Hannover Morbidity and Mortality Long-Term Care Study (HMMPS) : German Social Long-Term Care Insurance-10-Year Follow-up of Care Level and Survival

概要

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In Germany, long-term care insurance is compulsory for the entire population as part of the social security system. The contributions to this insurance are paid by employers and employees in equal halves and are deducted on a pay-as-you-earn basis. The need for long-term care is determined using a time-based model in which all activities of day-to-day life are timed in minutes. This allows the times during which assistance is needed to be precisely calculated. A 'care level' is assigned depending on the sum of these times. The benefits payable by the long-term care insurance are staggered according to care level, the place where care is given, and whether or not it is given by professional long-term care providers. For the present study, the 1995-2007 long-term care database of a major German health fund (Deutsche BKK (DBKK)) was analysed. From a cohort of 88,575 LTC cases, the morbidity and mortality histories were followed up over an overall observation period of up to ten years. The average observation period was 2.5 years and the cumulative total of observation years was 221,625. Across all age groups, only 11.5% of all persons are still in long-term care ten years after the need for care was determined, 4.3% have been rehabilitated and 84.2% have died. Over 50% of patients died within the first three years of being admitted to long-term care. In the 70-plus age group, 91.4% died before the end of 10 years.
日本保険医学会の論文
2009-06-17