• Title/Summary/Keyword: Elderly Health Policy

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Factor Influence of Urban Park Elements on Walking Days of the Elderly in Ulsan Metropolitan City (울산광역시의 도시공원 요소가 노인의 걷기 일 수에 미치는 영향)

  • Kim, Myung-Gwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.230-238
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    • 2018
  • The purpose of this study is to examine the effects of park type and inner elements of parks on the number of walking days of walking out of Ulsan Metropolitan City, And to make policy suggestions for them. The elderly people aged 65 and 1,274 persons or over in Ulsan Metropolitan City were selected as the subjects using the raw data of the 2015 community health survey. A multilevel analysis was conducted using a hierarchical linear model to find out the factors affecting the number of days of walking according to the level of regional level factor according to the five wards of Ulsan Metropolitan City. The number of walking days increased with the number of sports facilities and the number of walking days decreased with the number of amusement facilities mainly used by children. In the case of Jung-gu in Ulsan, the number of walking days was low even though the number of parks and the area of the park were large, In the case of Buk-gu, the number of walking was high even though the number of parks and the area of the park were small. Elderly people in Jung - gu, Ulsan metropolitan city are expected to need a health promotion project to promote walking, and it is necessary for seniors in Buk - gu, Ulsan Metropolitan City to make a good walking environment.

The Happiness Index by the Number of Teeth of Senior Citizens Residing in Dong-gu in Daejeon (대전 동구에 거주하는 노인들의 치아 수에 따른 행복지수)

  • Koong, Hwa-Soo;Song, Eun-Joo;Hwang, Soo-Jeong;Jang, Ha-Ram;Jeon, Da-Hye;Jeon, Min-Jeong;Jeong, Su-A;Kim, Hye-Jin;Kang, Kyung-Hee
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.661-667
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    • 2013
  • This paper aims to identify the relationship between the number of teeth of the elderly and their life happiness index. A face-to-face interview survey was conducted with elderly residents of Dong-gu, Daejeon from June 27 to July 25, 2012. A Tukey post hoc test and correlation analysis were implemented after a t-test and variance analysis. The results of analysis showed that satisfaction with life related to oral health was significant, but happiness in daily life had no significant difference. For the elderly, the quality of life related to oral health and happiness in daily life had no significant difference. Masticatory performance difference depending on usage of dentures also showed significant difference (p<0.001). The difference of masticatory performance depending on the number of teeth was analyzed by a correlation analysis. The present number of teeth, present anterior teeth and molars demonstrated a correlation. Quality in life related to oral health depending on the number of teeth correlated with the present number of teeth, present anterior teeth and present molars.

The effects of pain, sleep, and depression on quality of life in elderly people with chronic pain (만성통증 노인의 통증, 수면 및 우울이 삶의 질에 미치는 영향)

  • Choi, In Suk;Park, Kyungsook
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.289-299
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    • 2017
  • This study was conducted to investigate the effect of pain, sleep, and depression on quality of life in elderly patients with chronic pain. The subjects of this study were 170 elderly aged over 65 years. Data collected from July 1 to September 30 in 2016 at local community center were analysed by multiple regression. As a result, the pain, sleep, depression and quality of life of elderly significant difference by general characteristics and pain-related characteristics. In addition, In this study, the positive correlation between sleep (.471, p<.001) and quality of life, and negative correlation between quality of life and each of pain (-.332, p<0.001) and depression (-.720, p<0.001) were presented. The factors affecting the quality of life of the elderly with chronic pain were subjective health status (${\beta}=.236$, p=.001), depression diagnosis (${\beta}=.123$, p=.048), and depression (${\beta}=-.526$, p<.001), and depression related factors were most influential factor. Therefore, in order to improve the quality of life of elderly people with chronic pain, nursing and management programs should be prepared to reduce depression and pain.

Exploring the Intention to Use of Virtual Reality-Based Cognitive Training System for the Elderly Residing in Community Based on Extended Technology Acceptance Model (확장된 기술수용모델을 활용한 지역사회노인의 가상현실 기반 인지훈련시스템 사용의도 탐색)

  • Choi, Moon-Jong;Choi, Jae-Sung;Choun, Seung-Ho;Ha, Yeongmi;Yang, Seung-Kyoung
    • Journal of Digital Convergence
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    • v.18 no.5
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    • pp.347-356
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    • 2020
  • The purpose of this study was to identify the intention to use of virtual reality-based cognitive training system for the elderly residing in community based on extended technology acceptance model. The data were collected 100 elderly residing in community from January 2 to January 31, 2020. As a result, the influence the intent to use a virtual reality-based cognitive training system for the elderly is social influence, perceived usefulness, perceived enjoyment, age. The explaining 54.4% of the variance, it is considered that technology development these factors will be necessary for elderly in the community to promote the intent to use of virtual reality-based cognitive training systems. This study is meaningful in that it has identified the degree of intent to use and influencing factors of virtual reality devices for the elderly in the community. This study could be used as basic data for the development of technologies for virtual reality-based cognitive training systems in the future.

