Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Factors related to Family Caregiver Satisfaction with the Institutional care services under the Public Long-Term Care Insurance system

노인장기요양보험 시설서비스에 대한 가족수발자 만족도 영향 요인

  • Kwon, Jin-Hee (Institute for Health Insurance policy Recearch, National Health Insurance Corporation) ;
  • Han, Eun-Jeong (Institute for Health Insurance policy Recearch, National Health Insurance Corporation) ;
  • Lee, Jung-Suk (Institute for Health Insurance policy Recearch, National Health Insurance Corporation)
  • 권진희 (국민건강보험공단 건강보험정책연구원) ;
  • 한은정 (국민건강보험공단 건강보험정책연구원) ;
  • 이정석 (국민건강보험공단 건강보험정책연구원)
  • Published : 2009.12.30
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Abstract

This study examined the factors related to family caregiver satisfaction with institutional care services for beneficiaries under the Public Long-Term Care Insurance(PLTCI) system. Determining what contributes to family caregiver satisfaction is a critical step toward implementing effective quality improvement strategies. A national cross-sectional descriptive survey was conducted from November to December 2008, using proportionate quota sampling based on the location and level of Long-Term Care of the beneficiaries. Total 1,745 family caregivers wrote informed consents and 733 (response rate 42%) completed questionnaires, which included caregiver characteristics, organizational resources, primary objective and subjective stressors, perceived quality of services, and family caregiver satisfaction. Family caregivers were satisfied overall with institutional care. In multiple regression analysis, there was a statistically significant difference in degree of family caregiver satisfaction according to caregiver characteristics(relationship to beneficiary), primary objective stressors (insurance type of beneficiary), perceived quality of services(respect to family caregivers' idea, ADL support, expertness of staff, careful concern of staff, fulfillment of client's requests, and safety of institution's environment). In public long-term care, satisfaction efforts are in an early stage of development. This study is meaningful as the first attempt to measure family caregiver satisfaction with institutional care for beneficiaries under the PLTCI system, and to identify factors affecting the satisfaction. Among the identified factors, the policy makers, the insurer, and the providers need to pay attention to perceived quality of services, in particular, to improve customer satisfaction. Our findings can provide quality care improvement initiatives in the public long-term care setting.

Keywords

References

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