• Research in Community and Public Health Nursing
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• v.20 no.2
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• pp.152-160
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• 2009

Purpose: The purpose of this study was to analyze service occupation types and to develop training programs for the aged. Methods: This study used descriptive study design. The research process consisted of three stages: first, identified the demand of service manpower for the aged; second, investigated present jobs and education programs in Korea and Japan; and last, developed service jobs and education programs for the aged. Results: Potential users considered "health management" to be the most important area. They thought "providing job" as second most important. According to the result of analyzing Korean policies, there were 9 service occupations in 5domains. So, we derived 10 occupations such as 'daily living manager', 'care manager', 'care worker', 'health manager', 'education specialist', 'leisure manager', 'good manager', 'housing manager', 'financial specialist' and 'retirement consultant' in 5domains as healthcare, leisure, goods, housing and finance. Finally, we developed their tailored training programs. Conclusion: According to this study, there should be various occupations qualified by the government, and training programs should be settled. And healthcare providers must included in developing standardized training programs.

• Journal of Korean Public Health Nursing
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• v.31 no.1
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• pp.19-33
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• 2017

Purpose: This study was conducted to explore the meaning and contents of high-quality aged care facilities and provide basic data for evaluation of service quality in such facilities. Methods: The focus group interviews and participants consisted of two user groups, for a total of 16 family caregivers of the elderly living in facilities and four service provider groups, for a total of 26 chief managers and caregivers working in aged care facilities. All interviews were recorded and transcribed as they occurred. Content analysis was used and debriefing notes were referred to in order to analyze the data. Results: Four themes of a high-quality aged care facility emerged from the analysis; 1) a place to rest for comfortable later years; 2) systematic value-based management; 3) providing professional care; 4) comprehensive service provision in response to diverse needs. Conclusion: The findings of the study showed the importance of client centered care and ethical mindset of providers, which had not been included in the existing quality evaluation programs. Based on these results, medical treatments, end-of-life care and more comprehensive and extended services including family care need to be provided in facilities to ensure good quality aged care.

• Korean Journal of Occupational Health Nursing
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• v.19 no.1
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• pp.78-87
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• 2010

Purpose: The purpose of this study was to identify the effects of occupational health service(OHS) for the aged workers in small workplace. Method: A single group of pretest-posttest design was used. 608 aged workers of 253 small workplace who had one out of 4 risk factors were randomly selected. The OHS consisted of education, medical checkup, and counseling. Also information was provided by a visiting nurse 4-5 times every 4-5 weeks from March to November, 2009. The data were collected by interview, self report, and monitored by a nurse. Results: The OHS led to significant reduction of the mean systolic and diastolic blood pressures of 6.46mmHg and 5.22mmHg, each respectively. The mean total cholesterol, glucose, and BMI were also reduced significantly by 6.35mg/dL, 5.91mg/dL, and 0.31kg/$m^2$. And stages of health behavioral change were moved from 1,2,3 stages to 4,5 stages significantly. Conclusion: The OHS showed an effective intervention to improve the aged workers' health in the small workplaces. Therefore, The OHS by visiting a nurse can be a good strategy to extend to small & medium-sized companies having no in-site health manager.

• The Korean Journal of Health Service Management
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• v.9 no.3
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• pp.187-199
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• 2015

Objectives : This study was conducted to examine social factors associated with problematic drinking among middle- and older-aged men in South Korea. Methods : The data were collected from the baseline survey of the Korean Longitudinal Study of Aging, and the sample consisted of 3,631 men between 45 and 64 years of age and 1,173 men aged 65 or older. This study employed variables identifying various socioeconomic features, social ties, and health-related factors. Logistic regressions were used for the data analysis. Results : Middle-aged men having frequent social relationship with close persons were significantly more likely to be problematic drinkers than those having less frequent social relationships with close persons. Lower education, unemployment, smoking, and depression were associated with problematic drinking only among middle-aged men. Conclusions : We suggest that health professionals develop specific intervention strategies that could lead to more moderate alcohol habits and better health in middle aged Korean men who are actively engaged in social networks. In addition, health professionals need to focus more on the unemployed, lower educated, depressed, and smoking groups for early detection of problematic drinking among middle-aged Korean men.

• The Korean Journal of Health Service Management
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• v.11 no.4
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• pp.179-188
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• 2017

Objectives : This study tried to examine whether there is any difference between the middle-aged men and women in terms of the effect of health-related and oral health-related characteristics on their depressive symptoms (PHQ-9). Methods : We used the 2nd year data of the 6th session of the National Health and Nutrition Survey of 2,008 adults(aged40~64 years) for fulfilling the research objectives. Results : The analysis showed that among middle-aged male and female respondents, household income, subjective health conditions, and stress perception among health-related characteristics had common elements affecting their depressive symptoms. The self-reported oral health conditions affected depressive symptoms for male respondents. On the other hand, chewing problems and contraction of periodontal disease affected depressive symptoms of female respondents. Conclusions : Thus, it is necessary to consider the effect of sex in the relationship between health-related and oral health-related characteristics, and to make efforts to develop differential programs to manage and prevent depressive symptoms among men and women.

