The Comparison of Functional Status and the Level of Health Care Needs in Elderly Koreans in Health Care Institutions

Hyun-Sil Kim; Young-Mi Jung; Hung-Sa Lee; Yoo-Hyang Cho; In-Young Yoo

doi:10.12799/jkachn.2010.21.4.386

Journal List > J Korean Acad Community Health Nurs > v.21(4) > 1058184

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Kim, Jung, Lee, Cho, and Yoo: The Comparison of Functional Status and the Level of Health Care Needs in Elderly Koreans in Health Care Institutions

Original Article

Journal of Korean Academy of Community Health Nursing 2010; 21(4): 386-397.

Published online: 4 April 2014

DOI: https://doi.org/10.12799/jkachn.2010.21.4.386

The Comparison of Functional Status and the Level of Health Care Needs in Elderly Koreans in Health Care Institutions

Hyun-Sil Kim¹, Young-Mi Jung², Hung-Sa Lee², Yoo-Hyang Cho³, In-Young Yoo⁴

¹Professor, Department of Nursing, Daegu Haany University, Korea.

²Assistant Professor, Department of Nursing, Daegu Haany University, Korea.

³Associate Professor, Department of Nursing, Chodang University, Korea.

⁴Assistant Professor, Department of Nursing, Jeonju University, Korea.

Address reprint requests to: Jung, Young-Mi, Department of Nursing, Daegu Haany University, 165 Sang-dong, Suseong-gu, Daegu 706-060, Korea. Tel: 82-53-770-2284, Fax: 82-53-770-2286, youngmi@dhu.ac.kr

Received 25 August 2010 Revised 16 November 2010 Accepted 23 November 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to compare functional status and the level of health care needs in elderly Koreans in health care institutions.

Methods

Data were collected from 2,521 elderly patients admitted in 50 health care institutions (hospitals, oriental hospitals, geriatric hospitals, and health care facilities) selected through proportional stratified sampling in 2008. We used a long-term care (LTC) assessment tool developed by the government, which consists of 52 items with 5 subscales.

Results

Statistically significant differences were detected in functional status and the level of health care needs among the subjects in different health care institutions. Of the sample population in geriatric hospitals, 48.9% were eligible for LTC Category 1, 20.9% for Category 2, and 17.2% for Category 3, and 13.1% of the subjects were not eligible for any of the categories. Of the sample population in health care facilities, 29.9% were eligible for LTC Category 1, 20.5% for Category 2, and 21.8% for Category 3, and 27.0% of the subjects were not eligible for any of the categories.

Conclusion

The findings of this study indicate the necessity of the development of an evaluation system that helps determine whether a subject is eligible for LTC.

Keywords: Aged, Function, Health care, Institutionalization, Needs

Figures and Tables

Table 1

Composition of the Study Sample in Health Care Institutions

Table 2

Demographic Characteristics of Participants (N=2,521)

^†Multiple responses.

Table 3

Comparison of Functional Status in Health Care Institutions (N=2,521)

Post hoc=Duncan test.

Table 4

Comparison of Nursing Procedures in Health Care Institutions (N=2,521)

Table 5

Comparison of the Level of Care-needs in Health Care Institutions (N=2,521)

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