• Title/Summary/Keyword: Health Services for the Elderly

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The Need for, Satisfaction with, and Availability of Local Healthcare Services for Elderly Individuals Receiving Home-Care Services (재가노인의 지역 보건의료서비스 요구도, 만족도 및 이용도 - G시 보건소를 중심으로 -)

  • Kim, Mi-Ra;Kim, Kyung-Hee;Kwak, Yeun-Hee;Kim, Yoon-Jung
    • The Korean Journal of Community Living Science
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    • v.26 no.1
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    • pp.5-18
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    • 2015
  • This descriptive study investigates the need for, satisfaction with, and availability of local healthcare services for elderly individuals. The subjects included 210 individuals aged 65 years over, and data were analyzed using SPSS. The subjects reported the limited availability of local healthcare services but a high level of satisfaction with and a strong need for these services. The subjects used these services mainly for their vaccination and perceived cost-effectiveness as the most important factor motivating their decision to use these services and a lack of publicity as the most important factor discouraging their use. Spouses, jobs, and health conditions showed significant differences in the level of satisfaction and availability, and diseases showed significant differences only in the need. These results suggest that local healthcare centers should provide services that many elderly patients can use through outreach services, connections to local communities, and active publicity instead of expanding service types.

Exploring Social Innovation and Time Bank: Focus on the Elderly Healthcare in the Gangwon Province

  • Kim, Ho-Kyung
    • Asian Journal of Innovation and Policy
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    • v.8 no.2
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    • pp.208-237
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    • 2019
  • Serious social problems related to the elderly have appeared in the Gangwon Province because the population in this area is rapidly aging. Gangwon has the highest suicide rate and the highest percentage of single households. In the process of preparing for the super-aging society, Time Bank (TB) System has been actively used in 34 countries, especially in the United States, the United Kingdom, and Japan. In Korea, the Gumi Senior Club has joined this system since 2004. TB is a multilateral exchanged system based on the philosophy that everyone's time is valued equally. Time credits are given to the person who provides social services, such as citizen participation and elderly care. People receive the desired services using time credits or donating them. If this system were applied to the Gangwon Province in accordance with its characteristics, it would help to reduce the elderly's prejudices and manage their diverse health problems. A virtual local currency using IT technologies is needed to boost the regional economy. The elderly's participation in TB is strongly needed. Future research about the effectiveness of health management is then discussed.

Issues and Directions in Developing Nutrition Education for Older Adults in Korea

  • Kim, Kyung-Won
    • Journal of Community Nutrition
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    • v.2 no.1
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    • pp.71-84
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    • 2000
  • This paper presents the status of nutrition education for older adults in Korea, and examines considerations in developing effective nutrition education programs for the elderly based on literature reviews. Finally, strategies of nutrition education for older adults in Korea are examined. Status of nutrition education were examined by surveying 90 senior centers, and 46 public health centers providing nutrition services. Most senior centers(96%) provided health education programs, however, nutrition was only a part of health programs. Among the 41 public health centers which responded to the survey, 73.1% provided nutrition education for older adults. The frequently covered topics were prevention & management of hypertension/stroke, diabetes, nutritional management during later adulthood, and osteoporosis. Common barriers in planning and implementing elderly education were; lack of educational materials for older adults, reliance on lectures, difficulty in following-up. To develop effective nutrition education, four stages consisting of needs assessment, planning and implementation of programs, and evaluation should be carefully done. Needs assessment might be done using quantitative or qualitative assessment. Factors influencing nutrition behavior of older adults can be systematically examined using a theoretical approach such as the PRECEDE-PROCEED framework. Qualitative methods, such as focus group interviews, also provide insightful information regarding the needs of older adults. In planning nutrition education programs, physical and pshychological changes associated with aging should be considered. Literature regarding elderly education suggest that active participation or participatory learning is also effective for older adults. Educational materials are developed following the principle of KISS and pre-tested. Program evaluation has been rarely done in practice, although it provides valuable feedback to the program. Strategies for developing nutrition education for Korean elderly include; performing needs assessment, developing a standard program by topics in a logical and systematic way, developing programs for subgroups of elderly, applying diverse education methods developing educational materials for the elderly, evaluating programs using simple tools, and delivering a nutrition program as a part of health promotion program. Finally, the interaction and communication between researchers and practitioners is strongly recommended to ensure better nutrition education and services to the elderly.

