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Lee and Kim: Determinants of Amount of Service Use in Community-Based Long-term Care for Elders
Original Article
Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2012; 18(4): 402-413.

Published online: 31 December 2012

DOI: https://doi.org/10.11111/jkana.2012.18.4.402

Determinants of Amount of Service Use in Community-Based Long-term Care for Elders

Taewha Lee1, Bok Nam Kim2

1College of Nursing, Yonsei University, Korea.

2Department of Nursing, Daegu Health College, Korea.

Correspondence: Kim, Bok Nam. Department of Nursing, Daegu Health College, 15, Youngsong-Ro, Buk-Gu, Daegu-Si 702-722, Korea. Tel: 82-53-320-4526, Fax: 82-53-320-1470, bnkim2010@naver.com

Received 17 September 2012       Revised 5 November 2012       Accepted 29 November 2012

Copyright © 2012 Korean Academy of Nursing Administration

Abstract

Purpose

This study was done to explore factors related to amount of service use for elders with long-term care needs.

Methods

A descriptive-correlation design was used. The sample included 259 elders and their primary caregivers who had cared for the elders for at least 6 months. Data on long-term care need assessment, service use and interviews with primary caregivers were analyzed.

Results

There was no significant relationship between the sociodemographic characteristics and the amount of services use. Amount of service use differed significantly by Long-term care classification. The mean scores for class 1, 2 and 3 were 22.68, 21.47 and 17.87 days respectively. Primary caregiver relationship with the elders and the number of family-friend helpers were also significant. Multivariate regression analysis showed that gender, marital status, activities of daily living, cognitive impairment, and secondary caregiver support explained 17% of the total variance of service use among these elders (F=3.50, p<.001).

Conclusion

The results of this study indicate that critical factors including secondary caregiver support and individual background, and other functional dependencies except for physical function should be considered in accurately predicting the amount of service use for community dwelling elders with long-term care needs.

Keywords: Aged, Long-term care, Home care services, Caregivers

Figures and Tables

Table 1
General Characteristics of Participants (N=259)
jkana-18-402-i001
Table 2
Differences in Amount of Service Use by Characteristics of Participants (N=259)
jkana-18-402-i002
Table 3
Correlations among the Study Variables (N=259)
jkana-18-402-i003
Table 4
Determinants of Amount of Service Use in Community-Based Long-Term Elder Care (N=259)
jkana-18-402-i004

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