• Title/Summary/Keyword: elderly policy

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Long-term Policy Development for the Aged on Medical and Health Care Security (노인의료보장 및 건강관리를 위한 장$cdot$단기 대책)

  • Rhee Seonja;Lee Yoon Sook
    • Journal of Korean Public Health Nursing
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    • v.5 no.1
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    • pp.70-95
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    • 1991
  • The ageing problem of the population has been emerging in Korea since 1970's so that it is expecting the elderly 65 years and over among the total population from $4.5\%$ in 1988 to be $6.3\%$ in year 2000. This study was conducted to provide secure policy development in coming years for the aged on medical and health care aspects based on the examining current status of the aged problems and health care policies and systems. The study divided into four parts; The first part examined the medical insurance program and public assistance program of the health services in relation to the aged. The second part emphasized on reduction of medical care cost for the aged. The third part studied the regular health check-up program and health education for the aged. The fourth part examined the chronic disease management programs for the aged and strategies of the health care service quality improvement and specialized programs. The following recommendations made as the results of the study. 1. At present, the medical insurance program and public assistance program for the medically indigent is not appropriate to the elderly because it is a part of general medical insurance program so that Health Security Law for the Aged is proposed. 2. Medical cost will be increased due to the high occupancy rate of hospital beds and long stay of the elderly so that it is recommended to develop an early discharge program, home health care program, Health hospice and an althernative programs. 3. At present, a regular health check-ups for the elderly is not included in medical insurance program so that it is recommended to be included in the insurance program and at the same time health education program thoroughly developed for the aged. 4. To make proper medical and nursing services on chronic diseases for the elderly, it is recommended manpower development, specialized clinics or hospitals, nursing homes and an equivalent long term care facilitices should be established on the community based and a research institutions also to be related to supper the care programs.

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Analysis of Research on Nursing Home in Korea - Focused on Theses and Journal Papers since 1990 - (노인요양시설에 관한 국내연구 분석 - 1990년 이후 학위논문과 학술지 게재논문을 대상으로 -)

  • Byun, Hea-Ryung;Chung, Mi-Ryum;Kim, Dae-Nyun;Yoon, Young-Sun
    • Journal of the Korean housing association
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    • v.19 no.2
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    • pp.93-103
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    • 2008
  • The tendency of having fewer or no children and increasing number of single household will make the protection of the elderly with geriatric disease even harder in the future. Nursing home can provide long-term care for those who can-not be cared by the family. Korean government has been changing welfare policy for the elderly to cope with the changing needs of them regarding nursing home and geriatric disease. Researchers from various field also showed great interest in nursing home. The purpose of this study is to analyze the number and contents of theses and papers regard-ing nursing home in the 12 journals, to find out overall the research streaming of the theme, method, subject, and district of the papers in the journals. Data were collected by using keyword through library database. 246 thesis and 116 papers published from 1990 to 2006 were analyzed in 7 categories, and 66 papers in the journals were used on the content analysis for lading out research streaming. As results, research streaming according to 5 periods were identified. The most frequent subjects of theses regarding nursing home are nursing home systems and policies. Otherwise, the various subjects of papers in the journals have been deal with, especially plans of nursing home and spacial behavior of the elderly and staffs' satisfaction. In the future, the research subjects related to the nursing home should deal with total space plan as living environment for the elderly and work environment for the staffs according to privacy, spatial use and behavior, culture and lifestyle in Korea, and so on.

Medical Experiences and Unmet Health Care Perception among Elderly People with Chronic Disease (만성질환을 가진 노인의 의료경험과 미충족의료 인식)

