• 한국보건간호학회지
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• 제11권1호
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• pp.138-162
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• 1997

This study was conducted to, develop the social workers role participating health and welfare services production of health centers The sharp increase rate on the elderly population in Korea lead the social issues as that health and social services are not developed enough to cope with the increase on the elderly's hearth care needs. The priority in the elderly's care service development should be put on public sectors. so that could prevent financial catastrophy of the elderly's care. The pulbic sector was concerned with health center services : as health center in Korea provide :mainly medical-oriented services. this study focused on to combine the existing health center's services into social services. The study method was based on needs survey with 322 patients aged over than 55 in rural area. "The needs survey include general health and disease care needs and daily life caring needs. The latter was applied with ADL and IADL with modificiation for the use of Korea environment. The findings were as follows : Social workers should be able to care diseases of muscular and skeletal. circulatory, digestive and general chronic disease in social service needs. aspect. Mostly the chronic pateints quit their care services because of shortage of finanical support$(18.3\%)$ and transportation problem$(19.5\%)$, but still prefer to be cured and cared from general hospitals. and at least clinic and health centers in community. The univisible dramatic effect. of health. care services also should be concerned and cared by xocial workers. The ADL and! IADL shown the most needs on transportation needs and problems caused by weaken legs. Mostly daily activities were supported by family members $(53.3\%\;spousers\;and\;35.0\%\;children)$, and the most demands were shown on helps for transportation visiting hospitals$(37\%)$ and getting similar care services for health care needs $(31.2\%)$ and daily hygeieal needs$(11.2\%)$ Social workers' role should include health care participation with social and health promotion approach as well as socio-economic supports: during health care receiving. Social workers also should provide social services for the elderly's daily needs solving for these are not in available family supporters.

• 한국사회복지학
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• 제42권
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• pp.139-168
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• 2000

As the institutions of the Day Care services in Korea have merely focused on developing the issues for caring and education of children, however, other principles in the Day Care services have not been properly delivered. So, it is necessary for the institutions delivering Day Care services to approach inclusively above four perspectives to the broad sense of the child welfare because the institutions for Day care services are dealing with the groups of the parents, who are in difficulty to take care of their children, and the needs of the parents in terms of caring for their children. The study focuses to research the groups of children, which have various and mixed needs and the problems. On the other hand, the socio-economic attributes, the needs and the problems of the groups of the parents are looked for in the research. As the result of the research, the needs for Day Care services are differentiated from the different socio-economic backgrounds of the parents group. The data indicates that the low class families demands more needs than those of the middle class in the research of the categories. Analyzing from the result, the categories of caring, health care, nutritional supplements, extracurricular activities, emotional supports, providing information and referrals and community social services are hard to be defined as the necessary services based on the ages of the children. It is better to be defined as the necessary services demanding from the social needs of the parent group. Thus, the target groups such as the working couple and the low income families should be primarily considered as the beneficiary groups receiving the comprehensive day care services.

• 한국사회복지학
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• 제43권
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• pp.270-298
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• 2000

Government provides financial support to the 74 Home help service centers, 36 Day care service centers, and 18 Short stay service centers for the elderly. The number of service centers that receive financial support from the government is far less to meet the potential demand for the community care services. This paper applies cost-benefit analysis to evaluate the net social benefit of the services provided by the 3 types of the community care service centers sponsored by the government to justify the expansion of the government support. The benefit is calculated as community care services are provided privately in the market without financial support from the government. The potential market price is regarded as the benefit or value provided to the elderly. The price levels that potential users are willing to pay for these services are surveyed in the Census for the Elderly by the KIHASA, 1998. The market prices for the community services are generated by equating limited amount of service supply, as in number of users in one year in 3 types of community care service centers, and potential demand for the services. Market prices are multiplied to the number of users of 3 types of community centers to get the total benefit. Total operating cost of the community care service centers is regarded as cost. According to the cost-benefit analysis, Home-help service centers generated net social benefit of 137 billion Won, Day Care service centers generated 15 billion Won, and Short stay service centers generated 6 billion Won. Significant amount of net social benefit indicates that government should increase level of financial support to these service centers.

