Intention to Use Long-Term Care Facilities: Differences beween Korean Pre-elderly and Korean Baby-boomers

Abstract

With the rapidly increasing number of older adults, dealing with long-term care (LTC) needs becomes an emerging issue in South Korea. This study aims to examine factors affecting the intention to use longtermcare facilities with two groups of young-old adults: (1) Korean pre-elderly (KPE) and (2) Korean babyboomers (KBB). Guided by Andersen’s behavioral model of health service use and prior research, predisposing characters, enabling resources, need factors, availabilities of informal care and self-care activities were used as predictors. In the final analyses, 803 KPE and 966 KBB were included. The results of logistic regression analyses showed different findings in two groups. Age, education, spouse's physicalhealth, and self-care activities for relationship with family and friends are significantly associated with intention to use LTC facilities among KPE. However, income, physical health of respondents, and relationship satisfaction with children are significantly related to intention of use LTC facilities in the group of KBB. This study suggests different LTC needs between KPE and KBB. Health care professionals and policy makers need to consider such differences to provide quality LTC care for them.

Association between Socioeconomic Status, Physical Health and Need for Long-Term Care among the Chinese Elderly

“…Physical health was found to be negatively related to NLTC in this study. This is similar to the research carried out among Japanese elderly [6] and Korean elderly [14], which also found a negative association between physical health and NLTC. Meanwhile, previous researches conducted in the United States of America [8,57] and the United Kingdom [9] also found that having comorbid physical health problems (number of chronic diseases, pain/discomfort) was associated with a higher probability of NLTC.…”

“…The negative relationship found in this study between SES and NLTC is similar to the results of research conducted in Canada [53], Japan [54], and Vietnam [13], which found the SES and its indicators were shown to be determinants of NLTC. To be specific, the association between education and NLTC was similar to the result of Hong’s study carried out among Korean elderly people [14]. While the relationship between income and NLTC was similar to that of Hamada’s research conducted among Japanese older adults [15].…”

“…Indicators of SES, such as working status, household wealth and poverty status, are related to the daily care needs [13]. Specifically, education was found to be significantly associated with the intention to use LTC facilities among the Korean elderly born between 1945 and 1954 [14]. People of both genders with low income were shown to be more likely to be functionally dependent, and use more inpatient and health care services [15].…”

Organizational citizenship behaviors perceived by collectivistic 50-and-older customers and medical-care service performance: an application of stimulus-organism-response theory

“…Sawyer and Claxton (2019) reported that 42% of the population (45 year old and older) explains 69% of healthcare spending and 29% of the population (55 year old and older) accounted for 56% of healthcare spending among USA adults. The aging population's socio-demographic transition toward reduced fertility and increased mortality results in increased medical-care or healthcare costs and forces private and public sectors to grapple with healthy lifestyles (Health Insurance Review and Assessment Service, 2019; Gingiss, 2019), especially with baby boomers (Hong et al. , 2016; Jang, 2017).…”

Factors Affecting Long-Term Care Preferences in Turkey

“… 6 , 12 - 14 ) Individuals' personal preferences may differ regarding receiving care at home (formal or informal) or in an institution. 15 - 17 ) Several studies have reported that individuals who live alone, women, and younger people prefer institutional care. 13 , 18 ) In contrast, men generally prefer informal care.…”