• Korea Journal of Hospital Management
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• v.13 no.2
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• pp.36-63
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• 2008

This study carried out a covariance-structural analysis to verify formed causations between general variables and the influences of Medical Social Work Service of officers and NCOs in Korean Community Military Hospitals. The subjects were 7 hospitals, 337 military hospital executives in rear area, and the results of the survey are as below. First, about empowerment level, culture in the organization turned out to be the primary direct influential factor, and personal, organizational, and functional character were influential factor. There was no indirect influential factor present. Second, in Medical Social Work Service, empowerment level was significant on direct effect. In case of personal character indirect effect was important. It showed that the significant influence factor that affects Medical Social Work Service in total effectiveness is personal character and empowerment level. It's productive to suggest the possibility of application of furnish the outcome as a basic data for Military Medical Social Work Service revitalization plan. On the basis of the result, we propose several suggestions for Military Medical Social Work Service as follow. First, to educate empowerment increase program of officers and NCOs in Military Hospital, specific system which allows entrust education to a certain civil education institution or KAMTSW(Korean Academy of Military Social Welfare) is required. Second, need to provide the medical social work service that matches with Military Hospital and distinct from usual hospital. Last, for specific study we expect various follow-up researches on the basis of this study, which can develop concrete empowerment model by inquiring research, would come out.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.11 no.2
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• pp.125-132
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• 2017

Intermittent pneumatic compression is frequently used for prophylaxis of deep vein thrombosis, however there is a lot of complains by frequent adverse event. In this paper, we analyzed the cause of adverse event and we tried to improve for the cause of machine, nurses, patients, system by diverse strategy. And we could improve the index of each cause, the rate of error was decreased finally. The proactive activity of quality improvement for medical device can contribute to decrease the error, that will improve the quality of medical service and achieve the safe medial culture.

• Journal of Family Resource Management and Policy Review
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• v.13 no.1
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• pp.147-168
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• 2009

The purpose of this study is to research support systems of the community child care services for optimum work-family balance. For this purpose, the questionnaire to be completed combined four areas: the workplace, school, community and home. Then questions concerning demographic factors and community-related aspects were analysed for this article. After analyzing 197 questionnaires, supplementary questions were asked, by interview to 10 samples. Full-time working wives (eg. working from 9am to 6pm) who have 1 or more children under 10 years old, living in Seoul and Gyeonggi province were collected as samples. The results were as follows: First, child care from family and relatives, and community services was properly used during the week, but dual working parents took complete charge of child care on Saturdays. Second, emergency child care was usually provided by the family, while relatives and community child care services were used less. Third, parents spent 17% of their monthly income on total child care expenditure. Fourth, community child care services were not used often, but the level of satisfaction with them was very high. Finally, they used relatives' services for safety reasons and community services for location, and only based on informed decisions. Therefore, Saturday child care programmes need to be initiated to help physically and mentally tired parents, with more general provision of positive and diverse public support systems.

• Journal of Family Resource Management and Policy Review
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• v.16 no.4
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• pp.153-170
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• 2012

This study investigated the educational culture experienced by married immigrant women in their own country, as well as their internalizing process of the educational culture in Korea, using a qualitative case study. The purpose of this study was to help married immigrant women solve the problem of acculturation based on their own educational and cultural experiences and to overcome limitations of previous studies, which dealt with the problem of acculturation superficially. Participants were 17 married immigrant women from eight countries who resided in Jeonnam and Jeonbuk provinces. They were selected by the sampling strategy of maximum variation. Data were collected through archives and in-depth interviews and analyzed using within-case analysis and cross-case analysis. The results showed that married immigrant women had no experience of attending private institutions and had good memories of their school life. Based on these kinds of experiences, they criticized Korean mothers who urged their children to attend private institutions. They respected their children's opinions and allowed their children to select private institutions. Despite married immigrant women apparently suffering from acculturation, they educate their children according to their own philosophy and method of education. That is, they solve the problem of acculturation actively and independently. Consequently, in order to help married immigrant women solve the problem of acculturation, it is necessary to respect the difference in the cultures and frame a system that develops the activity and subjectivity of married immigrant women.

