Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Need of Health Center-based Integrated Healthcare Services for the Elderly in Rural Area

농촌지역 보건소 중심의 노인 통합보건의료서비스 필요도

  • Won, Eun-Sook (Kangwondo Hongcheongun Public Health Center) ;
  • Chang, Sei-Jin (Department of Preventive Medicine, Yonsei University Wonju College of Medicine) ;
  • Park, Jong-Ku (Department of Preventive Medicine, Yonsei University Wonju College of Medicine) ;
  • Hyun, Sook-Jung (Department of Preventive Medicine, Yonsei University Wonju College of Medicine) ;
  • Kim, Chun-Bae (Department of Preventive Medicine, Yonsei University Wonju College of Medicine)
  • 원은숙 (강원도 홍천군보건소) ;
  • 장세진 (연세대학교 원주의과대학 예방의학교실) ;
  • 박종구 (연세대학교 원주의과대학 예방의학교실) ;
  • 현숙정 (연세대학교 원주의과대학 예방의학교실) ;
  • 김춘배 (연세대학교 원주의과대학 예방의학교실)
  • Published : 2007.06.30
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Abstract

Objectives: The challenge of an increasing elderly population has coupled with everpresent social concerns in Korea. A major problem in health center for the frail older people is that medical, healthcare, and welfare services are often fragmented in terms of providers and settings without appropriate coordination. The purpose of this study was to investigate the need of health center-based integrated healthcare services and its related factors for the elderly. Methods: A total of 110 elderly people who had visited at a county Health Center were interviewed using a self-administered questionnaire from November to December, 2005. The questionnaire consists of five domains according to the Program of All-inclusive Care for the Elderly. Results: Respondents had high need (total mean score with the 5-point Likert-type sacle: 3.67) of health center-based integrated healthcare services including home visiting service (mean: 4.08), chronic disease care service (mean: 4.06), and transportation service (mean 4.05). According to the results of hierarchical multiple regression analysis, among three regression models the magnititude of the variance of full model that is explained by the need of welfare-domain service was significantly larger than two reduced model. Income was a significant variable in increasing the need of health care and welfare services. Conclusions: This study suggests that the health center-based integrated healthcare services for the elderly must be continuously developed and provided for the health promotion and improved the quality of life of the elderly who live in rural area in Korea.

Keywords

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