Differences in Function and Healthcare Cost of Older Adults with Dementia by Long-Term Care Service Type: A National Dataset Analysis
This study aims to analyze the function and cost changes among long-term care insurance (LTCI) beneficiaries with low-severity dementia according to their LTCI service type. Data were collected from the Korean LTCI and national health insurance (NHI) datasets. Participants were 4414 beneficiaries wi...
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| Format: | Article |
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MDPI AG
2021-03-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/3/307 |
| _version_ | 1797541934019903488 |
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| author | Ilsu Park Kyounga Lee Eunshil Yim Kyunghee Noh |
| author_facet | Ilsu Park Kyounga Lee Eunshil Yim Kyunghee Noh |
| author_sort | Ilsu Park |
| collection | DOAJ |
| description | This study aims to analyze the function and cost changes among long-term care insurance (LTCI) beneficiaries with low-severity dementia according to their LTCI service type. Data were collected from the Korean LTCI and national health insurance (NHI) datasets. Participants were 4414 beneficiaries with dementia aged 65 or older who received LTC services continuously for 4 years (2008–2011). LTCI service types were classified into home care (HC), institutional care (IC), and combined care (CC). Activities of daily living (ADL), cognitive function, medical cost, and benefit-cost were assessed. Linear mixed models and multiple regression models were used to analyze the changes in function and costs of the beneficiaries. ADL, cognitive function, medical cost, and benefit-cost differed significantly depending on the service type and time (<i>p</i> < 0.001). LTCI service types affected the degree of changes in ADL, cognitive function, medical cost, and benefit-cost over four years and showed negative changes in IC and CC beneficiaries than HC beneficiaries. HC is a cost-effective way to maintain the function of beneficiaries with low-severity dementia. Thus, efforts are needed to actively promote HC services. |
| first_indexed | 2024-03-10T13:22:38Z |
| format | Article |
| id | doaj.art-c2dd338218a744b8b74eb1d1a71193de |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T13:22:38Z |
| publishDate | 2021-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-c2dd338218a744b8b74eb1d1a71193de2023-11-21T09:55:02ZengMDPI AGHealthcare2227-90322021-03-019330710.3390/healthcare9030307Differences in Function and Healthcare Cost of Older Adults with Dementia by Long-Term Care Service Type: A National Dataset AnalysisIlsu Park0Kyounga Lee1Eunshil Yim2Kyunghee Noh3Department of Healthcare Management, Dong-eui University, 176 Eomgwangno, Busanjin-gu, Busan 47340, KoreaResearch Institute of Nursing Science, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, KoreaDepartment of Nursing, Daegu Health College, 15 Yeongsong-ro, Buk-gu, Daegu 41453, KoreaMokpo National Quarantine Station, 20 Haean-ro, 177 Beon-gil, Mokpo-si 58754, KoreaThis study aims to analyze the function and cost changes among long-term care insurance (LTCI) beneficiaries with low-severity dementia according to their LTCI service type. Data were collected from the Korean LTCI and national health insurance (NHI) datasets. Participants were 4414 beneficiaries with dementia aged 65 or older who received LTC services continuously for 4 years (2008–2011). LTCI service types were classified into home care (HC), institutional care (IC), and combined care (CC). Activities of daily living (ADL), cognitive function, medical cost, and benefit-cost were assessed. Linear mixed models and multiple regression models were used to analyze the changes in function and costs of the beneficiaries. ADL, cognitive function, medical cost, and benefit-cost differed significantly depending on the service type and time (<i>p</i> < 0.001). LTCI service types affected the degree of changes in ADL, cognitive function, medical cost, and benefit-cost over four years and showed negative changes in IC and CC beneficiaries than HC beneficiaries. HC is a cost-effective way to maintain the function of beneficiaries with low-severity dementia. Thus, efforts are needed to actively promote HC services.https://www.mdpi.com/2227-9032/9/3/307activities of daily livingcognitive functionmedical costbenefit-costlong-term caredementia |
| spellingShingle | Ilsu Park Kyounga Lee Eunshil Yim Kyunghee Noh Differences in Function and Healthcare Cost of Older Adults with Dementia by Long-Term Care Service Type: A National Dataset Analysis Healthcare activities of daily living cognitive function medical cost benefit-cost long-term care dementia |
| title | Differences in Function and Healthcare Cost of Older Adults with Dementia by Long-Term Care Service Type: A National Dataset Analysis |
| title_full | Differences in Function and Healthcare Cost of Older Adults with Dementia by Long-Term Care Service Type: A National Dataset Analysis |
| title_fullStr | Differences in Function and Healthcare Cost of Older Adults with Dementia by Long-Term Care Service Type: A National Dataset Analysis |
| title_full_unstemmed | Differences in Function and Healthcare Cost of Older Adults with Dementia by Long-Term Care Service Type: A National Dataset Analysis |
| title_short | Differences in Function and Healthcare Cost of Older Adults with Dementia by Long-Term Care Service Type: A National Dataset Analysis |
| title_sort | differences in function and healthcare cost of older adults with dementia by long term care service type a national dataset analysis |
| topic | activities of daily living cognitive function medical cost benefit-cost long-term care dementia |
| url | https://www.mdpi.com/2227-9032/9/3/307 |
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