• Title/Summary/Keyword: 노인포괄평가

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Developing a Comprehensive Geriatric Assessment Package for Successful Aging (성공노화를 위한 포괄적 노인평가 패키지 개발)

  • Kim, Seon-Ho;Oh, Doo-Nam
    • The Journal of the Korea Contents Association
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    • v.12 no.9
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    • pp.257-269
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    • 2012
  • This is a methodological study designed to develop a comprehensive geriatric assessment package for successful aging of the elderly in various health condition. Assessment items and tools were primarily selected and categorized into 9 domains through the review of existing geriatric assessment tools, which have been used in the clinic and community settings, and the investigation of related articles. We have obtained professional advice from three experts and conducted a preliminary survey (n=15). Based on findings, the final version of comprehensive geriatric assessment package were devised. It was constructed of 29 assessment items in 6 domains of basic, psychologic function, physical function, life style, subjective health state, and environment. It also contained concrete implementation guide of each tool.

Comprehensive Geriatric Assessment for Community Living Elderly in a Rural Area (일부 농촌지역 거주 노인들에 대한 포괄적 노인평가)

  • Rhee, Jung-Ae;Shin, Hee-Young;Chung, Eun-Kyung;Shin, Jun-Ho
    • Journal of agricultural medicine and community health
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    • v.27 no.1
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    • pp.21-31
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    • 2002
  • The aim of this study was to analyse and conduct the comprehensive geriatric assessment for the elderly in rural area. The subjects were 388 older people aged 65 years or older living in the community. Data for comprehensive assessment such as physical, mental, functional, social and environmental conditions were collected from January to February, 2001 through a person-to-person interview. Of the total 388 olders, 169(43.6%) were men and 219(56.4%) were women. Mean ages of men and women were $73.5{\pm}6.4$ and $74.0{\pm}6.2$ years respectively. Three common diseases of the elderly were arthralgia(51.6%), chronic back pain(33.2%) and hypertension(18.6%), and higher in women than in men. Impairment rate of vision, hearing and bowel or bladder control was 59.0%, 20.1%, and 28.4% respectively. But that of lover extremities 3.4%. In terms of cognitive function, short term memory loss was found in 33.7% of males and 44.7% of females. The percentage of fully independent in the six ADL items was 72.2% in men and 58.9% in women. In the social supportive system, 49.5% of the elderly were living with spouse, and 22.9% living alone, 26.3% having care giver. These results will provide basic data for the development of community-based health program, which gives appropriate health service for the elderly living in the community.

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Evaluating the Efficacy of Income Security System of Korea (한국 소득보장제도군의 효과성 평가)

  • Kang, Shin-Wook
    • 한국사회정책
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    • v.24 no.1
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    • pp.213-237
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    • 2017
  • It is essential in social policy evaluation to examine how effectively they protect people from social risks. The aim of this study is to evaluate the effectiveness of five income security programs of Korea in coping with poverty, using KoWEPs data. We analyse the coverage and adequacy of these programs, joint as well as individual, for each sub-groups. As a result, it was found that 35% of the poor get none of the benefits. The coverage and adequacy for the aged is rather high. However, for the working age people, the unemployed in particular, are very poorly covered and average benefits levels are very low. These findings imply that there are much room and demand for improvement of Korean income security program, especially for working age population.

Discharge Assessment Tool in Stroke and Elderly Patients: A Systematic Review (뇌졸중 및 노인 환자의 퇴원 평가도구에 대한 체계적 고찰)

