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A Systematic Literature Review of Long-Term Care Service Use and Quality of Life Among Korean Elderly 韩国老年人长期护理服务使用与生活质量的系统文献综述
Pub Date : 2022-09-30 DOI: 10.22589/kaocm.2022.44.5
Seokho Hong, Guoyan Zhang, Eunha Jang
As the numbers of elderly people are rapidly increasing, long-term care insurance, introduced to elevating the quality of life of the elderly and relieve the burden of their families’ support, has been in existence for 15 years. The purpose of this study was to build a theoretical foundation for elevating the quality of life of the elderly, by systematically synthesizing empirical studies on the quality of life of the elderly using long-term care services. In this study, 1,797 documents were searched by combining keywords such as and in three web databases of KCI, RISS, and e-articles published July 1, 2008-April 1, 2022. The final 30 documents were selected and analyzed, by applying the inclusion and exclusion criteria to the literature. As a result, first, it was feasible to categorize variables related to long-term care services into three factors (institutional, service, and individual factors). Second, it was confirmed that the quality of life of the elderly was directly or indirectly impacted by service satisfaction, as well as individual factors, in addition to institutional factors. Third, it was found that the quality of life of the elderly was significantly related to demographic characteristics as well as physical function, subjective health status, emotional/ psychological, and social function. Based on the results, practical and policy recommendations and follow-up research directions are suggested, to improve the quality of life of the elderly using long-term care services.
随着老年人数量的迅速增加,为提高老年人的生活质量和减轻家庭赡养负担而推出的长期护理保险已经存在了15年。本研究的目的是通过系统综合长期护理服务对老年人生活质量的实证研究,为提高老年人的生活质量奠定理论基础。本研究在KCI、RISS、2008年7月1日至2022年4月1日发表的电子文章三个网络数据库中,结合关键词和检索了1797篇文献。采用纳入和排除标准对文献进行纳入和排除,最终选取30篇文献进行分析。因此,首先,将与长期护理服务相关的变量分为三个因素(机构、服务和个人因素)是可行的。第二,确认老年人的生活质量除了受到制度因素的影响外,还受到服务满意度和个人因素的直接或间接影响。第三,老年人的生活质量与人口统计学特征、身体功能、主观健康状况、情绪/心理和社会功能显著相关。根据研究结果,提出了切实可行的政策建议和后续研究方向,以提高老年人使用长期护理服务的生活质量。
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引用次数: 0
The Effects of Age-Friendly Environment on Health Promotion Behavior Among Elderly People Living Alone: Focusing on Gender Difference 老年友好环境对独居老年人健康促进行为的影响:基于性别差异的研究
Pub Date : 2022-06-30 DOI: 10.22589/kaocm.2022.43.171
Eunha Jang, Seokho Hong
Based on Lawton & Nahemow’s Person-Environment Fit Theory, the purpose of this study was to verify the effect of the age-friendly environmental level on health promotion behavior considering the gender characteristics of the elderly living alone. Data from 『A living-lab-based occupant-responsive housing welfare service for the elderly』were used for this study, and 477 completed survey interviews were analyzed. To identify the main predictors of age-friendly environmental levels such as physical, socio-cultural, and service environment and their effects, hierarchical multiple regression analysis was conducted. Subjective health status was higher in males than in females. Second, it was found that the better the subjective health status of the male elderly living alone, the higher the health promotion behavior. On the other hand, in the case of elderly females living alone, the higher the average monthly income, the better the subjective health status, and the higher the physical environment level, the higher the health promotion behavior. Based on the results of this study, suggestions are made for social work practice and policy for the elderly and for future studies as well.
本研究基于Lawton & Nahemow的人-环境契合理论,考虑独居老年人的性别特征,验证老年友好环境水平对健康促进行为的影响。本研究采用“以居住实验室为基础的住户回应式长者住房福利服务”的数据,并对477份已完成的调查问卷进行分析。为了确定自然环境、社会文化环境和服务环境等对老年人友好环境水平的主要预测因子及其影响,采用分层多元回归分析方法。男性的主观健康状况高于女性。二是发现男性独居老人主观健康状况越好,健康促进行为越高。另一方面,独居老年女性的平均月收入越高,主观健康状况越好,物理环境水平越高,健康促进行为越高。在此基础上,本文对老年社会工作实务和政策提出了建议,并对未来的研究提出了建议。
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引用次数: 0
The Impact of Case Management Competency of Integrated Case Managers in Dream Start on Job Satisfaction: Centering on Strengthening Strategy of Case Management Competency Through Comparison of ImportanceㆍPerformance 梦想创业综合案例管理者案例管理胜任力对工作满意度的影响:以重要性与绩效对比为中心的案例管理胜任力强化策略研究
Pub Date : 2022-06-30 DOI: 10.22589/kaocm.2022.43.5
W. Choi, Eun-Jue Jung
The purpose of the study was to conduct a comparison analysis of the importance and performance of case management competency as perceived by integrated case managers of Dream Start, and to develop an organizational strategy to overcome the gap between the two and increase the degree of job satisfaction. To achieve the goal, email questionnaires were conducted targeting 229 Dream Start’s integrated case managers. For means of analysis, IPA and regression analysis were conducted. The results of the study were, first, degree of importance regarding case management of integrated case managers in Dream Start averaged 4.17 of 5, and its performance averaged 3.50 of 5. Second, as a result of IPA for case management competency, competencies high in importance but lower in performance, were community network development and management. Thus, strengthening management strategies related to network development is recommended. Third, through multiple regression analysis of relationship between case management competency and job satisfaction, importance as well as performance of job competency posed statistically meaningful, positive influence on job satisfaction. With such results, promotion of professional and effective case management competency as well as increasing job satisfaction are required in the future.
