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Transition Experiences of the Elderly from Long-Term Care Hospital to Home: Focusing on the Elderly Living Alone of Community Care Project
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Yun Hee Hwang, Ga Eon Lee
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J Korean Acad Community Health Nurs. 2021;32(3):382-395. Published online September 30, 2021
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DOI: https://doi.org/10.12799/jkachn.2021.32.3.382
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 Abstract
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- Purpose
The purpose of this qualitative study was to explore the transition experiences of the elderly from long-term care hospitals to their homes.
Methods
The participants were eight elderly medicaid beneficiaries, who had been the subjects from the community care project in Korea. The data were collected with one-on-one interviews from April to November in 2020, and analyzed by phenomenological steps.
Results
The seven themes derived in this study were ‘Space to escape’, ‘Reliable supporter opened the way to discharge’, ‘Comfortable life at home’,‘Obstacles to independent life’, ‘Struggling to live alone’, ‘Fence for community life’, and ‘Energizing in daily life’ Conclusion: The results revealed the positive aspects of Community Care program in Korea. However, it is suggested that active communication between hospitals and community care institutions, and improvement of home environment to live in the community before discharge should be required. And system revision is needed to adjust activity in their home and support health problems of the elderly in the early stage of discharge. The results of this study can be referred to as the foundation of transitional care for the elderly.
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Citations
Citations to this article as recorded by  - Experiences of Transitional Care for Medicaid Case Managers
Yunhee Hwang, Gaeon Lee
Journal of Korean Academy of Nursing.2023; 53(5): 556. CrossRef
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The Effect of Health Literacy and Self-care Performance on Health Care Utilization of Medicaid Elderly
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Yun Hee Hwang, Ga Eon Lee
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J Korean Acad Community Health Nurs. 2019;30(4):484-493. Published online December 31, 2019
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DOI: https://doi.org/10.12799/jkachn.2019.30.4.484
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1,161
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10
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1
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Abstract
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- PURPOSE
The purpose of this study was to examine the effect of health literacy and self-care performance on health care utilization of medicaid elderly.
METHODS
A total of 203 medicaid elderly over 65 and living in B-metropolitan city were interviewed. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and Hierarchical Multiple regression.
RESULTS
The average score of the health literacy was 7.88±2.84 out of 12. The average score of self-care was 3.26±0.77 points on the 5 point scale. The frequency of health care utilization by the subjects was 6.65±5.25 a month. The health literacy and self-care performance showed a statistically significant positive correlation. The health literacy and self-care performance showed a statistically significant negative correlation with health care utilization. The factors affecting health care utilization of the subjects were self-care performance, health literacy, and religion, and the explanatory power was 25%.
CONCLUSION
The results indicate that the self-care performance, health literacy, religion are significant factors of health care utilization in medicaid elderly. Therefore, it is necessary to develop strategies to improve their self-care performance and health literacy for reasonable health care utilization. Also, it is necessary to provide the elderly with correct information about medical use from accessible religious institutions, senior community center, and welfare centers.
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Citations
Citations to this article as recorded by - Factors influencing handwashing among community dwelling older adults, using the 2021 Community Health Survey: A secondary analysis study
Yun Hee Hwang, Hye Jung Jun
Journal of Korean Gerontological Nursing.2023; 25(2): 197. CrossRef
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