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Ownership of Long-Term Care Facility and Incidence of Pressure Ulcers among Republic of Korea
DC Field | Value | Language |
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dc.contributor.author | 박은철 | - |
dc.date.accessioned | 2021-01-19T08:13:28Z | - |
dc.date.available | 2021-01-19T08:13:28Z | - |
dc.date.issued | 2020-12 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/181515 | - |
dc.description.abstract | Background: 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.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | Korean Academy of Health Policy and Management | - |
dc.relation.isPartOf | Health Policy and Management (보건행정학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Ownership of Long-Term Care Facility and Incidence of Pressure Ulcers among Republic of Korea | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Preventive Medicine and Public Health (예방의학교실) | - |
dc.contributor.googleauthor | Chun, Sung-Youn | - |
dc.contributor.googleauthor | Park, Hyeki | - |
dc.contributor.googleauthor | Kim, Woorim | - |
dc.contributor.googleauthor | Joo, Yeong-Jun | - |
dc.contributor.googleauthor | Lee, Tae-Hoon | - |
dc.contributor.googleauthor | Park, Eun-Cheol | - |
dc.identifier.doi | 10.4332/KJHPA.2020.30.4.522 | - |
dc.contributor.localId | A01618 | - |
dc.relation.journalcode | J03738 | - |
dc.identifier.eissn | 1225-4266 | - |
dc.subject.keyword | Long-term care | - |
dc.subject.keyword | Ownership | - |
dc.subject.keyword | Pressure ulcer | - |
dc.contributor.alternativeName | Park, Eun-Chul | - |
dc.contributor.affiliatedAuthor | 박은철 | - |
dc.citation.volume | 30 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 522 | - |
dc.citation.endPage | 530 | - |
dc.identifier.bibliographicCitation | Health Policy and Management (보건행정학회지), Vol.30(4) : 522-530, 2020-12 | - |
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