Background: The one-person households (OPH) are rapidly increasing and vulnerable to socioeconomic and health problems. Because it is predicted to be inequitable to health care utilization, we would like to find out about the equity of health care utilization of the OPH by comparison with the multi-person households (MPH). Methods: This study followed the theoretical framework of Wagstaff and van Doorslaer (2000), O'Donnell and his colleagues (2008), where the horizontal inequity index is the difference between the concentration indices of actual health care utilization and health care needs. This study employed the 9th Korea Health Panel survey, and a total of 10,807 cases were analyzed. Health care needs were measured by age, sex, subjective health status, chronic disease count, Charlson's Comorbidity Index, limitation of activities, and disability. Results: Compared with the MPH, there were pro-poor inequities in hospitalization, emergency utilization, hospitalization out-of-pocket payments, and pro-rich inequities in outpatient out-of-pocket payments for the OPH. The decomposition of the concentration index revealed that chronic disease count made the largest contribution to socioeconomic inequality in outpatient utilization. Age, health insurance, economic activities, and subjective health status also proved more important contributors to inequality. The variables contributing to the hospitalization and emergency utilization inequity were age, education, Charlson's Comorbidity Index, marital status, and income. Conclusion: Because the OPH was more vulnerable to health problems than the MPH and there were pro-poor inequities in medical utilization, hospitalization, and emergency costs, it is necessary to develop a policy that can correct and improve the portion of high contribution to medical utilization of the OPH.
Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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2006.05a
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pp.324-327
/
2006
The person who gets a ALS(Amyotrophic Lateral Sclerosis) has language disability and physical disability together. A common first symptom is a painless weakness in a hand, foot, arm or leg, which occurs in more than half of all cases. Other early symptoms include muscle weakness of speech. In the early stage of this disease they can communicate with other persons, but it will become increasingly difficult. In our research we have designed and implemented communication tools for them. We have implemented Chunjiin(the Korean computer keyboard) at PDA(personal digital assistant). And we have also implemented software which is consisted of frequently used words.
The purpose of this study is to analyze the physical characteristic by directly measuring the wheelchair using disabled women and to classify Body Type of a disabled person. The subjects were 103 disabled women of wheelchair used women and between 20 - 55 years of age The result of this study is as follow. 1. There was a remarkable difference in the physical characteristic of wheelchair using disabled women due to their cause of disability. The cause of disability was classified into the 4 groups; Poliomyelitis, Spiral Cord Injury, Muscular Dystrophy, Cerebral Palsy. 2. The result came out to be 4 factors by the factor analysis on the data of an anthropometric measurement to the wheelchair using disabled women and also cluster analyzing the factor scores, the experiment was concluded to 4 types. Type 1 came out to be a short height with the shortest legs. Type 2 was body shape which had a corpulent upper body and wide shoulder but with short and slim lower body. Type 3 has the shortest height, weak and lean upper body, small shoulders Type 4 has the largest stature and legs 3. A comparison of anthropometric measurements of wheelchair using disabled women with National Anthropometric Survey Korea(1997) was significant difference
The purpose of this study was to analyze determinant factors of the life satisfaction of adults with brain lesions disabilities so as to provide suggestion for improving the quality of life. I used the data on second wave 4th Panel Survey of Employment for the Disabled. The total number of respondents was 281, 54 respondents of one-person households and 227 respondents of multi-person households. The data was analyzed using SPSS Win 25.0 program and utilizing χ2 test, ANOVA, logistic regression analysis. Results of study were : First, The one-person households group showed middle aged and the elderly, lower income, basis living security recipient, lower help for daily life, lower participation in social activities than multi-person group. Second, level of disability, health status, participation in social activities, experience of discrimination were found to have a significant effect on the life satisfaction of multi-person households. And gender, age, health status, employment, experience of discrimination were found to have a significant effect on the life satisfaction of one-person households. Base on the results of this study, suggested for improving the quality of life in adults with brain lesions disabilities by households type.
Journal of the Korea Institute of Information and Communication Engineering
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v.14
no.1
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pp.45-52
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2010
It takes a lot of time or is even impossible to communicate for people with physical disability and/or speech impairment. Augmentative and Alternative Communication System is an important computerized tool that makes it possible for those people to communicate. Since not only speech impaired people, but also people with other physical disability cannot use conventional computer input devices easily such as keyboard and mouse, so more simple input devices are need for them to communicate. Thus, in this paper, I designed and implemented a communication aid system, with which they can communicate with simple inputs. I collected frequently used sentences by people with disability and categorized them into 9 everyday language groups. With these categories, they can select any sentence with few simple selections. If none of these categories includes the sentences they want, ChunJiIn keyboard is provided so that they can input the sentences, which can be added to the existing language groups for later use. The priority levels of the sentences in each group is constantly readjusted based on usage frequency so that the number of inputs can be reduced.
Journal of the Korea Academia-Industrial cooperation Society
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v.20
no.6
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pp.362-369
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2019
This descriptive study investigated depression among 4,904 elderly people aged 60 to 90 years using the Korean Retirement and Income Study. The depressive group and non-depressive group were classified by the depression self-diagnostic scale, CES-D. The effects of general characteristics, disability, disability type, IADL, and social support on depression were examined. A t-test, chi-squared test, and logistic regression analysis were used to identify risk factors affecting depression. The average age of the depressive group was 75.10 years, which was higher than the average age of the non-depressive group (73.44 years), indicating that depression increased with age. Elderly who were female, elderly with no spouse, elderly with lower educational attainment and with a lower household income were in the depressed group. The score to perform IADL of disabled persons was higher than that of non-disabled persons, and the social support was lower. Logistic regression analysis performed to determine the risk factors affecting depression revealed that it was affected by disability and type of disability. Although this study has some limitations, the results presented herein can be used as a basis for understanding elderly with disabilities and developing future healthcare programs for them.
