• 제목/요약/키워드: elderly home care services

검색결과 232건 처리시간 0.019초

방문간호의 국내외 현황분석 - 한국, 미국, 일본, 독일의 사례를 중심으로 - (Comparative Study of Home Nursing Care Services under the Long-term Care Insurance System in Four Nations)

  • 성명숙;장희정;김춘길;강경화;남경아;박종덕
    • 한국보건간호학회지
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    • 제24권2호
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    • pp.211-225
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    • 2010
  • Purpose: This comparative study analyzed information systems including manpower, contents of service, clients, and costs among four nations. Methods: A literature review of relevant publications from Korea, United States, Japan, and Germany supported the use of several plans to activate home nursing care services under the long-term care insurance system in Korea. Results: Korean home nursing care services require quality improvements. The results indicated that a rule is necessary that rations simple visiting service and home nursing care services under the long-term care insurance system, that an integrated management system for elderly care is required, and that the revised delivery of services needs to establish and reflect on various factors to estimate the value in a home visiting nursing care cost system. Conclusion: The data should be valuable in establishment of home nursing care services under the long-term insurance system in Korea.

치매나 알츠하이머 환자를 위한 주간보호시설의 프로그램에 관한 미국사례 연구 (Programs of Activities and Services of the Adult Day Care Center for the Elderly with Alzheimer's Disease and Dementia in the U.S.A)

  • 곽인숙
    • 대한가정학회지
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    • 제40권10호
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    • pp.123-139
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    • 2002
  • The purpose of this study was to understand the adult day care center as a place for the elders and adults and to develop an initial understanding of the services and activity programs for adult day care for the cognitively-impaired in the U.S.A. The data were collected from 12 Adult Day Care Centers(ADC) from 2001 to 2002 by personal interview and the documents about the programs. ADC programs provided primarily social, recreational, and health activities and services in a group setting. Centers offered participants to socialize, enjoy peer support, and receive health and social services in a stimulating and supportive environment that promotes better physical and mental health. For this purpose those centers offered not only professional health care, occupational.speech.physical therapies but also socio-recreation and therapeutic-recreation services.

사회서비스 이용자 정보가용성이 서비스 품질 및 만족에 미치는 영향: 재가노인복지서비스를 대상으로 (The Effects of Information Literacy of Social Service Users' on Service Quality and Satisfaction: Based on Elderly Home Care Services)

  • 조한라;여영훈
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제7권11호
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    • pp.717-725
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    • 2017
  • 본 연구는 재가노인복지서비스 이용자들 사이에 정보가용성의 차이가 있는지 확인하고, 정보가용성이 품질 및 만족에 미치는 영향을 파악하는 것을 목표로 한다. 이를 위해 전라북도 지역 이용자의 응답자료 466부를 활용하여 차이검증과 회귀분석을 실시하였다. 분석결과는 다음과 같다. 첫째, 서비스 이용자의 성별, 가구 형태, 거주 지역, 학력, 주관적 건강상태에 따라 정보가용성의 차이가 있었다. 둘째, 정보가용성은 서비스 품질과 만족에 유의미하게 영향을 미쳤다. 정보가용성의 하위요소 중 특히 서비스 내용에 대한 정보와 요구 가능한 내용에 대한 정보는 기타 정보가용성 하위요소 보다 서비스 품질 및 만족에 더욱 큰 영향력을 나타내었으며, 이는 각 이용자의 욕구와 상황을 기반으로 한 맞춤형 서비스의 중요성을 보여준다. 본 연구는 재가노인복지서비스 이용자들 사이의 정보가용성이 서비스 만족과 품질에 미치는 영향력을 확인하였고, 이러한 결과는 재가노인복지서비스 이용자 중 정보취약계층에 대한 효율적이고 능동적인 정보제공 방안이 필요함을 시사한다.

