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The Difference-in-Difference Model Analysis about the Effects of Long-Term Care Insurance on Family Relationships' Change (노인장기요양보험제도가 가족관계의 변화에 미치는 영향에 대한 이중차이모델 분석)

  • Min, Kichae
    • 한국노년학
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    • v.31 no.4
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    • pp.999-1014
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    • 2011
  • The purpose of this study is to examine the effects of long-term care insurance(macro-system) on family relationship(micro-system)s' change based on ecosystems theory. Data come from the second(2007) and the fourth(2009) Korean Welfare Panel Study(KWPS). Experimental group is the beneficiary using long-term care insurance and the member of household in their households, and control group is the non-beneficiary not using long-term care insurance and the member of household in their households. The main findings of difference-in-difference model analysis are as follows. First, the ecosystems theory is a theory examining the correlation between long-term care insurance and family relationship. Second, the effects of long-term care insurance is not income effect but independent effect. This result shows that the meaning of family has faded away and family relationship has been weaken and that long-term care insurance has not complete characteristics as a social insurance. Thus, system reforms of long-term care insurance is highly needed for system comprehensiveness, coverage, adequacy, and service accessibility and is changed into family-friendly social policy.

Changes on Hospital-based Home Care Services Utilization After Long-term Care Insurance Launch (노인장기요양보험제도 도입 후 의료기관 가정간호 이용실태 변화)

  • Chin, Young Ran;Hong, Worl Lan
    • 한국노년학
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    • v.31 no.2
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    • pp.371-380
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    • 2011
  • This study was to address changes on hospital-based home care utilization after long-term care insurance(LTCI) was launched. National electronic data information(EDI) on hospital-based home care from Health Insurance Review Agency in 2007.7~2008.6(prior to LTCI) and in 2009(posterior to LTCI) was analyzed. After the launch of long-term care insurance, 40 hospital-based home health care agencies(HHCA) were diminished and regions not having any HHCA were increased from 53% to 59%. Hospital-based home care utilization was decreased in the elderly(clients 13.4%, visits 20.9%) as well as non-elderly(clients 3.5%, visits 3.9%). It is presumed that diminished HHCAs result in decreased accessibility to hospital-based home health care for non-elderly. The clients, visits, and reimbursed cost per agency were not changed. It is presumed that small agencies were closed already. The total reimbursed cost per agency in 2009 was 121,850,000 won. Results suggest that the government has to give support to open more HHCA to increase the accessibility for non-elderly. Also, hospital-based home care services utilization has to be monitoring regularly.

Exploring Ways Toward Development of Kyungrodang: Focusing on the Characteristics of the Elderly Based on the Types of Kyungrodang Participation (경로당 발전방안 탐색: 경로당 이용경험에 따른 노인들의 특성을 중심으로)

  • Yoo, Seong Ho
    • 한국노년학
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    • v.29 no.4
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    • pp.1463-1478
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    • 2009
  • The purpose of this study is to investigate the characteristics of the elderly based on the types of Kyungrodang participation and explores ways toward development of Kyungrodang. A national sample data, collected by the Korean Institute for the Health and Social Welfare in 2004 is analyzed by employing Chi-Square test of independence, ANOVA, and multiple logistic regression(n=3,005). A significant difference is noted in age, area, and socioeconomic status among the elderly based on the types of Kyungrodang participation. The results show that those elderly living in rural areas with older and lower socioeconomic status are more likely to participate at Kyungrodang, whereas, elderly living in urban areas with younger and higher socioeconomic status are less likely to participate at Kyungrodang and discontinue to use the services. Although there is a difference between the gender, the most significant reason for not using and discontinuing Kyungrodang is because the elderly can not get along with the other participants. In other words, the major problem that needs to be solved is to socializing and providing service programs satisfying all participants. Based on the results and recent socioeconomic changes of the older population, some policy issues are suggested for the development of Kyungrodang.

Women University Students' Supporting Awareness, Knowledge and Attitude toward the Elderly (여대생의 노인부양의식과 노인에 대한 지식 및 태도)

  • Kang, Ji Sook;Jung, Duk Yoo;Kim, Yae Young
    • 한국노년학
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    • v.29 no.3
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    • pp.851-865
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    • 2009
  • The purpose of this study is to explore Women University students' supporting awareness, knowledge and attitude toward the elderly. After obtaining the participants' consent form, survey was performed with structured questionnaire about characteristics, supporting awareness, knowledge and attitude toward the elderly. Collected data were analyzed with SPSS 13.0 program, which was used for frequency, percentage, mean, standard deviation, t-test, ANOVA and Pearson correlation coefficients. The result of this study were as follows. 1) Supporting awareness of participants was 115.50±13.19. Participants' knowledge was 10.21±2.90 and attitude was 84.19±12.19. 2) More knowledge and more positive attitude toward elderly were significant related to higher supporting awareness. 3) Supporting awareness of participants was significantly different by religion, monthly pocket money, religious service, supporting parents in the future, living with parents-in-law, though of ideal support system, father-grandmother(paternal) relationship, mother-grandfather(paternal) relationship, mother-grandmother(paternal) relationship and mother-grandfather(maternal). The finding of this study gives useful information for developing an educational management program for women.

