• Korean Journal of Social Welfare
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• v.58 no.3
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• pp.313-340
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• 2006

The purpose of this study was to examine predictors of move intention to silver town in Jeju Island. Participants were 449 middle age and elderly who live in Seoul, Gyungido, Inchun Metropolitan and Jeju island. Participants were completed a questionnaire and/or structured interview that included measures of socioeconomic variables, motivation to move, determinants of move selection, conditions of location, and preparation for old age. Results of descriptive analysis revealed that cognition level of sliver industry and silver town was relatively high and medical service was the best necessary field, followed by field of leisure activity, house, life and finance. Logistic regression analyses on the effects of socioeconomic variables on move intention indicated that region, occupation and house ownership had significant effects on move intention to silver town. Result of motivational effect on move intention revealed that solution of offspring's burden was the most important factor, followed by convenient life of the aged, enjoyment of freedom for the elderly life. Result on the influence of determinants of move selection indicated that medical service facilities, resort facilities and leisure, cultural service facilities had significant effect on move intention. Among conditions of location for Jeju island, mild climate, comfort environment and low-price were significant predictors on move intention. Overall, result on relative influence of individual factors indicated that low price factor was the most important predictor, followed by resort facilities, cognition on necessity of silver town, enjoyment of freedom for the elderly life, leisure cultural service facilities, and medical service facilities.

• Health Policy and Management
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• v.22 no.4
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• pp.497-521
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• 2012

Objectives This study aimed to investigate the effect of social capital, health risk behavior and health status on medical care utilization by the elderly. The data and Research method Data were obtained from the 4th wave survey of the Korea Welfare Panel Study. 4,087 household members aged 65 years and over were subject to analysis. Descriptive statistics are used to describe the basic features of the data in a study. we performed a structural equation modeling(SEM) analysis to evaluate the effect of social capital and mediating effect of health risk behavior and health status. Results Results showed that factors related to medical care utilization of the elderly were different depending on types of service (inpatient and outpatient service) except health status. Age, higher social capital, more health-risk behavior and poorer health status were associated with increased use of inpatient service. Social capital was found to have a positive direct effect on it. Also, social capital had an indirect effect on reducing use of inpatient services by improving health status. On the other hand, lower age and higher household income tended to increase use of outpatient service, while higher social capital and higher health status were inversely related. Social capital had a direct effect and an indirect effect on reducing use of outpatient service and, at that time, health status played a mediating role. Conclusions Social capital may contribute to improve health status and indirectly reduce medical care utilization of the elderly by enhancing their health status. These results provide evidence that more policy and strategy considerations should be needed for the elderly to strengthen their social capital in order to enhance their levels of health and more efficient utilization of medical care.

• Health Policy and Management
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• v.31 no.4
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• pp.462-471
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• 2021

Background: The purpose of this study was to identify the association between participation in social activities and mortality rates for those aged 45 aged and older in Korea. Methods: In this study, the 1st to 6th Korea Longitude Study of Aging was used to analyze 10,217 people excluding missing values among middle and old age groups aged 45 or older. The scope of social activities was classified into "religious gatherings," "religious gatherings," "leisure/cultural/sports-related organizations," and "clubs/hometowns/religious associations," and analyzed using a chi-square test and Cox proportional risk model. Results: In the case of non-participating groups in religious activities, the mortality rate was 1.24 times higher (hazard ratio [HR], 1.24; p=0.000) than those of the participating group. The non-participating group of social gatherings had a 1.27 times higher mortality rate (HR, 1.27; p<0.0001) than the participating group. In addition, the mortality rate of non-participating groups related to leisure/cultural/sports was 1.79 times higher (HR, 1.79; p=0.000). The mortality rate of the group that did not participate in the alumni association/festival/folklore society was 1.51 times higher than that of the participating group (HR, 1.51; p<0.0001). As a result of correcting the control variable to analyze the relationship between the number of participants in social activities and the mortality rate, the mortality rate of the group participating in one or less social activities was 2.26 times higher (HR, 2.26; p<0.0001) compared to the four or more social activity participating groups, and the mortality rate of the 1-3 social activities was 1.64 times higher (HR, 1.64; p<0.0001). Conclusion: As a result of the study, it was found that participation in social activities of the middle-aged and elderly groups was effective in reducing mortality, and in particular, it was found that there was a strong relationship with mortality in less than one social activity group. Therefore, it is intended to provide an academic basis for lowering the mortality rate of the group in line with the continuous improvement of domestic social activity participation conditions, and through this, this study can be expected to serve as a policy and institutional basis for lowering the mortality rate of the group.

