J Korean Geriatr Psychiatry.  2014 Apr;18(1):32-38.

The Utilization Rates and Predictors of Dementia Care Services of Low-Income Patients in One Community Based Dementia Care Center

Affiliations
  • 1Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Korea. benji@snu.ac.kr
  • 2Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Korea.
  • 3Department of Neuropsychiatry, SMG-SNU Boramae Medical Center, Seoul, Korea.
  • 4Dongjak-gu Center for Dementia, Seoul, Korea.

Abstract


OBJECTIVE
The aim of this study is to determine the utilization rates and predictors of dementia care services.
METHODS
We recruited 66 low-income elderly patients who were registered to one community based dementia care center. The care services were composed of hygiene care items supply, nurse visiting service, education programs for caregivers and patients, and global positioning system (GPS) or identification tags supply. Service use prediction was evaluated by multiple logistic regression analysis.
RESULTS
Use rate of hygiene care items supply was higher than others [44 of 66 (66.67%)]. The patients who lived with family had used more care items than who lived alone [odds ratio (OR), 3.43 ; 95% confidence interval (CI), 1.73 to 5.54]. The patients who had comorbid conditions used more hygiene care items than who had not (OR 2.50 ; 95% CI, 1.35 to 3.78). In participants with the higher education level, the higher use rate of education program was predicted (OR 1.14 ; 95% CI, 1.01 to 1.28).
CONCLUSION
These findings suggested that living-alone and low education should be overcome for providing more effective dementia care services to low-income patients.

Keyword

Dementia; Health services for the aged; Mental health services
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