• Journal of Convergence for Information Technology
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• v.10 no.10
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• pp.253-258
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• 2020

This study analyzed, the characteristics of ambulatory care sensitive conditions(ACSCs) in patients visiting emergency departments(EDs) and compared characteristics according to two age groups (adults aged 19-64 years and, elderly people aged ≥65 years). By accessing data from the National Emergency Department Information System(NEDIS) from January 1 to December 31, 2018, we examined the proportions of different ED types and ACSCs, length of stay(LOS) in the ED, LOS hospital, and hospital admission rates. Regarding the types of EDs, we found that the proportion of local emergency medical centers was high(P<0.001). Regarding the rates of different ACSCs, 31.7% of adults were treated for gastroenteritis, a high proportion of the elderly people(48.2%) were diagnosed with and treated for pneumonia(P<0.001). The LOS in the ED was longer in elderly people for all diseases categories, except for congestive heart failure and diabetes(P<0.001). The LOS in the hospital was also significantly longer in elderly people for all ACSCs(P<0.05), and the admission rate was significantly higher in elderly people for all diseases, except for diabetes(P<0.01). Thus, analyzing the ED visits made by patients with ACSCs will need to strengthen the health-care policy to induce treatment centered on outpatient.

• Journal of Digital Convergence
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• v.18 no.5
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• pp.505-512
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• 2020

This study is done to provide basic data on the effective operation of the new policies by examining the satisfaction level of the elderly with dementia visiting dementia care centers located in 25 autonomous districts of S city. Self-administered questionnaires were distributed to 217 elderly with dementia who visited the above dementia care center from July 1 to September 30, 2019. The satisfaction tool is a chart score scale that displays negative-positive expressions at both ends of a straight line. The result shows that satisfaction level is significantly higher in the group with trust in the visiting institutions than in the group with distrust (t=9.74, p<.001), higher in cognitive impairment group than in dementia group (t=0.13, p=.034), and higher in mild depression group than in more severe depression group (t=2.31, p=.022). Satisfaction ratios analyzed by logistic regression shows significant differences in factors like gender, age, education, and walking pattern. In conclusion, it is important to run health support programs that consider user characteristics to improve the satisfaction of newly introduced dementia care centers.

• Journal of Digital Convergence
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• v.10 no.9
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• pp.429-434
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• 2012

This study was performed to examine the relationship between dependence of elderly peritoneal dialysis patients and burden on family caregivers. The subjects for this study were 50 elderly patients on Continuous ambulatory peritoneal dialysis(CAPD) who were registered in a hospital in Seoul and 50 their family caregivers. The data were collected from April 4 to August 15, 2011. The collected data were analyzed by the SPSS WIN 12.0 program. The mean score of dependence was 139.6 which means their experience of high level dependence. The mean score of burden was 84.2 which means their family caregivers experience of high level burden. Positive correlation was found between dependence of elderly peritoneal dialysis patients and burden on their family caregivers (r=.61, p=.000). It is considered that the study emphasizes for the healthcare providers to recognize dependence as the important nursing issue for elderly CAPD patients. And it is necessary to develop an nursing intervention for decreasing dependence of elderly CAPD patients and burden on their family caregivers.

• The Journal of the Korea Contents Association
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• v.20 no.8
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• pp.408-417
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• 2020

The purpose of this study is to verify the effect of the elderly image in the relationship of HYO consciousness and job satisfaction in care worker. In this study, the HYO consciousness of care workers is the consciousness of taking good care of the elderly. The research subjects were selected by 10 long-term care institutions belonging to Seoul and Gyeonggi Province, and a total of 450 nursing care providers were selected for the survey using a questionnaire. The final 429 questionnaire was used for the analysis. The analysis shows that first, HYO consciousness and the elderly image have a defining effect on job satisfaction. Second, HYO consciousness were found to have a positive influence on the elderly image. Finally, the elderly image played a role in the relationship between HYO consciousness and job satisfaction. The government should seek ways to foster a sense of HYO consciousness and a positive image of the elderly by utilizing educational opportunities for care worker in the future.

• Korean Journal of Social Welfare
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• v.66 no.4
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• pp.207-232
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• 2014

This study intended to understand the way loneliness and depression affect psychological and physical health of older adults, and conducted a structural equational modeling of a relationship among loneliness, depression and health status of older adults. A survey was conducted on 329 individuals who were utilizing senior welfare agencies located in Seoul and the surrounding cities. The study examined the effects of loneliness and depression on their health status as well as the role of depression in this process. The data analysis showed a good fit of the structural model and suggested an evidence of depression fully mediating the effect of loneliness on health status. This result indicated that the current focus of services on increasing quantity of social contact among older people may need a paradigm shift towards improving their subjective loneliness and quality of interpersonal relationships.

• Journal of the Korean Society for information Management
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• v.38 no.3
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• pp.199-214
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• 2021

This study was conducted with the aim of identifying the current state and improvements of the public library services for older adult in Korea. According to the online survey of public libraries in urban areas across the country, a total of 172 libraries responded. Research shows that public libraries generally recognize the importance of elderly users, but there are limitations in active efforts. The priority area for library collection and space/facilities was to be strengthened by the expansion of large type and voice books/periodical books, as well as the need to ask librarians for help to find books in high bookshelves. In the case of library services/programs, the areas that need to be strengthened first were analyzed as social participation programs and humanities programs. The librarians in charge of information services expressed their opinions that more specialized services and programs should be planned and subdivided for the elderly generation in order to provide older adults' services unique to other older adults' service institutions.

