• Communications for Statistical Applications and Methods
• /
• v.18 no.1
• /
• pp.137-146
• /
• 2011

Long-term care insurance is a social insurance system that provides benefits to the elderly who have difficulty taking care of themselves for a period of at least 6 months. This system was started in July, 2008 and it is very important to set proper judgement ratings for the approval process. We try to develop and improve the judgement rating system using decision tree models. Our tree model is found to be more stable and efficient than the previous one.

• 재활복지
• /
• v.21 no.3
• /
• pp.49-63
• /
• 2017

The purpose of this study is to investigate the association of functional disability, ego integrity and depressive symptoms, and analyze the mediating effect of ego integrity among the elderly, residing in the long-term care facilities. The data were collected by using non-random purposive and convenient sampling methods and 247 elderly who reside in the nursing home care, located in Daegu city and Kyungpook provinces participated in this study. Findings of this study indicates that there are statistically significant relationships among functional disability, ego integrity and depressive symptoms of participants. In addition, the mediating effect of ego integrity on the relationship between functional disability and depressive symptoms is statistically significant and shows partial mediating effect. Based on the findings of this study, possible practice implications for improving functional and mental health of the elderly in residential care home and recommendation for further study were provided.

• The Korean Journal of Applied Statistics
• /
• v.22 no.6
• /
• pp.1229-1237
• /
• 2009

In the long-term care insurance(LTCI) system, the question of how to provide the most appropriate care has become a major issue for the elderly, their family, and for policy makers. To help beneficiaries use LTC services appropriately to their needs of care, National Health Insurance Corporation(NHIC) provide them with the individualized care plan, named the Long-term Care User Guide. It includes recommendations for beneficiaries' most appropriate type of care. The purpose of this study is to develop a recommending system for care plan(Res-CP) in LTCI system. We used data set for Long-term Care User Guide in the 3rd long-term care insurance pilot programs. To develop the model, we tested four models, including a decision-tree model in data-mining, a logistic regression model, and a boosting and boosting techniques in an ensemble model. A decision-tree model was selected to describe the Res-CP, because it may be easy to explain the algorithm of Res-CP to the working groups. Res-CP might be useful in an evidence-based care planning in LTCI system and may contribute to support use of LTC services efficiently.

• 한국노년학
• /
• v.31 no.4
• /
• pp.1067-1081
• /
• 2011

This study aimed to compare job stress and job satisfaction of long-term care staffs caring for demented seniors with rating 3 and physically disabled seniors with rating 1. Survey was conducted upon 212 long-term care staffs in long-term care institutions in Ejungboo, Goyang, and Paju. There were, first of all, statistically significant differences between those groups in the level of overall stress, stress related to service subjects, and stress in service procedures. Regression analyses, secondly, showed that the relationship between job stress and job satisfaction was statistically significant only for long-term care staffs for demented seniors with rating 3. The results suggest that it is necessary to lower the level of stress especially for the staffs caring for demented seniors with rating 3. Furthermore, we need to consider the stress, that the staffs feels in the process of caring for long-term care service beneficiaries, as a important variable for intervention programs to reduce the level of stress among long-term care staffs.

• 한국사회정책
• /
• v.19 no.3
• /
• pp.49-83
• /
• 2012

Currently in Germany, there is talk of 'state of emergency care', which is addressed to the problems of quality assurance in aged care and shortage of aged care workers. In order to solve this problem in the aging German society, the federal government has set itself the goal of providing high qualified care givers through a systematic and on a high level of professional training opportunities. Various projects and measures have been carried out to improve the reputation of the primarily care profession in society and for the purpose of attracting especially young trainees for the aged care professions. The present work considers training and qualifications in the long-term care sector in Germany; it points out both the characteristics of aged care education and the learning content in the aged care education and attempts to highlight what roles and perception of tasks contained therein.