International journal of advanced smart convergence
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v.9
no.1
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pp.54-62
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2020
According to the Ministry of Health and Welfare, "Status of Registered Persons with Disabilities", the number of people with disabilities is 2,494,460 as of 2015. The lowest rates of children with disabilities were intellectual disabilities (23%) and mental disorders (33.3%). The highest rates of screening were blindness (97%), heart failure (94.4%), and hearing impairment (92.7%). 65.2% of visually impaired people who have already had a disability at the time of marriage, and the remaining 34.8% can be thought to be the cause of high incidence of disability after marriage. 'SID (Seed in the Dark)' project was designed to recapture the visually impaired parent's desire for attachment and the space difficulties of the blind who want to be a normal parent to their children through a visual impairment of a father with 7-year-old daughter. Using Gear VR(Virtual Reality), the general public was able to feel the surroundings as if they had no vision and focused on the hearing. Especially, We expressed the sound wave visually and added the hilarious game element which grasps the terrain of the maze by sound wave like a 'blind person who perceives the surroundings by sound' and catches up with daughter. People with disabilities who are far from mental illness often have a form of family with children. The fact that the rate of childbirth is high means that there is relatively little problem in daily life. It is wondered that the rate of blindness among the visually impaired, which accounts for 10% of the total disabled, is the highest at 97%. This is because, in the case of the visually impaired, the obstacle is often caused by aging, accidents, or diseases due to inherited causes rather than the visual disorder. In particular, However, the fact that there is an obstacle in vision that accounts for 83% of the body's sensory organs causes other difficulties in the nursing process of children who are non-disabled. Parents do not know the face of child when their visual impairment is severe. Parents are extremely anxious about worry that they will be lost or abducted if their children are not by their side. And that the child recognizes the disability of his or her parents other than the other parents easily and takes it as a deficiency. Since visually impaired parents are mentally mature parents with non-disabled people, they may want their children not to feel deprived of their disability. The number of people with visual impairments has been increasing since 2001, and people with impairments often become disabled. In addition, there is much research on the problem of nondisabled parents who have children with disabilities, while there is relatively little interest and research on the problem of nondisabled child rearing of parents with disabilities.
The Journal of Korea Assosiation for Disability and Oral Health
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v.10
no.1
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pp.1-8
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2014
Patients with disabilities are a significant segment of Korea population. However, they encounter more challenges when seeking dental care. So, dentists and students who are future dental providers should have a responsibility to provide oral care services for them. In this study, we hypothesize that the education of special care dentistry may influence positive attitudes of the disabled. The attitudes are influenced by demographic variables such as gender, religion, experience of volunteer activities and marital status. Therefore, the objective of this study was to explore the change of attitudes of students towards people with disabilities between before and after class of special care dentistry. 72 students enrolled at the Kyung Hee University were surveyed. All participants attended class of Special Care dentistry in the third grade. The survey was conducted two times, just before class and after class. The attitudes of students were assessed using the well-documented ATDP (Attitude Toward Disabled Person)-O(Original) scale and MAS (Multidimensional Attitudes Scales Toward Persons with Disabilities) scale through the methodology of questionnaires. The results indicated that gender, experience of volunteer activities and marital status did not affect their ATDP and MAS score. In religious affiliation, only, there were statistically significant difference in student attitudes between before and after class of Special care dentistry. It means that habitual religious activity may offer stronger effects on student's attitude than short-term education. Therefore, long-term and specific educational experiences are needed to promote positive attitudes for people with disability.
The purpose of this study is to find out implications which can be useful for enhancement of user participation in Korean disability services from UK community care experience. In Korea, until recently dominant issue on social services always has been the shortage of service provision. But during the recent 20 years, we experienced great expansion in quantity, as though it may be not yet enough. And more recently, disabled people and organizations began to actively argue for appropriate service in quantity and quality. Now, Korean disability policy and practice are confronted to the difficult and embarrassing task how to meet the need of disabled people with limited resources, and how to response to the disabled people's voice arguing on independence and choice. This task would require somewhat deliberate reform which might be quite different from previous one. UK's experience of implementation and development of community care system would give meaningful implications to Korean disability service policy and practice related to user participation. The results of the review on user participation issues in the UK community care give several implications to Korean disability services. Above all, consumerist approach which is the key strategy adopted by UK community care change is not appropriate for Korean disability service because of largely different service environment. The second implication is about decentralization. To enable decentralization of social service leads to enhancement of user involvement avoiding a lowering of service quality, prerequisite conditions should be secured. A third is securing and making declaration on the disabled person's right to assessment and constructing public service system operated by case management process. Fourth, formalized complaints procedure should be established. Fifth, professional education which enables professionals to encourage participation of disabled people should be developed, and the role of disability movement leading disabled users to participate on their services also should be highlighted.
Work ability is a fundamental factor to determine who are the recipients of disability benefits or employment services. Disability Grade based on medical impairments is used as a work ability assessment in Korea, but it has been heavily criticized that it does not assess disabled person's work ability adequately. This study tried to find out an index which explains employment status of disabled persons the best among four work ability assessment indexes of disability grade, level of ICF activity limitations and participation restriction, level of help needed with daily activities, and self-assessed health status. As a result, the level of ICF activity limitations and participation restriction explained the employment status the best, and help needed for daily activities is the second, disability grade is the third, and self-assessed health status is the last. In conclusion, level of ICF activity limitations and participation restriction is the best work ability assessment in Disabled People Pension and Employment Policy for Disabled People. Therefore, it is the basic premise to develop a new work ability assessment index which consists of items in ICF activity limitations and participation restriction.
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