• 제목/요약/키워드: inclusive care

검색결과 48건 처리시간 0.028초

Healthcare Systems and COVID-19 Mortality in Selected OECD Countries: A Panel Quantile Regression Analysis

  • Jalil Safaei;Andisheh Saliminezhad
    • Journal of Preventive Medicine and Public Health
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    • 제56권6호
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    • pp.515-522
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    • 2023
  • Objectives: The pandemic caused by coronavirus disease 2019 (COVID-19) has exerted an unprecedented impact on the health of populations worldwide. However, the adverse health consequences of the pandemic in terms of infection and mortality rates have varied across countries. In this study, we investigate whether COVID-19 mortality rates across a group of developed nations are associated with characteristics of their healthcare systems, beyond the differential policy responses in those countries. Methods: To achieve the study objective, we distinguished healthcare systems based on the extent of healthcare decommodification. Using available daily data from 2020, 2021, and 2022, we applied quantile regression with non-additive fixed effects to estimate mortality rates across quantiles. Our analysis began prior to vaccine development (in 2020) and continued after the vaccines were introduced (throughout 2021 and part of 2022). Results: The findings indicate that higher testing rates, coupled with more stringent containment and public health measures, had a significant negative impact on the death rate in both pre-vaccination and post-vaccination models. The data from the post-vaccination model demonstrate that higher vaccination rates were associated with significant decreases in fatalities. Additionally, our research indicates that countries with healthcare systems characterized by high and medium levels of decommodification experienced lower mortality rates than those with healthcare systems involving low decommodification. Conclusions: The results of this study indicate that stronger public health infrastructure and more inclusive social protections have mitigated the severity of the pandemic's adverse health impacts, more so than emergency containment measures and social restrictions.

Analysis of Abdominal Trauma Patients Using National Emergency Department Information System

  • Song, In-Gyu;Lee, Jin Suk;Jung, Sung Won;Park, Jong-Min;Yoon, Han Deok;Rhee, Jung Tak;Kim, Sun Worl;Lim, Borami;Kim, So Ra;Jung, Il-Young
    • Journal of Trauma and Injury
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    • 제29권4호
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    • pp.116-123
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    • 2016
  • Purpose: To develop an inclusive and sustainable trauma system as the assessment of burden of injuries is very much important. The purpose of this study was to evaluate the estimates and characteristics of abdominal traumatic injuries. Methods: The data were extracted from the National Emergency Department Information System. Based on Korean Standard Classification for Disease 6th version, which is the Korean version of International Classification of Disease 10th revision, abdominal injuries were identified and abdominal surgeries were evaluated with electronic data interchange codes. Demographic factors, numbers of surgeries and clinical outcomes were also investigated. Results: From 2011 to 2014, about 24,696 patients with abdominal trauma were admitted to the hospitals annually in South Korea. The number of patients who were admitted to regional and local emergency medical centers was 8,622 (34.91%) and 15,564(63.02%), respectively. Based on National Emergency Department Information System, liver was identified as the most commonly injured abdominal solid organ (39.50%, 9,754/24,696, followed by spleen (17.57%, 4,338/24,696) and kidney (12.94%, 3,195/24,696). Conclusion: This study shows that the demand for abdominal trauma care is considerable in South Korea and most of the patients with abdominal trauma were admitted to regional or local emergency centers. The results of this study can be used as good source of information for staffs to ensure proper delivery of abdominal trauma care in trauma centers nationally.

직업모성과 비직업모성의 영유아 양육법에 관한 비교연구 (A Comparative Study on Method of Nurturing During Infancy Between Mothers With and Without Occupation)

  • 김소인
    • 대한간호학회지
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    • 제4권1호
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    • pp.50-63
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    • 1974
  • Health at infancy and early childhood is considered an important factor for healthy life thereafter. Concept of nursing is inclusive not only of physical care but also psycho-social aspect in order to help achieve maximum state of wellness. Statistical studies reveal concept and structure of family and home tends to change towards nuclear type, ratio of female occupancy tends to increase. These tendencies will influence the method of infants and children. Purpose of this study is to investigate the characteristics of mothers and their children with and without occupation, method of nurturing and analyse data according to various variables, in arnder to give data for care for infants and children. During the period of June 12 though July 22, 1973, 98 mothers and their 224 children; 53 mothers with occupation with 110 children and 45 mothers without occupation with 114 children were Interviewed indirectly through check list. Results of the studies are as follows: 1. Hypothesis 1 ; Tendencies of finger sucking will be greater in children of occupant mothers due to lack of maternal love. Through chi-square examination significant difference is revealed by P>0.05 level, therefore Hypothesis 1 is rejected. (X²=0.24) 3. Hypothesis 2; of occupant mothers tend to have had wanted number of children through family planning. Ratio of wanted versus unwanted children were tested and significant difference is revealed by P<0.05 1eve1. Hypothesis 2 is supported. (X²=8.398). 3. Hypothesis 3: Non-occupant mothers tend to cuddle more while feeding infants. Significant difference Is revealed through Chi-square test by P〈0.05 level. Hypothesis 3 is rejected. (X²=4.34) Conclusion and recommendations: Occupant mothers' higher degree of interest and consideration compared to that of non-occupant mothers in regard to nurturing of their children have been ascertained by this study. These results fight have come up due to the differences of socioeconomic and cultural status of respondents. Further studies on each variable between mothers with and without occupation with similar socio-economic and cultural background are recommended.

