• Korean Journal of Social Welfare
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• v.55
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• pp.283-307
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• 2003

The social services for the elderly have been expending in order to respond to the rapid speed of aging. However, low utilization, exclusion and duplication have been pointed out as significant problems in service utilization of the elderly. This study tried to find out the utilization patterns of social services for the elderly: what kinds of and how many social services the elderly receive from what kinds of and how many organizations, and factors influencing utilization of the social services. It surveyed the entire population of the public assistance recipient elderlies at Kyonggi province in 1999. The results show that duplication is not so significant problem as the low utilization of social services. However, the fact that more than forty five percent of the elderly receives social services from more than two organizations requires the efforts for service linkage and coordination in social service delivery system. The factors, which have relatively big influence on the number of organizations which the elderly use for each social service, were sex and age among the predisposing factors, "living alone" and place for residency among the enabling factors and the number of illness, Activities of Daily Living, Instrumental Activities of Daily Living and inconvenience of housing among the needs factors. These results call for expansion of social services for the elderly especially in the way of achieving distribution balance between the rural and urban area and activation of case management practice and local association of social service delivery agencies for service linkage and coordination.

• Korean Journal of Social Welfare Studies
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• v.40 no.3
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• pp.213-242
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• 2009

This study examined the factors affecting social welfare service utilization of general group and low-income group. The following influencing variables were selected based on the model developed by Anderson and Newman(1973): predisposing factors, enabling factors, need factors. The result shows that in both group the possibility of service utilization is high in case of having a spouse, more family members, feeling one's health ill, no chronic disease. And service use level is high in case of having no spouse, lower income in general group, higher income in low-income group, more family members, feeling one's health ill, having a chronic disease. In addition, the higher service use level is associated in low-income group with men rather than women, younger age, low education, the unemployed rather than the employed, urban residents, low life satisfaction. These findings provide implications and suggestions that each income group has various characteristics and needs, so it is necessary to provide comprehensive and appropriate services through the investigation for potential service recipients' needs.

• Korean Journal of Social Welfare
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• v.62 no.2
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• pp.257-278
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• 2010

This study examined the factors affecting the preference for the elderly's mental health services utilization in rural areas. A behavior model developed by Andersen and Newman provided an analytical framework to determine the factors affecting service utilization preferences among 335 elderly people as research subjects. The authors found that the preferences for mental health service utilization were significantly related to the level of education, living alone, presence of grandchildren, participation in social activities, and recognition about the services. Based on the findings, this study suggests that more mental health services for the elderly in rural areas be further developed and strengthened. Also, the elderly who lives alone and lives with grandchildren should have a priority in policy consideration. Multiple approaches are suggested to increase the awareness of mental health services and participation social activities for those older people.

• Korean Journal of Social Welfare
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• v.51
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• pp.211-228
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• 2002

Despite the importance of the needs assessment activities and the necessity of the systematical investigation on the features of the needs assessment in the social service agencies, it has been observed that the recent NA studies have ignored an important study area of NA, the utilization of needs assessment results in social service agencies. Therefore, this study was undertaken to investigate salient features of the utilization of community needs assessment results, particularly, in the social welfare centers located in Seoul city. A questionnaire was constructed with seven parts, including a dependent variable and 6 independent variables, and 67 questionnaires were collected from 90 agencies during two months. As the result of the descriptive analyses, the five noticeable features were found; (1) the needs assessment results in the agencies was not highly utilized; (2) the attitude on the NA activities was not highly positive because the responders thought that NA activities require too much time from agency staff; (3) agency staff was more actively involved in the NA process than agency directors; (4) the responders thought that quality of NA influences on the utilization of NA; (5) the respondents were confident in carrying out NA although they did not have many opportunities to learn the technical skills of NA research. Multiple regressions were applied to analyze the relationship between independent variables and three kind of dependent variables - conceptual utilization, instrumental utilization, total utilization. The result showed that the conceptual utilization was critically influenced by social workers' confidence on NA, attitude on NA, and directors' involvement in NA. The institutional utilization was influenced by the directors' involvement. The total utilization was influenced by social workers' attitude on NA, confidence on NA, and directors's involvement. Major findings were discussed and several suggestions were made for future research and improvement of the utilization of needs assessment result in social welfare centers.

• 한국노년학
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• v.29 no.3
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• pp.1063-1085
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• 2009

The purposes of this study were to investigate the transition of elderly's welfare service utilization and to examine the factors affecting their utilization as time passed. To solve these research questions, the behavioral model presented by Andersen and Newman(1973) was applied. Using Hallym Aging Panel data consisted of 3 waves from 2003 to 2007, autoregressive modeling and regression analysis were applied for research purposes. The results of this study were as follows; (1) The experiences of welfare service utilization were increasing gradually. The complimentary service for the aged was utilized generally, but leisure service and community service were not used in common. (2) Past experience of service affected service utilization in the following times. (3) The factors affecting older adult's service utilization were different among the types of services. Nonetheless, the factors affecting continuously during the periods were found: age as predisposing factor and area as enabling factor in the complimentary service; area and existence of spouse as enabling factor in leisure service; education as predisposing factor and service cognition as enabling factor in community service. Enabling factor has affected more consistently than other factors. The results showed that special attention should be paid to balanced regional arrangement for welfare resources and the public relation considering the elderly's intellectual level.

