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A Study on Examination of Health Inequality among Dying Alone Cases

고독사와 건강불평등에 대한 탐색적 연구

  • 김혜성 (강남대학교 사회복지학부)
  • Received : 2018.11.19
  • Accepted : 2019.01.08
  • Published : 2019.02.28

Abstract

Dying alone is an emerging social problem in South Korea. It is reported that most cases of dying alone showed various and chronic health problems. Despite of this situation, there existed neither medical support nor welfare services when dying. It indicated severe health inequality problems. With this background, the purpose of this study was to examine health inequality issue among dying alone cases by using news paper articles during the past three years(2016-2018). Content analysis was employed for 89 dying alone cases. Characteristics of dying alone cases, types of illness and health problems, and unmet medical services were analyzed. Based on the findings, future directions were addressed.

고독사는 최근 우리 사회에서 주목하는 사회문제 중의 하나이다. 고독사의 대부분의 사례가 사회취약계층으로 건강문제를 경험한 것으로 보고되고 있다. 이처럼 건강문제를 가지고 있음에도, 임종을 홀로 맞는 등 이들의 건강불평등 문제의 심각성을 보여주고 있다. 본 연구에서는 신문기사를 활용하여 고독사 사례의 건강불평등 문제를 조명해 보고자 하였다. 분석방법은 질적 접근인 내용분석을 수행하였다. 최근 3년간 신문에 보도된 89사례를 최종 선정하여 분석하였다. 고독사 사례의 특성, 질환이나 건강문제의 유형, 그리고 의료서비스 미충족 등의 영역으로 분석을 수행하였다. 연구의 결과를 바탕으로 향후 고독사 예방에서 보건의료 영역과 지역사회의 복지서비스 제공 체계 간의 협력과 역할에 대한 논의를 제시하였다.

Keywords

표 1. 최근 3년간 고독사 신문기사보도 현황 및 연령분포() Table 1. News Articles of dying alone cases by ages during the period 2016-2018

GJMGCK_2019_v5n1_311_t0003.png 이미지

표 2. 고독사 사례에 나타난 질환 유형 및 건강문제 Table 2. Types of Ilness and health problems among dying alone cases by ages