• 한국노년학
• /
• v.32 no.2
• /
• pp.593-609
• /
• 2012

The study was performed to identify the functional status change of beneficiaries of Long-Term Care Insurance and its related factors. We conducted the logistic regression with 17,652 beneficiaries during August and September in 2008. As a result, activities of daily living(ADL), behavioral changes, rehab, instrumental activities of daily living(IADL) and cognitive function, followed by nursing care area were improved in a greater degree. For the institutional service, level-1 beneficiaries was significantly improved in rehab area and level-2 beneficiaries was improved in ADL. For the home-visit care service of in-home services, level-1 beneficiaries was improved in ADL, level-2 beneficiaries was improved in ADL and rehab area, level-3 beneficiaries was improved in ADL, cognitive function and behavioral changes. For the day-and-night care service, level-1 beneficiaries was improved in ADL, IADL, behavioral changes and rehab area, level-2 beneficiaries was improved in behavioral changes, level-3 beneficiaries was improved in cognitive function and behavioral changes. For the short-stay service, level-3 beneficiaries was improved in behavioral changes. By the above results, there was a difference in a functional improvement by level and used services. Therefore, government need to provide the personalized service system based on the objective and comprehensive understanding for health and functional status of beneficiaries.

• 한국사회정책
• /
• v.20 no.2
• /
• pp.97-129
• /
• 2013

This study aims to investigate causes of the emergence of so-called 'family-care workers' in the Long-term Care Insurance system in Korea. The LTCI system introduced in 2008 financially support the utilization of formal care services for the eligible elderly with care needs by paying for services of their care workers. Interestingly, 38.4 percent of payments for the in-home services were claimed by family members registered as qualified long-term care workers in 2012. We interviewed ten family care workers in depth and analyzed the needs of the aged and their families to explain the emergence of family care workers. The emergence of family-care workers is an inevitable result of choice by family members who face a dual burden of living and caring; be the additional choice following discharge the duty to support the elderly; be the alternative choice to fulfill unaccepted needs for services. These results suggest the needs for a comprehensive public provision of both income and social service support for the aged and an introduction of financial support for family care complementing the formal care support in the LTCI in Korea.

• 한국노년학
• /
• v.29 no.3
• /
• pp.917-933
• /
• 2009

This study examined the factors affecting forms of long-term care service use by elderly and the forms of use are classified facility care service, home care service, and unused. It is used data from the 2nd pilot program for the Long Term Care Insurance scheme and it is analysed 5,497 cases. Multi-nominal regression is used. According to the results, women use formal service more than man do, and wowen use facility care than home care. Those who eligible for National Basic Livelihood Security System(NBLSS) are shown to have higher use of formal care(especially facility care) than the middle income class, and the low income class than the middle income class has lower use of formal care. In addition, higher the family care is available, lower the taking part in the service. The big cities and mid sized cities than rural are used the formal service and moreover mid sized cities are used facility care than home care. Furthermore, the level of care need is determinants of service use and function of ADL, IADL, and abnormal behavior is also determinants of formal service(especially facility care). But nursing need and rehabilitation need are not determinants of formal service use. Based on the results, the recommendations are developed and implemented for the improvement the elderly long-term care insurance.

• 한국사회정책
• /
• v.25 no.1
• /
• pp.287-320
• /
• 2018

This study aimed to analyze the characteristics and problems of the quasi-market for welfare technology in the long-term care service area in South Korea. The qualitative interviews to the developers of welfare technology were conducted. The main results are as follows. First, the long-term care insurance (LTC) in South Korea has helped to create the limited amount of the effective demands for welfare equipments with low technology. Second, the systemic features of the LTC, however, have constraint the quantitative expansion as well as qualitative growth of the quasi-market for welfare technology. The low level of financial support combined with strict regulations has obstructed qualitative competition in the market. Third, they tend to develop the standardized and minimum welfare equipments for the serious needy for long-term care instead of welfare technology promoting independency of the elderly. Based on the results, this study provided the predictions for the growth of welfare technology and suggested some policy implications.

• 한국노년학
• /
• v.29 no.3
• /
• pp.1183-1196
• /
• 2009

The purpose of this study was to investigate the influences of characteristics of the long-term care elderly and caregivers on caregivers' stress. The data of this study were collected from 105 long-term care elderly caregivers with 3 grade in Pusan, Daegu, and Gyung-buk area. The results showed that each stress of caregivers was influenced by diverse characteristics in various ways. Time-dependent stress of caregivers was influenced by elderly dependency and caregivers' health. Self-development stress of caregivers was influenced by elderly dependency, caregivers' health, caregivers' age, and relationship quality. Physical stress of caregivers was influenced by elderly dependency and caregivers' health. Social stress of caregivers was influenced by elderly dependency, caregivers' health, and relationship quality. Emotional stress of caregivers was influenced by relationship quality between the elderly and caregivers. These results indicated that the caregivers' stress was influenced not only physical characteristics of the elderly and the caregivers but also relational characteristics.