Purpose: This study aimed to investigate the status of closed-circuit television (CCTV) installation and operation in long-term care facilities and to compare the differences in stakeholders' perceptions of CCTV mandatory installation.Methods: The participants included 743 heads of facilities, 802 care workers, and 864 family caregivers. The questionnaire included CCTV installation and operation status and perceptions on CCTV installation in long-term care facilities. For the data analysis, descriptive statistics and chi-squared tests were performed through SAS Enterprise Guide 7.1.Results: For the mandatory installation of CCTV in long-term care facilities, 96.5% of family caregivers, 83.2% of care workers, and 65.0% of heads of facilities agreed (x<sup>2</sup>=273.71, p<.001). There was no difference in opinion among the stakeholders that a living room and program room should have CCTV installed. All stakeholders agreed that the items to punish CCTV information leakage should be included in the guidelines for installation and operation of CCTV in long-term care facilities. In addition, more than 90% agreed on the preparation of confidentiality obligation for viewing CCTV in all groups. However, there were differences in opinions among stakeholders on composing the guidelines in accordance with the Child Care Act and restricting CCTV installation to the outside of bedrooms.Conclusion: This study confirms that there was a difference in stakeholders’ perceptions of mandatory CCTV installation in long-term care facilities. To increase the effectiveness of mandatory CCTV installation in long-term care facilities, it is necessary to strengthen education on human rights and safety for older adults and improve care workers’ working environment.
Objectives: The purpose of this study aimed to compare the status of food service provision by residential facilities’s food service operational type. Methods: Data were collected by fax or web-based surveying nutritionists or facility managers working in 731 residential facilities in Korea. Residential facilities were extracted through a proportionate stratified sampling method based on region, establishment entity, types of food service, and facility size. Data analysis was performed using SAS program. Results: Among long term care facilities, self-operational food service types were 74.6% and outsourced service types 25.6%. It was found that outsourced service types were mostly chosen by private and independent establishments facilities. In addition, it was found that there were differences in food service personnel (full-time cooks, part-time cooks, and food service quality management managers), physical environments (senior living dining and cooking place), meal-related expenses, and providing food and nutrients(planing menu, compliance of menu plan, diabetic diet provision, served within 2 hours, identifying resident opinions) for each food service operation method. Finally, It was found that there were no differences in nutritional management (evaluation of nutritional status, nutrition intervention, food and nutrition service, nutrition education, nutrition counseling, multidisciplinary nutrition management by food service operational type. Conclusions: It is suggested that regulatory reforms are needed to establish a continuous monitoring and evaluation system for the quality of food service and nutrition management services for each food service type. In addition, it is suggested that a study to analyze whether there are differences in meal satisfaction, nutritional status, functional status and health status of subjects food service operational type.
Purpose: The purpose of this study is to confirm how the income level of the family caregivers for recipients in long-term care (LTC) facilities are related to family caregivers’ willingness to pay out-of-pocket payments for better LTC services. Methods: This study used the 2021 survey data on cost sharing in LTC facilities, which surveyed 1,111 family caregivers of recipients. To analyze the effect of the income level of family caregivers on the willingness to pay out-of-pocket payments for better LTC services, a chi-square test, a Cochran-Mantel-Haenszel test, and a logistic regression analysis were performed. Results: We found that 39.0% of respondents were willing to pay out-of-pocket payments if better services were available to recipients. Adjusted for recipient’s and family caregivers’ variables, characteristics of out-of-pocket payment, and LTC service use, the willingness to pay in the monthly household income level of 5 million won and more was 3.28 times higher than those in the monthly household income level of less than 1 million won (95% confidence level=1.93~5.55, p<.001). As monthly household income rises, the odds ratio of willingness to pay tended to increase (p<.001). Conclusion: Family caregivers who bear the out-of-pocket payments of LTC facilities are willing to pay more for better LTC services. In addition, the higher the income level of family caregivers, the higher their willingness to pay. A full-scale review of the system reform is needed to prevent out-of-pocket payments from becoming an economic barrier to service users and to contribute to service quality improvement and financial stability.
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