Time to Conduct Community-Oriented Researches in Geriatrics

Kim, Chang-O

doi:10.4235/agmr.2018.22.3.109

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…Over the last 30 years, Aging in Place has been emphasized due to population In recent years, there has been an opinion that Korea needs to establish an alternative medical model based on the community, including a primary geriatric physician system and homebased primary care for homebound older adults with increasing concerns about frailty. [13][14][15][16] The Korean government recently announced the Community Care Policy in 2018, which includes: 1) strengthening community-based health care services, 2) ensuring health rights for vulnerable groups, 3) setting up a discharge pathway from hospital to returning home, and 4) building a community-based public-private partnership system. The role of primary care physicians in community care is to organize and coordinate various outpatient and home care services.…”

Section: Introductionmentioning

confidence: 99%

Who Are the People Willing to Pay for Physician Home Visits?

Kim

Jang

2020

J Korean Med Sci

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Background: Since the recently announced Community Care Policy, there has been an opinion that Korea needs to establish an alternative medical model such as physician home visits. This study aimed to assess the need and willingness to pay (WTP) for physician home visits among the community-dwelling Korean older population and to determine the most important factors that influence older adults to decide to use a physician home visit service. Methods: A total of 797 people aged 60 years or older who were randomly selected from a nationwide dataset using a multi-stage stratified sampling method answered a questionnaire on the need and WTP for physician home visits. Results: A total of 39.3% of participants reported that they would like a physician home visit when they need help. Among older adults who needed physician home visits (n = 313), the WTP amount for physician home visits was 21,982 ± 17,546 KRW. Logit and Tobit regression analyses showed that the higher valuated need and WTP for physician home visits was associated with a lower level of physical/psychosocial functioning measured by EuroQol-five dimensions score (odds ratio [OR], 1.13; 95% confidence interval [CI], 1.01-1.27; P = 0.035) and a higher level of satisfaction when using community-based services such as public health centers (OR, 1.32; 95% CI, 1.02-1.72; P = 0.034), social welfare centers and Gyeong-ro-dang (OR, 1.61; 95% CI, 1.04-2.50; P = 0.033; β = 8.39; standard error, 3.63; P = 0.021). Conclusion: This study provides evidence that the decision to pay for a physician home visit service is based upon the complex interactions among an individual's physical and psychosocial functioning, personal experiences of service utilization, and demographic factors. The value for physician home visits should be qualified based on the empirical data of WTP, which comes from a consumer-centered perspective.

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Section: Introductionmentioning

confidence: 99%

Who Are the People Willing to Pay for Physician Home Visits?

Kim

Jang

2020

J Korean Med Sci

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“…In these geriatric patients, care needs are higher, and longitudinal caregiving processes frequently involve different levels of care, including tertiary hospitals, subacute care, and community-based long-term care in patients' homes or nursing facilities. 3) To seamlessly bridge gaps between different clinical settings, the geriatric concept of care places the patient at the center of these transitions. Furthermore, to cover multiple chronic conditions, these patients are often served by doctors of varying specialties, resulting in an increased probability of exposure to polypharmacy and potentially inappropriate medications for older adults.…”

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confidence: 99%