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Validity of motor impairment scale in long-term care insurance system of Korea.

Kim YH, Kwon CH, Shin HI - Ann Rehabil Med (2013)

Bottom Line: There were significant differences in characteristics between facility group and domiciliary group.In domiciliary group, no significant correlation was found between the MIS and service time.As an easy, objective, and simple method, MIS can be a useful tool in the LTCI system of Korea.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT

Objective: To validate the Motor Impairment Scale (MIS) of the Korean long-term care insurance (LTCI) system by comparing with the service time offered for aiding activities of daily living (ADL) and the ADL score.

Methods: A total of 407 elderly subjects without dementia who had used LTCI services were included in this study. Spearman correlations and multivariate linear regression models were employed to determine the relationship of the upper and lower limb MIS (U-MIS and L-MIS, respectively) to the service time and ADL. Stratified analyses for the facility group (n=121) and the domiciliary group (n=286) were performed.

Results: There were significant differences in characteristics between facility group and domiciliary group. The MIS was significantly correlated with service time in facility group (Spearman p=0.41 for U-MIS, Spearman p=0.40 for L-MIS). After adjusting for age, sex, and cognition score, U-MIS was an independent predictor for service time in facility group (p=0.04). In domiciliary group, no significant correlation was found between the MIS and service time. The MIS correlated with all of the ADL items and total ADL score in both groups. After adjusting for other factors including age, sex, and cognitive score, U-MIS and L-MIS were independent variables for explaining the total ADL score in both groups.

Conclusion: The validity of the MIS as an evaluation tool in the physically-disabled elderly is higher in facility group than in domiciliary group. As an easy, objective, and simple method, MIS can be a useful tool in the LTCI system of Korea.

No MeSH data available.


Related in: MedlinePlus

The process for approval in the long-term care insurance system. After submission of the application form to the National Health Insurance Corporation, an evaluation agent visits the applicant to evaluate status in 5 domains. A long-term care score is calculated based on the agent's reports. Finally, a long-term care grading committee reviews all the results including the long-term care score and the doctor's medical opinion to decide the care grade.
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Figure 1: The process for approval in the long-term care insurance system. After submission of the application form to the National Health Insurance Corporation, an evaluation agent visits the applicant to evaluate status in 5 domains. A long-term care score is calculated based on the agent's reports. Finally, a long-term care grading committee reviews all the results including the long-term care score and the doctor's medical opinion to decide the care grade.

Mentions: For acceptance into the LTCI program, an evaluation agent, such as a nurse, social worker or physical therapist, visits the home of the person applying for long-term care for evaluation of the condition of the applicant, using 5 evaluation domains [3,5] (Fig. 1). The long-term care grading committee reviews the status of the applicant and doctor's medical opinion to decide the care grade the applicant should receive. The Korean LTCI employs a system of 3 care grades. Elderly people who have to depend on assistance in all aspects of daily life are categorized into care grade 1. Senior citizens who need continuous instruction and monitoring are classified into care grade 2. Lastly, aged persons who need some assistance when going out are categorized into care grade 3.


Validity of motor impairment scale in long-term care insurance system of Korea.

Kim YH, Kwon CH, Shin HI - Ann Rehabil Med (2013)

The process for approval in the long-term care insurance system. After submission of the application form to the National Health Insurance Corporation, an evaluation agent visits the applicant to evaluate status in 5 domains. A long-term care score is calculated based on the agent's reports. Finally, a long-term care grading committee reviews all the results including the long-term care score and the doctor's medical opinion to decide the care grade.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3713298&req=5

Figure 1: The process for approval in the long-term care insurance system. After submission of the application form to the National Health Insurance Corporation, an evaluation agent visits the applicant to evaluate status in 5 domains. A long-term care score is calculated based on the agent's reports. Finally, a long-term care grading committee reviews all the results including the long-term care score and the doctor's medical opinion to decide the care grade.
Mentions: For acceptance into the LTCI program, an evaluation agent, such as a nurse, social worker or physical therapist, visits the home of the person applying for long-term care for evaluation of the condition of the applicant, using 5 evaluation domains [3,5] (Fig. 1). The long-term care grading committee reviews the status of the applicant and doctor's medical opinion to decide the care grade the applicant should receive. The Korean LTCI employs a system of 3 care grades. Elderly people who have to depend on assistance in all aspects of daily life are categorized into care grade 1. Senior citizens who need continuous instruction and monitoring are classified into care grade 2. Lastly, aged persons who need some assistance when going out are categorized into care grade 3.

Bottom Line: There were significant differences in characteristics between facility group and domiciliary group.In domiciliary group, no significant correlation was found between the MIS and service time.As an easy, objective, and simple method, MIS can be a useful tool in the LTCI system of Korea.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT

Objective: To validate the Motor Impairment Scale (MIS) of the Korean long-term care insurance (LTCI) system by comparing with the service time offered for aiding activities of daily living (ADL) and the ADL score.

Methods: A total of 407 elderly subjects without dementia who had used LTCI services were included in this study. Spearman correlations and multivariate linear regression models were employed to determine the relationship of the upper and lower limb MIS (U-MIS and L-MIS, respectively) to the service time and ADL. Stratified analyses for the facility group (n=121) and the domiciliary group (n=286) were performed.

Results: There were significant differences in characteristics between facility group and domiciliary group. The MIS was significantly correlated with service time in facility group (Spearman p=0.41 for U-MIS, Spearman p=0.40 for L-MIS). After adjusting for age, sex, and cognition score, U-MIS was an independent predictor for service time in facility group (p=0.04). In domiciliary group, no significant correlation was found between the MIS and service time. The MIS correlated with all of the ADL items and total ADL score in both groups. After adjusting for other factors including age, sex, and cognitive score, U-MIS and L-MIS were independent variables for explaining the total ADL score in both groups.

Conclusion: The validity of the MIS as an evaluation tool in the physically-disabled elderly is higher in facility group than in domiciliary group. As an easy, objective, and simple method, MIS can be a useful tool in the LTCI system of Korea.

No MeSH data available.


Related in: MedlinePlus