Evidence map›Paper›PMID 37902517›Full record

ArticleAge and ageing2023

Effective service coverage of long-term care among older persons in South Korea.

Ja-Ho Leigh, Hyejin Lee, Jaehong Yoon, Eun-Jeong Han, Eunok Park, Tong Ryoung Jung, Jotheeswaran Amuthavalli Thiyagarajan, Zee-A Han

Erratum issuedAbstract read
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In one paragraph

Article in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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  2. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ja-Ho LeighDepartment of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea.
Hyejin LeeDepartment of Family Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Jaehong YoonDepartment of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea.
Eun-Jeong HanHealth Insurance Research Institute, National Health Insurance Service, Wonju, South Korea.
Eunok ParkCollege of Nursing, Health and Nursing Research Institute, Jeju National University, Jeju, South Korea.
Tong Ryoung JungDivision of Public Health Emergency Management, Korea Disease Control and Prevention Agency, Cheongju, South Korea.
Jotheeswaran Amuthavalli ThiyagarajanDepartment of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland.
Zee-A HanDepartment of Rehabilitation Medicine, Uijeongbu Eulji Medical Center, Eulji University, Uijeongbu, South Korea.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundGlobal population aging, and the accelerated increase in the number of oldest-old adults, over 80 years, has implied a heightened need for long-term care (LTC). We aimed to provide a theoretical care cascade of LTC services to assess publicly funded LTC (Analysis 1) and to investigate the association between the use of LTC insurance (LTCI) and unmet care needs among older people (Analysis 2) in South Korea.

methodsAnalysis 1 used data from the eighth wave (2020) of the Korean Longitudinal Study of Aging (KLoSA), the 2020 National Health Insurance Service LTCI Statistical YearBook and the 2020 National Awareness Survey of LTCI. The care cascade consisted of the target population, service contacts, coverage and outcomes. Analysis 2 used the fifth to eighth waves of KLoSA, and LTCI analysis was based on three groups: not aware, aware but do not use and aware and use. Unmet care needs were defined as the absence of help among older people with care needs.

resultsAmong 8,489,208 people aged 65 or older in 2020, 1,368,148 (16.1%) were estimated to want care. Of these, 62.7% (N = 857,984) had LTCI service contact and 807,067 (94.1%) of those had used LTCI services in the past year (Analysis 1). Older people who were aware and used LTCI were less likely to report unmet activities of daily living (ADL) (prevalence ratio (PR): 0.34, 95% confidence interval (CI): 0.18-0.66) or unmet instrumental ADL (IADL) needs (PR: 0.27, 95% CI: 0.17-0.43) than those who were not aware (Analysis 2).

conclusionsThis article provides a theoretical cascade to assess LTC provision in South Korea and a preliminary model for other countries. Korea's LTCI is associated with reduced unmet ADL and IADL needs.

Indexed as

Activities of Daily LivingLong-Term CareAgedAged, 80 and overHumansInsurance, Long-Term CareLongitudinal StudiesRepublic of Koreaactivities of daily livingglobal trendslong-term caremedical aidolder people

Identifiers

PMID37902517
PMCPMC10615041

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.