• Title/Summary/Keyword: disability services

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Effects of Home Visiting Physical Therapy and Environmental Factors Analysis Using International Classification of Functioning, Disability and Health (ICF) (ICF를 이용한 재가 장애인의 방문 물리치료 효과 및 환경 요인 분석)

  • Park, Seung-Kyu;Heo, Jae-Won;Yang, Dae-Jung;Gang, Jeong-Il;Lee, Jun-Hui
    • The Journal of Korean Physical Therapy
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    • v.24 no.4
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    • pp.282-289
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    • 2012
  • Purpose: The purpose of this study is to analyze the home-stay disability's activity, as well as the participation domains and the environment factor domains of international classification of functioning (ICF), in order to examine the effect of the home visiting physical therapy and the disability's activity. Methods: A total of 211 home-stay disabled subjects with brain lesions or crippled disorder, living in 5 cities and districts of Jeollanam-do, underwent 90 minutes of home visiting physical therapy per week during a 6-month period, and using the ICF checklist, evaluated the subject's activity and participation domains and environmental factor domains. Results: The performance qualifier showed a significant statistical change in the movement, self-care, domestic life, interpersonal interactions and relationships, community, society and civic life domains (p<0.05); and the capacity qualifier showed a significant change only in the mobility domains in the before and after of the home visiting physical therapy (p<0.05). The barrier factor in the order of services, systems and policies domains, product and technology domains, and attitude domains it influenced significantly in the performance (p<0.05), and in the facilitator factor in the order of product and technology domains, support and relationships domains, services, systems and policies domains it influenced significantly in the performance of the disabled (p<0.05). Conclusion: The visiting physical therapy can help in the improvement of the activity and participation of the home-stay disabled subjects, and for the accurate evaluation of the home-stay disabled subjects, it is considered that an evaluation including various environmental factors, such as ICF, must be fulfilled.

Development of IoT Smart Mobility Service Design for People with Disabilities in the Era of Digital Transformation (디지털 트랜스포메이션 시대 교통약자를 위한 IoT 스마트 모빌리티 서비스 디자인 개발)

  • Lee, Woong-Hee;Kim, Jung-Woo
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.21 no.1
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    • pp.163-173
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    • 2021
  • In the era of digital transformation, the transportation underprivileged remains as an underprivileged class without the benefits of technological advances. Electric assist devices for the People with disability are inadequate to provide services suitable for the current traffic environment, although the mobility of the People with disability is improved. In this paper, we develop IoT smart mobility by deriving essential elements through user satisfaction surveys to efficiently move physical distances based on the experience of users using existing electric assistive devices. Based on the data collected through user satisfaction survey, quantitative analysis using TF-IFD and qualitative analysis based on QFD are performed to determine the importance of user requirements. For the evaluation of IoT smart mobility design results reflecting essential functions, usability verification is conducted by forming an expert evaluation team in various fields. In the future, we plan to conduct a service design study that can improve mobility convenience and provide mobility service solutions by designing to provide efficient public services by utilizing IoT smart mobility to the People with disability.

Study on the oral health awareness and behavior in the special school for students of disability (일부 특수학교 장애인의 구강보건의식행태에 관한 조사연구)

