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이춘백,전은석,김광환,이현실 高麗大學校 倂設 保健大學 保健科學硏究所 2003 保健科學論集 Vol.29 No.2
This study was intended to search the ways corresponding to the necessity of medical service for the elderly rationally and effectively. The subjects were 444 doctors and nurses of A university hospital in Daejeon and surveyed from Apr. 20 through May 30, 2003. The result is as follows: 1. 270(60.8%) respondents answered that they have much experiences in treating and nursing the elderly, and 174(39.2%) respondents answered that they have no experience or little experience. 2. 431(97.05%) respondents answered that geriatrics hospitals need to be established, and 318 nurses(99.0%) and 113 doctors(91.9%) answered that they need to be established. This means that geriatrics hospitals must be established. 3. 425(95.7%) respondents answered that the geriatricians should be trained, and 19(4.3%) respondents answered that they need not. 4. 335(76.1%) respondents answered that the special apart for the elderly must be make at the existing hospital, and 26(5.9%) respondents answered that it need not. 5. 396(89.2%) respondents answered that economical burden on nursing fee are heavy, and 48(10.8%) respondents answered that it's less. This means that nursing fee imposed a burden on the patients' families. Most of the elderly have been treated and nursed at the existing general hospital without considering the characteristics of the infirmities of age because of the insufficiency of geriatrics hospitals and geriatricians. The increasing of medical fee by the elderly patients' long-term hospitalization reduces the opportunity to use medical service from the elderly. Therefore, the geriatrics hospitals should be continuously extended, and geriatricians should be trained. Also, the special apart for the elderly should be established at the existing hospital. When the medical fee for the elderly is appropriated by tax and the resource of local government, the problems of the medical welfare for the elderly in an aging society could be solved.