해외환자 유치 활성화를 위한 사후관리 및 비의료서비스 현황 연구

김경수 ( Kyung Soo Kim ),정기택 ( Kee Taig Jung ) 경희대학교 경영연구원 2016 의료경영학연구 Vol.10 No.1

Today, the number of foreign patients visiting Korea is i ncreasing, but satisfaction of health services is decreasing. Also, even the government recognized how this problem is serious, they only talk about situations, not improvement plans. Other countries such as Singapore and Thailand have lots of plans to attract foreign patients. Nowadays the medical quality could not be an element of competition. Non-Medical services and aftercare services are the method which can satisfy foreign patient and could make them visit again. This study`s data was collected by practician who works on ``Big 5`` hospital in Korea. The main flow of this study composed with focus group interview and questionnaire was added to support this study`s idea. Questionnaire development was based on interviews and literatures. It was distributed to ``Well Foreign patients attracting medical institutions``. The results of this study showed that non-medical services were conducted well, but the way to support showed different between medical institutions. Some are supporting themselves, but some are supporting thorough agency. However, aftercare system was not popular. Many people who works on hospital knew that aftercare is an important issue, but they did not have related department. only 1of 3 has department for aftercare. Also depends on nation, they serve different services. So, in Korea we need to build ``Care Center`` to mange non-medical services and aftercare services. According to experts of foreign patients said that it is hard to manage all people. Therefore one united care system could help them to care patients well. Through this research, Korea`s policy of revitalizing medical tourism should be grow up, and refer to attract many foreign patient as an medical power.

Predictors of Decreased Quality of Life in Breast Cancer Survivors Five Years After Diagnosis

Saskia-Laureen Herbert,Felix Flock,Ricardo Felberbaum,Wolfgang Janni,Sanja Löb,Matthias Kiesel,Tanja Schlaiß,Joachim Diessner,Carolin Curtaz,Ralf Joukhadar,Davut Dayan,Lukas Schwentner,Susanne Singer 한국유방암학회 2023 Journal of breast cancer Vol.26 No.3

Purpose: Due to improved therapy, early diagnosis, and growing incidence rates, the number of long-term breast cancer survivors is increasing. Survivors can still be affected by aftercare, resulting in reduced quality of life (QoL). Thus, in this study, we investigated possible predictors of decreased physical and social functioning in breast cancer survivors. Methods: In a German multicenter prospective study, we enrolled 759 female patients with breast cancer before surgery (t1), and contacted them again 5 years after surgery (t4). Data on QoL were assessed at t4 using the European Organization for Research and Treatment of Cancer QoL Core Questionnaire (EORTC QLQ-C30) and its breast cancer module EORTC QLQ-BR23. Predictors of decreased physical and social functioning were analyzed using logistic regression with odds ratios as effect estimates and 95% confidence intervals. Thresholds for the clinical importance of detrimental effects on QoL were defined according to Giesinger. Results: Questionnaires from 759 patients were retrieved at t1. Of these, 456 participated in the study at t4. Poor QoL 5 years after diagnosis was reported by 20%–50% of the participants. Age, mastectomy, chemotherapy, education, employment, cohabitation, psychiatric comorbidities at t1, anxiety, depression, and intensity of physical activity emerged as predictors of decreased physical and social functioning 5 years after diagnosis. Conclusion: Relief of symptoms and improvement in the QoL should be priorities in aftercare. Detecting patients with a decreased QoL is a rising challenge. Healthcare providers should take special care of patients aged 50–59 years, patients with psychiatric comorbidities and depression, and patients who have undergone mastectomy.

A Narrative Inquiry of the Difficulties by Breast Cancer Survivors in the Sports Participating

서지연,임새미,이준호 국민체육진흥공단 한국스포츠정책과학원 2022 International Journal of Applied Sports Sciences Vol.34 No.2

The aim of this study was to analyze the breast cancer survivors' difficulties in participating in sports as cancer aftercare. This study employed the case study and purposive sampling to obtain the sample from five breast cancer survivors, two surgical oncologists, and a cancer aftercare NGO specialist. This study conducted the participatory observation method and depth interviews to categorize and conceptualize based on transcribed data with selected study participants. The study was to identify the essential themes, and four medical experts addressed within and across cases. Three essential themes were revealed: financial difficulty, severe chronic condition, and social role. Firstly, breast cancer survivors suffer financial difficulty after a cancer diagnosis because of their career breaks or the absence of economic activities. This situation put survivors hard to take part in sports with high expenses or customized personal programs. Secondly, breast cancer survivors suffer experience motor disorders due to low motivation due to poor physical ability. Therefore, follow-up measures for them should be taken at the welfare level. Thirdly, breast cancer survivors continue to shoulder a disproportionate share burden of Balancing work and family obligations. Cancer survivors who are parents or family caregivers have taken on even more during the cancer treatment. They were already shouldering the majority of financial, social, and family care responsibilities. That is wholly inadequate for most cancer survivors to find enough time to work out or do sports regularly but sporadic or never for themselves and their health.

