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노인대상 의료기관 가정간호사업의 운영실태

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

지역사회간호학회지 2008년 19권 4호 p.660 ~ 672
KMID : 0607720080190040660
송종례 ( Song Chong-Rye ) - 아주대학교 간호학과

강임옥 ( Kang Im-Ok ) - 국민건강보험공단 건강보험연구원
김윤옥 ( Kim Yun-Ok ) - 서울아산병원 가정간호사업실
조혜숙 ( Cho Hye-Sook ) - 너싱홈 그린힐
황문숙 ( Hwang Moon-Sook ) - 성균관대학교 임상간호대학원

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 They expressed concern that home care services would be withdrawn once the insurance system is initiated.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.
KeyWords

Hospital-Based Home Care Services, Insurance, Long term Care, Aged
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학술진흥재단(KCI) KoreaMed