The purpose of this study was to identify cognitive impairment and it's related factors of the elderly in long term care facilities. The participants of this study were 229 residents of five nursing homes. Data were analyzedusing two sample t-test, χ²-test, and logistic regression. The results revealed eight factors related to cognitive impairment: gender(OR=2.41, p =.035), age(75-84: OR=3.26, p =.002, Over 85: OR=4.46, p <.001), living with familybefore admission(OR=2.17, p =.015), hearing(OR=8.88, p =.004), family history of dementia(OR=4.39, p =.009), ADL(OR=0.82, p <.001), hypertension(OR=4.07, p <.001), and diabetes(OR=3.42, p =.001). Based on the findings ofthis study, continuous nursing intervention focused on adjustable factors would be helpful in order to improve nursinghome elderly people's quality of life. Key Words : Cognition, Aged, Nursing homes 본 논문은 2011년도 부산가톨릭대학교 교내학술연구비에 의하여 연구되었음. * Corresponding Author : Young-Mi LeeTel: +82-10-9091-4985 email: ymlee@cup.ac.kr접수일 12년 08월 22일 수정일 (1차 12년 08월 30일, 2차 12년 09월 03일, 3차 12년 09월 05일) 게재확정일 12년 09월 06일

Factors Associated with Cognitive Impairment of the Elderly in Nursing Homes

Nan-He Yoon, Hongsoo Kim, Soonman Kwon Office of Policy Development for Healthy Society, Seoul National University College of Medicine; Department of Health Science, Seoul National University Graduate School of Public Health; Institute of Aging, Seoul National University; Institute of Health and Environment, Seoul National University, Seoul, Korea; Asian Development Bank, Metro Manila, Philippines

Long-Term Care Utilization among End-of-Life Older Adults in Korea: Characteristics and Associated Factors

This paper is to evaluate how the new element of public health insurance for long-term care services (henceforth, LTCI) financially affects the preexisting National Health Insurance program (NHI). We focus on examining the role of the LTCI benefit in service use and costs of the elderly members in the NHI program. Using longitudinal data of 245 municipalities of South Korea for the period of 2008-2010, we conduct fixed-effects panel estimation of the NHI service use and spending for the elderly and find the statistically significant positive association with the LTCI payment for the elderly. The estimate (0.024, p

/pdf/long-term-care-insurance-and-health-care-financing-in-south-4ulv2zac0y.pdf

Long-Term Care Insurance and Health Care Financing in South Korea

In this study, we examined the adequacy of supply and demand under private expansion of the long-term care (LTC) infrastructure after the introduction of long-term care insurance (LTCI) for the older people in Korea. We used Coulter's coefficient of inequality (Coulter index) to analyze the equity of LTC services by region. In addition, we analyzed the trend of equity changes through equity analysis for three time points: 2000, 2008, and 2015. We found that the level of inequity in LTC service infrastructure in Korea is lower in 2015 compared with 2000, but the differences among regions are high. The adjustment factors in 2015 showed prominent shortages of facilities in urban areas and oversupply in suburban areas. Based on these results, we propose an LTC service infrastructure that meets the demand and improves service access according to regional characteristics.

Changes in the Equity of the Long-Term Care System in Korea Based on Coulter Index Differences for the Years 2000, 2008, and 2015.

이윤경; 양찬미; 서동민.December, 2011.노인장기요양보험 형평성 연구(Equity in long-term care insurance in Korea),Report,서울한국보건사회연구원,연구보고서/2011-37-11,155

노인장기요양보험 형평성 연구(Equity in long-term care insurance in Korea)

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노인장기요양보험 형평성 연구(Equity in long-term care insurance in Korea)