• Title/Summary/Keyword: Integrated Care

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Case Analysis to Establish an Integrated Care System for Seniors (노인 통합케어 시스템 구축을 위한 사례분석)

  • Yoo, Yong-Shik
    • The Journal of the Korea Contents Association
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    • v.11 no.2
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    • pp.367-375
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    • 2011
  • This study conducts analysis on integrated care cases in Korea and other nations regarding health, medical, and welfare services that are segmented and fragmented in order to provide foundational data to establish an integrated care system appropriate for the situation of Korea. According to the result of the cases, integrated care provides various services in common through cooperation with organizations, collaborative participation of various professionals, provision of intervention and individualized protection, and experts for taking care of the cases. Based on those cases, this paper provides suggestions to establish an integrated care system of Korea. In fact, it is necessary to build integrated care general support centers, arrange service providing places in common, establish a care management system, develop resources and expand manpower, develop an integrated care case management system, and develop integrated care computer network.

Effects of Nursing and Care=giving Integrated Service on nursing work performance, nurses' job satisfaction and patient safety (간호간병통합서비스 운영병동 간호사의 간호업무성과, 직무 만족 및 환자안전사고)

  • Park, Jung Hee;Lee, Mi Hyang
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.24 no.1
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    • pp.14-22
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    • 2017
  • Purpose: To study aimed to examine the impact of the Nursing and Care=giving Integrated Service on nursing work performance, nurse' job satisfaction, and patient safety. Methods: A total of 66 nurses were selected as participants, comprising 30 nurses working in Nursing and Care=giving Integrated Service hospital ward, and 33 nurses working in a general hospital ward with a similar patient and disease group and distributed moderately. For data analysis, t-tests, ANOVA, and $X^2$ tests were conducted. Results: Nursing work performance in the Nursing and Care=giving Integrated Service ward was higher than that in the general hospital ward, but this difference was not statistically significant. Conversely, job satisfaction was lower among nurses in the Nursing and Care=giving Integrated Service ward, although again the difference was not significant. However, the Nursing and Care=giving Integrated Service ward had a significantly lower rate of safety-related accidents in patients compared to the general hospital ward. Conclusion: In order to expand and improve patient safety and other aspects of the Nursing and Care=giving Integrated Service, there is a need to establish a mediation strategy for increasing nurses' work performance and job satisfaction.

Needs of Teachers and Parents and Community Role for the Integrated Child Care (장애유아 통합보육을 위한 보육교사, 부모의 요구도와 지역사회의 역할)

  • Choi Bo-Ga;Song Hye-Young
    • Journal of Families and Better Life
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    • v.23 no.5 s.77
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    • pp.145-159
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    • 2005
  • The purpose of this study focused on community role about Integrated child edu-care services. First, this study was carried out to determine the needs of teachers, parents about Community members. Second, this study was to examine community members' perception and support intention about Integrated child care services. The subjects were 124 teachers in child care center, 88 preschoolers with disabilities' parents, 172 community members. The major findings were as follows: (1) The result revealed parents and teachers's needs for community members support. (2) Community members' perception about Integrated child care services revealed greatly positive on every fields, (3) community members' support intention for the integrated chid care revealed very positive.

Factors Influencing Job Satisfaction Among Nurses in Integrated Nursing Care Service Wards (간호·간병통합서비스 병동 간호사의 직무만족에 미치는 영향요인)

