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Factors influencing the community care satisfaction of the urban elderly focusing on the outreach community health service in Seoul

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KMID : 0379720210350020254
¼Õâ¿ì ( Shon Chang-Woo ) - Seoul Institute Department of Urban Society Research

¼­´Ù¶÷ ( Seo Da-Ram ) - Seoul Institute Department of Urban Society Research
ȲÁ¾³² ( Hwang Jong-Nam ) - Wonkwang University Division of Social Welfare & Health Administration

Abstract

Purpose: This study aimed at identifying the factors affecting the service satisfaction of urban elderly, focusing on the outreach community health service in Seoul, and suggesting policy directions for the successful implementation of community care.

Method: Individuals aged 65 and 70 who used the outreach community health service from July 2017 to June 2019 were eligible for the survey. A total of 2,028 people were sampled using a proportional allocation method for each autonomous district in the survey which covered 25 districts. A multi-level logistic regression analysis was conducted, taking into account the individual's socioeconomic level, health status, type of service provided, and the healthcare-related environment and service provision period of the autonomous district.

Result: The results revealed that the health status of the urban elderly, the type of services provided (health screening, linkage to community health center and clinic/hospital, medical checkup results counseling, frailty evaluation), and personal experience of the service were the major factors associated with the satisfaction with the outreach health services.

Conclusion: The development of customized health services based on the close relationship between visiting nurses and the elderly may be considered to promote a sustainable community health care model.
KeyWords
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Community Health, Community Health Centers, Chronic disease, Disease Management, Health promotion
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