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포커스 그룹 인터뷰를 이용한 환자안전전담자의 환자 및 보호자 대상 환자 안전 교육 경험 분석 (Experiences in Patient Safety Education of Patient Safety Officer Using Focus Group Interview)

  • 김윤숙;김문숙;황지인;김혜란;김현아;김효선;천자혜;곽미정
    • 한국의료질향상학회지
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    • 제25권2호
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    • pp.2-15
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    • 2019
  • Purpose: The purpose of this study is to provide basic data for the development of the most appropriate and effective educational materials for patients and their caregivers through the educational experiences of patient safety officer. Methods: This study is a qualitative analysis that involves using the focus group interview to understand the patient safety education experience of the patient safety officer. Results: The patient safety education experience of the patient safety officer is divided into four topics: (1) patient safety education content (2) patient safety education method (3) patient safety education status (4) activation and improvement of patient safety education. Additionally, the study incorporated twelve subtopics: (a) falls (b) speak up (c) patient safety campaign (d) patient safety rounding and a one on one training (e) education through medical staff (f) education using broadcast, video, post, among others (g) a lot of education in patient (h) patients not interested in patient safety education (i) patient safety education is less effective (j) human and medical expenses support (k) provision of standardized educational materials (l) patient safety culture for patient participation. Conclusions: This study indicate that education for patients and the caregivers should be inclusive and protective of stakeholders from the risks involved in patient safety events. The experience of patient safety officer is necessary for patient safety education for both patients and the caregivers since it is the source of basic data for the future development of patient safety education.

유아교육기관에서의 유아영재 대상 차별화 교육 실태 및 지원요구 (The Realities of the Differentiated Education for the Gifted Child and Support Needs in the Early Childhood Education Institutions)

  • 이현지;태진미
    • 영재교육연구
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    • 제26권3호
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    • pp.473-491
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    • 2016
  • 본 연구에서는 유아교육기관에서의 유아영재 대상 차별화 교육 실태와 지원 요구를 조사하였다. 설문조사는 서울과 경기, 인천 지역의 유치원과 어린이집 및 기타(영어유치원 및 놀이학교) 유아교육기관에서 근무하는 교사 및 원장을 대상으로 실시하였으며, 최종 수집된 설문지는 총 309부였다. 연구 결과 첫째, 유치원, 어린이집, 기타기관 등의 유아교육기관에는 유아영재 대상의 차별화 교육을 위한 인프라가 충분히 구축되어 있지 않았다. 특히 유아영재를 위한 '차별화 교육 경험'이 세 기관 모두 보통보다 낮은 수준이었다. 둘째, 유아교육기관에서의 유아영재 대상 차별화 교육에 대한 교사의 요구도는 세 기관 모두 필요수준에 비해 현재 수준이 현저히 낮은 것으로 나타났다. 본 연구의 결과는 정규 유아교육기관에서 유아영재 대상으로 교육적 요구와 발달특성에 부합하는 차별화 교육 방향 모색에 필요한 기초자료를 제공한다는 측면에서 의의가 있다.