소년원 퇴원자의 사회복귀프로그램 효율성 제고

김지선 한국소년정책학회 2007 少年保護硏究 Vol.- No.10

About 2000 juvenile delinquent leave the training school and return home each year. They leave correctional facilities with little preparation or fife on the outside, no assistance with reintegration, and a high likelihood of return to correction facilities for new crimes or parole violations. And little is known about the ingredients of successful transition to community life or juveniles. The aim of this study was to examine the challenges involved in reintegrating juvenile delinquent back into their farnilies and communities, to exarnines aftercare services that provide youth upon their release from the juvenile justice system, and to offer policy-makers a critical opportunity to develop effective programs and policies for improving the impacts of the reentry process. Despite the critical importance of effective strategies for improving youth reentry, in Korea relatively little systematic empirical attention has been given to this issue. Therefore, this study review one of the most promising aftercare initiatives in the U. S. A., the Office of Juvenile and Delinquency prevention’s Intensive Aftercare Program(IAP). This aftercare model includes an emphasis an prelease planning and services; structured, short term transitional programming and structured, longer term reintegrative activities that balanced supervision, treatment and services. The IAP is premised on the notion of overarching case management that spans the entire justice system. and includes five components; 1) assessment, classifications, and selection of high risk youth; 2) individual case planning inocrpcration a family and community perspective; 3) a mix of surveillance and services; 4) a balance of incentives and graduated sanctions coupled with the imposition of realistic, enforceable conditions; and 5) service brokerage with community resources and linkages with social networks. In LAP aftercare can be defined as reintegrative services that out-of-home placed juveniles for reentry into the community by establishing the necessary collaborative arrangements with the community. The process does not begin only after an offender is released Instead, a comprehensive aftercare process typically begins after sentencing and continues through incarceration and an offender’s release into the community Based on the definition and critical components in IAP, this study diagnosis present volunteer and compulsory aftercare services for juvenile delinquent and suggested the reform measure for comprehensive and systemic aftercare services.

사용종료매립지의 사후관리종료기준에 관한 고찰

송상훈 ( Sang-hoon Song ),김란희 ( Ran-hui Kim ),이남훈 ( Nam-hoon Lee ),박진규 ( Jin-kyu Park ) 한국폐기물자원순환학회 2021 한국폐기물자원순환학회지 Vol.38 No.2

This paper aims to review the aftercare completion criteria for closed landfills described in the literature. Our objectives are to characterize the waste stabilization phases and specific approaches to evaluate the completion of landfill aftercare and to review country-specific regulatory procedures and technical guidelines. The attainment of functional stability implies that a closed landfill does not pose a threat to human health and the environment in the absence of active aftercare control. The functional stability can be assessed according to three categories: (1) target values, (2) risk assessment, and (3) performance-based. Country-specific aftercare completion criteria should be developed with consideration of functional stability in Korea. Due to the limitations on the deposition of combustible materials in Korea, soil and groundwater impact by leachate emissions are more strictly monitored and controlled than landfill gas emissions. However, the maximum leachate head on a liner (as measured at the lowest point of the liner) for solid waste landfills is limited to 2.0m during the aftercare period in Korea. Thus, the leachate head needs to be eliminated at the time of aftercare completion.

