Korea Journal of Hospital Management (한국병원경영학회지)

Korean Society of Hospital Management (한국병원경영학회)
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Factors Associated with the Long-Stay Admissions in Geriatric Hospitals - Focused on Dementia's Inpatients -

요양병원 치매노인의 장기입원 관련 요인

  • Lee, Yun Jin (Health Insurance Review & Assessment Service) ;
  • Lee, Sang Gyu (Department of Preventive Medicine, College of Medicine, Yonsei University) ;
  • You, Chang Hoon (Seoul Health Foundation) ;
  • Kim, Bomgyeol (Department of Public Health, College of Medicine, Yonsei University) ;
  • Kim, Tae Hyun (Graduate School of Public Health, Yonsei University)
  • 이윤진 (건강보험심사평가원) ;
  • 이상규 (연세대학교 의과대학 예방의학교실) ;
  • 유창훈 (서울특별시 공공보건의료재단) ;
  • 김봄결 (연세대학교 의과대학 보건학과) ;
  • 김태현 (연세대학교 보건대학원)
  • Received : 2020.05.04
  • Accepted : 2020.08.26
  • Published : 2020.09.30
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Abstract

Purposes: The purpose of this study was to identify the factors related to the long-stay hospitalization of dementia patients aged 65 years or older who had received inpatient care at geriatric hospitals according to the minute facility characteristics and patient features. Methodology: This study was conducted on 317,353 cases of 1,512 geriatric hospitals using the Health Insurance Review and Assessment Service dataset. The data collected were processed using the SAS Enterprise Guide 4.3 for descriptive statistics, the chi-square test, and the binary logistic regression analysis. Findings: As a result of the study, in the facility characteristics of geriatric hospitals, the long-stay hospitalization of the aged with dementia were found to be related to the type of facility establishment, the number of hospital beds, the number of medical specialists, the number of nursing personnel, and the number of geriatric hospitals by region and province. In the personal features of patients, the long-stay hospitalization was found to be associated with the gender, age, insurance, and the patient classification groups. Practical Implication: Considering the results of this study, it seems that securing the sufficient medical personnel in a geriatric facility, providing the good quality medical services, and preparing the appropriate discharge plan can reduce the unnecessary long-stay hospitalization and spend the medical expenses for the older patients.

Keywords

References

  1. KOrean Statistical Information Service. Ratio of population over 65 years old(si/gun/gu); 2020 [cited 2020 Apr 6]. Available from http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1YL20631&conn_path=I2.
  2. Lee JT. The Status and Improvement of Long-term Care Hospitals. Korea Insurance Research Institute, 2015;14:8-16.
  3. Cho CY. Geriatric Long-Term Care Practice in Korea. Korean Journal of Clinical Geriatrics. 2018;19(2):63-71. https://doi.org/10.15656/kjcg.2018.19.2.63
  4. Chae JM, Song HJ. Relationship between Hospital Structure Characteristics and Decline in Activity of Daily Living among Elderly Inpatients in Long-term Care Hospitals. The Journal of the Korean Public Health Association. 2015;41(3):101-110.
  5. Jeon B, Kwon S, Kim H. Patient and Hospital Characteristics of Long-Stay Admissions in Long-Term Care Hospitals in Korea. Health Policy and Management. 2016;26(1):39-50. https://doi.org/10.4332/KJHPA.2016.26.1.39
  6. Health Insurance Review&Assessment Service, National Health Insurance Service. National Health Insurance Statistical Yearbook 2017. Wonju: Health Insurance Review&Assessment Service, National Health Insurance Service; 2017.
  7. National Institute of Dementia. Korean Dementia Observatory 2019. Seoungnam: National Institute of Dementia; 2020.
  8. Bang HJ, Lee KS. Determinants of Length of Stay in Geriatric Hospitals - Focused on Alzheimer Dementias Inpatients. Journal of the Korea Contents Association. 2013;13(12):900-909. https://doi.org/10.5392/JKCA.2013.13.12.900
  9. Lee HS. An Analysis of the UK's Dementia Response Policy and Its Implications: Focusing on Scotland's National Dementia Strategy. Health and Social Welfare Review. 2019;39(1):72-107. https://doi.org/10.15709/hswr.2019.39.1.72
  10. Cai Q, Salmon JW, Rodgers ME. Factors Associated with Long-stay Nursing Home Admissions among the US Elderly Population: Comparison of Logistic Regression and the Cox Proportional Hazards Model with Policy Implications for Social Work. Social Work in Health Care. 2009;48(2):154-168. https://doi.org/10.1080/00981380802580588
  11. Gassoumis ZD, Fike KT, Rahman AN, Enguidanos SM, Wilber KH. Who Transitions to the Community from Nursing Homes?: Comparing Patterns and Predictors for Shortstay and Long-stay Residents. Home Health Care Services Quarterly. 2013;32(2):75-91. https://doi.org/10.1080/01621424.2013.779353
  12. Son K, Shin J, Lim E, Lee T, Kim H. Population Aging and Health Care Expenditure in South Korea: A Critical Review. Korean Journal of Health Economics Policy. 2015;21(1):51-77.
  13. Jang JM. An Analysis of Increasing Medical Expenses for In-patients in Convalescent Hospital. [dissertation]. Seoul: Seoul National Unviersity; 2012.
  14. Martikainen P, Moustgaard H, Murphy M, Einio EK, Koskinen S, Martelin T, et al. Gender, Living Arrangements, and Social Circumstances as Determinants of Entry into and Exit from Long-term Institutional Care at Older Ages: A 6-year Follow-up Study of Older Finns. Gerontologist. 2009;49(1):34-45. https://doi.org/10.1093/geront/gnp013
  15. Roh OH, Lee CH, Park A, Kim KH. A Study on Characteristics of Medical Expenses and the Hospitalization Period of Hospitalized Patients Using Diem Payment System at Convalescent Hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2016; 17(8):407-14. https://doi.org/10.5762/KAIS.2016.17.8.407
  16. Kim D, Song H. Effect of Acute Hospital and Nursing Home Supplies on Inpatient Expenditure of Long-term Care Hospitals: Implications for the Role of Long-term Care Hospital. Journal of the Korean Gerontological Society. 2013; 33(3):647-59.