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KMID : 0379719970110010138
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Journal of Korean Community Health Nursing Academic Society
1997 Volume.11 No. 1 p.138 ~ p.162
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A Study on Role Development for Social Workers Providing Health Center - based Health and Welfare Services for the Elderly in Community
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Abstract
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This study was conducted to develop the social workers role participating health and welfare services production of health centers. The sharp increase rate an the elderly population in Korea lead the social issues as that health and social services are not developed enough to cope with the increase on the elderly´s health care needs. The priority in the elderly´s care service development should be put on public sectors, so that could prevent financial catastrophy of the elderly´s care. The pulbic sector was concerned with health center services : as health center in Korea provide mainly medical-oriented services, this study focused on to combine the existing health center´s services into social services.
The study method was based on needs survey with 322 patients aged over than 55 in rural area. The needs survey include general health and disease care needs and daily life caring needs. The latter was applied with ADL and IADL with modificiation for the use of Korea environment.
The findings were as follows :
Social workers should be able to care diseases of muscular and skeletal, circulatory, digestive and general chronic disease in social service needs aspect. Mostly the chronic patients quit their care services because of shortage of financial support(18.3%) and transportation problem(19.5%), but still prefer to be cured and cared from general hospitals and at least clinic and health centers in community. The unvisible dramatic effect of health care services also should be concerned and cared by social workers.
The ADL and IADL shown the most needs on transportation needs and problems caused by weaken legs. Mostly daily activities were supported by family members (53.3% spousers and 35.9% children), and the most demands were shown on helps for transportation visiting hospitals(37%) and getting similar care services for health care needs (31.2%) and daily hygenieal needs (11.2%).
Social workers´ role should include health care participation with social and health promotion approach as well as socio-economic supports during health care receiving. Social workers also should provide social services for the elderly´s daily needs solving for these are not in available family supporters.
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