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Care services for frail older people on south Korea
- Authors:
- OH Kyeung Mi, WARNES Anthony M.
- Journal article citation:
- Ageing and Society, 21(6), November 2001, pp.701-720.
- Publisher:
- Cambridge University Press
Examines the changed social circumstances of older people in South Korea and specifically the increased need for formal health and social services for those who are frail and have no informal carers. Begins with a summary account of the country's exceptionally rapid demographic, economic and social transformations, which demonstrates a widening gap between the population's expectations and needs, and health and social service provision. Then examines the recently initiated and now burgeoning welfare programmes, with particular attention to health and social services for sick and frail older people. Most extant care services are accessed mainly by two minorities: the very poor and the rich. Neither long-term care services nor personal social services are well developed. There is a marked disparity between the acute services, which are predominantly provided by private sector organisations in a highly competitive market and broadly achieve high standards, and public primary care and rudimentary residential services. The latter are weakly regulated and there are many instances of low standards of care.
A model of adaptation for families of elderly patients with dementia: focusing on family resilience
- Authors:
- KIM Geun Myun, et al
- Journal article citation:
- Aging and Mental Health, 22(10), 2018, pp.1295-1303.
- Publisher:
- Taylor and Francis
Objectives: The authors constructed a model explaining families’ positive adaptation in chronic crisis situations such as the problematic behaviour of elderly patients with dementia and attendant caregiving stress, based on the family resilience model. Their aim was to devise an adaptation model for families of elderly patients with dementia. Method: A survey of problematic behaviour in elderly patients with dementia, family stress, family resilience, and family adaptation was conducted with 292 consenting individuals. The collected data were analyzed using structural equation modeling. Results: The communication process, family stress, and problematic behaviour of elderly patients with dementia had direct and indirect effects on family adaptation, while belief system, organization pattern, and social support had indirect effects. Specifically, family stress and more severe problematic behaviour by elderly patients with dementia negatively influenced family adaptation, while greater family resilience improved such adaptation. Conclusion: Interventions aiming to enhance family resilience, based on the results of this study, are required to help families with positive adaptation. Such family programmes might involve practical support such as education on the characteristics of elderly persons with dementia and coping methods for their problematic behaviour; forming self-help groups for families; revitalizing communication within families; and activating communication channels with experts. (Edited publisher abstract)
Elderly mothers of adult children with intellectual disability: an exploration of a stress process model for caregiving satisfaction
- Authors:
- KIM Go-en, CHUNG Soondool
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 29(2), 2016, pp.160-171.
- Publisher:
- Wiley
Background: This study examines the utility of Pearlin's caregiving stress model for understanding the caregiving satisfaction of elderly mothers of adult children with intellectual disability. Methods: Mothers living in Seoul, Kyonggi, and Incheon who were 55 years of age or older and providing care for adult children with intellectual disability aged 18 or above were selected purposively from community rehabilitation centre users. A total of 392 participants responded to the survey. The structural equation modelling method was used to evaluate the suitability of the stress process model and to test the hypotheses. Results: The stress model proved to be a good fit to the data. The results showed that a mediating variable – a problem-centred coping strategy – transmitted the effect of stress variables such as recognition of ageing, establishment of permanency planning, and worries about the future on caregiving satisfaction. The relationship of adult children with intellectual disability also transmitted the effect of establishment of permanency planning on caregiving satisfaction. However, an indirect effect of an emotion-centred coping strategy was not shown. Conclusions: The findings of this study shed light on the development of intervention strategies for elderly mothers who provide care permanently to adult children with intellectual disabilities. (Publisher abstract)
Factors affecting the level of depression and life satisfaction of family caregivers of frail older people in Korea
- Authors:
- KIM Soo Young, MIN So Young
- Journal article citation:
- Social Policy and Society, 5(3), July 2006, pp.399-408.
- Publisher:
- Cambridge University Press
South Korea is rapidly becoming an aged society and with changing family structures there is increasing concern about the care of older people. This paper considers the well being of family carers of older people who suffer from dementia or a stroke. One hundred and sixty eight family caregivers, who were caring for elderly relatives, were selected and the major factors affecting their psychological well-being and proposals to improve their quality of life are identified and discussed.
Responding to dementia in East Asia: developments in Japan, China, Taiwan and South Korea
- Author:
- INEICHEN B.
- Journal article citation:
- Aging and Mental Health, 2(4), November 1998, pp.279-285.
- Publisher:
- Taylor and Francis
Countries of the Far East share a number of features in their response to the problem of dementia among the elderly. Research in Japan, China, Taiwan and South Korea finds a very rapid rate of growth in their elderly populations, with corresponding rises in the number of dementia sufferers. Official responses have been rather slow, due to the long-standing belief that families would provide care. Demographic and sociological trends - longer life span, smaller families, urbanisation, the growing opportunity for paid work (especially for women) - have contributed to the decline of filial piety. All these processes are more advanced in the cities. Reports that rural elderly people suffering from dementia may be especially vulnerable to isolation, and in need of non-familial sources of help.