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
相关论文
共 50 条
[41]   Seasonal variations in acute hospitalization and mortality among nursing home residents: Results from LOVE (Long-term care of Old people Via KorEan Nursing Home Network) study [J].
Hwang, H. -J. ;
Kim, S. -H. .
EUROPEAN GERIATRIC MEDICINE, 2013, 4 (03) :172-175
[42]   The interplay between infection risk factors of SARS-CoV-2 and mortality: a cross-sectional study from a cohort of long-term care nursing home residents [J].
Soldevila, Laura ;
Prat, Nuria ;
Mas, Miquel A. ;
Massot, Mireia ;
Miralles, Ramon ;
Bonet-Simo, Josep M. ;
Isnard, Mar ;
Exposito-Izquierdo, Marta ;
Garcia-Sanchez, Irene ;
Rodoreda-Noguerola, Sara ;
Moreno, Nemesio ;
Badia, Esther ;
Lopez, Genis ;
Sevilla, Javier ;
Estrada, Oriol ;
Valles, Xavier .
BMC GERIATRICS, 2022, 22 (01)
[43]   The interplay between infection risk factors of SARS-CoV-2 and mortality: a cross-sectional study from a cohort of long-term care nursing home residents [J].
Laura Soldevila ;
Núria Prat ;
Miquel À. Mas ;
Mireia Massot ;
Ramón Miralles ;
Josep M. Bonet-Simó ;
Mar Isnard ;
Marta Expósito-Izquierdo ;
Irene Garcia-Sanchez ;
Sara Rodoreda-Noguerola ;
Nemesio Moreno ;
Esther Badia ;
Genís López ;
Javier Sevilla ;
Oriol Estrada ;
Xavier Vallès .
BMC Geriatrics, 22
[44]   Risk Factors Associated with Unplanned Hospitalization Among Long-Term Care Facility Residents: A Retrospective Study in Central Taiwan [J].
Lee, Chiu-Hsiang ;
Chen, Yu-An ;
Yang, Chiu-Ming ;
Huang, Kuang-Hua ;
Tsai, Tung-Han ;
Chang, Yuanmay ;
Shieh, Shwn-Huey .
HEALTHCARE, 2024, 12 (20)
[45]   Associated Factors With Antipsychotic Use in Long-Term Institutional Care in Eight European Countries: Results From the RightTimePlaceCare Study [J].
de Mauleon, Adelaide ;
Sourdet, Sandrine ;
Renom-Guiteras, Anna ;
Gillette-Guyonnet, Sophie ;
Leino-Kilpi, Helena ;
Karlsson, Staffan ;
Bleijlevens, Michel ;
Zabategui, Adela ;
Saks, Kai ;
Vellas, Bruno ;
Jolley, David ;
Soto, Maria .
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2014, 15 (11) :812-818
[46]   Factors Affecting Mealtime Difficulties in Older Adults with Dementia Living in Long-Term Care Facilities: A Multilevel Model Analysis [J].
Jung, Dukyoo ;
De Gagne, Jennie C. ;
Lee, Hyesoon ;
Yoo, Leeho ;
Park, Jisung ;
Choi, Eunju .
JOURNAL OF NURSING MANAGEMENT, 2023, 2023
[47]   A retrospective, longitudinal study of factors associated with new antipsychotic medication use among recently admitted long-term care residents [J].
Foebel, Andrea ;
Ballokova, Anna ;
Wellens, Nathalie Ih ;
Fialova, Daniela ;
Milisen, Koen ;
Liperoti, Rosa ;
Hirdes, John P. .
BMC GERIATRICS, 2015, 15
[48]   How the 2018 Japan Floods Impacted Nursing Home Admissions for Older Persons: A Longitudinal Study Using the Long-Term Care Insurance Comprehensive Database [J].
Miyamori, Daisuke ;
Yoshida, Shuhei ;
Kashima, Saori ;
Koike, Soichi ;
Ishii, Shinya ;
Okazaki, Yuji ;
Ikeda, Kotaro ;
Matsumoto, Masatoshi .
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2023, 24 (03) :368-+
[49]   Core symptoms not meeting criteria for delirium are associated with cognitive and functional impairment and mood and behavior problems in older long-term care residents [J].
Cole, Martin G. ;
McCusker, Jane ;
Voyer, Philippe ;
Monette, Johanne ;
Champoux, Nathalie ;
Ciampi, Antonio ;
Belzile, Eric ;
Minh Vu .
INTERNATIONAL PSYCHOGERIATRICS, 2014, 26 (07) :1181-1189
[50]   Factors associated with long-term functional outcomes, psychological sequelae and quality of life in persons after primary brain tumour [J].
Khan, Fary ;
Amatya, Bhasker .
JOURNAL OF NEURO-ONCOLOGY, 2013, 111 (03) :355-366
12345