GJMGCK_2019_v5n1_311_t0004.png 이미지

References

  1. C. Nicholson, J. Meyer, M. Flatley, C. Holman and K. Lowton, "Living on the margin: Understanding the experience of living and dying with frailty in old age", Social Science & Medicine, Vol.75, No.8, pp.1426-1432, 2012. https://doi.org/10.1016/j.socscimed.2012.06.011
  2. J. Adams and J. Johnson, "Older people "found dead" at home: challenges for the coroner system in England and Wales," Promoting the interdisciplinary study of death and dying, Vol.13, No.4, pp.351-360, 2008.
  3. M. Nomura, S. McLean, D. Miyamori. Y. Kakiuchi and H. Ikegaya. "Isolation and unnatural death of elderly people in the aging Japanese society", Science & Justice, Vol.56, No.2, pp.80-83, 2016. https://doi.org/10.1016/j.scijus.2015.12.003
  4. Seoul Welfare Foundation, Current Situation of Lone Deaths in Seoul City and Development for Support Systems. 2016.
  5. Ministry of Health and Welfare, One-Person Households and Response Strategies to New Social Risks. 2016
  6. S. M. Lee, "Legal Consideration on Solitary Deaths-Focused on Socio-legal Consideration on Solitary Deaths of the Aged-," Jouranl of Law and Politics Reseach, Vol. 16. No. 4, pp. 59-87, 2016. https://doi.org/10.17926/kaolp.2016.16.4.59
  7. P. D. Lee and H. W. Kim, "Awareness of Funeral Culture and Well-Ending and Plolicy Implications-Focusing on Seoul Metropolitan City-," The Journal of the Convergence and Culture Technology, Vol. 4, No. 4, pp.67-75, 2018. https://doi.org/10.17703/JCCT.2018.4.1.67
  8. S. S. Lee, "A Plea for a Right to Die with Dignity," Studies on Life and Culture, Vol. 27, pp.227-308, 2013.
  9. J. N. Hwaung, "Income-Related in Unmet Healthare Needs-Implication of equity," Korean Journal of Health Education and Promotion, Vol. 34, No. 4. pp. 83-97, 2017. https://doi.org/10.14367/kjhep.2017.34.4.83
  10. C. G. Lee, "Health Inequalities and Counter Polices in Korea," The Journal of Asiatic Studies , Vol. 49, No, 1, pp. 66-103. 2006.
  11. Y. R. Shin, C. S. Seok, H. J. Cho and D. C. Yoo, "Exploring for the Conceptualization of Health Inequality of People with Disabilities," Journal of Critical Social Policy Vol. 56, No. 8. pp. 205-235, 2017.
  12. M. Y. Sim, D. M, Yeum, S. A. An and B. G. Jeong, "A Study on Health Inequality tha Low Income Groups in the Health Vulnerable Regions Have Recognized," Journal of Critical Social Policy, Vol.37, pp. 155-201, 2012.
  13. E. Y. Cho and J. A. Kim, "The Effect of the Health Control Behavior of the Elderly on the Emotional Happiness," Internatilna Jouranl of Advanced Culture Technology, Vol.6, No.3, pp.69-76, 2018.
  14. Y. J. Shin, T. H. Yoon, M. H. Kim, B. G. Jeong and J. H. Seo, "Health Equity Policy and Practice: Strategic Approach for Alleviation of Health Inequality, " Korea Social Policy Review, Vol, 18, No 4, pp. 41-77, 2011. https://doi.org/10.17000/kspr.18.4.201112.41
  15. M. S. Jung, "Applications of Socio-Economic Position Indicators in Health Inequality Study-A Research Trend and its Implication-," The Korean Journal of Public Health, Vol. 44. No. 2, pp. 133-154, 2007.
  16. H. H. Heo, J. S. Kim, X, C, and H. J. Chung, "The Relationship between Marginalization and Health Inequaulities in and Urban Slum of South Korea," Health and Social Science, Vol. 43, No, 12, pp. 5-32. 2016. https://doi.org/10.21489/hass.2016.12.43.5
  17. O. Kravdal, "Large and Growing Social Inequality in Mortality in Norway: The Combined Importance of Marital Status and Own and Spouse's Education," Population and Developlment Review, Vol, 43, No 4, pp. 645-665, 2017. https://doi.org/10.1111/padr.12096
  18. Y. S. Kim, The Study of the Impact of the Family Type on the Health Promoting Behavior and Physical and Mental Health of Elderly People, Health and Social Welfare Review, Vol. 34, No. 3, pp. 400-429, 2014. https://doi.org/10.15709/hswr.2014.34.3.400
  19. C. Seale, "Media constructions of dying alone: a form of 'bad death', " Social Science & Medicine, Vol.58, No.5, pp. 967-974, 2004. https://doi.org/10.1016/j.socscimed.2003.10.038
  20. C. Bradas, V. Bowden, B. Moldaver and L. C. Mion, "Implementing the 'No One Dies Alone program': Process and lessons learned", Geriatric Nursing, Vol.35, pp. 471-473, 2014. https://doi.org/10.1016/j.gerinurse.2014.10.005
  21. H. N. Kwon, "A Perspective on Research and Approach to Solitary Death of the Elderly : Human Rights," Journal of the Korean Bioethics Association, Vol.15, No.1, pp. 73.83, 2014.
  22. Y. D. Yoo and J. M. Mha, "A Comparative Study of the Reports on the Social Conflict Issues in 7 Nationwide Daily Newspapers: Focused on the Content Analysis of Reports in Conflic in Sejong City, " Studies in Humanities, Vol, 15, No 2, pp. 285-316, 2015.
  23. L. E. Brussel, "Media Coverage of Medical Decision Making at the End of Life: A Belgian Case Study," Death Studies, Vol. 38, pp. 125-135, 2014. https://doi.org/10.1080/07481187.2012.738766
  24. 한국언론재단 카인즈 홈페이지 www.kinds.or.kr