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

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 1996.11a
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• pp.39-48
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• 1996

It is very well known all over the world that Sweden has a long history of social welfare. especially in the area of housing for the elderly and they have managed it succesfully until now. In this study. the group homes for the elderly with dementia which is adapted and developed in Sweden recently is discussed in reference to the characteristics of the inhabitants. way of management, characteristic of architectural design for the group homes in order to find any possibility to apply it in Korea in the future.

• Journal of the Korean housing association
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• v.8 no.3
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• pp.67-79
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• 1997

It is very well known all over the world that Sweden has a long history of social welfare, especially in the area of housing for the elderly and they have managed it successfully until now. In this study. the group homes for the elderly with dementia which has been adapted and developed in Sweden recently is discussed in reference to the characteristics of the inhabitants, way of management, and architectural design for the group homes in order to find any possibility to apply it in Korea in the future.

• Journal of Korean Academy of Nursing Administration
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• v.16 no.2
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• pp.162-171
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• 2010

Purpose: Nursing home quality indicators have been focused widely on result outcomes, not for the environment in that quality of service are delivered, This study aimed to examine structural factors influencing quality management activities in nursing homes. Method: Sample was 170 nursing homes responded to the survey questionnaire which was distributed to the 543 nursing homes nation-wide, Data were collected on structural characteristics, types of services, and quality management activities, Data were analyzed with the descriptive statistics, Pearson correlations, and multiple regression. Result: Most of the nursing homes were operated as free of charge by the social welfare ownership. Average number of residents was 52.1 with severe and mild dementia and bedridden status, In terms of quality management activities, 34% of the sample had CQI committee that focused their activities on services delivery process, performance appraisal, record keeping regularly. 30.6% of quality management activities were accounted for by the number of residents with dementia, the ratio of RN to residents, rehabilitation services, and social wefare services in nursing homes. Conclusion: We recommend that more comprehensive quality management activities should be developed as process quality indicators in conjunction with the outcome indicators.

• International Journal of Human Ecology
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• v.2 no.1
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• pp.39-55
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• 2001

Concerns about paid-facilities for the elderly with dementia from middle and upper class families have been discussed lately in Korea. Small-scale, home-like group homes for the elderly with dementia were developed in Sweden in the 1980, but they have not been effectively introduced in Korea where they remain a comparatively new concept. The group home, however, would provide a good alternative to Koreans who feel guilty when they have to leave their frail parents in large-scale facilities or hospitals instead of caring for them at home. The aim of this paper is, first, to define the care of the demented elderly who come from upper and middle class families in Korea and, secondly, to discuss the need for group homes to help care for them. A survey was done by questionnaire and was answered by 577 respondents who belonged to middle and upper class families living in Korea in December 2000. Methods of analysis were frequency, mean, and Chi-square. The results of this study were as follows: 1) the traditional notion that the eldest son should be burdened with the primary responsibility for a demented parent has weakened remarkably; 2) a small-scale long-term care facility was considered the most desirable living environment for the demented elderly; 3) the facilities families needed for professional hospitals for victims of dementia, senior citizen centers, large and small-scale long-term care facilities, day-care centers, and short-stay and service housing. The study also revealed that there was low awareness of the group home. The most preferred type of structure for group homes was a single-family detached house, and the most preferred management system was small-scale that could create home-like atmosphere. Additionally the respondents wanted group homes to consist of 6-8 residents with 2-4 persons per room. The results of this study strongly suggest that policy makers should encourage the development of smallscale group homes as an alternative form of housing for the elderly with dementia.

