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http://dx.doi.org/10.14367/kjhep.2015.32.3.97

The effects of the implementation of long-term care insurance on the quality of life trajectory among older adults with disabilities  

Jeon, Hae Sook (Department of Social Welfare, Kyungpook National University)
Publication Information
Korean Journal of Health Education and Promotion / v.32, no.3, 2015 , pp. 97-107 More about this Journal
Abstract
Objectives: The current study aims to examine whether the influence of National Long-term Care Insurance(NLCI) on the quality of life(QoL) trajectory of older adults with disabilities is more positive than its influence on those without disabilities. Methods: Sample consisted of 5,362 elderly aged 65 and over who participated in the Korean Welfare Panel Study from Wave1 to Wave7. Data were analyzed using latent growth curve modeling. Results: Major findings are as follows. (1) Before the NLCI, the trajectories of QoL between older adults with disabilities and those without were same. (2) After the NLCI, elders with disabilities showed lower levels of QoL at the beginning, but the gaps gradually decreased with time. These results indicate that the implementation of NLCI more positively affected elders with disabilities than those without disabilities. Conclusions: These results suggest that the NLCI functions properly as one of social security nets to cope with the needs of older adults with disabilities. In conclusion, it is critical to develop a sustainable NLCI system to enhance the QoL of older adults with disabilities.
Keywords
Long-term care insurance; quality of life; older adults with disabilities; latent growth curve modeling;
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