  • Hwang, Na-Kyoung;Yoo, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.9 no.3
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    • pp.7-21
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    • 2020
  • Objective : The aim of this systematic review is to analyze the assessment items and tools used for the discharge of stroke and elderly patients and to help select appropriate assessment tools for discharge planning. Methods : The studies included in this review were collected from the PubMed, Medline Complete (EBSCOhost), and Scopus databases from January 2009 to December 2018. A total 22 studies were selected. The research types, the areas and sub-areas of assessment, as well as the assessment tools according to the areas were analyzed. Results : Descriptive research (59.2%) was the most frequent type of research. The 12 main areas of assessment were medical condition, activities of daily living, swallowing function, sensation, mobility, cognition and perception, communication, emotion, home environment, patient knowledge and readiness for discharge, social support, and well-being. Among the assessment tools, the most frequently used tools were Bathel Index; Functional Independence Measure, to assess activities of daily living; Short-Form Health Survey, to assess well-being, and Timed Up and Go test, to assess mobility. Conclusion : This study will help select the assessment areas and tools to be considered at discharge of stroke patients and serve a basis for the development of comprehensive assessment tools for discharge planning.

Development of Evaluation Index and Multi-layer Evaluation System for Quality Management of Elderly Long-term Care Institution (노인장기요양기관(시설급여) 평가의 품질관리를 위한 평가지표 개발 및 다층평가시스템 방안)

  • Lee, Sang-Jin;Kim, Yun-Jeong
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.11
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    • pp.1015-1026
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    • 2019
  • The purpose of this study is to develop evaluation indexes for improving the quality of long-term care institutions (facility salary) evaluation in the sense that the applicability and effectiveness of previous studies related to the development of evaluation indexes for long-term care facilities for elderly are insufficient. There was this. To this end, an analytical review of the 2018 long-term care institution (accommodation benefit) evaluation index, an analysis of Japan's elderly long-term care home evaluation index, and the elderly long-term care facility workers in Korea and the special care home for the elderly in Japan FGI on evaluation indicators and evaluation system was conducted. Based on the results of the research, evaluation indicators were developed in terms of supporting users to receive high quality services. The characteristics of the elderly, that is, the characteristics of elderly diseases that are difficult to maintain and improve, the direction and transparency of institutional operation, and the need for terminal care were reflected. Forty-three evaluation indicators were presented, covering institutional operations, environment and safety, beneficiary rights protection, payroll process, and payroll results. In addition, we proposed a four-step multi-level evaluation system that can improve the efficiency of the evaluation process by improving the redundant and unnecessary evaluation process.

Factors Influencing Health-Related Quality of Life in the Elderly by Age (노인의 연령별 건강 관련 삶의 질에 영향 요인)

  • Hong, Ju-Youn
    • The Journal of the Korea Contents Association
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    • v.22 no.2
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    • pp.420-430
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    • 2022
  • The study attempted a comprehensive assessment of factors affecting health-related quality of life in the young-old and old-old. Data from the Community Health Survey for 5 years from 2015 to 2019 were analyzed. Research Results Health-related quality of life appears to be higher in the elderly than in the late-stage elderly, and various factors such as age, education level, household income, presence or absence of economic activity, presence or absence of moderate physical activity, stress or presence, and subjective health level Has been found to affect health-related quality of life. In particular, good or bad subjective health and subjective oral health had the greatest influence. In terms of the household type, the quality of life was high in young-old adults living in a three-generation household and old-old adults living in a one-generation household. Considering these characteristics, public policy programs should be developed and implemented to help the elderly with successful aging by improving their quality of life.

A Study on Sex-specific Quality of Life among the Elderly Aged 65 Years or Older (성별에 따른 65세 이상 노인의 삶의 질에 관한 연구)

  • Hong, Ju-youn
    • The Journal of the Korea Contents Association
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    • v.18 no.8
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    • pp.616-626
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    • 2018
  • This study aimed to comprehensively assess the demographic characteristics, health behaviors, subjective health status, health-related restriction of life, and quality of life of male and female elderly aged 65 years older using data from the 2013-2015 Korean Community Health Survey (KCHS). The results showed that compared to the male elderly, the female elderly was less educated, did not have a spouse or had less household income, had poorer health behaviors, and had lower quality of life caused by restrictions in life. The female elderly had significantly lower quality of life than that of the male elderly. Various factors were found to affect quality of life in both sexes. The presence of spouse and BMI did not affect quality of life of men but did affect the quality of life of women. On the other hand, smoking affected the quality of life of men but not of women. Based on these results, more in-depth studies are needed on the female elderly, who have been reported to have lower health-related quality of life, and sex-specific services and programs that could more effectively improve the quality of life among the elderly should also be developed.