• Journal of Digital Convergence
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• v.14 no.2
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• pp.279-286
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• 2016

Recently, with the population growth of elderly people, concerns about oral health related to the quality of life of the elderly are increasing. The purpose of this study is to assess the association between the elderly women divided into dementia, suspected dementia, healthy groups and the remaining teeth of them. Total 177 elderly women of over 60 years old, visiting on senior center in some community dwelling, were assessed for oral condition and their cognitive function with MMSE score. All the collected data were analyzed by chi-square test, t-test, and multiful logistic regression using SPSS. Multiful logistic regression was used to analyze the relationship of dementia according to MMSE score and remaining teeth, and 95% confidence intervals were computed. Odds ratio(OR) of the number of remaining teeth 0-10 was 3.43 (95% confidence interval: 1.382-8.997). This study showed significant difference and the relationship between dementia according to MMSE score and the number of remaining teeth of the elderly women.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.24 no.1
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• pp.100-106
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• 2020

In this paper smart shoes for dementia care using embedded boards and Low Power Wide Area technology and their application software are implemented. The communication board composed of Cortex-M3 board and LoRa module is embedded into groove made in outsole of smart shoes. Including the mold, the shoe outsole was manufactured by hand. By using application software and embedded board, caregiver can track the position of dementia patient using GPS and LoRa network. The location tracking and data transmission operations of smart shoes have been successfully verified in the outdoor environment. The smart shoes of this paper are applicable to a safety device to prevent the disappearance of demented patients through results of experiments and if bigdata is collected and analyzed by deep-learning, it may be helpful to analyze the predictive path of dementia patients or the pattern of dementia.

• Journal of Korean Public Health Nursing
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• v.34 no.2
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• pp.182-197
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• 2020

Purpose: This study undertook to qualitatively investigate the operation status, support requirements and improvement plans for establishing an appealing dementia rest area in Gyeongsankbuk-do. Methods: Data were collected from May 1 to June 20, 2019, using participation observation and in-depth interview of 8 health professionals, and were subjected to qualitative analysis. Results: Our analysis revealed 4 themes and encompassing 16sub-themes: 1) program operation status (hard to prepare and operate programs, difficulty adjusting the program level, various needs of program participants, lack of mutual understanding among program participants); 2) policy support needs (need for assistants staff and basic education, requirement of extensive training for the main operators, support program aid equipment, incentive payments and performance reflections); 3) project operation's improvement plan (improved the operation of doubles classes, improved of training materials for the main operators, improved program activities and workbooks, Increasing the number of dementia rest areas); 4) positive effects and changes (positive effects of specialized projects, changes in perceptions of dementia, strengthening community awareness through doubles classes, synergy effect on community health care post awareness) Conclusion: We believe the current study results can be applied as basic data for establishing a new model, and will positively impact the national dementia management project.

• Journal of Korean society of Dental Hygiene
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• v.19 no.1
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• pp.79-91
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• 2019

Objectives: The purpose of this study was to contribute to the development of an oral hygiene care program for patients with dementia by understanding the oral care status and oral health knowledge of care workers and caregivers with regard to patients with dementia. Methods: For about two months from May to June 2018, a survey of care workers and caregivers working in long-term nursing homes and elderly-specialized nursing hospitals was performed, and 442 people were selected for the final analysis. The frequency and percentage were calculated to understand the oral care status and oral health knowledge regarding patients with dementia, and an independent t-test was conducted to determine the difference between the elderly oral health knowledge of care workers and caregivers. Multiple regression analysis was also carried out to examine factors affecting elderly oral health knowledge. Results: With respect to the factor of oral health education in elderly oral health knowledge, oral health knowledge was shown to be highest when participants responded that education was unnecessary (p<0.001), and regarding the will to participate in oral health education, oral health knowledge was highest when participants responded as having no desire to participate (p<0.05). Conclusions: These results suggest that a standard manual should be developed for the accurate and qualitative management of oral hygiene care tasks performed by care workers and caregivers who are in charge of oral care for patients with dementia in order to provide continuous and systematic oral care.

• Journal of Digital Convergence
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• v.17 no.9
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• pp.495-506
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• 2019

The purpose of this study was to provide the customized-service program for the family of dementia patients as an family-function reinforcement program. This study was designed to develop the therapeutic recreation program for the family supporting senior with dementia. The therapeutic program consisted of assessment, planning, implementation, evaluation. This study found the followings. First, this study shows the possibility of implication of the therapeutic recreation for the family supporting senior with dementia. Second, the therapeutic recreation program has a strong theoretical background. Third, the therapeutic recreation program has the clear goal, performing activity, intervention strategy. The therapeutic recreation program for the family supporting senior with dementia that this study provides would be valuable basic data for future studies.