Impact of Attitude to Developmental Phenomena and Menopausal Symptoms to the Meaning of Life among Climacteric Women (갱년기 여성의 발달현상에 대한 태도와 폐경증상이 삶의 의미에 미치는 영향)

  • Kim, Sun An
    • 한국노년학
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    • v.32 no.2
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    • pp.631-647
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    • 2012
  • The purpose of this study was to examine the impact of climacteric women's attitude to developmental phenomena and their menopausal symptoms on their meaning of life in an attempt to provide some information on the improvement of climacteric women's quality of life. The subjects in this study were 313 women who resided in different regions involving a large city D and another city C. They were aged between 40 and 60 and were going through their menopause. They were aged between 40 and 60 and were going through their menopause. The subjects were selected by convenient sampling, which was one of nonprobability sampling methods. The collected data were analyzed by the statistical package SPSS. The major findings of the study were as follows: First, the climacteric women didn't take a positive attitude toward developmental phenomena. They occasionally suffered severe menopausal symptoms, and they didn't find a great meaning in their life. Second, the climacteric women found a more meaning in their life when they took a more positive attitude to developmental phenomena, and those who underwent severer menopausal symptoms found a less meaning in their life. Third, the climacteric women's meaning of life was under the influence of their attitude toward developmental phenomena and menopausal symptoms. Specifically, their attitude to menopause and mental symptoms had a large impact on that. Given the findings of the study, social welfare intervention should be provided for climacteric women to promote their physical health related to menopausal symptoms and psychological health related to attitude toward developmental phenomena to find a more meaning in their life. Besides, local welfare centers should be open to climacteric women as one of governmental policies so that they could lead a healthy life. Education should be provided for them to be ready for their own menopause, and social welfare counseling service should be offered from diverse angles

An Analysis of Relationships among Quality, Satisfaction and Utilization Perceived by Family Caregivers in Standard LTC Utilization Plan (가족수발자가 인지하는 표준장기요양이용계획서의 질과 만족도, 활용도 간의 관계분석)

  • Lee, Jung-Suk;Han, Eun-Jeong;Kwon, Jinhee
    • 한국노년학
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    • v.31 no.4
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    • pp.871-884
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    • 2011
  • Standard Long-term care(LTC) Utilization Plan is a kind of care plan, which aims to help beneficiaries and their family choose services to meet their care needs. The objective of this study is to determine the relationships among family caregivers' perceived quality, overall satisfaction and utilization in Standard LTC Utilization Plan. Data were gathered from family caregivers with beneficiaries who have used community service in long-term care insurance system. A national cross-sectional descriptive survey was conducted in December 2008, using proportionate quota sampling. Finally, 351 family caregivers completed questionnaires which included demographic characteristics, perceived quality(9 items), overall satisfaction(1 item) and utilization(2 items). Path analysis was conducted to find a causal relationship. This study shows firstly, the quality of Standard LTC Utilization Plan was categorized into three dimensions, that is, assessment of care needs, recommended care plan, and management of monthly benefits. Secondly, reliability and validity of quality items were satisfied. Finally, in the effect of perceived quality and satisfaction for utilization, assessment of care needs(indirect effect, path coefficients=0.077) and overall satisfaction(total effect, path coefficients=0.324) were statistically significant. The findings of this study would be helpful in developing the strategies, which is needed to improve the role of Standard LTC Utilization Plan.

Poverty and Life Satisfaction of the Elderly: Mediation effect of Subjective Social Status (노년기 빈곤이 계층의식을 매개로 삶의 만족도에 미치는 영향: 독거노인과 동거노인의 비교를 중심으로)

  • Kim, Joon Beom;Jang, Dae Yeon
    • 한국노년학
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    • v.39 no.1
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    • pp.93-108
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    • 2019
  • The purpose of this study is to examine the effect of absolute / relative poverty on the life satisfaction focusing on mediation effect of subjective social status by type of elderly residents. In order to analyze the distinct characteristics of the elderly, analysis was conducted with 3,327 the elderly living together and 668 the elderly living alone using 'Korean Longitudinal Study of Ageing(KLoSA)' from 3rd to 5th wave data provided by the Korea Employment Information Service. The main analysis results are as follows. First, each poverty rate for the elderly living together accounted for 43.5 percent and 51.4 percent, while 63.8 percent and 77.2 percent for the elderly living alone respectively. Second, life satisfaction was higher among the elderly living together than living alone, However, life satisfaction was not related to condition of poverty among the elderly living alone. Third, absolute / relative poverty were associated with life satisfaction of the elderly living together, and subjective social status had a mediating effect. However, relative poverty was not related to life satisfaction among the elderly living alone, which indicated that it needs to support not only the financial approach to overcome absolute poverty but also the multi-dimensional poverty perspective in the intervention of the elderly living alone Based on the results, the study suggested to make a tool to measure of poverty using multi-dimensional poverty indicators.