주거부정 출소자에 대한 유권적 갱생보호 도입 방안

조윤오 한국교정학회 2009 矯正硏究 Vol.- No.44

우리나라의 출소자 재입소율은 2006년 기준 24.3%로 출소자 재복역률이 20%를 넘어서고 있는 추세에 있다. 또한 출소자 5명 중 한 명은 3년 이내 재범을 저질러 다시 교도소에 수감되는 심각한 상황으로 출소자 재범문제가 사회 공공의 안전을 위협하고 있는 것으로 볼 수 있다. 그러나 우리나라의 갱생보호제도는 통상 주거부정자 본인 및 관계기관의 신청이나 동의가 있을 때에만 원조를 제공하는 임의적 갱생보호 (voluntary aftercare) 형식으로 규정되어 있어 한국 법무보호복지공단의 생활관 생활을 꺼려하는 비자발적 주거부정 범죄자에게는 적극적인 행동수정 및 사회복귀를 기대하기 어려운 현실에 있다. 따라서 본 연구에서는 주거부정 출소자에 대한 문제점을 고찰해 보고 영국과 미국의 갱생보호 사례를 활용하여 우리나라에 적용할 수 있는 효과적인 유권적 갱생보호 도입 방안을 검토해 보도록 한다. 미국의 지역사회 거주센터 (community residential centers)와 함께 영국의 보호관찰 허가 주택 (hostel-type accommodation, 일명 보호관찰 호스텔)을 살펴본 후 우리 나라의 적용여부를 논하고 그 유권적 갱생보호 활용 방안을 구체적으로 제시해 본다. 특히 적용 시 반드시 고려해야 할 사항으로 출소자 기본권 침해 문제와 고위험 범죄자 선별 문제, 법무보호복지공단 운영 주체의 문제 등을 함께 논의한다. Nearly twenty four percent of all parolees return to prisons after they are released from correctional facilities in Korea in 2006. Reconviction rates of parolees have grown significantly. Three out of five ex-offenders were reoffended within 3 years after they released. Futhermore most inmates leavemore mos without sufficient savings, without preparation for stable employment or housing. In this context, the topic of effective aftercare system for high risk offenders, specially for homeless ex-offenders is emerging as one of the key issues that Korean Ministry of Justice should deal with. However, housing support system for homeless offenders in Korea is designed to help parolees in a way that the offenders can receive housing support only when they voluntarily request of the aid to probation department. The voluntary aftercare system seems useful and helpful to the vulnerable parolees, but more serious insights and deep analysis are needed. Because most homeless offenders who do not have stable family relationships have problems of serious drug/alcohol addiction, physical/mental issues, and financial difficulties, it is almost impossible for them to assertively request the support of aftercare system in community when they are under the supervision of probation and parole officers. Effective supervision techniques by probation officers for parolees are complicated matters that deserve greater attention of compulsory aftercare system. After considering the implementation of housing support models that are made by Latessa and Allen (1997), this study challenges the legal and practical issues of the current voluntary housing system for homeless offenders. Significant and substantial implications in the compulsory housing support system for homeless ex-offenders are discussed on the basis of targeting appropriate offenders, practical financial support for shelters, and efficient partnerships between local agencies and governmental sectors.

소년원 출원생 사회정착업무에 대한 보호기관 종사자의 인식: 소년원 직원 및 임시퇴원담당 보호관찰관을 중심으로

박성훈 ( Park Seong-hoon ) 한국소년정책학회 2018 少年保護硏究 Vol.31 No.2

This paper examines how the training school staffs and juvenile probation officers think the aftercare program effects of high-risk juvenile offenders from training schools. I consider the organizational variables as like role-ambiguity, role-conflict, and role-burden of juvenile reentry programs. The results of this study are as follows. First, when their awareness of the aftercare program effects was compared by the training school staffs and juvenile probation officers, no difference was found between two groups. However, the training school teachers were more stressful than juvenile probation officers. Second, as a result of analyzing the effects of the organizational activity, the role-ambiguity had a direct effect on the aftercare programs. But the role-conflict and role-burden were not significant on the program effects. Third, the possibility of problem solving of the juvenile offenders and the stress from the juveniles were significant on the effect of psychological competence promotion and social environment adaptation. Fourth, indirect effects of role-ambiguity and role-burden on the perception of rehabilitative programs for juvenile offenders through relational factors-the possibility of problem solving of the juvenile offenders and the stress from the juveniles were significant on psychological competence promotion and social environment adaptation. From the above results, policy suggestions are presented. First of all the scope, authority, and information on the aftercare programs need to be given to the training staffs and juvenile probation officers clearly. Second, it is necessary to alleviate the work-burden of training school staffs and juvenile probation officers who are currently overloaded. Third, it is necessary to educate the reentry programs and to improve understanding of the officers and staffs who take a role of juvenile aftercare programs.

시설에 구금된 소년범의 사회복귀를 위한 집중적 사후지도에 관한 연구

이신영(Lee, Shin Young),박선영(Park, Sun Young) 계명대학교 사회과학연구소 2013 한국사회과학연구 Vol.32 No.2

As juvenile offenders have been high rates of recidivism, changes on juvenile correction facilities and programs are required. The transition plans for youth exiting detention is to reduce the likelihood of recidivism and to foster success in the community. Intensive aftercare program helps incarcerated juvenile offenders make a successful transition to the community and is more effective at reducing recidivism rate. Intensive aftercare program staff provide the youths inside the correctional facilities with risk and need based programs. Once they are released, the youth continue to be served by staff who provide case management, advocacy, and service brokerage. The study consists of three parts. First, the crime rate and correctional programs of juvenile offenders in Korea are addressed. Second, the background, goals, program implementation, staff characteristics, and evaluation in intensive aftercare program are discussed. Third, the implications of intensive aftercare program on juvenile correction facilities and programs in Korea are explored.

