Effectiveness of a community-based integrated service model for older adults living alone: A nonrandomized prospective study

Noh, Eun-Young; Park, Yeon Hwan; Cho, Belong; Huh, Iksoo; Lim, Kyung Soo; Ryu, So Im; Han, A-Reum; Lee, Seonghyeon

doi:10.1016/j.gerinurse.2021.10.006

Cited by 12 publications

(12 citation statements)

References 51 publications

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“…In the entire process of providing effective insurance services, service personnel are bound to take intervention measures, address regular inquiries, and provide monitoring and care. Related to these, performing appropriate interventions can lead to the provision of tailored emotional support for middle-aged and elderly consumers behind cold products [67]. In this way, satisfactory insurance services can increase their trust in financial knowledge, financial products, and financial talents.…”

Section: Discussionmentioning

confidence: 99%

“…This process is completed under the support of digital pipeline applications, especially in terms of communication and contact in the service process, as well as a streamlined insurance underwriting and claim settlement process [23,24,65,66]. Studies have shown that the effectiveness of health care services and community care services can improve frailty, loneliness, and quality of life in older adults living alone in the community, and that interventions have a positive impact on their quality of life [67]. The positive effects of service effectiveness can increase satisfaction and enhance trust [68].…”

Section: B Research Model and Hypothesismentioning

confidence: 99%

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Exploring the Intention of Middle-Aged and Elderly Consumers to Participate in Inclusive Medical Insurance

Liu

Jing

et al. 2022

IEEE Access

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With the sudden and heavy consequences of diseases, medical insurance has become a vital part of the medical system. Inclusive medical insurance (IMI) aims to help people manage personal health risks from an economic perspective under the cooperation of government and private enterprises. With the worsening aging phenomenon in China, middle-aged and elderly consumers inevitably need to choose insurance services. However, the diversification of service forms and contents implies potential loopholes that may affect their intention to participate in insurance. In this study, we establish a trust mechanism model combining finance, technology, and institutions; collect and organize data using questionnaires; and explore the link between trust and intention to participate in IMI. Our results show that new service concepts under digital channels can increase financial trust, perceived ease of use affects technical trust, and reputation and security mechanisms positively affect institutional trust. Furthermore, trust transfer occurs among the three types of trust. At the same time, financial trust and institutional trust positively affect middle-aged and elderly consumers' intention to participate in insurance. The findings of our study have theoretical value and practical implications for IMI research.

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Section: Discussionmentioning

confidence: 99%

Section: B Research Model and Hypothesismentioning

confidence: 99%

Exploring the Intention of Middle-Aged and Elderly Consumers to Participate in Inclusive Medical Insurance

Liu

Jing

et al. 2022

IEEE Access

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“…It comprises eight healthcare services, five social care services, and tailored case management; the intervention was implemented for six months (October 2019–April 2020; between the 2nd and 3rd wave cohorts, with a two-week break because of the COVID-19 outbreak) for cohort participants. The development process, pilot test results, and effectiveness of the model were presented in a previous report [ 32 , 33 ].…”

Section: Methodsmentioning

confidence: 99%

Impact of COVID-19 on the social relationships and mental health of older adults living alone: A two-year prospective cohort study

