33 52

Cited 0 times in

Ownership of Long-Term Care Facility and Incidence of Pressure Ulcers among Republic of Korea

DC FieldValueLanguage
dc.description.abstractBackground: In 2008, Korea implemented a new type of social insurance known as "long-term care insurance". We examined the association between ownership of long-term care facilities and the incidence of pressure ulcers after the implementation of "long-term care insurance". This study is a population-based retrospective cohort study from 2006 to 2013. Methods: We used medical claims data from the Korean National Health Insurance Corporate Elderly Cohort Database from 2006 to 2013. These data comprise a nationally representative sample. To avoid confounders, only patients admitted to one long-term care facility and who stayed for >70% of the follow-up time were included; as a result, 3,107 individuals were enrolled. The main independent variable was the operating entity of the long-term care facility (local government, corporate bodies, and private for-profit owners), and the dependent variable was the 1-year incidence of pressure-ulcers. Survival analysis (Cox proportional hazard model) was used as an analysis method. Results: Compared to patients admitted to local government long-term care facilities, patients admitted to private long-term care facilities had a significantly higher 1-year risk of pressure ulcers (hazard ratio [HR], 1.94; 95% confidence interval [CI], 1.29-2.91); the risk was especially high among patients who were cognitively dependent (HR, 2.34; 95% CI, 1.25-4.37). Conclusion: Patients admitted to private for-profit long-term care facilities were more likely to have pressure ulcers compared to those in local government and corporate body long-term care facilities. Appropriate assessment tools and publicly available information, as well as more restricted legal requirements, are needed to improve the care quality and outcomes of patients in long-term care facilities.-
dc.publisherKorean Academy of Health Policy and Management-
dc.relation.isPartOfHealth Policy and Management (보건행정학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleOwnership of Long-Term Care Facility and Incidence of Pressure Ulcers among Republic of Korea-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Preventive Medicine and Public Health (예방의학교실)-
dc.contributor.googleauthorChun, Sung-Youn-
dc.contributor.googleauthorPark, Hyeki-
dc.contributor.googleauthorKim, Woorim-
dc.contributor.googleauthorJoo, Yeong-Jun-
dc.contributor.googleauthorLee, Tae-Hoon-
dc.contributor.googleauthorPark, Eun-Cheol-
dc.subject.keywordLong-term care-
dc.subject.keywordPressure ulcer-
dc.contributor.alternativeNamePark, Eun-Chul-
dc.identifier.bibliographicCitationHealth Policy and Management (보건행정학회지), Vol.30(4) : 522-530, 2020-12-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers


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