고령화 사회에 대비한 중년층의 노후 주거선호 - 광주지역의 대학생 자녀를 둔 학부형을 대상으로 - (The Preference of Housing for the Elderly among the Middle-aged Households for Aging Society)

  • 김미희
    • 한국주거학회논문집
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    • 제17권1호
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    • pp.117-126
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    • 2006
  • This study was conducted as a survey to find out middle-aged persons's housing preferences for a future elderly housing and to grasp background characteristics of persons influencing the preferences and the effect of elderly's aging situations on the changes of their preferences. A sample of 300 middle-aged people was selected purposely from parents of university students living in Gwang-ju city. Questionnaires were administered to parents by students and analysed with SPSS Windows 10 program. Middle-aged persons's housing preferences were differed according to elderly's aging situations, in the case of healthy situation, they tended to prefer to stay present house without their children in irrespective to couple or single, whereas in the case of unhealthy situation, they tended to prefer to live with their children. and couples showed preferences for planned housing for the elderly and singles showed preferences for elderly housing facilities with care services. The most important characteristics of elderly housing among middle-aged people was a places where they can enjoy leisure and provide home-help services, located in the suburbs. Also middle-aged persons were likely to prefer to a green spaces such as garden, path for walking, and madang for the elderly housing. Needs for community care services (NCCS) were required above the average. Among the items of NCCS, a visiting medical examination was the most demanding, and a visiting nursing services, a emergency calling bell, and home repairs were sequently followed in the level of needs. The characteristics of the elderly housing which preferred to and needs for community care services were influenced by middle-aged persons's age, gender, subjective evaluation of economic abilities, tenure status, the cost of living, and the size of housing. This findings suggests that it must to be considered to develop various types of the elderly housing depending on socioeconomic status.

가족스트레스와 가족탄력성이 가족적응에 미치는 영향 -재가요양서비스 부양가족을 대상으로 (Family Stress and Family Resiliency's Effects on Family Adaptation - Elderly Family care Services Targets on -)

  • 손병일;정민숙
    • 한국콘텐츠학회논문지
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    • 제13권9호
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    • pp.193-203
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    • 2013
  • 본 연구는 재가요양서비스 부양가족의 가족스트레스와 가족탄력성이 어떤 경로를 통해 가족적응에 영향을 미치는지를 살펴보기 위하여 광주 전남 재가요양서비스 노인의 부양가족 203명을 대상으로 설문 조사를 실시하였다. 연구결과 재가요양서비스 부양가족의 가족스트레스는 가족적응에 직접적인 영향을 미치지 않고 가족탄력요인 중 의사소통을 통하여 간접적으로 영향을 미치는 것으로 나타났다. 이러한 연구 결과를 바탕으로 보면 가족탄력성은 스트레스 보다 가족적응에 영향을 미치기 때문에 가족적응력을 향상시키기 위해서는 가족스트레스를 감소시키는 기존의 결점시각에 초점을 맞추기보다 가족탄력성의 강점관점으로 전환이 이루어져야 함을 제안한다.

노인복지시설 유형별 지역적 편차에 관한 연구 (A Study on Local Variations of Elderly Welfare Facilities by Care Type)

  • 강주희;윤순덕
    • 한국지역사회생활과학회지
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    • 제18권3호
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    • pp.369-378
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    • 2007
  • This study purposed to examine elderly welfare facilities by type, to analyze their local variations, and ultimately to contribute to the expansion of elderly welfare infrastructure. The results are expected to help inspect elderly welfare infrastructure for providing the aged with social services before the execution of 'the insurance for elderly long term care' and establish welfare facilities by area in the future. For these purposes, we used the national data "The Current State of Elderly Welfare Facilities in 2007" produced by the Ministry of Health and Welfare. We digitized elderly welfare facilities in 163 cities and counties by type and analyzed them by area. We also examined the differences in the local distribution of representative elderly welfare facilities such as elderly welfare centers, home based facilities (home helper centers), asylums for the aged and elderly care facilities in 16 cities and provinces. Furthermore, we analyzed differences and problems in their local distribution urban areas, mixed areas of urban and rural communities, and rural areas. In addition, we studied the current state of institutionalized care and home based care, which are two major directions of current elderly welfare policies, based on the local distribution of facilities and analyzed differences in the trends according to area. According to these results, the urban had more home based care facilities than the rural. However, the rural had more institutionalized care facilities than urban. Also, each local self-governing body showed unique characteristics. Therefore, these results suggest that we need to establish elderly welfare policies based on the distribution of facility types by area.