Association of Social Exclusion on Depression in Middle and Older Elderly: Focusing on Gender Differences (사회적 배제와 중·고령 노인 우울의 연관성: 성별 차이를 중심으로)

  • Lee, Yejin;Noh, Young-min;Kim, Jin-uk;Ha, Yeong-eun;Lee, Ju Hyun;Noh, Jin-Won
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.293-301
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    • 2019
  • The purpose of this study is to redefine 7 social exclusion factors and to derive association between social exclusion factors and depression of middle and older elderly, focused on gender differences. The elderly aged over 50 years old were extracted from the data of the Korean Longitudinal Study of Ageing (KLoSA) in 2016. The data was analyzed by descriptive analysis, chi-squared test, and binary logistic regression analysis, using SAS 9.4. As a result, the elderly who were excluded from labor, residence, health, and relationship were found to be associated to depression. In addition, male with resident exclusion were associated with depression compared to non-excluded. Therefore, it is necessary to improve the local community programs in which elderly people can participate in labor and cultural activity. It is necessary to improve labor and culture exclusion by increasing the participation opportunities of various cultural programs. In addition, it is needed to establish specific guidelines for eliminating the social exclusion of overall elderly.

An Integrated Review on Main Caregiver's Burden of Elderly in Korean Nursing Home (한국 요양시설 노인의 주 돌봄자 부담감에 대한 통합적 고찰)

  • Kim, Eun Jeong;Sung, Kyung Mi
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.267-277
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    • 2019
  • The purpose of this study is to investigate the burden of caring for the care-givers of the elderly in Korea by using an integrated literature review method. A total of 23 studies were analyzed using a search database. When care-givers had higher sense of filial and guilt or more than two diseases, they showed high level of feeling of burden. Also, they had high level of feeling of physical burden by their oldness, service period (especially at the period of 1-3 years). In the feeling of economic burden, they had high level of feeling of burden by their oldness, or elderly's disease periods. The feeling of burden by psychological condition was found in elderly in aged and the beginning of admission of nursing home. The feeling of burden by environment situation was found when the functional status of the elderly was bad. Therefore, we need to concern care-givers's feeling of burden with elderly people in the nursing home. In the future, I believe that the findings of this study will be helpful for development of the intervention program for alleviate burden for the care-giver.

Factors Affecting on the Intention to Use of Information and Communication Technology for the Elderly Based on the Theory of Planned Behavior (계획된 행위이론을 기반으로 노인의 정보통신 테크놀로지 사용 의도에 영향을 미치는 요인)

  • Ha, Yeongmi;Yang, Seung-Kyoung;Choi, Moon-Jong
    • Journal of Digital Convergence
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    • v.19 no.4
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    • pp.141-149
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    • 2021
  • The purpose of this study was to identify the intention to use of information and communication technology(ICT) for the elderly residing in community based on the theory of planned behavior. The subjects were 99 elderly aged 60 or older living in G and S cities from January 1 to 31 in 2020 using questionnaire. The data was analyzed using the SPSS 23.0 program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, multiple regression. As a result, the mean of the attitude to use of ICT for the elderly was 3.79±0.74, subjective norm was 3.43±0.66, perceived behavioral control was 3.12±0.71, behavior intention was 3.23±0.77. The intent to use of ICT for the elderly are subjective norm(β=.35, p<.001), perceived behavior control(β=.35, p<.001), had an explanatory power of 48.7%. Therefore, it is necessary that systematic program considering the above factors for elderly residing in community to promote the intent to use of ICT.

