National Evidence-Based Healthcare Collaborating Agency (NECA), Seoul, Republic of Korea.
Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Republic of Korea.
Biomed Res Int. 2018 May 20;2018:7121037. doi: 10.1155/2018/7121037. eCollection 2018.
This study aimed to determine the health-related effects of elderly care through the elderly program (ECEP) compared to those who were put on standby.
Analysis was conducted concerning the demographic characteristics and chronic disease prevalence status of 108,803 ECEP participants from 2007 to 2013 and 33,932 recipients of elderly care by the elderly (ECE) in 2013. A survey was conducted to determine the effects of emotional support on 508 elders who received ECE in 2014. To determine the effect of elderly care by participation, a comparative analysis was performed using the propensity score method and a differences-in-differences model. Statistical tests were performed on these study subjects' medical expenses and utilization of medical care, while they participated in the ECEP.
ECEP participants incurred a lower total medical expense increase by US$431.94, US$75.54 lower copayment, US$357.60 lower insurance payment, and US$403.04 lower hospitalization costs, compared to the elders who were on standby. Furthermore, a significant decrease was observed in the number of days of hospitalization, even in the case of medical care utilization. Those who were receiving elderly care scored an average of 7.70 points on the Short Geriatric Depression Scale. 51% of these individuals showed a significantly high level of depression, with a score of 8 points or higher, which is a criterion for screening for depression.
The present study showed differences in medical expenses and the utilization of medical care associated with ECEP.
本研究旨在通过老年人计划（ECEP）与候补者相比，确定老年人护理对健康的影响。
分析了 2007 年至 2013 年期间 108803 名 ECEP 参与者和 2013 年接受老年人护理的 33932 名接受者的人口统计学特征和慢性病流行状况。2014 年对接受 ECE 的 508 名老年人进行了一项调查，以确定情感支持的效果。为了确定参与老年人护理的效果，使用倾向评分法和差异中的差异模型对这些研究对象的医疗费用和医疗利用情况进行了比较分析。对这些研究对象在参与 ECEP 期间的医疗费用和医疗利用情况进行了统计检验。
与候补者相比，ECEP 参与者的总医疗费用增加减少了 431.94 美元，自付额减少了 75.54 美元，保险支付减少了 357.60 美元，住院费用减少了 403.04 美元。此外，即使在医疗保健利用方面，住院天数也显著减少。接受老年人护理的人在简短老年抑郁量表上的平均得分为 7.70 分。其中 51%的人表现出明显的高抑郁水平，得分在 8 分或以上，这是抑郁症筛查的标准。
本研究表明，ECEP 与医疗费用和医疗利用存在差异。