• 한국생활과학회지
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• 제13권3호
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• pp.393-405
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• 2004

The purpose of this study was to provide the basic data needed for developing comprehensive child edu-care programs that fits the regional needs. Subjects of the survey were the teachers of child edu-care centers in Daejeon. 95 teachers were selected from 20 child edu-care centers, using stratified random sampling method, from all of five municipal districts of the city. Gathered data were analyzed using SPSS 10.0 for reliability, factor analysis, frequency and percentile, mean, standard deviation, paired samples t-test and F-test. The summary of the findings were as follows: First, the result of survey on the child edu-care facts showed that the most child edu-care centers had the focus on caring and education programs of children, while emotional supports for family services and community social services were rather secondary importance. Therefore, to achieve the comprehensive service programs, child edu-care services should be harmonized by the education and welfare approaches. Second, centered around teacher's request, comprehensive child edu-care program that fits the regional characteristics focuses on family service; thus the program requires family group consulting, parents education etc., as well as focusing on community service to utilize local community's human, physical resources and to strengthen the tie between local community and child care services.

• International Journal of Advanced Culture Technology
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• 제10권3호
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• pp.156-163
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• 2022

Social services are divided into care services and other support services for the elderly, children and the disabled. These social services are the subject of great policy interest in that they can create two effects at the same time: increase in labor demand for service providers and increase the possibility of long-term accumulation of human capital for service recipients. Therefore, this study aims to confirm the hypothesis according to whether the use of social services affects family relationships and the effects of social service users' psychological adaptation on marital and parent-child relationships even when other related variables are controlled. The final result of this thesis is a regression analysis to find out the effect of psychological adaptation on the family relationship, spouse relationship, and relationship with children of subjects who have experience using social services. -.661, p=0.001), the higher the psychological adaptation, the higher the spouse satisfaction (β=.465, p=0.001) and relationship satisfaction with children (β=.360, p=0.001). In other words, it was found that the more depressed the psychologically, the more negative the relationship with spouse and children.

• 한국보건간호학회지
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• 제20권1호
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• pp.5-15
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• 2006

Purpose: The objectives of this study was to measure the outcomes of interventions on the health and social welfare of the elderly in a rural community in Korea. The project involved integrating services of one public health center with that of one social welfare agency, which were under different administrative structures. Method: A single group pretest-posttest design was used for this research. Seventy-five elderly residents living alone in a rural community participated in the study. All of them had coverage of free basic medical care and social welfare services by the government. Major activities for the intervention included: developing partnerships among community leaders/institutes; forming committees of community residents; educating care providers and volunteers; developing 8 integrated service programs and instruments; and organizing the networks. The 20-month intervention was care-managed by a public health nurse whom collaborated with social worker, and was assisted by volunteers. The t-test was utilized to analyze the outcome variables including the elder's health, social welfare and quality of life. A major limitation of this study was the lack of a control group. Results: The outcome of the intervention was shown by improved elder's health, social welfare needs, and quality of life. Integrating the services of public health centers with those of social welfare agencies is an effective way to improve the health of the elderly in the community. Conclusion: Developing community capacity with such integrated services will pay an important role in improving the health of the elderly who live alone.

• 한국농촌간호학회지
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• 제3권1호
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• pp.34-43
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• 2008

Purpose: The purpose of this study was to suggest new direction for domiciliary care for elders provided by public institutions in rural areas. Method: The participants in the study were elders using one of 11 public health care institutions, of which 8 operated day care services exclusively, and 3 operated both day care and short-term respite care services. A survey was conducted using a structured questionnaire that included items on general characteristics of the service users, conditions of the services, personnel, financial status, facilities, and perception of the tasks of the staff. Result: The service content of the day care centers included Western and Chinese medical service, physical services, activities of ADL, nursing care services, meal services and transportation services. Domiciliary care centers provided a wide variety of health and social welfare service for elders. Personnel consisted of 3 to 8 staff for day care centers and 7 to 10 for domiciliary care centers. Both types of centers rely on financial support from local government for operation. The perception of the staff was the need for operation of these centers by public health facilities such as public health centers and sub-centers. Conclusion: The result suggest a need to activate the function of public institutions to provide domiciliary care for elders. For this new change, the role as a social support system must be developed.

