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使用长期护理设施的意愿:韩国准老年人与韩国婴儿潮一代之间的差异

Intention to Use Long-Term Care Facilities: Differences beween Korean Pre-elderly and Korean Baby-boomers.

作者信息

Hong Michin, Hong Seunghye, Kim Mee Hye, Yi Eun Hye

机构信息

Indiana University School of Social Work, 902 West New York Street, Indianapolis, IN, 46202, USA.

, Honolulu, USA.

出版信息

J Cross Cult Gerontol. 2016 Dec;31(4):357-368. doi: 10.1007/s10823-016-9300-6.

Abstract

With the rapidly increasing number of older adults, dealing with long-term care (LTC) needs becomes an emerging issue in South Korea. This study aims to examine factors affecting the intention to use longtermcare facilities with two groups of young-old adults: (1) Korean pre-elderly (KPE) and (2) Korean babyboomers (KBB). Guided by Andersen's behavioral model of health service use and prior research, predisposing characters, enabling resources, need factors, availabilities of informal care and self-care activities were used as predictors. In the final analyses, 803 KPE and 966 KBB were included. The results of logistic regression analyses showed different findings in two groups. Age, education, spouse's physicalhealth, and self-care activities for relationship with family and friends are significantly associated with intention to use LTC facilities among KPE. However, income, physical health of respondents, and relationship satisfaction with children are significantly related to intention of use LTC facilities in the group of KBB. This study suggests different LTC needs between KPE and KBB. Health care professionals and policy makers need to consider such differences to provide quality LTC care for them.

摘要

随着老年人数量的迅速增加,应对长期护理(LTC)需求成为韩国一个新出现的问题。本研究旨在考察影响两组年轻老年人使用长期护理设施意愿的因素:(1)韩国准老年人(KPE)和(2)韩国婴儿潮一代(KBB)。以安德森的卫生服务利用行为模型和先前的研究为指导,将易患特征、促成资源、需求因素、非正式护理的可获得性和自我护理活动用作预测因素。在最终分析中,纳入了803名KPE和966名KBB。逻辑回归分析结果在两组中显示出不同的结果。年龄、教育程度、配偶的身体健康状况以及与家人和朋友关系的自我护理活动在KPE中与使用长期护理设施的意愿显著相关。然而,收入、受访者的身体健康状况以及与子女的关系满意度在KBB组中与使用长期护理设施的意愿显著相关。本研究表明KPE和KBB之间存在不同的长期护理需求。医疗保健专业人员和政策制定者需要考虑这些差异,以便为他们提供高质量的长期护理服务。

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