本研究的目的是比较分析Dream Start综合个案经理对个案管理能力的重要性和表现,并制定组织策略,以克服两者之间的差距,提高工作满意度。为了实现这一目标,我们对Dream Start的229名综合案例经理进行了电子邮件问卷调查。分析方法采用IPA和回归分析。研究结果表明,首先,Dream Start的综合案例管理人员对案例管理的重要性平均为4.17(满分5分),其绩效平均为3.50(满分5分)。其次,由于IPA对案例管理能力的影响,社区网络发展和管理能力的重要性高,但绩效较低。因此,建议加强与网络发展相关的管理策略。第三,通过对案例管理胜任力与工作满意度关系的多元回归分析,发现工作胜任力的重要性和工作胜任力的绩效对工作满意度具有统计学意义的正向影响。在这样的结果下,未来需要提升专业和有效的个案管理能力,以及提高工作满意度。
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引用次数: 0
The Effect of Organizational Politics Perception on Quality of Long-term Care Services Among Care Workers: Focusing on the Parallel Multiple Mediating Effect of Organizational Silence and Job Satisfaction 组织政治感知对护工长期护理服务质量的影响:组织沉默与工作满意度的平行多重中介效应
Pub Date : 2022-06-30 DOI: 10.22589/kaocm.2022.43.123
Sun-Young Lee
The purpose of this study was to examine the relationship between organizational politics perception and quality of long-term care services among care workers, and to verify if the perception of organizational silence and job satisfaction serve as a parallel multiple mediating effect. Data was collected through a questionnaire survey of 230 care workers in Daegu Metropolitan City and analysis was conducted using descriptive analysis, correlation analysis and parallel multiple mediation model analysis. The main results of this study are as follow. First, it was found that organizational politics perception of care workers does not negatively impact the quality of services directly. Second, it was found that perception of organizational silence and job satisfaction have a full mediating effect, on the relationship between organizational politics perception and quality of services. Based on the overall novel findings, this study suggests strategies to increase the quality of long-term care services are necessary.
本研究旨在探讨组织政治知觉与护工长期照护服务品质的关系,并验证组织沉默知觉与工作满意度是否具有平行的多重中介效应。通过对大邱市230名护理员的问卷调查收集数据,采用描述性分析、相关分析和平行多重中介模型分析进行分析。本研究的主要结果如下:首先,研究发现,护理人员的组织政治感知并不直接负向影响服务质量。第二,发现组织沉默感知和工作满意度对组织政治感知与服务质量之间的关系具有充分的中介作用。基于整体的新发现,本研究建议提高长期护理服务质量的策略是必要的。
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引用次数: 0
A Study on the Publicity of the Social Service Provision System: Focused on the Position and Role of Non-profit Service Providers 社会服务体系的公共性研究——以非营利性服务提供者的地位和作用为中心
Pub Date : 2022-06-30 DOI: 10.22589/kaocm.2022.43.147
Seung-min Lee, J. Lee, Ji-sun Oh, Hye-Jin Cho
The purpose of this study was to seek an alternative approach to realizing the publicity of the social service provision system. The discussion of publicity varies from the essence and subject to the measures for realization, and the contents discussed in terms of the process of public debate and the realization of publicity through cooperative mechanisms and cultural cognitive mechanisms were reviewed. Recently, the government has been making efforts to realize publicity through the establishment of a social service center as problems such as the worsening treatment of workers, poor service quality, and violation of user human rights that have occurred due to excessive profit pursuit by for-profit suppliers. Additionally, it must consider that it is necessary to enhance the role of non-profit private service providers who have played an important role in providing social services from the beginning, and they should form a coalition as an alternative to realizing publicity. This study also reviewed if it would be possible to supplement publicity by autonomously regulating service quality by reflecting user opinions in policy decisions, and promoting innovation that increases flexibility through cultural and cognitive mechanisms.