A study on the change of complication incidence rate according to introduction of quality evaluation by the DRG payment -focussing on patients with lens surgery (질병군 포괄수가 적정성 평가 도입에 따른 합병증 발생률 변화에 대한 연구 -수정체 수술 환자를 대상으로)

  • Kim, Myoung-Ok;Park, Arma;Lee, Chong Hyung;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.99-106
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    • 2018
  • The purpose of this study is to investigate incidence rates of complications in response to the introduction of quality evaluation of the DRG(diagnosis related group) payments, focusing on an increasing number of patients with lens surgery as the population aging increases.Fourthly, there were three dependent variables ('vitreous prolapse', 'IOP elevations', and 'other complications') in this study, and therefore multivariate logistic regression was performed. The result of the analysis indicates that as the number of hospitalized days increased, vitreous prolapse decreased to 0.27 times(95% CI 0.08~1.00) and IOP elevation decreased by 0.14 times(95% CI 0.03~1.59), compared to other complications, and this was statistically significant. From the above results, this study is meaningful in that it has compared the evaluation results of the appropriateness of DRG payment and the medical quality for lens surgery complications patients, in response to the introduction of quality evaluation by DRG payment.

How we should approach and manage older patients with cancer (노인 암 환자의 접근과 관리 원칙)

  • Kim, Jee Hyun
    • Korean Journal of Head & Neck Oncology
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    • v.33 no.2
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    • pp.1-8
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    • 2017
  • Cancer is the disease of aging and Korea is one of the fastest aging country in the world. Older patients have decreased organ function and stress tolerance, therefore are at high risk of functional decline and developing complication from cancer and cancer treatment. Before beginning cancer treatment, it is important to assess patients' life expectancy, whether the patient is likely to die of cancer or of other comorbidity, and also the risks with cancer treatment. In order to estimate patient's physiologic age, it is recommended to perform geriatric assessment and implement appropriate geriatric intervention together with meticulous supportive care, when planning cancer treatment for older patients. In a resource limited country such as Korea, two step approach of applying screening tool followed by geriatric assessment can be more efficient. Geriatric assessment is used to predict toxicity from cancer treatment such as surgery, radiotherapy, and chemotherapy, predict survival, and also to aid treatment decision. Number of randomized trials are ongoing to compare usual care versus oncogeriatric care, and with these results we expect to improve outcome of older patients with cancer.

A Study on How Living Alone or with a Partner Affects the Elderly's Life Characteristics (노인들의 배우자 유무에 따른 삶의 특성 차이에 관한 연구)

  • Hong, Ju-youn
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.623-633
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    • 2018
  • This study aims to conduct a comprehensive analysis of how the presence or absence of a partner affects the life characteristics of persons aged 65 or older. For this, the subjects were divided into the married group and the single group to investigate sociodemographic characteristics, health conditions, self-rated health level, disease morbidity, limitations in life due to health conditions and health-related quality of life. An assessment was carried out by analyzing local communities' health survey data of 3 years from 2014 to 2016. The results revealed that the single group had more women, a lower household income, poorer health conditions, and a higher chronic disease morbidity rate than the married group, and thus their self-rated heath level was lower as well. These characteristics were found to contribute to a lower quality of life in the single group than the married group. To this day, we have viewed the elderly as one of the groups based on age and only tried to identify their average characteristics, thus overlooking their various inherent problems. The results of this study suggest that physical, emotional and social problems seen among the elderly need a comprehensive measure. In addition, this study found that public health approaches and social welfare systems should be improved to develop personalized support programs for the elderly.