일 지역사회 치매센터에서 저소득층 환자의 서비스 이용 실태와 예측 인자
The Utilization Rates and Predictors of Dementia Care Services of Low-Income Patients in One Community Based Dementia Care Center
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Objective：The aim of this study is to determine the utilization rates and predictors of dementia care services. Methods：We recruited 66 low-income elderly patients who were registered to one community based dementia care center. The care services were composed of hygiene care items supply, nurse visiting service, education programs for caregivers and patients, and global positioning system (GPS) or identification tags supply. Service use prediction was evaluated by multiple logistic regression analysis. Results：Use rate of hygiene care items supply was higher than others [44 of 66 (66.67%)]. The patients who lived with family had used more care items than who lived alone [odds ratio (OR), 3.43 ; 95% confidence interval (CI), 1.73 to 5.54] The patients who had comorbid conditions used more hygiene care items than who had not (OR 2.50 ; 95% CI, 1.35 to 3.78). In participants with the higher education level, the higher use rate of education program was predicted (OR 1.14 ; 95% CI, 1.01 to 1.28). Conclusion：These findings suggested that living-alone and low education should be overcome for providing more effective dementia care services to low-income patients.
Abstract
Objective：The aim of this study is to determine the utilization rates and predictors of dementia care services. Methods：We recruited 66 low-income elderly patients who were registered to one community based dementia care center. The care services were composed of hygiene care items supply, nurse visiting service, education programs for caregivers and patients, and global positioning system (GPS) or identification tags supply. Service use prediction was evaluated by multiple logistic regression analysis. Results：Use rate of hygiene care items supply was higher than others [44 of 66 (66.67%)]. The patients who lived with family had used more care items than who lived alone [odds ratio (OR), 3.43 ; 95% confidence interval (CI), 1.73 to 5.54] The patients who had comorbid conditions used more hygiene care items than who had not (OR 2.50 ; 95% CI, 1.35 to 3.78). In participants with the higher education level, the higher use rate of education program was predicted (OR 1.14 ; 95% CI, 1.01 to 1.28). Conclusion：These findings suggested that living-alone and low education should be overcome for providing more effective dementia care services to low-income patients.
참고문헌 (26)
- "2013 Survey of the Elderly" (2013)[URL]
- Kim KW, "A nationwide survey on the prevalence of dementia and mild cognitive impairment in South Korea", J Alzheimers Dis, 23, pp.281~291 (2011)
- Nationwide Study on the Prevalence of Dementia in Korean Elders, "Cho MJ", Ministry of Health and Welfare, ~ (2008)
- Schulz R, "Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes", Gerontologist, 35, pp.771~791 (1995)
- Cho MJ, "The prevalence and risk factors of dementia in the Korean elderly", Health Welfare Policy Forum, 156, pp.43~48 (2009)
- Luppa M, "Prediction of institutionalisation in dementia. A systematic review", Dement Geriatr Cogn Disord, 26, pp.65~78 (2008)
- Gallagher D, "Determinants of the desire to institutionalize in Alzheimer’s caregivers", Am J Alzheimers Dis Other Demen, 26, pp.205~211 (2011)
- 임성옥, "노인장기요양보험제도의 시행에 따른 쟁점과 문제점에 대한 고찰: 등급판정체계를 중심으로", 사회복지정책, 37(2), pp.245~266 (2010), 한국사회복지정책학회
- Lee DY, "Seoul Dementia Management Project and Seoul Metropolitan Center for Dementia", J Korean Geriatr Psychiatry, 11, pp.8~11 (2007)
- Lee JH, ". Development of the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease Assessment Packet (CERAD-K):clinical and neuropsychological assessment batteries", J Gerontol B Psychol Sci Soc Sci, 57, pp.P47~P53 (2002)
- "2013 Dementia Management Project" (2013)[URL]
- Lehmann SW, "Living alone with dementia: lack of awareness adds to functional and cognitive vulnerabilities", Int Psychogeriatr, 22, pp.778~784 (2010)
- 김성희, "장기요양인정 독거노인의 재가서비스 이용 관련 요인", 보건과 사회과학, (29), pp.237~258 (2011), 한국보건사회학회
- Miranda-Castillo C, "People with dementia living alone: what are their needs and what kind of support are they receiving?", Int Psychogeriatr, 22, pp.607~617 (2010)
- Wilkins CH, "Dementia undiagnosed in poor older adults with functional impairment", J Am Geriatr Soc, 55, pp.1771~1776 (2007)
- "Labor and Welfare/Care of Elderly Study Group. Elderly Care in 2015: Establishing Care that Supports the Dignity of the Elderly"[URL]
- Lee JY, "Illiteracy and the incidence of Alzheimer’s disease in the Yonchon County survey, Korea", Int Psychogeriatr, 20, pp.976~985 (2008)
- Albanese E, "Equity in the delivery of community healthcare to older people: findings from 10", 66 Dementia Research Group cross-sectional surveys in Latin America, China, India and Nigeria, 2011, pp.11, 153~
- Brown AF, "Collaborative care management reduces disparities in dementia care quality for caregivers with less education", J Am Geriatr Soc, 61, pp.243~251 (2013)
- Klein DA, "Wandering behaviour in community-residing persons with dementia", Int J Geriatr Psychiatry, 14, pp.272~279 (1999)
- Robinson L, "Effectiveness and acceptability of non-pharmacological interventions to reduce wandering in dementia : a systematic review", Int J Geriatr Psychiatry, 22, pp.9~22 (2007)
- Andersen RM., "Revisiting the behavioral model and access to medical care: does it matter?", J Health Soc Behav, 36, pp.1~10 (1995)
- Chen P, "ADL dependence and medical conditions in Chinese older persons: a population-based survey in Shanghai, China", J Am Geriatr Soc, 43, pp.378~383 (1995)
- Ganguli M, "Cognitive impairment and the use of health services in an elderly rural population: the MoVIES project. Monongahela Valley Independent Elders Survey", J Am Geriatr Soc, 41, pp.1065~1070 (1993)
- Kempen GI, "Factors influencing professional home care utilization among the elderly", Soc Sci Med, 32, pp.77~81 (1991)
- Boersma F, "Care services for dementia patients: predictors for service utilization", Int J Geriatr Psychiatry, 12, pp.1119~1126 (1997)