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http://dx.doi.org/10.5807/kjohn.2020.29.4.247

A Challenge in Occupational Health Nursing among Elderly Workers with Multimorbidity  

Seo, Sukyong (College of Nursing, Eulji University)
Choi, Seongju (College of Nursing, Eulji University)
Yeon, Seunguk (Department of Information Security, Seoul Women's University)
Publication Information
Korean Journal of Occupational Health Nursing / v.29, no.4, 2020 , pp. 247-253 More about this Journal
Abstract
Purpose: Multimorbidity is defined as the coexistence of multiple chronic diseases within a person. This study explores the burden of multimorbidity in the working population, focusing on the recent increase in elderly workers in Korea. Methods: We summarized past empirical or theoretical literature. Results: Previous literature shows that about 80% of the elderly are multimorbid, and more than half of people with chronic disease have two or more chronic conditions. Multimorbidity is a common phenomenon in the elderly working population. However, little is known about its prevalence, the factors related to its unequal distribution among workers, and its effects on health outcome measures such as mortality, medical use, and employment decisions. Conclusion: This study asks researchers to focus on a subgroup analysis employing data on the working population. Health professionals need to develop clinical guidelines for multimorbid patients. As multimorbidity is a major health concern in the working elderly, prevention and control should be promoted in the workplace.
Keywords
Multimorbidity; Nursing; Occupational health; Elderly worker;
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1 Anderson, G. (2013). Chronic care: making the case for ongoing care. Princeton, NJ: Robert Wood Johnson Foundation.
2 Barnett, K., Mercer, S. W., Norbury, M., Watt, G., Wyke, S., & Guthrie, B. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: A crosssectional study. The Lancet, 380(9836), 37-43.   DOI
3 Boult, C., Green, A. F., Boult, L. B., Pacala, J. T., Snyder, C., & Leff, B. (2009). Successful models of comprehensive care for older adults with chronic conditions: Evidence for the Institute of Medicine's "Retooling for an Aging America" Report: [see editorial comments by Dr. David B. Reuben, pp. 2348-2349]. Journal of the American Geriatrics Society, 57(12), 2328-2337.   DOI
4 Sakib, M. N., Shooshtari, S., John, P. S., & Menec, V. (2019). The prevalence of multimorbidity and associations with lifestyle factors among middle-aged Canadians: an analysis of Canadian Longitudinal Study on Aging data. BMC Public Health, 19(1), 243.   DOI
5 Sargent, P., Pickard, S., Sheaff, R., & Boaden, R. (2007). Patient and carer perceptions of case management for long-term conditions. Health & Social Care in the Community, 15(6), 511-519.   DOI
6 Seo, S. (2019). Multimorbidity Development in Working People. International Journal of Environmental Research and Public Health, 16(23), 4749.   DOI
7 Singer, L., Green, M., Rowe, F., Ben-Shlomo, Y., & Morrissey, K. (2019). Social determinants of multimorbidity and multiple functional limitations among the ageing population of England, 2002-2015. SSM-Population Health, 8, 100413.   DOI
8 Smith, P., Chen, C., Mustard, C., Bielecky, A., Beaton, D., & Ibrahim, S. (2014). Examining the relationship between chronic conditions, multi-morbidity and labour market participation in Canada: 2000-2005. Ageing and Society, 34(10), 1730.   DOI
9 Statistics Korea. (2020). 2020 Elderly Statistics. Retrived from https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=385322(Oct 10, 2020).
10 Choi, E., & Kim, J. (2017). The association between work-life balance and health status among Korean workers. Work, 58(4), 509-517.   DOI
11 Contoyannis, P., & Jones, A. M. (2004). Socio-economic status, health and lifestyle. Journal of Health Economics, 23(5), 965-995.   DOI
12 Fortin, M., Lapointe, L., Hudon, C., Vanasse, A., Ntetu, A. L., & Maltais, D. (2004). Multimorbidity and quality of life in primary care: a systematic review. Health and Quality of Life Outcomes, 2(1), 51.   DOI
13 Van Spall, H. G., Toren, A., Kiss, A., & Fowler, R. A. (2007). Eligibility criteria of randomized controlled trials published in highimpact general medical journals: A systematic sampling review. JAMA, 297(11), 1233-1240.   DOI
14 Sylvia, M. L., Griswold, M., Dunbar, L., Boyd, C. M., Park, M., & Boult, C. (2008). Guided care: cost and utilization outcomes in a pilot study. Disease Management, 11(1), 29-36.   DOI
15 Terner, M., Reason, B., McKeag, A. M., Tipper, B., & Webster, G. (2011). Chronic conditions more than age drive health system use in Canadian seniors. Healthc Q, 14(3), 19-22.   DOI
16 Tetzlaff, J., Epping, J., Sperlich, S., Eberhard, S., Stahmeyer, J. T., & Geyer, S. (2018). Widening inequalities in multimorbidity? Time trends among the working population between 2005 and 2015 based on German health insurance data. International Journal for Equity in Health, 17(1), 103.   DOI
17 van Zon, S. K., Reijneveld, S. A., Galaurchi, A., Mendes de Leon, C. F., Almansa, J., & Bultmann, U. (2020). Multimorbidity and the transition out of full-time paid employment: a longitudinal analysis of the health and retirement study. The Journals of Gerontology: Series B, 75(3), 705-715.   DOI
18 Waldman, D. A., & Aviolo, B. J. (1986). A meta-analysis of age differences in job performance. Journal of Applied Psychology, 71, 33-38.   DOI
19 Wolff, J. L., Starfield, B., & Anderson, G. (2002). Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Archives of Internal Medicine, 162(20), 2269-2276.   DOI
20 Yancik, R., Ershler, W., Satariano, W., Hazzard, W., Cohen, H. J., & Ferrucci, L. (2007). Report of the national institute on aging task force on comorbidity. The Journals of Gerontology Series A:Biological Sciences and Medical Sciences, 62(3), 275-280.   DOI
21 Kim, S., & Park, M. (2015). Determinants of part-time work and preparation for later life of older women. Journal of the Korea Creative Content Association, 15(1), 185-196.
22 Guthrie, B., Wyke, S., Gunn, J., van den Akker, J., & Mercer, S. (2011). Multimorbidity: the impact on health systems and their development. Paris, France: Organisation for Economic Cooperation and Development (OECD). https://doi.org/10.1787/9789264122314-9-en   DOI
23 Jung, Y. (2013). Analysis of multiple chronic diseases among the older personselderly, Health & Welfare: Issue & Focus, 26(196), 1-8.
24 Kim, M., & Kim, H. (2018). Elderly (60+) and productivity: Factors influencing in performance evaluation of elderly employees. Journal of the Korea Creative Content Association, 18(11), 571-580.
25 Latif, E. (2009). The impact of diabetes on employment in Canada. Health Economics, 18(5), 577-589.   DOI
26 Park, K. (2011). The study on the relationship between the perceptive factors and employment of older workers. Vocational Competency Development Study, 14(3), 181-206.
27 Murray, C. J., Vos, T., Lozano, R., Naghavi, M., Flaxman, A. D., Michaud, C., et al. (2012). Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet, 380, 2197-2223. https://doi.org/10.1016/S0140-6736(12)61689-4   DOI
28 OECD. (2011). Health reform: meeting the challenge of ageing and multiple morbidities. OECD Publications Centre.
29 Park, B., Ock, M., Lee, H. A., Lee, S., Han, H., Jo, M. W., et al. (2018). Multimorbidity and health-related quality of life in Koreans aged 50 or older using KNHANES 2013-2014. Health and Quality of Life Outcomes, 16(1), 186.   DOI