• Title/Summary/Keyword: 노인장기요양보험등급

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Effects on the Functional Status Changes of LTC(Long-Term-Care) Services (노인장기요양보험 급여이용이 기능상태 변화에 미치는 영향)

  • Hyun, Kyung-Rae;Lee, Sun-Mi
    • 한국노년학
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    • v.32 no.2
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    • pp.593-609
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    • 2012
  • The study was performed to identify the functional status change of beneficiaries of Long-Term Care Insurance and its related factors. We conducted the logistic regression with 17,652 beneficiaries during August and September in 2008. As a result, activities of daily living(ADL), behavioral changes, rehab, instrumental activities of daily living(IADL) and cognitive function, followed by nursing care area were improved in a greater degree. For the institutional service, level-1 beneficiaries was significantly improved in rehab area and level-2 beneficiaries was improved in ADL. For the home-visit care service of in-home services, level-1 beneficiaries was improved in ADL, level-2 beneficiaries was improved in ADL and rehab area, level-3 beneficiaries was improved in ADL, cognitive function and behavioral changes. For the day-and-night care service, level-1 beneficiaries was improved in ADL, IADL, behavioral changes and rehab area, level-2 beneficiaries was improved in behavioral changes, level-3 beneficiaries was improved in cognitive function and behavioral changes. For the short-stay service, level-3 beneficiaries was improved in behavioral changes. By the above results, there was a difference in a functional improvement by level and used services. Therefore, government need to provide the personalized service system based on the objective and comprehensive understanding for health and functional status of beneficiaries.

The Care Giving Burden of Primary Caregiver based on Nursing Needs of Long-term Care lnsurance Grade (노인 장기 요양 보험 등급자의 간호요구에 따른 주 수발자의 부양부담감)

  • Kim, Mi-Kyoung;Park, Dahye;Ahn, Okhee
    • Journal of the Korea Convergence Society
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    • v.5 no.3
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    • pp.7-16
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    • 2014
  • The purpose of this study was to identify the factors influencing the level of nursing needs of a long-term care service user at home and the care giving burden of a primary caregiver. For this study, data were collected from 152 primary caregivers in J City with self-administered questionnaires and analyzed using multiple regression technique. Among the nursing needs of long-term care giving service users, the level of psychological and social requests was the highest. This study found that two characteristics variables(long-term care insurance benefit level and long-term care giving grade) had difference was statistically significant in physical nursing needs and psychological nursing needs. Out of care giving burden of primary caregivers, physical care giving burden was found to be the highest. Out of factors influencing care giving burden, daily care giving hours was the factor which had strongest influence. Basic living recipients and female primary caregivers showed higher care giving burden. The more care givers there were, the less care giving burden became.

A Study of Factors Affecting the Grade Maintenance of Long-Term Care Service Users (노인장기요양보험 이용자의 등급유지 영향요인 분석)

  • Moon, Yongpil;Lee, Hoyong
    • The Journal of the Korea Contents Association
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    • v.18 no.1
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    • pp.76-89
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    • 2018
  • The purpose of this study is to analyze factors affecting a grade maintenance of long-term care service users. Using 2008-2014 long-term care raw data of National Health Insurance Service(NHIS), the predictors were examined through the logistic regression by long-term care beneficiaries of grade. The results showed that there are differences by 3 factor groups and grade groups(1-3 grade). In socio-demographic factors, in the 1, 3 grade, Individuals 64 or younger presented a much higher probabilities of the grade maintenance than those 85 and over. In the 3 grade, people of living alone, resident of rural area presented a much higher probabilities of the grade maintenance than others. In disease factors, In the 1 grade, people with dementia presented a much higher probabilities of the grade maintenance than other 2, 3grades. In the 2 grade, people with stroke, fracture presented a much higher probabilities of the grade maintenance than others. In the 3 grade, people with cancer presented a much higher probabilities of the grade maintenance than others. In service factors, In the 2, 3grade, people having more renewal numbers presented a much higher probabilities of the grade maintenance than others. In the 1 grade, people who use facility benefits for more days presented a much higher probabilities of the grade maintenance than others. In the 2 grade, people who use in-home benefits for more days presented a much higher probabilities of the grade maintenance than others. Based on the finding of study, implications and future research directions were discussed for policy considerations.

