KMID : 0379320020270010143
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Korean Journal of Rural Medicine 2002 Volume.27 No. 1 p.143 ~ p.153
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The Want for Home-Visit Health Care in Rural Olders
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Kwag Hwa-Soon
Kam Sin Kim Jong-Yeon Ahn Soon-Ki Jin Dae-Gu Lee Kyung-Eun Cha Byung-Jun
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Abstract
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This study was performed to examine the want for home-visit health care of health center and health sub-center in rural olders and to provide the basic data to develop strategies for efficient and effective home-visit health care delivery of public health facilities. The questionnaire survey by interview was conducted to 355 olders whose ages were all over 65 years, residing at a rural community, Myun, Gyeongsangbuk-do. Among study population, 64.5% replied that their self-rated health status were¡®poor¡¯, 14.1% had low ADL and 14.9% had low IADL. Among study population, 73.5% replied that they had health problem which were in need of medical personnel¡¯s care. The existence of health problem were significantly different according to sex, age, marital status, health security status, occupation, economic status, circumstances for medical care, self-rated health status, ADL, and IADL(p<0.05). Among olders with health problem which were in need of medical personnel¡¯s care, 19.5% wanted to receive the home-visit health care. The degree of want for home-visit health care was higher significantly in olders whose ages were 75-year old or more(p<0.05), jobless olders(p<0.01), the aged persons who were not in harmony with other family members, olders whose self-rated health status were¡®poor¡¯ and olders with low IADL. The major reasons why they wanted to receive the home-visit health care services were¡®they had no helpers when they were sick¡¯(64.7%),¡®long distance to the medical facilities from their residence¡¯(23.5%). The medication service was the most need service among home-visit health care services. The reasons why they didn¡¯t want to receive the home-visit health care services were¡®we could walk and move¡¯(60.0%),¡®we wanted to have a direct contact with doctor¡¯(25.7%) in the order of high rate. In multiple logistic regression analysis, the degree of want for home-visit health care were higher significantly in olders who were not in harmony with other family members and olders whose self-rated health status were¡®poor¡¯(p<0.05)
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KEYWORD
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Want, Home-visit health care, Rural olders
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