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Factors related to the institutionalization of older aged individuals using home and community based services: Data from the South Korea Long Term Care Insurance, 2008-2013

Authors
 Woorim Kim  ;  Sung Youn Chun  ;  Joo Eun Lee  ;  Tae-Hoon Lee  ;  Eun-Cheol Park 
Citation
 Journal of Aging & Social Policy, Vol.31(4) : 321-337, 2019 
Journal Title
 Journal of Aging & Social Policy 
ISSN
 0895-9420 
Issue Date
2019
Keywords
Long-term care ; caregiver type ;  home care ; institutional care ; living arrangement ; social welfare
Abstract
South Korea introduced a public long-term care insurance (LTCI) program in response to its rapidly aging population. This study analyzed the association between living arrangement and caregiver type with institutionalization in LTCI grade 1 (very severe limitations), 2 (severe limitations), and 3 (moderate limitations) beneficiaries using data from the LTCI cohort, 2008 to 2013. The dependent variable was alteration status from home to institutional care within 1 year of receiving home service. Independent variables were living arrangement and primary caregiver type. The analysis was conducted using the generalized estimating equation model. Higher likelihoods of institutionalization were found in individuals living with a non-family member compared to individuals living with their spouses. Individuals without a caregiver or with a paid caregiver were also more likely to experience institutionalization than individuals with a spouse primary caregiver. Our findings underscore the importance of monitoring identified vulnerable groups of individuals to attain LTCI sustainability and enhance elderly quality of life.
Full Text
https://www.tandfonline.com/doi/abs/10.1080/08959420.2019.1589890
DOI
10.1080/08959420.2019.1589890
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/170243
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