• Journal of Digital Convergence
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• v.10 no.3
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• pp.219-225
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• 2012

This study is analyzed the implementation of medical aid for patients over 65 years of age who are among the discharged from hospitals with the capacity of over 100 beds. I have analyzed it with the data from an in-depth study of injury surveillance of discharged patients from hospitals done in a national project in 2004. After analyzing the results of the data from the beginning of this national project to the data collected in 2008, I could get the results that the rate of discharged patients over 65 years of age increased every year. Among them, the rate of discharged women was higher than that of the men, and the rate of deaths while at the hospital for patients over 65 years of age was higher than that of patients less than 65 years of age. The rate of operations done on patients over 65 was lower than that of patients under 65 years of age. The results of a diagnosis of popular symptoms showed that the rate of the diagnosis of cerebral infraction and structure of the heart at the circulatory organ was higher. In addition, the rate of the diagnosis of lung cancer, pneumonia, and chronic obstructive lung disease was higher, as well as the rates of gastric cancer, diabetes, liver cancer, and colorectal cancer. The results showed that the operation of the nerve system or cardiovascular system were higher. Therefore, according to this result, we should prioritize and allocate resources to the elderly people when setting up a management policy. And also, we should promote healthcare for elderly people after considering the characteristics of the implementation of medical aid in preparation of a super-aged society.

• Proceedings of the Korea Contents Association Conference
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• 2016.05a
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• pp.175-176
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• 2016

최근 빅 데이터 및 분석기술을 이용한 분야가 다양화되고 있다. 하지만 정작 사회복지분야로의 적용은 매우 미약한 것이 현실이다. 사회복지분야에서의 빅 데이터를 이용한 각종 개인화 복지 서비스의 제공은 경제적인 부분뿐만 아니라 서비스를 제공하는 기관이나 서비스를 제공받는 이들에게 모두 상호 유기적인 관계를 유지할 수 있다. 특히 사회 조직으로부터 은퇴하거나 떨어져서 개인적인 삶을 영위해야 하는 노인들에게 있어 그들의 라이프 로그와 같은 빅 데이터를 분석하여 복합적이며 융합적인 복지서비스를 제공하는 기법은 매우 효율적이라 할 수 있다. 이에 본 논문에서는 노인들의 빅 데이터를 이용한 시간의 흐름별 옴니 복지서비스를 제공하도록 그들의 환경을 분석하는 시스템을 제안한다.

• The Journal of the Korea Contents Association
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• v.11 no.5
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• pp.270-279
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• 2011

This study to analyze differences of cancer patient's health utilizations in medical aid program and national health insurance by analysing health insurance claims data, and identify effects of health care systems. The majors results of the research were as follows. First, cancer patients in medical aid program more used total medical expenditures than in national health insurance mostly by many outpatient visits and long term hospitalization. Second, results of multiple regression, cancer patients in medical aid program more used total expenditures and inpatient expenditures. But, outpatient expenditures weren't different, cancer patients in medical aid program more visited medical institutions and hospitalized long term periods than in national health insurance. Therefore, it is too early to conclude that moral hazard is in health utilizations of medical aid program, because cancer patients in medical aid program many use in benefits for many nonbenefit burdens.

• The Journal of the Korea Contents Association
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• v.21 no.6
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• pp.404-414
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• 2021

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.

• The Journal of the Korea Contents Association
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• v.20 no.4
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• pp.244-253
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• 2020

This study aimed to assess the factors affecting the level of happiness and a sense of happiness among senior men and women, including sociodemographic characteristics, health behavior, subjective health level, and healthcare utilization, using the 2017 Community Health Survey (CHS). A total of 67,835 older adults were enrolled for the study, 27,979 males and 39,856 females. The results showed that education level and total household income affected the happiness in female elderly, while having a spouse increased happiness in male elderly. In addition, both male elderly and female felt a great of happiness when they had good health behaviors, perceived themselves to be in good health, and had no restrictions with healthcare utilization. Subjective health status and healthcare utilization seem to have a substantial impact on happiness because older adulthood is a period marked with increased physical vulnerability compared to other age groups due to diminished physiological functions. Based on these results, the government should expand subsidies for welfare for the aged to provide lifelong education opportunities and the existing elderly education and programs in health-related organizations should reflect the characteristics of the elderly. Furthermore, social service systems and programs related to the elderly should be re-evaluated so as to develop services and programs tailored to the elderly to promote their happiness more effectively.

