The purpose of this study is to compare care unit cost among large institutions, small group homes and independent living homes for disabled people. For this purpose, our study adopted cost-analysis method widely being used in the field of accounting. By the analysis on per-person and per-year unit care cost comparison, care cost of large institutions is estimated 15,000 - 20,000 thousands won, small group homes 10,000 - 11,000 thousands won and independent living homes 4,025 thousands won. By this study, discourse of 'larger size means economic efficiency' which is widely supported by politicians and bureaucrats has no grounds in the practice of Korean residential care services. This study is suggesting two folds. Firstly, small and community based homes should be preferred in the future provision policy of residential care homes for disabled people. Secondly, government grants for small community based homes should be increased to the level of amount provided on large institutions.
Purpose: The purpose of this study was to identify and compare the differences on perceived health status, Activities of Daily Livings (ADL), social support, and residential satisfaction between long-term care hospitals and nursing homes. Methods: Data was collected through questionnaires and interviews conducted from March 29 to April 22, 2011. The subjects were 66 old adults in 3 long-term care hospitals and 53 old adults in 6 nursing homes. Data were analyzed by Pearson's correlation analysis and t-tests. Results: ADL and subjective health status in nursing homes were worse than those in long-term hospitals, but it was not statistically significant (p>.05). Old adults in nursing homes received more emotional support from other residents and staff, and received more instrumental support from staff than those in long-term care hospitals (p<.001). The mean scores of resident satisfaction in long-term care hospitals and nursing homes were 3.53 ($SD={\pm}0.36$) and 3.97 ($SD={\pm}0.44$), respectively. Resident satisfaction in nursing homes significantly was higher than long-term care hospitals (p<.001). Conclusion: Health care personnels in long-term care hospitals should enhance resident satisfaction and social support and need to coordinate long-stay patients with nursing homes.
In Korea, multi-functional senior residential complexes have become very popular since the end of 1990 by integrating the functions of nursing homes and health care facilities, so that the elderly can maintain their regular healthy life and receive health care when needed depending on their aging stage. Accordingly, it is increasingly important to conduct research on such multi-functional residential facilities. In this study, 6 cases of Korean senior residential complexes and 6 cases of comparable Japanese facilities, which were built earlier than Korea, are compared, and the following results are derived from the comparison. 1. In terms of the shared space, the parallel type and the unified type are found to share more space among complex types. Especially, the low-story concentration type and the eccentric type are found to share space the most. 2. In Korea, an average shared rate is found to be 46.8%; and the rates of a supplied-space, a common-shared-space, and a maintenance-space are found to be 29.73%, 36.33%, and 32.93%, respectively. In Japan's case, an average shared space is found to be 22.31%; and the corresponding rates for the above 3 spaces.
The purpose of this study was to investigate those factors which are related to parent-adult child coresidence of Korean elderly. The data of 2,464 elderly over 65 from $\boxDr$National survey of elderlys life and welfare desires in 1998$\boxUl$collected by Korean Institute for Health and Social Affairs were used for this study. The major results of the study were summarized as follows: First, the elderly who live with their children were different from those who live independently from their children in socio-demographic characteristics, residential area, economic or physical abilities, and the value of elder care. Second, residential area, economic abilities, and the value of elder care were found to have an influence on the parent-adult child coresidence among Korean elderly. Third, the determinants of the parent-adult child coresidence for the elderly were different according to their value of elder care.
Social welfare facilities where provide the socially disadvantaged with proper social services, face financial difficulties. This is because not only of the lack of governmental support, but also of social welfare facilities' lack of skills in developing abundant resources from the private sector. In this context, this study tried to find factors affecting resource mobilization of the social welfare facilities to devise policies in resource development. Mail survey was conducted with the structured questionnaire. Employees in charge of community resource development were asked to answer the questionnaire. The study population were two types of welfare facilities: community welfare centers and residential care facilities. A total of 293 community welfare centers and 632 residential care facilities responded to the survey. The response rate was about 62%. The dependent variable of the study was the amount of resource mobilization in the year 2001 which was measured as the number of donors, the total amount of donation, and estimated amount of gift-in-kind. Three types models were constructed per each welfare facility. Independent variables were selected based on the previous research findings: community environment factor, structural factor, and resource development factor. Multiple regression was utilized to analyze the data. The resource development factor turned out to be significant variable in various models. In the models of donors, the amount of donation, and the amount of gift-in-kind, at least one out of four variables in the resource development factor was significant. Welfare centers which establish the resource development department or hire employees to take care of resource development, and adopt computer software in managing donors, receive more donations than their counterparts. Interestingly, the centers where employees take the responsibility of resource development as well as other responsibilities (dual duty), did not have more resources mobilized than those with no employees for resource development. Using computer software in managing donors turned out to be a significant variable in many models, except for the donor model. In addition, residential care facilities located in urban area have more donors and donations, and among residential facilities those for the elderly, children, and the mentally retarded and those hiring more employees, receive more donations than those for the disabled and those hiring less employees. As for the gift-in-kind model, the centers located in high income area and residential facilities for the elderly, women and mentally retarded receive less gift-in-kind than those for the disabled. Based on the above findings, this study suggested that to mobilize resources the welfare centers as well residential care facilities need to have community resource development department or resource development staffs, and adopt computer software to systematically organize donors.
