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김세영 ( Kim Se-Young ) - 서울대학교 간호대학
박성애 ( Park Sung-Ae ) - 서울대학교 간호대학 간호학과
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Abstract
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Purpose: This study was aimed to evaluate the performance of a community-based home care services model.
Method: The subjects were 138 patients who have been enrolled during a 6 month’s period, nursing records and nursing service bills. The data was collected by self report and chart review. The mean cost per visit was compared with those of hospitalization & clinic visit in the data from National Health Insurance Corporation.
Result: A significant number of patients were bed ridden(63.8%) and unconscious(27.5%), and most of the patients had complex chronic diseases. Except nursing assessment, bed sore care was the most frequent nursing treatment(25.1%) in home care services. The mean cost per visit of home care services was 34,665 won, which was lower than those of hospitalization & clinic visit for medical aid. The patients were highly satisfied with the services by visiting nurse specialists.
Conclusion: Community-based home care services provided cost-effective and satisfied services. communitybased home care services needs systematic supports to expand it’s domain for promoting community health.
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KeyWords
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Community, Home Care Services, Performance
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원문 및 링크아웃 정보
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등재저널 정보
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