• 한국노년학
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• v.38 no.2
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• pp.351-364
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• 2018

The purpose of this study is to learn about the decision factors affecting utilization of elderly welfare center of the elderly living in Gimpo city. The reason of the study is that the elderly welfare center as a provider of general welfare services could not only thinking about the state policy but also need to consider about the inherent role and function of the elderly. Especially for these elders living in rural areas, although the number of elderly welfare centers of the whole country has greatly increased in last 10 years, the effect and function of the facility are almost the same and they are still lack of leisure activities. This issue become a serious problem nowadays. For the above reasons, this article conducts a social survey of 360 elderly people over the age of 65 who lives in the Gimpo city which is a rural-urban type city. The research method is to examine the relationship between the predisposing factors, enabling factors and need factors of Andersen's behavior model with binary logistic regression analysis and the decision tree analysis. The result of binary logistic regression shows the most of factors of Andersen's model is significant. The factors of age, gender, education level in predisposing factors; monthly income in enabling factors and the reserve for old life, the preparation of economic activity for old life in need factors are significant. Then the result of decision tree analysis shows the interaction between factors; when the education level in predisposing factors is higher, the possibility of using of elderly welfare center becomes bigger. Also as the level of healthy promoting preparation in the need factors gets lower, the possibility of using of elderly welfare center still becomes bigger. Although differences were found in the interpretation of the results of regression analysis and decision tree analysis, the results of this study can still provide support for the necessity of elderly welfare centers providing integrated welfare services.

• Journal of the Korean Institute of Intelligent Systems
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• v.25 no.5
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• pp.419-424
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• 2015

The entry of an aging society require a safety of senior citizens against emergency. However, a home and a residence of senior citizens should not consider a characteristic of safety and the unfortunate accidents could happen in the house or the residence. Especially if the elders live alone then they have a help function using a call button in a bathroom or a closed area. But, a sliding or an overbalance in a bathroom or a closed area of a home may happen suddenly how can require a help in real time. That is a very serious accident to senior citizens. In this paper, we developed the context-aware system using the various sensors for collecting the data which is an activities of daily living of elders and we designed the recognition method using case-based reasoning for detecting the anomaly and the emergency context in the bathroom or the closed area in house. After that, if the anomaly or the emergency are detected then it call to a family or a relative or an administration in real-time.

• Journal of agricultural medicine and community health
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• v.27 no.2
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• pp.127-136
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• 2002

This study was taken to provide data for the approaches of day care service for the elderly in community health practitioner's post through the study on the utilization rate, characteristics and health promotion that the elderly used the day care services. Data collection used three records that case management in take sheet, dementia check list and ADL record during the one year, from June 21, 2001 to June 30, 2002. During the one year, the elderly used day care services were 119 persons that 26.9% of the total elderly population, 1.5 time per used the elderly, and female elderly(88.9%) more used than male elderly. 39.5%of the elderly user have chronic diseases that was arthritis and hypertension and etc. 41.2% of the elderly users have dementia state that score was $17.39{\pm}7.17$(handicapped elderly), $18.43{\pm}7.36$(healthy elderly), but statistically not significant PADL score was $2.18{\pm}0.55$(handicapped elderly), $2.78{\pm}0.30$(healthy elderly), IADL score was $1.78{\pm}0.51$(handicapped elderly), $2.47{\pm}0.60$(healthy elderly) that were statistically significant. One year later, PADL and IADL of the elderly users were improved that statistically significant(p=0.01). The elderly users were wanted rehabilitation service(22.2%), talking service(20.6%), bath service(12.7%), food service(9.5%) of day care services in CHP's post. We are recommended that day care service for the elderly in CHP's post was very useful and contributed to promote ADL functions.

• 한국노년학
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• v.28 no.4
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• pp.773-784
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• 2008

This paper is to suggest policy issues to be done in the future health policy for the elderly, analyzing contents of results suggested in academic papers published in Journal of the Korean Gerontological Society. Number of Papers published in the Journal is 61, occupying most of papers related with chronic disease, medical expenditures and health delivery system except dental and psychiatric health. Method used to be analyzed is mostly random sampling among community inhabitants or hospital patients. Policy issues are as follows in case of being based in the above analysis results. Firstly, it is necessary that the development of health promotion specialized for the elderly be developed and activated. Secondly, it is necessary that the primary health care system specialized for the elderly be constructed. Thirdly, it is necessary that the subacute care system specialized for the elderly be constructed after acute care services. Finally, it is necessary that the health care system specialized for the elderly in need of long-term care be constructed also.

• Journal of Digital Convergence
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• v.18 no.5
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• pp.325-336
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• 2020

This study identified the perception and coping ability of an emergency involving the elderly for facility directors in charge of services in long-term care facilities, and used it as basic data for developing educational programs and policy data for improving the ability of emergency facilities. The subjects were 192 directors of elderly care facilities and home care centers. Data were collected from March 15 to April 20, 2019 and analyzed using the SPSS WIN 25.0 program. Data analysis was performed using t-test, One-way ANOVA, Pearson's correlation coefficient, Scheffe, and multiple linear regression. The results revealed 97.4% of emergency experience, 6.16 points of emergency perception, and 62% of correct answers, and coping ability of an emergency was 69.61 ± 13.537. The negative correlation between emergency experience and ability to cope with emergencies(r=-.202, p= .005) was the long-term care facility type(β = 8.253, p<.001). Overall, an education program considering the type of long-term care facility is needed when applying emergency education for facility directors.