J Korean Acad Community Health Nurs.  2015 Jun;26(2):89-99. 10.12799/jkachn.2015.26.2.89.

The Effects of Visiting Nursing Services in Long-term Care Insurance: A Difference-in-Difference Analysis

• Kim J
• Lee I

• KMID: 2292687
• DOI: http://doi.org/10.12799/jkachn.2015.26.2.89

Abstract

PURPOSE
The purpose of this study was to demonstrate the effects of visiting nursing services in long-term care (LTC) insurance on changes in health status and physical functions among the elderly.
METHODS
We analyzed survey data on the living status and welfare needs of the elderly from 2008 and 2011 using the difference-in-difference method with propensity score matching.
RESULTS
The subjects were 76 elders including 38 visiting nursing service users(intervention group) and 38 home-based LTC service users (control group). Results from DID analysis confirmed that the subjective health status level of the intervention group was 2.2 points higher (p=.044) and the depression level was 0.3 point lower (p=.039) than the control group. In addition, the intervention group's ADL score was 1.9 (p=.027) and IADL 3.9 (p=.030), showing that their health was deteriorated less.
CONCLUSION
Visiting nursing service in LTC insurance was associated with delayed deterioration of subjective health status, depression, ADL and IADL. These findings suggest the need of rebuilding visiting nursing service programs focusing on prevention services, which will be more contributive to elderly health care and the reduction of social costs.

Keyword

Insurance; Long term care; Health status; Physical conditioning; Human; Propensity scores

MeSH Terms

Activities of Daily Living
Aged
Delivery of Health Care
Depression
Humans
Insurance
Insurance, Long-Term Care*
Long-Term Care
Nursing Services*
Propensity Score

Figure

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  Figure 1 Research frameworks based on Andersen's behavioral model of service use.

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