search for


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;
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 ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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
  1. Statistics Korea. 2018 Korean Elderly Assessment. September 2018. Korean Statistical Information Service. Government Complex Daejeon. Daejeon, Republic of Korea.
  2. Jeong KH, Oh YH, Lee YK, Oh M, Kang E, Kim GR, et al. Analysis of the survey of living conditions and welfare needs of Korean older persons: 2017. Publication No. 11-1352000-0000672-12. November 2017. Korea Institute for Health and Social Affairs, Sejong, Korea.
  3. OECD Social and Welfare Statistics. Poverty rate: 66 year-olds or more. Organisation of Economic Co-operation Development. Paris, France.
  4. Community care promotion committee. Community-friendly integrated care system for older persons. November 20, 2018. Ministry of Health and Welfare, Ministry of the Interior and Safety, Ministry of Land, Infrastructure and Transport, Sejong, Korea.
  5. Kim NS, Park EJ, Jun J, Seo JH, Jeong Y, Lee YJ, Kim CO, et al. Health Status and Integrated care for elderly people: Focused on Healthcare. Report No. 17-37-01. December 2017. Korea Institute for Health and Social Affairs, Sejong, Korea.
  6. Lee SR, Kang E, Oh S, Chun H, Lee H, Park S, et al. Recommendations for community-based housing model for seniors: Based on migration analysis and case study. Report No. 2016-18. December 2016. Korea Institute for Health and Social Affairs, Sejong, Korea.
  7. Lee KA. Reverse Mortgage Part 1. Kiri Weekly. Issue No. 199. September 12, 2012. Korea Insurance Research Institute, Seoul, Korea.
  8. Willink A, Schoen C, Davis K. Dental care and Medicare beneficiaries: Access gaps, cost burdens, and policy option. Health Aff (Milwood) 2016;35:2241-8.
    Pubmed CrossRef
  9. Anderson F, Downing GM, Hill J, Casorso L, Lerch N. Palliative performance scale (PPS): a new tool. J Palliat Care 1996;9:26-32.
  10. Yamashita T. Maps of Ohio’s 60+ population by county 1990-2050. 2012. Oxford, OH: Scripps Gerontology Center.
  11. Rivera-Hernandez M, Yamashita T, Kinney JM. Identifying naturally occurring retirement communities: A spatial analysis. J Gerontol B Psychol 2014;70:619-27.
    Pubmed KoreaMed CrossRef
  12. U.S. Congress Senate. Older Americans Act amendments of 2006. Washington, DC: US Government Printing Office.
  13. Gober P, Zonn LE. Kin and elderly amenity migration. Gerontologist 1983;23:288-94.
    Pubmed CrossRef
  14. Ministry of Health and Welfare. Medical service act. Enactment date November 15, 2018. No 15716. National Law Information Center, Korea Ministry of Government Legislation. Sejong, Korea.
  15. Kim YS, Shin JY, Kim KJ, Lee JM, Lee KS, Choi JK, et al. Clinical practice guideline for care transition. Korean J Clin Geri 2018;19:27-37.
  16. Statistics Korea. Mortality rate; Doctors workforce rate by local government authorities (si-gun-gu). December 2018. Korean Statistical Information Service. Government Complex Daejeon. Daejeon, Republic of Korea.
  17. Han DH, Chun SY, Kim PC, Choi H, Yoo JW. Dental implant services utilization among Korean older adults: Interactive effects from universal and private health insurance coverage. 10th Korea Health Panel Academic Forum. pp. 77-89. December 14, 2018. Korea Institute for Health and Social Affairs, Sejong, Korea.
  18. Roy M, Dube R, Despres C, Freitas A, Legare F. Choosing between staying at home or moving: A systemic review of factors influencing housing decisions among frail older adults. PLOS One 2018;31:e0189266.
    Pubmed KoreaMed CrossRef
  19. Liu X, Han KT, Yamashita T, Yoo JW. Long-term care practice and health policy in the United States. Korean J Clin Geri 2017;18:1-7.
  20. Jang SN, Cho SI, Kawachi I. Is socioeconomic disparity in disability improving among Korean elders? Soc Sci Med 2010;71:282-7.
    Pubmed CrossRef
  21. Sohn CW. Health status and health care utilization among medical aids enrollees in Seoul. Seoul Institute. March 30, 2018. Seoul, Korea.
  22. Pool LR, Burgard SA, Needham BL, Elliott MR, Langa KM, Mendes de Leon CF. Association of a negative wealth shock with all-cause mortality in middle-aged and older adults in the United States. JAMA 2018;319:1341-50.
    Pubmed KoreaMed CrossRef
  23. Cadar D, Lassale C, Davies H, Llewellyn DJ, Batty GD, Steptoe A. Individual and area-based socioeconomic factors associated with dementia incidence in England: Evidence from a 12-year follow-up in the English Longitudinal Study of Ageing. JAMA Psychiatry 2018;75:723-32.
    Pubmed KoreaMed CrossRef
  24. Segelman M, Cai X, van Reenan C, Temkin-Greener H. Transitioning from community-based to institutional long-term care: Comparing 1915© waiver and PACE enrollees. Gerontologist 2017;57:300-8.
    Pubmed CrossRef
  25. Lee GS. Role of medical doctors in community care. Res Inst Healthcare Policy 2018;16:27-35.
  26. Ministry of Health and Welfare. Act for the improvement of training conditions and status of medical residents. Enforcement date December 23, 2016. Act No. 13600. National Law Information Center. Korea Ministry of Government Legislation. Sejong, Korea.
  27. Roh YH. Analysis on factors relating to external medical service use of health insurance patients using spatial regression analysis. Health Policy Manage 2013;23:387-96.
  28. Yonsei University Institute Health Service Research. Introduction of hospitalist for improving hospital quality of care: 2nd version. Report # G000CU1-2018-51. 2018. Health Insurance Review & Assessment Service. Wonju, Korea.
  29. Kim HS, Kim JM, Lim HS, Hong JS, Ha DS, Kwon JB. Evidence-based medicine for acute hospital care utilization among patients with acute stroke in Korea. Report No. 2015-20-023. December 2015. National Health Insurance Ilsan Hospital, Ilsan, Korea.


June 2019, 20 (1)