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KMID : 0379220110310020259
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Journal of Korea Gerontological Society
2011 Volume.31 No. 2 p.259 ~ p.276
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Study of Determinants on Institutionalization of Elderly using Home Care Services
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Han Eun-Jeong
Kang Im-Ok
Kwon Jin-Hee
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Abstract
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If frail elderly could use home care services adequately, quality of their life might improve and their costs of service would be decreased. The purpose of this study is to examine the factors on institutionalization of elderly using home care services in Korean long-term care insurance system. This study used the data of ’2009 satisfaction survey of Korean long-term care system’. The survey proceeded using sampling data by region, level of long-term care need, and insurance type among beneficiaries from August 2009 to September 2010. The onset dates of institutionalization of 1,230
participants were ascertained from long-term care insurance claim data. This study calculated hazard ratio through Cox Proportional Hazard Model. The results showed that if elderly using home care services suffer a fracture, the hazard ratio of institutionalization is higher significantly. Although not significant, if older persons have more items of damaged cognitive functions, the hazard ratio of institutionalization is higher. The results have policy implications to supplement of home care service system and postpone institutionalization of elderly.
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KEYWORD
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Long-term care insurance, home care service, institutionalization, determinant
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