Cognitive function, behavioral problems, and physical function in long-term care insurance beneficiaries with dementia in South Korea: Comparison of home care and institutional care services

Taewha Lee, Eunsil Yim, Eunhee Cho, Jane Chung

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objectives To examine, in beneficiaries with long-term care (LTC) insurance (LTCI) with dementia in Korea, changes in cognitive function, behavioral symptoms, and physical function over time in relation to LTCI service type and to determine the 2-year effects of service type on those health outcomes. Design Secondary analyses of the existing LTCI data set from 2008 to 2010. Setting South Korea. Participants LTCI beneficiaries with dementia aged 65 and older (N = 31,319). Participants were divided according to the service type that they were receiving home care (HC), institutional care (IC), and combined care (CC). Measurements A LTC approval checklist was used to determine the level of LTCI coverage of each participant and to assess cognitive function, behavioral symptoms, and physical function. Linear mixed models and multiple regression models were used. Results There were significant differences in cognitive function, behavioral symptoms, and physical function at baseline between individuals receiving the three service types (P <.001) and overall improvements in those outcomes over 2 years in the three groups (P <.001). After limiting the sample to those who had received LTCI services for the full 2 years (2008-2010) and adjusting for baseline characteristics, individuals receiving HC were more likely to have better cognitive and physical function than those receiving IC or CC but were likely to have more behavioral symptoms 2 years after the LTCI enrollment (P <.001). Conclusion LTCI service type (HC, IC, CC) predicted cognitive function, behavioral symptoms, and physical function at 2-year follow-up in beneficiaries with dementia. Further research is necessary to examine the effect of LTC services on health outcomes in a longer observational cohort.

Original languageEnglish
Pages (from-to)1467-1475
Number of pages9
JournalJournal of the American Geriatrics Society
Volume62
Issue number8
DOIs
Publication statusPublished - 2014 Jan 1

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Long-Term Care Insurance
Behavioral Symptoms
Republic of Korea
Insurance Benefits
Home Care Services
Insurance
Cognition
Dementia
Long-Term Care
Insurance Coverage
Korea
Checklist
Health Services
Linear Models
Problem Behavior
Health
Research

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology

Cite this

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title = "Cognitive function, behavioral problems, and physical function in long-term care insurance beneficiaries with dementia in South Korea: Comparison of home care and institutional care services",
abstract = "Objectives To examine, in beneficiaries with long-term care (LTC) insurance (LTCI) with dementia in Korea, changes in cognitive function, behavioral symptoms, and physical function over time in relation to LTCI service type and to determine the 2-year effects of service type on those health outcomes. Design Secondary analyses of the existing LTCI data set from 2008 to 2010. Setting South Korea. Participants LTCI beneficiaries with dementia aged 65 and older (N = 31,319). Participants were divided according to the service type that they were receiving home care (HC), institutional care (IC), and combined care (CC). Measurements A LTC approval checklist was used to determine the level of LTCI coverage of each participant and to assess cognitive function, behavioral symptoms, and physical function. Linear mixed models and multiple regression models were used. Results There were significant differences in cognitive function, behavioral symptoms, and physical function at baseline between individuals receiving the three service types (P <.001) and overall improvements in those outcomes over 2 years in the three groups (P <.001). After limiting the sample to those who had received LTCI services for the full 2 years (2008-2010) and adjusting for baseline characteristics, individuals receiving HC were more likely to have better cognitive and physical function than those receiving IC or CC but were likely to have more behavioral symptoms 2 years after the LTCI enrollment (P <.001). Conclusion LTCI service type (HC, IC, CC) predicted cognitive function, behavioral symptoms, and physical function at 2-year follow-up in beneficiaries with dementia. Further research is necessary to examine the effect of LTC services on health outcomes in a longer observational cohort.",
author = "Taewha Lee and Eunsil Yim and Eunhee Cho and Jane Chung",
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T1 - Cognitive function, behavioral problems, and physical function in long-term care insurance beneficiaries with dementia in South Korea

T2 - Comparison of home care and institutional care services

AU - Lee, Taewha

AU - Yim, Eunsil

AU - Cho, Eunhee

AU - Chung, Jane

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Objectives To examine, in beneficiaries with long-term care (LTC) insurance (LTCI) with dementia in Korea, changes in cognitive function, behavioral symptoms, and physical function over time in relation to LTCI service type and to determine the 2-year effects of service type on those health outcomes. Design Secondary analyses of the existing LTCI data set from 2008 to 2010. Setting South Korea. Participants LTCI beneficiaries with dementia aged 65 and older (N = 31,319). Participants were divided according to the service type that they were receiving home care (HC), institutional care (IC), and combined care (CC). Measurements A LTC approval checklist was used to determine the level of LTCI coverage of each participant and to assess cognitive function, behavioral symptoms, and physical function. Linear mixed models and multiple regression models were used. Results There were significant differences in cognitive function, behavioral symptoms, and physical function at baseline between individuals receiving the three service types (P <.001) and overall improvements in those outcomes over 2 years in the three groups (P <.001). After limiting the sample to those who had received LTCI services for the full 2 years (2008-2010) and adjusting for baseline characteristics, individuals receiving HC were more likely to have better cognitive and physical function than those receiving IC or CC but were likely to have more behavioral symptoms 2 years after the LTCI enrollment (P <.001). Conclusion LTCI service type (HC, IC, CC) predicted cognitive function, behavioral symptoms, and physical function at 2-year follow-up in beneficiaries with dementia. Further research is necessary to examine the effect of LTC services on health outcomes in a longer observational cohort.

AB - Objectives To examine, in beneficiaries with long-term care (LTC) insurance (LTCI) with dementia in Korea, changes in cognitive function, behavioral symptoms, and physical function over time in relation to LTCI service type and to determine the 2-year effects of service type on those health outcomes. Design Secondary analyses of the existing LTCI data set from 2008 to 2010. Setting South Korea. Participants LTCI beneficiaries with dementia aged 65 and older (N = 31,319). Participants were divided according to the service type that they were receiving home care (HC), institutional care (IC), and combined care (CC). Measurements A LTC approval checklist was used to determine the level of LTCI coverage of each participant and to assess cognitive function, behavioral symptoms, and physical function. Linear mixed models and multiple regression models were used. Results There were significant differences in cognitive function, behavioral symptoms, and physical function at baseline between individuals receiving the three service types (P <.001) and overall improvements in those outcomes over 2 years in the three groups (P <.001). After limiting the sample to those who had received LTCI services for the full 2 years (2008-2010) and adjusting for baseline characteristics, individuals receiving HC were more likely to have better cognitive and physical function than those receiving IC or CC but were likely to have more behavioral symptoms 2 years after the LTCI enrollment (P <.001). Conclusion LTCI service type (HC, IC, CC) predicted cognitive function, behavioral symptoms, and physical function at 2-year follow-up in beneficiaries with dementia. Further research is necessary to examine the effect of LTC services on health outcomes in a longer observational cohort.

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