• Health Policy and Management
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• v.8 no.1
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• pp.203-230
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• 1998

This purposes of this study is to develope policies on the facilities for the elderly care in Korea. Methodology of this study adopts comparative analysis on the facilities for the elderly care in 6 countries which have experienced various problems on the elderly. These 6 countries are Japan, Sweden, America, Australian, England and Germany. Major issues for comparative analysis are the standard of care facilities, residence condition, finance of facilities establishment and expense, operating system, management, and the law and administrative structure about the facilities for the elderly care. The elderly people need various kinds of welfare services such as medical care facilities, nursing home facilities, home care facilities etc.. Thus the public policies for the aging population nations are compose of income maintenance program, health and medical care services and social welfare services. The policies of facilities for elderly care are very important since these policies include the characteristics of income maintenance, me\ulcorner미 care program and welfare program. This study willsupply basic data for the development of facilities for the elderly care in Korea, especially conceming the system and institutional device of the facilities.

• Korean Journal of Adult Nursing
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• v.22 no.5
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• pp.552-560
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• 2010

Purpose: This study was designed to identify effects of self-esteem and health status on adaptation of elderly residents in facilities. Methods: The sample consisted of 151 elderly residents. The data collected from January to April 2010 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. Using instruments were self-esteem scale (SES) (Rosenberg, 1965), Korean health status measure for the elderly (KoHSME) (Shin et al, 2002), and nursing home adaptation scale (Lee, 2007). Results: The mean scores of self-esteem ($2.90{\pm}0.71$), health status ($2.15{\pm}0.53$) and adaptation ($2.98{\pm}0.44$) of elderly residents in facilities were above the average. Self-esteem was significantly varied according to religion, economic status and living expenses. Health status was significantly different according to age, disease and motivation of getting into the facilities. Adaptation was significantly different according to religion, satisfaction of facilities and decision maker of getting into the facilities. Significant correlations were found between self-esteem, health status and adaptation. Self-esteem and health status were influencing factors of adaptation (22.6%). Conclusion: These findings indicate that perceived self-esteem and health status may be requirements for promoting adaptation of elderly residents in facilities. These results could be utilized in the development of supportive programs for elderly adaptation.

• Journal of the Korean Dietetic Association
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• v.12 no.4
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• pp.313-328
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• 2006

This study was objectively performed to identify dietitians' job in the elderly health-care facilities, to assess facilities and dietitian's demographic characteristics, and to determine performance and importance of dietitian's job including the demand of therapeutic diet development. Survey was conducted by mail and samples were the dietitians working in 376 facilities which capacity is over 50 members from nationwide 583 the elderly health-care facilities. Returned questionnaire was 102 and used for statistic analysis. The distributions of the elderly health-care facilities showed 39 the elderly nursing facilities(38.2%), 32 skilled nursing facilities (32.4%), 13 geriatrics hospital facilities(12.7%) and 9 the elderly cost nursing facilities(8.8%). 60.0 percent of the samples showed its menu price as 1,000 to 1,500 won. A cycle-menu program was in-use at the 79.0% facilities, but only 7.1% facilities have been introduced a selected menu system. 92.9% facilities employed only one dietitian. In the demographic characteristics of dietitian only 14.7% dietitian had a clinical dietitian license and 51.5% of respondents answered at least 1 to 3 months internship program is needed. Job activities of the dietitian in the elderly health-care foodservice were identified as 45 activities with 9 dimensions. Job performance score evaluated dietitian oneself was 4.71 of 7 points. The average importance score that the dietitian evaluated their own job was 5.66 points of 7. The job activities shown higher importance but lower performance were therapeutic diet development for in-patients, menu development suitable for taste of the elderly, and leadership. Job performance score by characteristics of dietitian and their elderly health-care facilities was significantly associated with experience of dietitian in elderly health-care (F=4.480, p<0.05), education of dietitian(F=2.659, p<0.01), number of dietitian(F=2.245, p<0.05), and number of employee in foodservice(F=2.607, p<0.05). Most common diseases of the aged was proved as hypertension(81.7%), diabetes mellitus(71.4%), and dementia(65.0%). The therapeutic diets frequently provided were diabetes mellitus diet, dysphagia diet, low sodium diet, high fiber diet, and high protein diet, in order. For those reasons, dietitian in the elderly health care emphasized that the information about therapeutic diet development such as diabetes mellitus diet, dysphagia diet, low sodium diet and hypertension diet must be continuously developed and provided. The result from this study can be applicable to enlarge and enrich job activities of dietitian in elderly health-care foodservice.

