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社区居住老年人与健康相关的未满足需求:韩国一项全国代表性描述性研究

Health-Related Unmet Needs of Community-Dwelling Older Adults: A Nationwide Representative Descriptive Study in Korea.

作者信息

Huh Youn, Son Ki Young, Lee Ji Eun, Kim Kwang-Il, Cho Belong, Won Chang Won

机构信息

Department of Family Medicine, Uijeongbu Eulji Medical Center, Eulji University, Uijeongbu, Korea.

Department of Family Medicine, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.

出版信息

Ann Geriatr Med Res. 2023 Mar;27(1):66-72. doi: 10.4235/agmr.23.0028. Epub 2023 Mar 17.

Abstract

BACKGROUND

South Korea has no official geriatric specialties or subspecialties. Moreover, studies on the unmet needs related to geriatric health problems in older Korean adults are scarce. Therefore, we investigated the unmet needs regarding geriatric health problems among older Korean adults.

METHODS

This cross-sectional study included 411 Korean adults aged ≥70 years. We constructed a questionnaire for a field survey that comprised 21 items to understand the geriatric challenges related to the participants' physicians and the necessity for geriatric physicians to resolve participants' health problems. We used unweighted numbers (weighted percentages) or mean±standard deviation to describe the characteristics of the study participants for categorical and continuous variables, respectively.

RESULTS

This study included a total of 411 men and women. The mean age was 77.6±5.9 years. Among the participants, 88.6% had one or more chronic diseases (mean number of chronic diseases, 2.0±1.3). Of the participants, 32.8% said that their physicians did not spend enough time addressing their problems and only 24.3% felt that their physicians understood geriatric problems well. Of these, 76.2% (n=313) said that geriatricians were required to fulfill their unmet healthcare needs.

CONCLUSIONS

The participants reported the need for help from a geriatrician, although most of the participants consulted regular physicians about their health problems. The study results support that geriatricians are needed to improve health services for older adults.

摘要

背景

韩国没有官方的老年医学专科或亚专科。此外,针对韩国老年人群未满足的老年健康问题需求的研究也很匮乏。因此,我们调查了韩国老年人群中未满足的老年健康问题需求。

方法

这项横断面研究纳入了411名年龄≥70岁的韩国成年人。我们构建了一份用于实地调查的问卷,其中包含21个项目,以了解与参与者的医生相关的老年挑战以及老年科医生解决参与者健康问题的必要性。对于分类变量和连续变量,我们分别使用未加权数字(加权百分比)或均值±标准差来描述研究参与者的特征。

结果

本研究共纳入411名男性和女性。平均年龄为77.6±5.9岁。在参与者中,88.6%患有一种或多种慢性病(慢性病平均数量为2.0±1.3种)。在参与者中,32.8%表示他们的医生没有花足够的时间解决他们的问题,只有24.3%觉得他们的医生很好地理解老年问题。其中,76.2%(n = 313)表示需要老年科医生来满足他们未满足的医疗保健需求。

结论

尽管大多数参与者就其健康问题咨询普通医生,但参与者报告需要老年科医生的帮助。研究结果支持需要老年科医生来改善老年人的健康服务。

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