• Title/Summary/Keyword: Senior Healthcare Policy

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Evaluation of Effects of a Clinical Reasoning Course among Undergraduate Nursing Students (시뮬레이션을 적용한 임상추론 교과목의 적용효과: 일 대학의 예를 중심으로)

  • Lee, Ju-Hee;Choi, Mo-Na
    • Korean Journal of Adult Nursing
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    • v.23 no.1
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    • pp.1-9
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    • 2011
  • Purpose: To evaluate undergraduate nursing students' ability in clinical competence, critical thinking, and problem solving following enrollment in a clinical reasoning course. Methods: A clinical reasoning course utilizing a human patient simulator and scenarios was offered to 22 senior students at a College of Nursing in Seoul. Students' clinical competence was measured with a checklist of 15 items by analyzing students' performance recorded on video tapes for eight scenarios. Critical thinking disposition and problem solving were measured by a self-administered questionnaire before and after the course. Data were analyzed using descriptive statistics and Wilcoxon signed-rank test. Results: The high scored items of clinical competence were: 'obtain relevant subjective/objective data', 'interpret vital signs', 'communicate with healthcare providers', and 'utilize standard precautions including handwashing.' Students' critical thinking and problem solving scores following the course were increased with statistical significance. Conclusion: A clinical reasoning course utilizing a human patient simulator creates a realistic clinical environment for nursing students and provides the opportunity to obtain clinical competence, critical thinking, and problem solving skills.

A study on the effectiveness of Senior living environmental improvement through remodeling of old apartment complex (노후 임대아파트단지 리모델링을 통한 노인거주환경개선효과에 관한 연구)

  • Kwon, Soonjung;Kang, Hyojin;Oh, Ga Young;Kim, Seok Jun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.4
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    • pp.93-104
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    • 2017
  • Purpose: Korean society has already entered an aged society but there aren't many evidence-based studies on the elderly-friendly design elements in the apartment environment, which is the main residential type in Korea. The main purpose of this study is to verify the necessity and expandability of the outdoor environment design in the public rental apartment complex through the evaluation of the effectiveness and satisfaction of SMG(Seoul Metropolitan Government) Cognitive Health Design Project in GR 1 apartment complex. Methods: The research subjects were GR 1-complex as experimental group and the nearby Wolgye Deer 1-complex as control group, both public rental apartment and located in Seoul. As a research method, the survey was conducted before and after the implementation of SMG project for residents of the apartment. A total of 200 preliminary surveys and 203 post surveys were conducted. Results: As a result of this study, residents' accidents related safety have decreased, and both the frequency of use and satisfaction of most facilities have increased. It is noteworthy that the increase in cognitive items in the post-survey. Also, 74.5% of the residents evaluated that the complex was better to live after the project was implement. Implications: The fact that the preliminary surveys were not conducted for the same person is considered as the limitation of the study, but it is meaningful in that it systematically assesses the effectiveness of the project on the cognitive health of the outdoor residential environment towards age-friendly city.

Correlates of life satisfaction in the Elderly : Systematic Review and Meta-analysis (노인의 생활 만족도 영향 요인: 체계적 문헌고찰 및 메타분석)

  • Mo, Jin-A;Lee, Kyung-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.517-526
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    • 2018
  • The purpose of this study is to provide convenience to the senior center staff and policy makers through a research of "Life satisfaction" in the senior centers with a systematic review and meta-analysis of the considerations of the elderly, published in foreign journals for the past 10 years. We searched published studies in the Medline Complete, Pub-med central and Scopus databases from January 2007 to November 2017. The main key words used "Elderly AND(And OR aged) AND Personal Satisfaction/ or life satisfaction" and out of 595 searched articles a total of 6 studies were selected. After qualitative analysis of the contents of the study, meta - analyzes were conducted for factors with more than three quantitative values. The factors affecting life satisfaction of the elderly were physical health (pooled effect size 0.582, p = .000), mental health (pooled effect size 0.423, p = .000), economic problems (r = .51, p =. 001), social activities, and daily living. It is expected that this study which provides an understanding of life satisfaction of the elderly would contribute to provide general information for developing social consensus on the employment in the super aging society should help improve the quality of welfare facilities for senior citizens in the future.

