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.
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.