Effect of the use of social services by the elderly with disabilities on life satisfaction: Focusing on the moderating effect of less support. (장애 노인의 사회서비스 이용이 삶의 만족도에 미치는 영향: 사회적 지지의 조절효과)

  • Lim, Jung mi;Kim, Ji young
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.11-21
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    • 2022
  • The purpose of this study is to analyze the moderating effect of social support on the effect of the use of social services by the elderly with disabilities on life satisfaction.To this end, the 15th data of the Korean Welfare Panel 2020 were used to verify the characteristics, correlation, and multiple regression analysis of variables related to life satisfaction. The SPSS WIN 25.0 program was used. The survey subjects extracted 684 elderly people with disabilities aged 65 or older, and the use of welfare services was divided into income Service, health Service, home welfare Service, and social participation Service, and the analysis results are as follows. First, it was found that the experience of using welfare services for the elderly with disabilities had a positive (+) effect on life satisfaction. Second, social support showed a moderating effect on the effect of using welfare services for the elderly with disabilities on life satisfaction. Through these results, the necessity of practical intervention measures and development of various programs in social welfare policies that can improve the quality of welfare services for the elderly with disabilities and increase life satisfaction through various social support was suggested.

Effects of Visiting Prehabilitation Program against Functional Decline in the Frail Elderly: A Prospective Randomized Community Trial (허약노인을 위한 방문재활 프로그램의 장애발생예방 효과에 대한 연구)

  • Kim, Chang-O;Lee, Heeyeon;Ho, Seung Hee;Park, Hyunsuk;Park, Chulwoo
    • 한국노년학
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    • v.30 no.4
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    • pp.1293-1309
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    • 2010
  • This study is aimed to evaluate the effects of community-based prehabilitation program developed to prevent functional decline in the frail elderly and to provide a basis to practically operate this program in the public health care service. From March to August 2009, 110 frail elderly people were recruited among the registered participants of the home visit program in Korea to perform a prospective randomized community trial. We randomly assigned these people into two groups. One group (n=50) participated in the visiting prehabilitation program for 3 months focusing on improving their muscle strength of upper and lower limbs, walking ability, and balancing. The other group (n=60) underwent our visiting fall prevention program for control. To assess the effectiveness of prehabilitation program, physical functioning (PF) and short physical performance battery (SPPB) were measured for the primary outcomes and also some other indicators: exercise performance, nutritional status, emotional functioning, experience of admission, and events of fall. As a result, significant improvements of geriatric functional status were noticed among the participants. After 3 months, PF increased by 1.3 ± 3.8 points in prehabilitation group and decreased by 1.1 ± 5.4 points in controls (p=.020). SPPB improved by 2.4 ± 2.0 points in prehabilitation group and increased only 0.3 ± 1.5 points in controls (p<.001). Significant effects were also shown in their exercise performance tests and emotional status, the number of multiple falls, and the experience of functional decline after the fall (p .002-.038). Visiting prehabilitation program is safe and effective program for frail older adults. Thus, it is strongly recommended to universally adopt this program to prevent functional decline in the frail elderly.

Analysis of Outpatient Claim Trends and Utilization According to Health Coverage for Chuna Manual Therapy (추나 요법 건강보험 급여화에 따른 외래 청구 현황 및 의료이용 분석)

  • JaeYong Dong;JinHan Ju;SangHeon Yoon
    • Korea Journal of Hospital Management
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    • v.28 no.3
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    • pp.47-57
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    • 2023
  • Purpose: Health expenditure and utilization of Korean medicine are increasing every year. Since Chuna Manual Therapy was covered by National Health Insurance in 2019, it is predicted that the usage of Chuna Manual Therapy would be also increasing. However, there are few studies about Chuna Manual Therapy using Korean National Health Insurance claims database. Therefore, we will investigate the utilization trend of outpatient's Chuna Manual Therapy using Korean National Health Insurance database and suggest political implications. Methodology: The Korean National Health Insurance claims database was used to identify outpatient's Chuna Manual Therapy usage spanning 4 years from 2019-2023 and the number of Chuna Manual Therapy claims were approximately 18.61 million. Findings: The number of Chuna Manual Therapy claims and patients, health expenditure of Chuna Manual Therapy have been increasing spanning 4 years among over 65 aged. In the case of female patients, the number of Chuna Manual Therapy claims was more than male patients and health spending related to Chuna Manual Therapy was also higher than male patients. Most patients visited Korean medicine clinics due to musculoskeletal diseases, and most claims were from rural regions. Practical Implication: Since Chuna Manual Therapy was covered by National Health Insurance in 2019, Utilization of Chuna Manual Therapy has been increased overall. In particular, Chuna Manual Therapy is mostly implemented in the elderly, Korean medicine clinics, and local areas, thus policy managers will need to consider this.

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