• 제목/요약/키워드: Elderly healthcare

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2018 미충족의료율과 추이 (Unmet Healthcare Needs Status and Trend of Korea in 2018)

  • 주재홍;김휘준;장지은;박은철;장성인
    • 보건행정학회지
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    • 제30권1호
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    • pp.120-125
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    • 2020
  • Unmet healthcare needs lead to increased disease severity, increased likelihood of complications, and worse disease prognosis. To examine the latest status of unmet healthcare needs in South Korea, the four different data configured with nationally representative sample of South Korean population were used: the Korea Health and Nutrition Examination Survey (KNAHANES, 2007-2018), the Community Health Survey (CHS, 2008-2018), the Korea Health Panel Survey (KHP, 2011-2016), and the Korean Welfare Panel Study (KOWEPS, 2006-2018). The proportion of individuals reporting unmet healthcare needs were 7.8% (KNHANES, 2018), 8.8% (CHS), and 10.8% (KHP, 2016). Annual percentage change which characterizes trend for the follow-up period was -9.1%, -3.2%, and -6.8%, respectively. The proportion of individuals reporting unmet healthcare needs due to cost were 1.2% (KNAHANES, 2018), 1.2% (CHS, 2018), 2.5% (KHP, 2016), and 0.5% (KOWEPS, 2018). Annual percentage change which characterizes trend for the follow-up period was -10.3%, -12.0%, -11.3%, and -18.8, respectively. The low-income population and the elderly population were vulnerable groups reporting the highest rate of unmet health care needs. The rate of unmet healthcare needs has been declining since the past decade, still, the disparity between different income groups and age groups suggests that there are many challenges to address.

융합형 노인건강관리 신체활동 콘텐츠 (Physical activity convergence contents for health care of the elderly)

  • 강선영;강승애
    • 융합보안논문지
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    • 제15권7호
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    • pp.63-68
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    • 2015
  • 급속한 인구 고령화 시대에 노인들의 건강한 삶을 위해서는 질병예방과 관리가 무엇보다 중요하다. 규칙적인 신체활동은 노인들의 신체적 정신적 건강을 위한 유용한 중재방법으로 알려져 있다. 본 연구에서는 노인들의 규칙적인 신체활동을 유도하기 위한 중재 방식으로 IT기술이 적용된 융합형 콘텐츠들을 탐색하였다. 건강관리와 IT기술 융합으로 u-Healthcare와 기능성 게임을 들 수 있으며, 이 중 게임적 요소인 재미에 교육, 훈련, 치료 등의 특별한 목적이 부가된 기능성 게임은 신체활동을 유도하는 다양한 콘텐츠를 제공하기에 매우 적합하다 할 수 있다. 노인들의 신체활동 향상을 유도하여 건강관리에 도움이 되는 콘텐츠로 "Puffer(ATARI, 미국)", "WiiFit(닌텐도, 일본)", "Age Invaders(MXR Lab, 싱가포르)", "Xbox $360^{\circ}$+kinect(Microsoft, 미국)", "체감형 자전거 게임(동신대학교, 대한민국)", 그리고 "3D 게이트볼 게임(숭실대학교, 대한민국)" 등이 있었다. 이들 콘텐츠의 활용을 통해 신체활동량을 증가시킴으로써 노인들의 일상생활에서 요구되는 체력요인과 신체기능 향상을 도모하고 심리적 안정과 긍정적 정서를 가능하게 하여 건강을 유지 증진시키고 질병 예방을 도모할 수 있을 것이다.

공공임대주택에 거주중인 노령인구 인지특성에 관한 연구 (A Study on the Older Residents' Cognitive Characteristics of Public Rental Housing Complex)

  • 오예인;정다운;권순정
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제24권4호
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    • pp.17-25
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    • 2018
  • Purpose: Korean society is undergoing the rapid increase and poverty of elderly population. Therefore, the appropriate supply and planning of public rental housing for the low-income elderly is more important. The purpose of this study is to present the basic data for the study and planning of the elderly housing complex by analyzing the cognitive characteristics of the elderly residing in the rental housing. Methods: A questionnaire survey was conducted to identify health characteristics of the elderly living in the 'Gongreung SH Apartment'. 100 random samples were collected and 82 valid samples were analysed. Statistical analysis was performed using Excel and R for the age, sex, health, outdoor walking frequency and characteristics of Cognitive map of the elderly. Results: The characteristics of cognitive map were classified into point shapes and linear shapes. The linear group was lower in average age than the point group and tended to draw the map wider. The wider the map was, the more the number of elements in cognitive map was. The number of elements on the cognitive map decreased as respondents' age increased. On the other hand it was not related to residence period and gender of the elderly. Implication: The cognitive extent of the residential environment tends to decrease with age. Men's cognitive range is wider than women's. There is no corelation between the number of cognitive elements and cognitive map type. Men tend to have a systematic image of city, whereas women focus on relational and social urban factors. For sustainable apartment complex design, various characteristics of the group including men and women, different age and different health status should be considered.

