Relationship between Resource Utilization and Long-term Care Classification Level for Residents in Nursing Homes.
10.4040/jkan.2010.40.6.903
- Author:
Min Kyung LEE
1
;
Eun Kyung KIM
Author Information
1. Eulji University Hospital, Daejeon, Korea.
- Publication Type:Original Article ; English Abstract
- Keywords:
Long-term care;
Aged;
Health resources;
Utilization
- MeSH:
Aged;
Aged, 80 and over;
Health Resources/economics/*utilization;
Humans;
Insurance, Long-Term Care/economics;
Long-Term Care/*classification;
Middle Aged;
*Nursing Homes;
Resource Allocation;
Time Factors
- From:Journal of Korean Academy of Nursing
2010;40(6):903-912
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was conducted to examine whether the level of classification for long-term care service under long-term care insurance reflects resource utilization level for residents in nursing homes. METHODS: From 2 long-term care facilities, the researchers selected 95 participants and identified description and time of care services provided by nurses, certified caregivers, physical therapists and social workers during a 24-hr-period. RESULTS: Resource utilization level was: 281.04 for level 1, 301.05 for level 2 and 270.87 for level 3. Resource utilization was not correlated with level. Differences in resource utilization within the same level were similar with the coefficient of variance, 22.7-27.1%. Physical function was the most influential factor on long-term care scores (r=.88, p<.001). The level for long-term care service did not reflect differences in resource utilization level of residents on long-term care insurance. CONCLUSION: The results of this study indicate that present grading for long-term care service needs to be reconsidered. Further study is needed to adjust the long-term care classification system to reflect the level of resource utilization for care recipients on the long-term care insurance.