A Study of Factors Affecting the Grade Maintenance of the non-graded of Long-Term Care Insurance (노인장기요양보험 등급외자의 등급유지 영향요인 분석)

  • Suh, Sujin;Moon, Yongpil
    • The Journal of the Korea Contents Association
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    • v.20 no.7
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    • pp.149-160
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    • 2020
  • The purpose of this study is to analyze factors affecting a grade maintenance of the non-graded group by LTCI(Long-Term Care Insurance, NHIS). The predictors were examined grade maintenance of the non-graded group(non-grade of A, B, C). The results were as follows: this study found that predisposing factors of the grade maintenance of non-graded of LTCI were significantly related to age, sex, death. Enabling factors of the grade maintenance of non-graded of LTCI were significantly related to household state, income level. Need factors of the grade maintenance of non-graded of LTCI were significantly related to dementia, grade of first grading, retry of applying for long-term care assessment. Based on the finding of study, implications and future research directions were discussed for policy considerations.

A Study on the Judgement Rating for Level of Need for Long-term Care Insurance Using a Decision Tree (노인 장기요양보험의 등급판정을 위한 의사결정나무 연구)

  • Han, Sang-Tae;Kang, Hyun-Cheol;Choi, Bo-Seung;Lee, Seong-Keon
    • Communications for Statistical Applications and Methods
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    • v.18 no.1
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    • pp.137-146
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    • 2011
  • Long-term care insurance is a social insurance system that provides benefits to the elderly who have difficulty taking care of themselves for a period of at least 6 months. This system was started in July, 2008 and it is very important to set proper judgement ratings for the approval process. We try to develop and improve the judgement rating system using decision tree models. Our tree model is found to be more stable and efficient than the previous one.

Study on Needs and Satisfaction of Service Related to Assistive Device and Assistive Device for Long-Term Care Elderly : Focused on Beneficiary Older Adults People in Long-term Care Insurance (노인복지용구의 품목 및 서비스의 만족도와 요구도에 대한 연구:노인장기요양보험 등급 인정자를 중심으로)

  • Woo, Ji-Hee
    • The Journal of the Korea Contents Association
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    • v.19 no.9
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    • pp.348-356
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    • 2019
  • This study is was to suggest improvement of assistive device for the elderly according to investigate the satisfaction and the needs of assistive device for elderly. The subjects were 184 beneficiary older adults in long-term health insurance who used home care service in I city and D city. Data were analyzed using SPSS 20.0. With the exception of cognitive assistance grade, subjects were showed from 'normal' to ' satisfied' on a types of assistive device and services related to assistive device. I, II grade subjects needed assistive device for self-care. III, IV and V grade subjects needed assistive device for safety and health maintenance. In the service related assistive device, All subjects needed service on 'periodic follow-up service', 'expert on assistive device' and 'comprehensive evaluation'. This results is significant in that it suggest to needed assistive device in accordance with grade unlike previous studies. Results of this study will expected to utilize as a basic evidence for improvement of assistive device, service related to assistive device for elderly.

A Determining System for the Category of Need in Long-Term Care Insurance System using Decision Tree Model (의사결정나무기법을 이용한 노인장기요양보험 등급결정모형 개발)

  • Han, Eun-Jeong;Kwak, Min-Jeong;Kan, Im-Oak
    • The Korean Journal of Applied Statistics
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    • v.24 no.1
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    • pp.145-159
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    • 2011
  • National long-term care insurance started in July, 2008. We try to make up for weak points and develop a long-term care insurance system. Especially, it is important to upgrade the rating model of the category of need for long-term care continually. We improve the rating model using the data after enforcement of the system to reflect the rapidly changing long-term care marketplace. A decision tree model was adpoted to upgrade the rating model that makes it easy to compare with the current system. This model is based on the first assumption that, a person with worse functional conditions needs more long-term care services than others. Second, the volume of long-term care services are de ned as a service time. This study was conducted to reflect the changing circumstances. Rating models have to be continually improved to reflect changing circumstances, like the infrastructure of the system or the characteristics of the insurance beneficiary.

