치매노인의 시설입소 관련요인: 전국인구기반 데이터 분석
Factors Related to Institutionalization in Elderly With Dementia: Analysis of Nationwide Population-Based Data
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참고문헌
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초록
Objective: Patients with dementia often require institutionalization as their disease progresses, but institutionalization may be associated with several negative outcomes including increased mortality. This study aimed to investigate factors related to institutionalization in patients with dementia in South Korea using nationwide population-based data. Methods: National Health Insurance Service and Long-Term Care Insurance (LTCI) database were used for analysis. The study population consisted of patients with dementia aged 65 years or older who qualified for LTCI institutional care benefits from 2008 to 2017. Multiple logistic regression was used to analyze factors related to institutionalization in patients with dementia. Results: We identified 141,552 patients, of which 90,110 were institutionalized and 51,442 were not. Older age, female sex, low income, non-family caregiver, less comorbidities, no disability and diagnosis of Alzheimer’s disease (AD) were related to institutionalization. Conclusion: Consistent with previous studies, older age and diagnosis of AD were related to institutionalization. In addition, low income and non-family caregiver were associated with institutionalization, which may be due to insufficient home care service in South Korea.
Abstract
Objective: Patients with dementia often require institutionalization as their disease progresses, but institutionalization may be associated with several negative outcomes including increased mortality. This study aimed to investigate factors related to institutionalization in patients with dementia in South Korea using nationwide population-based data. Methods: National Health Insurance Service and Long-Term Care Insurance (LTCI) database were used for analysis. The study population consisted of patients with dementia aged 65 years or older who qualified for LTCI institutional care benefits from 2008 to 2017. Multiple logistic regression was used to analyze factors related to institutionalization in patients with dementia. Results: We identified 141,552 patients, of which 90,110 were institutionalized and 51,442 were not. Older age, female sex, low income, non-family caregiver, less comorbidities, no disability and diagnosis of Alzheimer’s disease (AD) were related to institutionalization. Conclusion: Consistent with previous studies, older age and diagnosis of AD were related to institutionalization. In addition, low income and non-family caregiver were associated with institutionalization, which may be due to insufficient home care service in South Korea.
참고문헌 (19)
- Etters L, "Caregiver burden among dementia patient caregivers : a review of the literature", J Am Acad Nurse Pract, 20, pp.423~428 (2008)
- Luppa M, "Predictors of nursing home admission of individuals without a dementia diagnosis before admission-results from the Leipzig Longitudinal Study of the Aged(LEILA 75+)", BMC Health Serv Res, 10, pp.186~ (2010)
- Meerding WJ, "Demographic and epidemiological determinants of healthcare costs in Netherlands : cost of illness study", BMJ, 317, pp.111~115 (1998)
- Drageset J, "Differences in health-related quality of life between older nursing home residents without cognitive impairment and the general population of Norway", J Clin Nurs, 17, pp.1227~1236 (2008)
- Wolinsky FD, "The risk of nursing home placement and subsequent death among older adults", J Gerontol, 47, pp.S173~82 (1992)
- Gaugler JE, "Predictors of nursing home admission for persons with dementia", Med Care, 47, pp.191~198 (2009)
- Brodaty H, "Predictors of institutionalization in dementia : a three year longitudinal study", J Alzheimers Dis, 40, pp.221~226 (2014)
- Gaugler JE, "Caregiving and institutionalization of cognitively impaired older people : utilizing dynamic predictors of change", Gerontologist, 43, pp.219~229 (2003)
- Wattmo C, "Risk factors for nursing home placement in Alzheimer’s disease: a longitudinal study of cognition, ADL, service utilization, and cholinesterase inhibitor treatment", Gerontologist, 51, pp.17~27 (2011)
- Kim JM, "Predictors of institutionalization in patients with dementia in Korea", Int J Geriatr Psychiatry, 17, pp.101~106 (2002)
- 박동규, "Predictors of Institutionalization in Patients with Alzheimer’s Disease in South Korea", Journal of Clinical Neurology, 14(2), pp.191~199 (2018), 대한신경과학회[DOI]
- Charlson ME, "A new method of classifying prognostic comorbidity in longitudinal studies : development and validation", J Chronic Dis, 40, pp.373~383 (1987)
- Runte R, "Predictors of institutionalization in people with dementia : a survey linked with administrative data", Aging Clin Exp Res, 30, pp.35~43 (2018)
- Huang SW, "Using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) for predicting institutionalization of patients with dementia in Taiwan", Medicine(Baltimore), 94, pp.e2155~ (2015)
- Kim H, "Study on the use of healthcare services by the longterm care benefit recipients", pp.2017
- Bakker C, "Predictors of the time to institutionalization in young-versus late-onset dementia : results from the Needs in Young Onset Dementia(NeedYD)study", J Am Med Dir Assoc, 14, pp.248~253 (2013)
- Hope T, "Predictors of institutionalization for people with dementia living at home with a carer", Int J Geriatr Psychiatry, 13, pp.682~690 (1998)
- Spruytte N, "Predictors of institutionalization of cognitively-impaired elderly cared for by their relatives", Int J Geriatr Psychiatry, 16, pp.1119~1128 (2001)
- 김태일, "장기요양 서비스의 보장성 분석", 한국사회정책, 26(1), pp.174~202 (2019), 한국사회정책학회[DOI]