  • Kim, Jung-Mi;Lee, Yu-Mi
    • The Korean Journal of Health Service Management
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    • v.13 no.3
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    • pp.53-65
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    • 2019
  • Objectives: This descriptive survey study aimed to identify factors that affect job satisfaction among nurses working in integrated nursing care service wards and to explore measures to increase job satisfaction among these nurses. Methods: Data were collected between July 20 and August 3, 2018 from nurses working in integrated nursing care service wards in Busan and Changwon city, in Korea. Data were analyzed with SPSS/WIN 23.0 software(IBM corp., Armonk, NY, USA). Results: Factors affecting job satisfaction among nurses working in integrated nursing care service wards were identified as follows: professional self-concept (${\beta}=.32$, p=.003), which is a subdomain of nursing professionalism, and nursing foundations for quality care (${\beta}=.30$, p=.001), which is a subdomain of nursing work environment. The model had an explanatory power of 54.7%. Conclusions: Nursing professionalism should be strongly established among nurses, as nurses are key players in a health system that allows stable and expanded operations of integrated nursing care. Intervention measures that create a better work environment for nurses should also be implemented. Furthermore, it is necessary to develop systematic strategies and multifaceted efforts to increase nurses' job satisfaction in integrated nursing care service wards.

A Qualitative Study on Center Directors' Experience about Integrated Child Care for Infants with Disability (보육시설장의 장애 영유아 통합보육 경험에 관한 질적 연구)

  • Lee, Gue Ai;Kim, Hyung Mo
    • Korean Journal of Childcare and Education
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    • v.6 no.3
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    • pp.127-152
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    • 2010
  • The purpose of this study was to analyze center directors' experience about integrated child care for infants with disability, and to understand positive and negative awareness of integrated child care. This study conducted in depth interviews of six child care center directors. The result of this study was that there were 12 categories, 25 lower categories and 82 concepts. The central phenomenon was 'difficulty from integrated child care implementation'. To overcome the central phenomenon, the cause and effect strategies were 'positive attitudes toward obligated education', 'continuous studies on integration', and the result was 'preparation for desirable integrated child care center'.

Development of a Comprehensive and Integrated Child-Care Services Model (포괄적인 장애아 통합보육 서비스 모형 개발)

  • Choi Bo Ga;Jeon Gwee Yeon;Chung Chung Hee;Kim Soo Young
    • Journal of the Korean Home Economics Association
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    • v.43 no.4 s.206
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    • pp.79-95
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    • 2005
  • The Purpose of this study was to develop a comprehensive and integrated child-care services model for children both with and without disabilities. The comprehensive perspective included several dimensions such as education, child welfare, family welfare, and community welfare. Survey research based on theories and models regarding the integrated child-care services was carried out to determine the overall needs of child-care institutions, parents, and community members. The results revealed the need for development in the following three areas: (1) edu-care curriculums for integrated programs, (2) programs for supporting family members who have disabilities children, and (3) improved community members' perception about integrated child-care services. A model was developed for fulfil these identified needs.

Comparison of Patient Needs, Patient Satisfaction, and Communication Type of Nurses between Integrated Nursing Care Service Ward and General Ward Patients (간호·간병통합서비스병동과 일반병동 환자의 간호요구도, 간호만족도 및 간호사의 의사소통 유형 비교)

  • Kang, Yeon Jin;Min, Jung A;Park, Chang Soon;Jun, Eun-Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.28 no.3
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    • pp.317-328
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    • 2021
  • Purpose: The purpose of this study is to provide patient-centered nursing by comparing the patient needs, patient satisfaction, and communication type of nurses for patients admitted to integrated nursing care service ward and general ward. Methods: Data were collected by self-report questionnaires between September 7 and October 9, 2021. Patients were patients recruited from a hospital in D city, 100 each from comprehensive nursing care service ward and general ward. The data were analyzed using descriptive statistics, 𝜒2-test, t-test, ANOVA, and Pearson's correlation. Results: There was no significant difference in patient needs between the patients of integrated nursing care service ward and the general ward (t=-1.12, p=.263). However, patient satisfaction was higher among the patients in integrated nursing care service ward than in the general ward (t=-3.55, p<.001). Pertaining to the communication type of nurses, the informational communication type (t=-4.02, p<.001) and the friendly communication type (t=-3.92, p<.001) were stronger in the integrated nursing care service ward than the general ward. It was, hence, confirmed that the educational requirements were positively correlated with patient satisfaction in the reliability domain and technical-professional domain, and that the nurse informational communication type and friendly communication type had a significantly positive correlation with patient satisfaction. Conclusion: The expansion of the integrated nursing care service ward may be considered in the future, with an informational and friendly communication method as an effective response that can be adapted in practice as a reflection the type of communication among nurses.

