• Title/Summary/Keyword: Integrated Community care

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Prescription Drug Use in Primary Health Care Posts and Its Improvement Scheme (보건진료소 처방의약품 사용실태 및 개선안)

  • Kim, Chun Mi;Song, Yeon Yi;June, Kyung Ja;Hyeon, Sa Saeng;Shin, Hyun Ju
    • Research in Community and Public Health Nursing
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    • v.24 no.2
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    • pp.123-134
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    • 2013
  • Purpose: The prescription drug list for primary treatment by community health practitioners has been maintained for 30 years without any modification. Thus, this study will suggest an improvement scheme of prescription drug list for primary health care posts through an analysis of drug use in those posts. Methods: A questionnaire survey was implemented with community health practitioners from April to June in 2012. A total of 1,249 copies were analyzed. As for the databases of drug use in the integrated information, a total of 154,229 diagnoses selected in the method of stratified cluster sampling from 39 primary health care posts' data were analyzed. We consulted some experts about the prescription medication list, and referred to the medication information on-line home page for up-to-date drug information. Results: This study ultimately suggests 77 prescription drug items for primary health care posts by eliminating 35 items and replacing 1 item from the original list, and adding 4 items to it. Conclusion: This study will provide basic data for revising the prescription drug list in primary health care posts by periodically reflecting adverse effects in the existing drugs, demographic and environmental changes, and development of new drugs.

Policy Measures for Improving Function and Structure of Health Centers (보건소의 기능 및 조직의 재편성 방안)

  • Kim, Jin-Soon
    • Journal of agricultural medicine and community health
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    • v.19 no.2
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    • pp.159-173
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    • 1994
  • Since the establishment of health centers in the 1960s, the centers have been played an important role in providing basic health care for the people. Although the health centers made a great effect to prevent diseases and promote the health status of the people for the last three decades, the function of health centers should be strengthened to meet the health care need of individual, family and community. Over the last ten years, there have been great changes and developments in health related environments, such as population size and age, rapid urbanization, up-grading of the educational level, increase of income, health care demand for promotive health care measures and practical measures for chronic diseases and also practicing healthy life. According to the great changes in health related environments, the health centers should be reformed. The following policy options are recommended as a summary; First, the function of health centers should be converted from providing basic health services into promotive and preventive health care services, to meet changing needs of people. Second, the health center personnel should be reinforced for their competency to provide a qualitative services to people and also the operation of health center should be reactivated. Third, a close linkage of health centers with the private sector is an essential requirement for the operation of the health care delivery system within a health district in order to improve the health status of people. Fourth, type of manpower mix, scope of organization and health care program should be varied, based on the health care needs of people, geographical characteristics and size of population etc. Fifth, a comprehensive health care delivery system should be developed, for maintaining healthy life style of people and also the health and welfare services should be integrated in order n ensure an effective service.

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An Exploratory Study of Afterschool-care Service Improvement : Focusing on Public Duty for Elementary Aftercare Policy (아동권리적 초등돌봄서비스 발전방안 탐색 -다함께돌봄정책 공공의 역할을 중심으로-)

  • Choi, Hyun-Nim;Sohn, Ga-Hyun
    • The Journal of the Korea Contents Association
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    • v.21 no.3
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    • pp.761-770
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    • 2021
  • The purpose of this study is to examine improvements of after-school care policy for elementary school-age children based on children's rights in the community. After-school care is important to support children right of survive and protect, as well as the right to development and participation. To support integrated child rights through the policy, local government's duty is growing in the Covid-19 world. Therefore, the main policy of out-of-school care is analyzed from the perspective of children's rights. Current after-care policy focuses on the right of protection privileges. Providing a safe facility is important, but there is a lack of policy design to expand children's options to learn by various activity which can be utilized with community resources as care contents. The role of government to this is requested to supplement accountability, fairness, democracy and public interest more than over quantitative expansion of services. This study presented an alternative based on the universal elementary care providing happy after-school hours.

