Purpose: This review study analyzes the impact of the Korean Society for Customized Visiting Health Care on the development of Home Visiting Care in public health centers since its inception in 2007. It also suggests potential future directions for both the Korean Society for Customized Visiting Health Care and Home Visiting Care in public health centers. Methods: The investigation scrutinized various sources including the white paper detailing the activities of the Korean Society for Customized Visiting Health Care, academic conference materials, minutes from general meetings, research papers from the Ministry of Health and Welfare, and the Korea Health Promotion Institute. Results: The Korean Society for Customized Visiting Health Care has been actively involved in advancing and assessing home-visiting health care services. The society has been focused on developing and evaluating the effectiveness of home visit health care services offered by public health centers. Conclusions: The Korean Society for Customized Visiting Health Care has achieved progress by continuous interaction with field staff, rigorous personnel training, technical assistance, field research, and policy recommendations. In 2024, the home visit health care sector could be advanced and improved using AI technology.
In Korea, reliable and affordable individual health information is obtained through national health examinations, which can be actively utilized in community health services based on examination data. The purpose of this study is to analyze national health examination data in order to identify the health behavior and health status of the elderly, and to incorporate the examination results into home visiting healthcare services provided at health centers. Methods: This study is a cross-sectional survey that analyzed the national health examination data of 2018 using the National Health Insurance Service-National Health Information Database. Data analysis was conducted using the SAS program. The overall results of the health examinations were presented in terms of frequency and percentage. Results: The national health examination rate was 72.6%, and 97% of the examinees had health needs such as improving health behavior and managing diseases. It was found that 52.2% of patients had high blood pressure, followed by diabetes and dyslipidemia. The health data generated from the national health examination includes information relevant to home visiting healthcare services. Conclusion: By utilizing health data generated from national health examinations, the process of collecting data in home visiting healthcare services can be simplified. By focusing on providing customized services, it will be possible to increase the efficiency of home visiting healthcare services.
Purpose: Given the rapid aging of the population in Korea, many studies have emphasized the community efforts to slow down or prevent frailty of older adults who are living alone. However factors that affect frailty among older adults living alone remain unclear. This study aimed to identify the factors affecting frailty among community-dwelling older adults living alone. Methods: This secondary data analysis used data of 126 older adults who are living alone. Levels of frailty, depression, social activity and social support were self-reported and physical function (Timed up and go test results and handgrip strength) were measured. Data were analyzed with descriptive statistics and multiple linear regressions. Results: The overall mean score for frailty was 5.13 out of 20. Age, timed up and go test results, and social support were found to be statistically significantly associated with the frailty of older adults living alone. Conclusions: Identification of significant physical and social factors affecting frailty among older adults living alone is beneficial for developing community-based healthcare. The development of community-based multi-component intervention or facilitating home-visit nursing care should be considered to slow down frailty and promote good health.