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Factors influencing the community care satisfaction of the urban elderly focusing on the outreach community health service in Seoul

서울시 찾아가는 동주민센터 방문건강관리 사업의 만족도 영향요인

  • Shon, Changwoo (Dept. of Urban Society Research, The Seoul Institute) ;
  • Seo, Daram (Dept. of Urban Society Research, The Seoul Institute) ;
  • Hwang, Jongnam (Division of Social Welfare & Health Administration, Wonkwang University)
  • 손창우 (서울연구원 도시사회연구실) ;
  • 서다람 (서울연구원 도시사회연구실) ;
  • 황종남 (원광대학교 복지.보건학부)
  • Received : 2021.06.23
  • Accepted : 2021.08.17
  • Published : 2021.08.31

Abstract

Purpose: This study aimed at identifying the factors affecting the service satisfaction of urban elderly, focusing on the outreach community health service in Seoul, and suggesting policy directions for the successful implementation of community care. Method: Individuals aged 65 and 70 who used the outreach community health service from July 2017 to June 2019 were eligible for the survey. A total of 2,028 people were sampled using a proportional allocation method for each autonomous district in the survey which covered 25 districts. A multi-level logistic regression analysis was conducted, taking into account the individual's socioeconomic level, health status, type of service provided, and the healthcare-related environment and service provision period of the autonomous district. Result: The results revealed that the health status of the urban elderly, the type of services provided (health screening, linkage to community health center and clinic/hospital, medical checkup results counseling, frailty evaluation), and personal experience of the service were the major factors associated with the satisfaction with the outreach health services. Conclusion: The development of customized health services based on the close relationship between visiting nurses and the elderly may be considered to promote a sustainable community health care model.

Keywords

Acknowledgement

이 연구는 '서울시 찾아가는 동주민센터 2기 발전을 위한 성과관리 학술용역'을 통하여 서울시의 연구비 지원을 받아 수행하였음을 밝힙니다.

