• Title/Summary/Keyword: Elderly Health Service

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Home visiting oral health program of Longterm home care service and the change of some pathogenic microorganism counts in denture (재가장기요양기관의 방문구강보건교육 전·후 의치의 일부 병원성 미생물의 집락수 변화)

  • Han, Ji Hye;Bae, Sung Sook
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.3
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    • pp.83-90
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    • 2019
  • Purpose: This study is a repetitive comparative analysis of a qualitative case study that carried out a home visiting oral health education program. Method: This study conducted an interview survey through medical examination by interview before and after the home visiting oral health education and measured some pathogenic microorganism counts in the denture. Results: There was a positive change in the self oral care ability of the elderly at home after home visiting oral health education, including the behavior of self management of dentures, and some pathogenic microorganism counts in the dentures. Conclusion: The home visiting oral health education of home care service centers can improve oral health care for the elderly at home.

Needs for Ubiquitous Home Services by the Elderly Household without Children - Focused on Home Electronic Appliances and Furniture - (노인단독가구 거주자의 유비쿼터스 홈 서비스 요구도 - 가전제품 및 가구를 중심으로 -)

  • Kwon, Oh-Jung;Lee, Yong-Min;Ha, Hae-Hwa
    • Korean Institute of Interior Design Journal
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    • v.21 no.2
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    • pp.231-242
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    • 2012
  • The purposes of this study were to identify the needs for ubiquitous home services in residential environment of elderly single or elderly couple households living without children and also to analyze the differences of the needs according to their demographic and housing characteristics. For this study, a literature review and field works on ubiquitous home services for older people were performed. Also, 1 to 1 interview by using the questionnaire which was developed by the researchers in this study was conducted and 270 elderly residents in Seoul and Gyeonggi-Do were responded. Seventy-one ubiquitous service items which were adopted to home electronic appliances and furniture for older people were developed for 1 to 1 interview questionnaire. The major findings of the study were as follows: the elderly residents expressed highest need for ubiquitous home service items related to safety and health issues. Among ubiquitous service items applied to gas stove, vacuum cleaner, TV, telephone, sofa and toilet, the items related to safety and health aspects were most needed. And residents' income level and health status were the two major variables to show group differences in the need of ubiquitous home services. In other words, the elderly residents who were high income and frail tended to have the highest demand for ubiquitous home services adopted to home electronic appliances and furniture.

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A Study on the Change of Area Resulted of Welfare Facilities on the High-Care degree Elderly in Japan - Focused on the Geriatric Health Services Facility and Special Nursing Home for the elderly - (일본 요개호노인 거주시설의 면적변화에 관한 연구 - 개호노인보건시설과 개호노인복지시설을 중심으로 -)

  • Park, Yeongchol;Park, Jaeseung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.2
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    • pp.55-64
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    • 2010
  • The Japanese elderly welfare policy has focused on facility policy for the aged and preventive care service for healthy elderly people. This paper has conducted a comparative analysis on Geriatric Gealth Services Facility and Special Nursing Home for the Elderly. For this, each service function has been divided into six categories; daily life / nursing and caring / medical service / management / supply / miscellaneous. Then the change in real structure by category has been analyzed through a plan analysis on case facilities. In the Geriatric Health Services Facility, the biggest change was observed in 'livelihood' among six categories. In the Special Nursing Home for the Elderly, 'the nursing and care parts' and 'medical service part' are decreased since 1999. At that time, the facilities started to be individualized and divided into a unit. To pursue home-like care instead of unit care, there was a change in construction planning to help the aged with dementia live a self-sufficient life.

The cognition of denture fabrication activities and the costs in National Health Insurance for elderly denture (노인틀니 국민건강보험의 틀니제작행위 및 비용에 관한 인식)

  • Yu, Chin-Ho;Nam, Sang-Yong;Kim, Ji-Hwan;Nam, Kwan-Woo;Lee, Sun-Kyoung
    • Journal of Technologic Dentistry
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    • v.38 no.4
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    • pp.327-342
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    • 2016
  • Purpose: The purpose of this study was to investigate the cognition of denture fabrication activities and its cost in National Health Insurance for elderly denture. Methods: A self-administered questionnaire was completed by 41 dental laboratories' owner who was research subjects of HIRA(Health Insurance Review & Assessment Service)'s policy research for elderly denture in 2011. The questionnaire consisted of general characteristics of the subjects, dental technicians' knowledge of national health insurance coverage of elderly denture, job-related changes after national health insurance coverage of elderly denture including validity of denture fabrication activity classification and the cost for each service. Each question was measured by Likert 5 point scale or frequency. The collected data were analyzed by SPSS 16.0. Results: Most of the research subjects had been fabricating national health insurance coverage denture(92.7%), also had ample knowledge of national health insurance coverage denture for elderly. Job-related changes after national health insurance coverage of elderly denture revealed marginal differences in the quality. The validity of fabrication activity classification of resin based complete denture was $3.71{\pm}1.023$ by Likert 5 point scale. Conclusion: The goal of national health insurance for elderly denture is to promote elderly's health and well-being. To fabricate denture is a very important part of the denture treatment. For this reason, denture fabrication activity classification and the cost analysis plan should be duly reflected in the policy of national health insurance for elderly denture.

