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활동보조서비스의 제도화 방안동보조서비스와 한국에서의제도화 모색김경미
김경미 한국사회복지정책학회 2007 사회복지정책 Vol.0 No.28
Exploring the Possibility of Establishment of Personal Assistance Services(PAS) to Korea: Focusing on USA This study aims to explore the possibility of establishing personal assistance service(PAS), which is a very important issue in Korea disability policy. PAS assists s people whit disabilities to participate fully in society. First, PAS systems of USA was investigated in terms in terms of eligibility, benefit, delivery system, financing, and current issues. The reason to select USA is that USA is highly influential to Korea. Next, services similar to PASin Korea were reviewed. Finally, the article proposes some guidelines for establishing PAS. Ideally, the only criteria for eligibility are the individual’s income and the severity of disabilities. Current instruments to measure the severity of disability are insufficient; new instruments are required. Recommended services include transportation, accompaniment, and employment support as well as general assistance with general care and housework/chores. Additionally, it is recommended that demonstration programs be established to allow for the comparison of the advantages and disadvantages of various delivery systems. Most importantly, people with disabilities must be guaranteed a central role in the planning implementation of PAS. Key word: Personal assistance services, establishing PAS in Korea, choice and control 본 연구는 현재 장애인복지에서 주요 이슈이며 장애인의 완전한 사회참여를 가능하게 하는 필수적인 서비스인 활동보조서비스의 한국적 적용을 위한 모색을 목적으로 한다. 이를 위해 활동보조서비스를 우선적으로 실시하였고, 현재 한국의 자립생활과 활동보조서비스에 강한 영향을 주고 있는 미국 활동보조서비스의 배경과 역사, 대상선정 기준, 급여의 내용과 급여액, 전달체계, 재정, 그리고 문제점을 살펴보았다. 다음으로는 한국적 상황을 감안하여 활동보조서비스 제도화를 위해 고려해야 할 점들을 논의하였다. 활동보조서비스의 제도화를 위한 대상 선정의 기준으로서는 장애인 개인의 소득과 장애의 정도를 고려해야 할 것이다. 장애의 정도를 측정하기 위해서는 현재의 장애등급을 적용하기 보다는 새로운 도구의 개발이 필요하다. 서비스의 내용은 기존의 간병과 가사 위주의 서비스에서 장애인의 자립을 지원하는 서비스, 예를 들어 이동이나 외출보조, 직업보조 등의 서비스를 포함하여 장애인의 적극적인 사회참여를 지원하는 서비스가 포함되어야 할 것이다. 급여의 양은 개인의 장애정도에 따라 결정되어야 할 것이다. 전달체계는 다른 나라의 모델들의 장단점을 충분히 고려하여 시범사업을 거친 뒤 확정할 필요가 있다. 활동보조서비스 운영원칙 중 중요한 부분은 서비스 계획단계부터 실행단계에 장애인의 적극적인 참여가 보장되어야 하며, 서비스에 대해 장애인이 최상의 수준의 선택권과 통제권을 행사할 권리를 보장하는 것이어야 한다.
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김경미,장형석,박준상,강남선,홍지원,전병희 (사)한국해양바이오학회 2017 한국해양바이오학회지 Vol.9 No.2
A unicellular green alga was axenically isolated from the Port of Jeongja, Ulsan, Korea. Morphological, molecular, and biochemical analyses revealed that the isolate belonged to Heterochlorella luteoviridis. This is the first report of this species in Korea. The microalgal strain was named as H. luteoviridis MM0014 and its growth, lipid composition, and biomass properties were investigated. The strain thrived over a wide range of temperatures (5–30°C) and withstood up to 0.5 M NaCl. The results of gas chromatography/mass spectrometry analysis showed that the isolate was rich in nutritionally important polyunsaturated fatty acids. Its major fatty acids were linoleic acid (35.6%) and α-linolenic acid (16.2%). Thus, this indigenous marine microalga is a potential alternative source of ω3 and ω6 polyunsaturated fatty acids, which are currently obtained from fish and plant oils. Ultimate analysis indicated that the gross calorific value was 19.7 MJ kg-1. In addition, the biomass may serve as an excellent animal feed because of its high protein content (51.5%). Therefore, H. luteoviridis MM0014 shows promise for applications in the production of microalgae-based biochemicals and biomass feedstock.
