Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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Factors Related to Nursing Home Institutionalization of Elderly using Home Care Services

노인장기요양 재가서비스 이용자의 시설 입소 영향 요인

  • Han, EunJeong (Institute for National Health Insurance Policy Research, National Health Insurance) ;
  • Hwang, RahIl (Department of Nursing, Shinhan University) ;
  • Lee, JungSuk (Institute for National Health Insurance Policy Research, National Health Insurance)
  • 한은정 (국민건강보험공단 건강보험정책연구원) ;
  • 황라일 (신한대학교 간호학과) ;
  • 이정석 (국민건강보험공단 건강보험정책연구원)
  • Received : 2016.09.23
  • Accepted : 2016.12.21
  • Published : 2016.12.31
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Abstract

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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References

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