• Title/Summary/Keyword: rehabilitation policy

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Influencing Factors on Alcohol Use of Persons with Severe Mental Illness in the Community (지역사회 만성정신질환자의 알코올 사용 관련요인)

  • Gang, Moonhee
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.585-593
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    • 2013
  • This study was to explore demographic, psycho-social and clinical characteristics and the influencing factors on alcohol use of person with severe mental illness in the community. Cross-sectional descriptive design was used to recruit a convenience sample of 176 participants from four community mental health centers in Korea. The collected data were analyzed using t-tests, $x^2$-test, and logistic regression. Depending on the alcohol use (AUDIT-K), participants were divided into the problem alcohol use group (n=54, 30.7%) and normal group (n=122, 69.3%). The problem alcohol use group was significantly more smoking, anxiety, stress, suicidal thought, and had a lower age of onset, phase of rehabilitation, self-efficacy, and others' support. In logistic regression analysis, factors influencing on alcohol use were smoking, age of onset, phase of rehabilitation and others' support. The findings may provide useful information to develop strategies for prevent from alcohol induced the problems in this populations.

Estimating Attributes Value of Alternatives Applied for Rehabilitation of Hydrologic Cycle of the Anyangcheon Watershed (물순환 건전화 대안 적용을 위한 안양천의 속성별 가치추정)

  • Kong, Ki-Seo;Chung, Eun-Sung;Lee, Kil-Seong;Yoo, Jin-Chae
    • Journal of Korea Water Resources Association
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    • v.39 no.12 s.173
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    • pp.1031-1042
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    • 2006
  • In recent years, a growing concern exists in watershed and stream improvement projects. Under these circumstances, this paper estimates monetary value of the attributes of alternatives for rehabilitation of hydrologic cycle using choice experiments. Choice experiments shows vivid image and estimates a willingness to pay based on their preference for environmental goods. A preliminary survey shows that the attributes of the Anyangcheon watershed are flood-damage possibilities, Instreamflow, water quality, river characteristic and estimates the tax for the Anyangcheon watershed improvements. We surveyed 200 citizens were selected as samples of watershed beneficing in Seoul and Gyeonggi Province and used conditional logit model to analyze the implicit values of the attributive per household. The benefit of the attributes by province based on the implicit price obtained from estimated parameters were calculated. This study is expected to contribute to the decision-making process for policy-makers by providing useful methodological framework and quantitative information related to watershed improvement projects.

Investment Ranking Decision Using MCDA in Dam Projects (MCDA 기법을 이용한 댐사업의 투자우선순위 결정)

  • Kim, Woo-Gu;Lee, Gwang-Man;Park, Doo-Ho
    • Journal of Korea Water Resources Association
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    • v.39 no.12 s.173
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    • pp.1067-1080
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    • 2006
  • In empirical evaluations of public projects and public provided goods, MCDA(multicriteria decision-making analysis) has helped decision makers with an adequate policy decision-making tool since it allows taking into account a wide range of assessment criteria. As a tool for decision-making of conflict management, MCDA has demonstrated its usefulness in many public projects such as road, dam and harbor construction. In this study, to use this merit of MCDA, dam project assessment indicators from points of social, economic, environmental and practical views are developed based on sustainable development of water resources, and weighting factors are also estimated by means of questionnaire survey. In order to decide project investment rank, developed evaluation indicators are applied to 6 existing dams under investigation for a rehabilitation project. In addition to, it is recognized that the project practicability has become more important indicator as well as environmental and social issues. This is because cooperation and support from a local government and people are regarded as one of the most important problems in public projects recently.

The Effect of Income and Expenditure of Households on Disabled Households' Life Satisfaction - Focus on Mediating effect of socio-economic status - (장애인 가구의 소득과 소비지출이 생활만족도에 미치는 영향 - 사회·경제적 지위의 매개효과를 중심으로 -)

  • Lee, Soo-Yong;Song, Chang-Keun
    • 재활복지
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    • v.21 no.2
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    • pp.139-167
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    • 2017
  • The purpose of this study is to investigate the relationship between living satisfaction and income level and expenditure of the Disabled Households' and the mediation role of socioeconomic status in their relationship also the effect of the according to whether they receive basic living or not. The data and sample of total 2,906 households were extracted from the Panel Survey of Employment for the Disabled (PSED) 8th data, and it was analyzed by the SEM(Structural equation model). The study results are as follows. First, Household income is negative effect on Engel and Schwabe Index, Socioeconomic status is positive effect on life satisfaction. and Socioeconomic status is partially mediated in the path between household income and life satisfaction and socioeconomic status full mediates the schwabe index and life satisfaction. Overall, the study results emphasizes the importance of the economic activity for security income of the disabled households, and it discusses about policy directions.