노인의료전문가 집단의 연령주의 및 연령통합 인식에 관한 연구 (A Study on the Ageism and Age-integrated Perception of Healthcare Professional Groups with experience in treating elderly patients)

  • 오혜인;주경희;김주현
    • 한국가족복지학
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    • 제61호
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    • pp.59-91
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    • 2018
  • 본 연구는 노인환자 치료경험이 있는 노인 의료전문가를 대상으로, 그들이 인식하는 연령주의를 확인하는 동시에, 이러한 장벽을 없애기 위하여 연령통합적인 차원의 노력과 경험들을 어떻게 해왔는지에 초점을 둔다. 연구대상자인 9명의 의료전문가들의 연령주의와 연령통합에 대한 보다 다양한 인식과 경험을 담아내기 위해 CQR 질적연구 방법을 활용해 분석하였다. 의료전문가들은 연령주의(Ageism)에 대한 자기고백의 이중성을 보이고 있었으며, 의료현장에서는비적정진료, 노인 소외와 보호자 의존, 양극화 된 서비스와 빈곤노인에 대한 이중차별의 방식으로 연령주의가 실재(實在)하고 있었다. 이를 완화 혹은 해결하기 위한 방안으로서의 연령통합적 의료서비스 제공에 대해 어려움을 느끼고 있었으나, 소통을 위한 장벽 허물기를 추구하거나, 노인 뿐 아니라 모두에게 보편적(universal)으로 편안한 환경을 제공하거나, 제도와 서비스 기준을 확대 및 다양화하는 방식으로 연령통합적 서비스를 위한 적용노력을 하고 있는 것으로 나타났다. 급격히 증가하는 노인환자들의 건강한 삶과 적정한 의료서비스 보장을 위해첫째, 연령주의를 가속화 시키는 한국 의료체계 내 요소들에 대한 비판적 고찰, 빈곤노인에 대한 관리체계 개선, 의료전문가 제도 내 연령통합관련 커리큘럼 포함, 노인전문 의료서비스와인력양산 그리고 노인과 노인대상 의료영역에 대한 인식개선을 제안하였다.

예비고령층과 고령층의 건강정보 경로별 인식과 활용 (Recognition and use of health information for preliminary elderly and elderly people)

  • 정우식;강형곤;한세미;김은혜
    • 디지털융복합연구
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    • 제19권6호
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    • pp.419-427
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    • 2021
  • 본 연구의 목적은 예비고령층과 고령층의 건강정보 획득경로와 경로별 인식 및 활용실태를 확인하기 위함이다. 연구대상자는 예비고령층 200명, 고령층 200명으로, 구조화된 설문지를 이용한 대면조사를 시행하였으며, MINITAB17을 활용하여, 카이제곱 검정(chi-square test)과 피셔의 정확검정(Fisher's exact test)을 실시하였다. 연구결과 대상군의 건강정보 획득경로는 전문의료인을 통한 획득은 비슷한 수준인 반면, 대중매체와 인터넷 사이트를 통한 획득 빈도는 예비고령층이 높았다. 특히, 인터넷 사이트를 통한 건강정보 획득은 고령층보다 4배 이상 높았다. 경로별 건강정보 활용내용은 예비고령층이 건강검진 및 예방에 집중한 반면, 고령층은 예방뿐만 아니라 질환치료 등 건강과 관련된 전반적인 정보를 탐색하고 활용하였다. 획득된 건강정보에 대해 두 군 모두 긍정적인 인식을 보였다. 본 연구결과를 통하여 향후 고령층을 대상으로 한 건강관련 정보의 전달에 있어 인터넷 사이트를 포함한 모든 경로가 유용하게 사용될 수 있음을 확인하였다. 또한, 고령층의 자가건강관리의 향상을 위한 다양한 컨텐츠 개발에 연령적 특성과 경로별 활용 건강정보 영역을 고려할 것을 제언한다.

일본 거주단위형 케어하우스 공용공간의 거주자 공간이용 특성에 관한 연구 (A Study on the Characteristics of Residents' Spatial Use of Common Space in Care House with Residential Units in Japan)

  • 김선태
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제18권3호
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    • pp.19-28
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    • 2012
  • The purpose of this research is to suggest design direction about common space of small sized residential units for elderly housing in order to construct desirable residential environment. This research examines spatial composition and the residents' behaviors in three different types of residential units at intervals of five minutes from 9:00 a.m. to 19:00 p.m.; and analyzes the characteristics of spatial use. The following is the result. The using rate of common space is influenced by the atmosphere of residential units more than healthy condition of the elderly; furthermore, the frequency of usage is also increasing highly as mush as forming the lively atmosphere. In order to form the animated residential environment, it is necessary to provide to various activities, such as cooking, eating, watching TV, leisure, hobby, rest, etc; and the space must plan encouraging relationship with other people. Moreover, it is required to consider to each of personal characteristics ingeniously, and manage to programs extending their durability in common space of elderly housing.

