J Korean Acad Community Health Nurs.  2010 Dec;21(4):386-397. 10.12799/jkachn.2010.21.4.386.

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

• Kim HS
• Jung YM
• Lee HS
• Cho YH
• Yoo IY

• KMID: 2292869
• DOI: http://doi.org/10.12799/jkachn.2010.21.4.386

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.

Keyword

Aged; Function; Health care; Institutionalization; Needs

MeSH Terms

Aged*
Delivery of Health Care*
Health Status*
Humans
Institutionalization
Long-Term Care

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