Institutional and individual factors associated with functional outcomes in nursing home residents under long-term care insurance in Korea: A multilevel analysis

被引：0
作者：
Kim, Sun-jin [1 ]
Song, Hyunjong [2 ]
机构：
[1] Natl Hlth Insurance Serv, Geongang ro 32, Wonju 26464, Gangwon Do, South Korea
[2] Sangji Univ, Dept Hlth Policy & Management, Sangjidae gil 83, Wonju 26339, Gangwon Do, South Korea
来源：
GERIATRIC NURSING | 2023年 / 52卷
关键词：
Nursing home; Function; Staff; Quality; DECLINE; PERFORMANCE; FACILITIES; MORTALITY; QUALITY; IMPACT;
D O I：
10.1016/j.gerinurse.2023.06.002
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
Objective: The purpose of this study was to analyze the relationship between institutional and individual characteristics that influence changes in the functional outcomes of nursing home residents. Methods: Long-term Care Insurance claims data with basic information of nursing home(n = 3,263) and longterm care needs assessment data of nursing home residents(n = 34,717) was used. The independent variable was classified into individual (level 1) and nursing home characteristics (level 2). Changes in physical function, cognitive function, and behavioral symptoms were used as dependent variables. Results: The institutional factors of nursing homes contributed relatively little to substantial changes in function of nursing home residents. Ownership, size, and nursing home staff including care worker and physical/ occupational therapist were important determinants of functional changes in nursing home residents. Conclusion: To improve the quality of nursing homes in Korea, regulations on staffing should be modified, and an disincentive policy should be introduced for low-quality institutions. & COPY; 2023 Elsevier Inc. All rights reserved.
引用
收藏
页码：152 / 156
页数：5
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