Factors related to unmet nursing care needs for home-visit nursing among long-term care insurance beneficiaries

초록

This retrospective, population-based study aimed to identify factors associated with unmet nursing care needs among long-term care insurance (LTCI) beneficiaries for whom home-visit nursing (HVN) was recommended during care planning. We analyzed 1,445,835 LTCI beneficiaries using home care services between 2018 and 2022 in South Korea. Among those recommended for HVN, 91.4% did not utilize these services. The most frequent unmet needs were dialysis nursing, cancer pain control, and diabetic foot care. Logistic regression revealed that unmet needs were significantly associated with living alone (adjusted odds ratio [aOR] 1.32), the highest income quintile (aOR 1.37), LTCI benefit grade (aOR 1.18-2.00), higher comorbidity burden (aOR 1.03), cognitive decline (aOR 1.01), and behavioral/psychological symptoms including agitation, aggression, and inappropriate behaviors (aOR 1.03). These findings demonstrate substantial unmet nursing care needs despite clinical recommendations. Healthcare providers and policymakers should prioritize identifying barriers to HVN utilization and implement tailored strategies to improve care delivery. (c) 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

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