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http://dx.doi.org/10.4040/jkan.2010.40.6.903

Relationship between Resource Utilization and Long-term Care Classification Level for Residents in Nursing Homes  

Lee, Min-Kyung (Eulji University Hospital)
Kim, Eun-Kyung (Department of Nursing, Mokpo National University)
Publication Information
Journal of Korean Academy of Nursing / v.40, no.6, 2010 , pp. 903-912 More about this Journal
Abstract
Purpose: This study was conducted to examine whether the level of classification for long-term care service under longterm care insurance reflects resource utilization level for residents in nursing homes. Methods: From 2 long-term care facilities, the researchers selected 95 participants and identified description and time of care services provided by nurses, certified caregivers, physical therapists and social workers during a 24-hr-period. Results: Resource utilization level was: 281.04 for level 1, 301.05 for level 2 and 270.87 for level 3. Resource utilization was not correlated with level. Differences in resource utilization within the same level were similar with the coefficient of variance, 22.7-27.1%. Physical function was the most influential factor on long-term care scores (r=.88, p<.001). The level for long-term care service did not reflect differences in resource utilization level of residents on long-term care insurance. Conclusion: The results of this study indicate that present grading for long-term care service needs to be reconsidered. Further study is needed to adjust the long-term care classification system to reflect the level of resource utilization for care recipients on the long-term care insurance.
Keywords
Long-term care; Aged; Health resources; Utilization;
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