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Original Article

Determinants of Amount of Service Use in Community-Based Long-term Care for Elders

Journal of Korean Academy of Nursing Administration 2012;18(4):402-413.
Published online: December 31, 2012

1College of Nursing, Yonsei University, Korea.

2Department of Nursing, Daegu Health College, Korea.

Correspondence: Kim, Bok Nam. Department of Nursing, Daegu Health College, 15, Youngsong-Ro, Buk-Gu, Daegu-Si 702-722, Korea. Tel: 82-53-320-4526, Fax: 82-53-320-1470, bnkim2010@naver.com
• Received: September 17, 2012   • Revised: November 5, 2012   • Accepted: November 29, 2012

Copyright © 2012 Korean Academy of Nursing Administration

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  • Purpose
    This study was done to explore factors related to amount of service use for elders with long-term care needs.
  • Methods
    A descriptive-correlation design was used. The sample included 259 elders and their primary caregivers who had cared for the elders for at least 6 months. Data on long-term care need assessment, service use and interviews with primary caregivers were analyzed.
  • Results
    There was no significant relationship between the sociodemographic characteristics and the amount of services use. Amount of service use differed significantly by Long-term care classification. The mean scores for class 1, 2 and 3 were 22.68, 21.47 and 17.87 days respectively. Primary caregiver relationship with the elders and the number of family-friend helpers were also significant. Multivariate regression analysis showed that gender, marital status, activities of daily living, cognitive impairment, and secondary caregiver support explained 17% of the total variance of service use among these elders (F=3.50, p<.001).
  • Conclusion
    The results of this study indicate that critical factors including secondary caregiver support and individual background, and other functional dependencies except for physical function should be considered in accurately predicting the amount of service use for community dwelling elders with long-term care needs.
  • 1. Bass DM, Noelker LS. The influence of family caregivers on elder's use of in-home services: An expanded conceptual framework. J Health Soc Behav. 1987;28:184-196.
  • 2. Borrayo EA, Salman JR, Polivka L, Dunlop BD. Utilization across the continuum of long-term care services. Gerontologist. 2002;42:603-612. http://dx.doi.org/10.1093/geront/42.5.603
  • 3. Chung WK. Determinants of demand for long-term care. KDI J Econ Policy. 2009;31(1):Seoul, Korea Development Institute. 139-167.
  • 4. Cohen J. Statistical power analysis for the behavioral sciences. 1988;2nd ed. Hillsdale, NJ, Erlbaum.
  • 5. Coughlin TA, McBride TD, Perozek M, Liu K. Home care for the disabled elderly: Predictors and expected costs. Health Serv Res. 1992;27:453-479.
  • 6. Cramer AT, Jensen GA. Why don't people buy long-term-care insurance? J Gerontol B Psychol Sci Soc Sci. 2006;61:S185-S193.
  • 7. Ettner S. The effect of the Medicaid home care benefit on long-term care choices of the elderly. Econ Inq. 1994;32:103-127.
  • 8. Fries BE, Shugarman LR, Morris JN, Simon SE, James M. A screening system for michigan's home- and community-based long-term care programs. Gerontologist. 2002;42:462-474. http://dx.doi.org/10.1093/geront/42.4.462
  • 9. Helberg JL. Use of home care nursing resources by the elderly. Public Health Nurs. 1994;11:104-112. http://dx.doi.org/10.1111/j.1525-1446.1994.tb00776.x
  • 10. Hirdes JP, Poss JW, Curtin-Telegdi N. The method for assigning priority levels (MAPLe): A new decision-support system for allocating home care resources. BMC Med. 2008;6:9. http://dx.doi.org/10.1186/1741-7015-6-9
  • 11. Jung KH. 2004 Survey on the aged (Issue Brief No. 2012-04). 2004;Seoul, Korea Institute for Health and Social Affairs.
  • 12. Jung SK. Determinants of demand in long-term care services. KDI J Econ Policy. 2009;31(1):139-167.
  • 13. Kang IO, Lee JS, Han EJ, Park IS, Kwak MJ. Planning and operating of standard plan for use of elderly long-term care - Development an algorithm to determine the type of services- (Issue Brief No. 2008-04). 2008;Seoul, Health Insurance Policy Research Institute.
  • 14. Kemper P. The use of formal and informal home care by the disabled elderly. Health Serv Res. 1992;27:421-451.
  • 15. Kwon JH, Han EJ, Lee JS. How to Improve long-term care services -standard services model development as the main content- (Issue Brief No. 2009-33). 2010;Seoul, Health Insurance Policy Research Institute.
  • 16. Lee EK. Long-term financial projection of elderly long-term care insurance. Mon Public Financ Forum. 2010;174:6-25.