本研究的目的是寻求另一种途径来实现社会服务提供制度的公共性。对公共性的讨论从本质到实现手段各不相同,从公共性的讨论过程和通过合作机制、文化认知机制实现公共性的讨论内容进行了梳理。最近,政府正在努力通过建立社会服务中心来实现宣传,以解决因营利性供应商过度追求利润而出现的工人待遇恶化、服务质量低下、侵犯用户人权等问题。此外,必须考虑到有必要加强从一开始就在提供社会服务方面发挥重要作用的非营利性私营服务提供者的作用,他们应该结成联盟,作为实现宣传的另一种选择。本研究还审查了是否有可能通过在政策决策中反映用户意见来自主调节服务质量,以及通过文化和认知机制促进增加灵活性的创新来补充宣传。
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引用次数: 0
The Effect of Organizational Environment on Case Manager Expertise: Focusing on the Mediating Effect of Organizational Commitment 组织环境对案例经理专业知识的影响:基于组织承诺的中介效应
Pub Date : 2022-06-30 DOI: 10.22589/kaocm.2022.43.31
Jung-sun Kim, J. Moon
This purpose of this study was to investigate the effect of organizational environment on the case manager expertise and the mediating effect of organizational commitment. The subjects were 300 case managers among social workers working at three welfare centers for the elderly, disabled, and social welfare centers in Seoul. As general characteristics of case managers, gender, age, case management experience, job title, number of concentrated cases, and case management training were examined. Data analysis was conducted using frequency analysis, correlation analysis, Baron & Kenny's relation analysis, and Sobel test by applying SPSS 25.0. As a result of the study, it was statistically confirmed that there is a positive (+) correlation between the case manager's professionalism, organizational commitment, and organizational environment. As a result of the Sobel test analysis, the complete mediating effect of organizational commitment was confirmed, on the effect of the organizational environment on the professionalism of case managers. In terms of demographic characteristics, 30's, three and five years in case management experience, and five and ten years in institutional experience accounted for the highest proportions. The ratio of front-line social workers in position was the highest, and six or more cases yearly in the number of case management was the highest. Two to three cases or six cases or more in the number of intensive case management was similarly distributed. Based on these results, the importance of case manager expertise was recognized, and basic data were provided to establish an organizational environment response system for effective case management intervention, as well as to present an effective practice model.
本研究旨在探讨组织环境对个案经理专业知识的影响,以及组织承诺的中介作用。研究对象是首尔市内3个老人福利院、残疾人福利院、社会福利院的300名社会工作者。作为病例管理人员的一般特征,考察了性别、年龄、病例管理经验、职称、集中病例数量和病例管理培训。数据分析采用频率分析、相关分析、Baron & Kenny关系分析和Sobel检验,应用SPSS 25.0软件。研究结果统计证实,案例经理的敬业度、组织承诺与组织环境之间存在正(+)相关关系。通过Sobel检验分析,证实组织承诺对组织环境对案例经理敬业度的影响具有完全中介作用。在人口特征方面,30岁、3年和5年的病例管理经验以及5年和10年的机构经验所占比例最高。一线社工上岗比例最高,每年个案管理数量为6例及以上的最高。2 ~ 3例或6例以上病例的集中管理数量分布相似。基于这些结果,认识到案例管理者专业知识的重要性,并为建立有效案例管理干预的组织环境响应系统提供基础数据,并提出有效的实践模型。
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引用次数: 0
A Qualitative Study on the Experiences of Primary Caregivers of the Elderly Using Long-Term Care Insurance for the Elderly: Focused on Long-Term Care Facility 长者主要照顾者使用长者长期照护保险经验的质性研究:以长期照护机构为研究对象
Pub Date : 2022-06-30 DOI: 10.22589/kaocm.2022.43.57
Heyjung Kang, J. Hur
The purpose of this study was to identify the difficulties of primary caregivers among the experiences of using the long-term care insurance system for the elderly, and to identify the practical and policy implications of social welfare to improve them. This was a qualitative study in which five research participants were interviewed in depth and analyzed through Giorgi's phenomenological research method. As a result of the analysis, 35 semantic units, 15 sub-components, and 5 high-order components were derived from the experiences of the primary caregivers of the elderly, using the long-term care insurance system for the elderly. The top five components are 『Responsibilities and rewards in difficult care』, 『Helpful but insufficient system』, 『Another caring role that needs to be met』, 『Primary caregiver in ambivalent emotions』, and 『Wish for good care』. The results of this study show that it is necessary to further strengthen the care management system to support the integrated perspective of care in long-term care insurance for the elderly, and it is necessary for the elderly, primary caregivers, and facility operators to embrace the best practices of good care is in long-term care facilities. It is necessary to clearly define good care for the elderly. Additionally, it is necessary to check and improve the administrative system of the long-term care insurance system delivery system for the elderly, and it is necessary to prepare a support system for primary caregivers and families caring for the elderly, before and after entering the long-term care insurance system. Also, It is necessary to improve the professionalism of the care coordinator of the National Health Insurance Service and the case manager of the facility, who play roles as care managers.
