{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:35:31Z","timestamp":1789432531431,"version":"build-2803163510"},"reference-count":33,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T00:00:00Z","timestamp":1611014400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ministry of Health &amp; Welfare, Republic of Korea","award":["HI18C1284"],"award-info":[{"award-number":["HI18C1284"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The number of elderly people living alone worldwide is increasing, and the responsibility of the state in this context is emerging. This study aimed to develop a community-based integrated service (CBIS) model of health and social care for older adults living alone. The model was designed based on a literature review of previous community care models and per older adults\u2019 health and daily life needs. Thereafter, feedback on the integrated model was taken from older adults living alone by conducting a survey (n = 1023) and focus group interviews, after which the opinions of the Public type Health Management Promotion Council were considered and content validity was confirmed. The model, comprising eight healthcare services and five social care services, was tested on 22 older adults for two weeks to assess its feasibility and preliminary efficiency. Each service included screening, assessment, providing service, evaluation, and quit. Participants rated their overall satisfaction with the services as 9 out of 10. Care navigators reported feeling comforted and discovered their own sense of being while providing the services. We believe that the CBIS model may foster independence among community-dwelling older adults living alone, thereby improving their quality of life through \u201caging in place\u201d.<\/jats:p>","DOI":"10.3390\/ijerph18020825","type":"journal-article","created":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T11:39:55Z","timestamp":1611056395000},"page":"825","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Development of a Community-Based Integrated Service Model of Health and Social Care for Older Adults Living Alone"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1182-9183","authenticated-orcid":false,"given":"Yu Mi","family":"Yi","sequence":"first","affiliation":[{"name":"College of Nursing, Kyungnam College of Information and Technology, Busan 47011, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5236-6683","authenticated-orcid":false,"given":"Yeon-Hwan","family":"Park","sequence":"additional","affiliation":[{"name":"College of Nursing, Seoul National University, Seoul 03080, Korea"},{"name":"The Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BeLong","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, College of Medicine, Seoul National University, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyung-Choon","family":"Lim","sequence":"additional","affiliation":[{"name":"College of Nursing, Sungshin University, Seoul 02844, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2621-945X","authenticated-orcid":false,"given":"Soong-Nang","family":"Jang","sequence":"additional","affiliation":[{"name":"Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6967-1564","authenticated-orcid":false,"given":"Sun Ju","family":"Chang","sequence":"additional","affiliation":[{"name":"College of Nursing, Seoul National University, Seoul 03080, Korea"},{"name":"The Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9726-5926","authenticated-orcid":false,"given":"Hana","family":"Ko","sequence":"additional","affiliation":[{"name":"College of Nursing, Gachon University, 191 Hambakmoero, Yeonsu-gu, Incheon 21936, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4573-6877","authenticated-orcid":false,"given":"Eun-Young","family":"Noh","sequence":"additional","affiliation":[{"name":"The Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"So Im","family":"Ryu","sequence":"additional","affiliation":[{"name":"The Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,1,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/S0140-6736(14)61596-8","article-title":"Multimorbidity\u2014Older adults need health care that can count past one","volume":"385","author":"Banerjee","year":"2015","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1037\/a0040258","article-title":"Long-term care services and support systems for older adults: The role of technology","volume":"71","author":"Czaja","year":"2016","journal-title":"Am. 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