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The Relationship Between Dietary Pattern and the Community Periodontal Index in Elderly People Living Alone in Rural Areas (농촌지역 독거노인의 식이패턴과 지역사회치주지수와의 관련성)

  • Park, Chung-Soon;Park, So-Young
    • The Korean Journal of Health Service Management
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    • v.11 no.4
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    • pp.105-114
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    • 2017
  • Objectives : The purpose of this study was to investigate the relationship between dietary pattern and the Community Periodontal Index in elderly people who live alone in rural areas and to provide necessary data to strengthen nutrition education about the oral health of elderly people who live alone. Methods : Dental examinations and questionnaires were conducted with 380 elderly people who live alone in rural areas of Gyeonggi-do. Results : The Community Periodontal Index was higher when the elderly people who live alone had a low intake of vegetables and fruits, a high intake of sugars, a low number of breakfasts, a high frequency of overeating and a high frequency of instant ingestion. Conclusions : It is necessary to provide nutritional management services for the elderly people who live alone in rural areas and to provide preventive centered comprehensive oral care.

Demand and willing to pay for oral hygiene service in long-term care insurance of elderly (노인장기요양보험 재가급여 수급자의 구강위생서비스 요구도와 비용지불의사)

  • Kim, Han-Nah;Kim, Gi-Yon;Noh, Hie-Jin;Kim, Nam-Hee
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.204-209
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    • 2018
  • Objectives: This study was conducted to identify the demand and willingness to pay for oral hygiene services among elderly people with long-term care insurance. Methods: Our study was a cross-sectional analysis. Subjects comprised 126 elderly individuals from long-term home-care centers. A total of 28 centers were selected through convenience sampling from among 78 centers in ${\bigcirc}{\bigcirc}$. For analysis, semi-structured questionnaires that required about 20-30 minutes to complete were used. Analysis was performed using SPSS 23.0 software. Results: The overall demand for oral hygiene services was 44.4%, and willingness to pay was 31.0%. Thirty-three people (58.9%) of elderly those who have demand for an oral hygiene service were willing to pay for the service, and 64 people (91.4%) who did not have a demand were not willing to pay for it. Among those with partial dependence on brushing, 65.6% had demand for oral hygiene services and 50.0% were willing to pay costs. Among basic livelihood beneficiaries, 69.6% were willing to pay for oral hygiene services; general subjects and relievers were less willing to pay. Conclusions: The overall demand for oral hygiene services among elderly people was 44.4%, and the willingness to pay was as low as 31.0%.

A Study on Actual Conditions of Leisure Time and Service Satisfaction of Community-dwelling Elderly -Focused on Buyeo (지역사회거주 노인의 여가시간활용과 바우처사업 서비스 만족도에 관한 연구-부여군을 중심으로)

  • Jeon, Byoung-Jin;Lee, Jae-Shin;Kwon, Mi-Hwa
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.25-35
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    • 2012
  • Objective : This study conducted in rural areas, elderly services voucher business and leisure satisfaction survey based on data from the use of community-dwelling older people considering service needs was to find ways to take advantage of leisure time. Methods : Buyeo county residents in this study 71 patients were elderly, the characteristics of elderly gender, the presence of spouse, health status, education level, monthly living expenses, number of children, occupation, and the variables were included. Subjects' self-esteem, life satisfaction, quality of life, program satisfaction questionnaire for the survey were used, t-test and correlation analysis using the correlation between each factor were analyzed. Results : In a survey of participants in leisure activities, TV watching, meeting friends, such as phone calls to static and time-consuming activities were surveyed about satisfaction of the voucher business, the elderly oral health care services, health screening services, sports massage such as health-related services is relatively high degree of satisfaction. Conclusion : The results of this study of elderly people in rural communities through meaningful leisure time were utilized to determine what is lacking, a strong desire for health-related services that could be confirmed. Therefore, further experience and knowledge about activities by providing opportunities for meaningful leisure time needs to improve, and it based on a variety of programs to meet the needs of the elderly should be provided.

