Purpose: This study aimed to derive meaningful implications by comparing and analyzing community-based programs, such as the Public Health Center Home Visiting Health Care Program, which serve as key initiatives for the prevention and management of frailty among older adults. Methods: We used a domestic search engine to input keywords such as ‘aging’, ‘weakness’, ‘home health care’, ‘home nursing’, and ‘care services’, and collected and analyzed the searched data. Results: Various programs addressing physical activity, nutrition, social participation, cognitive health, and depression management are currently operated by public health centers, local governments, and the National Health Insurance Service (NHIS). Among these, the Public Health Center Home Visiting Health Care Program plays a central role in frailty management through direct visits by nurses to the homes and facilities of older adults, contributing to the promotion of healthy aging and the prevention of long-term care dependency. Conclusion: To strengthen its impact, the program should be expanded beyond the current focus on low-income and vulnerable seniors to encompass the broader elderly population. Moreover, the development and dissemination of specialized frailty management interventions are essential. It is also recommended that training programs be established to enhance the case management competencies of multidisciplinary professionals involved in the program, enabling them to better address the integrated health and social care needs of older adults. Further research is warranted to assess the cost-effectiveness of community-based frailty prevention and management programs by developing measurable indicators that validate their outcomes and effectiveness.
Purpose: The purpose of this study was to analyze the roles and tasks of dietitians working with the elderly in customized home visiting health services at public health centers. Methods: This study conducted a literature review, meetings with 3 experts, and a two-round Delphi technique with 9 experts. Results: The analysis of dietitians’ roles and tasks revealed 5 roles, 10 duties, and 30 tasks. The dietitians’ roles included registration and management of nutrition service clients, nutrition service management, internal and external linkage management within public health centers, document and supplies management, and development of job competencies. The ten duties included registration and management of nutrition service clients, nutrition assessment, nutrition service planning, implementation of nutrition and dietary education and counseling, administration of food support services, development of nutrition education and counseling programs and materials, evaluation of nutrition programs and services, internal and external linkage management within public health centers, administrative management, and professional development. Conclusions: The findings indicate that the government should ensure an adequate number of dietitians to deliver universal preventive health services for the elderly, along with a job training program to support their effective performance in these roles.