• Journal of the Korean Institute of Rural Architecture
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• v.20 no.3
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• pp.37-45
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• 2018

There are many advantages to unit-care welfare facilities' care services for the elderly in Japan. The field research was conducted after holding interviews with employees at five elderly welfare facilities in Japan. This research analyzes the space arrangement of unit-care welfare facilities in Japan's Tohoku rural area. The purpose of this study is to provide design data on the space arrangement of a unit-care facility for Korea. The results of research are as follows. 1. Cafes, restaurants, and stores were operated in the elderly welfare facilities, which were open to the general public as well. Therefore, local residents frequently visited. 2. The kitchen, living rooms, private bedrooms and construction of the elderly welfare facilities were similar to that of normal residential houses. 3. The event hall is conveniently located at the center of the facility. 4. It was easy to understand the health status of the elderly by having a health office in the open living room. 5. There were open spaces which are frequently used by the homebound elderly, including room rehabilitation, daycare and short term residence. The above results will be used for space planning data in Korean unit-care facilities.

• Journal of the Korean Home Economics Association
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• v.40 no.5
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• pp.195-210
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• 2002

The purpose of this study were to find out the difference of needs of caring between care-givers and non care-givers, and to suggest the way of lessening vigorous task of care-givers for the elderly with dementia. Data were collected from 130 nationwide respondents intentionally divided into two groups; care-givers and non care-givers in the middle aged with middle and upper income. Collected data were analyzed by frequency, percentage, t-test using SPSS package. Since the result of survey, unexpectedly, showed no difference between two groups, it could be explained as that these two groups commonly had same needs of caring for the elderly with dementia. Major findings were as follow; 1) Most Koreans stiff thought family should be the main care-giver for the elderly with dementia prior to nation or society. 2) Responsibility of caring for the elderly with dementia would be better to be shared with children instead of focusing to a child. 3) They thought ideal residential facilities for the elderly with dementia were small-scale professional dementia facility(group home) rather than home or general elderly housing. 4) Professional dementia care hospital was one of the most needed facilities for the elderly with dementia, followed by short-stay and dar-care center. 5) It was revealed care-giving task was vigorous showing that most care-givers spent 1-5 hours a day for caring, while 13% of respondents spent 11-24 hours a duty. 6) 90% of care-givers took the responsibility of main care-giver because of duty of offsprings or spouses, and wanted to be free from their current circumstances. From the result of this survey researchers would like to suggest the establishment of diverse facilities for professional dementia care to lessen the caring burden for the elderly with dementia: group home, chronic hospital, short-stay, day-care center. Financial support from the government for the housing renovation of the caring families should be considered seriously afterward. It is needed to give the opportunity to select proper paid dementia care facilities according to their income and situation of household.

• Journal of the Korean Institute of Rural Architecture
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• v.23 no.4
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• pp.21-29
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• 2021

The purpose of this study is to present the basic direction of the desirable spatial plan for elderly care facilities by analyzing the spatial characteristics of elderly care facilities in gyeongnam-province. As a research method, 189 elderly care facilities in gyeongnam-province were investigated for location conditions, site area, floor area, total floor area, and space composition. In addition, the area of each specific space was analyzed for two elderly care facilities with a typical floor plan. The results of the survey and analysis are as follows. First, the average number of people in the facility was 53.8, and the number of people in the facility needs to be planned to be medium or less so that they can live in a more comfortable environment in the future. Second, in the location type, it was found that many facilities were distributed in the order of suburban and rural type, urban type, mountain type, and waterfront type. In addition, in terms of facility space composition, the proportion of detached facilities was 50.8%. Complex facilities require a reasonable plan in consideration of the location type and other functional facility characteristics. Third, the average total floor area per person of elderly care facilities was 27.57m². There is a limit to constructing a unique nursing space. In the composition of bedrooms, quadruple rooms account for 67.4%, but it is necessary to expand the proportion of bedrooms that can be used by fewer people.

• Korean Institute of Interior Design Journal
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• v.24 no.3
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• pp.165-175
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• 2015

Korean medical welfare facilities for the elderly provide the conveniences to care geriatric illness such as dementia and stroke. The medical welfare facility categorizes elderly care facilities, nursing homes, and geriatrics hospitals based on the Korean welfare of the aged act. The government makes an effort to secure feed rate and finances of medical welfare facilities. However, the qualitative improvement of facilities is inadequate. The purpose of this study is to analyze the conditions and problems of existing facilities using an environmental evaluation and to discuss the improvement direction related to the daycare centers for the elderly. The method of this study is literature review and field survey. Firstly, we analyzed the previous studies to develop the tool, evaluating the environment of day care centers for the old. Secondly, the items of environmental evaluation are deduced. Thirdly, we select the facilities to conduct field survey and analyze the results of field survey. Lastly, We discussed the problems and improvement directions through the results. It is judged that this study is an useful as the basic guideline to strengthen the minimum legal standards of day care center for the elderly due to the suggestion of insufficient environmental evaluation items.

