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Cognitive function, behavioral problems, and physical function in long-term care insurance beneficiaries with dementia in South Korea: Comparison of home care and institutional care services

Authors
 Tae Wha Lee  ;  Eunsil Yim  ;  Eunhee Cho  ;  Jane Chung 
Citation
 JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, Vol.62(8) : 1467-1475, 2014 
Journal Title
 JOURNAL OF THE AMERICAN GERIATRICS SOCIETY 
ISSN
 0002-8614 
Issue Date
2014
MeSH
Activities of Daily Living ; Aged ; Aged, 80 and over ; Cognition Disorders/epidemiology ; Cognition Disorders/nursing* ; Cognition Disorders/physiopathology ; Dementia/epidemiology ; Dementia/nursing* ; Dementia/physiopathology ; Female ; Home Care Services/organization & administration* ; Humans ; Institutionalization/organization & administration* ; Insurance, Long-Term Care* ; Male ; Mental Disorders/epidemiology ; Mental Disorders/nursing* ; Mental Disorders/physiopathology ; Republic of Korea/epidemiology
Keywords
behavioral symptoms ; cognition ; dementia ; long-term care system ; physical function
Abstract
OBJECTIVES: To examine, in beneficiaries with long-term care (LTC) insurance (LTCI) with dementia in Korea, changes in cognitive function, behavioral symptoms, and physical function over time in relation to LTCI service type and to determine the 2-year effects of service type on those health outcomes. DESIGN: Secondary analyses of the existing LTCI data set from 2008 to 2010. SETTING: South Korea. PARTICIPANTS: LTCI beneficiaries with dementia aged 65 and older (N=31,319). Participants were divided according to the service type that they were receiving home care (HC), institutional care (IC), and combined care (CC). MEASUREMENTS: A LTC approval checklist was used to determine the level of LTCI coverage of each participant and to assess cognitive function, behavioral symptoms, and physical function. Linear mixed models and multiple regression models were used. RESULTS: There were significant differences in cognitive function, behavioral symptoms, and physical function at baseline between individuals receiving the three service types (P<.001) and overall improvements in those outcomes over 2 years in the three groups (P<.001). After limiting the sample to those who had received LTCI services for the full 2 years (2008-2010) and adjusting for baseline characteristics, individuals receiving HC were more likely to have better cognitive and physical function than those receiving IC or CC but were likely to have more behavioral symptoms 2 years after the LTCI enrollment (P<.001). CONCLUSION: LTCI service type (HC, IC, CC) predicted cognitive function, behavioral symptoms, and physical function at 2-year follow-up in beneficiaries with dementia. Further research is necessary to examine the effect of LTC services on health outcomes in a longer observational cohort.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/jgs.12944/abstract
DOI
10.1111/jgs.12944
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Lee, Tae Wha(이태화) ORCID logo https://orcid.org/0000-0003-2568-3074
Cho, Eunhee(조은희) ORCID logo https://orcid.org/0000-0002-7871-6848
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100125
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