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건강보험 청구자료분석을 통한 요양시설과 요양병원 노인의 급성기병원 입원 및 사망의 관련 요인 : Factors Associated with Acute Hospitalizations and Mortality of Older Adults in Long-Term Care Facilities and Long-Term Care Hospitals: A Population-Based, Pubic-Insurance Big-Data Analysis
DC Field | Value | Language |
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dc.contributor.author | 이세윤 | - |
dc.contributor.author | 윤난희 | - |
dc.contributor.author | 최정연 | - |
dc.contributor.author | 김광일 | - |
dc.contributor.author | 김홍수 | - |
dc.date.accessioned | 2022-09-30T05:58:42Z | - |
dc.date.available | 2022-09-30T05:58:42Z | - |
dc.date.created | 2022-07-13 | - |
dc.date.issued | 2022-05 | - |
dc.identifier.citation | 노인간호학회지, Vol.24 No.2, pp.162-173 | - |
dc.identifier.issn | 2384-1877 | - |
dc.identifier.uri | https://hdl.handle.net/10371/185070 | - |
dc.description.abstract | @ 2022 Korean Gerontological Nursing Society.Purpose: This study examined individual, institutional, and regional factors associated with 90-day acute hospitalizations and 1-year mortality among older people admitted to long-term care facilities (LTCFs) and long-term care hospitals (LTCH) in Korea. Methods: We analyzed the National Health Insurance Services (NHIS) Elderly Cohort Database linked with regional statistics. The sample included 13,839 LTCF residents and 23,962 LTCH patients. Multi-level logistic regression analyses were conducted. Results: The risk for 90-day acute hospital admission was positively associated with being male and having comorbidities among both LTCF residents and LTCH patients. Being 80+ years old and having a severe case-mix (LTCF grade 1/LTCH groups A1 & 2) were positively associated with acute hospitalizations among LTCF residents, but the relationships were negative among LTCH patients. People in urban LTCFs and/or those in facilities located in regions with a higher physician supply had lower acute hospitalizations. The risk for 1-year mortality after LTCF or LTCH admission was positively associated with being an old male, having a severe case-mix, and comorbidities. Among institutional factors, public ownership for LTCFs and being a larger size for LTCHs were negatively associated with mortality. Conclusion: This health and long-term care big data analysis showed various factors influenced adverse health outcomes among older Koreans receiving institutionalized long-term care, and the patterns of the relationships were different for LTCFs and LTCHs. Further investigations are needed into the mechanisms underlying the complex dynamics among the multi-level determinants of acute care utilization and mortality by institution type. | - |
dc.language | 한국어 | - |
dc.publisher | 한국노인간호학회 | - |
dc.title | 건강보험 청구자료분석을 통한 요양시설과 요양병원 노인의 급성기병원 입원 및 사망의 관련 요인 | - |
dc.title.alternative | Factors Associated with Acute Hospitalizations and Mortality of Older Adults in Long-Term Care Facilities and Long-Term Care Hospitals: A Population-Based, Pubic-Insurance Big-Data Analysis | - |
dc.type | Article | - |
dc.identifier.doi | 10.17079/jkgn.2022.24.2.162 | - |
dc.citation.journaltitle | 노인간호학회지 | - |
dc.identifier.scopusid | 2-s2.0-85131828691 | - |
dc.citation.endpage | 173 | - |
dc.citation.number | 2 | - |
dc.citation.startpage | 162 | - |
dc.citation.volume | 24 | - |
dc.identifier.kciid | ART002843418 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | 김홍수 | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
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