0 820

Cited 21 times in

Activities of daily living in nursing home and home care settings: a retrospective 1-year cohort study

DC Field Value Language
dc.contributor.author이태화-
dc.contributor.author이혜선-
dc.contributor.author조은희-
dc.date.accessioned2016-02-04T11:01:16Z-
dc.date.available2016-02-04T11:01:16Z-
dc.date.issued2015-
dc.identifier.issn1525-8610-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/139488-
dc.description.abstractOBJECTIVE: Korea introduced universal long-term care insurance (LTCI) for physically dependent older adults in 2008. Older adults, their family members, and policy makers in Korea want to know patient outcomes in different care modalities because older adults who have a similar functional status and LTC needs can choose either nursing home care or home care. The aim of this study was to compare activities of daily living (ADLs) in nursing home care and home care settings for physically dependent older adults in Korea. DESIGN: A retrospective 1-year cohort study using national LTCI data. SETTINGS: This study used the LTCI dataset from the National Health Insurance Service in Korea. PARTICIPANTS: Participants were identified from among those in the LTCI dataset who enrolled from July 2008 to June 2010. We extracted a sample consisting of 22,557 older adults who consistently received either nursing home care (n = 11,678) or home care (n = 10,879) for 1 year. MEASUREMENTS: The outcome variable was change in ADLs after 1 year. Covariates were an older adult's home geographical region, LTC level, age, sex, primary caregiver, Medicaid beneficiary status, bedridden status, medical diagnosis, baseline ADLs, cognitive function, behavioral problems, nursing and special treatment, and rehabilitation needs. Multiple regression analysis of all participants unmatched and a paired t-test with a propensity-score-matched cohort were performed to explain the association of changes in ADLs with the types of LTC. RESULTS: Multiple regression analysis with all participants (n = 22,557) unmatched showed that compared with older adults who received home care, those who received nursing home care had deteriorated further in terms of ADLs after 1 year (β = 0.44108, P < .0001). After propensity-score matching, paired t-test analysis also found that the ADLs of older adults had deteriorated less in the home care group compared with the nursing home group after 1 year (P < .0001). CONCLUSIONS: The ADLs of older adults who received home care showed significantly less deterioration than those of the older adults in nursing home care after 1 year. The ADLs of older adults could differ according to the type of LTC they receive, and home care could result in better maintenance of ADLs than nursing home care.-
dc.description.statementOfResponsibilityopen-
dc.format.extent114~119-
dc.relation.isPartOfJOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHActivities of Daily Living*-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHAging/physiology-
dc.subject.MESHCohort Studies-
dc.subject.MESHDatabases, Factual-
dc.subject.MESHDisability Evaluation-
dc.subject.MESHFemale-
dc.subject.MESHGeriatric Assessment-
dc.subject.MESHHome Care Services/organization & administration*-
dc.subject.MESHHumans-
dc.subject.MESHInsurance, Long-Term Care/economics*-
dc.subject.MESHLong-Term Care/economics-
dc.subject.MESHLong-Term Care/methods*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNursing Homes/organization & administration*-
dc.subject.MESHQuality of Life-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.titleActivities of daily living in nursing home and home care settings: a retrospective 1-year cohort study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentYonsei Biomedical Research Center (연세의생명연구원)-
dc.contributor.googleauthorTae Wha Lee-
dc.contributor.googleauthorEunhee Cho-
dc.contributor.googleauthorEun Shil Yim-
dc.contributor.googleauthorHye Sun Lee-
dc.contributor.googleauthorYu Kyung Ko-
dc.contributor.googleauthorBok Nam Kim-
dc.contributor.googleauthorSinhye Kim-
dc.identifier.doi10.1016/j.jamda.2014.07.013-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03265-
dc.contributor.localIdA03886-
dc.contributor.localIdA03312-
dc.relation.journalcodeJ01775-
dc.identifier.eissn1538-9375-
dc.identifier.pmid25244958-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S1525861014004721-
dc.subject.keywordActivities of daily living-
dc.subject.keywordKorea-
dc.subject.keywordhome care services-
dc.subject.keywordlong-term care-
dc.subject.keywordnursing homes-
dc.subject.keywordolder adults-
dc.subject.keywordoutcomes-
dc.contributor.alternativeNameLee, Tae Wha-
dc.contributor.alternativeNameLee, Hye Sun-
dc.contributor.alternativeNameCho, Eun Hee-
dc.contributor.affiliatedAuthorLee, Tae Wha-
dc.contributor.affiliatedAuthorCho, Eunhee-
dc.contributor.affiliatedAuthorLee, Hye Sun-
dc.rights.accessRightsnot free-
dc.citation.volume16-
dc.citation.number2-
dc.citation.startPage114-
dc.citation.endPage119-
dc.identifier.bibliographicCitationJOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, Vol.16(2) : 114-119, 2015-
dc.identifier.rimsid55425-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.