a Department of Public Health, Graduate School , Yonsei University , Seoul , Republic of Korea.
b HIRA Research Institute , Health Insurance Review and Assessment Service , Gangwon-do , Republic of Korea.
J Aging Soc Policy. 2019 Jul-Sep;31(4):321-337. doi: 10.1080/08959420.2019.1589890. Epub 2019 Mar 21.
South Korea introduced a public long-term care insurance (LTCI) program in response to its rapidly aging population. This study analyzed the association between living arrangement and caregiver type with institutionalization in LTCI grade 1 (very severe limitations), 2 (severe limitations), and 3 (moderate limitations) beneficiaries using data from the LTCI cohort, 2008 to 2013. The dependent variable was alteration status from home to institutional care within 1 year of receiving home service. Independent variables were living arrangement and primary caregiver type. The analysis was conducted using the generalized estimating equation model. Higher likelihoods of institutionalization were found in individuals living with a non-family member compared to individuals living with their spouses. Individuals without a caregiver or with a paid caregiver were also more likely to experience institutionalization than individuals with a spouse primary caregiver. Our findings underscore the importance of monitoring identified vulnerable groups of individuals to attain LTCI sustainability and enhance elderly quality of life.
韩国引入了公共长期护理保险（LTCI）计划，以应对其迅速老龄化的人口。本研究使用 2008 年至 2013 年 LTCI 队列的数据，分析了居住安排和主要照顾者类型与 LTCI 1 级（严重限制）、2 级（严重限制）和 3 级（中度限制）受益人的机构化之间的关联。因变量是在接受家庭服务后 1 年内从家庭护理转为机构护理的变化状况。自变量为居住安排和主要照顾者类型。分析采用广义估计方程模型进行。与与配偶同住的人相比，与非家庭成员同住的人更有可能入住机构。没有照顾者或有付费照顾者的人比有配偶主要照顾者的人更有可能入住机构。我们的研究结果强调了监测确定的弱势群体的重要性，以实现 LTCI 的可持续性并提高老年人的生活质量。