Correlation of Unmet Healthcare Needs and Employment Status for a Population over 65 Years of Age (65세 이상 인구의 고용형태와 의료요구 미충족 경험률의 관련성)

  • Kang, Jeong-Hee;Kim, Chul-Woung;Seo, Nam-Kyu
    • 한국노년학
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    • v.37 no.2
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    • pp.281-291
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    • 2017
  • The present study aimed to investigate the rate of unmet healthcare needs for elderly over the age of 65 years, as well as analyze the relevance between employment status and unmet healthcare needs due to financial reasons. With regard to the study method, a logistic regression analysis was performed to investigate the correlation between employment status and unmet healthcare needs due to financial reasons, targeting 5,528 subjects over the age of 65 years. The results showed that the rate of unmet healthcare needs was 18.9%, in which the rate of unmet healthcare needs due to financial reason was 8.1%. The rate of unmet health needs was higher for temporary workers(ORs=1.75) than for retirement workers. However, the rate of unmet healthcare needs caused by financial reasons was higher among day workers(ORs=1.92). In conclusion, in order to prevent unmet healthcare needs for senior Korean patients, it is necessary to not only improve the income security system for the elderly, but also improve the occupational form and level of income of these economically active citizens, considering the increase in average life expectancy. Moreover, it is also necessary to reinforce health insurance coverage systems for settling medical expenses.

The Effect of Recreation Therapy in Physical and Mental Health for Korean American Senior (레크리에이션 치료가 재미 한인노인의 신체적, 정신적 건강에 미치는 영향)

  • Park, Eunsik
    • Journal of Digital Convergence
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    • v.15 no.9
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    • pp.435-441
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    • 2017
  • The purpose of this study was to evaluate the effect of recreational therapy as part of Social Adult Day Care Program administered in the state of New York for the Korean American elderly living in the United States. The study was conducted in a nonequivalent control group posttest-only design from February to April, 2017. The participants included 35 subjects in the experimental group and 35 subjects in the control group; among the sample, 66 participants' data were analyzed. The average age of subjects who participated in this study was 79.4 years, and the average duration of residence in the United States was 24.6 years. Based on the study results, the recreational therapy program provided by the day care center was found to have a positive effect on the participant's daily life performances, depression and loneliness. Therefore, a variety of cultural sensitive recreational therapy program for the elderly population should be developed and operated in the future; furthermore, evidence-based research should be conducted to evaluate the effects of these programs.

Health-related Quality of Life of Patients With Diabetes Mellitus Measured With the Bahasa Indonesia Version of EQ-5D in Primary Care Settings in Indonesia

