• 한국노년학
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• v.40 no.1
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• pp.1-21
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• 2020

The purpose of this study is to examine that basic pension entitlement affects the subjective well-being(SWB) of the elderly. For controlling unobserved heterogeneity, we used fixed effects model for longitudinal data. The data used for this study is KLoSA from 2006 to 2016. The research results are as follows. SWB of non-basic pensioners was higher than for basic pension beneficiaries. Second, when the demographic variables were controlled, SWB of the basic pension recipients was higher then that of non-beneficiaries. Third, the factors affecting SWB were economic satisfaction, marital status, family financial support, employment status, subjective health status, daily life restrictions, gender, and age. Fourth, the effect of basic pension on SWB was positive at the lowest income quartile. The results of this study shows that the basic pension system has a positive effect on the SWB of elderly despite the low benefit level. Therefore, it is necessary to expand the basic pension system to solve poverty problems and improve the quality of life for the aged. Also, various aspects of social support for the low-income vulnerable elderly are needed. Lastly, It was suggested that the benefit level of the basic pension should be raised to have a substantial effect on the low-income class, which is a key policy subject.

• 한국노년학
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• v.41 no.3
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• pp.327-351
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• 2021

This study was motivated by the awareness that little attention has been paid to this issue both theoretically and empirically, despite the fact that financial abuse causes serious problems which are difficult for the elderly to recover from. This study intends to explore what the patterns of financial abuse targeting the elderly are, what causes and sustains these abuses, and what makes it difficult to counter such financial abuses. Data analysis was based on individual and group interviews of ten professionals expected to encounter the most financially abused elderly in social welfare institutions. The thematic analysis shows that financial abuse is often caused and maintained in a trusting relationship through care and protection. Because financial abuse was inflicted on the vulnerable elderly in a state of reinforced psychological dependence based on a long and trusting relationship, it appears that it has been made with tacit acknowledgement and consent. Despite those complex dynamics, it is noted that financial abuse can be judged as such only when the elderly claim to suffer from harm. Rather, intervention without victims' acknowledgement tends to be perceived as violating their right to self-determination. This reality naturally leads to the termination of the necessary interventions with the victims in an abusive situation. Based on these results, discussion focused on more realistic and diverse approaches to the issue of financial abuse of older adults.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.22 no.5
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• pp.127-136
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• 2023

Gyeonggi Province has established a bus information system to provide real-time bus arrival information, aiming to make bus usage convenient for its residents. While the Gyeonggi bus information system is becoming more advanced through the application of IT technology, there are still information-vulnerable groups finding it difficult to use. In particular, the elderly have a low level of digital information literacy and habe difficulty using it. In this regard, this study aims to address the information usage disparity among the elderly in public transportation by utilizing expert in-depth survey methodology known as the Delphi technique. The study classified the policy initiatives that Gyeonggi Province should undertake into three categories: user education and expanded promotion, technological development and dissemination, and providing convenient usage environment. Through two rounds of surveys, the study assessed the priority of ten specific sub-tasks within these categories. Additionally, it gathered opinions on the effectiveness and feasibility of each item. The results yielded prioritization and evaluation of effectiveness and feasibility for nine sub-tasks. Based on these outcomes, the study proposed future projects that Gyeonggi Province should implement to address the information disparity among the elderly, offering a comprehensive approach to bridge the gap.

• Journal of Cadastre & Land InformatiX
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• v.54 no.1
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• pp.49-61
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• 2024

South Korea faces a declining population and rural areas vanishing due to urbanization. Infrastructure, especially medical facilities, may not be sustainable for a long-term. This may impact vulnerable groups like children, teens, and the elderly, worsened by an aging population and low birth rates. Gangwon-do, notably Chuncheon-si, suffers from rural depopulation and poor healthcare self-sufficiency. In this paper, using 2SFCA(Two-Step Floating Catchment Area), we analyze healthcare access in Chuncheon-si, identifying gaps and vulnerable areas. LISA analysis helps map medical vulnerability, considering patient demand and supply. The Gini coefficient assesses spatial inequality. We propose distributing healthcare services and personnel based on age and region. The aim is to identify locations for additional hospitals catering to the elders, Infants, Children, and Adolescents,considering spatial accessibility.

• Research in Community and Public Health Nursing
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• v.25 no.1
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• pp.1-11
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• 2014

Purpose: The purpose of this study is to obtain information of use of complementary and alternative medicines (CAMs) and any reported adverse effects of them on vulnerable elders in a community. Methods: 1,837 elderly subjects aged 65 or higher with health problems were selected from those who were enrolled in a public health care center and received visiting health management services. A proportional stratified sampling method was used. Data collection was completed by face to face interviews using a structured questionnaire. The descriptive statistics and ${\chi}^2$-test were used to analyze the data. Results: The prevalence of CAM use last year was 57.5%, and 10.4% of the subjects reported adverse effects of the therapies. The mean score of the subjects' attitudes towards CAM was $4.1{\pm}3.44$ (range 1~10). The major sources of advice and exposure to CAM therapies were most likely to be from family and friends (72.5%). The primary reason for choosing CAM was to manage symptoms and relieve pain (86.6%). Conclusion: These findings suggest the need to develop nursing strategies for reducing and preventing adverse effects of CAM use by promoting awareness of using safe and appropriate CAM therapies.