• 한국사회정책
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• v.24 no.1
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• pp.67-95
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• 2017

This study compared policies of elderly abuse of long-term care facilities on WHO, Main countries for improvement of Korean policy. So, This study reviewed policies of elderly abuse of long-term care facilities on WHO, Main countries. So, This study reviewed risk factors that may increase the potential for abuse of an older person can be identified at individual level, care-woker levels, socio-cultural levels and facilities levels. The results of the study were as follows: First, The openness of long-term care facilities are emphasized on many countries. There are a need for a policy considerations such as policies of Ombudsman, Adult guardianship for visiting facilities, external monitoring. Second, There was a difference of facilities infrastructure and workers of treatment condition long-term care facilities each other countries. So It is important to improve facilities infrastructure and workers of treatment condition. Third, It is necessary to consider traits of elderly in long-term care facilities. Especially, it is required to manage dementia elderly and elderly on night time in long-term care facilities. Finally, implications and future directions of policies of elderly abuse of long-term care facilities were discussed based on the finding of the study.

• Quality Improvement in Health Care
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• v.7 no.1
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• pp.18-31
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• 2000

Background : This study is to identify the inappropriate hospital services for elderly inpatients over 65 years in general hospital with acute care functioning. Consequently elderly inpatient care and the management of long-term care facilities are key issues for current government health policy. Method : The survey was conducted for two months for all inpatients over 65 in 7 general hospitals, 6 work sampling days randomly selected. In each survey day, the subjective judgement by medical staff on the degree of acute care needs and by nursing unit manager on hospital services of each inpatients was also conducted. Result : The total number of cases collected are 2,541 elderly inpatients, according to subjective judgements by medical staff on inpatient condition. However 46.8% of cases are turned out to be non-acute care group. The frequency of medical services provided to non-acute group are 2~3 vital sign checks per day 78.2%, IV injection 40.1%, antibiotics medication 20.2%. Conclusion : Lots of elderly patients' who are staving in acute hospitals, at present need to be transferred to long-term care facilities. However, there was been shortage of long-term care facilities. It is expected to identify the need of elderly inpatients and therefore, to provide cost-effective, appropriate and good quality health services to elderly inpatients depending on their needs.

• Journal of Korean Academy of Nursing Administration
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• v.12 no.2
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• pp.189-195
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• 2006

Purpose: This study was to identify nursing interventions which were perceived highly in the importance and performance of nursing interventions by nurses in long-term care facilities for elderly. Method: Data was collected from nurses working in long-term care facilities for elderly over 2 years who participated in continuous education by Korea Association of Senior Citizens Welfare Institution. Data was analyzed using mean and paired t-test to compare difference between the importance and performance of each nursing intervention. Results: Among 264 nursing intervention, 49 nursing interventions were considered highly important and performed very often by nurses. Especially, 11 nursing interventions had significant difference between the importance and the performance, which meant that nurses perceived them as the most important and they were not implemented often as much as that by nurses. Conclusion: The results of this study revealed that what kinds of the nursing interventions were perceived highly important and performed very often by nurses in long-term care facilities for elderly. These nursing interventions can be utilized in the development of standardized nursing intervention classification to be used for the long-term care facilities for elderly.

• Journal of The Korea Institute of Healthcare Architecture
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• v.12 no.3
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• pp.7-14
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• 2006

The purpose of this study was to analyze the elderly welfare facilities in Germany, which already entered into the aging society. Especially, the multipurpose and large elderly welfare facilities, where more than 50 elderly people lived, were analyzed. For this purpose, a field study was conducted between January 13 and February 3, 2005. This study tried to find out the architectural characteristics and trends of elderly welfare facility. There are about 9200 elderly welfare facilities in Germany, and about 7% of the elderly people over 65 years old live there. As for the multipurpose elderly welfare facilities, there are about 5800 facilities, 64% of the total facilities. The elderly welfare facility carries out single function at the early stage, and adds up another functions step by step. In general, the facility is managed with focusing on two main functions (care function and residential function). In a small town, the care function is the major one of the facility. However, in the city, the major functions of the facilities are both care and residential function, which are elderly residence or safeguard house.

• 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 The Korea Institute of Healthcare Architecture
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• v.15 no.1
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• pp.5-12
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• 2009

According to the rapid increase of the elderly population, especially frail older population, many kinds of elderly care facilities have been supplied within a relatively short period. Among them, elderly hospitals and elderly welfare facilities have occupied a major portion. The elderly hospital, which had emerged from 1994, has recorded sharp increase in facility numbers and bed numbers by the support of Korean government together with the increase of care demand. However, the concept and fundamental planning criteria of elderly hospitals have not yet been set up. This paper has derived the concept of the elderly hospital from the Medical Law and Elderly Welfare Law, and prospected the supply of it from domestic and international statistics. Also this paper has explored the fundamental design issues of elderly hospitals by analysing precedent studies and designs, and by surveying some facilities.