지속 가능한 폐기물 관리 : 우리나라의 호기성 매립공법 적용 가능성

윤상일,송상훈,이남훈,정민정,박진규 한국폐기물자원순환학회 2023 한국폐기물자원순환학회지 Vol.40 No.5

The aerobic landfill method is the only known way to reduce greenhouse gas emissions and shorten the aftercare period of closed waste landfills, as demonstrated by various field cases abroad. The increasing problem of anaerobic landfills necessitates the exploration of new landfill management solutions. The success of aerobic landfill projects overseas suggests that aeration may be a viable approach for implementation in Korea but aerobic landfill methods have not been utilized in Korea to date. Therefore, this study aims to review global trends in aerobic landfill technologies, as one of the sustainable landfill methods, and assess their applicability in enhancing landfill stabilization and reducing greenhouse gas emissions in Korea. Our study reveals that aerating old landfills could efficiently reduce aftercare costs by 0.8% to 114%. The uncertainties surrounding nitrous oxide emissions and the operational lifespan of the aerobic landfill method persist. Additionally, Korea lacks institutional support for recognizing the greenhouse gas reductions achieved through the aerobic landfill method. However, considering current costs and savings, including installation and operation expenses of the aerobic landfill method, social costs of carbon, and future savings due to a shortened aftercare period, reduced aftercare costs through early stabilization, and increased land use value, the aerobic landfill method emerges as a landfill management technology that can substantially enhance the sustainability of Korea’s waste management practices.

초등학교 돌봄교사의 교사스트레스가 부정적인 훈육태도에 미치는 영향-교사효능감의 조절효과-

김재희(Kim, Jae Hee),권순희(Kwon, Soon Hee) 한국아동복지학회 2020 한국아동복지학 Vol.69 No.3

초등학교 돌봄교실의 확대 정책에 따라 우려되는 돌봄교실 환경의 질을 개선하기 위한 방안을 모색하고자, 돌봄교사의 부정적인 훈육태도를 유발할 수 있는 위험요인(교사스트레스)과 이를 완충하는 보호요인(교사효능감) 간의 관계를 밝히고자 하였다. 돌봄교사 239명이 참여하여, 자신의 교사스트레스, 교사효능감, 부정적 훈육태도에 대해 자기보고를 하였다. 본 자료는 SPSS 25.0과 PROCESS Macro 프로그램을 통해서 분석하였다. 본 연구의 결과, 초등 돌봄교사의 높은 스트레스 수준은 부정적인 훈육태도의 수준을 높이는 것으로 나타났고, 그 영향은 돌봄교사의 효능감이 낮을 때 더욱 강하게 나타났다. 또한, 돌봄교사 효능감의 조절효과는 돌봄교사가 경험하는 스트레스의 유형에 따라 부정적인 훈육태도에 미치는 영향의 양상이 다르게 나타났다. 본 연구결과를 통해서, 돌봄교사의 전문성을 높이기 위한 직무훈련 중 훈육지도 기술을 훈련하는 중재프로그램이 필요하고, 그 중에서 교사스트레스를 개선하는 내용이 포함될 필요성이 있으며, 훈련의 효과를 높이기 위해서는 교사효능감 수준을 고려하고, 올바른 훈육방식을 교육할 필요가 있음을 확인하였다. 본 연구는 유아 및 초중등 교육기관에 종사하는 교사를 연구대상으로 하는 선행연구를 근거로, 최근 새롭게 아동에 대한 중요한 근접 영향 제공자로서 역할을 수행하고 있는 돌봄교사로 연구대상을 확장하는 것으로 기여하고자 하였다. In light of recent expanding policies in aftercare classes in elementary school in Korea, it is becoming important to improve the quality of its class environments(e.g. teachers’ positive interaction with students). The main aim of this study was to investigate the relationship between the work stress of teachers as a risk factor and their efficacy as a protective factor for negative disciplinary attitudes. Using sample of 239 aftercare teachers, work stress, efficacy, and negative disciplinary attitudes (assertive and punitive disciplinary attitudes) were assessed by self-reports. Data were analyzed using SPSS 25.0 and the PROCESS Macro programs. The results indicated that teachers’work stress was found to be relevant to their negative disciplinary attitudes, and this relationship was stronger when teachers rated their efficacy as low. In addition, this moderating effect of teacher efficacy on negative disciplinary attitudes appeared differently depending on the type of stress that they experienced. The findings support the importance of including a component to reduce work stress in training or intervention programs for aftercare teachers, the consideration of teacher efficacy to improve the effectiveness of programs, and the education of aftercare teachers regarding more effective disciplinary approaches.