• 한국콘텐츠학회논문지
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• 제17권9호
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• pp.39-49
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• 2017

본 연구는 질적 연구를 통하여 의료급여환자들의 의료이용 경험을 이해함으로써 의료급여환자와 건강보험환자 간 의료이용량의 통계적 차이현상의 원인과 과정을 파악하기 위해 수행되었다. 주요 분석결과는 다음과 같다. 첫째, 의료급여환자의 과잉의료는 대체로 존재하지 않으며, 복합적 질병을 가지고 있어서 발생하는 것이다. 그러나 물리치료와 한방 침에 있어서 일부 과잉이용이 발생하고 있는 것으로 판단된다. 둘째, 의료급여환자들은 의료비를 마련하기 위하여 생계급여에서 일부를 활용하거나 주변 가족이나 이웃의 도움을 받고 있었다. 그러나 과도한 의료비 부담으로 비급여 의료서비스와 대형병원 의료이용은 실제 의료필요만큼 이용하지 못하고 있었다. 또한 일부 환자는 아파도 우선 참고 견디고 있었다. 한편, 일부 의료기관에서는 의료급여환자에 대한 차별적 진료행위를 여전히 하고 있었다. 셋째, 공무원과 의료기관 모두는 의료급여환자에게 의료비 지원정책에 대한 미흡한 정보 제공 등 충분한 도움을 주지 못하고 있었다. 넷째, 정부가 수행하고 있는 의료급여정책인 선택병의원제도, 의료급여사례관리제도, 진료연장승인제도 모두는 불필요한 의료이용을 감소시키는데 기여하고 있는 것으로 판단된다. 그러나 의료급여환자들에게 필요한 의료이용을 제한하는 문제를 초래할 수 있어 이에 대한 대책마련이 요구되었다. 이상의 연구결과를 살펴보면 건강보험환자와 의료급여환자의 의료이용량의 차이를 통계적으로 검증한 선행연구와는 달리 의료급여환자들은 의도적인 과잉이용을 하지 않고 있으며, 오히려 필요한 의료서비스 이용에 제한을 받는다고 생각하고 있었으므로, 이에 대한 대책마련이 요구된다.

• 보건교육건강증진학회지
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• 제19권2호
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• pp.73-98
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• 2002

This study was carried out to investigate the relationship between social support, social network and health behaviors as surveyed by cross-sectional study in 744 rural people aged above 30 of a community dwelling sample of one county for 6 days of July in 2000. Objectives of this study was in order to establish an effective health promotion. The sample was accrued by face to face interview of direct visiting from clustered sampling method. Interview was conducted by trained medical students with the questionnaire consisted of socio-demographic data, health behavior, social support and social network based on previous literature. The summarized results were as follows: 1. There were significant difference in the level of social support and social network by general characteristic variables except occupation and residency type(p〈0.05). 2. There were significant difference in knowledge about hypertension, smoking status, status of physical exercise, diet patterns by social support and social network in spite of variation of social support and social network subconcept(p〈0.05). And there were significant difference in alcohol drinking status, body weight control and diet pattern according to level of social network(p〈0.05). But smoking status by social support and network results opposite direction(p〈0.05). 3. There were no regular or consistent result in the relationship between social support, social network and health behavior. 4. Major predictors for health behavior on the multiple logistic regression that included general characteristic, social support and social network were age, instrumental social support and worry about health. Significant variables of multiple logistic regression for health behavior that included social support(instrumental and emotional) and social network were instrumental social support and social network. These results suggest that only a instrumental element and social network may be associated with health behavior. Inconsistent with prior research in these some item, a positive consistent relationship was not found between social support, social network and health behavior. So the study should be replicated to determined the reliability of our findings.

