• Proceeding of Spring/Autumn Annual Conference of KHA
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• 2006.11a
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• pp.149-154
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• 2006

The purpose of this study is to introduce ubiquitous home services for the aged. In comparison with general ubiquitous homes, ubiquitous homes for the aged have two major characteristics. First, the service contents should be expanded and strengthened. Second, the services should be customized to each individuals. The primary objective of a ubiquitous home for the aged is health care. The three affordances for this objective are 1)prevention of sickness and reducing the speed of aging process, 2)technical assistance for disability, 3)recovering and enhancing the physical and cognitive function. For this purpose this paper analyses the characteristics of the aged and current ubiquitous technology and ubiquitous home service, thus providing an outline for ubiquitous services necessary for aged people.

• The Korean Journal of Health Service Management
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• v.6 no.2
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• pp.201-209
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• 2012

This study was conducted to identify prevalence of sexual dysfunction and to determine factors influencing sexual dysfunction in middle aged women. The participants were 285 middle aged women. Data were collected through self-report questionnaires which were constructed to include general characteristics, FSFI (Female Sexual Function Index), sexual knowledge, sexual satisfaction. The mean score FSFI, sexual knowledge, sexual satisfaction were $14.82{\pm}5.74$, $11.25{\pm}2.67$, $45.84{\pm}8.60$, respectively. The score for sexual dysfunction showed significant difference age(F=3.52, p=.031) and health status(F=3.66, p=.013). Sexual dysfunction had significant positive correlation to sexual satisfaction(r=.46, p<001). Age and sexual satisfaction were significant predictor and accounted for 22% of the variance in sexual dysfunction middle aged women. Future sexual dysfunction management program for middle aged women should be considered their emotional, psychological, socio-environmental factors.

• The Korean Journal of Health Service Management
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• v.13 no.2
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• pp.81-92
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• 2019

Objectives: The purpose of this study was to discuss the overall and oral health conditions that affect obesity in middle-aged women in Jeju and to help them operate the effective obesity program in the future. Methods: Participants of this study were 171 middle-aged women living in Seogwipo City, Jeju Special Self - Governing Province. Data were collected through the convenience sampling method. Body mass index and waist circumference of each participant were measured, and a self-report questionnaire was applied. Results: The overall health status of obesity comprised depression, stress, diabetes, and menopause. The oral health conditions affecting obesity were bad breath and chewing. Hypertension was the main factor affecting body mass index and depression was the main factor influencing waist circumference. Obesity was more influenced by overall health status factors than by oral health status factors. Conclusions: The results of this study are expected to be useful as basic data for efficient health care services in the prevention of obesity.

• The Korean Journal of Health Service Management
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• v.7 no.1
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• pp.59-68
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• 2013

This study examined the relationship between spouse satisfaction and depressive symptom among the middle-aged and elderly couples, using dataset of the Korean Longitudinal Study of Ageing(KLoSA). The subjects were 6,652 persons aged 45 and over who were living with their spouse. A multiple regression model was used to study an association between spouse satisfaction and depressive symptom, controlling for socio-economic characteristics, health status and behavior, and social support. Also, this paper run three subgroup regression models based on age of subjects (45~54, 55~64, 65 and over), controlling for confounding variables. Authors found that there was negative relationship between spouse satisfaction and depressive symptom (b=-0.022, p<0.0001). This negative relationship was also shown in three subgroup regression models. This study suggested the importance of spouse support for promoting mental health among the middle-aged and elderly couples.

• The Korean Journal of Health Service Management
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• v.12 no.4
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• pp.85-102
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• 2018

Objectives: In order to cope with the quality and the substantiality issues in long-term care for the elderly, we should have a wider view of long-term system components based on the understanding of health care organizations, management services, support for care providers and beneficiaries, education of the workforce, and management of finance and resources. Methods: For resolving the issues raised and offering guidance in the area of long-term care, we reviewed 20 reports and documents of the government and government-related institutions using the Internet home pages of the Australian government and the related organizations in the health care sector. These organizations are undergoing a huge system reform to implement consumer-directed care since 2015, in the areas of service, resources, finances, organization, and management. Results and conclusions: The study outcomes can have some implications for the long-term care system in Korea based on the differences in the service components. The results can provide basic information for improving the long-term care service, and can have several other implications for long-term care in Korea.

• The Korean Journal of Health Service Management
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• v.10 no.3
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• pp.123-133
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• 2016

Objectives : This study analyzed the effect of health-related characteristics of middle-aged and elderly people on the number of existing permanent teeth by considering each age group through the improvement of health-related characteristics. This study contributes by offering fundamental information on the prevention of dental diseases and on developing an education program that can be used by dental health businesses to improve dental health. Methods : This study used primitive data of the sixth term of the first year and the second year and selected a total of 4,393 people as the final research subject. In order to determine the factors that influence the number of existing natural teeth, confounding factors were considered, and regression analysis using general linear models was done. Results : According to the results of this research, the middle-aged and elderly groups have more existing permanent teeth in the following three cases: 1. Talking is comfortable when daily brushing frequency is 3 times or more. 2. Self-recognition of dental health condition is good. 3. Number of dental caries present in permanent teeth is low. Conclusions : For a and medical system, a dental health care system that takes into consideration the lifespans of people must be legislated and implemented.

