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KMID : 0613620170370040005
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Health Social Welfare Review
2017 Volume.37 No. 4 p.5 ~ p.42
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Analysis on the Staying at-Home of the Qualified Recipients of Long-Term Care for Aging in Place
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Seok Jae-Eun
Yi Gi-Joo
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Abstract
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By adapting survival analysis on the staying at home of qualified recipients for long-term care, this paper attempts to empirically clarify what factors contribute to staying at home as long as possible. Using the National Health Insurance Service’s Long-Term Care Qualification Longitudinal Survey (2008-2015), this paper analyzed the factors contributing to the initial benefit selection and at-home survival rate. The results of the factor analysis showed that the probability of choosing home care was higher for males, lower age group, having family caregivers. On the other hand, in the case of dementia, the probability of choosing institutional care was high. As a result of the life table analysis, it was found that 13.1% of the initial home care users changed to institutional care, and about 71% of the moves take place between 2 and 4 years. The Cox proportional hazards regression model analysis showed that the likelihood of withdrawal from home care was higher: for women, for older, for those living together, and for those with dementia. On the other hand, good housing conditions contributed to a higher likelihood of staying at home. The results of this analysis show that the patience of family care is about two years, and it provides the following policy implications for aging in place: gender perspective, support for
family caregiver, improvement of residential environment, and community support for dementia are needed.
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KEYWORD
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Aging in Place, Long-Term Care, Home Care, Survival Analysis
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