Factors Affecting of Long Term Care Hospital Patient's Intention of Transfer to a Nursing Home.
- Author:
Ji Yun LEE
1
;
Eun Gyung PARK
Author Information
1. Research and Development Center, Health Insurance Review & Assessment Service, Korea. leejiyun@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Long Term Care;
Hospital;
Nursing Home;
Intention;
Patient;
Transfer
- MeSH:
Caregivers;
Fee Schedules;
Humans;
Insurance;
Insurance, Health;
Intention*;
Logistic Models;
Long-Term Care*;
Nursing Homes*;
Surveys and Questionnaires
- From:Journal of Korean Academy of Community Health Nursing
2008;19(2):196-204
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To examine factors affecting long-term care hospital patients' intention of transfer to a nursing home. METHOD: A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care hospitals. The survey aimed to assess the patients' health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2. RESULT: Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home. CONCLUSION: For appropriate service utilization, a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.
