• Title/Summary/Keyword: 재가급여 노인 수급자

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The Effect of a Social Support Program on Family Caregivers' Role Strain in Elderly Long-term Home Care (사회적 지지 프로그램이 노인장기요양 재가급여 노인 수급자 가족원의 부담감에 미치는 효과)

  • Oh, Mei Hae;Park, Kyung Min
    • Research in Community and Public Health Nursing
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    • v.25 no.2
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    • pp.137-145
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    • 2014
  • Purpose: This study was conducted to evaluate the effect of a social support program on family caregivers' role strain in elderly long-term home care. Methods: The research adopted a non-equivalent control group pretest-posttest design. The number of participants was 25 in the experimental group and 25 in the control group sampled among family caregivers in elderly long-term home care. The experimental group participated in a 10-session social support program, which consisted of physical, emotional, informational, and material support. The effect of the program was evaluated by measuring family caregivers' role strain. Results: The experimental group showed a significant decrease in family caregivers' role strain in elderly long-term home care. Conclusion: The result suggests that the social support program was effective in decreasing family caregivers' role strain in elderly long-term home care. There is a need to develop more effective and systematicsocial support programsfor family caregivers of elderly long-term home care.

A Target Selection Model for the Counseling Services in Long-Term Care Insurance (노인장기요양보험 이용지원 상담 대상자 선정모형 개발)

  • Han, Eun-Jeong;Kim, Dong-Geon
    • The Korean Journal of Applied Statistics
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    • v.28 no.6
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    • pp.1063-1073
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    • 2015
  • In the long-term care insurance (LTCI) system, National Health Insurance Service (NHIS) provide counseling services for beneficiaries and their family caregivers, which help them use LTC services appropriately. The purpose of this study was to develop a Target Selection Model for the Counseling Services based on needs of beneficiaries and their family caregivers. To develope models, we used data set of total 2,000 beneficiaries and family caregivers who have used the long-term care services in their home in March 2013 and completed questionnaires. The Target Selection Model was established through various data-mining models such as logistic regression, gradient boosting, Lasso, decision-tree model, Ensemble, and Neural network. Lasso model was selected as the final model because of the stability, high performance and availability. Our results might improve the satisfaction and the efficiency for the NHIS counseling services.

A Decision-support System for Care Plan in Long-term Care Insurance (의사결정나무기법을 활용한 노인장기요양보험 표준급여모형 개발)

  • Han, Eun-Jeong;Lee, Jung-Suk;Kim, Dong-Geon;Kwon, Jinhee
    • The Korean Journal of Applied Statistics
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    • v.27 no.5
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    • pp.667-679
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    • 2014
  • National Health Insurance Service(NHIS) provide care-plans for beneficiaries in the long-term care insurance(LTCI) systems that help them use LTC services appropriately. The care-plan includes recommendations for the most adequate type of care (gold standard) for beneficiaries. This study develops a decision-support system to determine the appropriate type of care plan. To develop a model, we used a data set that well-trained assessors in the NHIS investigated as a gold standard for beneficiaries: nursing home care, home-visit care, home-visit bathing, home-visit nursing, or day and night care. The decision-support system was established through a decision-tree model, because it may be easy to explain the algorithm of a decision-support system to working groups and policy makers. Our results might be useful in evidence-based care planning in an LTCI system and contribute to the efficient use of LTC services.

Demand and willing to pay for oral hygiene service in long-term care insurance of elderly (노인장기요양보험 재가급여 수급자의 구강위생서비스 요구도와 비용지불의사)

  • Kim, Han-Nah;Kim, Gi-Yon;Noh, Hie-Jin;Kim, Nam-Hee
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.204-209
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    • 2018
  • Objectives: This study was conducted to identify the demand and willingness to pay for oral hygiene services among elderly people with long-term care insurance. Methods: Our study was a cross-sectional analysis. Subjects comprised 126 elderly individuals from long-term home-care centers. A total of 28 centers were selected through convenience sampling from among 78 centers in ${\bigcirc}{\bigcirc}$. For analysis, semi-structured questionnaires that required about 20-30 minutes to complete were used. Analysis was performed using SPSS 23.0 software. Results: The overall demand for oral hygiene services was 44.4%, and willingness to pay was 31.0%. Thirty-three people (58.9%) of elderly those who have demand for an oral hygiene service were willing to pay for the service, and 64 people (91.4%) who did not have a demand were not willing to pay for it. Among those with partial dependence on brushing, 65.6% had demand for oral hygiene services and 50.0% were willing to pay costs. Among basic livelihood beneficiaries, 69.6% were willing to pay for oral hygiene services; general subjects and relievers were less willing to pay. Conclusions: The overall demand for oral hygiene services among elderly people was 44.4%, and the willingness to pay was as low as 31.0%.