예방적 관점에서의 효과적인 노인건강관리서비스의 개발 연구 -M시 종적연구기반(1)

오영희; 선우덕; 김혜련; 윤종률; 양찬미

예방적 관점에서의 효과적인 노인건강관리서비스의 개발 연구 -M시 종적연구기반(1) = Prevention-Oriented Health Care Services for Older Adults Based on the Longitudinal Study of M City

제목: 예방적 관점에서의 효과적인 노인건강관리서비스의 개발 연구 -M시 종적연구기반(1) = Prevention-Oriented Health Care Services for Older Adults Based on the Longitudinal Study of M City

저자: 오영희 ; 선우덕 ; 김혜련 ; 윤종률 ; 양찬미

키워드: 예방적 관점 ; 노인건강관리서비스

발행연도: 2011

발행기관: 한국보건사회연구원

초록: ◈ 노인 건강에 관한 이론적 고찰
◈ 외국 노인 건강관리체계 비교 분석
◈ 노인 건강상태 및 노인 건강관리서비스 제공 현황 파악
◈ 노인건강관리체계 개선 방안

The elderly population is rapidly growing in Korea with the continuous extension of average life expectancy. However, the healthy life expectancy has not reached as much as the average life expectancy has extended. Accordingly, it became necessary to develop effective health care services that prevent the loss of health in older adults in advance.
This study defined the concept of classification of the level of elderly health and designed questionnaire and surveys to identify the level of comprehensive health status of the elderly. The questionnaire and surveys were used to conduct and analyze the case studies of the elderly in the local community. Based on the results of case studies, this study explored effective ways to provide prevention-oriented health care services for older adults.
This study consisted of literature review and case studies. The concept of the elderly health level was examined by literature review, and the structured Health Care Survey was conducted among elderly residents of a small and medium sized city for case studies. Researchers conducted face-to-face interviews with 278 older adults who were aged 60 to 84.
With respect to the health status of respondents, those with normal ADL were 88.8%, normal IADL were 88.5%, one chronic disease or more were 77.7%, and no depressive symptoms were 86.7%. And 76.6% reported no dementia symptoms.
The results indicated that 13.3% out of the total respondents reported excellent subjective health status, 42.4% reported fair level of health, 23.4% experienced poor health, and 20.9% experienced very poor health.
The study suggests in its conclusion that establishing prevention-oriented screening system to secure healthy aging, promoting health care by facilitating self-reporting health care diary for older adults, developing and promoting the muscle strength projects to prevent falls in older adults, improving elderly nutrition, and encouraging the participation of older adults in the community activities.

목차: Abstract 1

요약 3

제1장 서 론 11
제1절 연구의 배경 및 필요성 11
제2절 연구의 내용 및 방법 12

제2장 노인 건강수준의 개념 정의 19
제1절 일반적 건강 개념과 측정지표 19
제2절 노인 건강수준의 분류 21
제3절 노년기 건강수준 측정항목 23

제3장 지역사회 노인건강관리서비스 실태 35
제1절 우리나라의 노인건강관리사업 실태 35
제2절 일본의 노인건강관리사업 실태 55

제4장 지역사회 거주노인의 건강실태 조사분석: M시 사례 65
제1절 노인 건강실태(Ⅰ) 65
제2절 노인 건강실태(Ⅱ) 86
제3절 노인 건강실태와 영양상태 103

제5장 예방적 노인건강관리서비스의 개발 117
제1절 기본방향 117

제2절 정책과제 118

제6장 결 론 125

참고문헌 129

부록 131