• Journal of agricultural medicine and community health
• /
• v.19 no.2
• /
• pp.97-106
• /
• 1994

In order to estimate the utilization pattern of a rural health subcenter, and to identify the recognition for it among the inhabitants in Kogsung district, a questionnaire survey was carried out for objects of 708 population. The results observed were as follows; 1. The annual utilization rate of a rural health subcenter for a basic health service unit was 27.5 per 100 persons, and annual mean visiting times was 1.43 times. 2. The most frequent disease by, annual health subcenter utilization illness was respiratory disease(26.5%), and the next was musculoskeletal disease(23.9%), gastrointestinal disease(15.9%) by order. 3. Favorite reasons for community health subcenter utilization were lower medical cost(23.4%), near distance from living place(20.7%) and lower disease severity(19.5%) by order. But disfavorite reasons for it were non effective treatment(26.2%), insufficient equipment(25.4%) and absence of specialist(17.4%) by order. 4. Insufficient items about community health subcenter utilization were restriction of treatment limit(47.1%), lower reliance(22.4%) and not punctral(21.8%) by order. 5. The results of logistic regression analysis suggested that statistically significant factors in health subcenter utilization were age, educational level and the nearest medical facility class. 6. There was no difference between recognition for a community health subcenter's work and actual utilizing service, and desirable works for it were disease preventing service, disease control of elderly and sanitation control by order. These results suggested that to increase the utilization of rural health subcenter and to promote the accessibility of rural residents to primary health care, there must be considered public relation about health subcenter, expansion of health equipment and recognition about access time.

• Korean Journal of Clinical Pharmacy
• /
• v.32 no.4
• /
• pp.321-327
• /
• 2022

Background: To implement medication management service in Korean nursing home (NH), medication review tool for residents in Korean long-term care facilities was developed. This prospective pilot study aimed to verify the applicability of this newly developed tool and to evaluate the drug related problems (DRPs) identified by pharmacists' medication review in NH setting. Methods: This study was carried out in two NHs in Korea. The elderly residents (65 or older) using 5 or more medications were eligible. Pharmacists conducted medication review and identified the DRPs and potentially inappropriate medications (PIMs) based on the newly developed tool. Results: Among 43 NH residents, 27 residents agreed to participate. The median age was 87 and about 55.6% of them were taking 10 or more medications. Pharmacists identified a total of 37 PIMs in 18 NH residents (66.7%) and 54 DRPs in 22 residents (81.5%). The most frequent PIM was general-PIM (26 cases) followed by PIM under specific diseases or conditions (7 cases). Out of 77 items contained in the tool, 15 items were detected in study participants. 'Continued use or regular daily use of hypnotics' was the most highly detected item (9 cases) followed by 'multiple prescriptions within each class of hypnotics/sedatives' (5 cases). Among 54 DRPs identified, pharmacist intervened 39 cases (72.2%) and interventions were accepted in 18 cases (46.1%). Conclusion: This pilot study demonstrated that newly developed tool is feasible for the nursing home residents. However, further studies with larger population are warranted.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.29 no.2
• /
• pp.27-37
• /
• 2023

Purpose: Sports activities for life are an opportunity to fulfill the basic desire to be healthy and participate in society of the individual level, and it is also the realization of the trend of living together with persons without disabilities and persons with disabilities at the level of social inclusion. I try to propose to improve sports participation of persons with disabilities from the point of view of 'Universal Design.' Methods: Firstly, analysing of previous studies which to classify the barrier free certification standards to universal design's 7 principles and which to investigate public sports facilities. Secondly, reanalyzing, based on UD 7 principles, the raw data of the research results of public sports facilities in Seoul. Thirdly. then, I suggest the improvement plan to promote public sports facilities for all the people including persons with disabilities. Results: The results of this study are that although the facilities have the basic accessibility, there were some inconveniences in using the facility for the elderly and the disabled. So I suggest a few method to improve the public sports facilities from the perspective of universal design : 1) Needs to expand 'Bandabi Sports Center' as a sports facilities for sports activities for life of all of people, 2) Needs to improve accessibility of existing public sports facilities and to raise awareness for the persons with disabilities and universal design, 3) Needs to produce 'UD guidelines' for the sports facilities.

• Journal of the Korean Regional Science Association
• /
• v.35 no.4
• /
• pp.61-73
• /
• 2019

Urban development and densification have led to the Urban Heat Island Effect, in which the temperature of urban space is higher than the surrounding areas, and the intensity is increasing with climate change. In addition, when the city's air temperature rises in summer, low-income, elderly population, and socially vulnerable people who have health problems lack the ability to cope with the elevated heat environment. Therefore, this study aimed to identify the urban heat island area of Seoul through Hotspot analysis, which is a spatial statistics technique, and explored physical environments, demographic and socioeconomic characteristics of urban heat island effect areas using logistic regression models. This study performed urban heat island hotspot analysis using the average air temperatures of the 423 administrative dongs in Seoul. Analysis results identified that the urban heat islands were concentrated in Jung-gu, Jongno-gu, Yongsan-gu, and Yeongdeungpo-gu. Logistic regression analysis results indicated that urban heat island areas of Seoul were affected by residential floor area ratio, commercial facility floor area ratio, overall floor area ratio, impervious surface ratio, and normalized difference vegetation index(NDVI). In addition, as a result of analyzing the vulnerable area of thermal environment considering the demographic and socioeconomic characteristics of the heat island area, urban heat island areas of Seoul were significantly associated with the proportion of low-income elderly living alone. The result of this study provided useful insights for urban thermal environmental design and policy development that could improve the thermal environment for the socially disadvantaged urban population.