외국인 유학생의 보육실습 경험 분석: 어려움과 가치를 중심으로 (Analyzing the Child Care Practicum Experience of Foreign Students: Exploring Challenges and Benefits)

  • 강정원;국소영;박명금
    • 한국보육지원학회지
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    • 제19권3호
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    • pp.19-39
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    • 2023
  • Objective: The purpose of this study was to analyze the experiences of foreign students in childcare practicum, with a specific focus on identifying the difficulties they encountered and the values they derived from their practicum experiences. The aim was to gain insights that can contribute to improving practicum support for these students. Methods: A total of 6 foreign students were selected as participants for this study using snowball sampling. The data collection period spanned from May 2021 to March 2023, during which semi-structured interviews were conducted and qualitatively analyzed. Results: Foreign students faced challenges in securing practicum placements prior to the start of their program. Communication difficulties necessitated the use of interpreters to interact with children. Additionally, documenting information in a language other than their mother tongue posed a challenge. Consequently, there was a need for tailored training support to address the specific needs of foreign students in childcare practicum. Despite these challenges, the students reported rewarding and valuable experiences during their practicum. These experiences included discovering the teaching identity in Korea, learning about desirable practices in the field, recognizing and addressing personal shortcomings, and developing a sense of vocation for the advancement of infant education in their home countries. Conclusion/Implications: If we actively listen to and provide appropriate support for the specific needs of foreign students in their childcare practicum, they have the potential to become excellent childcare teachers who can foster a harmonious and inclusive environment within our multicultural society.

TIMSS 2003 과학 공개 문항 내용 분석에서 나타난 성별 문항 응답 특성 (Gender Differences in Content Analysis of TIMSS 2003 Released Items)

  • 신동희;권오남;김희백
    • 한국과학교육학회지
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    • 제26권6호
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    • pp.732-742
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    • 2006
  • 이 연구는 우리 나라 여학생들에게 취약한 과학 학습의 특징을 파악하고 개선 방향을 제시하기 위한 목적을 가진다. TIMSS 2003 과학 공개 문항 95개를 분석한 결과, 우리 나라 여학생들에게 유리한 문항은 추론과 분석 관련 문항, 아주 어렵거나 아주 쉬운 문항, 이미 학교에서 학습한 문항, 순수 과학적 상황의 문항 등이었다. 우리 나라 여학생들은 개념 이해나 사실적 지식 관련 문항에서 취약했는데, 여학생에게 유리한 추론과 분석 문항 중에서도 과학 지식이 개입될 경우 여학생에게 불리하게 작용했다. 정답율에 있어서도 정답율 80% 이상을 받은 쉬운 문항 또는 정답율이 20% 미만인 어려운 문항에서 여학생들이 상대적으로 유리했다. 한편, 학교 과학 교육의 과정에서 학습하지 않은 내용의 문항에서 남학생에 비해 현저하게 낮은 정답율을 보였는데, 이는 여학생들이 과학에 대한 전반적인 관심과 흥미 부족에서 기인할 수 있다. 또한, 여학생들은 상황적 지식보다는 탈상황적 지식에서 강해 과학에 대한 진정한 의미의 지식을 남학생보다 덜 갖추고 있음도 드러났다. 문항 분석 결과를 바탕으로, 여학생을 배려하는 과학 교육으로 개선되기 위해서 우선 여학생들도 학교 밖에서 이루어지는 일상생활에서 자연스럽게 과학을 경험할 수 있는 분위기를 조성하고, 여학생에게 취약한 과학 개념에 대한 교수-학습 프로그램을 개발해야 하며, 과학 교육에서 의 성 차이 쟁점을 교육 과정 개편이나 교사 교육 과정에 적극적으로 반영해야 할 것을 제안한다.

농촌지역 보건소 환경에 있어서의 건강가치관에 관한 일 조사연구 (A Study on Value Orientation of Health of Rural Health Center Milieu)