Daytime Activities Support Plan for Meaningful Days of Adult Developmental Disabilities (성인 발달장애인의 의미 있는 낮 시간을 위한 주간활동서비스 지원 방안)

  • Choi, sun-kyoung
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.4
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    • pp.105-114
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    • 2019
  • Daytime activity services based on community care signify 'participatory integrated community care service' fused with diverse forms of community participation and care for adults with developmental disabilities after school graduation. They have the characteristics of lifelong care by life cycle in that adults with developmental disabilities 18 years and older receive daytime care and community participation programs. The purpose of this study is to examine community care based daytime activity services and to search for vitalization plans for daytime activity services that must unfold in the future for care programs that can be meaningful social participation opportunities for adults with developmental disabilities. Through literature review, we analyzed the state of daytime and social activity of adults with developmental disabilities as community care.Based on these findings, we devised ways to improve the daytime activities for the significant daytime of adults with developmental disabilities. At this, it proposed an increase of activity support vouchers, daytime activity service time expansions, expanded budget formulation for an increased number of daytime activity service subjects, expanded applications for the prioritization of the 20% of those with the most severe developmental disabilities and the composition of separate teams, and the role reinforcement of support centers for people with developmental disabilities.

Conditions for Integrated Public Welfare Delivery System: Case Studies in Britain (통합적 공공 복지전달체계를 위한 조건: 영국 사례 연구)

  • Kim, Bo-Yung
    • 한국사회정책
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    • v.25 no.2
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    • pp.403-428
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    • 2018
  • There has been constant attempts for integration of public welfare delivery system which lead to integrated case management, then this become more significant issue regarding 'community care' recently in Korea. However, most of them was limited to fractional organization rearrangement or more use of private resources rather than realising user-centred approach. Therefore, in this research, we would like to do a couple of case studies in Britain which has rich experience of reforms for integrated approaches between health and social services and Troubled Family programme resembles the integrated case management in Korea by visiting a London Borough and a local council respectively. In conclusion, we found three conditions are required to establish successful integrated delivery system: elimination of institutional barriers relating to workforce, organization, and finance; shared objectives and partnership among the professional groups and agencies; and information sharing system with technical support regarding individual cases.

A Study on the Activity Programs at Community Center for Citizens' Welfare toward New Millennium (새천년의 주민복지를 위한 커뮤니티 센터의 활동프로그램 제안)

  • 권오정;곽인숙;이경희;최재순
    • Journal of the Korean Home Economics Association
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    • v.39 no.8
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    • pp.19-36
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    • 2001
  • Recently, the demand for pubic welfare has been expended to the comprehensive services terms of cultural, medical and psychological aspects and provision of information. These various demands for welfare services to improve citizens'quality of life could be effectively met by an integrated community center covered small regions rather than many existing individual institutions focused on specific services covered wide regions. The purpose of this study was to develop the activity programs for a proposed new millennium community center The activity programs classified into five types (administrative services; information and counselling; health and sports; leisure and culture; and child care and educational services) and each type included various unique activity programs not only for specific age groups but also for all age groups. In order to operate a new millennium community center effectively, the legal supports and systematic organizations to manage the community center should be required. Discussions and recommendations for these issues were included in the study.

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Community Care and Visiting Nursing Services in Denmark, Sweden, the United States, and Japan (국외 커뮤니티 케어의 방문간호서비스 사례 분석)

  • Han, Young Ran;Yang, Sook Ja;Ham, Ok Kyung;Lee, Guna;Kim, Seo Hyeon;Ha, Jae Young
    • Journal of Korean Public Health Nursing
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    • v.34 no.1
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    • pp.5-21
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    • 2020
  • Purpose: This study compared visiting nursing services of Denmark, Sweden, Japan, and the United States to provide baseline data for the development of models for community care nursing services in South Korea. Methods: A review of the literature was performed that include journal articles, government reports, institutional reports, and national/international statistics. Site visits were performed to explore the visiting nursing services of Denmark. Results: Government centered visiting nursing services were provided in Denmark and Sweden mostly by public organizations, while private services prevailed in the United States and Japan. Nursing services included case management or care coordination services, while nurse practitioners or nurse specialists provided visiting nursing services in all of the four countries and the services were provided 24 hour a day. Conclusions: Based on the review of visiting nursing services in foreign countries, the development of models is needed to provide integrated visiting nursing services in Korea that encompass home care nursing, visiting nursing, and visiting health care services.

