The association between the utilization of long-term care services and mortality in elderly Koreans
The association between the utilization of long-term care services and mortality in elderly Koreans
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DOI：
10.1016/j.archger.2016.03.013
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发表时间：
2016-07-01
影响因子：
4
通讯作者：
Joung, Euisin
中科院分区：
文献类型：
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作者：
Choi, Jung-Kyu;Joung, Euisin
有必要通过确定死亡率的变化、是否使用福利以及家庭和机构服务对死亡率的影响来确认长期护理保险（LTCI）的效果。本研究的目的是确定服务使用和老年韩国人的死亡率之间的关联。我们使用考克斯比例风险回归模型和Kaplan-Meier生存曲线法估计死亡的风险比和生存概率，同时调整协变量。在40个月的随访期内，我们检测到27.8%的死亡率。男性、高龄和日常生活活动能力是死亡的危险因素。在所有模型中，使用长期护理服务的参与者死亡的风险比显著低于不使用这些服务的参与者。在服务使用者中，机构服务使用者参与者死亡的风险比显著高于家庭服务使用者。这项研究还确定了从家庭服务向机构服务过渡的影响。LTCI的主要目标是促进老年人的健康和生活稳定。为了推迟和防止住院，有必要开发辅助设备和有效的家庭服务，并确保老年患者能够获得这些服务。(C)2016爱思唯尔爱尔兰有限公司版权所有。
It is necessary to confirm the effect of long-term care insurance (LTCI) by identifying changes in mortality, whether benefits are used or not, as well as the effects of in-home and institutional services on mortality. The goal of this study was to identify the association between service use and the mortality rate in elderly Koreans. We used Cox proportional hazard regression models and the Kaplan-Meier survival curve method to estimate the hazard ratio and survival probability for death while adjusting for covariates. We detected a 27.8% mortality rate at the 40-month follow-up period. Male gender, advanced age and activities of daily living were risk factors for mortality. In all models, the hazard ratio of participant death of those using long-term care services was significantly lower than for those who did not use these services. Among the service users, the hazard ratio for participant death of institutional service users was significantly higher than it was for in-home service users. This study also identified the impact of the transition from in-home services to institutional services. A primary goal of LTCI is to promote health and life stabilization in the elderly. To both delay and prevent institutionalization, it is necessary to develop assistive devices and effective in-home services and ensure access of these for elderly patients. (C) 2016 Elsevier Ireland Ltd. All rights reserved.