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이지윤 ( Lee Ji-Yun ) - 건강보험심사평가원 심사평가연구센터
박은경 ( Park Eun-Gyung ) - 서울대학교 보건대학원
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Abstract
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Purpose: To examine factors affecting longterm care hospital patients’ intention of transfer to a nursing home.
Method: A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care
hospitals. The survey aimed to assess the patients’ health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2.
Result: Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home.
Conclusion; For appropriate service utilization, a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to
encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.
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KeyWords
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장기요양, 요양병원, 간호요양원, 이동 의사
Long Term Care, Hospital, Nursing Home, Intention, Patient Transfer
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원문 및 링크아웃 정보
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등재저널 정보
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