자발적 민간 지역사회 돌봄서비스 질 구성요인-대학연계형 노인공동체 경험을 중심으로-

전희정 ( Jeon Hee Jeong ),이순덕 ( Lee Soon Deok ) 한국장기요양학회 2021 장기요양연구 Vol.9 No.1

본 논문은 노인이 지역사회 돌봄체계를 이용하게 되면서 체감하게 되는 품질의 구성요소가 무엇인지를 탐색해 보고자 하였다. 서비스 품질과 관련된 실증된 연구들이 존재하지만, 우리나라 노인 당사자가 서비스의 어떤 요인을 주요하게 평가하는지에 대한 연구는 미흡한 편이다. 이를 위하여 표준화된 사회복지서비스보다는 자유로운 형식으로 서비스를 구성하고 노인의 다양한 욕구에 민감하게 반응할 수 있는 체계를 갖춘 대학연계형 노인공동체를 대상으로 서비스 만족도를 높이는 구성 요인이 무엇인지를 살펴보았다. 분석결과, 노인이 중요하다고 생각하는 서비스 질은 10개의 구성요인으로 나타났다. 주요한 질 구성요인은 외형성, 일관성, 대응성, 보증성, 공감성 등 기존의 5개 요인과 함께 다양성과 창의성, 세대교류와 연령통합, 지지그룹형성, 비용, 증거기반 효과성으로 타나났다. 지역사회 통합돌봄체계는 민간의 다양한 자원이 참여하여 연령통합사회를 만들어나갈 때 활성화될 수 있다. 본 연구는 지역사회 통합돌봄체계를 위하여 기존의 사회복지서비스를 넘어서는 다양한 유형의 서비스를 개발할 필요가 있는 시점에서 주요한 함의를 가질 수 있다. 즉 우리나라 노인이 지역사회에서 살아가면서 주요하게 의미를 가지는 요인이 무엇인가를 살펴봄으로서 이를 반영하여 지역사회 서비스 이용노인의 욕구에 민감하게 반응할 수 있는 서비스를 개발하는데 기여할 수 있다. This study is to explore the components of quality that senior citizens felt as they used the community care system. There are empirical studies related to service quality, but there is a lack of research on what factors senior citizens in Korea mainly evaluates. To this end, we looked at the components that enhance service satisfaction for the university-based retirement community, which consists of a free form rather than standardized social welfare services and has a system that can respond sensitively to various needs of senior citizens. According to the analysis, the quality of service that enhance the satisfaction of the senior citizens has been shown to be 10 components. The main quality components were found to be creativity, generational exchange and age integration, support group formation, cost, and evidence-based effectiveness, along with five existing factors: Tangibles, Reliability, Responsibility, Assurance, Empathy. The community integrated care system can be activated when various private resources participate to create an age integrated care society. This study may have major implications at a time when it is necessary to develop various types of services beyond existing social welfare services for the integrated community care system. In other words, it can contribute to the development of services that can be sensitive to the needs of senior citizens who use community services by reflecting the factors that have major significance in living in the community.

DEA를 이용한 노인요양시설의 효율성 평가와효율성 영향요인에 관한 연구

전희정 ( Hee Jeong Jeon ) 한국사회복지연구회 2013 사회복지연구 Vol.44 No.4

Through an empirical analysis, the principal purpose of this study was to get factors which influence an efficiency after evaluating the efficiency level and properties of elderly care facilities from different angles. The major analysis results are as follows:First, as a result of evaluating the efficiency through DEA in the first step, there was various distribution from facilities being operated efficiently to inefficiently ones between the elderly care facilities. Second, in the analysis of the efficiency influence factors of the second step, it was showed that the number of people admitted among the facility characteristics had the highest influence on the efficiency. It was showed that the number of people admitted and the efficiency were in a static relationship. Established facilities had higher efficiency than unitary ones in the facility types and the ratio of nurses, care workers, social workers and donation(corporation transferred money) had influence on the efficiency. All of them were in the static relationship. In other words, it was analyzed that the more the ratio of care workers, nurses, social workers respectively and the donation(corporation transferred money) from income were high, the more the efficiency increased. In comparison to facility properties and operation factors, competition factors had not influence on the efficiency, so it suggested that the efforts of efficiency improvement in the long-term care facilities were preferentially necessary. It is judged to review improvement directions of more concrete policy and measures in relation to the whole efficient operations of Act on Long-Term Care Insurance for the Aged and efficient operations of individual long-term care facilities in terms of efforts to improve efficiency of each long-term care facilities along with policy.

