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Integrated Care Setting for the Elderly and the Roles of Social Workers (노인복지분야의 통합적 케어와 사회복지사의 역할)

  • Yoon, Kyeong-A
    • The Journal of the Korea Contents Association
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    • v.19 no.3
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    • pp.441-456
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    • 2019
  • The objective of this study was to explore the elements and effects of integrated care interventions for the elderly, and to describe the roles of social workers on the multidisciplinary teams. A rapid systematic review was conducted through a database-based search and a manual search. The main findings are as follows: First, Key elements of integrated care for the elderly were case management, individual multidisciplinary care plan, service characteristics, centrality of client needs, patient education, and self-management. Second, In terms of care experience and health of the elderly, and economic analysis, although the results were mixed, there were some positive effects on program participants compared to the control groups. Third, social workers have been found to serve as case managers, care managers, care coordinators, and direct service providers. Based on these results, educational and policy implications were suggested.

A study on Anwareness for Improvement of Oriental Medical Care System in Community People (한방의료개선에 대한 지역사회주민의 의식조사)

  • Bae Joo-Han;Nam Chul-Hyun;Wie Gwang-Bog
    • Journal of Society of Preventive Korean Medicine
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    • v.1 no.1
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    • pp.126-136
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    • 1997
  • To procide basic data for improvement of oriental medical care system, the questionnaire interview was carried out with community peoples, over 20 years old, selected randomly in Seoul, Pusan, Taegu and Taejon err. from 10th Mar. to 20th Apr. 1996. The result were summarized as follows: 1. In the general characteristics of subjects, the highest portion of each part was 52.4% of male, 22.4% of thirties, 37.1% of college graduates, 19.1% of married, 30.6% of town dwellers, 63.3% of muddle social class, 26.6% of housewife, 19.3% of student, 16.6% officer and 11.6% of professional technician. 2. The portion of subjects agree to open oriental clinic in western medicine hospital was 60.0%, that of disagreement was 20.1%, Among 60.0% of agreement group, the high rate was showed in female, fifties, middle school graduates, unemployed, middle social level. 3. The rate of positive responses in system of a herb specialist was 64.7%, that of negative responses was 11.6%. Among positive responses, the groups of high rate were male. twenties, above college graduates, student, middle-high social level and city dwellers. 4. In the question whether a pack of herb medicine should be included in medical insurance or not, the rate of agreement was 74.3%, that of disagreement was 4.1%. Amount agreement subjects, the high rate was showed in male, young age, high educated, city dwellers, professional technician middle social class. 5. In the cost of oriental medical care, the portion was divided by 70.3% of expensiveness,25.6% of moderate, 4.1% of low price. among 70.3% of high price, the high rate was in female, forties, agrolivestock-fishery, and town dwellers. 6. In the question what the herb doctor should do for the improvement of oriental medicine, the highest rate was 54.2% in further study. The next was 23.0% in need of western medical and 9.1% in no complain in present situation. Among 54.2% of further study, the high rate was showed in male, forties, high school graduate, profession technician, high social level, christian, married and city dwellers. 7. About institution of oriental care, 86.8% of subjects answered to need of improvement, 8.0% of them replied no problem as present. Amount 86.8% of subjects, the high rate was showed in male, twenties, above college graduate, sales, singles, high social level and city dwellers. 8. About necessity of western medical care instrument in oriental medical hospital, the rate of sightly need was 47.5%, inevitably need was 37.7%, no need was 6.3%, the Positive subjects were showed high rate in male, officer, singer, the younger age, the higher educated, better social level and city dwellers. These results might be useful information for establishing of oriental medical care policies, which open oriental medical clinic in western medical hospital, equip western medical care instrument in oriental medical hospital, improve oriental medical care instrument carry out a herb specialist system, balance the resonable medical care cost and effort for further study & research on oriental medicine to satisfy increasing need of oriental medicine.

