Influence of the poverty on the health of the elderly living alone

目的：旨在阐明贫困如何影响独居老人的健康，以及如何在社区中支持他们。研究方法：访谈和问卷调查的护理经理和福利专员在community.Results：47%的护理经理经历了用户的避免长期护理保险服务的经济原因。一半被访者认为使用者的健康状况恶化或家庭照顾者的照顾负担增加是由于不使用服务所致。照护管理者的因应方式为“超过日常工作时间”或“利用社区网络”，49%的福利专员回答有经济问题的老人，84.0%回答有健康问题的独居老人。17.3%的人认为，健康问题的发生是由于经济原因。他们通过“有时去看望他们”来解决这些问题。30%的福利专员认为，向健康福利专业人士咨询存在困难。讨论：虽然护理管理者和福利专员正在应对因独居老人的经济问题而引起的健康问题，但有必要加强社区支持网络和完善机构支持系统。

Aims : The aim is to clarify how the poverty influences on the health of the elderly living alone and the way to support them in the community. Methods : Interviews and questionnaires on the care managers and the welfare commissioners in the community.Results : Forty-seven% of the care manager experienced the user's refrain from Long Term Care Insurance services for the economic reasons. Half of them thought that the deterioration of user's health condition or an increase in the caring load of the family care-givers was caused by the refrain from the services. The care managers coped by "working exceeding time over the routine work" or "use of the community network".Forty-nine % of the welfare commissioners answered that there were elderly residents who had economic problems, and 84.0% answered that there were single-living elderly residents who had the health problems in their charged district. 17.3% thought, the problem on health has occurred from the economic reasons. They coped on these problems by "sometimes visiting to see them". Thirty percent of the welfare commissioner felt some difficulties in consulting to the profession of health and welfare.Discussion : Though the care managers and the welfare commissioners were coping with the health problems caused by economic problems of elderly residents living alone in the community, need of the strengthening of the community support network and the refinement of the institutional support system was suggested.