Factors Related to the Institutionalization of Older Aged Individuals Using Home- and Community-Based Care Services: Data From the South Korea Long-Term Care Insurance Program, 2008–2013

Woorim Kim, Sung Youn Chun, Joo Eun Lee, Tae Hoon Lee, Eun Cheol Park

Research output: Contribution to journalArticle


South Korea introduced a public long-term care insurance (LTCI) program in response to its rapidly aging population. This study analyzed the association between living arrangement and caregiver type with institutionalization in LTCI grade 1 (very severe limitations), 2 (severe limitations), and 3 (moderate limitations) beneficiaries using data from the LTCI cohort, 2008 to 2013. The dependent variable was alteration status from home to institutional care within 1 year of receiving home service. Independent variables were living arrangement and primary caregiver type. The analysis was conducted using the generalized estimating equation model. Higher likelihoods of institutionalization were found in individuals living with a non-family member compared to individuals living with their spouses. Individuals without a caregiver or with a paid caregiver were also more likely to experience institutionalization than individuals with a spouse primary caregiver. Our findings underscore the importance of monitoring identified vulnerable groups of individuals to attain LTCI sustainability and enhance elderly quality of life.

Original languageEnglish
Pages (from-to)321-337
Number of pages17
JournalJournal of Aging and Social Policy
Issue number4
Publication statusPublished - 2019 Aug 8


All Science Journal Classification (ASJC) codes

  • Demography
  • Gerontology
  • Life-span and Life-course Studies

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