Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research

Purpose: We aimed to investigate the current management status of urologic diseases in geriatric hospitals in South Korea. Materials and Methods: Questionnaire surveys and in-depth person-to-person interviews were conducted at 13 hospitals within the Seoul and Incheon areas. Results: The study wa...

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Main Authors: Sang Heon Lee, Jungyo Suh, Hyung Suk Kim, Young Ju Lee, Sang Rim Lee, Khae Hawn Kim, Chang Wook Jeong
Format: Article
Language:English
Published: Korean Urological Association 2017-01-01
Series:Investigative and Clinical Urology
Subjects:
Online Access:https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-70.pdf
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spelling doaj-523f9790f2f04bd780fb03da629722b92020-11-24T22:33:23ZengKorean Urological AssociationInvestigative and Clinical Urology2466-04932466-054X2017-01-01581707610.4111/icu.2017.58.1.70 Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field researchSang Heon Lee0Jungyo Suh1Hyung Suk Kim2Young Ju Lee3Sang Rim Lee4Khae Hawn Kim5Chang Wook Jeong6Seoul National University College of MedicineSeoul National University College of MedicineDongguk University Ilsan Medical CenterSeoul National University College of MedicineSeoul National University College of NursingGachon University Gil Medical CenterSeoul National University College of MedicinePurpose: We aimed to investigate the current management status of urologic diseases in geriatric hospitals in South Korea. Materials and Methods: Questionnaire surveys and in-depth person-to-person interviews were conducted at 13 hospitals within the Seoul and Incheon areas. Results: The study was carried out from July to December 2014; 75.6% of patients (1,858/2,458) and 77.5% (779/1,031) of medical personnel responded to our survey. All surveys and interviews were performed by urology specialists, fellows, residents, or nurses. The hospitals included in the study had an average of 215.2 beds (range, 110–367), 189.1 patients (range, 90–345), and 40.2 nurses (range, 10–83). The average number of physicians was 6.2 (range, 3–11), but none of these were certified urologists. Only 4 hospitals provided consultation services for urological disorders. In total, 64% of patients had urological disorders, although only 20.7% of patients were receiving medication. Most patients were being treated using urological interventions; diapers (49.7%), indwelling catheters (19.5%), clean intermittent catheters (12.2%), and external collection urinary drainage (7.9%). However, most interventions were inadequately implemented, and only 17% of the patients had been examined by a certified urologist. Urological complications were found in 20.2% of patients, and secondary complications occurred in 18.8%. Excluding redundant cases, the total prevalence of urological complications was 39.0%. Conclusions: Urologic diseases are poorly managed, and no certified urologists work in geriatric hospitals. Therefore, more designated urologists are needed in geriatric hospitals.https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-70.pdfHealth services for the aged; Patient care management; Surveys and questionnaires; Urinary incontinence; Urological
collection DOAJ
language English
format Article
sources DOAJ
author Sang Heon Lee
Jungyo Suh
Hyung Suk Kim
Young Ju Lee
Sang Rim Lee
Khae Hawn Kim
Chang Wook Jeong
spellingShingle Sang Heon Lee
Jungyo Suh
Hyung Suk Kim
Young Ju Lee
Sang Rim Lee
Khae Hawn Kim
Chang Wook Jeong
Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research
Investigative and Clinical Urology
Health services for the aged; Patient care management; Surveys and questionnaires; Urinary incontinence; Urological
author_facet Sang Heon Lee
Jungyo Suh
Hyung Suk Kim
Young Ju Lee
Sang Rim Lee
Khae Hawn Kim
Chang Wook Jeong
author_sort Sang Heon Lee
title Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research
title_short Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research
title_full Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research
title_fullStr Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research
title_full_unstemmed Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research
title_sort prevalence and management status of urologic diseases in geriatric hospitals in south korea: a field research
publisher Korean Urological Association
series Investigative and Clinical Urology
issn 2466-0493
2466-054X
publishDate 2017-01-01
description Purpose: We aimed to investigate the current management status of urologic diseases in geriatric hospitals in South Korea. Materials and Methods: Questionnaire surveys and in-depth person-to-person interviews were conducted at 13 hospitals within the Seoul and Incheon areas. Results: The study was carried out from July to December 2014; 75.6% of patients (1,858/2,458) and 77.5% (779/1,031) of medical personnel responded to our survey. All surveys and interviews were performed by urology specialists, fellows, residents, or nurses. The hospitals included in the study had an average of 215.2 beds (range, 110–367), 189.1 patients (range, 90–345), and 40.2 nurses (range, 10–83). The average number of physicians was 6.2 (range, 3–11), but none of these were certified urologists. Only 4 hospitals provided consultation services for urological disorders. In total, 64% of patients had urological disorders, although only 20.7% of patients were receiving medication. Most patients were being treated using urological interventions; diapers (49.7%), indwelling catheters (19.5%), clean intermittent catheters (12.2%), and external collection urinary drainage (7.9%). However, most interventions were inadequately implemented, and only 17% of the patients had been examined by a certified urologist. Urological complications were found in 20.2% of patients, and secondary complications occurred in 18.8%. Excluding redundant cases, the total prevalence of urological complications was 39.0%. Conclusions: Urologic diseases are poorly managed, and no certified urologists work in geriatric hospitals. Therefore, more designated urologists are needed in geriatric hospitals.
topic Health services for the aged; Patient care management; Surveys and questionnaires; Urinary incontinence; Urological
url https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-70.pdf
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