References

  1. Aday, L. A., & Andersen, R. (1974). A framework for the study of access to medical care. Health Services Research, 9(3), 208.
  2. Berglund, A. L. (2007). Satisfaction with caring and living conditions in nursing homes: Views of elderly persons, next of kin and staff members. International Journal of Nursing Practice, 13(1), 46-51 https://doi.org/10.1111/j.1440-172X.2006.00602.x
  3. Cho, M., Park, D. S., & Choi, Y. W., (2013). Health status of the rural elderly and policy issues (Report No. 699). Seoul: Korea Rural Economic Institute.
  4. Choi, H. J., Kim, S. H., Lee, J. H., Lee, A. Y., Park, G. W., Lee, E. A., Choi, S. H., Na, D., & Jeong, J. H. (2018). National responsibility policy for dementia care: current and future. Journal of the Korean Neurological Association, 36(3), 152-158. https://doi.org/10.17340/jkna.2018.3.3
  5. Choi, Y. H. (2010). Satisfaction of care service of vulnerable elderly receiving home visiting health service. Journal of Kyungpook Nursing Science. 15(1), 65-78.
  6. Curtis, M. P., Sales, A. E., Sullivan, J. H., Gray, S. L., & Hedrick, S. C. (2005). Satisfaction with care among community residential care residents. Journal of Aging and Health, 17(1), 3-27. https://doi.org/10.1177/0898264304268590
  7. Heo, J. H., Yoon, N. H., Hwang, S. E., & Hwang, J. N. (2019). Health impact evaluation of the 1st year outreach community centers initiative in Seoul: focusing on visiting health services for the elderly. Health and Social Welfare Review, 39(2), 103-130. http://dx.doi.org/10.15709/hswr.2019.39.2.103
  8. Jung, H. S., & Choi, E. H. (2017). A qualitative research on the characterization of visiting healthcare in public health centers - identification of characteristics, service process and recipient change -. Korean Journal of Health Education and Promotion, 34(5), 107-119. https://doi.org/10.14367/kjhep.2017.34.5.107
  9. Kang, J. H., Kim, C. W., & Seo, N. K. (2017). Correlation of unmet healthcare needs and employment status for a population over 65 years of age. Journal of the Korean Gerontological Society, 37(2), 281-291.
  10. Kang, Y. S., Ha, Y. M., & Eun, Y. (2011). Customized home visiting nurses' experiences in telephone visiting. Journal of Korean Academy Community Health Nursing, 22(3), 223-233. https://doi.org/10.12799/jkachn.2011.22.3.223
  11. Korea Disease Control Agency. (2020). Korean Community Health Survey (KCHS) statistic and information report. Osong: Korea Disease Control and Prevention Agency
  12. Kim, D., H. (2020). Geospatial accessibility and regional medical use: focused on the neighborhood unit. HIRA Policy Brief, 14(5), 45-57.
  13. Kim, H. S. (2021). Building a social safety net without risk of suicide. Seoul: Seoul Suicide Prevention Center.
  14. Kim, J. H., & Kim, Y. J. (2020). Survey on the welfare and living conditions of the elderly in Seoul(Report No. 2020-54). Seoul: Seoul Welfare Foundation.
  15. Kim, M. J., Song, E. J. & Shon, C. W. (2020). A study on the factors affecting turnover intention of private hospital nurses into community health nurses: Focusing on visiting nurses of the outreach community centers in Seoul. Seoul Studies, 21(1), 59-73.
  16. Korea Statistical Information System.(2019). Estimates of future population: 2017~2047. Daejeon: Statistics Korea.
  17. Lee, C. H., Lim, H. S., Kim, Y. N., Yoon, S. J., Park, Y. S., Kim, S. A., Park, E. C., & Kang, J. G. (2017). Analysis of new patient's willingness to pay additional costs for securing satisfactory consultation time. Health Policy and Management, 27(1), 39-46. https://doi.org/10.4332/KJHPA.2017.27.1.39
  18. Lee, G., Yang, S. J., & Woo, E..(2018). Past, present, and future of home visiting healthcare services based on public health centers in Korea. Journal of Korean Public Health Nursing, 32(1), 5-18. https://doi.org/10.5932/JKPHN.2018.32.1.5
  19. Lee, J. Y., Jang, I. H., Shon, C. W., An, H. C., & Son, J. Y. (2019). Performance evaluation of Seoul's outreach community services 4th stage. Seoul: The Seoul Institute.
  20. Park, E. J., & Jung, Y. (2020). The association of medical service and medication use information literacy with multi-morbidity. Health and Social Welfare Review, 40(2), 222-243. https://doi.org/10.15709/HSWR.2020.40.2.222
  21. Park, J. E., Kim, C., & Kwon, Y. (2010). Elders health status, quality of life, and satisfaction with customized home visiting health service depending on connection to volunteerism. Journal of Korean Academy of Community Health Nursing. 21(4), 448-457. https://doi.org/10.12799/jkachn.2010.21.4.448
  22. Park, J. H., & Hwang, H. Y. (2017). Predictors of turnover intention among nurses in small and medium-sized hospitals. Journal of Korean Academy of Nursing Administration, 23(5), 471. https://doi.org/10.11111/jkana.2017.23.5.471
  23. Park, K. S., Kim, J. D., & Jeong, H. J. (2012, October). A study on the satisfaction and affecting factors of the health care system. Paper presented at the meeting of the Social Policy Alliance Academic Conference. Seoul.
  24. Park, Y. S., Lee, H. Y., & Kwon, Y. H. (2011). The relationship of functional health status, satisfaction of customized home visiting health service, and quality of life in vulnerable elderly. Journal of the Korea Academia-Industrial Cooperation Society, 12(11), 5071-5078. https://doi.org/10.5762/KAIS.2011.12.11.5071
  25. Seo, D. R., & Shon, C. W. (2021). Factors influencing satisfaction on home visiting health care service of the elderly based on the degree of chronic diseases. Journal of the Korea Gerontological Society, 41(2), 271-284 . https://doi.org/10.31888/jkgs.2021.41.2.271
  26. Shon, C. W., Kim, G. S., Kim, Y. S., Kim, J. A., & Lee, E. J. (2019-a). Way to strengthen community service for the health promotion of the elderly in urban areas(Report No. 2018-CR-18). Seoul: SeTTA(Seoul Think Tank Alliance).
  27. Shon, C. W. & Kim, J. A. (2019-b). Evaluation and challenges of Seoul public health activities. The Seoul Institute Policy Report (No. 293). Seoul: The Seoul Institute.
  28. Shon, C. W., Lee, S. J., & Hwang, J. N. (2019-c). Understanding factors associated with unmet need for outreach community health service among older adults in Seoul. Journal of the Korea Gerontological Society, 39(2), 213-229. https://doi.org/10.31888/jkgs.2019.39.2.213
  29. Won, J. S., & Kim, K. H. (2008). Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. Journal of Korean Academy of Nursing, 38(1), 1-10. https://doi.org/10.4040/jkan.2008.38.1.1
  30. Yang, S. J, Han, Y. R., Ham, O. K., Lee, G., Kim, S. H., Ha, J. Y. (2021) The development of client-centered and integrated home nursing care model in rural areas. Journal of Korean Public Health Nursing, 35(1), 5-18. https://doi.org/10.5932/JKPHN.2021.35.1.5