• 한국노년학
• /
• v.37 no.3
• /
• pp.583-600
• /
• 2017

The purpose of this study is to explore qualitatively what kind of coping strategy the Korean older adults use when they are depressed and why. Participants were users, older than 60, of an elderly welfare center in Seoul, and answers of 34 respondents who experienced depression were included in the analysis. The collected data were analyzed through content analysis. The results of the analysis showed that strategies to cope with depression used by participants were composed of 6 domains and 11 sub-domains: health behavior (medical approach / exercise and diet), family and social contact (social interaction / going out and going on a trip / communication with family), Religious activities (Religious activities), lifelong education (hobbies / educational activities), productive activities (labor), health risk behaviors (drinking and gambling / resignation). The depression coping strategies of the older adults and their characteristics are as follows. First, older adults used diverse problem-focused coping strategies to cope with depression. Second, older adults considered various coping strategies together and used them simultaneously. Third, the facility space for older adults functions as a shelter. Fourth, although there were cases where medical approach was used, the intention to reuse was very low. Through this study, the following suggestions were made to help older adults cope with depression more successfully. First, access to various coping strategies should be promoted. Second, more places where older adults can spend their time comfortably need to be provided. Third, resistance to mental health care should be resolved.

• Health Policy and Management
• /
• v.9 no.1
• /
• pp.30-71
• /
• 1999

There has been a dramatic increase in public awareness regarding dementia during recent years. However, dementia remains a family affair and patients do not receive adequate care in Korea. This study aims to assist patients and their caregivers by establishing Home and Community based Long-Term Care in a city. The data collected for analysis include five main categories: dementia prevalence, limitations of daily activities of patients, burden of caregivers, the services that patient's family want to utilize, the resources that handle dementia in the community. Major findings can be summarized as follows: 1)The prevalence rate of dementia for elderly people is 13.1 per 100 persons. Alzheimer's disease amount to 38.9% of dementia patients and vascular dementia account for 36.7% of them 2)Eight out of ten patients have mild dementia. Almost all patients have normal ADL. IADL, however, shows different picture. In every items of IADL, about 60% of patients reveals some limitations. 3)The proportion of patients who had medical diagnosis is as low as 20%. Families of patients think dementia as normal aging process and medical doctors in the community do not give special concern to dementia patients. 4)Caregivers does not have proper social support. They suffer from long care time, experience large obstacles in respect of health, daily living, and social activity. 5)Health center and Community welfare center have launched some programs-consultation, home-visiting nursing, day care center, voluntary force mobilization and so on-for dementia patients. But they do not perform expected roles and functions because of lack of skilled personnels and inadequate coordination of relevant organizations for dementia care. 6)Families of dementia patients prefer home helper and home-visiting nurse to hospitalization. For the future, however, demand for institution-based long-term services will increase. We develope community dementia care model based on above findings as follows: 1)Health center execute community cardiovascular control program for the prevention of vascular dementia. 2)Refer to epidemiologic characteristics of patients and preference of family, the most urgent task for dementia care in this city is to expand and organize Home and Community based Long-Term Care. 3)For the continuous and comprehensive care, care plan for a patient must be prepared. Case management team should be builded to prepare this plan and coordinate relevant resources. 4)Special long-term care unit for dementia will be needed in a near future. This unit should have multiple functions, such as day-care center, short stay facility, training center for relevant personnels, besides long-term nursing home considering effective care of dementia and efficient operation of the facility. 5)Voluntary workers deserve their due efforts. Incentive mechanisms must be developed to activate voluntary activities.

• The Journal of Sustainable Design and Educational Environment Research
• /
• v.16 no.3
• /
• pp.9-17
• /
• 2017

This study investigates and analyzes the convenience facilities to strengthen or mitigate the Barrier Free awareness and Kindergarten Barrier Free for the kindergarten school staff and the public facility officials of the education office. In addition, to improve the Barrier Free, the improvement facilities of the kindergarten were investigated and analyzed. First, from the institutional viewpoint, it is necessary to amend the existing regulations of the Act for the Promotion of the Convenience Promotion of Disabled Persons, Elderly and Pregnant Women in Korea, and to change the facilities for duties and recommended installation of the kindergarten and the Barrier Free certification standards. Second, in order to apply the Barrier Free certification system to the kindergarten in terms of facility environment, it is necessary to activate the barrier kind of the kindergarten so as to receive the Barrier Free certification by lowering the score of the items difficult to improve due to the terrain or building structure. Third, the perception of Barrier Free is still not high in terms of social awareness. The purpose of this study is to investigate the method of creating a Barrier Free for a kindergarten in the education and living space of children who are the socially underprivileged. Therefore, based on this study, it is anticipated that it will be an opportunity to promote change of Barrier Free in Kindergarten if an attempt is made to improve the Barrier Free certification index suitable for public kindergarten.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.17 no.12
• /
• pp.232-241
• /
• 2016

Among city parks, children's parks are more accessible than other parks in the city, and there are many users. They are used not only for children's playgrounds, but also for relaxation and leisure spaces for local residents. On the other hand, as a result of focusing on the quantitative increase by the engineering division by the Urban park Act, the consideration of the users of various classes is insufficient. The purpose of this study was to analyze the actual use of children parks in single - family housing and communal housing areas, and to identify the problems and future directions of the use of children parks. For this purpose, a case study and a document survey were conducted. First, through scholarship research, the theoretical review and the present situation were summarized based on the data, such as the papers and research reports related to the existing children's park. The status of the location, facilities and management were then identified through interviews and site visits with the children's park management staff. As a result, the children's park was utilized as a leisure space with high accessibility in the living area. As a result, the residence time of most users was within 1 hour to 2 hours. In particular, use by elderly people was higher than the use by children. Therefore, it would be desirable to design the future planning of the children's parks and to plan the arrangement in accordance with the future - oriented multi - purpose neighborhood type children's park.