• Health Policy and Management
• /
• v.27 no.2
• /
• pp.167-176
• /
• 2017

Background: This study aimed to analyze the impact of community health care resources on the place of death of older adults with dementia compared to those with cancer in South Korea, using public administrative big data. Methods: Based on a literature review, we selected person- and community-level variables that can affect older people's decisions about where to die. Data on place-of-death and person-level attributes were obtained from the 2013 death certification micro data from Statistics Korea. Data on the population and economic and health care resources in the community where the older deceased resided were obtained from various open public administrative big data including databases on the local tax and resident population statistics, health care resources and infrastructure statistics, and long-term care (LTC) insurance statistics. Community-level data were linked to the death certificate micro data through the town (si-gun-gu) code of the residence of the deceased. Multi-level logistic regression models were used to simultaneously estimate the impacts of community as well as individual-level factors on the place of death. Results: In both the dementia (76.1%) and cancer (87.1%) decedent groups, most older people died in the hospital. Among the older deceased with dementia, hospital death was less likely to occur when the older person resided in a community with a higher supply of LTC facility beds, but hospital death was more likely to occur in communities with a higher supply of LTC hospital beds. Similarly, among the cancer group, the likelihood of a hospital death was significantly lower in communities with a higher supply of LTC facility beds, but was higher in communities with a higher supply of acute care hospital beds. As for individual-level factors, being female and having no spouse were associated with the likelihood of hospital death among older people with dementia. Conclusion: More than three in four older people with dementia die in the hospital, while home is reported to be the place of death preferred by Koreans. To decrease this gap, an increase in the supply of end-of-life (EOL) care at home and in community-based service settings is necessary. EOL care should also be incorporated as an essential part of LTC. Changes in the perception of EOL care by older people and their families are also critical in their decisions about the place of death, and should be supported by public education and other related non-medical, social approaches.

• Journal of the Korean housing association
• /
• v.21 no.5
• /
• pp.125-135
• /
• 2010

As the educational environment is qualitatively improved by revision of the school curriculum, local residents become increasingly interested in sharing the educational environment through the mixed-use of school facilities. The purpose of this study was to obtain a better understanding of the use and need for school facilities. This study involved a literature review and a survey of local residents who have used school facilities. The results are as follows: (1) sports and learning facilities were the most used of five different types of school facilities, (2) school facilities were mainly used in the evenings (18:00~22:00 hrs), but the respondents differed in terms of time of use according to gender, age and work hours, (3) the result showed high needs for all types of facility and needs for sports facilities among them were the highest, and (4) preferred time of use was varied according to the type of facility and the residents' characteristics. In conclusion, this study explored various directions for the mixed-use of school facilities by analyzing local residents' current use and their needs for further use of these facilities, taking into account the different characteristics of the users.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.4 no.7
• /
• pp.75-84
• /
• 1998

Like all other European countries, as a result of gradual industrialization, Germany is just before the start of new social system; the so-called 'aged society'. Over half of the century, Germany focused their welfare system on facilities. However, with the start of the new 'aged society', they introduced a new concept which consists mainly on home care and community care. These new concepts resulted from the general idea that even elderly have the right to live an independent quality life. Therefore, to satisfy the elderly with such life it has been seen as necessary not only to offer them efficient protection but to introduce an economical welfare system and facility scheme. The regional integration plan for welfare is one of the open schemes in which the lifestyle of the elderly are seen as the whole. Participated by several members and specialists of all social standings, necessary facilities are planned. By looking into a project example carried out in Germany, this study is aimed to increase the quality of the elderly welfare system and facility construction plan.

• The Journal of Korean Society for School & Community Health Education
• /
• v.8 no.2
• /
• pp.1-18
• /
• 2007

Background: The study investigated the causes of safety accidents by facility, focused on safety accidents caused directly or indirectly by school facilities at elementary schools in S City. Purpose: The objective of this study is to provide materials for planning the construction of school buildings and the installation of school facilities and for improving existing facilities and ultimately to minimize mental and Physical losses from safety accidents caused by school facilities and to create pleasant education environment. Method: We selected 10 elementary schools in S City, analyzed the factors of safety accidents caused by facilities inside and outside the schools, and presented the results of the analysis including the factors of safety accidents caused by elementary school facilities. Result: It was found that safety accidents caused by elementary school facilities can be prevented to some degree by considering safety accidents in facility planning. As the safety accident rate is higher at elementary schools than at middle and high schools, it is essential to consider safety accidents in planning the construction of an elementary school and to execute safety accident prevention education in order to reduce safety accidents at elementary schools. In addition, as the curriculums are revised and new facilities are introduced for the new curriculums, elementary students' physical, psychological and environmental factors should be analyzed and studied closely and the results should be reflected in establishing the standards for the installation of elementary school facilities.

• Journal of Korean Society of Rural Planning
• /
• v.12 no.2 s.31
• /
• pp.87-96
• /
• 2006

The purpose of this study is to increase the utility in terms of the elderly's welfare. The data introduced in this paper were collected by the constructed interview method, and 192 aged interviewees were selected from 4 rural areas: Namhaegun, Uiryeong-gun Imsil-gun and Sunchang-gun. From the descriptive analysis of the data, the results derived are as follows: 1) The financial supports are needed to remodel rural village community facilities as senior centers. 2) It is expected that the facility be a center for the aged people's living in a village, and that have multiple functions of general care service network health care, meal support and making friendship spaces for them. 3) Share housing function is also added to the facility in emergency conditions.

