Association between home-visit nursing utilization and all-cause hospitalization among long-term care insurance beneficiaries

A retrospective cohort study

Yeong Jun Ju, Hyo Jung Lee, Woorim Kim, Sang Ah Lee, Kyu Tae Han, Euncheol Park

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background Ensuring and improving long-term care services that use limited healthcare resources more efficiently is a major concern for many aging societies. Objectives The aim of this study was to investigate the relationship between use of home-visit nursing services and all-cause hospitalization in a home-visit nursing-recommended group. Design A retrospective cohort study. Setting Population-based sample of long-term care insurance beneficiaries from the long-term care insurance 2002–2013 claims database in South Korea. Participants Long-term care insurance beneficiaries who need one or more types of nursing care were defined as the home-visit nursing −recommended group (n = 4173). Measurements The dependent variable in this study was all-cause hospitalization in the home-visit nursing-recommended population. Multivariate Cox proportional hazards regression analysis was used to identify the association between home-visit nursing service use and all-cause hospitalization. Results A total of 3.8% of the subjects used home-visit nursing services. When participants who used home-visit nursing services were set as the reference group, participants who did not use home-visit nursing services had a higher risk of hospitalization (hazard ratio [HR] = 1.25, 95% confidence interval [CI] = 1.07–1.47). Additionally, participants who did not use home-visit nursing services and who did not have a caregiver showed a marked increase in the risk of hospitalization (HR = 6.81, 95% CI = 1.17–39.66). Participants who did not use home-visit nursing services with greater comorbidity showed a considerable increase in risk of hospitalization (HR = 1.36, 95% CI = 1.09–1.70). Conclusions Non-use of home-visit nursing services was associated with an increased risk of all-cause hospitalization in the home-visit nursing-recommended population. The present results suggest that the use of home-visit nursing services reduced the risk of hospitalization. Moreover, home-visit nursing may play an essential role in reducing hospitalization risk in the absence of caregiver support.

Original languageEnglish
Pages (from-to)93-100
Number of pages8
JournalInternational Journal of Nursing Studies
Volume75
DOIs
Publication statusPublished - 2017 Oct 1

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Long-Term Care Insurance
Home Nursing
House Calls
Insurance Benefits
Nursing Services
Hospitalization
Cohort Studies
Retrospective Studies
Confidence Intervals
Caregivers
Population
Republic of Korea
Long-Term Care

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

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title = "Association between home-visit nursing utilization and all-cause hospitalization among long-term care insurance beneficiaries: A retrospective cohort study",
abstract = "Background Ensuring and improving long-term care services that use limited healthcare resources more efficiently is a major concern for many aging societies. Objectives The aim of this study was to investigate the relationship between use of home-visit nursing services and all-cause hospitalization in a home-visit nursing-recommended group. Design A retrospective cohort study. Setting Population-based sample of long-term care insurance beneficiaries from the long-term care insurance 2002–2013 claims database in South Korea. Participants Long-term care insurance beneficiaries who need one or more types of nursing care were defined as the home-visit nursing −recommended group (n = 4173). Measurements The dependent variable in this study was all-cause hospitalization in the home-visit nursing-recommended population. Multivariate Cox proportional hazards regression analysis was used to identify the association between home-visit nursing service use and all-cause hospitalization. Results A total of 3.8{\%} of the subjects used home-visit nursing services. When participants who used home-visit nursing services were set as the reference group, participants who did not use home-visit nursing services had a higher risk of hospitalization (hazard ratio [HR] = 1.25, 95{\%} confidence interval [CI] = 1.07–1.47). Additionally, participants who did not use home-visit nursing services and who did not have a caregiver showed a marked increase in the risk of hospitalization (HR = 6.81, 95{\%} CI = 1.17–39.66). Participants who did not use home-visit nursing services with greater comorbidity showed a considerable increase in risk of hospitalization (HR = 1.36, 95{\%} CI = 1.09–1.70). Conclusions Non-use of home-visit nursing services was associated with an increased risk of all-cause hospitalization in the home-visit nursing-recommended population. The present results suggest that the use of home-visit nursing services reduced the risk of hospitalization. Moreover, home-visit nursing may play an essential role in reducing hospitalization risk in the absence of caregiver support.",
author = "Ju, {Yeong Jun} and Lee, {Hyo Jung} and Woorim Kim and Lee, {Sang Ah} and Han, {Kyu Tae} and Euncheol Park",
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Association between home-visit nursing utilization and all-cause hospitalization among long-term care insurance beneficiaries : A retrospective cohort study. / Ju, Yeong Jun; Lee, Hyo Jung; Kim, Woorim; Lee, Sang Ah; Han, Kyu Tae; Park, Euncheol.

In: International Journal of Nursing Studies, Vol. 75, 01.10.2017, p. 93-100.

Research output: Contribution to journalArticle

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N2 - Background Ensuring and improving long-term care services that use limited healthcare resources more efficiently is a major concern for many aging societies. Objectives The aim of this study was to investigate the relationship between use of home-visit nursing services and all-cause hospitalization in a home-visit nursing-recommended group. Design A retrospective cohort study. Setting Population-based sample of long-term care insurance beneficiaries from the long-term care insurance 2002–2013 claims database in South Korea. Participants Long-term care insurance beneficiaries who need one or more types of nursing care were defined as the home-visit nursing −recommended group (n = 4173). Measurements The dependent variable in this study was all-cause hospitalization in the home-visit nursing-recommended population. Multivariate Cox proportional hazards regression analysis was used to identify the association between home-visit nursing service use and all-cause hospitalization. Results A total of 3.8% of the subjects used home-visit nursing services. When participants who used home-visit nursing services were set as the reference group, participants who did not use home-visit nursing services had a higher risk of hospitalization (hazard ratio [HR] = 1.25, 95% confidence interval [CI] = 1.07–1.47). Additionally, participants who did not use home-visit nursing services and who did not have a caregiver showed a marked increase in the risk of hospitalization (HR = 6.81, 95% CI = 1.17–39.66). Participants who did not use home-visit nursing services with greater comorbidity showed a considerable increase in risk of hospitalization (HR = 1.36, 95% CI = 1.09–1.70). Conclusions Non-use of home-visit nursing services was associated with an increased risk of all-cause hospitalization in the home-visit nursing-recommended population. The present results suggest that the use of home-visit nursing services reduced the risk of hospitalization. Moreover, home-visit nursing may play an essential role in reducing hospitalization risk in the absence of caregiver support.

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