  • Song, Yun-Shin;Chang, Woo-Sung
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.1
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    • pp.103-111
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    • 2011
  • Objectives : This study of oral health problems was conducted to 311 students in Special Schools in order to inquire into the state of their oral health behaviors, to find out the main obstacles against dental services, to secure dental reasonable basis for oral health promotion. Methods : A questionnaire survey was conducted in the Special School of the 311 students in the area of the metropolitan Seoul. By means of Chi-squared test and Fisher's exact test, oral hygiene habits for each type of the subjects, the contents of dental care services, the prerequisites to improve oral health, were inquired. To evaluate the effects to the current oral health status of types of disability, 2-way ANOVA was practiced. Results : The handicapped with Visual impairment, mental retardation, multiplicity with disabilities, answered negatively in their own oral health status. 47.4% of the deaf can do brush for theirselves without the inconvenience, but in other types of disability they showed that they were helped by others. Subjects did not use the secondary oral hygiene necessaries because, except brain damage, almost of types of disability impeded the convenient use. 60 to 88.2 percent of the total respondents were the recent visitors to dental clinique within 1 year, and the most common motives of the visiting dentist, is a routine medical examination, their movements to the dentist in all types of disabilities, needed helps of others. Most of them received medical treatment at a private dentist, the handicapped preferred the private care and place(49.8%). Only in the case of the brain disorders, extremely much of the disabled answered that they were needed the preventive treatment, and the another cases of disability were largely needed the treatment of the decayed teeth. To improve the oral health of the people with disabilities, at the opening of the clinics and hospitals over a certain size, the mandatory medical facilities for the care of the disabled should be preceded and followed by the improvement of dental insurance system so as to reduce the burdens of the cost of dental care. Conclusions : The improvement of oral health policy for the disabled are needed inevitably: Development of secondary oral hygienic easy to use for the disabled, the building systems of medical dental hospital with the disabled facilities, by the improvement of the insurance system, the reduction of the burden of payments.

The Application of a Multiple Service Paradigm Assessment Format for Disability Program Proposals Submitted to the Korean Community Chest (공동모금 재정지원을 통해 본 장애인복지 분야의 서비스 패러다임 동향 분석)

  • Kim, Jung-Woo;Park, Kyung-Su
    • Korean Journal of Social Welfare
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    • v.57 no.1
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    • pp.147-167
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    • 2005
  • In the West, the model for provision of services to the disabled has shifted from a focus on the individual to that of a social model. This shift reflects a movement away from a materialist approach to one that is grounded in idealism. In the context of themultiple service paradigm movement this paper explores trends in the provision of social services to the disabled in Korea. In order to accomplish this task the writer conducted an analysis of Korean Community Chest proposals, existing legislation and legislative systems as well as the disability movement in Korea. Data was collected from the 2003 program proposals submitted to the Korea Community Chest. This data was classified using Priestly's Multiple Service Paradigm of Disability. The results suggest that the Korean Community Chest favored an individual idealist approach. There was only limited support given to proposals that reflect the social model approach and thus issues of accessibility, independent living and inclusion are given short shrift. This paper argues the need for a reversal of this trend through the Korean Community Chest supporting issues mentioned above and that the social model should be given greater attention by this funding body. Implications for practice using the multiple paradigm model are discussed.

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Study on Factors Affecting Satisfaction with the Life of Elderly with Disabilities (고령장애인의 삶의 만족도 영향요인에 관한 연구)

  • Seo, Ji Hye;Na, Woon Hwan;Jeong, Da Chan
    • 재활복지
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    • v.21 no.4
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    • pp.33-57
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    • 2017
  • The purpose of this study is to analyze factors that can affect the satisfaction with life of elderly with disabilities so as to provide measure for improving the quality of their lives. To that end, elderly with disabilities and 50 years or older were extracted from the raw data (2nd Wave, 1st Survey) of 2016 Panel Survey of Employment for the Disabled (or PSED), conducted by the Ministry of Employment and Labor and the Korea Employment Agency for the Disabled. And they were classified into those aging with disabilities (onset of a disability before 50 years) and those having disabilities with aging (onset of a disability after 50 years). The results of the analysis show factors affecting satisfaction with life were different in the two groups. Although awareness about employment, awareness about disability, levels of happiness, subjective socioeconomic standing, and financial problems were the common factors, health conditions and ability to function in daily life affected more those aging with disability, and employment status was more relevant to those having disability with aging. Based on these results, this study points out the need to take into account awareness about employment and disability when developing services for elderly with disabilities, to solve their financial problems, and to provide a collective approach to employment and health issues in order to improve the quality of their lives.

