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KMID : 0379720160300030512
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Journal of Korean Community Health Nursing Academic Society
2016 Volume.30 No. 3 p.512 ~ p.525
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Factors Related to Nursing Home Institutionalization of Elderly using Home Care Services
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Han Eun-Jeong
Hwang Rah-Il
Lee Jung-Suk
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Abstract
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Purpose: Ageing in place may improve the quality of life of frail elderly and decrease their costs of services. The purpose of this study was to examine the factors that influence the institutionalization of elderly using home care services in a Korean long-term care insurance system.
Methods: This study used the data of ‘2009 Satisfaction survey of Korean long-term care system’. The survey proceeded to use a sampling data based on region, level of long-term care need, and insurance type among the beneficiaries between August and September 2009. The onset dates of institutionalization of 1,095 participants were ascertained from long-term care insurance claim data. This study calculated the hazard ratio through the Cox Proportional Hazard Model.
Results: A total of 176 subjects who were institutionalized in nursing homes were included. There were higher risks in the group that included those who were 85 years and over, had dementia or fracture, used home-visit nursing service, and were not supported by direct family.
Conclusion: The results of this study have policy implications to supplement the home care service system and postpone nursing home institutionalization of elderly.
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KEYWORD
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Long-term care insurance, Nursing home, Institutionalization
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