Comparison of Brain Activation on the Education Content Types to Prevent Smoking for Smoking Adolescents - fNIRS Study

전희정(Hee-Jeong Jeon),권용주(Yong-Ju Kwon) 한국교원대학교 뇌기반교육연구소 2021 Brain, Digital, & Learning Vol.11 No.3

The annual anti-smoking education in schools is already a smoking cessation education for smoking adolescents. However, studies on the effectiveness of smoking cessation education in relation to the neuroscience characteristics of adolescents who smoke are insignificant. Therefore, the purpose of this study is to compare the differences in brain activity changes according to the types of anti-smoking education content for smoking adolescents. To this end, educational content types on smoking health warning and tobacco industry denormalization (TID) strategy were developed as tasks, and brain activity was measured and analyzed with fNIRS in 18 smoking adolescents. As a result of the study, it was confirmed that overall brain activity including the OFC and DLPFC areas was commonly decreased in the process of watching the smoking health warning educational video and the TID strategy training video. This is related to decreased activity of OFC and DLPFC domains, which are related to the induction of nicotine cravings in smoking adolescents. In addition, in the process of watching the smoking health warning education video and the TID strategy education video, as the comparison result of brain activity control by subtraction after t-verification, the TID strategy educational video showed less decrease in activity in the DLPFC area, that is, a relatively increased activity compared to the smoking health warning education image. The TID strategy educational video suppresses smoking behavior and promotes smoking cessation behavior compared to the health warning education video, because the DLPFC area, which is responsible for cognitive regulation and executive control of nicotine craving, effectively performed cognitive regulation on nicotine craving. This study can provide information on actual brain changes and differences depending on the types of anti-smoking education for smoking adolescents.

사회복지사의 경력몰입 결정요인에 대한 다층분석연구

전희정(Hee-Jeong Jeon),이동영(Dong-Young Lee) 한국콘텐츠학회 2016 한국콘텐츠학회논문지 Vol.16 No.1

본 연구는 사회복지현장에서 체계적 경력과정이 개인과 조직 모두의 성공적 성과달성의 핵심적 요소라 인식함을 전제로, 사회복지사의 경력몰입에 영향을 미치는 요인을 다차원적 수준에서 실증적으로 분석함으로써 이론적·통계적 정확성에 기반 한 자료를 토대로 경력관리의 방향성에 대한 실천적 함의를 이끌어내고자 하였다. 이에 본 연구는 46개 기관에 787명의 사회복지사를 대상으로 구조화된 설문지를 통해 개인 및 조직특성 자료를 수집하고, 다층분석기법을 활용하여 조직효과를 감안한 영향요인에 대해 분석하였다. 분석결과, 우선 경력몰입의 총 분산 중 기관특성에 의한 설명이 15.8%로 유의미하게 나타났고, 이의 영향요인으로 개인수준에서는 프로티언 경력태도, 성장욕구, 인적 네트워크, 자기효능감이, 조직수준에서는 자격보상제도가 각각 유의미한 변수로 확인되었다. 이에 조직효과를 감안한 개인요인들의 활성화로 성공적 경력몰입을 이끌어내기 위한 방안으로 조직 내 슈퍼비전의 체계화, 근로자지원프로그램의 적용, 전문적 경력개발의 인센티브제공, 학습조직으로의 전환 등 개인-기관 통합적 실천전략을 제안하고 논의하였다. Based on the premise that a systematic career process was one of the essential elements of successful task performance both for individuals and the organization in the field of social welfare, this study set out to empirically analyze factors influencing the career commitment of social workers at a multidimensional level and provide practical implications for the directionality of career management on the basis of data with theoretical and statistical accuracy. For those purposes, the study collected individual and organizational characteristics data from 787 social workers at 46 agencies through a structured questionnaire and analyzed influential factors through the multilevel analysis technique by taking organizational effects into account. The analysis results show that explanations by the organization characteristics recorded significant 15% in the total variance of career commitment and that its influential factors included such significant variables as the protean career attitude, desire for growth, human network, and self-efficacy at the individual level and also the qualification compensation system at the organizational level. The study then proposed and discussed integrated practice strategies between individuals and agencies as the measures to promote career success through the activation of individual factors based on the consideration of organizational effects such as the application of an employee assistant program, provision of incentives to professional career development, and shift to a learning organization.

