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

目的：目的是阐明贫穷如何影响独居老人的健康，以及在社区为他们提供支助的方式。方法：对社区护理管理人员和福利专员进行访谈和问卷调查。结果：47%的护理经理经历过用户因经济原因而放弃长期护理保险服务。其中一半的人认为，使用者健康状况恶化或家庭照顾者照顾负担增加是由于不提供服务造成的。护理经理通过“超出日常工作时间的工作”或“利用社区网络”来应对。49%的福利专员回答说：“有经济问题的老年居民。”84.0%的福利专员回答说：“有健康问题的独居老年居民。”17.3%的人认为健康问题是经济原因造成的。为了解决这些问题，他们“有时会去看望他们”。30%的福利专员在向保健和福利专业人士咨询时感到有些困难。讨论：虽然护理管理人员和福利专员正在应对社区独居老人因经济问题而带来的健康问题，但建议需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.