Browse > Article
http://dx.doi.org/10.5392/JKCA.2021.21.06.404

Functional Health Status and Medical Service Utilization Pattern of General and Vulnerable Older People in Community  

Oh, Doonam (호서대학교 간호학과)
Jeong, Hyoseon (경기도 공공보건의료지원단)
Hwang, Jeonghae (한양사이버대학교 보건행정학과)
Publication Information
The Journal of the Korea Contents Association / v.21, no.6, 2021 , pp. 404-414 More about this Journal
Abstract
This study was to investigate the differences of functional health status and medical service experience and needs between general and vulnerable older people in community. This study is a cross-sectional descriptive research. The data obtained through direct visit surveys from November to December 2016. The target population of the study was older people over 65 years old, the final study subjects were 444 older people residing in one district of Seoul. The chi-square test was conducted to confirm the difference in their functional health areas and medical service experiences, and the necessity of medical service utilization in accordance to the social class. In the experience of abnormality in functional health, the vulnerable older people had higher experience in cognitive function, nutrition, hydration, pain, and falling than the general older people. The rate of experience of using medical service to solve the cognitive function problem for general older people was 31.9%, higher than that of the vulnerable older people. In contrast, the medical service utilization needs of the vulnerable older people in the pain management category was significantly higher than that of the general older people. In setting policy of public medical service programs for general and vulnerable older people in community may be differentially developed based on this study. In order to improve the medical accessibility of the vulnerable older people, public medical institutions should be actively supported to overcome obstacles to medical use due to economic barriers.
Keywords
Health; Functional Health State; Medical Service Experience; Medical Service Needs; Aged;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Y. Ko and I. Lee, "Factors Affecting The Self-Rated Health of Vulnerable Older People," Journal of Korean Academy of Community Health Nursing, Vol.20, No.1, pp.31-40, 2009.
2 J. Oh, "Global Health Security Agenda," Healthcare Policy Forum, Vol.13, No.3, pp.109-114, 2015.
3 J. E. Morley, M. T. Haren, Y. Rollanf, and M. Kim, "Frailty," Medical Clinics of North America, Vol.90, pp.837-847, 2006.   DOI
4 J. Choi, H. Kim, and M. Park, "Factors Affecting The Depression and Quality of Life Vulnerable Older People Receiving Fitting Home Visiting Health Service," Journal of Korean Academic Health Welfare and Older People, Vol.2, pp. 111-131, 2010.
5 http://www.nhis.or.kr/bbs7/boards/B0160/19799, 2018.02.26.
6 M. Linden, A. L. Horgas, R. Gilberg, and E. Steinhagen-Thiessen, "Predicting Health Care Utilization in the Very Old, The Role of Physical Health, Mental Health, Attitudinal and Social Factors," Journal of Aging and Health, Vol.9, No.1, pp.3-27, 1997.   DOI
7 M. Chung, "Welfare State and Social Economy: What Contribution Can The Social Economy Make to The Future of A Welfare State?," Monthly Welfare Trend, Vol.232, pp.5-13, 2018.
8 D. Kim, H. Yoon, J. Lee, and H, Chae, "Measurement of Inequalities in Health Care Utilization in Korea," Health and Social Welfare Review, Vol.34, No.3, pp.33-58, 2014.   DOI
9 E. Lee and J. Kim, " Economic Effect of Home Health Care Services for Community-dwelling Vulnerable Populations," Journal of Korean Academy of Nursing, Vol.46, No.4, pp.562-571, 2016.   DOI
10 L. P. Fried, L. Ferrucci, J Darer, J. D. Williamson, and G. Anderson, "Untangling the Concepts of Disability, Frailty, and Comorbidity: Implications for Improved Targeting and Care," Journals of Gerontology - Series A Biological Sciences and Medical Sciences, Vol.59, pp.255-263, 2004.
11 D. SW, E. Kang, Y. Lee, J. Kim, I. Choi, and C. Yang, Role Establishment and Construction of Continuum System Between Formal and Informal Providers in Older People Care Services, Korea Institute for Health and Social Affair, 2015.
12 Y. Kim, S. Han, J. Lee, J. Choi, J. Park, and K. Lee, et al, "48/6 Model of Care for Senior Clinical Care Management," Korean Journal of Clinical Geriatrics, Vol.17, No.1, pp.7-15, 2016.   DOI
13 K. Choi, U. Park, and I, Lee, "Factors Influencing The Fear of Falling According to Gender in Frail Older People," The Korean Journal of Gerontology, Vol.31, pp.539-515, 2011.
14 S. Kang, "The Trajectory of Outpatient Medical Service Use and Its Predictors : Focusing on Age Variations," Korean Journal of Society Welfare, Vol.62, No.3, pp.83-108, 2010.
15 Y. Kim and S. Jang, "The Study for Improvement of Frailty and Depression in The Health Vulnerable Older People of Home Visiting Health Care Service," Journal of the Korean Geriatrics Society, Vol.20, No.2, pp.85-93, 2016.   DOI
16 R. M. Andersen, "Revisiting the Behavioral Model and Access to Medical Care: Does It Matter?," Journal of Health and Social Behavior, Vol.36, No.1, pp.1-10, 1995.   DOI
17 http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=363362, 2018.02.26.
18 M. Szebehely and G. B. Trydegard, "Home Care for Older People in Sweden: A Universal Model in Transition," Vol.20, No.3, pp.300-309, 2012, https://doi.org/10.1111/j.1365-2524.2011.01046.x   DOI
19 I. Kang, C. Park, and Y. Lee, "Role of Healthcare in Korean Long-term Care Insurance," Journal of Korean Medical Science, Vol.27, pp.41-46, 2012.
20 J. Kim, T. Lee, J. Lee, S. Shin, and E. Lee, "A Cost Benefit Analysis of Individual Home Visiting Health Care," Journal of Korean Academy of Community Health Nursing, Vol.21, No.3, pp.362-373, 2010.   DOI
21 H. Lee and Y. Yom, "Age Difference in The Trajectory of Medical Service Utilization, Medical Expenses and Health Outcome among The Older People: A Latent Growth Model Analysis," Health and Social Welfare Review, Vol.37, No.2, pp.287-324, 2017.   DOI
22 H. Jeon and S. Kang, "Age Differences in The Predictors of Medical Service Use between Young-Old and Old-Old: Implications For Medical Service in Aging Society," Health and Social Welfare Review, Vol.32, No.1, pp.28-57, 2012.   DOI