韩国老年痴呆症受益人根据家庭和社区服务的类型和持续时间入住长期护理机构

IF 3.7 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2025-08-29 DOI:10.1016/j.outlook.2025.102537

Eun Hye Hong PhD, MPH, RN , Gwang Suk Kim PhD, RN , Eunhee Cho PhD, GNP, RN, FAAN , Sohee Park PhD , Jung Suk Lee PhD , Kyung Hee Lee PhD, MPH, GNP, RN

{"title":"韩国老年痴呆症受益人根据家庭和社区服务的类型和持续时间入住长期护理机构","authors":"Eun Hye Hong PhD, MPH, RN , Gwang Suk Kim PhD, RN , Eunhee Cho PhD, GNP, RN, FAAN , Sohee Park PhD , Jung Suk Lee PhD , Kyung Hee Lee PhD, MPH, GNP, RN","doi":"10.1016/j.outlook.2025.102537","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Dementia significantly increases long-term care (LTC) facility admission. However, the impact of home- and community-based services (HCBS) type and duration on facility admissions remains unclear.</div></div><div><h3>Purpose</h3><div>We examined LTC facility admissions according to type (home, day, and combined care) and duration (<6 vs. ≥6 months) of HCBS among beneficiaries with dementia.</div></div><div><h3>Methods</h3><div>This retrospective cohort study used the National Health Insurance and LTC Insurance datasets (2017–2019), including 14,011 beneficiaries with dementia. Multiple logistic regression and Cox proportional hazards regression analyses were performed.</div></div><div><h3>Discussion</h3><div>Day care or combined care users were more likely to be admitted than home care users. Conversely, sustained HCBS utilization (≥6 months) reduced admission risk compared with shorter utilization (<6 months).</div></div><div><h3>Conclusion</h3><div>Promoting individualized home care services and encouraging sustained HCBS utilization may delay institutionalization, enhance outcomes, support nurse-led strategies in designing and implementing individualized home care, and contribute to healthcare system sustainability.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 5","pages":"Article 102537"},"PeriodicalIF":3.7000,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Long-term care facility admissions according to type and duration of home- and community-based services among beneficiaries with dementia in Korea\",\"authors\":\"Eun Hye Hong PhD, MPH, RN , Gwang Suk Kim PhD, RN , Eunhee Cho PhD, GNP, RN, FAAN , Sohee Park PhD , Jung Suk Lee PhD , Kyung Hee Lee PhD, MPH, GNP, RN\",\"doi\":\"10.1016/j.outlook.2025.102537\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Dementia significantly increases long-term care (LTC) facility admission. However, the impact of home- and community-based services (HCBS) type and duration on facility admissions remains unclear.</div></div><div><h3>Purpose</h3><div>We examined LTC facility admissions according to type (home, day, and combined care) and duration (<6 vs. ≥6 months) of HCBS among beneficiaries with dementia.</div></div><div><h3>Methods</h3><div>This retrospective cohort study used the National Health Insurance and LTC Insurance datasets (2017–2019), including 14,011 beneficiaries with dementia. Multiple logistic regression and Cox proportional hazards regression analyses were performed.</div></div><div><h3>Discussion</h3><div>Day care or combined care users were more likely to be admitted than home care users. Conversely, sustained HCBS utilization (≥6 months) reduced admission risk compared with shorter utilization (<6 months).</div></div><div><h3>Conclusion</h3><div>Promoting individualized home care services and encouraging sustained HCBS utilization may delay institutionalization, enhance outcomes, support nurse-led strategies in designing and implementing individualized home care, and contribute to healthcare system sustainability.</div></div>\",\"PeriodicalId\":54705,\"journal\":{\"name\":\"Nursing Outlook\",\"volume\":\"73 5\",\"pages\":\"Article 102537\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-08-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing Outlook\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0029655425001903\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing Outlook","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0029655425001903","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

摘要

背景：痴呆症显著增加了长期护理（LTC）机构的入院率。然而，家庭和社区服务（HCBS）的类型和持续时间对设施入院的影响尚不清楚。目的：我们根据老年痴呆症受益人HCBS的类型（家庭、日间和联合护理）和持续时间（6个月vs.≥6个月）对LTC设施入院情况进行了检查。方法本回顾性队列研究使用国家健康保险和LTC保险数据集（2017-2019），包括14011名痴呆症受益人。进行多元logistic回归和Cox比例风险回归分析。日间护理或综合护理使用者比家庭护理使用者更容易入院。相反，持续使用HCBS（≥6个月）与较短的使用（≤6个月）相比，入院风险降低。结论推广个性化家庭护理服务和鼓励持续使用HCBS可延缓机构化，提高效果，支持护士主导的个性化家庭护理策略的设计和实施，并有助于卫生保健系统的可持续性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Long-term care facility admissions according to type and duration of home- and community-based services among beneficiaries with dementia in Korea

Background

Dementia significantly increases long-term care (LTC) facility admission. However, the impact of home- and community-based services (HCBS) type and duration on facility admissions remains unclear.

Purpose

We examined LTC facility admissions according to type (home, day, and combined care) and duration (<6 vs. ≥6 months) of HCBS among beneficiaries with dementia.

Methods

This retrospective cohort study used the National Health Insurance and LTC Insurance datasets (2017–2019), including 14,011 beneficiaries with dementia. Multiple logistic regression and Cox proportional hazards regression analyses were performed.

Discussion

Day care or combined care users were more likely to be admitted than home care users. Conversely, sustained HCBS utilization (≥6 months) reduced admission risk compared with shorter utilization (<6 months).

Conclusion

Promoting individualized home care services and encouraging sustained HCBS utilization may delay institutionalization, enhance outcomes, support nurse-led strategies in designing and implementing individualized home care, and contribute to healthcare system sustainability.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.