J Agric Med Community Health.  2007 Jun;32(1):27-39.

Need of Health Center-based Integrated Healthcare Services for the Elderly in Rural Area

Affiliations
  • 1Kangwondo Hongcheongun Public Health Center.
  • 2Department of Preventive Medicine, Yonsei University Wonju College of Medicine. kimcb@yonsei.ac.kr

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.

Keyword

Health center; Integrated health care service; Elderly

MeSH Terms

Aged*
Chronic Disease
Delivery of Health Care*
Health Promotion
House Calls
Humans
Korea
Quality of Life
Surveys and Questionnaires
Transportation
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