An Analysis of the Elderly Care and Management in Hospital-Based Home Care Agencies

노인대상 의료기관 가정간호사업의 운영실태

  • Song, Chong-Rye (Department of Nursing, Ajou University Hospital) ;
  • Kang, Im-Ok (Research Institute for Health Insurance, National Health Insurance Corporation) ;
  • Kim, Yun-Ok (Department of Nursing, ASAN Medical Center) ;
  • Jo, Hea-Sook (Nursing Home Green Hill) ;
  • Hwang, Moon-Sook (Graduate School of Clinical Nursing Science, Sungkyunkwan University Samsung Medical Center)
  • 송종례 (아주대학교병원 가정간호센터) ;
  • 강임옥 (국민건강보험공단 건강보험연구원) ;
  • 김윤옥 (서울아산병원 가정간호사업실) ;
  • 조혜숙 (너싱홈 그린힐) ;
  • 황문숙 (성균관대학교 임상간호대학원, 삼성서울병원 임상간호연구소)
  • Published : 2008.12.31

Abstract

Purpose: To analyze the home care services provided to the elderly aged 65 and older by a hospital-based home care agencies and to investigate the effects of long-term care insurance for the elderly. Method: The subjects were the home care service recipients aged 65 and older in 172 hospital-based, home care agencies registered in Health Insurance Review & Assessment Service in January, 2007. The data were collected using a questionnaire from March 16 to April 15, 2007. The questionnaire return rate was 43.8%. Result: The hospital-based home care agencies were able to visit 66.5% of the national administrative districts. Of the home care service recipients, over 50% were 65 years old and older. About 43% of the agencies reported that over 50% of their patients would be subject to the long-term care insurance. They expressed concern that home care services would be withdrawn once the insurance system is initiated. Conclusion: This study suggests that hospital-based home care agencies need to manage home care services with long-term care insurance. It also recommends developing guidelines for the use of services and referrals.

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