization of old life as well as physical health.
This study examines the mediating effects of self-efficacy between self-differentiation and depression by analyzing 105 parents who have at least one child with a disability. Regression analysis confirmed all hypothesis between self-differentiation, self-efficacy, and depression. There exists partially or complete mediation. That is the indirect effect on depression, self-efficacy explains the relationships between self-differentiation and depression to be as minimum as 24 percent to as maximum as 100 percent. This demonstrates that the self-efficacy significantly affects the relationship between self-differentiation and depression. Findings of this study recommend that self-efficacy should be enhanced through improving the level of self-differentiation. The results also imply that rehabilitation counselors need to understand the way of improving self-efficacy as well as the fact that the influencing factors of self-differentiation on self-efficacy is important. The findings of this study are informative for researchers, educators, and clinicians for mental health and psychological rehabilitation who assist the parents of children with disabilities.
The purpose of this research is to suggest implications for the elderly with disability by taking a look at the influence of disability of elderly on successful aging and a moderating effect of social support network. This study analyzed the $4^{th}$ panel data from KReIS and the subjects for this research are 3,906 of elderly aged over 65 years. For the statistical analysis, the IBM SPSS Statistics v23.0 program was utilized. Technical statistics was verified, multiple regression analysis was used in order to take a look at the effects of moderating variable. The results of this research are as the following: Firstly, the disability of elderly had an negative effect on successful age. Secondly, as a social support network, friend & neighborhood network and family network had an positive effect on successful age. Thirdly, friend & neighborhood network among social support network had a moderating effect on successful aging. In other words, the more disabled the elderly are, the lower the level of successive aging became, it turned out that the bigger the social support of friend & neighborhood network, the less the negative effect of disability on successive aging. On the basis of the result, it was proposed a case management for the elderly with disability, assurance of mobility right, and self-help meeting program for social support network.
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