Effect of Customized Visiting Exercise through Integrated Care Leading Project for the Elderly in the Community: Case Report (지역 사회 노인의 노화 예방에 따른 통합돌봄 선도사업 기반 맞춤형 방문운동의 효과: 증례 보고)

  • Kim, Jin-young;Park, Sung-doo;Bae, Jeong-hyun;You, Dal-young;Yang, Young-sik
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.3
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    • pp.99-105
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    • 2021
  • Purpose: This study aims to report on the effect of providing customized visiting exercise, a musculoskeletal intervention method, to the elderly in the community. Methods: In this study, subjective pain was measured to evaluate pain and physical ability of the elderly, and timed up & go (TUG) test and psychological level test were performed for myofascial pain perception symptoms and gait function. Measurements were performed twice before and 4 weeks after treatment. Participants in the exercise group (n=108) performed the spine exercise, whereas those in the spine exercise group (n=108) performed the spine exercise using complex exercise program (3 times/week for 4 weeks). Results: The significant test of visual analogu scale (VAS), pain pressure threshold (PPT), TUG, psychosocial factor according to applying the exercise within groups used T-test. In the result following analysis, there was significance on VAS (p=.000), PPT (p=.000), TUG (p=.000), Psychosocial factor (Depresion; p=.000, Anxiety; p=.000) within group. Conclusion: Then, exercise has benefit on the VAS, PPT, TUG, psychosocial factor in patients with myofacial pain syndrome. So, it may suggest that exercise will be helpful of the pain, gait and psychosocial factor improvement the patients with spine pain.

Analysis on the Use of Welfare Services of Elderly Long-term Care Grade Accredited and Unidentified (노인장기요양 등급인정자와 등급 외자의 지역사회복지서비스 이용 실태분석)

  • Lee, Yong-Jae;Kim, Hyo-Sim
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.29-37
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    • 2019
  • Elderly people want to live in the community even if they are in poor health. However, there is no integrated care support system suitable for the health and functional status of the elderly. So the elderly are choosing living facilities. The purpose of this study is to explore exploring whether the elderly are applying for a long-term care certification. First, mild geriatric patients were mainly using home care services such as visitation care. However, some of the milder elderly were enrolled in nursing homes. And the service that does not fit the functional status of the elderly is used. Second, it is concentrated on the use of visiting care services. Third, elderly people outside the class did not receive sufficient help for daily life, and the use of community welfare services such as the elderly welfare center was low. As a result, long-term care admitters are not able to continue to live in the community even though their health and functioning status is mild, and elderly people out of grade are unable to properly use the necessary community care services. The condition is likely to deteriorate.

Knowledge and Organization: Perspectives of Knowledge Market and Knowledge Community (지식과 조직: 지식시장과 지식공동체 관점)

  • Chung, Myung-Ho
    • Knowledge Management Research
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    • v.1 no.1
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    • pp.47-64
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    • 2000
  • As the Knowledge Economy grows bigger, studies and practices of knowledge management flourish in almost every organizations. Yet, the studies of fundamental relationships between knowledge and organization have not been sufficiently developed. It is partly because current knowledge management mainly focus on the technical aspects of the theme. This paper tries to find the possible organizing principles and theoretical foundations of knowledge-intensive organizations through the perspective of knowledge market and knowledge community. Based on the differentiation of "knowledge" and "knowing", the author draws several propositions about knowledge creation and knowledge use. Then, the author relates these propositions to the design and implementation of two theoretical models of organizations, i. e. knowledge market and knowledge community. Major claims are: 1) Knowledge use and knowledge creation process are conceptually separable, so that different conceptual models (market & community) need to be applied. 2) Since knowledge use and creation should be integrated, organizations in the Knowledge Economy should be the efficient knowledge market and, at the same time, knowledge community with care and cooperations. 3) The network of independent small KIFs(knowledge-intensive firms) could be considered as the possible organizational model of the future.

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