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http://dx.doi.org/10.4332/KJHPA.2007.17.2.052

The Correspondence of the Demented Patient's Desired Service with Received Service Type and Its Affecting Factors  

Park, Chong-Yon (Institute for National Health Insurance, National Health Insurance Corporation)
Kang, Im-Ok (Institute for National Health Insurance, National Health Insurance Corporation)
Lee, Sang-Yi (Department of Health Policy and Management, School of Medicine, Cheju National University)
Seo, Su-Ra (Institute for National Health Insurance, National Health Insurance Corporation)
Suh, Nam-Kyu (Institute for National Health Insurance, National Health Insurance Corporation)
Park, Hyeung-Keun (Department of Health Policy and Management, School of Medicine, Cheju National University)
Publication Information
Health Policy and Management / v.17, no.2, 2007 , pp. 52-67 More about this Journal
Abstract
Korean government is preparing the long-term care financing and delivery system in order to cope with rapid population aging. The system should be designed to provide demented patients with an appropriate services that the patients want to take, and considered to be necessary for them. In this regard, this study aims to analyse empirically a relationship between the types of long-term care services that demented patients wanted to take and they actually received during 2004. The caregivers of 609 dementia patients, who were randomly selected in a manner of proportional allocation from a nationwide claim database of the Korean National Health Insurance Corporation, were interviewed in September, 2005. Independent variables include socio-demographic characteristics, Activities of Daily Living(ADL) and Instrumental Activities of Daily Living(IADL). To explore the correspondence of the types of long-term care services that demented patients wanted to take and that they actually received, and its affecting factors, we conducted chi-square test and logistic regression analysis. Main findings are as follows. First, while only 20% of study subjects wanted home services as a long-term care services, those who wanted to use the long-term care facilities and general hospital were 37%, 43% respectively. Second, the correspondence rate was just 38% on average, and extremely low in the demented patients who wanted to use long-term care facilities. Third, the demented patients who resided in urban areas and received relatively high level of education showed high correspondence rate. Fourth, the high ADL score was closely related to low correspondence rate.
Keywords
Dementia; Long-term care; Correspondence rate; ADL;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
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