• Journal of Korean Public Health Nursing
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• v.11 no.1
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• pp.138-162
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• 1997

This study was conducted to, develop the social workers role participating health and welfare services production of health centers The sharp increase rate on the elderly population in Korea lead the social issues as that health and social services are not developed enough to cope with the increase on the elderly's hearth care needs. The priority in the elderly's care service development should be put on public sectors. so that could prevent financial catastrophy of the elderly's care. The pulbic sector was concerned with health center services : as health center in Korea provide :mainly medical-oriented services. this study focused on to combine the existing health center's services into social services. The study method was based on needs survey with 322 patients aged over than 55 in rural area. "The needs survey include general health and disease care needs and daily life caring needs. The latter was applied with ADL and IADL with modificiation for the use of Korea environment. The findings were as follows : Social workers should be able to care diseases of muscular and skeletal. circulatory, digestive and general chronic disease in social service needs. aspect. Mostly the chronic pateints quit their care services because of shortage of finanical support$(18.3\%)$ and transportation problem$(19.5\%)$, but still prefer to be cured and cared from general hospitals. and at least clinic and health centers in community. The univisible dramatic effect. of health. care services also should be concerned and cared by xocial workers. The ADL and! IADL shown the most needs on transportation needs and problems caused by weaken legs. Mostly daily activities were supported by family members $(53.3\%\;spousers\;and\;35.0\%\;children)$, and the most demands were shown on helps for transportation visiting hospitals$(37\%)$ and getting similar care services for health care needs $(31.2\%)$ and daily hygeieal needs$(11.2\%)$ Social workers' role should include health care participation with social and health promotion approach as well as socio-economic supports: during health care receiving. Social workers also should provide social services for the elderly's daily needs solving for these are not in available family supporters.

• Journal of The Korea Institute of Healthcare Architecture
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• v.20 no.4
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• pp.81-89
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• 2014

Purpose : An aging phenomenon was recognized as only negative aspect, which impediment a development with the decrease of a developing population and increase of social burden. Nevertheless, the problem of aging cannot be treated as a problem of individuals or social burden. Because Every mankind sometime will be the person directly involved the aging. Methods : Korea, predict to reach the aging society with over 20 percent of elderly in the whole population in 2020, should find an active political plan for responding. Because a previous discussion about the aging phenomenon focused on social welfare, the housing plan for the elderly with a consideration of the physical environment for sustaining elderly's life with happiness will be primary task. Results : This research considers housing policy, focusing on the medical service. It is because statistics, which 85 percent of elderly people suffer from chronic diseases because of physical aging signify the importance of medical service to the elderly in every-day-life. Implications : We prescribe the elderly as a population over 65. In this duration, the elderly retirees from the workplace e and spend the majority of time in their home. Thus, for the elderly, the residential space is a field of action and passageway connecting with the surroundings For the solution of physical space preparing the aging phenomenon, the combination of residential and medical function creates a new type of a lifestyle.

• Journal of Family Resource Management and Policy Review
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• v.21 no.3
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• pp.23-42
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• 2017

The purpose of this study was to identify the social networks used by the rural elderly and to analyze the effects of these social networks on the need for life services. The research subjects were 1,000 people aged 65 years and over living in the rural areas of Korea. Among the total 1,000 respondents, 979 elderly who have children were included in this study. The data were analyzed using frequency analysis, descriptive statistics, and multiple regression analysis. The results of this study were as follows. First, the frequency of contact with friends/neighbors was higher than that of children, whereas the social support of children was higher than that of friends/neighbors(excluding physical support). Second, the rate of use of home services and the elderly welfare center was very low. Promotion, a minimum cost burden, convenient transportation (circulation bus operation, etc.), and the provision of visiting services are examples of ways to be using them much more. Third, the elderly who do not live with their children have a higher need for life services. As well unlike the elderly who live with their children, in the case of the elderly who do not live with their children, the necessity for life services was influenced not only by their children but also by the relationship with their friends/neighbors and by home services. This implies that comprehensive social networks are important for the elderly who do not live with their children. Therefore, it is necessary to activate the social support of the community as well as of children and friends/neighbors.