Development of Evaluation Indicators for Integrated Home Care (통합가정방문급여 평가지표 개발)

  • Park, Jong Duk;Jung, Dukyoo
    • Korean Journal of Adult Nursing
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    • v.26 no.5
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    • pp.543-552
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    • 2014
  • Purpose: The purpose of this study was to develop integrated evaluation indicators of home care services in the hope that the increasing group of long-term home care patients could receive quality care services. Methods: The development involves a methodological study on a development phase and a verification phase. The main survey at a verification stage was conducted by the staffs at 146 institutions who agreed to participate on this study. Results: The evaluation index for the integrated home visit care consisted of five categories and 57 indicators including Managing Institution (12), Environment and Safety (3), Right and Responsibility (7), Process of Care (31) and Results of Care (4). The criterion-related validity was verified in regard to the participation in the 2010 evaluation of long-term home-care institutions by the National Health Insurance Corporation. Conclusion: The evaluation index of the integrated home visiting care developed in this study is considered suitable to utilize as evaluating indicators in managing and evaluating the way of how institutions integrate and provide home visit care services as well as home nursing care services.

Effect of an Integral Care System: a Combination of Oriental and Western Care for Older Adults with Degenerative Arthritis (퇴행성 관절질환을 앓고 있는 노인환자를 위한 한방과 양방을 적용한 통합의료 서비스의 효과)

  • Lee, Ji-A;Ji, Eun-Sun
    • Journal of Korean Academy of Nursing
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    • v.41 no.1
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    • pp.18-25
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    • 2011
  • Purpose: This study was done to examine the effect of an integrated care service which included a combination of oriental and western care on health outcomes in elderly patients with degenerative arthritis. Methods: A prospective comparative design was used. Data were collected from May 1, 2008 to June 30, 2009 from 85 elderly patients with degenerative arthritis in the lower extremities who were followed in a hospital out-patient department for 8 weeks. The integrated care service group (n=36) received a combination of physical therapy, acupuncture, western medicines or herbal medicines, and the western care group (n=49) received physical therapy or western medicines. Functional independence, walking speed, rotation balance, pain intensity, service satisfaction and total medical costs for the two groups were compared at 8 weeks. Results: Functional independence (t=2.14, p=.036) and walking speed (t=2.51, p=.014) improved significantly in the integrated care group while pain intensity improved significantly in the western care group (t=3.35, p=.002). The integrated care group reported higher scores for service satisfaction (t=2.09, p=.041) and higher medical costs than the western care group (t=2.15, p=.035). Conclusion: The results suggest that integrated care services are effective modalities to improve mobility and quality of life for elders with degenerative arthritis.

Problems and Tasks of Integrated Center for Early Childhood Education and Care in Japan : Standards for Equipment and Management, Curriculum for Early Childhood Education and Care and Teacher Qualification (일본의 유보연계형 인정어린이원의 문제점 및 과제 : 설비·운영 기준, 보육·교육내용 및 교사자격을 중심으로)

  • Chang, Kyoung Hee
    • Korean Journal of Childcare and Education
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    • v.10 no.6
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    • pp.391-412
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    • 2014
  • The Integrated Center for Early Childhood Education and Care established 595 centers in 2013 that are integrated kindergarten and nursery centers. The Japanese government revised the law for the Center for Early Childhood Education and Care in 2012 and published the standards for equipment, management, and curriculum for early childhood education and care in April 2014. Presently the standards for equipment and management for integrated centers for early childhood education and care is based on a higher level than kindergarten and nursery centers. Therefore, the quality of education and care that the kindergarten and nursery centers are currently providing can be expected to continue. However childhood education and care curriculum is excessively emphasized education. Because infants and toddlers of 0-5years are spending most of the day in integrated centers for early childhood education and care, the contents related to childcare should be strengthened.