ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025
Association of health-care and long-term care resources for patients with dementia with institutionalization and death: Evidence from South Korea.
Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Roles and functions of social workers in long-term care for older adults in East and North-East Asia: a mixed-methods systematic review since 2000.Frontiers in public health · 2026Pooled it
- Clinical outcomes associated with Korean medicine home-visit care for patients with cognitive impairment: a multi-center retrospective observational study.Scientific reports · 2026Observational
- Association of health-care and long-term care resources for patients with dementia with institutionalization and death: Evidence from South Korea.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
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Authors and funding
2 authors.
Funding
Abstract
introductionThe role of community characteristics on supporting the community residence of older adults with dementia has received little attention. This study explores the association of community resources with extending older adults' stay in community settings and mitigating premature institutionalization and mortality.
methodsUsing data from 286,940 patients with dementia in South Korea, this study used Cox proportional hazard models to analyze the relationships among community management, institutionalization, mortality rates, and the availability of long-term care and medical resources at the municipal level, adjusting for individual factors.
resultsIncreased availability of home care nurses and physicians was significantly associated with enhanced community management, showing a noticeable decrease in mortality and institutionalization risk. Additionally, more home care social workers were associated with a reduced institutionalization risk, while an excess of medical and long-term care facilities was linked to a heightened institutionalization risk. DISCUSSION: These findings underscore the importance of health-care resources aligning with the specific needs of patients with dementia. HIGHLIGHTS: Local health-care resources may affect dementia patients' community residence. Results reveal physicians and home case nurses lower institutionalization and death. Study findings indicate home care social workers also reduce institutionalization. But, more hospital beds and long-term care facilities increase institutionalization. This underscores the need for nuanced approaches to community-based care.
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