Browse > Article
http://dx.doi.org/10.11111/jkana.2012.18.4.402

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

Lee, Taewha (College of Nursing, Yonsei University)
Kim, Bok Nam (Department of Nursing, Daegu Health College)
Publication Information
Journal of Korean Academy of Nursing Administration / v.18, no.4, 2012 , pp. 402-413 More about this Journal
Abstract
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.
Keywords
Aged; Long-term care; Home care services; Caregivers;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Bass, D., & Noelker, L. (1987). The influence of family caregivers on elder's use of in-home services: An expanded conceptual framework. Journal of Health and Social Behavior, 28, 184-196.   DOI   ScienceOn
2 Borrayo, E. A., Salman, J. R., Polivka, L., & Dunlop, B. D. (2002). Utilization across the continuum of long-term care services. Gerontologist, 42, 603-612. http://dx.doi.org/10.1093/geront/42.5.603   DOI
3 Chung, W. K. (2009). Determinants of demand for long-term care. Journal of Economic Policy. 31(1), 139-167. Seoul: Korea Development Institute.
4 Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
5 Coughlin, T. A., McBride, T. D., Perozek, M., & Liu, K. (1992). Home care for the disabled elderly: Predictors and expected costs. Health Services Research, 27, 453-479.
6 Cramer, A. T., & Jensen, G. A. (2006). Why don't people buy long-term-care insurance? Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 61, S185-S193.   DOI
7 Ettner, S. (1994). The effect of the Medicaid home care benefit on long-term care choices of the elderly. Economic Inquiry, 32, 103-127. http://dx.doi.org/10.1111/j.1465-7295.1994.tb01315.x   DOI
8 Fries, B, E., Shugarman, L. R., Morris, J. N., Simon, S. E., & James, M. (2002). A screening system for michigan's homeand community-based long-term care programs. Gerontologist, 42, 462-474. http://dx.doi.org/10.1093/geront/42.4.462   DOI
9 Helberg, J. L. (1994). Use of home care nursing resources by the elderly. Public Health Nursing, 11, 104-112. http://dx.doi.org/10.1111/j.1525-1446.1994.tb00776.x   DOI
10 Hirdes, J. P., Poss, J. W., & Curtin-Telegdi, N. (2008). The method for assigning priority levels (MAPLe): A new decision-support system for allocating home care resources. BMC Medicine, 6, 9. http://dx.doi.org/10.1186/1741-7015-6-9   DOI
11 Jung, K. H. (2004). 2004 Survey on the aged (Issue Brief No. 2012-04). Seoul: Korea Institute for Health and Social Affairs.
12 Jung, S. K. (2009). Determinants of demand in long-term care services. Korea Development Research, 31(1), 139-167.
13 Kang, I. O., Lee, J. S., Han, E. J., Park, I. S., & Kwak, M. J. (2008). 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). Seoul: Health Insurance Policy Research Institute.
14 Kemper, P. (1992). The use of formal and informal home care by the disabled elderly. Health Services Research, 27, 421-451.
15 Kwon, J. H., Han, E. J., & Lee, J. S. (2010). How to Improve long-term care services -standard services model development as the main content- (Issue Brief No. 2009-33). Seoul: Health Insurance Policy Research Institute.
16 Lee, E. K. (2010). Long-term financial projection of elderly long-term care insurance. Monthly Public Finance Forum, 174, 6-25.
17 Lee, J. S., Han, E. J., Kwon, J. H., & Kang, I. O. (2008). Correlation analysis of standard plan and cost for use of elderly long-term care (Issue Brief No. 2008-33). Seoul: Health Insurance Policy Research Institute.
18 Lee, Y. K. (2009). Factors of long term care service use by the elderly. Health & Social Welfare Review, 29(1), 213-235.   DOI
19 Lee, S. H., & Shin, H, S. (2010). Difference in resource utilization according to beneficiary characteristics of the long-term care facilities. Korean Journal of Health Policy and Administration, 20(1), 19-36. http://dx.doi.org/10.4332/KJHPA.2010.20.1.019   DOI
20 Lee, T. W., Ko, Y. K., Kim, B. N., Cho, E. H., & Kim, H. C. (2011). Outcome analysis of Korea public long-term care insurance system: Development of clinical quality measures and analysis of outcome. Seoul: Korea Institute of Public Finance.
21 Liu, L. F. (2009). Family involvement in and satisfaction with long-term care facilities in Taiwan. Asian Journal of Gerontology & Geriatrics, 4(1), 30-35.
22 Miller, E. A., & Weissert, W. G. (2000). Predicting elderly people's risk for nursing home placement, hospitalization, functional impairment, and mortality: A synthesis. Medical Care Research & Review, 57, 259-297.   DOI
23 Mui, A. C,. & Burnette. D. (1994). Long-term care service use by frail elders: Is ethnicity a factor? Gerontologist, 34, 190-198. http://dx.doi.org/10.1093/geront/34.2.190   DOI
24 Van Houtven, C. H., & Norton, E. C. (2004). Informal care and health care use of older adults. Journal of Health Economics, 23, 1159-1180. http://dx.doi.org/10.1016/j.jhealeco.2004.04.008   DOI
25 National Health Insurance Corporation. (2010). Key statistics of 2009 in the long-term care insurance. Seoul: Author.
26 National Health Insurance Corporation. (2011). Key statistics of 2010 in the long-term care insurance. Seoul: Author.
27 Park, C. Y., Choi, I. D., Kwon, J. H., Kang, I. O., & Lee, E. M. (2009). Activation of community based long-term care through the analysis of long-term care benefits (Issue Brief No. 2009-30). Seoul: Health Insurance Policy Research Institute.
28 White-Means, S. I., & Rubin, R. M. (2004). Is there equity in the home health care market? Understanding racial patterns in the use of formal home health care. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 59, S220-S229. http://dx.doi.org/10.1093/geronb/59.4.S220   DOI
29 Wallace, S. P., Levy-Storms, L., Kington, R. S., & Andersen, R. M. (1998). The persistence of race and ethnicity in the use of long-term care. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 53B, S104-S112. http://dx.doi.org/10.1093/geronb/53B.2.S104   DOI