• 제목/요약/키워드: Integrated Care

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The Effects of a Customized Integrated Health Care Program for Male Living Alone (독거남성을 위한 맞춤형 통합건강관리 프로그램의 효과)

  • Lim, Soon Hee;Jang, Yang-Min
    • Journal of Korean Academy of Rural Health Nursing
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    • v.11 no.2
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    • pp.17-28
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    • 2016
  • Purpose: This study aimed to determine the effects of a 'Customized Integrated Health Care Program' for male living alone in a single region and assist health promotion of the participants. Methods: This study was one-group pretest-posttest design. Eleven participants in the 'Happy Cooking Class for Male Living Alone' who made 100% of attendance from February 18 to September 8, 2016 were analyzed. Nonparametric paired T-test was performed to determine the differences in Blood pressure(BP), Blood sugar(BS), Cholesterol, Hemoglobin(Hb), Dementia screening test, Depression screening test of the participants in the Customized Integrated Health Care Program. Results: After applying the 'Customized Integrated Health Care Program', Hb level(z=-2.724, p=.006) and Dementia screening test(z=-1.974, p=.048) increased statistically significantly. Conclusion: As the elderly living alone increase in number, it seems that social support networks and health care programs contribute to health promotion of the participants and positively affect the rest of their life.

Managerial Effectiveness of Integrated Delivery System in Japan (의료서비스 복합화의 경영효과 분석 : 일본의 사례)

  • Jeong, Seung-Won;Inoue, Yusuke;Seo, Young-Joon;Kim, Yun-Hee
    • Korea Journal of Hospital Management
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    • v.14 no.2
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    • pp.60-74
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    • 2009
  • This study purports to verify managerial effectiveness of the integrated delivery system(IDS) of Japanese health care institutions through comparing the managerial performance between hospital groups providing with both acute and nursing care and those with acute care only. Data on the managerial performance of 697 hospitals providing with nursing care together and 819 hospitals providing with acute care only were collected from Japanese Central Social Insurance Medical Councils 2001, 2003, 2005, and were analyzed using mean comparison test(t-test) between the two groups. The results revealed that there were significant differences between the two groups in such indicators as ratio of material cost, labor cost, depreciation rate, total margin, operating margin, average number of outpatient per day, average revenue of an inpatient per day, total amount of labor cost, gross revenue per employee, and labor productivity. However, we could not find out any consistent evidence which support the effect of integrated delivery system on the hospital managerial performance. Further discussion was made on the limitation of the study and future research agenda relevant to the topic.

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Zigbee & PLC Integrated Gateway Development for U-Health Care Environment and Intelligent Home Network (유비쿼터스 헬스케어 환경 및 지능형 홈 네트워크를 위한 Zigbee & PLC 통합 게이트웨이 개발)

  • Son, Hui-Bae;Kim, Sung-Yun;Rhee, Young-Chul
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.2 no.4
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    • pp.73-80
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    • 2009
  • In this paper, we implemented the integrated gateway for health care and home network system based on PLC(Power Line Communication) and Zigbee. The designed system is consists of sensors, integrated gateway, Zigbee module and PLC modem. The integrated gateway will transmit the data which is collected by health care sensors to health care control system and control an appliance for comfortable environment to medical facilities. The implemented gateway can support various health care and home network service.

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Pectolinarigenin ameliorated airway inflammation and airway remodeling to exhibit antitussive effect

  • Quan He;Weihua Liu;Xiaomei Ma;Hongxiu Li;Weiqi Feng;Xuzhi Lu;Ying Li;Zi Chen
    • The Korean Journal of Physiology and Pharmacology
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    • v.28 no.3
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    • pp.229-237
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    • 2024
  • Cough is a common symptom of several respiratory diseases. However, frequent coughing from acute to chronic often causes great pain to patients. It may turn into cough variant asthma, which seriously affects people's quality of life. For cough treatment, it is dominated by over-the-counter antitussive drugs, such as asmeton, but most currently available antitussive drugs have serious side effects. Thus, there is a great need for the development of new drugs with potent cough suppressant. BALB/c mice were used to construct mice model with cough to investigate the pharmacological effects of pectolinarigenin (PEC). Hematoxylin-eosin and Masson staining were used to assess lung injury and airway remodeling, and ELISA was used to assess the level of inflammatory factor release. In addition, inflammatory cell counts were measured to assess airway inflammation. Airway hyperresponsiveness assay was used to assess respiratory resistance in mice. Finally, we used Western blotting to explore the potential mechanisms of PEC. We found that PEC could alleviate lung tissue injury and reduce the release of inflammatory factors, inhibit of cough frequency and airway wall collagen deposition in mice model with cough. Meanwhile, PEC inhibited the Ras/ERK/c-Fos pathway to exhibit antitussive effect. Therefore, PEC may be a potential drug for cough suppression.