Proceedings of the Korean Institute of Interior Design Conference
/
2004.05a
/
pp.66-70
/
2004
With its rapid modernization and the unparalleled rate at which its society is aging, South Korea faces the need for a dramatic increase in its supply of nursing homes. Among the spacial components of nursing homes, residential units are considered as an essential part because the older person in nursing homes usually spend most of their time in residential units and the nursing homes are mainly composed of various residential units. It is necessary, therefore, to prepare a guideline for the plan of residential units in order to design the healthy and efficient nursing homes. This paper has first identified the concept of residential unit and analyzed 55 cases in the 51 nursing homes from 4 countries. On the basis of this analysis, architectural prototypes of residential units have been proposed and the architectural characteristics of them have been compared analytically.
Social welfare centers and residential care facilities where provide the socially disadvantaged with proper social services, face financial difficulties. This is because not only of the lack of governmental support, but also of social welfare centers and residential care facilities' lack of skills in developing abundant resources from the private sector. In this context, this study tried to find factors affecting resource mobilization of the social welfare facilities to devise policies in resource development. Mail survey was conducted with the structured questionnaire. Employees in charge of community resource development were asked to answer the questionnaire. The study population were welfare centers and residential care facilities. A total of 293 community welfare centers and 632 residential care facilities responded to the survey. The response rate was about 62%. The dependent variables of the study were the amount of resource mobilization in the year 2001 which was measured as the number of donors, the total amount of donation, and estimated amount of gift-in-kind. Three types models were constructed per each welfare institution. Independent variables were selected based on the previous research findings: community environment factor, structural factor, and resource development factor. Multiple regression was utilized to analyze the data. The resource development factor turned out to be significant variable in various models. In the models of donors, the amount of donation, and the amount of gift-in-kind (except for the welfare center model), at least one out of six variables of the resource development factors was significant welfare center. Welfare centers which establish the resource development department or hire employees to take care of resource development, utilize computer softwares to file donors, and utilize donor management programs, have more donors and/or donations than their counterparts. In addition, residential care facilities located in urban area have more donors and donations, and among residential facilities those for the disables, those with longer history and more employees, receive more donations than their counterparts. As for the gift-in-kind model, the welfare centers located in high income area and residential care facilities for the elderly, children and mentally retarded receive less gift-in-kind than their counterparts Based on the above findings, this study suggested that to mobilize resources the welfare centers as well residential care facilities need to have community resource development department or resource development staffs, adopt computer software to systematically organize donors, and utilize donor mobilizing and maintaining programs.
The purpose of this study was the evaluation about the evaluation of the local community as family-friendly residential environment. We executed the survey to find 1) the evaluation of local community as family-friendly residential environment, 2) the usage and satisfaction of the local community facilities and programs, 3) the improvement of local community as family-friendly residential environment. The method was a residents survey. Data were collected from 160 married men and women with children lived in Seoul and Gyenggi-Do. The findings of this study are as following; It was more satisfactory residential environment with family-friendly elements than residential environment without family-friendly elements in residential environment satisfaction. The children care facilities was used higher. Local community facilities and program for family-friendly residential environment was not satisfied. Local community facilities and program for family-friendly residential environment was needed higher. The representatives as leading role was local community and residents in family-friendly residential environment.
The degree of nursing service requirement can be determined by functional health status and a predictive explanation for the status on the living-alone elderly is essential to plan home-care nursing intervention. The purpose of this study is to explore the functional health status of living-alone elderly. Especially the main purpose is to contrast the differences of the status between the residential living-alone elderly and institutional living-alone elderly. This study was conducted through the interview by the students of nurse college who were previously trained during the months of Oct. and Nov. 1996. Sample participants located in Tong-Gu and Seo-Gu of Kwangju City. To contrast the functional health status. this study tried to utilize the Activity Inventory(AI). Among the AI's this study adopted the Physical Activity of Daily Living(PADL) and Instrumental Activity of Daily Living(IADL). Results of the study show that the home-care nursing intervention for the living-alone elderly is urgent more for the residential than for the institutional. It seems that the residential living-alone elderly suffer from inability in Physical Activity of Daily Living. As the residential elderly who have some physical lacks prefer the institution. it is recommended to support physical lacks for the institutional. And more mental-emotional support is recommended for the residential living-alone elderly. The degree of the residential's IADL is higher than that of the institutional. It seems that it was caused by the reason that the residential's needs for the minimum level of life is greater than that of the institutional. So the polypharmacy in elderly nursing-home residents must be considered as sigificant.
This study is intended to search for action strategy making it possible to compare and overcome a gap between the awareness of importance and the present performance of human rights in the Disabled Residential Facilities. To this end, an empirical study was made on how high the level of awareness of human rights in the Disabled Residential Facilities and the level of performance was and whether there was gap between the awareness of importance and the present performance for 114 directors in Gyeonggi, Gyeongbuk and Jeonnam province. The results of study are as follows. First, it was shown that they shared the perception that human rights in residential care home were important. Second, it was shown that there was a statistically significant difference in the gap analysis between the level of performance and importance of human rights area in residential care home. Third, the results of analysis using IPA matrix were presented in order to establish an action strategy making it possible to overcome a gap between importance and performance. On the basis of these results, practical implications and further research topics were presented.
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