• Journal of Preventive Medicine and Public Health
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• v.30 no.2 s.57
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• pp.437-461
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• 1997

Because of a significant improvement in the economic situation and development of scientific techniques in Korea during the last 30 years, the life expectancy of the Korean people has lengthened considerably and as a result, the number of the elderly has markedly increased. Such an increase of the number of aged population brought about many social, economic, and medical problems which were never seriously considered before. This study was conducted to assess the trend of medical care utilization and medical expenditure of the elderly. The data of each patient in the study were taken from computer database maintained for administrative purpose by the Korea Medical Insurance Corporation. The study population was 132,670 who were 60 years old or more and registered in Korean Medical Insurance Corporation from 1989 to 1993. The study subjects were predominantly female(56.3%) and 10,000-20,000 Won premium group(50.6%). The following are summaries of findings : The total increase of the number of inpatient cases was 40.5% from 1989 through 1993. The average annual increase was 3.7% in inpatient medical expenditures per case, 4.4% in inpatient medical expenditures per day and 0.08% in length of stay per case from 1989 through 1993. Cataract was the most prevalent disease of 10 leading frequent diseases in all ages from 1989 through 1993. The case mix in 1993 compared to 1989 revealed that cataract and ischemic cerebral disease were increased whereas essential hypertension and pulmonary tuberculosis were decreased . The average annual increase of medical expenditures was 3.8% in general hospitals, 6.3% in hospitals and 2.4% in clinics. From 1989 through 1993, medical expenditures used by high-cost patients accounted for about 14% to 20% of all expenditures for inpatient care, while they represented less than 2.5% of the elderly population. Time series analysis revealed that total medical expenditures and doctor's fee for inpatient will be progressively increased whereas drug expenditures for inpatient will be decreased. And there will be no change in length of stay. Based on the above results, the factors increasing medical cost and utilization should be identified and the method of cost containment for the elderly health care should be developed systematically.

• 한국노년학
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• v.30 no.3
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• pp.855-869
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• 2010

The purpose of this study is to identify how to efficiently integrate long-term care facilities into geriatric hospitals. We conducted a survey on the current operations of facilities and medical services of 2009 of 192 long-term facilities and 168 geriatric hospitals in Korea between October and November. Technical statistics and chi-square test were conducted on the collected data using the SPSS 13.0/Win program. There was a difference between the two facility types in terms of the co-payment levels of the food services. Both types selected the budget deficit as their major management problem. Ease of access and the surrounding environment were critical factors used to select the location of both types of facilities. Facility users benefited from the discounted co-payments of both facility types. However, facility users wanted more frequent visits and support from their family members during their stay at the facilities. It was discovered that users in the long-term care facilities stayed longer, that is until they died, compared to their counterparts in geriatric hospitals. The two types of facilities provided their services totally separately to users. Users of the two types of facilities are poorly supported and cared for by their families. This study suggests that setting reasonable service fees, paying caretakers, introducing an integrated facility, strengthening facility assessment standards, introducing the family doctor system, and introducing the handling of long-term care insurance by geriatric hospitals would allow the integration between long- term care facilities and geriatric hospitals to be beneficial.

• Journal of the Korea Society of Computer and Information
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• v.20 no.6
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• pp.141-150
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• 2015

The aim of this study is to analysis the efficiency of the Long-term Care facilities as well as make counterproposals to conduct of efficient management for the Long-term Care facilities. The data of professionals states of Long-term Care facilities and wages state of Long-term Care facilities from regions in 2014. To analyse the data, the number of professionals and facilities are an input variable whereas the size of number and wages are the output variables. The results showed as below. First, according to the CCR test, Kangwon, Gyeonggi, GyeongNam, Deajeon, Seoul, Ulsan, Incheon, Jeju, and Chong Buk showed significance, but Daegu and Busan showed no significance. Second, the BCC result showed that Kangwon, Gyeonggi, GyeongNam, Deajeon, Seoul, Ulsan, Incheon, Jeju, and Chong Buk has efficiency whereas Daegu and Busan has no efficiency. The result of excess efficieincy analysis confirmed 133.5% in Jeju as the highest area, 37.54% of the highest efficiency of the care provider, and 28.61% of imporvable possibility with doctor's number. The realization of increasing numbers, the ensure of the doctor's number, and consolidating of the care provider's the espertise are required for the future.

• The Journal of the Korea Contents Association
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• v.18 no.8
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• pp.187-196
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• 2018

This study seeks to analyze the effects of senior citizens' perception of sex on the life satisfaction in an empirical manner, and to present practical measures to improve senior citizens' perception of sex and life satisfaction based on the analysis results. To realize these research purposes, survey was administered targeting senior citizens who are at least 65 years old who reside at the Cities K and S in do-Jeollanam Province. As a result, 168 copies excluding unreliable answers were used for the final analysis. Collected data was subjected to SPSS 20.0 analysis, and the factor analysis, reliability analysis, frequency analysis, Pearson correlation analysis, t/F-test and regression analysis were carried out. Based on these analysis results, the following programs were suggested; development of the senior citizen sex education program to provide knowledge and information on sex, cultivation of the experts and establishment of counseling institutions that handle senior citizens' sex issue exclusively and execution of the social training and PR targeting the general public.