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Determinants associated with medical-related long-term care service use among community-dwelling older adults in Taiwan
Geriatric Nursing ( IF 2.7 ) Pub Date : 2022-09-17 , DOI: 10.1016/j.gerinurse.2022.08.009
Yuchi Young , Wan-Hsiang Hsu , Ya-Mei Chen , Kuo-Piao Chung , Hsiu-Hsi Chen , Cassandra Kane , Ashley Shayya , Patrick Schumacher , Yen-Po Yeh

Introduction

Medical-related long-term care (LTC) service use among community-dwelling older adults in Taiwan is resource-intensive, and planning is essential to promote aging-in-place.

Methods

Administrative data from 4/1/2017 to 11/26/2019 among more than 14,000 residents were analyzed with generalized estimating equations (GEEs) to identify determinants of medical-related LTC service use.

Results

Older adults using medical-related LTC services tended to be younger (79.9 vs. 80.7; p<.0001), male (42.7% vs. 38.5%; p<.0001), multi-morbid (3.1 vs. 2.5; p<.0001), and higher mean activities of daily living (ADL) disability (8.2 vs. 4.2; p<.0001), instrumental ADL (IADL) disability (11.0 vs. 9.1; p<.0001), and hospitalizations (1.1 vs. 0.4; p<.0001). Significant determinants of medical-related LTC services include age, education, stroke, coronary heart disease, diabetes, vision impairment, ADL disability, and prior hospitalization.

Discussion

The success of LTC 2.0 will depend on ADL support and care coordination to manage chronic conditions such as diabetes, vision impairment, coronary heart disease, and stroke.

更新日期:2022-09-19
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