• 보건의료산업학회지
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• 제6권3호
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• pp.141-155
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• 2012

The purpose of this study is to analyze the effects of job stress on job attitude among nurse practitioners, determine moderating effects of perceived organizational support in this process, and provide preliminary data to devise a scheme for managing job attitude effectively in nursing manpower. The research model was composed of 7 sub-variables of job stress, which was a independent variable; job attitude, which was a dependent variable, was divided into job satisfaction and organizational commitment; and variables of moderating effects included perceived organizational support. The data for empirical analysis of the model were collected from 300 nurses working in one university hospital and two general hospitals in Busan by using structured self-administered questionnaires. The main results of empirical analysis were as follows: Perceived organizational support was effective in preventing job stress from worsening job attitude. Moderating effects of perceived organizational support were found to exist in relations between job stress and organizational commitment. These results imply that a sense of organizational support has both direct and moderating effects on job attitude and can be a good means of managing job attitude.

• 지역사회간호학회지
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• 제28권4호
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• pp.386-396
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• 2017

Purpose: The purpose of this study was to investigate the influence of social support, self - esteem, hope, and health conservation of the vulnerable elderly people with diabetes. Methods: Participants were 100 vulnerable elderly people with diabetes living in D or K cities. Data collection was done through interviews from February to March, 2016. Social support was measured with the MOS-SSS (Medical Outcomes Study Social Support Survey), self-esteem with Self-Esteem Scale, hope with the Nowotny Hope Scale, and health conservation with the Sung's Health Conservation Scale. IBM SPSS 20.0 was used to analyze descriptive statistics, one-way ANOVA, independent t-test, Pearson correlation, and stepwise multiple regression. Results: Factors affecting the health conservation of the vulnerable elderly people were social support, hope, education level and subjective health status. These factors explained 64.9% of the health conservation. Conclusion: It is necessary to construct a comprehensive nursing classification system for elderly people with diabetes in vulnerable class and to develop integrated health conservation program and nursing care as a new social support resource.

• 성인간호학회지
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• 제27권2호
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• pp.170-179
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• 2015

Purpose: To examine the relationships between self-care, social support, and biological markers in liver transplant recipients. Methods: The participants included 118 liver transplant recipients who visited outpatient clinic at Y University Hospital in Seoul from April to May, 2013. Questionnaires consisted of self-care and social support scales. The biological markers were collected by reviewing electronic medical records. Data were analyzed with descriptive statistics, t-test, ANOVA with Scheff$\acute{e}$ post-hoc test, and Pearson's correlation. Results: The self-care score was significantly higher in a patient group within 6 months post-transplant when compared to a patient group post-transplant 3 to 5 years (F=3.10, p=.018). The self-care showed positive correlation with social support with statistical significance (r=.36, p<.001). Conclusion: As the self-care in liver transplant recipients had a positive correlation with social support from family and healthcare providers, the development of comprehensive long-term nursing intervention systems including counseling, education, and support in consideration of progress of time period after transplantation is necessary to enhance self-care behaviors among this population.

• 기본간호학회지
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• 제17권1호
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• pp.99-108
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• 2010

Purpose: This study was done to measure the degree of the hostility, perceived social support and health behavior compliance among patients with coronary artery disease and to identify the relationship among those variables. Methods: The participants were 145 hospitalized patients with coronary artery disease. Data were collected from December 15, 2007 to March 15, 2008 using a questionnaire and medical record. Results: Mean scores for hostility, perceived social support and health behavior compliance were 54.80, 53.03 and 59.38 respectively. Differences in the degree of hostility were significant for marital status and serum total cholesterol. There were significant differences in the degree of health behavior compliance according to body mass index, serum total cholesterol, smoking, drinking, exercise and regular diet. Health behavior compliance was correlated with hostility and perceived social support, and hostility was correlated with perceived social support. Conclusion: Intensive programs to enhance perceived social support but to reduce hostility are warranted to improve health behavior in patients with coronary artery disease.