경로당 여가프로그램 참여 노인들의 생활만족도에 관한 연구 -충북 지역을 중심으로

전희정 ( Hee Jeong Jeon ),김상기 ( Sang Gi Kim ) 한국사회복지연구회 2014 사회복지연구 Vol.45 No.1

This study analysed factors having an impact on life satisfaction of the elderly joining in senior citizen centers, which are typical korean leisure facilities. To do this, senior citizen people of 263 participating in leisure programs of senior community centers in Chungbuk area were targeted. Independent variables such as the satisfaction level of leisure programs, capabilities of instructors, board members` abilities and senior citizen center environment were constructed as sociodemographic factors. As a result, it showed that the more the satisfaction level of leisure programs, board members` abilities and senior citizen center environment was high, the more high life satisfaction of the aged people was. Also, it showed that the presence of a spouse, a health status and a residential district were factors having an effect on the life satisfaction. This demonstrated that the life satisfaction of the elderly having a spouse, having healthier status and living in downtown area was higher than those who were not. On the basis of these results, this study proposed revitalization of leisure programs which satisfy the senior citizens` desires, strengthening of board members` abilities and environmental improvement to improve the life satisfaction of the elderly using senior citizen centers functioning as important leisure facilities in local communities.

공급사슬 보안지향성 및 위험관리가 국제물류주선업체의 성과에 미치는 영향에 관한 연구

전희정(Hee-Jeong Jeon),박근식(Kuen-Sik Park),한수진(Su-Jin Han) 한국무역연구원 2016 무역연구 Vol.12 No.6

This paper analyzes the effect of supply chain security orientation and risk management on the performance of forwarder by the increased potential risk on the supply chain after 9/11 terror, and provide policy implication to forwarders based on the analysis results. Hypotheses are suggested according to research analysis and multiple regression analysis from survey results. The main targets of survey is person who substantially perform the operation in the logistics field and also has deep understanding about International logistics process. This study suggests the influence of supply chain security orientation and risk management on the performance of forwarders. Also, this study analyzes the impact of the supply chain security orientation and supply chain risk management on performance through multiple regression analysis. However, there is also practical limitation such as data collected from limited targets, which must be expanded in the future research.

국민기초생활보장제도 개선에 대한 사회복지전담공무원의 인식 연구

전희정 ( Hee Jeong Jeon ),임란 ( Ran Im ),박정인 ( Jung In Park ) 한국사회복지연구회 2012 사회복지연구 Vol.43 No.1

This research has analyzed the options of improving ``National Basic Livelihood Security Program`` and factors influencing on them, focusing on the 345 social welfare officials` recognition and assessment of the program. As a result of the analysis, some difference has been identified in the assessment of respective options in accordance with how social welfare officials recognize and assess the program and its recipients. The assessments as to the options of improving restrictions on the able-bodied poors, implementation of the individual benefit method, and so forth were shown differently according to the age; years of service; amount of work; rationality of the criteria for selecting recipients; levels of payment by the ``National Basic Livelihood Security Program``; possibility of the recipients` exit from poverty; achievements of the self-supporting program; and evaluation of the program improvement efforts of the government. Based on this result of analysis, key tasks and improvement options for the ``National Basic Livelihood Security Program`` have been explored on the occasion of the 10th anniversary of the program.

기혼여성근로자의 직장가정갈등이 문제음주, 우울을 매개로 생활만족도에 미치는 영향

전희정(Hee jeong Jeon),이지선(Ji sun Lee) 연세대학교 사회복지연구소 2016 한국사회복지조사연구 Vol.50 No.-

본 연구는 기혼여성근로자가 경험하는 직장가정갈등, 문제음주 및 우울이 생활만족도에 미치는 영향들을 구조방정식을 통해 분석해보았다. 조사대상은 한국복지패널 2015년(10차년도) 데이터의 총 2955명이다. 분석결과, 직장가정갈등은 기혼여성근로자의 문제음주, 우울, 생활만족도에 직․간접적으로 영향을 미치는 것으로 나타났다. 즉, 기혼여성근로자가 경험한 직장가정갈등은 생활만족도에 직접적으로 영향을 미치는 한편, 문제음주와 우울을 매개로 하여 생활만족도에 영향을 미치는 것으로 나타났다. 이러한 결과를 바탕으로 기혼여성근로자의 직장가정갈등과 문제 음주, 우울을 관리하기 위해 가족친화제도와 기업복지제도, 근로자지원프로그램 등의 제도를 발전 및 활성화시켜야 한다는 대안마련과 근로자 개인의 인식 제고의 중요성을 제언으로 제시하였다. This study verified married female workers` work family conflict, problem drinking and depression effect on life satisfaction by using structural equation modeling. The sample were collected from 2955 by using Korea Welfare Panel Data 2015. The result showed that work family conflict directly or indirectly affects married female workers` problem drinking, depression and life satisfaction. In other words, married female workers` work family conflict experience directly influence on life satisfaction and also mediated by problem drinking and depression between work family conflict and life satisfaction. According to these findings, we suggest that the importance of prevailing family friendly policy, occupational welfare and employee assistance program for managing work family conflict, problem drinking and depression, and also workers` awareness-raising needed.