The Effects of Copayments on Health Services Utilization in the Type I Medicaid Beneficiaries (본인부담제도가 의료급여 1종 수급권자의 의료이용에 미치는 영향)

  • Hong, Sun-Woo
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.1
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    • pp.136-146
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    • 2009
  • Purpose: The purpose of this study was to investigate the effects of copayments for doctor visits and prescription drugs on health services utilization in the Type I Medicaid beneficiaries in Korea. Method: This study examined data from the 2007 survey on Health Services Use and Health Status of Medicaid Beneficiaries performed by the Ministry for Health Welfare and Family Affairs. To analyze these sample survey data, the SURVEYFREQ, SURVEYMEANS, and SURVEYREG procedures which incorporate the sample design into the analyses were used. Results: Findings of this study indicate that copayments for doctor visits and prescription drugs of Medicaid Type I beneficiaries have cut overall medical costs. However, although results should be interpreted very carefully because of the relatively low $R^2$, copayments have cut more health services utilization of people who need more health services because of their complex diseases and disability. In addition, besides copayment, several factors are affecting differences in health services utilization before and after copayments implementation. Conclusion: These results highlight the need to examine the effects of copayments more thoroughly according to the kinds of disease, the severity of disease, and the level of copayment.

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Long-Term Care Needs Assessment of the Disabled Workers After an Industrial Injury (산재장해인의 장기요양서비스 요구 분석)

  • Choi, Eun Sook;June, Kyung Ja
    • Korean Journal of Occupational Health Nursing
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    • v.16 no.2
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    • pp.188-196
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    • 2007
  • Purpose: The objective of this study was to evaluate long-term care needs using RAI MDS-HC and MI-CHOICE among the disabled workers. Methods: Data were obtained from 45 personal care recipients with the disability of mental and nervous system, and analyzed using SAS 9.1 by applying t-test, ${\chi}^2$ test, or fisher's exact test. Results: Only 'bed mobility' and 'indoor ambulation' items of ADL and problem activity were statistically significant factors by the level of personal care benefit. By MICHOICE grouping, 20.0 percent of subjects belonged to nursing home group, 51.5 percent were home care service, 28.9 percent were intermittent personal care. Conclusion: Personal care services in industrial accident compensation insurance have been categorized with two groups according to level of disability. But our results could contribute to provide personal care service according to the long term care needs.

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Current Status and the Future Prospect of Rehabilitation Nursing in Korea (한국 재활간호 현황과 전망)