• Journal of the Korea Safety Management & Science
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• v.17 no.2
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• pp.147-152
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• 2015

Through the inspector's real name to improve the quality of inspection is to show the design Radiological examination pursuant to the Ordinance of the Ministry of Health and Welfare for patient safety in the Image. However, the use of existing and in EMR, equipment within the handwriting input, the individual initial use has a problem. In this study, increasing the stability of the patient and the precise inspection, In order to increase the efficiency and convenience than the real-name system for quality control inspectors of medical equipment, Using the EMR and PACS developed and applied to evaluate the usefulness of automatic enrollment. Enter your information in the EMR, which was developed markers that inspectors use to compare the before and after images PACS satisfaction. Convenience than using traditional, consistency, the entry of the missing were higher as a statistically significant difference. A test strip automatic enrollment programs are developed in this study. You can increase the stability of the patient by checking the image to show the real tester, we expect the quality of care would be improved.

• Journal of the Korea Safety Management & Science
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• v.16 no.2
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• pp.203-210
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• 2014

The purpose of this study is to understand the meaning and essence of concrete and practical experience on a series of debates to reveal factors that could be exposed when middle or old-aged people are in the process of re-employment process when they were unemployed by exploring the phenomenon of experience on the courses for the unemployed focusing on middle or old-aged people for employment support program. Depth consultation interviews were conducted and the structure of this phenomenon was revealed and described by applying Giorgi's phenomenology technical as a procedure for analyzing participants' statements by concentrating on the essence of the experience in this study. The meaning of the experience of the unemployed re-employment process structure as a result of analysis on the nature of re-employment experience on the basis of research participants and the information stated through this study showed respectively such as , , , , , and "Reemployment Success Factors>. It is a significant meaning that middle and old-aged people were able to confirm that they experienced Dynamic pursuit of hopes and dreams and got the chance to participate in society Toward a new life By strengthening employ ability skills by undertaking vocational training, obtaining licenses, and regaining confidence and employment determination, and a lot of desire using the card for learning tomorrow, government support system.

• Journal of Family Resource Management and Policy Review
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• v.21 no.3
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• pp.121-139
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• 2017

This study aimed to explore the moderating effect of social support resources on the life satisfaction and caregiving burden of family caregivers taking care of the elderly in long-term care services. The study participants were selected from among the family caregivers utilizing 30 home care centers in Seoul, Korea. Of the candidates who agreed to participate in the study, 250 caregivers who had supported the elderly at home for at least 6 months were selected. The data collected were analyzed using SPSS ver. 21.0. The study findings were as follows. First, the whole family caregivers' caregiving burden of family caregivers was found to be slightly higher than the median value. More specifically, the physical burden was the heaviest, followed by the family relationship burden, the social activity burden, the emotional burden, and the financial burden. Social support resources and life satisfaction were found to be a little bit higher than the median value. Second, the variables that statistically significantly increased life satisfaction, starting with the strongest effect, were a lower psycho emotional burden, greater informational support resources, a lower economical burden, greater emotional support, a younger caregiver age, a higher monthly income, and a shorter care period. Third, informational support resources were found to have a moderating effect on the relationship between the support burden and life satisfaction. The more the participants used the informational support resource subcategory of the social support resources, the narrower the life satisfaction decrease, even though the caregivers felt a support burden. Informational support resources appear to have a statistically significant buffering effect.