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Relationship between Social Support and Self-care of Patients with Hypertension (고혈압 환자의 사회적 지지와 자가간호행위와의 관계)

  • Woo, Min Soo;Min, Hee Jeong;Sung, Song I;Lee, So Yun;Lee, Chae Lin;Jang, Hyo Jeong
    • Journal of Korean Academy of Rural Health Nursing
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    • v.15 no.2
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    • pp.49-56
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    • 2020
  • Purpose: This descriptive correlational study was done to analyze the relationship between social support and self-care in hypertensive patients aged 30 years or older. Methods: Data were collected from April 09 to April 16, 2020 through an online survey (Naver Form) at Internet cafes and SNS Eighty 80 adults aged 30 or older who had been diagnosed with high blood pressure at a medical institution participated in the study. Data were analyzed using t-test, one-way ANOVA, Scheffé's test and Pearson correlation coefficients with SPSS statistics 26.0. Results: The study results showed that social support for hypertensive patients was significantly higher for men (t=-2.17, p=.033), according to religious status (t=-2.33, p=.023), and the number of people in the household (F=6.05, p=.001). In addition, there was a significant positive correlation between social support and hypertensive self-care (r=.24, p=.036). Conclusion: The results confirm that the social support of patients with hypertension is related to self care for hypertension management. As the number of elders and single-person households who cannot manage their health well increases, it is necessary to establish a long-term and continuous social support system for these clients.

Ideology of Social Health Insurance and Health Policy (건강보험의 이념과 의료정책)

  • Lee, Kyu Sik
    • Health Policy and Management
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    • v.28 no.3
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    • pp.202-209
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    • 2018
  • Health care has two different facets. One is commodity and another is a right of human being. Health care as a commodity is utilized by demand approach in market. Demand is determined by economic factors such as price and income. From the last third of the 19th century until the early 1920s, priority of sickness insurance was replacing the income that workers lost as a result of illness and injury. By the 1920s, the capacity of applied biological and medical science was remarkably developed. Development of medical science stimulated the cost of medical care, and the burden of increased medical care cost required new role of medical care security system. In 1942, Beveridge report was published in United Kingdom, and health care was considered as a right of human being. In 1948, United Nations declared heath care as a right in the Universal Declaration of Human Right. In most countries introduced new medical care security policy based on health care as a right. The viewing health care as a commodity must be shifted toward need based care as a right. Need were understood to rest on demographic, epidemiological, scientific, and medical knowledge factors. Bring needed care to the population could best be achieved institutionally by a hierarchy of provider organizations, guided by planning bodies, which would provide comprehensive benefits. In Korea, health care in social health insurance (SHI) is considered as a commodity not a right. However, health policies under SHI must be need approach based on health care as a right. Mismatch between health policies and ideology of SHI made big troubles. It is important to realize ideology of SHI for good health policies.

Exploring Social Care Services for People with Cancer in Australia and Korea (한국과 호주의 암환자를 위한 사회 돌봄 서비스 탐색)

  • Kim, Hye-Ryun;Lee, Gyu-Sun
    • Journal of Hospice and Palliative Care
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    • v.15 no.1
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    • pp.36-39
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    • 2012
  • Purpose: Cancer patients require emotional, financial and practical support as well as information/advice regarding their illness. This study aims to explore opportunities and barriers for the provision of the social support services in Australia and Korea. Methods: The survey was carried out by an email questionnaire for social workers in Australia and Korea, and collected data were analyzed using a thematic analysis by Braun and Clarke. Results: In Australia and Korea, various types of social support were available for cancer patients. However, social support for cancer patients should be better understood first in Korea, and more personalized support is needed in Australia. Conclusion: These findings will ultimately help to improve social support services for cancer patients in Korea an Australia, through grasping the current state and making up for the weak points.

Effects on Socio-Emotional Behaviors of Multiple Attachments to Mothers and Child Care Providers in 2-year-olds (2세 영아의 어머니와 보육교사에 대한 복합 애착과 사회·정서적 행동)

  • Shin, Ji Youn;Choi, Suk Ran
    • Korean Journal of Child Studies
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    • v.26 no.1
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    • pp.137-154
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    • 2005
  • The socio-emotional behaviors of 2-year-olds were examined by multiple attachments to mothers and child care providers in the context of home and child care centers. Participants were 100 children (mean age: 30.2 months), their mothers, and 27 child care providers. Attachment security was assessed with attachment Q-set. Children's social interaction with peers and teachers were rated every 10 seconds during 10 minute observation periods for 4 days, totaling40 minutes per child. Mothers and child care providers completed the Infant Toddler Socio-Emotional Assessment (ITSEA). Results showed that secure attachment relationships with child care providers partly compensated for insecure attachments with mothers at home. In the context of the child care center, secure attachments with child care providers were more important determinants of the development of socio-emotional behaviors than secure attachments with mothers.