  • Min, Dong-Hoo;Cho, Jung-Yeon;Kim, Jeong-Gil;Seo, Su-Jin;Kim, Mi-Kyung;Shim, Eun-Hye;Cha, Yu-Hyun;Kim, Chang-Yup
    • Health Policy and Management
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    • v.28 no.1
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    • pp.35-47
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    • 2018
  • Background: The purpose of this study is to elucidate the context of medical experience and the perception of unmet healthcare of elderly people with chronic diseases based on in-depth interview data. Methods: We carried out in-depth interviews with 10 elderly people with chronic diseases using semi-structured questionnaires based on literature review. The in-depth interview data were analyzed using thematic analysis; one qualitative research methodology, three core meaning categories, and four attributes associated with unmet healthcare were ultimately derived. Results: The context of the medical experience were based on the following three categories: (1) discomfort due to diseases and high medical needs, (2) the poor community medical environment and difficulties in accessing to metropolitan medical institutions, and (3) inconvenience caused by long waiting time and side effects of medicine. In addition, the elderly with chronic disease realized the unmet healthcare as (1) the availability related to the desired medical institutions at the right time, (2) the affordability related to their economic capacity, (3) the effectiveness of the medical services they experienced, and (4) the appropriateness related to receiving medical services in a pleasant environment. Conclusion: The perception of unmet healthcare among the elderly with chronic disease is the result of interaction of multi-level and multi-dimensional factors related with their medical experience.

The Role of Social Support for the Influences of Perceived Burdensomeness and Hopelessness on Suicidal Ideation of the Elderly (노인의 자살생각을 높이는 지각된 짐스러움과 절망감에 대한 사회적 지지의 역할)

  • Jeon, Young-Sun;Heo, Chang-Goo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.64-74
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    • 2019
  • The aims of this study were verifying the influences of social support(family, friend, community) on perceived burdensomeness and hopelessness and mediating effects of perceived burdensomeness and hopelessness between social support and suicidal ideation. In results, family support reduced suicidal ideation of the elderly through mediating role of perceived burdensomeness as well as serial mediating effect of perceived burdensomeness and hopelessness. Friend support reduced suicidal ideation of the elderly through parallel and serial mediating effects of perceived burdensomeness and hopelessness. Community support reduced suicidal ideation of the elderly through mediating role of hopelessness. Social support show not direct effect but indirect effect on suicidal ideation through reduction of negative influencing factor(burdensomeness, hopelessness). In conclusion, we proposed it were needed that various efforts which improve the relation between family members in the age of nuclear family and ageing era, social policy support which development social network of the elderly, and the efforts which keep informed the social policy support of the community.

An Analysis of the Impact of Suicide Prevention Policies on Elderly Suicide Rate Reduction (자살예방정책이 노인자살률 감소에 미치는 영향 분석)

  • Lee, Tae-Ho;Huh, Soon-Im
    • The Journal of the Korea Contents Association
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    • v.22 no.7
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    • pp.318-331
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    • 2022
  • The government has been promoting suicide prevention policies, but the elderly suicide rate has still not improved. This study focused on the role of local governments in solving suicide problems and analyzed three-year data from 2015 to 2017 at local governments level to investigate the relationship between suicide prevention policies and elderly suicide rates. Multiple regression analysis and logistic regression analysis was conducted to control social capital factors, demographic factors, and medical use factors that can affect the elderly suicide rate. As a result of the analysis, it was confirmed that suicide prevention ordinances were enacted and suicide prevention centers were established in areas with high suicide rates. In areas with high suicide rates, the suicide rate decreases if the elapsed period is long after the establishment of the center. From the perspective of suicide rates, it was analyzed that the local welfare support system was more affected. Accordingly, it was confirmed that the suicide prevention policy should be established in connection with the reinforcement of welfare policies

Study of the Effect of Incentive Policies on the Intention to Return the Driver's Licenses of Elderly Drivers (고령운전자의 운전면허증 반납 의사에 인센티브 정책이 미치는 영향 연구)

  • Kim, Joo Young;Jung, Hun Young
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.42 no.2
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    • pp.219-227
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    • 2022
  • In Korea, as the aging phenomenon accelerates, the problem of traffic accidents related to the elderly is continuously emerging. Efforts to improve this are being implemented, but unfortunately the results of these effects are not clear. Therefore, in this study, the effect of traffic characteristics and incentive policies on the return of driver's licenses of elderly drivers was reviewed. As a result of the analysis, it was confirmed that the intention to return the driver's license was low in the case of men, older people, those with low dependence on public transportation, those who undertook long driving hours, and those who took frequent trips. On the other hand, financial incentives were found to play a positive role with regard to the intention to return the driver's license. However, the effect is expected to be insignificant for those with a low intention to return the driver's license. As a result, under the current policy, it is predicted that there is a limit to improving the social problems caused by elderly drivers, meaning that it is necessary to review approaches that induce the return of their driver's licenses.