本研究的目的在于找出主要照护者在使用长者长期照护保险制度时所遇到的困难,并找出社会福利的实际及政策意义,以改善这些困难。本研究为质性研究,对五名研究对象进行深度访谈,并运用乔尔吉的现象学研究方法进行分析。通过分析,得到了35个语义单位、15个子成分和5个高阶成分,这些成分来源于老年人主要照顾者使用老年人长期护理保险制度的经验。前五个组成部分是“困难护理中的责任和奖励”、“有帮助但系统不足”、“需要满足的另一个护理角色”、“矛盾情绪中的主要照顾者”和“希望得到良好照顾”。本研究结果显示,在长者长期照护保险中,有必要进一步强化照护管理制度,以支持整合照护的观点;同时,长者、主要照护者和设施营运者都有必要在长期照护机构中接受良好照护的最佳实践。有必要明确界定对老年人的良好照顾。此外,有必要检查和完善老年人长期护理保险制度交付制度的管理制度,并在进入长期护理保险制度之前和之后,为照顾老年人的主要照顾者和家庭准备支持制度。另外,还应提高国民健康保险公团的保健协调员和保健设施的个案管理人的专业性。
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引用次数: 1
Health Trajectories and Socioeconomic Disparities from Life Course Approach on Korean Senior Citizens: Group Based Multi-trajectory Model 韩国老年人生命历程方法的健康轨迹与社会经济差异:基于群体的多轨迹模型
Pub Date : 2022-06-30 DOI: 10.22589/kaocm.2022.43.95
Hyun-Jung Kwon, Hea-seung Oh
The purpose of this study was to derive a multidimensional health trajectory of Korean senior citizens from life course approach and to analyze whether socioeconomic disparities appear in each group. Data were taken from the 2nd to 7th Waves of the Korean Longitudinal Study of Aging Panel Survey (KLoSA). The study used methodology including group-based multi-trajectory and multinomial logistic regression. As a result, the study revealed five groups with different health trajectories: general aging group (41.6%), healthy aging group (18.2%), depression/cognitive disability group (18.5%), sudden decline in health group (15.6%) and severe health impairment group (6.1%). The gender, income, and assets influenced each group differently whereas education showed no meaningful significance. Specifically, low income and assets were closely related to the sudden decline group and severe health impairment group, whereas income and gender (male) were directly proportional to the status of the healthy aging group (G2). In contrast, the depression/cognitive disability group demonstrated gender (female) was a significant influencing factor but educational background, income, and assets were not related. The study suggests future intervention in health and care policies for each group of different health trajectories is necessary.
本研究的目的是从生命历程的角度推导出韩国老年人的多维健康轨迹,并分析各组是否存在社会经济差异。数据来自韩国老龄化纵向研究面板调查(KLoSA)的第二至第七波。研究方法包括基于群体的多轨迹回归和多项逻辑回归。研究结果显示,普通老龄人群(41.6%)、健康老龄人群(18.2%)、抑郁/认知障碍人群(18.5%)、健康突然下降人群(15.6%)和严重健康损害人群(6.1%)具有不同的健康轨迹。性别、收入和资产对各组的影响不同,而教育对各组的影响无显著性意义。其中,低收入和资产与突然衰退组和严重健康损害组密切相关,而收入和性别(男性)与健康老龄化组的状态成正比(G2)。相反,抑郁/认知障碍组显示性别(女性)是显著的影响因素,但教育背景、收入和资产无关。该研究表明,未来有必要针对不同健康轨迹的每个群体进行卫生和护理政策干预。
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引用次数: 0
Conflict with Guardians Experienced by Home-visiting Care Helpers 访家护理员与监护人的冲突
Pub Date : 2022-03-30 DOI: 10.22589/kaocm.2022.42.59
Ho-jung Yang, Ji-Young Kim, Y. Shin, Jae-choul Lee
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引用次数: 0
The Modulating Effect of Ego Resilience on the Relationship Between Bereavement Stress and Quality of Life in Widowed Elderly Women 自我弹性对丧偶老年妇女丧亲压力与生活质量关系的调节作用
Pub Date : 2022-03-30 DOI: 10.22589/kaocm.2022.42.31
Young-Jin Oh, Ji Won Lee
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引用次数: 0
期刊
Korea Academy of Care Management
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