• Journal of Korea Entertainment Industry Association
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• v.14 no.1
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• pp.179-186
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• 2020

The purpose of this study is to examine the factors affecting the satisfaction of elderly care service in the elderly living alone and to provide basic data for the improvement of the satisfaction of elderly care service. The subjects of this study were 301 elderly people aged 65 or older who were receiving care services for the elderly in J city, Chungbuk province. Multiple regression analysis was conducted to examine the influencing factors. The results of this study showed that the factors affecting the satisfaction of elderly care service of the elderly living alone were the manager factor, service factor, institutional factor, and income level. This shows that the higher the life manager, service factor, and institution factor, and the elderly living alone with low income level, the higher the satisfaction of the elderly care service. Especially, the factors of life manager had the greatest effect on the satisfaction of elderly care service, followed by institutional factors and service factors. Based on these results, policy proposals are as follows: First, improvement of professionalism and treatment of life managers, second, professional and systematic service support and strengthening of social safety net, and third, improvement of appropriateness, accessibility and persistence for quality improvement of elderly care service.

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 2008.11a
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• pp.369-374
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• 2008

In the 21st century, universal design has started to expand as new design value system for the diversity and various need of user: a new design that can reflects the welfare of the society. In addition, the percentage of population over 65 years old has been rising rapidly in Korea, and we are expected to reach 'aged society' with 14.3% of elderly population in 2018. In rural districts, population of the elderly has already reached 'super-aged society' with over 20%. With the rapid increase of the number of the elderly, the need for social service system is rising. For the independent living of the elderly, the dwelling space that supports their lifestyle is the most important factor. In advanced countries, they have proposed the housing for the elderly to keep living in their house, improvement of housing quality that fits the changing various needs of them. Until now, however, the most housing condition that the elderly has lived is poor living environment as below housing standards, especially housing in rural districts is very poor. The purpose of this study was to extract issue of housing in the rural districts in terms of universal design concept and reflecting the cultural and living characteristics of rural districts. With this, additionally, this study make understood about the necessity and important of universal design housing to reflect the characteristics of rural districts. For this study, data were collected from field survey and interview. The major results showed the following. 1) There were very various type of housing in rural districts. Spatial composition and shape was not related to living behavior and cultural characteristics of rural district. 2) The most new constructed housing was similar to urban housing type. It means that housing with respect to living culture of users in rural district must be developed. 3) In rural housing, they all had outdoor building (included storehouse, bathroom/toilet, kitchenet, etc.) relating to a series of work behavior. However, living environment was not to meet needs and characteristics of users.

• The Journal of the Korea Contents Association
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• v.16 no.9
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• pp.580-589
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• 2016

This study aimed to develop the short-form of age-friendly scale which was suitable for the Korean cities and to examine the validity. To develop the scale, WHO and Seoul welfare foundation's age-friendly city guide were compared and analyzed. The data for this study were collected on people aged over 55 years old living in Seoul. The results in exploratory factor analysis showed that seven-factor structure model was appropriate for the scale. Seven factors were outdoor amenity, transportation, leisure activity, social participation, social communication, health and welfare service, social exclusion. The results supported the construct and concurrent validity of the age-friendly scale. Also its good internal consistency was confirmed. The implication and limitation of the study and suggestions for the future studies were discussed.

• Research in Community and Public Health Nursing
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• v.15 no.2
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• pp.209-217
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• 2004

Purpose: The purpose of this study was to construct the structure, process and outcome of community-based home care nursing service and to examine their validity. Method: There were two steps. The first step was developing the structure and process of community-based home care and the second was evaluating the outcome of community-based home care. Home care services were provided to 25 clients who had health problems. Data on these clients were analyzed. Result: According to Albrecht Model, in the developed structure and process of community-based home care, structure contained facility's philosophy, organization, delivery system, steering committee, office, equipments, medical instruments, the home care nurse and client of home care nursing. Process contained classification of client. nursing diagnosis and nursing intervention. The majority of clients were men (56%). The service was used mostly by people aged over 50 (82%). The most frequent nursing diagnoses were altered urinary elimination (23.2%). impaired skin integrity (21.8%) and risk for infection (17.6%). Nursing interventions included wound care (16.7%), tube care (15.1%) and catheter care (14.5%). Conclusion: Several strategies are suggested from this study: first, activate a referral system within the national health care system: second, increase public information on home care nursing: third, develop home care nursing services for elderly people: and fourth, construct a cooperation system between home care services and social welfare services.