• 한국콘텐츠학회논문지
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• 제21권4호
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• pp.555-564
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• 2021

본 연구는 기존 노인돌봄서비스의 사회적가치지향성과 서비스 이용 노인의 안녕감을 평가하고, 돌봄 욕구에 대한 수요를 확인하여 우리나라 노인돌봄 정책의 발전 방향을 모색하고자 실시되었다. 2019년 10월 기준 3개월 이상 노인돌봄기본서비스를 이용한 노인 1,501명을 편의표집하였으며, 빈도분석 및 기술통계분석, t-검정, 분산분석 등을 실시하였다. 분석 결과 돌봄 서비스의 사회적가치지향성은 평균 90.93점이며, 돌봄 서비스 이용 노인의 안녕감은 71.29점으로 나타났다. 분산분석 및 사후분석 결과 사회적가치지향성을 보다 높다고 인식한 집단에서 노인들의 안녕감이 통계적으로 유의미하게 높았다. 한편 돌봄 서비스 중단 시 우려되는 점에 대해 "외로움", "고독사", "안전" 등의 키워드가 도출되었으며, 향후 필요한 서비스로 '일상생활 지원 서비스'에 대한 욕구가 가장 높았다. 본 연구결과를 토대로 노인돌봄서비스의 발전 방향 모색 및 노인돌봄 체계 구축에 기초자료로 활용될 수 있을 것이다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2022년도 추계학술대회
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• pp.496-498
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• 2022

초고령사회의 진입에 따라 시니어 헬스 케어를 위한 IT 기술과 보건 의료 산업의 융합형 스마트 헬스 케어가 고령화 시대 독거노인 문제의 해결책으로 급부상 중이다. AI를 활용한 비대면 돌봄 서비스의 발전은 일부 국가가 아닌 세계적 경향으로 AI 인공지능 기술을 이용한 노인 돌봄 서비스의 형태는 급격히 변화하고 있다. 국내 역시 초고령화 사회의 진입을 앞두고 있으며 1인 가구가 증가함으로 인해 독거노인 돌봄과 관련하여 노인 복지 인력 부족 문제가 사회 이슈로 대두되고 있다. IT 기술을 이용한 노인 돌봄 서비스는 편리하다는 장점뿐만 아니라 노인 돌봄 노동자의 인력난 등의 장기적인 사회적 문제점을 해소해 줄 비전으로 제시된다. 따라서 고령층을 위한 노인 돌봄 서비스의 사례 연구와 초고령화 시대의 대책으로써 노인 돌봄 서비스의 발전 방향이 제안하고자 한다.

• 한국사회복지학
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• 제58권1호
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• pp.31-58
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• 2006

일본은 1990년 이후 사회복지제도를 개혁하는 과정에서 이용자본위의 서비스지원, 자기결정에 따른 서비스이용, 자립생활을 지원하는 서비스 등을 새로운 개혁이념으로 제시하면서, 이를 실천하는 제도적 장치의 하나로써 서비스에 대안 이용지원제도를 제시하였으며, 개호보험제도의 개호지원전문원이 당해 역할을 담당하게 되었다. 따라서 개호지원전문원의 도입은 사회복지서비스의 이용과정의 따른 패러다임의 변화를 가져왔다. 즉, 조치제도에 따른 서비스이용의 타율성과 서비스의 이용과정의 복잡성을 고려할 때, 개호지원전문원이라는 단일창구를 통한 서비스의 종합적 상담 지원 그리고 시장기능에 따라서 움직이는 개호지원전문원의 역할을 고려할 때, 요원조고령자의 서비스 선택폭은 크게 확대 강화되었다. 한편, 개호지원전문원제도는 구조적 취약점도 지니고 있다. 즉, 개호지원사업자(소)를 중심으로 한 개호지원기능 개호지원사업자와 서비스사업자간의 병행 운영, 개호지원전문원의 업무내용과 범위의 모호, 개호지원전문원의 겸무허용에 따른 업무과다, 처리역량을 벗어난 사례담당에 따른 어려움, 사회적 지원제도의 부족, 역할과 신분을 초과하는 의무와 처벌 등이 이에 해당된다. 한편, 일본의 개호보험제도와 비슷한 노인수발보장제도와 평가관리원의 도입을 추진하고 있는 한국의 입장에서 보면 이와 같은 개호지원전문원제도의 구조와 특징은 많은 시사점을 줄 수 있을 것으로 본다.