Analysis of Influencing Factors on the Outpatient Prescription of Antipsychotic Drugs in the Elderly Patients (노인환자의 항정신병 약물 원외처방 내역에 미친 영향 요인 분석)

  • Dong, Jae Yong;Lee, Hyun Ji;Lee, Tae Hoon;Kim, Yujeong
    • Korean Journal of Clinical Pharmacy
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    • v.31 no.4
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    • pp.268-277
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    • 2021
  • Background: Most antipsychotic drugs studies have been mainly conducted on side effects, randomized clinical trials, utilization rates, and trends. But there have been few studies on the influencing factors in elderly patients. The purpose of this study was to analyze the influencing factors on the outpatient prescription of antipsychotic drugs in the elderly patients. Methods: Active ingredients of antipsychotic drugs in Korea were selected according to the Korean Pharmaceutical Information Center (KPIC)'s classification. Data source was Korean Health Insurance Review and Assessment Service (HIRA) claims data in 2020 and target patient group was the elderly patient group. We extracted patients who have been prescribed one or more antipsychotic drugs and visited only one medical institution. Data were analyzed using descriptive statistics, chi-square, t-test, negative binomial regression. Results: A number of outpatients were 245,197 and prescriptions were 1,379,092. Most characteristics of patients were 75-85 year's old, female, health insurance type, no disease (dementia, schizophrenia), atypical drugs, cci score (>2) and characteristics of medical institution were neurology in specialty, rural region, general hospitals. Results of regression showed that patient's characteristics and medical center characteristics had significant effect on the outpatient prescription of antipsychotic drugs in the elderly patients. Conclusion: This study suggests that national policy of antipsychotic drugs in the elderly patients, with the consideration of the patients' and medical institutions' characteristics, is needed.

Gender Difference in Factors Related to Depression in Vulnerable Elderly (취약계층 노인의 성별 우울 관련 요인)

  • Kim, Eun-Kyung
    • The Korean Journal of Health Service Management
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    • v.8 no.3
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    • pp.169-179
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    • 2014
  • The aim of this study was to understand the factors related to depression according to gender in vulnerable elderly. We conducted a cross-sectional study with 1,709 elderly beneficiaries of the visiting health care program in Seoul. Depression was measured using the Geriatric Depression Scale Short Form Korea Version(GDSSF-K) questionnaire. Depression score was mild level in vulnerable elderly. There was no gender difference in depression level. Factors related to depression differ by gender. In the elderly men, higher depression showed significant correlation with a lower level of health-related quality of life(HRQOL) and self-rated health(SRH). In addition, higher depression was observed for elderly men living alone than for those living with family. These factors explained depression by 23.1%. In the elderly women, higher depression showed significant correlation with a lower level of HRQOL, SRH and a higher dependence of instrumental activities of daily living. In addition, higher depression was observed for elderly women who has fall experience. These factors explained depression by 22.8%. Gender-specific nursing strategies may be required for prevention of depression in vulnerable elderly.

The Effects of Social Participation on Daily Life Satisfaction in Elderly with Disabilities: Mediating Effect of Self-Rated Health Status and Self-Esteem (장애노인의 사회참여가 일상생활만족도에 미치는 영향: 주관적 건강상태와 자아존중감의 매개효과)

  • Ko, Min-Seok
    • The Korean Journal of Health Service Management
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    • v.9 no.3
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    • pp.221-232
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    • 2015
  • Objectives : The purpose of this study was to analyze the relationships among social participation, self-rated health status, self-esteem and daily life satisfaction of the elderly with disabilities. It especially focused on the mediating effects of self-rated health status and self-esteem on the relationship between social participation and daily life satisfaction. Methods : From the fifth panel survey of employment for the disabled, data for 518 elderly over age of 65 were analyzed with SPSS 22.0, SmartPLS 2.0 M3 and the Sobel test. Results : First, social participation of the elderly with disabilities had a positive influence on the self-rated health status and self-esteem. The direct effect of self-rated health status and self-esteem on daily life satisfaction was statistically significant. However, the influence of social participation on daily life satisfaction was not statistically significant. Second, the self-rated health status and self-esteem had a mediating effect on the relationship between social participation and daily life satisfaction. Conclusions : This study shows that it is important to provide an integrated social participation support program that coincides with a variety of social programs to elderly with disabilities.