The Effects of Related Factors on Health-related Quality of Life for the Frail Elderly (허약노인의 건강관련 삶의 질과 영향요인)

  • Yim, Eun-Shil;No, Kyoung-Hee
    • Research in Community and Public Health Nursing
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    • v.21 no.1
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    • pp.12-20
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    • 2010
  • Purpose: The purpose of this study was to identify the predictors of health-related quality of life and to examine their effects in frail elderly. Methods: This was a correlation study. The subjects were 680 frail elders aged over 65 who were receiving home care from one of 253 public health centers in 16 provinces, and data were collected from the 1st to 30th of April, 2008. Results: The mean health-related quality of life in the subjects was $6.0{\pm}2.0$. The predictors identified in this study significantly explained 41.3% of health-related quality of life. Self-rated health was the most significant predictor of health-related quality of life. ADL and depression had an effect on health-related quality of life. Conclusion: Self-rated health, ADL and depression were the predictors of health-related quality of life in the frail elderly.

A Study on Improvement of National Pension System for Ensuring Elderly Women's Incomes (여성의 노후소득보장을 위한 국민연금제도의 개선방안)

  • Lee, Jae-Hee
    • Korean Journal of Human Ecology
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    • v.13 no.4
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    • pp.555-568
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    • 2004
  • The current national pension system tends to be sexually discriminatory in that it excludes elderly women. It is because the system is based on family incomes usually earned by men. Considering structural changes in a family - for example, a growing divorce rate, an increasing number of unmarried couples living together, and broken families - and socio-economic changes - such as an improved level of women's education and more female participation in economic activities, this paper will make some suggestions as follows: 1) to introduce basic pension system which guarantees incomes for the elderly with "one pension per person" policy; 2) to enlarge voluntary enrollment; 3) to implement pension credit system which pays women allowances for childbirth and upbringing; 4) to improve ways of allotting retirement pension of a husband; also to provide for an elderly woman both divided pension that derives from her husband's pension and an old-age pension of her own.

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A Basic Study of the Planning of the Housing Unit for Three Generation Family (3세대 가족형 공동주택의 계획에 관한 기초연구)

  • 민경애
    • Journal of the Korean Home Economics Association
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    • v.25 no.1
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    • pp.83-92
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    • 1987
  • Information on the planning of the housing unit for three generation family is required for developing nuclear families and increasing elderly person. This study deal with the life style, it's characteristics and housing needs of the elderly who lived with other two generations. Specifically, this study attempted to find the basic information of the detailed planning and the establishment of criteria of the housing unit for three generation family. The results of this study were as follows. 1. Planning of the housng unit for three generation family, it had to be taken over residency areas for elderly especially for keeping privacy each other. 2. It was necessary the criteria of housing standards for eldery based on their housing characteristics. 3. Considering the psychological characterstics and life style of the elderly, it should be suggest that they could live easily with their next generation in the samecommunity. Also, the public policy should take over the housing unit for three generation family.

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Effects of Social Support, Discrimination on the Eldely Morale (노인의 사회적 지지와 차별경험이 사기(morale)에 미치는 영향)

  • Park, Hyun-Sic
    • Journal of Family Resource Management and Policy Review
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    • v.12 no.1
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    • pp.127-139
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    • 2008
  • The main purpose of this study was to examine the impact of increasing morale on social support and discrimination. The relationship between discrimination and social support and their influences on the morale of the elderly was investigated, with the goal of raising morale in the elderly. The data were collected from a sample of 574 elderly people in Daejeon Metro-City. Factors positively influencing the morale of the elderly were identified a shaving a partner, a high educational background, financial status, good health status, the presence of an informal support from friends and neighbors, and less feeling of discrimination. Based on these findings, implications for social welfare policy and future research are discussed.

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