• Journal of The Korea Institute of Healthcare Architecture
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• v.19 no.3
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• pp.7-19
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• 2013

Purpose: The main objective of this paper is, first, to assess a body of research evidence that articulates the impact of environmental and design factors on safety, quality of life, and health of the elderly who reside in geriatric hospitals or other elderly care facilities and, second, to draw out design implications that can be incorporated into design process and design decisions to help create healing environments for the elderly. Methods: Extensive literature review has been conducted to identify rigorous empirical studies that link the design of elderly care facilities to health-related outcomes and scrutinized peer-reviewed articles published in many different fields including architecture, psychology, nursing to gerontology. Results: The review found a growing body of rigorous studies that identified physical environmental and design factors that improve safety, quality of life, and health of the elderly in geriatric hospitals or other elderly care facilities. Implications: The findings of the review can be translated to design decisions to promote safety, quality of life, and health of the elderly in geriatric hospitals or other elderly care facilities.

• Journal of Korean society of Dental Hygiene
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• v.11 no.4
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• pp.475-487
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• 2011

Objectives : The growing elderly population and social changes have fueled a rapid increase in demand for elderly care facilities, but health care services for the elderly, especially oral health services, have long been overlooked. The purpose of this study was to examine the oral health care of elderly residents in elderly care facilities in an effort to provide some information on the elderly's oral health care and the development of dental care programs geared toward institutionalized elderly people. Methods : The subjects in this study were 230 elderly people who were in elderly care facilities in Jeolla Province. An individual interview was held, and they got a dental checkup. As for data analysis, t-test and ANOVA were utilized, and Scheffe post-hoc test was employed. Results : 1. In relation to the subfactors of the quality of life related to oral health, the elderly people investigated got a mean of 4.58, 4.47, 4.38, 4.09, 3.94, 3.91 and 3.76 respectively in activity disorder, mental disorder, social disorder, mental inconvenience, functional disorder, physical pain and physical disorder. 2. Concerning the overall quality of life related to oral health, there were statistically significant gaps in this aspect according to gender, age, presence or absence of systemic disorder, presence or absence of eating difficulties, subjective health status, subjective oral health state and oral health concern. 3. The presence or absence of root caries had a significant relationship to physical pain and social disorder among the subfactors of the OHIP-14, but that had nothing to do with functional disorder, mental inconvenience, physical disorder, mental disorder and activity disorder. Conclusions : The oral health indexes of the institutionalized elderly people in Jeolla Province were measured, and what factors affected the subfactors of oral health was checked. As a result, there appeared a close relation ship between oral health and the quality of life. Therefore effective oral health plans that cater to the elderly should be carried out to improve elderly people's quality of life related to oral health who stay in long-term elderly care facilities. In the future, prolonged research should be implemented from diverse angles for the sake of institutionalized elderly people.

• International Journal of Contents
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• v.11 no.4
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• pp.25-30
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• 2015

The objective of this study is to identify the current state of usage and needs for Smart Technology (ST) in the elderly care facilities based on the point of view of staff members. Using survey via mails, data were analyzed with responses from top- or middle-level staff members working in 171 elderly care facilities located in Seoul, Gyeonggi-do, and Chungcheongnam-do. Results indicated that the most needed smart technology was home automation, followed by nurse call system and health monitoring. The technology with the highest feasibility was health monitoring, followed by nurse call system and video phone. Staff members in higher positions working in the elderly care facilities had the highest expectation in improving the image of their facilities by using ST, while they had low expectation for the fact that ST may increase the locus of control of the elderly. This study implies that ST implementations may vary depending on the level of responsibility of staff members and ST how people responsible for the elderly care facilities subjectively perceive the ST.

