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

Article information

Res Community Public Health Nurs. 2010;21(4):386-397
Publication date (electronic) : 2014 April 04
doi : https://doi.org/10.12799/jkachn.2010.21.4.386
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 2010 August 25; Revised 2010 November 16; Accepted 2010 November 23.

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

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© 2010 Korean Academy of Community Health Nursing

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.

Table 1

Composition of the Study Sample in Health Care Institutions

Table 1

Table 2

Demographic Characteristics of Participants (N=2,521)

Table 2

†Multiple responses.

Table 3

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

Table 3

Post hoc=Duncan test.

Table 4

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

Table 4

Table 5

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

Table 5