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일 지역 취약가구 독거노인의 건강상태에 따른 가정지원과 도움요구 (Home Care Support and Support Requirements According to Health Condition in the Poor Elderly People Living Alone)

  • 박지원;김용순;김기숙
    • 가정∙방문간호학회지
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    • 제16권2호
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    • pp.89-97
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    • 2009
  • Purpose: To identify the health condition, home care support, support requirement of poor and elderly people living alone. Method: Data was collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, ANOVA and correlation. Survey involved 269 conveniently selected who have a social support in H city. Result: Perceived health condition of subjects was bad to moderate (mean score: 2.22). There were significant home care support differences according to gender, religion, education level and dwelling pattern. Support requirement was influences only by the dwelling pattern. Perceived health condition showed a positive correlation with home care support of friends and neighbors, and a negative correlation with support requirement (medical, material, economic emotional support). Conclusion: These findings are expected to make a positive contribution to create an ideal intervention for public visiting nurses and social workers to improve the quality of life in poor and elderly people who live alone.

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키네틱 원리를 적용한 ICT 기반 노인요양공동생활가정 리모델링을 위한 전문가 요구조사 (Present Conditions and Needs for ICT-based Elderly Group Home Remodeling by Applying Kinetic Principle)

  • 이진경;문정인
    • 대한건축학회논문집:계획계
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    • 제36권4호
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    • pp.51-60
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    • 2020
  • This study was designed to investigate present conditions and needs for ICT-based elderly group home remodeling by applying kinetic principle. to provide useful planning factor to make elderly housing more suitable for supporting elderly residents remodeling. This study surveyed 20 elderly care assistants and nurses who have employed at elderly group homes and presented them with 7 categories of 44 elderly home remodeling planning elements to check currently existing services in their elderly housing and evaluate their need for each service with regard to their residents' needs.

노인장기요양보험 재가서비스 이용자의 시설서비스 이용 결정요인 (A Study of Determinants on Institutionalization of Elderly using Home Care Services)

  • 한은정;강임옥;권진희
    • 한국노년학
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    • 제31권2호
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    • pp.259-276
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    • 2011
  • 다른 사람의 도움을 받아야 하는 노인도 적절한 재가서비스를 받으면서 가능한 오래 가정에 머물 수 있다면 그들의 삶의 질을 향상시키고 비용을 절감할 수 있다고 알려져 있다. 이 연구는 노인장기요양보험제도를 시행한 후, 재가서비스 이용자가 시설서비스로 전환하여 입소하는 것에 대한 결정요인을 살펴보고자 한 종적 연구이다. 이 연구는 장기요양급여 이용자와 주수발자를 대상으로 한 '2009년 노인장기요양서비스 만족도 조사' 자료를 활용하였다. 이 연구의 분석대상자는 총 1,230명으로, 이들은 시도별, 장기요양등급별, 의료보장형태별로 비례할당으로 추출된 것이다. 종속변수는 연구대상자가 재가서비스를 이용하다가 시설로 입소하는 데까지 걸린 시간이고, 이것은 노인장기요양급여DB를 연계하여 파악하였다. 또한 이 연구는 Cox Proportional Hazard Model을 이용하여 hazard ratio를 산출하였다. 연구결과에 의하면, 다른 변수들을 보정한 후에도 이용자가 골절을 앓고 있는 경우에는 시설에 입소할 확률이 유의하게 높은 것으로 나타났다. 또한 통계적으로 유의하지는 않았지만 저하된 인지기능의 항목수가 많을수록 시설에 입소할 확률이 높은 것으로 나타났다. 이러한 영향요인들을 감안하여 향후에는 이용자의 욕구를 충족시키는 재가서비스 이용체계를 구축하고 보완하는 정책개발이 필요하다.

방문요양.방문목욕 장기요양기관의 요양보호사 업무수행 요구도 분석 (Analysis of Performance Requirement for Long-term Care Workers of Home Visit Care and Home Visit Bathing based on Korean Long-term Care Insurance System)

  • 장현숙
    • 보건의료산업학회지
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    • 제5권3호
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    • pp.77-88
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    • 2011
  • As same time of starting on the Korean Long-term Care Insurance System, the government developed a program to train new qualification of long-term care workers. The number of enrolled long-term care workers are 950,000 persons in 2010. Mostly they are working in home based care work places such as home visit care centers and home visit bathing centers covered insurance. The purpose of this study is to understand the difference of task performance requirement according to long-term care workers' responsibilities which divided into home visiting care and home visiting bathing. The comparison analysis was conducted to task performance requirement in basic management, safety management, administration management, practical services. Key result was found that task performance requirement of long-term care workers whose responsibilities are home visiting care were more higher than the home visiting bathing. Finally, To improve quality of home visiting care and home visiting bathing, it is necessary to provide the fields based continuing education and reflect new reimburse system.