• Health Policy and Management
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• v.31 no.1
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• pp.46-55
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• 2021

Background: Patients with the chronic physical illness are more likely to experience depression, and the accompany of chronic physical illness and depression is particularly high in middle-aged and elderly women. Considering that depression is associated with somatization and the decline of therapeutic compliance when accompanied by chronic physical illness, middle-aged and elderly women who experience depression among chronic physical illness may increase their use of medical services. This study is to identify the effect of depression on the use of medical services, especially among middle-aged and elderly women with chronic physical illness. Methods: This study used the 2016 Korean Health Panel. For analysis, it used T-test, negative binomial regression, and multivariate regression combining propensity score matching. Results: First, depressive groups had a higher number of medical service utilization and total medical expenditure than the non-depressive group. Second, depression significantly increased medical service utilization (β=0.17, p=0.04) at the 5% significance level. Also, depression significantly increased total medical expenditure (β=0.37, p=0.08) at the 10% significance level. Conclusion: For those who have chronic physical illness among middle-aged and elderly women, the experience of depression was confirmed to be a factor affecting the use of medical services. In the end, it is important to come up with policy countermeasures for middle-aged and elderly women accompanied by depression and chronic physical illness.

• 제어로봇시스템학회:학술대회논문집
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• 2002.10a
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• pp.49.4-49
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• 2002

$\textbullet$ Introduction $\textbullet$ Seal Robot: Paro $\textbullet$ Placebo Seal Robot $\textbullet$ Health Service Facility for Aged $\textbullet$ Robot Assisted Activity $\textbullet$ Discussions $\textbullet$ Conclusion

• Health Policy and Management
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• v.28 no.2
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• pp.105-106
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• 2018

Korea, which entered the aged society in 2018, is accelerating the progress of the aged society due to the rapid decrease in birth. Although the low birth rate is the important issue, comprehensive measures to cope with the aged society should be established. In particular, the reform of the healthcare system in response to the aged society is very urgent. The reorganization of the healthcare system in response to the aged society should focus on improving the functional abilities of the elderly and should be transformed into integrated older person-centered health service. The benefit package of National Health Insurance should be diversified and appropriate payment of each benefit package should be applied. The ageism should be overcame, and it is important to recognize that the measures for the older person are investments in future society. The reform of healthcare system for older person are very urgent in Korea, which is advancing into a rapidly aged society.

• Research in Community and Public Health Nursing
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• v.9 no.1
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• pp.89-103
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• 1998

The elderly population will increase from 5.8% in 1996 to 12.5% in 2020. The related problems of health will also become a very important issue in the future. Therefore it is important to address the problems of geriatric nursing and geriatric health. 87.6% of the aged were ill with chronic degenerative diseases in 1994. In 1995, hospital admission rates (86.8) for those aged 60 or older were higher than that (56.3) of the total age group. Such high medical utilization will increase national health costs. For the development of geriatric nursing, active nursing intervention in various settings combined with education and research should be developed. Considering the health and welfare of the aged and the present status and views in Korea, I suggest the following: First, the health needs of the elderly in the institution, must be met by a plan that fosters geriatric nurses and programmed service development. Second, health service for the residential elderly must be provided in day care centers, short stays, nursing homes and geriatric hospitals. Geriatric nursing services should be provided in home residential areas, public health centers, public health subcenters as well as having, community health practitioners in primary health care posts and home health nurses. Third, geriatric nursing curriculum must be developed adjust to situations and culture of Korea and be included in the nursing curriculum. And gerontological nurse practitioner or geriatric specialist must be fosteraged to provide the professional care for the aged. Geriatric nursing research should be also achived for geriatric nursing improvements.

• The Korean Journal of Health Service Management
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• v.7 no.4
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• pp.167-178
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• 2013

The purpose of this study was to investigate the characteristics of health-related quality of life among the aged who have been living in one urban community. The number of participants was 167 of people who were 60 and over. health-related quality of life was measured by EQ-5D in Korean Version. The order of frequency of 5 domain in EQ-5D were pain/discomfort, mobility, anxiety/depression, usual activity, self care. 32 of profiles were found from the study participants, and '11111' among them was 28.7%. Mean of EQ-5D index was $0.82{\pm}0.14$. Multiple Regression analysis of health-related quality of life explained 31% of variance of health-related quality of life using EQ-5D. In this analysis, age, regular exercise, spouse were found to be predictors to health-related quality of life measured by EQ-5D. The finding of this study will be the basis of well organized model of health-related quality of life for the aged.