Difference between Employees and Users of Welfare Institutions for the Disabled in Era of the 4th Industrial Revolution (4차 산업혁명시대의 장애인복지기관에 대한 종사자와 이용자간 인식)

  • Kim, Nam-Sook
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.405-412
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    • 2019
  • This paper aims to identify differences between the perception of the fourth industrial revolution of the disabled who use the IL center or the disabled in the community and its workers. It surveyed 178 disabled users and 173 workers at eight centers of the handicapped in Busan and South Gyeongsang-do and conducted an analysis on their interests in the fourth industry, awareness of the latest technology, and prediction of changes in the disabled welfare center. Although worker's interest in the fourth industry was higher than their users, their perception of the degree of preparation by the disabled welfare centers indicated that the worker's level of future institutional readiness was lower than that of the users. The results will be used to help set directions for future guidelines and plans for the welfare of the disabled.

The Characteristics of semantic association task performance in elderly with subjective memory impairment and mild cognitive impairment (주관적 기억장애 및 경도인지장애 노인의 의미연상과제 수행 특성)

  • Kang, Seo-Jeong;Park, Seong-Hyeon;Kim, Jung-Wan
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.283-292
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    • 2019
  • The loss of semantic knowledge and impairments in semantic associations by semantic category is gaining increasing attention, as indicators of early-stage cognitive decline. As such, we assigned semantic association task (SAT) to normal elderly (NE) and those with subjective memory impairment (SMI) or mild cognitive impairment (MCI) to examine their performance by semantic subcategories and the differences in error patterns. We found a significant difference in the number of correct response and reaction time under the SAT categories among the three groups, with the highest performance observed in 'function' and the lowest performance in 'superordinate' and 'part/whole'. Moreover, the error frequency was the lowest in NE, followed by those with SMI and MCI, with the latter two groups showing a significant increase in no-response. Our findings demonstrate the varying extent and process of impairments in the semantic network by category over different stages of cognitive decline. Thus, we proposed SAT performance as an indicator to detect and follow-up on cognitive decline in elderly with cognitive disorder.

Effects of Virtual Reality Program on Recovery of Functional in individuals Stroke: A Systematic Review and Meta Analysis (뇌졸중 환자 대상의 가상현실 운동프로그램이 기능회복에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Park, Seo-A;Kim, Hye-Young
    • Journal of Digital Convergence
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    • v.17 no.5
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    • pp.235-247
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    • 2019
  • This study was carried out to evaluate the efficacy of Virtual Reality(VR) program on recovery of functional in Stroke through systematic literature review and meta-analysis. The following databases were used to search the literature: RISS, KISS, KMbase. Keywords included 'stroke', 'CVA' 'virtual reality', 'rehabilitation', 'virtual reality program' and the evaluated articles were published from 2009 to November 2018. The statistical was used R program, the effect size of upper limb, balance and ADL were calculated by random-effects model. As a result, 9 RCT studies were meta-analyzed and were evaluated for the risk of bias by the RoB of Cochrane Collaboration; the overall risk of bias was low. The effect sizes of VR program was balance(g=.77), ADL(g=.80) as indicated by a "large effect size". Therefore, VR program is large effective in reducing balance and ADL in strokes. It is necessary to develop and apply a virtual reality-based program using more efficient program development.

A Study on the Prescription Patterns of Gastrointestinal Protective Agent with Non-Steroidal Anti-Inflammatory Drugs in Korean Elderly Patients with Osteoarthritis (골관절염을 진단받고 비스테로이드성 항염제 복용 중인 65세 이상 환자의 위장관보호제 처방양상 연구)