A Study on the Architectural facility standards of integrated child care facility (통합보육시설의 시설 및 설비 기준에 관한 연구)

  • Kim Young-Eun;Park Hyeon-Soo;Lee Keon-Ha
    • Korean Institute of Interior Design Journal
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    • v.15 no.3 s.56
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    • pp.136-143
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    • 2006
  • This research proposes the importance of physical environment if integrated early childhood education. For a successful integration of children's education, we processed fundamental research on requirements of facility and equipments, looking at related standards and code on handicapped person's convenience facility. Also, this research alms at providing first step to establish evaluation method and quality assurance standards of integrated child care facility, regarding space planning of handicapped children. By examining home and abroad material and analyzing handicapped children's convenience facility standards, this research pursues improving the basis of planning criteria. As present criteria of relevant regulations appears not to handle detailed facility standards, and the handicapped people's facility is for childhood education, it is necessary first to differentiate indispensable equipments from optional one, then categorize them into more specific needs.

Expansion Strategy of Home Visit Nursing Services of Long-Term Care Insurance (노인장기요양보험 재가방문간호 서비스 개발과 확대 방안)

  • Lim, Ji Young;Kim, Juhang
    • Journal of Home Health Care Nursing
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    • v.27 no.3
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    • pp.241-249
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    • 2020
  • Purpose: This study aimed to investigate possible ways to expand the services of home-visit nursing through a review of the progress, achievements, and obstacles of home-visit nursing; a pilot project of an integrated home-service; the application of the Omaha System; as well as a case analysis of providing home-visit nursing services. Method: An integrated review was conducted using various source materials, including laws, previous studies, and a case analysis. Results: In case analysis of providing visiting nursing service, rehabilitation nursing, end-of-life nursing, and dementia care showed high nursing needs. It was necessary that the various home visit nursing services in the intervention area of the Omaha System, administrative services, case management, and center operation activities were all included in the payment systems of long-term care insurance. Conclusion: In the future, home visit nursing services of long-term care insurance should be reborn in the form of a center for integrated case management in the community, which would set long-term goals until the time of a client's death and encompass the realm of human rights for health, quality of daily life, and a dignity of life.

Integrated Care Setting for the Elderly and the Roles of Social Workers (노인복지분야의 통합적 케어와 사회복지사의 역할)

  • Yoon, Kyeong-A
    • The Journal of the Korea Contents Association
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    • v.19 no.3
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    • pp.441-456
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    • 2019
  • The objective of this study was to explore the elements and effects of integrated care interventions for the elderly, and to describe the roles of social workers on the multidisciplinary teams. A rapid systematic review was conducted through a database-based search and a manual search. The main findings are as follows: First, Key elements of integrated care for the elderly were case management, individual multidisciplinary care plan, service characteristics, centrality of client needs, patient education, and self-management. Second, In terms of care experience and health of the elderly, and economic analysis, although the results were mixed, there were some positive effects on program participants compared to the control groups. Third, social workers have been found to serve as case managers, care managers, care coordinators, and direct service providers. Based on these results, educational and policy implications were suggested.

