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Community-friendly Integrated System for Older Persons, A Shortcut to “Aging in Place” in the Upcoming Super-aged Society Burdens
Korean J Clin Geri 2019 Jun;20(1):1-9
Published online June 30, 2019;  https://doi.org/10.15656/kjcg.2019.20.1.1
Copyright © 2019 The Korean Academy of Clinical Geriatrics.

Hee-Taik Kang1*, Changwoo Shon2*, Sung-Youn Chun3, Dong-Hun Han4, Jinwook Hwang3,5, Yong-Jae Lee6, Ji Won Yoo7

1Hospice and Palliative Center, Cancer Survivor Center, Department of Family Medicine, Chungbuk National University College of Medicine, Chungju, Korea; 2The Seoul Institute, Seoul, Korea; 3Department of Health Care Administration and Policy, University of Nevada School of Public Health, Las Vegas, Nevada, USA; 4Department of Preventive and Public Health Dentistry, Seoul National University School of Dentistry, Seoul, Korea; 5Department of Cardiovascular and Thoracic Surgery, Korea University College of Medicine, Seoul, Korea; 6Department of Family Medicine, Yonsei University College of Medicine, Seoul, Korea; 7Division of Geriatric Medicine, Department of Internal Medicine, University of Nevada Las Vegas School of Medicine, Las Vegas, Nevada, USA
Received January 15, 2019; Revised March 25, 2019; Accepted March 29, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Successful or health aging may not be enough of explaining all perspectives of aging-related consequences in the upcoming super-aged society. Korea has experienced a rapid decline in the traditional family structure and a soar in nuclear families or solitude. Korea sustains paradoxically dissociated delivery of health care and welfare despite a decade of policy implementation of long-term care insurance. On November 20th, 2018, to resolve these challenges, the Ministry of Health and Welfare proclaimed a comprehensive blueprint, “community-based care program for the elderly”. “Community-based care program for the elderly” is considered as a shortcut to “Aging in Place”, later life residential sustainability in the same community and a proven better living outcome compared with institutionalization. As the frontline practitioners of caring older adults, this proclamation needs more practical details of integrating health care, physical dependence, monetary status, and eventually, placement. Despite different health care system structure and preferences of patients and their caregivers between Korea and United States, current review aims at assisting Korean practitioners with understanding the all-relevant trajectories of an elderly lung-cancer surviving man in Ohio, where remains geographic mixture of rural and metropolitan characteristics.
Keywords : Aging in place, Community care networks, Long term care
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June 2019, 20 (1)