  • Muhammad Husen Prabowo;Ratih Puspita Febrinasari;Eti Poncorini Pamungkasari;Yodi Mahendradhata;Anni-Maria Pulkki-Brannstrom;Ari Probandari
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.5
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    • pp.467-474
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    • 2023
  • Objectives: Diabetes mellitus (DM) is a serious public health issue that places a heavy financial, social, and health-related burden on individuals, families, and healthcare systems. Self-reported health-related quality of life (HRQoL) is extensively used for monitoring the general population's health conditions and measuring the effectiveness of interventions. Therefore, this study investigated HRQoL and associated factors among patients with type 2 DM at a primary healthcare center in Indonesia. Methods: A cross-sectional study was conducted in Klaten District, Central Java, Indonesia, from May 2019 to July 2019. In total, 260 patients with DM registered with National Health Insurance were interviewed. HRQoL was measured with the EuroQol Group's validated Bahasa Indonesia version of the EuroQoL 5-Dimension 5-Level (EQ-5D-5L) with the Indonesian value set. Multivariate regression models were used to identify factors influencing HRQoL. Results: Data from 24 patients were excluded due to incomplete information. Most participants were men (60.6%), were aged above 50 years (91.5%), had less than a senior high school education (75.0%), and were unemployed (85.6%). The most frequent health problems were reported for the pain/discomfort dimension (64.0%) followed by anxiety (28.4%), mobility (17.8%), usual activities (10.6%), and self-care (6.8%). The average EuroQoL 5-Dimension (EQ-5D) index score was 0.86 (95% confidence interval [CI], 0.83 to 0.88). In the multivariate ordinal regression model, a higher education level (coefficient, 0.08; 95% CI, 0.02 to 0.14) was a significant predictor of the EQ-5D-5L utility score. Conclusions: Patients with diabetes had poorer EQ-5D-5L utility values than the general population. DM patients experienced pain/discomfort and anxiety. There was a substantial positive relationship between education level and HRQoL.

The Influence of Elderly People's Health Promoting Behaviors on their Successful Aging: Focused on the Mediating Effect of Successful Aging Perception and Life Satisfaction (노인의 건강증진행위가 성공적 노후에 미치는 영향: 성공적 노화인식과 생활만족도 매개효과 중심)

  • Hong-Young Jang
    • Journal of Industrial Convergence
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    • v.21 no.5
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    • pp.109-122
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    • 2023
  • The purpose of this study is to look into how elderly people's health promoting behaviors influence their successful aging, to realize how their perception of successful aging and their life satisfaction have the mediating effect on the path from health promotion behaviors to successful aging, and to find the significant influence of successful aging perception and life satisfaction on successful aging. This researcher conducted a questionnaire survey with elderly people using a senior welfare center in Gyeonggio-do, and analyzed 250 copies that. For data analysis, SPSS Win 25 was applied to conduct frequency analysis, descriptive statistics, t-test, one-way ANOVA, and correlation analysis. Mediating effect analysis was made to verify the causal relations between health promoting behaviors and successful aging, and to validate the mediating effect of successful aging perception and life satisfaction on the causal relations. As a result, elderly people's health promoting behaviors influenced their perception of successful aging, their life satisfaction, and their successful aging. Their perception of successful aging had the mediating effect on health promotional behaviors and successful aging, but life satisfaction did not so. This study has the following implications: it is necessary to train persons specializing in support for health promoting, to develop an efficient health promotional model and program, and to provide an opportunity of education. It is necessary to come up with a support policy in consideration of tangible or intangible factors. It is necessary to establish a policy in line with economic levels and health conditions of elderly people.

The study on the entry of dental technicians in the public health center for a manpower supply and demand plane (Centering around a denture insurance policy in 2012) (인력수급 대책을 위한 치과기공사의 보건지소 진출에 관한 연구 - 2012년 틀니보험화 정책을 중심으로 -)

