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Predictors of Social Service Utilization of Elderly Using the Anderson model

Anderson 모형을 이용한 노인의 사회서비스 이용 예측요인

  • Received : 2014.05.18
  • Accepted : 2014.08.20
  • Published : 2014.08.28

Abstract

Traditionally, Anderson model is recognized as suitable for analysis of predictive factors for the use of medical and social services. Therefore, the present study was aimed to investigate the predictors of the elderly's use of the social service based on previous studies by configuring Anderson model's predisposing factors(gender, age, education level, place of residence, marital status), enabling factors(economic status, health literacy, use of welfare center or not), and need factors(whether held chronic disease, IADL and depression). To this aim, SPSS 18.0 was used for the subject of 329 elderly living in Chungbuk region. The main findings of this study are as follows. The most influential factor on the social service use of the elderly turned out to be whether to use the welfare centers and health literacy of enabling factors. Next, the depressed levels showed the most significant impact among the need factors, and gender was the most influential among the predisposing factors. Based on the results of these studies, some measures were suggested to activate the elderly's use of social services.

전통적으로 Anderson 모형은 의료 및 사회서비스 이용에 대한 예측요인을 분석하는데 적합하다는 평가를 받는다. 따라서 본 연구는 선행연구를 토대로 Anderson 모형의 선행요인(성별, 연령, 교육수준, 거주 지역, 결혼상태), 가능요인(경제상태, 건강정보 이해능력, 복지관 이용 여부), 욕구요인(만성질환 보유 여부, 도구적 일상생활수행능력, 우울) 등을 구성하여 노인들의 사회서비스 이용 예측요인을 탐색하였다. 본 연구를 위해 SPSS 18.0을 이용하였으며, 충북 지역에 거주하는 329명의 노인들을 대상으로 하였다. 본 연구의 주요 결과는 다음과 같다. 노인들의 사회서비스 이용에 가장 큰 영향을 미치는 요인은 가능요인의 건강정보 이해능력과 복지관 이용 여부로 나타났다. 그 다음으로는 욕구요인 중에서 우울 수준이 큰 영향을 미치는 것으로 나타났으며, 선행요인 중에서는 성별이 큰 영향을 미치는 것으로 나타났다. 이러한 연구결과에 기초하여 노인들의 사회서비스 이용을 활성화하기 위한 몇 가지 방안을 제시하였다.

Keywords

References

  1. P. Park, A Study on the Determinants of Life Satisfaction for the Senior Job Placement Project Participants. The Journal of Digital Policy & Management, Vol. 11, No. 9, pp. 113-126, 2013.
  2. Ministry of Health and Welfare, 2013 Statistics of Hospital Costs. 2014.
  3. S. K. Kahng, The Trajectory of Outpatient Medical Service Use and Its Predictors. Korean Journal of Social Welfare, Vol. 62, No. 3, pp. 83-108, 2010.
  4. B. J. Jeon, The Effect of "Personalized Exercise Prescription Service for Elderly" on Quality of Life. Journal of the Korean Gerontological Society, Vol. 33, No. 2, pp. 239-255, 2013.
  5. H. S. Bae, A Study on Older Adults' Use of Social Services by Types of Elderly Households and Factors Affecting Service Utilization. Social Science Research, Vol. 27, No. 3, pp. 1-24, 2011.
  6. C. S. Nam, Meaning and Conceptual Tension Contained in the Definition of Social Services Prescribed by Recently Amended Framework Act on Social Security. Korean journal of social welfare, Vol. 64, No. 3, pp. 79-100, 2012.
  7. S. W. Yang & Y. H. Rho, What does publicness mean in social services?. Journal of Korean social welfare administration, Vol. 15, pp. 169-195, 2013.
  8. M. S. Haque, The Diminishing Publicness of Public Service under the Current Mode of Governance. Public Administration Review, Vol. 16, No. 1, pp. 65-82, 2001.
  9. J. M. Seo, A Study on Economic Effects of Social Service. Korean society and public administration, Vol. 24, No. 3, pp. 33-54, 2013.
  10. S. Y. Kim & S. K. Kahng, Factors Associated with Service Utilization among Individuals with Severe Mental Illness. Korean journal of social welfare studies, Vol. 45, No. 1, pp. 175-202, 2014. https://doi.org/10.16999/kasws.2014.45.1.175
  11. R. M. Anderson, Revisiting the behavioral model and access to medical care. Journal of Health and Social Behavior, Vol. 36, No. 1, pp. 1-10, 1995. https://doi.org/10.2307/2137284
  12. O. M. Baik, Factors associated with functional health outcomes in community-dwelling older adults. Journal of community welfare, Vol. 38, pp. 1-27, 2011.
  13. S. Y. Min, Relationships between and determinants of Informal and Formal Support Among Persons with Serious Mental Illness, Mental Health & Social Work, Vol. 41, No. 1, pp. 5-31, 2013.
  14. D. Y. Lee & J. D. Park, A Study on the Factors for the Elderly Living Alone at Home to Determine Their Participation in a Health Promotion Activity Program. Social Welfare Policy, Vol. 38, No. 4, pp. 1-23, 2011.
  15. M. Irwin, K. H. Artin & M. N. Oxman, Screening for depression in the older adult. Archives of International Medicine, Vol. 15, pp. 1701-1704, 1999.
  16. Y. H. Jung, Issues and Policy Directions of Healthcare Delivery System. Health and welfare policy forum, Vol. 195, pp. 14-27, 2013.
  17. T. L. Scott, J. A. Gazmararian & M. V. Williams. Health literacy and preventive health care use among medicare enrollees in a managed care organization. Medical Care, Vol. 40, No. 5, pp. 395 -404, 2002. https://doi.org/10.1097/00005650-200205000-00005
  18. J. H. Jeong & J. S. Kim, Health Literacy, Health Risk Perception and Health Behavior of Elders. J. Korean Acad Community Health Nurs, Vol. 25, No. 1, pp. 65-73, 2014. https://doi.org/10.12799/jkachn.2014.25.1.65
  19. Y. J. Lee, The Effect of Information Conditions on Mental Health among Elderly. The Journal of Digital Policy & Management, Vol. 11, No. 10, pp. 17-29, 2013. https://doi.org/10.14400/JDPM.2013.11.10.017

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