• Journal of The Korea Institute of Healthcare Architecture
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• v.8 no.2
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• pp.17-24
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• 2002

In the 70s, facility called 'Sozialstation' was introduced in Germany, which is a supporting organisation for a systematic and efficient integrated health and social service system for the aged. As a theoretical approach, presented here could be a foundation for space planning for the development of an integrated health and social service system for the aged in Korea, this study examines design, concept, function, operation area and origin background etc. of the 'Sozialstation' through the case studies of space program.

• Journal of Korean Public Health Nursing
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• v.5 no.1
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• pp.70-95
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• 1991

The ageing problem of the population has been emerging in Korea since 1970's so that it is expecting the elderly 65 years and over among the total population from $4.5\%$ in 1988 to be $6.3\%$ in year 2000. This study was conducted to provide secure policy development in coming years for the aged on medical and health care aspects based on the examining current status of the aged problems and health care policies and systems. The study divided into four parts; The first part examined the medical insurance program and public assistance program of the health services in relation to the aged. The second part emphasized on reduction of medical care cost for the aged. The third part studied the regular health check-up program and health education for the aged. The fourth part examined the chronic disease management programs for the aged and strategies of the health care service quality improvement and specialized programs. The following recommendations made as the results of the study. 1. At present, the medical insurance program and public assistance program for the medically indigent is not appropriate to the elderly because it is a part of general medical insurance program so that Health Security Law for the Aged is proposed. 2. Medical cost will be increased due to the high occupancy rate of hospital beds and long stay of the elderly so that it is recommended to develop an early discharge program, home health care program, Health hospice and an althernative programs. 3. At present, a regular health check-ups for the elderly is not included in medical insurance program so that it is recommended to be included in the insurance program and at the same time health education program thoroughly developed for the aged. 4. To make proper medical and nursing services on chronic diseases for the elderly, it is recommended manpower development, specialized clinics or hospitals, nursing homes and an equivalent long term care facilitices should be established on the community based and a research institutions also to be related to supper the care programs.

• Health Policy and Management
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• v.21 no.4
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• pp.585-598
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• 2011

This study was conducted to examine the trend of national health insurance service use with relation to pregnancy, childbirth, and the puerperium among pregnant and postpartum women older than 35 over the last decade. A descriptive analysis was conducted, using the data which were drawn from the "nationwide claim database of Korean National Health Insurance Corporation(NHIC)". Data were composed of the total cases related to pregnancy, childbirth, and the puerperium (International Classification of Disease, $10^{th}$revision [ICD-10] codes O00-O99) from 2001 to 2008. During 2001-2008, the number of pregnant and postpartum women older than 35 had continuously increased and the percentage of them also had increased in both hospital and ambulatory care. There are similar trends in their total use of national health insurance service and total expenditure. According to demographic characteristics, there was the biggest increase of the percentage in residents in large cities, self-employed workers, ones in the highest income level. According to ICD-10 codes, there was the biggest increase of the percentage in O10-O16 (oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium). According to the major prevalent disease, there was the biggest increase of the percentage in O60 (preterm labor and delivery). Throughout the past decade, the necessity has been emphasized of supporting pregnant and postpartum women older than 35. But in maternal and child health care, they are in an early stage of development. The findings of this study would be helpful in developing the support programs for the aged pregnant and postpartum women.

• Research in Community and Public Health Nursing
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• v.20 no.1
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• pp.49-58
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• 2009

Purpose: Purpose: The purpose of this study was to explore the yangsaeng level in a health management way of an aged women in rural area, and to offer basic material for the development of community's public health service. Methods: The subjects were 144 aged women who participated voluntarily in the questionnaire. The data were collected from January to February, 2008 with a self-administered questionnaire. Data were analyzed by SPSS 13.0 win program for finding frequency, percentage, mean, standard deviation, ANOVA and Tukey. Results: The average age of workers was 72. Total yangsaeng level was $3.08{\pm}.33$, highest yangsaeng factor was Activity & Rest Yangsaeng of $3.55{\pm}.46$ and lowest yangsaeng factor was Season Yangsaeng of $2.43{\pm}.75$. The total Yangsaeng level was the significant difference in monthly incomes(F=4.046, p=.047). Conclusion: Considering the results above, the yangsaeng level of aged women is affected by the age, education level, a monthly income etc. Therefore, for health promotion plan of aged women, consider that their age, educational level, economic level ect, and systematic education for promotion of health is necessary.