• Journal of Home Health Care Nursing
• /
• v.19 no.2
• /
• pp.150-161
• /
• 2012

Purpose: This study was performed to investigate the influencing factors of cognitive function and depression in elderly. Method: From 3 provinces, 282 elders who resided in community and facilities completed structured questionnaires, including cognitive functions, depression, self-esteem, ADL, and IADL. Data were analyzed by applying ${\chi}^2$-test, ANOVA, partial correlation coefficient, and stepwise multiple regression analysis with SAS 8.12. Results: Community dwelling aged people showed higher scores in MMSE-K, self-esteem, ADL and IADL, and showed lower scores in depression than facility elders. MMSE-K was positively correlated in self-esteem, ADL, and personal cognition of health, except depression. Major factors that affect cognitive function of elderly were residual type, age, and IADL. In addition, major factors that affect depression of elderly were self-esteem, personal cognition of health, and marital status. Conclusions: Based on the results above, it is necessary to identify the status of cognition and depression in the elderly, and to develop nursing intervention programs, which improve cognitive function and reduce depression for aged, especially for the facility admitted aged.

• Journal of the Korean housing association
• /
• v.18 no.6
• /
• pp.83-91
• /
• 2007

The purpose of this study is to understand the present housing condition of the suburban housing complex, and the residents' preferences to make their living condition better in Yong-in and Yang-pyeong, Pocheon, Kwang-ju and Kimpo in Kyung-Ki province, Korea. Questionnaire survey has been carried out to figure out the current status and residents' preferences of the Suburban housing complexes (hereafter SHC). The study showed the present status and the demands of people for their houses as a result like the below. First, currently the SHCs are managed by a joint control type, and the preferences of the residents' showed the similar way. Because of this status, the SHC planning is supposed to have the self-governing management and community space to support the activity of their community. Second, most SHCs doesn't have many public facility, in contrast, each house has various exteriors. This result shows the residents want more to develop their own houses' exterior than that of the SHC's public facility. Prior to plan the SHC, a program should be considered to give better understanding to residens what is the complexed life and make them choose what they really want to have. Third, the studied SHCs' renovation activities are commonly focussed on the exteriors. This shows the residents' life style is focussed more on the out-door life. The planning for the future SHC is supposed to have the points that could follow up the out-door friendly situations.

• Korean Institute of Interior Design Journal
• /
• v.21 no.6
• /
• pp.260-270
• /
• 2012

The demographic and environmental changes such as the decrease of the population growth rate and the increase of the population of the senior citizens, which become issues of the modern society, are bringing numerous changes of many aspects like national economy, community, and culture. These social phenomena give impacts on the school facilities as well. Thus owing to the decrease of the number of the students, the number of the newly constructed schools has been decreased drastically, and moreover the merger of the schools cause many schools to be default. Meanwhile, the school facilities have been expanded into the functions of the local community centers, and the various educational activities demand the diversity and flexibility of the spaces. These factors add more burdens to the current schools. Therefore the school facilities are needed to adopt a flexible and relevant change necessary for using the spaces in accordance with the changed needs of the times, and are needed to reinvented continuously not to limit the educational and social activities because of the degradation of the school facilities. Yet because there are no proper criteria for doing the task, problems related to the relevance of the task and the unnecessary investment are raised. So through this study I tried to demonstrate the standardized index in terms of the sequential priority of upgrading the facilities among the schools.

• Korean Institute of Interior Design Journal
• /
• v.22 no.1
• /
• pp.318-327
• /
• 2013

Elderly welfare housing refers to a residential facility with diverse medical and welfare services for cohabitation of elderly. Especially, community shared spaces in the elderly welfare housing plays an important role as a place for community and leisure activities that enhance vitality of elderly life. The purpose of this study was to investigate types, planning characteristics and actual utilization of community shared spaces in for-profit elderly welfare housing. Eight for-profit elderly welfare housing facilities in Seoul and Gyeonggi province were selected for this study and categorized into small-, medium- and large-scale facilities based on the number of housing units. Community shared spaces in the elderly welfare housing were classified into six space types: social space, education space, exercise space, medical space, convenience space and leisure space. Findings are as follows. Small-scale elderly welfare housing facilities with less than 100 housing units had fitness centers, clinics, restaurants, convenience stores and hobby rooms which were required by law. All community shared spaces were planned on a single level. Fitness centers was found the most frequently used while the other spaces were not used very frequently. Medium-scale facilities with 100 to 299 housing units had multi-purpose halls, libraries, swimming pools, indoor and/or outdoor driving ranges, physical therapy centers, saunas, karaokes and so on. Most community shared spaces were found frequently used. Large-scale facilities with 300 or more housing units had religion rooms, community halls, hair salons, pharmacies, etc. In most facilities, community shared spaces were planned in distributed locations.

• Journal of Korean Society of Rural Planning
• /
• v.25 no.1
• /
• pp.99-111
• /
• 2019

To analyze main factors of size planning of community facilities that were created as part of development of a rural area, the present condition of factors deciding size of community facilities was analyzed, factors that influence size planning by the type of community facility were drawn with Delphi anaysis. The results of analyzing the present condition of size planning factors of community facilities show that facilities have been generally planned as multi-purpose and multi-functional facilities. And on the basis of the purpose of facilities, their functions and organization, and their operation programs, facilities are classified into community-centered, agritourism-centered, and combined ones. Using Delphi analysis, major factors that could affect size planning of community facilities were drawn on 26 community-centered, 28 agritourism-centered, and 30 combined. And the factors tended not to be applied well for size planning of community facilities.