  • Lee, Jong-Do;Kim, Jeong-Sook;Park, Kwang-Sig
    • Journal of Technologic Dentistry
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    • v.32 no.4
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    • pp.417-433
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    • 2010
  • Purpose: This study evaluated the manpower planning of dental technicians. Methods: Methods : Survey was conducted regarding subject's general characteristics, characteristics of dental technician's occupational view and working conditions, and reason to enter into branches of the public health enter. The survey sample consisted of 323 dental technicians (221 male/ 102 female). Survey was conducted for one month from August 1 to September 1 in 2010. Following results were obtained. Results: 1. Regarding general characteristics of the subjects, there was a slight male predilection with 68.4%. Subjects in their 40s occupied the highest proportion of 32.2%. Majority of subjects worked in the big cities (71.5%). Favored working places were dental laboratory (57.6%) and dental hospital or dental clinic (19.5%). Although no position is available in the public sector such as public health center or health care civil servant, 9.3% preferred working in the public health center. Public sector is more favored than 2-year technical colleges or dental supply and equipment companies. In respect to education, 57% of the subjects graduated college. 67.8% were married. Subjects who specialize in the porcelain or all-ceramic were 57.9%. With regard to current position, head of the dental laboratory was most common. 2. Following occupation characteristics were found. Economic reason took the highest proportion when deciding their occupation (39.9%) followed by gaining social experience (36.5%). Majority of the subjects (76.5%) wanted to work as dental technicians until their retirement. 71.5% pursuit to become a manager of the dental laboratory. 76.1% agreed on opening a dental technician position in the public health center. Regarding an authority to lead developing the dental technician position in the public sector, majority of the subject chose ministry of health and welfare (35.6%) and Korean dental technologist association (34.7%). Employment (average, 30%) and turnover rate (average, 36.5%) of dental technology college graduates ranged from 40% to 60%. Most important factors for the employment were practical experience (41.2%) and competency (34.4%). With regard to job satisfaction, so-so as 46.7% and satisfactory was 42.7% 3. In respect to the reason for opening a position in the public health center, 'It is needed to continue denture rogram for elderly patients' obtained the highest score (4.14 point). 'Institutional devices are required to open a position for dental technicians as a public healthcare provider' received high score (4.11 point). 4. Concerning the working conditions, 'professional knowledge is required' received the highest score (4.23) followed by 'too short maternity and parental leave' (4.21). 5. Relationship between general characteristics of the subjects and favor of working in the public health center was investigated. Significant differences were found according to the current and favored working area, favored occupation, education level, marital status, and specialty. Working in the public health center was favored by following subjects: working in mid- or small-sized cities (4.16 point, p<0.05); PhD degree-holder (4.59 point, p<0.01). 6. Among general characteristics of the subjects, significant difference of working conditions was found in the following factors: gender; working areas; favored working areas; favored working positions, and education level. Majority of subjects favored working in big cities and currently work in big cities although satisfaction was comparatively low (3.75 score). 7. Future plan to work in public health center was evaluated according to occupational characteristics. Subject's intention to work in the public healthcare center was significantly affected by opening of dental technician position, leading authority, average turnover rate, and factors affecting employment. Working in the public health care center was favored by the following subjects: Dental technicians who actively supported opening of the dental technician position (4.34 point, p<0.001); subjects who thought the Korean dental technologist association is responsible for the opening of positions in the public sector (4.26 point, p<0.001); and subjects who thought that attitude and character are important for the employment (p<0.001). 8. Concerning difference of working conditions according to the occupational characteristics, significant difference was demonstrated by factors such as a reason to choose to be a dental technician, work plan, pursuing position, responsible authority, average employment rate, and job satisfaction. High standard of working conditions was required in subjects who selected to be a dental technician for the leisure time after work (s.05 point, p<0.01), who planted to work until their marriage (4.25 point, p<0.001), and who pursuit to be a manager (3.98, p<0.05). 9. In respect to influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.068 and age affected the working condition with significant difference according to the pvalue. 10. Regarding influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.335 and work plan, opening of dental technician position in the public sector, and responsible authority had significant influence over the subject's intention to work in the public health center according to the p-value. 11. With regard to the influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.091 and reason to choose to be a dental technician, work plan, and responsible authority significantly affected subject's working conditions. Conclusion: Korean society is becoming a super-aged society according to several statistics. As aged population is rapidly increasing, national health insurance plans to cover denture for senior citizen over 75 years old from 2012. Therefore, dental technicians are urgently needed in the public health centers all over the nation. Many subjects in this study planed to work until their retirement and recognized dental technician's expertise. Ministry of health and welfare and Korean dental technologist association should co-operate each other to prepare foundation and institutional devices for dental technicians to advance into the public health center. This will improve oral health of the population. This study showed urgency of medical facilities and services which meets increasing number of aged population and welfare of the population.