|
KMID : 0387320200300040522
|
|
Korean Journal of Health Policy and Administration
2020 Volume.30 No. 4 p.522 ~ p.530
|
|
|
Ownership of Long-Term Care Facility and Incidence of Pressure Ulcers among Republic of Korea
|
|
Chun Sung-Youn
Park Hye-Ki
Kim Woo-Rim
Joo Yeong-Jun
Lee Tae-Hoon
Park Eun-Cheol
|
|
|
Abstract
|
|
|
Background: In 2008, Korea implemented a new type of social insurance known as “long-term care insurance”. We examined the association between ownership of long-term care facilities and the incidence of pressure ulcers after the implementation of “long-term care insurance”. This study is a population-based retrospective cohort study from 2006 to 2013.
Methods: We used medical claims data from the Korean National Health Insurance Corporate Elderly Cohort Database from 2006 to 2013. These data comprise a nationally representative sample. To avoid confounders, only patients admitted to one long-term care facility and who stayed for >70% of the follow-up time were included; as a result, 3,107 individuals were enrolled. The main independent variable was the operating entity of the long-term care facility (local government, corporate bodies, and private for-profit owners), and the dependent variable was the 1-year incidence of pressure-ulcers. Survival analysis (Cox proportional hazard model) was used as an analysis method.
Results: Compared to patients admitted to local government long-term care facilities, patients admitted to private long-term care facilities had a significantly higher 1-year risk of pressure ulcers (hazard ratio [HR], 1.94; 95% confidence interval [CI], 1.29?2.91); the risk was especially high among patients who were cognitively dependent (HR, 2.34; 95% CI, 1.25?4.37).
Conclusion: Patients admitted to private for-profit long-term care facilities were more likely to have pressure ulcers compared to those in local government and corporate body long-term care facilities. Appropriate assessment tools and publicly available information, as well as more restricted legal requirements, are needed to improve the care quality and outcomes of patients in long-term care facilities.
|
|
|
KEYWORD
|
|
|
Long-term care, Ownership, Pressure ulcer
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
 
|
|