  • 17. Lee JS, Han EJ, Kwon JH, Kang IO. Correlation analysis of standard plan and cost for use of elderly long-term care (Issue Brief No. 2008-33). 2008;Seoul, Health Insurance Policy Research Institute.
  • 18. Lee SH, Shin HS. Difference in resource utilization according to beneficiary characteristics of the long-term care facilities. Korean J Health Policy Adm. 2010;20(1):19-36. http://dx.doi.org/10.4332/KJHPA.2010.20.1.019
  • 19. Lee TW, Ko YK, Kim BN, Cho EH, Kim HC. Outcome analysis of Korea public long-term care insurance system: Development of clinical quality measures and analysis of outcome. 2011;Seoul, Korea Institute of Public Finance.
  • 20. Lee YK. Factors of long term care service use by the elderly. Health Soc Welf Rev. 2009;29(1):213-235.
  • 21. Liu LF. Family involvement in and satisfaction with long-term care facilities in Taiwan. Asian J Gerontol Geriatr. 2009;4(1):30-35.
  • 22. Miller EA, Weissert WG. Predicting elderly people's risk for nursing home placement, hospitalization, functional impairment, and mortality: A synthesis. Med Care Res Rev. 2000;57:259-297.
  • 23. Mui AC, Burnette D. Long-term care service use by frail elders: Is ethnicity a factor? Gerontologist. 1994;34:190-198. http://dx.doi.org/10.1093/geront/34.2.190
  • 24. National Health Insurance Corporation. Key statistics of 2009 in the long-term care insurance. 2010;Seoul, Author.
  • 25. National Health Insurance Corporation. Key statistics of 2010 in the long-term care insurance. 2011;Seoul, Author.
  • 26. Park CY, Choi ID, Kwon JH, Kang IO, Lee EM. Activation of community based long-term care through the analysis of long-term care benefits (Issue Brief No. 2009-30). 2009;Seoul, Health Insurance Policy Research Institute.
  • 27. Van Houtven CH, Norton EC. Informal care and health care use of older adults. J Health Econ. 2004;23:1159-1180. http://dx.doi.org/10.1016/j.jhealeco.2004.04.008
  • 28. Wallace SP, Levy-Storms L, Kington RS, Andersen RM. The persistence of race and ethnicity in the use of long-term care. J Gerontol B Psychol Sci Soc Sci. 1998;53:S104-S112. http://dx.doi.org/10.1093/geronb/53B.2.S104
  • 29. White-Means SI, Rubin RM. Is there equity in the home health care market? Understanding racial patterns in the use of formal home health care. J Gerontol B Psychol Sci Soc Sci. 2004;59:S220-S229. http://dx.doi.org/10.1093/geronb/59.4.S220
Table 1
General Characteristics of Participants (N=259)
jkana-18-402-i001.jpg
Table 2
Differences in Amount of Service Use by Characteristics of Participants (N=259)
jkana-18-402-i002.jpg
Table 3
Correlations among the Study Variables (N=259)
jkana-18-402-i003.jpg
Table 4
Determinants of Amount of Service Use in Community-Based Long-Term Elder Care (N=259)
jkana-18-402-i004.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Institutional and individual factors associated with functional outcomes in nursing home residents under long-term care insurance in Korea: A multilevel analysis
      Sun-jin Kim, Hyunjong Song
      Geriatric Nursing.2023; 52: 152.     CrossRef
    • Determinants of long-term care insurance applications in South Korea
      Sunhee Park, Heejung Kim, Chang Gi Park
      Journal of Public Health.2021; 43(3): 604.     CrossRef
    • Disagreement between a public insurer’s recommendation and beneficiary’s choice of long-term care services in Korea
      Misook Song, Hyunjong Song
      Health Policy.2020; 124(8): 881.     CrossRef

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    Determinants of Amount of Service Use in Community-Based Long-term Care for Elders
    J Korean Acad Nurs Adm. 2012;18(4):402-413.   Published online December 31, 2012
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    Determinants of Amount of Service Use in Community-Based Long-term Care for Elders
    J Korean Acad Nurs Adm. 2012;18(4):402-413.   Published online December 31, 2012
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    Determinants of Amount of Service Use in Community-Based Long-term Care for Elders
    Determinants of Amount of Service Use in Community-Based Long-term Care for Elders

    General Characteristics of Participants (N=259)

    Differences in Amount of Service Use by Characteristics of Participants (N=259)

    Correlations among the Study Variables (N=259)

    Determinants of Amount of Service Use in Community-Based Long-Term Elder Care (N=259)

    Table 1 General Characteristics of Participants (N=259)

    Table 2 Differences in Amount of Service Use by Characteristics of Participants (N=259)

    Table 3 Correlations among the Study Variables (N=259)

    Table 4 Determinants of Amount of Service Use in Community-Based Long-Term Elder Care (N=259)

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