Health Policy Manag.
2016 Dec;26(4):305-314. 10.4332/KJHPA.2016.26.4.305.
Long-Term Care Utilization among End-of-Life Older Adults in Korea: Characteristics and Associated Factors
- Affiliations
-
- 1Office of Policy Development for Healthy Society, Seoul National University College of Medicine, Seoul, Korea.
- 2Department of Health Science, Seoul National University Graduate School of Public Health, Seoul, Korea. hk65@snu.ac.kr
- 3Institute of Aging, Seoul National University, Seoul, Korea.
- 4Institute of Health and Environment, Seoul National University, Seoul, Korea.
- 5Asian Development Bank, Metro Manila, Philippines.
- KMID: 2369102
- DOI: http://doi.org/10.4332/KJHPA.2016.26.4.305
Abstract
- BACKGROUND
The purpose of this study is to examine the characteristics of and factors associated with long-term care (LTC) utilization under public long-term care insurance (LTCI) among end-of-life older adults in Korea.
METHODS
Using a 5% sample of older people aged 65 or older and their health and LTC insurance data, two-part model analyses were conducted. We compared LTC uses and their determinants during the last year of life among decedents in the year 2010 with those of survivors. We also compared the medical uses of the same sample with their LTC uses.
RESULTS
The end-of-life elderly were more likely to use LTC, and their expenditure on LTC was higher than their counterparts. Whether or not older people used LTC during their last year of life was significantly affected by age, sex, health insurance, household income, and living alone; however, LTC costs of the decedents were only affected by functional status, which may have been due to the reimbursement scheme of the current LTCI, which is mainly based on functional dependency level. For the survivors, having chronic diseases significantly increased the likelihood of LTC use, which was not the case for the decedents. End-of-life elderly with relatively low social economic status were more likely to use the LTC other than medical services, while the health conditions affected their medical uses most significantly.
CONCLUSION
The study findings provide key information for predicting demand related to the increasing LTC needs of Korean older people at the end of life.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- The effects of ego integrity and readiness for death on the preferences of care near the end-of-life of hospitalized older adults in long-term care hospitals: A cross-sectional correlation study
- The effects of death anxiety and social support on the preferences for care near the end of life in older adults staying at long-term care hospitals: A cross-sectional, descriptive study
- Nurses' Experiences of End of Life Care of Older Adults with Dementia
- Factors Influencing End-of-Life Care Competency of Long Term Care Hospital Nurses: A Cross Sectional Study
- “Leisure Life Satisfaction:” Will It Have a Beneficial Impact on Depression Among Older Adults in Community Care Settings in Korea?