  • Kang, Hyun-Sook;Suh, Yeon-Ok;Lee, Hae-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.2
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    • pp.240-247
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    • 2001
  • The history of rehabilitation of disabilities in Korea began with the foreigners and missionaries who were interested in it after Korean War. In 1981, Disabled Persons Welfare Act was enacted and the 88 Paralympics brought the nations attention to the welfare and rehabilitation of persons with disabilities. Since then, the facilities and the services for the disabled persons have expanded rapidly and the rehabilitation treatment and nursing intervention are drawing more attention. Against this background, the survey on the current status of disabilities, welfare service, facilities, and rehabilitation nursing was conducted. The results of this survey are as follows. 1. According to the 2000 census of disabilities, the number of persons with disabilities in Korea is estimated at 1,449,500, or 3.09% of the entire Korean population, 0.74% up from 2.35% in 1995. 2. Disability Types in 2000 The 2000 census showed that the persons with disabilities numbered 1,449,496 out of the total population and 1,024,371 persons are registered for disability, making up 70.7% of the estimated disabled population. Among them, physically disabled persons accounted for the largest 41.7% (605,127) and mentally retarded persons stood at the smallest 9% (13,481). 3. Percentage of Disability Presence The survey showed that more than 90% of disability were acquired. However, 44.8% of mental disability and 61.4% of hearing/speaking disability were not acquired after birth. This means that these disabilities happened by congenital cause or birth accident. 4. Yearly Figure of Registered Disabled Persons In 1989, 218,601 persons registered for disability and, in 2000, the number increased by 4.7 times to 1,024,371. These figures are different from the actual number of disabled persons. According to the 1995 census, 1,053,486 were disabled persons but only 378,323registered for disability. And, in the 2000 census, 1,024,371 out of the 1,449,496 of disabled persons registered for disability. 5. Welfare Service for Persons with Disability 62.6% of the total disabled people are registered and physically disabled persons accounted for the highest percentage of 96.7%. 26.5% of non-registered disabled people said that they didnt know the registration procedure. The rest of them replied that they didnt think they were disabled or that registration didnt seem to give any benefits. 6. Welfare Policies for Disabled Persons The welfare benefits given to the disabled are as follows: Issuance of disabled sign for car drivers, Permission to use LPG fuel, Communication fee reduction, Tax exemption related to cars, Reduction of public facility fees, Household allowance, Tax reduction or exemption, Medical allowance and education subsidy for children, and Housing. 7. Current Condition of Welfare Facilities by Disability Type The welfare institutions for disabilities numbered 188 in total and they can accommodate 16,823 persons. Categories of these institutions are physical disability(37), visual disability(10), hearing/speaking disability(14), mental retardation(59), and sanatoriums(68). 8. Human Resource of Rehabilitation of Disabilities Advanced education programs include rehabilitation nursing in its curriculum and this was selected as the program of Korean Academic Society of Nursing in 1990. In November 1997, Korean Academic Society of Rehabilitation Nursing was launched and many academic meeting and seminars were held. This organization is also making efforts to develop the education program for qualified rehabilitation nursing professionals and to develop the standards of rehabilitation nursing practice. In the professionals of the rehabilitation, there are rehabilitation specialist, physical therapist, speech therapist, occupational therapist. It is needed to come up with the measures to supply stable human resources following the demand of disabled persons and to recognize the private certificates for rehabilitation professionals as official ones after reviewing the education and training programs of private institutions. 9. Rehabilitation Nursing 1) Rehabilitation nursing was taught as an independent subject in 11 undergraduate programs and 9 graduate programs. 2) Research on rehabilitation nursing in Korea were 24 experimental research and 11 non-experimental research. The intervention of experimental research were mostly education and exercise rehabilitation programs. 3) In the three rehabilitation hospitals, nursing is divided into two categories, direct nursing and education & counseling. Direct nursing includes tracheostomy or nasogastric tube care, urination and defication, skin care, pain control, complication prevention and care, prevention of injury from a fall, etc.

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PHealth Service Deployment Methodology: A Case Study

  • Paggetti, Cristiano;Rugnone, Alberto;Tamburini, Elena;Nugent, Chris
    • Journal of Computing Science and Engineering
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    • v.6 no.1
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    • pp.60-66
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    • 2012
  • It has been proved that information and communication technology (ICT) solutions for personalized health (PHealth) and ambient assisted living (AAL) can support people in their daily life activities. Several solutions have been demonstrated to empower different levels of services through seamless data acquisition and specific users' interaction modalities. Usually services usability and accessibility are handled in the design process and are validated with small users' groups. Moreover, while service design and systems development have been extensively described in literature, service deployment methodologies are not properly addressed and documented. Proper reference guidelines are also missing. The most common methodologies like unified process (UP) or ICONX can cover only the design and the development of PHealth services without a clear description on the following phases such as deployment, service provision and maintenance. These phases present several risks to be taken into account right from the beginning of the implementation of PHealth or AAL services. This paper focuses on the description of a structured methodology to deploy PHealth services and how this process can be supported by integrated software routines and adapting the UP framework in particular the "Transition phase."

An Analytical Study on the Library Services Perceptions of the Social Workers (사회복지사의 도서관 서비스에 대한 인식 분석 연구)

  • Kim, Seon-Ho
    • Journal of Korean Library and Information Science Society
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    • v.44 no.1
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    • pp.99-122
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    • 2013
  • With the recent opening of The National Library for Individuals with Disabilities, interests in library services for the disable have been increasing. For the purpose of promoting library services for the disabled all the more, the study is to provide cooperative plans in policy between the social welfare and the library and information service based on library perceptions of social workers as specialists in disability and welfare fields. Cooperative plans in policy provided by this study are as follows: (1) The unique communication channel between librarians and social workers should be constructed through social networks. (2) Public relations on the value and necessity of both the library and librarians should be enhanced. (3) Education on the expertise of the social welfare for librarians should be enriched. (4) Clear-cut identities between librarian's and social worker's tasks should be established.