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김경미,이유진,김꽃샘,채송이,장소희 한국영유아교육지원학회 2020 영유아교육지원연구 Vol.5 No.2
The purpose of this study was to understand the types and characteristics of disability perception for integrated childcare practice by using the Q methodology. After forming the Q population for 1. awareness of disability, the Q statements of 33, Q sample, were extracted. After 33 statements were collected through Q classification by selecting 31 as P sample, major factor analysis was conducted using the QUANL program. As a result of the study, perception of disability was classified into three types. The first type was the “social approach pursuit type”, who believed that social systems such as social institutions and policies should be prepared for disability integration. The second type was the “relational approach pursuit type”, who believed that important to get to know each other through a lot of exchanges and relationships to disability integration. The third type was the “integrative approach pursuit type,” who believed that social systems such as welfare policies and welfare services should be prepared, along with improvement of awareness and communication of the disabled. Through this study, the perception of disability was confirmed for the practice of inclusive childcare, and these results are meaningful in that the direction and contents of the practice of inclusive childcare were more detailed. It is expected that follow up researches about awareness of various programs for integrated child care, variety of education for anti-biases and various systems for the prohibition of disability discrimination are to be done. 본 연구는 통합보육 실천을 위한 장애인식유형과 특성을 파악하기 위하여 Q방법론을 활용하여 분석하였다. 장애인식에 대한 Q모집단을 구성한 후, Q표본인 33문항의 Q진술문을 추출하였고 31명을 P샘플로 선정하여 33개의 진술문을 Q분류를 통해 자료수집 후, QUANL 프로그램을 활용하여 주요인분석을 실시하였다. 연구결과 장애인식은 3개의 유형으로 분류되었다. 제1유형은 ‘사회적 접근 추구형’으로 장애통합을 위해 사회적 제도, 정책 등 사회적 시스템이 마련되어야 한다고 생각하는 유형이다. 제2유형은 ‘관계적 접근 추구형‘으로 장애통합을 위해서는 많은 교류와 관계 맺음을 통해 서로 알아가는 것이 중요하다고 생각하는 유형이다. 제3유형은 ‘통합적 접근 추구형’으로 복지정책, 복지서비스 등 사회적 제도 마련과 함께 장애인에 대한 인식개선과 소통이 함께 이루어져야 한다고 생각하는 유형이다. 본 연구에서는 통합보육 실천을 위한 장애인식을 확인하였으며 이러한 결과는 통합보육의 실천 방향과 내용을 좀 더 구체화하였다는데 의의가 있으며, 후속연구로 통합보육을 위한 프로그램, 반편견을 위한 교육, 장애차별 금지를 위한 제도 등에 대한 인식연구를 제언하였다.
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경직형 사지마비 발생에 영향을 미치는 위험요인에 대한 환자-대조군 연구
김경미 대한작업치료학회 2000 대한작업치료학회지 Vol.8 No.1
The purpose of this study was to investigate the relation between components of population, maternal health, need for health care, maternal lifestyle and environment from a conceptual model for cerebral palsy, and the occurrence of cerebral palsy with spastic quadriplegic. This study was a case-control design. The subjects consisted of 53 children with quadriplegic cerebral palsy as a case who were receiving treatment after a diagnosis for cerebral palsy at 3 university hospitals and 3 rehabilitation facilities, and 186 children as a control who were visiting well baby clinics and pediatric departments after screening at the same hospitals in Seoul. The data were collected by a structured questionnaire survey from October, 1998 to February, 1999. The odds ratios of risk factor was produced by χ2 and simple logistic analysiss. The unconditional logistic analysis was done by modeling the data, after adjusting for gestational age. Statistically associated with an increase the risks for spastic quadriplegia were asphyxia(OR=221.89, 95% CI 15.8-999.0) and maternal history of admission during the pregnancy (OR=10.55, 95% CI 2.2-50.4). The result suggested that the improvement of obstetric and neonatal care is necessary to prevent cerebral palsy with spastic quadriplegia.
