Discussion on Expansion and Establishment of Home Nursing Care

가정ㆍ방문간호사업의 확대 및 정착을 위한 시론(時論)

  • Published : 2002.12.01

Abstract

The purpose of study is to develop a home nursing care project model suitable for Korea's heath care system and policy directions for expansion and establishment of home nursing care. Method: The first, status of home nursing care program in medical institution and public health center was evaluated respectively in view of structure, process and performance. And then, issues of the program were analyzed in view of accessibility, safety, and sufficient supply. The second, demand projection of home nursing care according to income level and technical level of service that is needed to the subject was tried. In addition, the level of supply for home nursing care at present was estimated. The third, home nursing care program in advanced countries (Japan and U.S.A.) was examined. Result and Conclusion: Community-based home nursing care program is developed into public-operation model and private-operation model from above the sub-subject result. Functional network for referral system among related institutions is built up to meet various needs, regardless of accessibility to distance and economy. And prior settlements and policy directions for expansion and establishment of home nursing care are suggested.

Keywords

References

  1. Han, K. J., Park, S. A., Hah, Y. S., Yun, S. N., Song, M. S. (1994). A survey on home health care needs in youn-cheon county in Korea, J. of Korean Acad. of nursing, 24(3), 484-497
  2. Hatry, R. W., Fisk, D. (1973). Practical program evaluation for state and local government officials, Washington, D. C.: The Urban Institute
  3. Hinshaw, A, Atwood, J. R. (1981). A patient satisfaction instrument : precision by replication, Nursing Research, 31(3), 170-175
  4. Hsiao, W. C., Yntema, D. B., Braun, P. C. (1988). Measurement and analysis of intraservice work, J. of American Medical Association, 260(16), 2361-2370
  5. Kim, S. L., Lee, K. Y. (1999). Visiting nuring activities provided by public health nurses in a health center, The J. of Korean Acad. Soc. of Home Care Nursing, 6, 59-65
  6. Korea Institute for Health and Social Affairs. (1999). Research on people health and nutrition state:1998, seoul
  7. Korea National Statistical Office. (2000). Prospective projection in population. seoul
  8. Lim, Y. O., So, A. Y. (1999). A study visiting nursing service in primary health care units, The J. of Korean Community Nursing, 10(2), 480-493
  9. Ministry of Health and Welfare. (1999). The operation guide of home visiting nursing program, seoul
  10. Ministry of Health and Welfare. (2001). The work guide of home care nursing grogram in medical institution seoul
  11. National Health Institution Corporation (2000). Yearbook of health and welfare statistics:1999. seoul
  12. National Health Institution Corporation, Ministry of Health and Welfare. (2000). Yearbook of health benefits: 1999. seoul
  13. Park, J. H, Kim, M. J., Hong, K. J., Han, K. J., Park, S. A., Yun, S. N., Lee, I. S., Cho, H., Bang, K. S. (1998). An operations study on the home health care nursing delivery system, The J. of Korean Acad. Soc. of Home Care Nursing, 5, 20-31
  14. Pickrens, M. E., Tayback, M. (1957). A tob satisfaction study, Nursing Outlook, 5(3), 157-159
  15. Rose, M. A. (1976). Problems families face in home care, American J. of Nursing, 3, 416-418
  16. Saba, V. K. (1990). The Classifications of home health nursing diagnoses and interventions, HCFA
  17. Sanborn, C. W., Blount, M. (1984). Standard plans for care and discharge, American J. of Nursing, 11, 1394-1396
  18. Shaw, C. D. (1986). Introducing quality assurance, KF Project Paper 64, London King's Fund Publishing Office
  19. Whang, N. M. (1996). Evaluation of hospitalbased home nursing care project I, Korea Institute for Health and Social Affairs, seoul
  20. Whang, N. M. (1997). Evaluation of hospitalbased home nursing care project II, Korea Institute for Health and Social Affairs, seoul
  21. Whang, N. M, Cho, J. K, Chang, I. S. (1999). Model development and institution-alization method of hospital-based home nursing care program, Korea Institute for Health and Social Affairs, seoul
  22. Yang, B. M. (1992). Physician manpower shortage : forecasting through 2005, Korean J. of Public Health, 29(1), 65-78
  23. Yun, S. Y., Cho, M. S., Kim, H.S. (1997). A study of outcome measurement research of home nursing care program in Korea, The J. of Korean Acad. Soc. of Home Care Nursing, 4, 41-51