• The Korean Journal of Food And Nutrition
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• v.22 no.2
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• pp.215-222
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• 2009

The principal objective of this study was to assess the demands and satisfactions of silver welfare professionals for elderly individuals residing in the Northern Gyeonggi-do area. To this end, a survey was conducted to investigate elderly individuals and employees related with them in terms of their recognition, interest, and involvement in a labor training program. The sources of health information the subjects received included mass media(50%) and health professionals(41%), and they tended to trust the information they received from health professionals(64%) and the mass media(26%). In the case of health professionals working at silver care facilities, the sources of health information to which they had access were: mass media (51%), health professionals(20%), internet(14%), reliable health professionals(56%), mass media(22%), and books related to health(18%). Elderly subjects' reasons for satisfaction with the facilities were as follows: access to meals(32%), elderly communities(24%), and good facilities(22%), whereas the reason subjects reported dissatisfaction with social difficulties(68%), bad facilities(20%), and programs(12%). The degrees of satisfaction of the respondents with the facility's employees were reported as follows: life manager(28%), nurse(16%), and social worker(15%), whereas the subjects reported some degree of dissatisfaction with: nurses(29%), care helpers(17%), and facilities officers(13%). The priorities of the elderly welfare-related information were: disease and health(49%), daily life support(17%), nursing(11%), welfare facilities(8%), and the principal issues they reported as being relevant to elderly individuals were: palsy(16%), arthritis(14%), diabetes (12%), hypertension(10%), dementia(6%). They reported that the most important personnel for elderly in the future would be care managers(44%) and care helpers(21%). Via this developmental program of silver health care professionals, a variety of new job opportunities may be provided in the future, and a program related to the silver service industry must be established as soon as possible.

• Journal of Home Health Care Nursing
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• v.21 no.1
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• pp.5-13
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• 2014

Purpose: This study aimed to identify on the factors that influence vitality, by surveying the level of vitality, perceptive health condition, depression, family support, leisure activities, and religious activities of the elderly people using the welfare facilities for the aged. Methods: The subjects were 200 elderly people using welfare facilities for the aged such as senior welfare center or silver hall in Y city. Data was collected from December 1, 2012 to January 31, 2013, using a self-report structured questionnaire. Data was analyzed using the SPSS 20.0 for Windows, and analyses such as frequencies (percentage), means(standard deviation), t-test, Pearson's correlation coefficient, and Multiple Linear Regression, were conducted. Results: The participants exhibited a mean vitality score of $3.36{\pm}0.65$ out of 5. Means for the other measures were as follows: perceptive health condition, $3.32{\pm}0.65$; depression, $3.25{\pm}0.84$; family support, $3.64{\pm}0.64$; leisure activities, $2.97{\pm}0.65$; and religious activities, $3.05{\pm}0.92$ points. These factors explained 73.2% of the total variance. Conclusion: Further research is needed on vitality of the elderly people using care facilities for the aged. Moreover, I suggest that vitality and depression are examined as psychological aspects in the operational elements of elderly care facilities.

• Journal of The Korea Institute of Healthcare Architecture
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• v.8 no.2
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• pp.35-41
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• 2002

Being rapidly increased in population of the Elderly supporting of the Elderly is no longer family's and personal problems. It is social issue that demand measures by the government. Though many kinds of welfare policies for the Elderly have been established, it is not sufficient both in quality and quantity. In order to support residents of region, welfare facilities which based on community welfare have been supplied. This study is targeted on health facility for the elderly of Japan. First purpose, it is to acheive basic information about health facility. Second purpose of this study is to basic data for planning of facility.

• Journal of the Korean Institute of Rural Architecture
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• v.10 no.3
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• pp.35-42
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• 2008

The purpose of this study is to suggest the possibility of complexity use these facilities for elderly welfare facility or public health facility and community center in rural. For this purpose this article researched into elderly welfare facilities, public health facilities and social welfare centers. And we studied of village community center, life pattern in old people in rural. With a rapidly increase in population of older people in rural, there is a great demand for the construction of complexes facilities. Particularly, there was highly demand for the public health facilities and the welfare programme of physiotherapy facilities on village community center in rural. However, there is not a intersection of space composition and specification function between elderly welfare facilities and public healthcare facilities and community welfare centers in this time. Accordingly, in the future plan for community center in rural, it is necessary to consider integration with public health facility. And it is necessary to compose the community center in consideration of the spatial organization of complexity as a possibility of community welfare activities.