• Journal of Family Resource Management and Policy Review
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• v.21 no.3
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• pp.77-95
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• 2017

The purpose of this study is to examine the factors related to leisure time to understand middle-aged one-person households. Data are from the recent survey of lifetime use in 2014 by Statistics Korea(N=1,138). Middle-aged one-person households aged 40-59 years were categorized into four groups by marital status (unmarried/married/widowed/divorced). Major results were found as follows: First, the total leisure time per day was 238 min in the middle-aged one-person households. The majority of the total leisure time was spent on 'fellowship & leisure activities'(204 min on weekdays, 283 min on weekends). Especially, time spent on real-time TV watching hours was the longest, as long as 89 min on weekday and 150 min on weekends. Second, gender differences were significant in terms of leisure time use in the middle-aged one-person households. Females spent less time on leisure than their male counterparts on both weekdays and weekends. In addition, gender differences related to marital status were significant. Third, on weekdays, the determinants of leisure time use among the middle-aged one-person households were health and type of employment for 'participation & volunteer activities', and gender, age, marital status, and type of employment variables for 'fellowship & leisure activities.' On weekends, time spent on 'participation & volunteer activities' were influenced by marital status, residential area, and type of employment, while time spent on 'fellowship & leisure activities' were significantly related to gender, type of employment, type of job, holiday system, and income.

• Health Policy and Management
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• v.31 no.4
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• pp.387-398
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• 2021

Moon Jae-in Care can be seen as a 2.0 version of Roh Moo-Hyun Care. Just as Roh Care failed to achieve its coverage rate goal and 30% share of public beds, Moon Care also failed to achieve its expected goal. The reason is that it followed Roh Care's failed strategy. Failure to control non-covered services has led to a long way to achieve a 70% coverage rate and induced the expansion of voluntary indemnity insurance, resulting in increased public burden. The universal coverage of non-covered services caused an immediate backlash from doctors. And Moon government also failed to control the private insurance market. The expansion of publicly owned beds has not become realized and has not obtained public support. Above all, it failed to overcome the resistance of doctors and failed to obtain consent from budget power groups in the cabinet for public investment. It was also insufficient to win the support of civic groups. Communication with interested groups failed and the role of private health care providers was neglected. The next government should also continue to strengthen health care coverage, but it should prioritize preventing medical poor and create a consensus with both medical providers and consumers for the control of non-covered services. Ahead of the super-aged society, the establishment of linkage between medical services and long-term care and visiting health care or welfare services is an important task. All public and private provisions and resources should be utilized in the view of a comprehensive public health perspective, and public investment should be input in sectors where public medical institutions can perform more effective functions. The next government, which will be launched in 2022, should design a new paradigm for health care in the face of a period of transformation, such as the coming super-aged society in 2026 and the Fourth Industrial Revolution, and recognize that the capabilities of the health care system represent the nation's overall capacity.

• Health Policy and Management
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• v.31 no.3
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• pp.364-373
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• 2021

Background: This study aims to examine the regressiveness of national health insurance (NHI) premium burdens for local subscribers. The government has established a restructuring of health insurance contributions in 2017. Therefore, insurance premium reform began in 2018 and the second national health insurance premium reform will be carried out in 2022. We will analyze local subscribers before and after the policy reform of 2018. Methods: This study used data from 'local premium imposition elements' in the health insurance statistics annual reports (2017-2019) on National Health Insurance Service (NHIS). This study was calculated contribution rates according to levels of income and property for local insured by the method of comparing. Simulations of primary and secondary reforms were conducted in the study to determine regressiveness. Results: Insurance premiums for local subscribers were analyzed separately by income and property insurance premiums. In the income premium analysis, the higher the income, the lower the premium rate, and then the fixed rate was maintained from a certain section. The regressiveness of income insurance premiums has been eased in part. On the other hand, the property insurance premium burden was found to be regressive still by income class. Conclusion: Regressiveness analysis showed that a decrease in income contributions was achieved to local insured in the first phase of reform. But in the second phase of reform, more consideration should be given to reductions of property premium portions of local subscribers. Based on the results, the author suggested policy discussions to reorganizing the new systems of NHI contribution of local Insured.