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. 2022 Jan;18(1):24-32.
doi: 10.3988/jcn.2022.18.1.24.

Five-Year Community Management Rate for Dementia Patients: A Proposed Indicator for Dementia Policies

Hyuk Sung Kwon #  1 , Jeewon Suh #  2 , Mi-Hee Kim  3 , Boyoung Yoo  4 , Minkyung Han  5 , Im-Seok Koh  6 , Hojin Choi  7
Affiliations

Five-Year Community Management Rate for Dementia Patients: A Proposed Indicator for Dementia Policies

Hyuk Sung Kwon et al. J Clin Neurol. 2022 Jan.

Abstract

Background and purpose: There is no specific indicator for monitoring dementia management. We propose an auxiliary indicator called the community management rate, defined as the proportion of dementia patients who receive informal care from close caregivers or themselves within their community population. The 5-year community management rate is the percentage of dementia patients who are receiving community management at 5 years after they were diagnosed. The aim of this study was to identify how the community management rate has changed over time and how the 5-year community management rate differs according to age, sex, income, residence area, and comorbidities.

Methods: We analyzed customized research database of the Korean National Health Insurance Services from 2003 to 2018. The 5-year community management rate was calculated annually with newly diagnosed dementia patients, and compared among subgroups according to age, sex, income, residence area, and comorbidities.

Results: This study analyzed 549,297 patients. Among those newly diagnosed with dementia in 2003, the mean duration of community management during the 15-year follow-up was 5.98 years. The community management rate decreased rapidly from 2003 to 2006, after which it increased. A low 5-year community management rate was associated with older age, higher comorbidity burden, nonmetropolitan residence, and low income.

Conclusions: The community management rate seems to reflect diverse patient factors. Efforts are needed to reduce the comorbidity burden and differences in the 5-year community management rate according to residence area and income. This study indicates the need for further investigations into the use of this indicator to monitor the management of dementia patients.

Keywords: National Health Insurance Service; community management rate; dementia; policy.

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Conflict of interest statement

Hyuk Sung Kwon, an assistant editor of the Journal of Clinical Neurology, was not involved in the editorial evaluation or decision to publish this article. All remaining authors have declared no conflicts of interest.

Figures

Fig. 1
Fig. 1. Community management rate during follow-up of dementia patients diagnosed in 2003, 2004, and 2005.
Fig. 2
Fig. 2. Identification of newly diagnosed dementia patients from the database of the Korean National Health Insurance Services.
Fig. 3
Fig. 3. Five-year community management rate and number of newly diagnosed dementia patients from 2003 to 2013.
Fig. 4
Fig. 4. Five-year community management rate of dementia patients stratified by age (A), sex (B), CCI (C), residence area (D), and income (E).
*p<0.05; **p<0.01. CCI, Charlson Comorbidity Index.
See this image and copyright information in PMC

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