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김경미,조성호,이길영,Kim, Kyoung-Mee,Cho, Sung-Ho,Lee, Gil-Young 대한한방안이비인후피부과학회 2002 한방안이비인후피부과학회지 Vol.15 No.1
Multiple epiphyseal dysplasia is an uncommon disorder, which was first described by Fairbank in 1935, characterized by irregularity in development of the epiphysis that manifests itself as late appearance and mottling of the ossification centers, knobby joints, stubby digits and minimal shortness of stature. It is typically transmitted as an autosomal dominant trait though recessive forms have been described. The diagnosis is established on the basis of the positive roentgenographic findings in combination with the absence of biochemical abnormalities. We report a case of multiple epiphyseal dysplasia, which was improved by herbal medication.
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신문 사설에 보도된 아동학대에 대한 담론 분석-조선일보, 중앙일보, 동아일보를 중심으로
김경미,신샘이 이화여자대학교 이화어린이연구원 2016 영유아교육: 이론과 실천 Vol.1 No.2
The aim of the study is to investigate the discourse process and its characteristics on child abuse issues on the newspaper editorials. In order to conduct this study, we performed the analysis on 94 newspaper editorials published by the three major newspapers in Korea which are Chosun Ilbo, Joong-Ang Ilbo and Dong-A Ilbo. The study used Foucault’s theory of discourse analysis as a theoretical framework. The results are as follows. First, child-abuse related topics in the newspaper editorials were involved with political and institutional interests, parental education, social interest, social services, recognition improvement, and communication. Second, the objects of child abuse were politicians, social service workers, ordinary people, parents, teachers, and the court employees. Third, the main subjects of child abuse in the newspaper editorials were the media, unknown draftsmen, a whole educational community, editors, medical communities, legal circles, directors of child institution, a political world, parents and a religious world. Finally, child abuse-related discourses were the requirement of social concern, recognition improvement through communication and trust, activating and obliging parental education, strengthening and reorganizing comprehensive social services, reviewing free childcare policies, complementing and supporting the institutional system from the government. The results of this study can be used as a basis for preventing child abuse in the future and looking for new directions for practicing the related policies. 본 연구는 신문 사설에서 나타난 아동학대 담론 형성 과정과 담론의 특징을 알아보는데 목적이 있다. 이를 위해 우리나라 3대 신문사인 조선일보, 중앙일보, 동아일보에 게재된 사설 총 94건을 대상으로 분석을 실시하였다. 푸코의 담론 분석 이론에 초점을 두고 살펴본 연구결과는 다음과 같다. 첫째, 신문 사설에서 아동학대 관련 주제는 ‘정치, 제도’, ‘부모교육’, ‘사회관심’, ‘사회 서비스’, ‘인식 개선’, ‘소통’ 순으로나타났다. 둘째, 신문 사설에서 아동학대 관련 대상은 ‘정치인, 사회 서비스 종사자’, ‘일반인’, ‘부모’, ‘교사’, ‘법원종사자’ 순으로 나타났다. 셋째, 신문 사설에서 아동학대 관련 주체는 ‘언론계’, ‘작성자 미기재’, ‘교육계’, ‘의료계’, ‘논설위원’, ‘법조계’, ‘아동관련기관장’, ‘정계’, ‘학부모’, ‘종교계’ 순으로나타났다. 마지막으로 신문 사설에 나타난 아동학대 관련 담론은 ‘사회의 관심 필요’, ‘소통과 신뢰를 통한 인식 개선’, ‘부모교육 활성화 및 의무화’, ‘종합적 사회 서비스 강화 및 개편’, ‘무상보육 정책 재검토’, ‘정부의 제도적 보완과 지원 요구’로 나타났다. 본 연구는 신문 사설에 담겨 있는 아동학대 담론과 그 안에 내재된 의미가 무엇인지 분석하고자 하였다는 데에 의의가 있다. 이를 통해 아동학대 예방 및 대처를 위한 앞으로의 실천 방향을 모색하기 위한 기초자료로 활용될 것으로 기대된다.
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