Professional dental care and survival rates in long-term care recipients: A cohort study of 1 459 163 individuals in South Korea.

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2024-07-30 DOI:10.1111/ger.12781

Kyung-A Ko, Bo-A Lee, Young-Taek Kim, Jung-Seok Lee

{"title":"Professional dental care and survival rates in long-term care recipients: A cohort study of 1 459 163 individuals in South Korea.","authors":"Kyung-A Ko, Bo-A Lee, Young-Taek Kim, Jung-Seok Lee","doi":"10.1111/ger.12781","DOIUrl":null,"url":null,"abstract":"Objectives: To determine the dental care pattern and survival rates of participants who received long-term care (LTC) and a matched control cohort in South Korea.Background: Global ageing trends and the development of superaged societies pose healthcare challenges. South Korea's LTC system aids those with chronic illnesses and disabilities. Despite the link between oral health and systemic diseases, providing dental care in LTC facilities often reflects social neglect.Methods: We identified 1 459 163 individuals eligible for LTC insurance in the Korean National Health Insurance Service database from July 2008 to 2015 (LTC cohort) and 1 459 544 individuals matched through propensity-score matching (matched cohort). The LTC recipients were further categorised into subgroups based on their care type (institutional, home or mixed care). Population of utilising dental services and the average number of dental visits were counted in each cohort, and the survival rate of the LTC cohort was determined according to dental utilisation.Results: Population of utilising dental services increased steadily in all cohorts except for institutional care, with the highest utilisation (around 30%) observed in the matched cohort. Lower independence in LTC cohorts was associated with lower dental utilisation: 18-27% for home care, 12-18% for mixed care, and 10% for institutional care. The survival rates in the LTC cohort were significantly lower than in the matched cohort (P < .0001), with 28.1% survival in LTC vs 59.3% in the matched cohort.Conclusion: Long-term care recipients experience social neglect for oral care, while higher survival rates were observed in those utilised dental services.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gerodontology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ger.12781","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: To determine the dental care pattern and survival rates of participants who received long-term care (LTC) and a matched control cohort in South Korea.

Background: Global ageing trends and the development of superaged societies pose healthcare challenges. South Korea's LTC system aids those with chronic illnesses and disabilities. Despite the link between oral health and systemic diseases, providing dental care in LTC facilities often reflects social neglect.

Methods: We identified 1 459 163 individuals eligible for LTC insurance in the Korean National Health Insurance Service database from July 2008 to 2015 (LTC cohort) and 1 459 544 individuals matched through propensity-score matching (matched cohort). The LTC recipients were further categorised into subgroups based on their care type (institutional, home or mixed care). Population of utilising dental services and the average number of dental visits were counted in each cohort, and the survival rate of the LTC cohort was determined according to dental utilisation.

Results: Population of utilising dental services increased steadily in all cohorts except for institutional care, with the highest utilisation (around 30%) observed in the matched cohort. Lower independence in LTC cohorts was associated with lower dental utilisation: 18-27% for home care, 12-18% for mixed care, and 10% for institutional care. The survival rates in the LTC cohort were significantly lower than in the matched cohort (P < .0001), with 28.1% survival in LTC vs 59.3% in the matched cohort.

Conclusion: Long-term care recipients experience social neglect for oral care, while higher survival rates were observed in those utilised dental services.

查看原文本刊更多论文

专业牙科护理与长期护理对象的存活率：一项针对韩国 1 459 163 人的队列研究。

目的：确定韩国接受长期护理（LTC）的参与者和匹配对照组的牙齿护理模式和存活率：确定韩国接受长期护理（LTC）的参与者和配对对照组的牙科护理模式和存活率：背景：全球老龄化趋势和超高龄社会的发展给医疗保健带来了挑战。背景：全球老龄化趋势和超高龄社会的发展给医疗保健带来了挑战。韩国的长期护理系统为慢性病患者和残疾人士提供帮助。尽管口腔健康与全身性疾病之间存在联系，但在 LTC 机构中提供牙科护理往往反映出社会的忽视：我们在 2008 年 7 月至 2015 年期间的韩国国民健康保险服务数据库中确定了 1 459 163 名有资格享受 LTC 保险的人员（LTC 队列）和 1 459 544 名通过倾向分数匹配的人员（匹配队列）。根据护理类型（机构护理、家庭护理或混合护理），长寿护理受助者被进一步划分为不同的亚组。对每个队列中使用牙科服务的人口和平均看牙次数进行了统计，并根据牙科使用情况确定了长期护理队列的存活率：结果：除机构护理外，所有队列的牙科服务使用率都在稳步上升，其中配对队列的使用率最高（约 30%）。长期护理队列中独立性较低的人群牙科服务使用率也较低：家庭护理为 18-27%，混合护理为 12-18%，机构护理为 10%。长期护理队列的存活率明显低于匹配队列（P 结论：长期护理队列的存活率明显低于匹配队列：长期护理受助者在口腔护理方面受到社会忽视，而使用牙科服务者的存活率较高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.