et al. 2022

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Background Owing to the COVID-19 outbreak, older adults living alone, who can only connect socially outside their homes, are at risk of social isolation and poor mental health. This study aimed to identify the changes, before and after COVID-19, by sex and age, in social relationships (social activity, social network, and social support) and mental health (depression and suicide ideation) among older adults living alone. Methods This is a prospective cohort study of community-dwelling older adults who were at least 65 years old and living alone in South Korea. The study was conducted during 2018–2020 with 2,291 participants (795, 771, and 725 for the 1st to 3rd waves, respectively). The data were collected via face-to-face interviews. A generalized linear mixed modeling framework was used to test for changes over three years. Results Social activity was reduced after the COVID-19, with an interaction effect of sex: older women (odds ratio [OR], 0.19; 95% confidence interval [CI], 0.15–0.23; p < .001) showed greater reduction than older men (OR, 0.50; 95% CI, 0.34–0.75; p < .001). Interaction with neighbors also reduced after the pandemic, but there was no significant evidence of interaction effects. Interaction with family members increased in both sexes during the pandemic, with the interaction effect of sex: older women (OR, 1.40; 95% CI, 1.11–1.76; p = .004) showed greater increase than men (OR, 1.55; 95% CI, 1.13–2.14; p = .007). Social support increased in both sexes during the pandemic, but there was no significant evidence of interaction effects. Depression and suicide ideation showed no significant differences before and after the pandemic. Conclusions The findings provide health administrators and health providers with explorative insights into the impact of the COVID-19 on social relationships and mental health among older adults living alone and can guide further studies of interventions considering specific properties of social relationships.

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“…Previous studies have shown specific differences in general and clinical characteristics in age‐specific groups (Koo et al, 2017; Salive, 2013; Yang et al, 2019). In addition, not only did the factors affecting or related to each health outcome differ, the effect of intervention was also different in age‐specific groups (Cho et al, 2017; Noh et al, 2021). In particular, since the physical and psychological differences between those over 85 years of age and those under 85 are clear, subdividing the older population into age groups is needed (Jaul & Barron, 2017).…”

Section: Introductionmentioning

confidence: 99%

Subjective life expectancy of middle‐aged and older adult cancer survivors: A cross‐sectional study in Korea using age‐specific subgroup analysis

Baek

Lee

2022

Int J Older People Nursing

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Objective:As the population ages and the survival rate of cancer patients increases, long-term management of older adult cancer survivors has become important.Subjective life expectancy (SLE) is a concept that refers to an individual's particular predicted lifespan, which enables individuals to live an active life with hopeful expectations for the extension of a healthy life. Therefore, this study aims to identify the factors related to SLE according to age group, to help enable middle-aged and older adult cancer survivors to actively live out their lives with a sense of control. Design: A descriptive, cross-sectional study was used. Methods: This study included 538 participants in the fifth to seventh survey data of the Korean Longitudinal Study of Aging dataset. Moreover, we conducted multivariable regression analyses. Results: The participants of this study were 137 middle-aged (under 64 years), 196 young-old (65-74 years), 164 old-old (75-84 years) and 41 oldest-old (over 85 years) cancer survivors. The mean age of the participants was 71.22 ± 9.4 years. The factors related to SLE were employment status (β = 7.43, p = 0.018) and quality of life (QOL) (β = 0.25, p = 0.010) for the middle-aged group and age (β = −1.50, p = 0.002) and employment status (β = 10.44, p = 0.003), and QOL (β = 0.31, p < 0.001) in the youngold group; in the old-old group and oldest-old group, the predictors of SLE were QOL (β = 0.35, p = 0.004) and social network (β = 2.76, p = 0.018). Conclusion:The SLE of middle-aged and older adult cancer survivors was different by age group, and related factors also varied by it. Therefore, an individual approach for each age group is required to effectively promote SLE.Implications for practice: By developing and applying differentiated nursing interventions suitable for each age group for middle-aged and older adult cancer survivors, it should be possible to help them make a healthy transition with positive expectations for life extension.

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Effectiveness of a community-based integrated service model for older adults living alone: A nonrandomized prospective study

Cited by 12 publications

References 51 publications

Exploring the Intention of Middle-Aged and Elderly Consumers to Participate in Inclusive Medical Insurance

Exploring the Intention of Middle-Aged and Elderly Consumers to Participate in Inclusive Medical Insurance

Impact of COVID-19 on the social relationships and mental health of older adults living alone: A two-year prospective cohort study

Subjective life expectancy of middle‐aged and older adult cancer survivors: A cross‐sectional study in Korea using age‐specific subgroup analysis

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