미취업자를 위한 고용지원 프로그램이 심리․사회적 기능변화에 미치는 영향에 관한 종단연구 :

전희정(Hee jeong Jeon),이지선(Ji sun Lee) 연세대학교 사회복지연구소 2015 한국사회복지조사연구 Vol.47 No.-

근로환경의 변화에 따른 적응을 위해 최근에는 미취업자들에 대한 고용지원 프로그램의 중요성이 강조되고 있으며, 이에 따른 효과성을 검증해야 한다는 요구가 증가하고 있다. 이에 따라, 본 연구는 미취업자들을 위한 고용지원 프로그램이 그들의 심리․사회적인 기능 회복을 도울 수 있는가를 알아보는데 목적을 두고 한국복지패널의 2009년에서 2014년도의 조사 자료를 활용 한 잠재성장모형을 통해 분석하였다. 심리․사회적 기능 변화를 측정하기 위한 하위요인으로는 자아존중감, 우울감, 생활만족도가 이용되었다. 연구 결과에 따르면, 첫째, 고용지원 프로그램이용정도의 초기치는 자아존중감(-), 우울감(+), 생활만족도(-) 초기치에 영향을 주는 것으로 나타났다. 둘째, 고용지원 프로그램 이용정도의 변화율은 자아존중감(+), 우울감(-) 변화율에 영향을 주는 것으로 나타났다. 이 결과를 바탕으로 고용지원 프로그램은 경제적인 영역과 더불어 심리․사회적인 영역에서도 효과도 있음이 종단연구를 통해서 입증되었다. Recently it is emphasized the importance of the employment support program for the unemployed in order to adjust changes of the modern business environment, also needs to verify the effectiveness of the program is increasing. The purpose of this study is on examine the employment support program for the unemployed affect psycho-social function changes through analyzing latent growth modeling by using Korea Welfare Panel 2009 to 2014 data. Self-esteem, depression and life satisfaction were used as sub-variables in order to measure the psycho-social function changes. The study results were as follows: First, the intercept of the extent of employment support program had relation to the intercept of self-esteem(-), depression(+), life satisfaction(-). Second, the slope of the extent of employment support program had relation to the slope of self-esteem(+), depression(-). Based on this result, employment support program has verified the effectiveness not only the economical factor but also psycho-social factor by longitudinal study.

재발성 담낭염 환자에서 내시경적 경유두 담낭 담석 제거를 시행한 1예

전희정 ( Hee Jeong Jeon ),이병욱 ( Byung Uk Lee ) 대한췌담도학회 2017 대한췌담도학회지 Vol.22 No.4

급성 결석성 담낭염의 근본적인 치료는 복강경하 담낭절제술이나 수술이 위험하거나 그 외 여러 가지 이유로 담낭 절제술을 할 수 없는 경우 경피 경간적 담낭 배액술을 시행할 수 있다. PTGBD는 급성 증상의 완화를 위한 유용한 방법이나 오랫동안 PTGBD를 유치할 경우 여러 문제들이 발생할 수 있다. 본 증례는 급성 결석성 담낭염으로 진단된 환자가 PTGBD를 시행한 후 입원 당시 대장암을 동시에 진단받고 나서 수술적 치료를 거부하여 PTGBD를 제거하였으나 급성 담낭염의 재발로 PTGBD를 3년간 7차례 교체하면서 유지하게 되었고, 이후 내시경 역행성 담췌관 조영술을 시행하여 십이지장 유두부를 통해 담낭 내 담석을 성공적으로 제거하고, 27개월간 추적 관찰하였으나 급성 담낭염의 재발 없이 성공적으로 치료된 증례를 보고하고자 한다. We report a case of successfully removed gallstone by endoscopic transpapillary approach with recurrent acute cholecystitis. An 84-year-old man presented with acute calculous cholecystitis. He is concurrently diagnosed with colon cancer at the time of admission. After percutaneous transhepatic gallbladder drainage (PTGBD), He was discharged. After a total of seven PTGBD exchanges for three years, we successfully removed gallstone via an endoscopic transpapillary approach, and no recurrence was reported during the 27-month follow-up period. This procedure may be performed in patients who can access to the gallbladder through the cystic duct. Korean J Pancreas Biliary Tract 2017;22(4):193-197