Relationships among personal and organizational communication skills, occupational stress, and patient safety activities of nursing workforce working in the integrated nursing care service ward (간호·간병통합서비스병동 간호사와 간호보조인력의 개인 및 조직 의사소통능력, 직무스트레스와 환자안전활동의 관계)

  • Oh, Danbi;Yi, Yeojin
    • Korea Journal of Hospital Management
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    • v.27 no.3
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    • pp.15-25
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    • 2022
  • Purposes: This study aimed to identify the relationships among personal and organizational communication skills, occupational stress, and patient safety activity levels of two nursing workforce groups (nurses and nursing assistants) who provide integrated nursing care services. Methodology: The study design is a cross-sectional study. Seventy-one nurses and forty-three nursing assistants working in the integrated nursing care service wards participated in this study. The data were collected using a self-reported questionnaire from June to July 2021. The relationships among the variables were analyzed using the Pearson correlation coefficient. Findings: Nurses' personal communication skills (r=.294, p=.013), organizational communication skills (r=.408, p<.001), and occupational stress (r=.243, p=.041) were associated with their patient safety activities. However, nursing assistants' personal communication skills, organizational communication, and occupational stress were not correlated with their patient safety activities. Practical Implication: Patient safety activities of nurses were related to their communication skills and occupational stress, but nurse assistants were not. Therefore, nurses should encourage nursing assistants to responsibly engage in patient safety activities and supervise their works appropriately to achieve high-quality care.

Effects of an Integrated Health Improvement Program Based on Primary Health Care Posts on Depression, Social Support and Quality of Life during the COVID-19 Pandemic (코로나-19 동안 보건진료소에서의 통합형 건강증진 프로그램의 우울, 사회적 지지, 삶의 질에 대한 효과)

  • Yee, Hyeyoung;Kim, Younkyoung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.17 no.1
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    • pp.23-33
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    • 2022
  • Purpose: This study was conducted to identify the effects of an integrated health improvement program for the elderly based on primary health care posts during the COVID-19 pandemic. Methods: A single group pretest-posttest design (n=16) was employed to evaluate an integrated health improvement program that took place twice a week for 11 weeks. The program was conducted in a small group of no more than 10 people in compliance with the guidelines to prevent COVID-19 infection. The program consisted of various contents such as making letters using blocks, health education, and talking about one's memories. The data were analyzed using the Wilcoxon signed rank test. Results: Following the program, social support (Z=-3.50, p<.001) and quality of life of the elderly (Z=-3.74, p<.001) were significantly improved among depression, social support and quality of life. Conclusion: The integrated health improvement program based on primary health care posts, considered in this study, was useful to improve the social support and quality of life of the elderly in the community, and needs to be applied to a larger number of elderly people throughout the community.

An integrated approach with homeopathic medicine and electro-acupuncture in anaesthesiology during breast cancer surgery: Case reports

  • Bosco, F;Cidin, S;Maceri, F;Ghilli, M;Roncella, M;De Simone, L
    • Journal of Pharmacopuncture
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    • v.21 no.2
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    • pp.126-131
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    • 2018
  • This study investigates the effect of a combination of homeopathic medicine and electro- acupuncture in two patients with breast cancer and severe liver disease who could not receive standard anaesthesia therapy due to liver problems. Specifically, measurable and quantifiable parameters were used to evaluate whether an integrated approach-consisting of electro- acupuncture and a homeopathic medicine diluted above Avogadro's limit (that is, above a potency of 12CH) during the pre-surgical, surgical and post-surgical phases -can improve general well-being of a patient undergoing breast cancer surgery. In breast cancer surgery, we employed an integrated approach consisting of induction with hypnotics and muscle relaxants, followed by maintenance with anaesthetic gas, combined with a homeopathic treatment (Arnica montana 15CH and Apis mellifica 15CH) before and after surgery and an electro- acupuncture treatment performed in the pre- and post-surgical phases without any analgesic/pain relieving medications. Both of the patients treated with the integrated approach improved their overall condition without need for other common pain relieving medicines. Additionally, thanks to their rapid awakening, the patients were not relocated to a protected area and the hospitalization was shorter. A multidisciplinary approach incorporating homeopathic medicine and electro-acupuncture can be a solution for patients who need or ask about a different and/or safer alternative to the standard treatment. This approach can offer a safe, much less expensive, non-invasive and viable alternative for such cases. Moreover it can be useful for an opioids free anesthesia.