• 한국주거학회논문집
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• 제25권2호
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• pp.99-107
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• 2014

This study attempts to provide implications for developing more efficient and effective community-based support system with AIP perspective for the elderly in Korea. The main purpose of this study is to analyze Japan's community-based integrated care system that respond to the concept of aging in place (AIP) and its cases. In Japan, they have offered Community-Based Service since 2005, and the advanced system which include integrated support categories and consolidated community/local resources will started in 2015 by The revision of Long-term Care Insurance policy, 2012. The result of policy analysis and case studies are as follows: 1) The suggestion for ideal support system model promoted a relationship of multiple agents include private sectors even resident and senior and specified responsibility sharing, 2) the system proposed Not only health and medical care support, living care and residence are also addressed as a comprehensive support. and 3) the amount of available community resource is different by each local government, but the effort to get the understanding of community residents and to connect with a potential community resource is also essential aspect to set effective community-based support system.

• 지역사회간호학회지
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• 제19권4호
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• pp.564-574
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• 2008

Purpose: This study was a descriptive survey research to compare and to examine the levels of physical health status. family support, and life satisfaction between the aged living alone and living with family, the relations among the factors. Methods: Subjects were the 267 aged (living alone: 133 subjects: living with family: 134 subjects) in Seoul and Gyung-gi province. Measures were Cornell Medical Index(CMI) to check physical health status, family support scale developed by Cobb(l976) to check the family support. and elderly life satisfaction scale developed by Yun(1982) to check life satisfaction. Data were collected from March to August. 2006. Collected data were analyzed through SPSS/PC 12.0 version. Results: First. degree of the physical health status. family support. and life satisfaction in the elderly living with family were better than them in the elderly living alone. Second. the relations among the factors were all positive correlation. Third. the education and monthly allowance in aged living alone did effect to the life satisfaction. Conclusion: Clinical practice should be focused on family support/social support for the aged living alone. Also nursing practitioners for the aged living alone should consider the general characteristics of them.

• International journal of advanced smart convergence
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• 제5권2호
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• pp.47-52
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• 2016

In this study there was the analysis of government incentives and resident support of public crematoriums, typically identified in Korea as a locally unwanted land use (LULUs), in the metropolitan area. The study looked at what government programs would be potential incentives for allowing the crematoriums to exist in metropolitan communities. Such programs were diverse, with projects focused on: enhancing resident welfare, increasing resident income, funeral facilities and management consignment, community oriented programs, education, funding, and others. Among them, it was found that residents were most in support of programs for enhancing resident welfare and increasing income among residents. In order to resolve the complexities of community support for LULUs and government incentives to shift public perception of cremation, three main policies are proposed. First, it would be necessary to compliment additional project support policies which provide medical services, resident prefered projects, and improvement of substandard housing. Second, it would be important to establish ordinances concretely identifying residential support projects based on community needs assessment. Lastly, it would be of the government's best interest to build policies for resident supported projects that reflect local conditions and the residents' demands for allowing non-preferred facilities to be built, and then to analyze the economic feasibility of these demands.

• Child Health Nursing Research
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• 제7권3호
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• pp.267-279
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• 2001

The object of this study is to provide the basic data for the caring of parents by understanding emotional status, physical status, and family support of parents with cardiac disease children. The subjects of this study were consisted of 105 parents of cardiac disease children admitted at 'G' hospital in Inchon, and 'S' hospital in Puchon. The data were collected from November 6 to December 21, 2000. Four instruments were used to collect the data : Spielberger's STIS, Cornell Medical Index(CMI), Yang's stress scale, and Moos's Family Environment Scale Form R, the latter 3 are modified by researcher. The collected data were tested using frequencies, percentiles, means, t-test, ANOVA, and Pearson correlation coefficient with SPSSWIN program. The results of this study were as follows: 1. There were statistically significant differences in degree of anxiety on age, number of children, and children's order of birth. 2. There was a statistically significant difference in degree of physical status on presence of the other patient in family. 3. There were not statistically significant differences in degree of stress and family support on demographic factors. 4. There were positive correlations between physical status and family support, and between anxiety and stress, but negative correlations between family support and stress, between anxiety and family support, between anxiety and physical status, and between stress and physical status.