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Community Resource Linkage to Revitalize Frailty Prevention Programs for Vulnerable Seniors: Persons Receiving Care from Living Support Workers in the Elderly Customized Care Project (취약계층 노인의 허약예방 프로그램 활성화를 위한 지역사회자원연계 사례: 노인맞춤돌봄서비스 생활지원사의 돌봄대상자)

  • Kim, Sun Jung;Yim, Eun Shil;Jang, Hyun Jin
    • Journal of Korean Academy of Rural Health Nursing
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    • v.19 no.1
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    • pp.66-74
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    • 2024
  • Purpose: This study evaluates the effectiveness of providing frailty prevention services by living support workers through a case of community resource connection centered on living support workers to revitalize frailty prevention programs for vulnerable elderly people. Methods: This is a research study using secondary data from a neighborhood health-sharing project among the integrated health promotion projects of one public health center in Daegu Metropolitan City. To assess frailty effects pre-assessments were conducted in August, and post-assessments were conducted in November. Frailty was measured using a 20-item frailty instrument used in home healthcare projects. Data were analyzed using the chi-square, independent t-test, and paired t-test. Results: Preliminary measurements showed that older elderly had higher frailty scores than younger elderly. However, among the elderly aged 75 or older the total frailty score decreased statistically significantly from 5.97 points to 5.30 points (t=3.03, p=.003). Conclusion: The older elderly showed greater effect of frailty prevention than the younger elderly.

Prediction model for dental implants utilization in the elderly after the national health insurance coverage of dental implants: focusing on socioeconomic factors (치과 임플란트 국민건강보험 급여화 이후 노인의 치과 임플란트 이용에 대한 예측 모형: 사회경제적 요인 중심으로)

  • Sang-Hee Lee;Kyu-Seok Kim;Hye-Young Mun;Jung-Yun Kang
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.1
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    • pp.9-16
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    • 2024
  • Objectives: The demand for dental care is expected to increase as the population ages. This study aimed to predict the utilization of dental implant care following the expansion of national health insurance benefits for dental implants. Methods: Multiple linear regression analysis was performed on HIRA big data open portal data and DNN-based artificial intelligence models to forecast the utilization of dental care in relation to the national health insurance coverage for dental implants. Results: National health insurance coverage of dental implants was found to be associated with the number of patients using dental implant services and demonstrated a statistical significance. The dental implant services utilization increased with the increased dental implant health insurance benefits for the elderly population, increased mean by region, increased number of dental institutions by region, and increased health insurance coverage rate for dental implants. However, the dental implant services utilization decreased with the increased number of older people living alone and increased size of dental institutions. Conclusions: With the expansion of the national health insurance coverage for dental implants, it is predicted that the utilization of dental implant medical services will increase in the future.

Application Technologies of Smart Phone for Emotional Satisfaction and Mental Health-care of the Elderly (고령자의 감성 만족과 정신건강을 위한 스마트폰 응용 기술)

  • Cho, Myeon-Gyun;Kim, Shik
    • IEMEK Journal of Embedded Systems and Applications
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    • v.8 no.1
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    • pp.31-42
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    • 2013
  • Considerations of how to facilitate aging-in-place(AIP) are becoming increasingly pertinent as care-givers are overwhelmed by an aging population. Aging friendly home-care services combined with IT can satisfy the needs of the elderly suffer from chronic diseases such as depression and dementia. Therefore, we propose future smart phone services and application technologies which can estimate emotional states of the aged and respond to the desire to be happy with mental health, connectedness and consolation from peoples. Firstly, we introduce depression measurement techniques to estimate the severity of depression using multiple sensors. At second, the emotional responding services are categorized to four parts and the details are described. Lastly, we propose the process to implement emotional communication and the application techniques(services) to fulfill the emotional satisfaction and mental healthcare for AIP using smart phone as a mediator.

Factors Associated with the Health Promotion Activities of the Korean Elderly (노인의 건강증진행위 실천과 관련요인)

  • Lee, Jung-Chan;Park, Jae-San;Kim, Gwi-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.27 no.2
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    • pp.121-139
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    • 2010
  • Objectives: The purpose of this study was to identify the health promotion activities of the elderly Korean aged 65 or older and to examine the related factors associated with the health promotion activities. Methods: Data were obtained from 2008 Social Statistics Survey of Korea National Statistical Office of 6,207 people aged 65 or older. We measured the socio-demographic characteristics, physical health status, social health status, and health promotion activities. Statistical analyses were employed through the $X^2$-test and Odds ratio using Logit Model. Results: In our study, health promotion activity practice rates were varied among the socio-demographic characteristics, physical and social health status. Our findings also support that better socio-demographic and physical health status explain the higher practice rates of health promotion activities. In addition, the higher social health status was associated with better practice rates of health promotion activities. Conclusion: We found that the health promotion activities of the elderly could be encouraged by better socio-demographic status and physical and social health status. To better accomplish the health promotion for the elderly in our community, policy-makers should need careful political deliberation for executing health promotion services considering the distinctions of programme and target groups.