  • Chun, Seongmin;Choi, Yoonhee
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.79-92
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    • 2020
  • Purpose : The purpose of this study was to evaluate the prescription pattern of NSAIDs and GPAs in the arthritis patients over 65 years old to prevent the GI adverse events. Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly used agents to treat arthritis, can cause gastrointestinal (GI) adverse effects. Recent guidelines recommend that moderate risk patients who have one or two risk factors, should be prescribed either combination of non-selective NSAID (nsNSAIDs) and gastroprotective agent (GPAs) or selective NSAID alone. Methods : Study population was National Patient Sample of 2011. Number of drugs used were 138 for NSAIDs and 21 for GPAs. Chi-square test was used to compare prescribing patterns. Results : The appropriate prescription rate follows the guideline was 11.2%: co-prescription with nsNSAID and proton pump inhibitor (PPI) or misoprostol was 1.6% and selective NSAID alone was 9.6%. Inappropriate prescription rates were as follows: co-prescription with nsNSAID and Histamine-2 receptor antagonist (H2RA) or antiacid was 53.8% and nsNSAID alone was 35.0%. The appropriate prescription rate among the types of medical institute was 54.4% in tertiary hospital, 31.2% in secondary hospital, and 6.0% in primary hospital. The appropriate prescription rate among the regions was 19.4%, highest in Seoul and 4.2%, lowest in Jeju. The appropriate prescription rate among the medical departments was as follow: 12.2% in orthopaedic surgery, 11.0% in internal medicine, and 7.7% in other departments. Conclusion : This finding suggests the needs to revise the national medical insurance imbursement policy, provide continuing medical education about the guideline of medical doctors.

Empirical Analysis of Medical Accessibility for People with Disabilities using Health Insurance Big Data (건강보험빅데이터의 고혈압 입원율 분석을 통한 장애인의 의료접근성 실증 분석)

  • Jeon, HuiWon;Hong, MinJung;Jeong, JaeYeon;Kim, YeSoon;Lee, ChangWoo;Lee, HaeJong;Shin, EulChul
    • Korea Journal of Hospital Management
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    • v.27 no.1
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    • pp.1-10
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    • 2022
  • Background: This study aims to empirically compare and evaluate the current status of medical accessibility and health inequality between people with disabilities and without. We calculated the ACSC hospitalization rate, which is a medical accessibility index, for hypertension, a major risk factor for cardiovascular disease that accounts for more than 20% of deaths among people with disabilities using the 2016 National Health Insurance Big Data. Methods: The subjects of the study were a total of 601,520, including 64,018 people with disabilities and 537,501 people without. Logistic regression was performed to analyze the differences in hypertension hospitalization rates adjusted for demographic and sociological characteristics and disease characteristics using SAS 9.4 program. Results: Before adjusting for the characteristics, the hypertension hospitalization rate of people with disabilities was 1.55%, and the people without disabilities were 0.49%. After adjusting, it was found that people with disabilities were 2.11 times higher than people without disabilities, and it was statistically significant. Conclusion: The preventable hospitalization rate of people with disabilities is higher than that of people without, suggesting that the disabled have problems with access to medical care and health inequality. Therefore, the government's policy improvement is required to close the medical gap for the disabled.

A Study on Priority of Classification System for Agro-healing Using the Analytic Hierarchy Process

  • Yoo, Eunha;Park, Yumin;Jeong, Sun Jin;Kim, Jae Soon;Kang, Yong Ku;Jeong, Yeo Jin
    • Journal of People, Plants, and Environment
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    • v.24 no.6
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    • pp.663-672
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    • 2021
  • Background and objective: As the 'Healing Agriculture Research and Development and Promotion Act' came into effect on March 25, 2021, social interest in agro-healing has been increasing exponentially. This study was conducted to analyze the priorities of agro-healing classification system and to provide basic data to inform policy directions and related research for the development and activation of agro-healing. Methods: The survey data collected from 18 experts were analyzed using the analytic hierarchy process (AHP) method in determine the relative weights of the main and sub-criteria for the classification system. There were three main criteria identified: agro-healing input industry, agro-healing service industry, and agro-healing-related/derived industry. There were also 11 sub-criteria. Results: The top three sub-criteria with the highest complex weights include "community service," "social rehabilitation" and "treatment and rehabilitation," all of which correspond to the main criterion "agro-healing service industry". In addition, the complex weights of the sub-criteria corresponding to the main criterion "agro-healing related/derived industry" are as follows: "other agro-healing support service," which ranked 4th, and "training and education institutions for agro-healing experts," which ranked 5th when prioritizing the criteria. Conclusion: The results of this study suggest that the main criterion to be considered first in establishing a classification system is "agro-healing service industry". Therefore, it is necessary to continue research on detailed service classifications and systems with verified validity to ensure expertise in human resources, and organization related to social purpose services in agro-healing.