• Korean Journal of Social Welfare
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• v.47
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• pp.310-333
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• 2001

The purposes of this research were 1) to investigate the characteristics of the meal service participants; 2) to evaluate the food service utilization of the elderly; 3) to identify major factors that affect food service satisfaction of the participants in Chungchongbuk-Do. For doing this, 309 subjects were selected and the survey research method was adopted. The characteristics of the meal service participants were similar to the characteristics of general elderly population in Korea. The public assistant recipients were under representative in this sample, that is, most of elderly people who participated in meal service consisted of non public assistant recipients. It meant that meal service was not provided to low-income elderly people. The health status of the elderly people was stable to be able to attend to the meal service organizations. The most important reason to use a meal service was to see their friends. It showed that meal services played an important role to provide support systems to the elderly people in community. Thus, meal services should be provided to the elderly people with social services. In order to analyze the factors influencing food service satisfaction, multiple regression analysis was employed. The results showed that physical activity, contact with friends who met in meal service program, and the number of social services were the important variables to predict meal service satisfaction in this study. These findings contributed to a better understanding of developing a meal service planning. Several improvement strategies were recommended to provide effective meal services. First, socio-economical characteristics of the elderly should be considered to provide appropriate services. Second, meal services should be provided to the elderly people with social services. Third, home delivery meal services should be available to the home-bound elderly.

• 한국노년학
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• v.32 no.4
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• pp.1119-1135
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• 2012

The single and the married couples elderly are rapidly increasing in the next twenty years. Due to the size of these group, their level of living, life satisfaction, income and medical security and welfare services utilization have been a social issue in Korea. For these reasons, the purpose of this study was to analyze the determinants of welfare services utilization by the single and the married couples elderly. Their analyses were composed of a cross-tabulations and t-test, analysis of variance, duncan test, multiple regression analysis using 5'th Wave Korea Welfare Panel(2010). Data were collected from a survey of 2,716. The results showed that the elderly single women had the lowest level of income and health, the elderly single men needed the help about the emotional support for improvement of family and social relations. The married couples elderly are young and the participation rate of job opportunities for the elderly is high, relatively. The results of the multiple regression analysis indicated that the level of income and medical security and the satisfaction of family relationships were important factors as related to the welfare services utilization.

• Journal of Korean Academy of Nursing
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• v.34 no.1
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• pp.111-122
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• 2004

Purpose: This study was conducted to identify health problems and support received from the health and welfare service using MDS-HC(Minimun Data Set for Home Care) in the aged living at home. Method: Eighty-one elderly persons were selected from those listed in community-welfare service centers in Seoul and Kyunggi Province between December 2002 and January 2003. Result: Eleven health problems per elderly person on average were identified, and the frequent care needs were in order: preventive health measure, health promotion, visual function, depression & anxiety, communication disorders, social function, pain, environmental assessment, oral health, cognition and falls. The number of health problems by the level of ADL was ‘ADL 1(Independence)’ 9.87, ‘ADL 2(Partial independence)’ 12.78, ‘ADL 3(Dependence)’ 13.73. Utilization of formal health & welfare services among the elderly was ‘meals on wheels’ 40.7%, ‘home helper’ 38.2%, ‘visiting of social welfare worker’ 21.0%, ‘physical therapy’ 19.6%, ‘day care center’ 12.3%, ‘volunteer's service’ 9.9%, ‘home visiting care’ 3.7%, ‘occupational therapy’ 3.7%, and ‘speech therapy’ 2.5%. Conclusion: The results suggest that using the MDS-HC 2.0 is applicable to help decide criteria for both health and welfare service supplied to the elderly.

• Korean Journal of Human Ecology
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• v.23 no.1
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• pp.1-14
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• 2014

The purpose of this study is to examine the effects of gender role attitudes and family service utilization on self-esteem among single parents. This study used data from the seventh wave of Korean Welfare Panel Study and analyzed 90 single parents. Hierarchical multiple regression analyses showed that health status, economic situation, gender role attitudes, and non-monetary family welfare service had significant effects on single parents' self-esteem. Single parents who had higher traditional gender role attitudes show lower levels of self-esteem. Also use of a non-monetary family service increased the levels of self-esteem. However, use of a monetary family service was not significantly associated with the levels of self-esteem. The findings indicate that services and programs to promote single parents' gender role flexibility should be developed. Also, it is necessary to establish a service system to reduce multiple role stress among single parents.

• Journal of Haehwa Medicine
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• v.24 no.1
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• pp.1-14
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• 2015

Objectives : The purpose of this study is to examine senior citizens' perception of medical welfare service in Daejeon, and to investigate the level of Korean Medicine University students' satisfaction about medical services that they have done. Methods : We visited Daejeon city hall and Dae jeon Seo-gu community health center, and interviewed them. After that we select two population and did two different surveys. First, to investigate the current state of medical services and medical welfare in Daejeon, we select neglected class senior citizens who were serviced at social welfare center. Second, we select Daejeon Korean Medicine University student to investigate the level of satisfaction about medical services and pre-education. In first population, we random select 25 of 34 senior citizen who visits mere social welfare center. In second population, we random select 78 of 115 Korean Medicine University student who belongs to medical welfare club. Results : We found some advantages and problems in medical services. A lot of senior citizen who were serviced at social welfare center showed high level of satisfaction about medical service. But there were few citizens who knows about health & medical welfare. And most Korean Medicine University student who services medical service to neglected class senior citizens showed high level of satisfaction. Conclusion : We concluded that medical welfare for senior citizen needs more publicizing. Because result of our survey, many senior citizens showed not only low level of recognition in medical welfare service, also showed low utilization rate in public health center. And most Korean Medicine University students were satisfied with themselves about medical service that they have done, it seemed medical service gives beneficial influence to not only senior citizen but also Korean Medicine University student.