Determinants of Long-Term Care Service Use by Elderly (노인장기요양서비스 이용형태 결정요인 연구)

  • Lee, Yun-kyung
    • 한국노년학
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    • v.29 no.3
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    • pp.917-933
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    • 2009
  • This study examined the factors affecting forms of long-term care service use by elderly and the forms of use are classified facility care service, home care service, and unused. It is used data from the 2nd pilot program for the Long Term Care Insurance scheme and it is analysed 5,497 cases. Multi-nominal regression is used. According to the results, women use formal service more than man do, and wowen use facility care than home care. Those who eligible for National Basic Livelihood Security System(NBLSS) are shown to have higher use of formal care(especially facility care) than the middle income class, and the low income class than the middle income class has lower use of formal care. In addition, higher the family care is available, lower the taking part in the service. The big cities and mid sized cities than rural are used the formal service and moreover mid sized cities are used facility care than home care. Furthermore, the level of care need is determinants of service use and function of ADL, IADL, and abnormal behavior is also determinants of formal service(especially facility care). But nursing need and rehabilitation need are not determinants of formal service use. Based on the results, the recommendations are developed and implemented for the improvement the elderly long-term care insurance.

A Comparative Study on Job Stress and Job Satisfaction of Long-Term Care Staffs for Physically Disabled Seniors with Rating 1 and for Demented Seniors with Rating 3 (노인장기요양보험에서 1등급 노인과 3등급 치매노인을 케어하는 요양보호사의 직무스트레스와 직무만족에 관한 비교연구)

  • Shin, Jeong Wook;Baek, Ju Hee
    • 한국노년학
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    • v.31 no.4
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    • pp.1067-1081
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    • 2011
  • This study aimed to compare job stress and job satisfaction of long-term care staffs caring for demented seniors with rating 3 and physically disabled seniors with rating 1. Survey was conducted upon 212 long-term care staffs in long-term care institutions in Ejungboo, Goyang, and Paju. There were, first of all, statistically significant differences between those groups in the level of overall stress, stress related to service subjects, and stress in service procedures. Regression analyses, secondly, showed that the relationship between job stress and job satisfaction was statistically significant only for long-term care staffs for demented seniors with rating 3. The results suggest that it is necessary to lower the level of stress especially for the staffs caring for demented seniors with rating 3. Furthermore, we need to consider the stress, that the staffs feels in the process of caring for long-term care service beneficiaries, as a important variable for intervention programs to reduce the level of stress among long-term care staffs.

Quality of Life and Its Association with Physical and Mental Function in the Elderly People Affiliated with Long-term Care Insurance Services (노인 장기요양보험급여 이용자들의 삶의 질과 신체적 및 정신적 기능과의 관련성)

  • Kim, Hyeong-Seon;Park, Jae-Young;Kwon, In-Sun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.10
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    • pp.3808-3819
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    • 2010
  • This study was performed to determine the levels of quality of life(QOL) according to the grade of long-term care service in the elderly people who were judged from long-term care insurance, and to reveal its association with related variables. The interviews were made to 958 elderlies in urban and rural areas from March 1 to May 31, 2009. The mean scores of QOL among all subjects were $55.4{\pm}15.62$(Grade I; $49.7{\pm}14.17$, Grade II; $56.8{\pm}14.62$, Grade III; $59.4{\pm}16.36$), and they were lower according to the higher grade of long-term care insurance. The multiple regression analysis was used to reveal the explanatory powers of factors influencing on the level QOL. Such factors as educational level, monthly income, subjective health status, depression and MMSE-K were shown to affect their QOL in Grade I, Grade II, and Grade III with explanatory powers of 45~62%.