A Regional Comparative Study on Impact of Social Welfare Service Use on Mental Health Among Elderly Men in The Yeongnam and Honam

  • Se-Hui KIM;Seong-Bae JUNG
    • Journal of Wellbeing Management and Applied Psychology
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    • v.7 no.2
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    • pp.1-12
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    • 2024
  • Purpose: The purpose of this study was to explore the factors affecting mental health in the use of social welfare services by male elderly, and to provide basic data that are helpful for integrated mental health promotion programs suitable for each region by comparing and analyzing the Yeongnam-Honam. Results: As a result of the analysis, when comparing the two regions, annual income, age, and physical health were found to be the influencing factors among the personal characteristics of male elderly in the Yeongnam, and caring services were found to be the influencing factors of social welfare services. Among the personal characteristics of male elderly in Honam, annual income, age, and physical health were found to be the influencing factors, and caring services were found to be the influencing factors of social welfare services. Conclusion: Based on the results of the study, three implications are presented as follows. First, it suggests that mandatory checkups are required not only for the physical health of male elderly, but also for the mental health. Second, the necessity of social welfare service policies that link health and welfare is presented. Third, the necessity of specialized mental health and welfare services by region is presented.

The Linkage of Health Care and Social Services for the Elderly in Jeonnam Province and its Related Factors (전라남도 노인보건복지에 있어서 방문간호사와 사회복지전담공무원의 서비스 연계실태 및 관련요인)

  • Rhee, Jung-Ae;Chung, Eun-Kyung;Ham, Cheol-Ho;Lee, Young-Hun
    • Health Policy and Management
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    • v.16 no.1
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    • pp.41-53
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    • 2006
  • This study was carried out to investigate the linkage between health care and social services for the elderly in Jeonnam Province and its related factors. The subjects were 831 persons of visiting health service workers and social welfare workers in Jeonnam Province who responded the mail questionnaire (85.5% respondse rate). The data were collected from 15th May to 30th June, 2004 using the structured questionnaire. It was composed of the socio-demographic characteristics, the content and frequency of services referred between health care and social welfare workers, and interdisciplinary perception. Data was analysed by SPSS for Windows 12.0. 374(45.0%) reported having experience of service cooperation between health care and social welfare workers for the last three month. The most service that health care workers requested to social welfare workers was to get information for the client, on the other hand the most service that social welfare workers requested to health care workers was to visit and treat the elderly. These service providers in rural area and good attitude toward the cooperation between health care and social welfare service showed more linkage. The findings of this study could provide the basic data for the development of efficient coordinating program of health and welfare.

Effect of Health Promotion and Characteristics of Elderly used Day Care Service in Community Health Practitioner's Post (보건진료소의 주간보호실 이용노인의 특성과 건강증진 정도)

  • Jeong, In-Suk;Cho, Yoo-Hyang;Park, Yoon-Chang
    • Journal of agricultural medicine and community health
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    • v.27 no.2
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    • pp.127-136
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    • 2002
  • This study was taken to provide data for the approaches of day care service for the elderly in community health practitioner's post through the study on the utilization rate, characteristics and health promotion that the elderly used the day care services. Data collection used three records that case management in take sheet, dementia check list and ADL record during the one year, from June 21, 2001 to June 30, 2002. During the one year, the elderly used day care services were 119 persons that 26.9% of the total elderly population, 1.5 time per used the elderly, and female elderly(88.9%) more used than male elderly. 39.5%of the elderly user have chronic diseases that was arthritis and hypertension and etc. 41.2% of the elderly users have dementia state that score was $17.39{\pm}7.17$(handicapped elderly), $18.43{\pm}7.36$(healthy elderly), but statistically not significant PADL score was $2.18{\pm}0.55$(handicapped elderly), $2.78{\pm}0.30$(healthy elderly), IADL score was $1.78{\pm}0.51$(handicapped elderly), $2.47{\pm}0.60$(healthy elderly) that were statistically significant. One year later, PADL and IADL of the elderly users were improved that statistically significant(p=0.01). The elderly users were wanted rehabilitation service(22.2%), talking service(20.6%), bath service(12.7%), food service(9.5%) of day care services in CHP's post. We are recommended that day care service for the elderly in CHP's post was very useful and contributed to promote ADL functions.

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