• The Journal of the Korea Contents Association
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• v.17 no.8
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• pp.290-300
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• 2017

This study concerns whether the public spirit of medical services, which is the foundational goal of national hospitals, is being realized. To derive results regarding this question, it is necessary to identify the determinants that influence the choice of national hospitals. The data are based on the number of cases of medical service use among the data for 6 years from 2008 to 2013 in the Korea Medical Panel, and the subjects were limited to those who were 18 years old or older. In the final analysis, 14,365 cases of hospitalization service uses were employed. For the research method, Andersen's behavioral model theory was applied, and predisposing, enabling, and individual factors were determined to be variables. Logistic regression analysis was conducted to analyze the determinants of national hospital choice factors. It was found that the rate of use of national hospitals was very low, with 5.23% for hospitalization services. Furthermore, socioeconomically vulnerable people, such as the elderly, low-income people, the national meritorious and medical care beneficiaries, chronic patients, and disabled patients are more likely to choose national hospitals than private hospitals. Therefore, for the appropriate management of medical service use for low-income vulnerable groups, it is necessary to discuss the enhancement of primary medical care in national healthcare.

• Research in Community and Public Health Nursing
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• v.21 no.3
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• pp.362-373
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• 2010

Purpose: The purpose of this study is to evaluate the costs and benefits of individual home visiting health care using secondary data and literature review. Methods: The total number of subjects was 1,008,837. A specific program was classified into disease management, care of infant, child and women, or elderly care. The costs and effects of a program were identified from a societal perspective, and the effects were converted into monetary terms or benefits. The total cost was calculated in the way that medical expenses, travel costs and productivity losses were offset by the decrease in benefits and thus only the program budget was included in the total cost. Results: The total program cost was 47.6 billion won per year and the total annual benefit was estimated at 435.6 billion won. The benefits of arthritis management were the biggest among disease management programs. The net benefit was 388.0 billion won per year and the benefit/cost ratio was 9.16. Conclusion: Home visiting health care was validated to be economically effective. It made a positive contribution to improving the health status of vulnerable populations and reducing medical expenses. These results suggest that home visiting care should be extended more broadly to vulnerable populations.

• Journal of the Korea Convergence Society
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• v.10 no.11
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• pp.143-148
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• 2019

In modern society, developing and utilizing safety service and system environments is a very important and great interest. In particular, the provision of safety services to socially vulnerable groups such as children, the elderly, women, the disabled and foreigners has become a social issue. However, since most safety services and systems are applied to the general public, it is necessary to develop systems for socially vulnerable groups. Therefore, in this paper, we developed a system module that processes and transmits data to recognize the situation in real time and respond quickly. To this end, various sensors for real-time situation recognition were designed as integrated modules, and a safety system module was developed to analyze the collected data and transmit the processing results.

• Journal of Korea Society of Industrial Information Systems
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• v.29 no.1
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• pp.1-13
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• 2024

This study aims to provide a customized dynamic kiosk screen that considers user characteristics to cope with changes caused by increased use of kiosks. In order to optimize the screen composition according to the characteristics of the digital vulnerable group such as the visually impaired, the elderly, children, and wheelchair users, etc., users are classified into nine categories based on real-time analysis of user characteristics (wheelchair use, visual impairment, age, etc.). The kiosk screen is dynamically adjusted according to the characteristics of the user to provide efficient services. This study shows that the system communication and operation were performed in the embedded environment, and the used object detection, gait recognition, and speech recognition technologies showed accuracy of 74%, 98.9%, and 96%, respectively. The proposed technology was verified for its effectiveness by implementing a prototype, and through this, this study showed the possibility of reducing the digital gap and providing user-friendly "barrier-free kiosk" services.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.2
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• pp.783-786
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• 2015

Background: Utilizing geriatric screening tools for the identification of vulnerable older patients with cancer is important. The aim of this study is to evaluate the hospitalization risk of elderly hematologic cancer patients based on geriatric assessment and laboratory parameters. Materials and Methods: In this cross sectional study 61 patients with hematologic malignancies, age 65 years and older, were assessed at a hematology outpatient clinic. Standard geriatric screening tests; activities of daily living (ADL), instrumental activities of daily living (IADL), Mini Nutritional Assessment (MNA), Mini Mental State Examination (MMSE), timed up and go test (TUG), geriatrics depression scale (GDS) were administered. Demographic and medical data were obtained from patient medical records. The number of hospitalizations in the following six months was then recorded to allow analysis of associations with geriatric assessment tools and laboratory parameters. Results: The median age of the patients, 37 being males, was 66 years. Positive TUG test and declined ADL was found as significant risk factors for hospitalization (p=0.028 and p=0.015 respectively). Correlations of hospitalization with thrombocytopenia, vitamin B12 and folic acid deficiency were statistically significant (p=0.004, p=0.011 and p=0.05 respectively). Conclusions: In this study, geriatric conditions which are usually unrecognized in a regular oncology office visit were identified. Our study indicates TUG and ADL might be use as predictive tests for hospitalization in elderly oncology populations. Also thrombocytopenia, and vitamin B12 and folic acid deficiencies are among the risk factors for hospitalization. The importance of vitamin B12 and folic acid vitamin replacement should not be underestimated in this population.