|
KMID : 0379220190390020213
|
|
Journal of Korea Gerontological Society
2019 Volume.39 No. 2 p.213 ~ p.229
|
|
|
Understanding Factors Associated with Unmet Need for Outreach Community Health Service among Older Adults in Seoul
|
|
Shon Chang-Woo
Lee Seung-Jae
Hwang Jong-Nam
|
|
|
Abstract
|
|
|
|
The purpose of this study was to examine various factors influencing the needs of Seoul’s newly implemented outreach community services for older adults, and to suggest the direction of the outreach community health services in Seoul. A multi-level regression was conducted using data collected by face-to-face interviews from 1,000 individuals aged 65 and 70 in 17 districts, where participated in the Seoul’s outreach community services. The results demonstrated that socioeconomic status (higher income and living alone), health status (having multiple chronic conditions and depression, lower health literacy), limited experience of the outreach community services, and low government trust at the individual level were associated with higher unmet need for the community outreach services. In addition, shorter participation period of the outreach services and financial independency at the district level were associated with higher unmet need for the services. The findings from this study implies the need for improving the quality of services by focusing on vulnerable groups such as individuals with lower income and worse health status. In addition, the outreach community health services may need to target individuals aged 66 to increasing efficiency of the services through utilizing results of life-cycle health checkup by the National Health Insurance Corporation.
|
|
|
KEYWORD
|
|
|
outreach community service, visiting health service, welfare delivery system, service needs
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|