고령자를 위한 교회 편의시설 설치기준의 중요도에 대한 주체별 인식의 간극 (Perceptive Gap among Interest Groups to Significance of the Installation Standards of Churches' Convenience Facilities for the Elderly)

  • 이종희;김덕수
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제19권1호
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    • pp.47-57
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    • 2013
  • Purpose: The purpose of this study is to provide reference points for the improvement work of churches' convenience facilities for the elderly. To do this, the study generates survey results, showing that the perception to significance of churches' convenience facilities is different among survey constituents. Method: The survey method was utilized. The study population for survey includes the aged believer over 65 years old, pastors, and architecture and/or interior design experts. The questionnaire was devised while consulting existing regulations regarding convenience facilities in general. Results: It is found that the perception to significance of installation standards for convenience facilities is different among survey constituents. Specifically, while the older believer group is perceived that installation standards for the small group meeting room of 'other facility' is comparatively more important, the pastor group and the expert group perceive that the 'intermediate facility' and 'inner facility' are more important. Implications: Participants involved in an improvement project of churches' convenience facilities may have a different perception about their importance due mainly to the degree of usage and the difference of perspectives. This study, therefore, can be used as a reference point for prioritizing improvement works of churches' convenience facilities for the elderly.

치매노인요양시설의 공용부분에 관한 건축계획적 연구 ( I ) (A Study on the Architectural Planning of Public Space of Nursing Home for the Elderly with Dementia ( I ))

  • 김석현;김현태;김선국;김광문
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제2권3호
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    • pp.71-81
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    • 1996
  • The existing domestic and foreign elderly nursing homes, with 50 beds or more, are selected and examined according to user interview, and document analysis to understand the facts about the elderly nursing homes. The location of domestic nursing homes is limited to the region of Seoul and Kyunggi province. The scope of research is focused on the plans, area compositions, equipments and relations with public spaces - wandering paths, bathrooms and toilets. The content of research, based on the collected data discribed above, includes the search for architectural idea and the examination of typological differences among plans. The research is performed as followes. 1) description of research objectives. 2) examination of problems associated with the elderly. 3) understanding of systems and plans of domestic and foreign nursing homes. 4) performance of case study, derivation of design criteria for architectural planning, and suggestion of several adjustable alternatives for public spaces.

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노인을 위한 원격 낙상 검출 시스템 (Telemonitoring System of Fall Detection for the Elderly)

  • 이용규;천대진;윤길원
    • 센서학회지
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    • 제20권6호
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    • pp.420-427
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    • 2011
  • The population of elderly people increases rapidly as our society moves towards the aged one. Healthcare for the elderly becomes an important issue and falling down is one of the critical problems although not well recognized. In this study, a fall detection system was developed using a 3-axis accelerometer. Analyzing fall patterns, we took into account the degree of impact, posture angle, the repetitions of similar movements and the activities after a potential fall and proposed an algorithm of fall detection. Information of the fall sensor was sent to a remote healthcare server through the wireless networks of Zigbee and WLAN. Our system was designed to monitor multiples users. 12 persons participated in experiment and each one performed 24 different movements. Our proposed algorithm was compared with other reported ones. Our method produced the excellent results having a sensitivity of 96.4 % and a specificity of 100 % whereas other methods had a sensitivity range between 87.5 % and 94.8 % and a specificity range between 63.5 % and 83.3 %.

노인종합복지관 의료부문 건축계획에 관한 연구 - 서울시 사례를 중심으로 - (A Study on the Architectural Planning of Medical Part for Multipurpose Senior Center - focused on Cases in Seoul -)

  • 조태희;박재승
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제11권3호
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    • pp.51-60
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    • 2005
  • Because of the rapid increase of the number of elderly people, there are many problem in modern society. Especially the support of elderly people is becoming the hot issue, which results from a nuclear family and social activity of woman. The Policy of community care of the elderly people in western is caused by a heavy cost and isolation from the society of a facility care policy. Since 1980, Concept of 'home care for elderly people' has been appeared in korea. The Facility causing by these movement is 'Multipurpose senior center'. The purpose of this study is to present the alternative data to improve the quality of medical and rehabilitation part in multipurpose senior center. Data collecting skills such as drawing documents analysis, interviews, observation were used to examine the condition of medical and rehabilitation. And, case study method was used to generate the alternative medel which can be used for the spatial composition and the area calculation.

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