  • 김순자
    • 대한간호학회지
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    • 제5권1호
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    • pp.17-30
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    • 1975
  • The concept and definition of nursing and her role have been changing in accordance with the socio-cultural factors of the initial society. At present, nursing is conceptualized as a health care profession assisting man to restore, maintain and promote health by providing knowledge, wilt strength and resources through various processes of interaction. Man′s behavior, of individual and group activities for health inclusive, is driven by the initial man′s value orientation. The purpose of this study is to investigate the value orientation regarding health of rural health center milieu in order to give data for; 1. the planning for the delivery of community nursing service, 2. the health education plan at all level of nursing care activities, and 3. the planning of curriculum for nursing education. A hundred opinion leaders among the labor population residing in rural areas (P-group), hundred and six professional nurses at rural health centers (N-group) were indirectly interviewed through questionaries. And ninety five of N-group were interviewed likewise of their perceptions of P-group (NP-group) from July 15, to October 15, 1974. The result is as follows: 1. Maintenance of health is revealed to be the most valued component for man′s happiness in all the three groups. (P-group: 7.30 S. D.=1.31), (N-group :7.84 S. D. =49), and (NP-group : 5.93 S. D. =2.28) 2. The average value score of the maintenance of health revealed significant difference by P〈.001 level between each of the three groups. (Between N-group and P-group : T= -4.07 P and NP ; T=-6.93, N and NP: T=-9.35) 3. Basic health maintenance activities necessary for maintenance and promotion of personal health were moderately valued by all the three groups, P-group ; 3.74 (S. D. =.43) , N-group: 3.52 (S. D. =.34), NP-group: 3.07 (S. D. :.55) Among the 8 categories of basic health maintenance activities, "food intake" was highly valued by P-group (mean value score; 4.00 S. D=.51) , "exercise and rest" and "personal cleanliness" was highly valued by both P-group (4.02, 4.08) and N-group (4.08, 4.22). 4. The mean value score of basic health maintenance activities revealed significant difference by P〈.001 level between each of the three groups (between P-group and N-group: T=-4, 07, N-and NP: T=-6.93, P and NP T=-9.35) 5. Among the 30 questionaries, dynamic activities for health maintenance were more valued in comparison to passive activities in an tile three groups. 6. In N-group, correlation between the value of basic health maintenance activities and the personal health status personal revealed moderate significance. Correlation between the value of basic health maintenance activities and the age revealed low significance. 7. In group, correlation between the value of basic health maintenance activities and; perception of personal health status revealed non significance, between the age and sex revealed low sign affiance, and between the educational status revealed moderate significance. Recommendations are as follows ; 1. The efforts towards alteration of value orientation concerning health in general in community nursing practice de focussed be that of family Planning. 2. In order to prepare professional nurses competent in understanding individual and group, social science and behavioral science be strength ended in planning nursing curriculum. 3. Milieu of nursing experience during nursing education be Planned to begin at simple nursing problem and move towards complex, f. e. home care towards health crisis situation in order to achieve dynamic role mastery.

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Inter Vivos Transfers Based on Affection for Wealth Distribution Planning in Malaysia

  • KAMARUDIN, Mohd Khairy;NOR MUHAMAD, Nasrul Hisyam;ALMA'AMUN, Suhaili;ABDULLAH, Abdul Hafiz;SAAT, Syahrulnizam;SAMURAH, Nurul Osman
    • The Journal of Asian Finance, Economics and Business
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    • 제7권4호
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    • pp.299-307
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    • 2020
  • Inter vivos in the context of wealth and estate planning can be generally defined as a transfer that takes place between the livings. Parents are motivated to transfer for altruisme and exchange. In this context, this study aims to explore another potential motives of inter vivos, which is 'affection'. Data is collected through semi-structured interviews with inter vivos experts who have published articles in this area. The interview is encoded and thematic analysis is carried out to classify themes and subthemes that exist in the inter vivos transfers. This study discovers four main themes, which indicate that inter vivos transfers based on affection can be enlightened by the relationship between parents and children, responsibility for children, types of inter vivos, and effects to other heirs. Relationship between parents and children can be explained as parents transfer their wealth to the closest children, children who care for them and to family members only. Parents also are responsible to protect their children after they die and assist them who are in need. Types of inter vivos are considered as boundless inter vivos and without any material return. Inter vivos based on affection also aims not to abuse other heirs.

노인의 신체활동 증가가 건강관련 삶의 질에 미치는 영향 (The effect of a physical promotion program on health-related quality of life in older adults)

  • 임인혁;엄기매;김현숙
    • 대한물리치료과학회지
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    • 제13권3호
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    • pp.55-64
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    • 2006
  • Despite well-known benefits of physical activity for older adults, most older adults remain significantly underactive. The purpose of this study was to examine the effects of an inclusive, choice-based physical activity promotion program to increase lifetime physical activity levels of seniors on physical activity & health-related quality of life outcomes in older adults. The physical activity promotion program guided participants to choose activities that took into account their health, preferences, and abilities. It offered information on ways for them to exercise safely, motivate themselves, overcome barriers, and develop a balanced exercise regimen. A six-month comparison-group trial was conducted with older adults in community senior center. Changes in self-reported physical activity & health-related quality of life(SF-36) by group & within group were evaluated using t-test. Of 30 subjects, 22(73%) completed the trial. Subjects were aged 63 to 75 years(mean=$68.36{\pm}4.02$); 86% were female. The intervention group increased estimated caloric expenditure by 1975 calories/week in moderate intensity activities(MET${\geq}3.0$; p=.008), and by 2312 calories/week in physical activities of any intensity(p=.005). Between-group analyses showed that the changes were significantly different in both measures(p=0.17; p=032). The intervention group also significantly better scores on general health perception(p=.031) & vitality(p=.002). Individually tailored programs to encourage lifestyle changes in seniors may be effective and applicable to health care and community settings.

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