A Visual Analysis on Factors Affecting Repurchase Intention in Social Commerce - Focused on Group-buying Social Commerce - (소셜커머스 재이용의도에 영향을 미치는 요인에 관한 시각화 분석 - 공동구매형 소셜커머스를 중심으로 -)

  • Mun, Seong Min;Han, Hyun Woo;Ha, Hyo Ji;Lee, Kyung Won
    • Design Convergence Study
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    • v.13 no.6
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    • pp.137-152
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    • 2014
  • In considering the overheated competition amongst social commerce, it is imperative to determine which parts of the social commerce service are considered important by consumers, and which parts need improvements to sustain relationship between consumers and the corporation. Therefore, this research has identified the motives for usages of consumers as affordability, convenience, information acquisition, pleasure, and sociability, and set satisfaction as a factor that works as a medium between previously mentioned motives and willingness to repurchase to identify factors that affect willingness to repurchase and factors that affect positively. Additionally, to identify significant results that have not been identified in statistical analysis. The experiment was conducted on those who have experienced purchase on social commerce or are currently using social commerce. The survey was created based on prior research, and has representativeness as a sample were conducted empirical analysis and visualization analysis. As the research result, the result that satisfaction causes are in close relationship with causes for repurchase, and affordability has the most positive effect among the five motives for usage were deducted, and the conclusion that the relationship among data are easily deducted when statistic analysis and visual analysis are carried out at the same time was postulated.

Factors Influencing the Continuance Intention in the e-Learning Services (이러닝 서비스의 지속사용의도에 영향을 미치는 요인)

  • Jung, Chul-Ho;Kim, Han-Gook;Ha, Im-Sook
    • Journal of Korea Entertainment Industry Association
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    • v.5 no.1
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    • pp.65-72
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    • 2011
  • The major purpose of this study is to investigate the influencing factors toward continuance intention in e-learning services. For this purpose, we introduced Post Acceptance Model(PAM) proposed by Bhattacherjee(2001) as basic analysis framework. Based on the relevant literature reviews, this study posits seven characteristics, that is, contents quality, interactivity, expectation confirmation, perceived ease of use, perceived usefulness, user satisfaction, and continuance intention as key variables to describe the post acceptance behavior in e-learning services. Data have been collected from users who have used e-learning services and the research model and hypotheses were tested through covariance structural model analysis. The results of this study are summarized as follows. First, contents quality, interactivity, and expectation confirmation have positive influence upon perceived usefulness. Second, contents quality, interactivity, expectation confirmation, and perceived ease of use have positive influence upon user satisfaction. Lastly, perceived usefulness have positive effect on the user satisfaction, and perceived usefulness and user satisfaction positively related to continuance intention in e-learning services. The findings have significant implications for e-learning service providers and academic researchers.

Analysis of Factors Affecting Health Inequalities Among Korean Elderly (노인 집단에서 나타나는 건강 수준 차이의 요인 분석)

  • Kim, Dongbae;Yoo, Byungsun;Min, Jungsun
    • Korean Journal of Social Welfare Studies
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    • v.42 no.3
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    • pp.267-290
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    • 2011
  • This research attempts to analyze the effects of demographic factors, socioeconomic factors, health behaviors and social/familial supports on health inequalities among Korean elderly. For this end, this study adopts the multiple linear regression analysis to process data on population aged over 65 contained in 'The Third Korea Welfare Panel Study' published in 2008. The following are the results. First, the less educated they are, the smaller income they earn, the less they drink, the less satisfied with relationships with their family members, the more they turn out to feel depressed. Second, the less educated they are, the smaller income they earn, the less they drink, the less they are satisfied with relationship with family members, the more they benefit from social welfare services, the worse they turn out to rate their health. Based on these findings, three following suggestions could be forwarded. First, vulnerable aged groups including female elderly, low-income elderly, less-educated elderly need customized social supports. Second, new social policy for households is required to enhance elderly people's satisfaction with their family relationships with the rapid trend of a growing number of nuclear families and aging. Third, social welfare service programs need to be reevaluated to enhance their function for the aged.