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The Effects of Child Care Policy Change on Child Care Service Satisfaction - Focusing on the introduction of child care electronic voucher system -

  • Kim, Gaeun;Joo, Jeong-Joo;Park, Chimyen
    • Journal of the Korea Society of Computer and Information
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    • v.20 no.10
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    • pp.127-132
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    • 2015
  • This study is to test some expected performances coming from the introduction child care electronic voucher system, and suggest some policy implications. At first, this study established causal model on the expected performances of child care electronic voucher system, and then tested it through structural equation model on the base of survey. Survey was made through sampling employees of child care facilities in Gwangju Metropolitan City. This study showed that the expected effects of child care electronic voucher system are significant. This study suggested some implications basing on this analytical results.

A Stduy on the Architectural Planning of the Day Care Center for the Eldery (노인주간보호센터 (Day Care Center)에 관한 건축계획적 연구)

  • Jang, Jin-Young;Kim, Kwang-Moon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.4 no.6
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    • pp.57-65
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    • 1998
  • According as the population has been having an advanced age, several problems which is due to the physical, spiritual, social and chronic diseases of the aged are occurred. And the necessity of domiciliary care or regional social facilities has come to offer a protection, care and medical services to them. Therefore, this study aims to represent the architectural data of a day-care center through comparative analysis with a foreign one, recognizing the necessity of the day-care center as a part of domiciliary care facilities As the method of this study, the concept and type of day-care services were founded with the operational realities. And the spatial composition of the present condition was investigated and analyzed.

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Relationships between teacher's recognition of professionalism, child's gender, term care and child's social interaction behavior (교사의 전문성 인식, 유아의 성별 및 보육기간과 유아의 사회적 상호작용 행동)

  • Yun, Juyoen;Shin, Hyewon
    • Korean Journal of Human Ecology
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    • v.22 no.5
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    • pp.407-417
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    • 2013
  • The purpose of this study was to investigate and analyze how teachers' recognition of professionalism and the child's gender and term care affect child's social interaction behavior. Participants were three-year-old 61 children and their 20 teachers. Each child was observed by the time sampling method of 20 sec-observation followed by 10 sec-recording for a total of 14 minutes. The teachers completed the rating scales to measure the teachers' recognition of professionalism. The study results show that, children engaged more frequently in individual behavior than in interactions with peers or with teachers in day care centers. And those children had more interaction behavior with their teachers than with their peers. Correlation between teachers' recognition of professionalism and children's social interaction behavior were as following: the more the teachers recognized professionalism, the more the children showed positive interaction behavior toward their teachers. Also, the more the teachers recognized the professionalism related to the job satisfaction, the more the children showed positive interaction behavior toward their peers. Boys interacted more negatively with peers and teachers than girls did. Children who attended the day care center more than two years showed less individual behaviors than others.

The Effects of Paternal Participation in Child Care and Social Support on Planning for a Second Childbirth, Focusing on the Mediating Effect of Maternal Parenting Stress (아버지의 자녀양육참여와 사회적 지원이 후속출산계획에 미치는 영향:어머니의 양육스트레스 매개를 중심으로)

  • Kim, Jonghoon;Yang, Soyoung;Sung, Jihyun
    • Korean Journal of Child Studies
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    • v.34 no.1
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    • pp.87-102
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    • 2013
  • This study examined the effects of paternal participation in child care and social support on planning for a second childbirth, focusing on the mediating effect of the mother's parenting stress. The 887 subjects studied in this paper were mothers who have a first child, and were selected from a sample of the 2nd Panel Study of Korean Children(PSKC) by the Korea Institute of Child Care and Education(KICCE), conducted in 2009. Data was analyzed using a Structural Equation Model(SEM) to identify a structure and relationships among factors. The significance of indirect effects to test the mediating effect of maternal parenting stress was identified via bootstrapping. Results indicated that maternal parenting stress partially mediated the relationship between the father's participation in child care and planning for a second childbirth, and absolutely mediated the relationship between social support and planning for a second childbirth. The findings reveal the importance of reducing parenting stress, given its substantial impact on planning for a second childbirth.