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일개 지역사회 중심 가정간호시범사업소의 성과평가 연구

 A Study for Evaluating the Performance of a Community-based Home Care Services Model

지역사회간호학회지 2008년 19권 4호 p.673 ~ 683
KMID : 0607720080190040673
김세영 ( Kim Se-Young ) - 서울대학교 간호대학

박성애 ( Park Sung-Ae ) - 서울대학교 간호대학 간호학과

Abstract

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.
KeyWords

Community, Home Care Services, Performance
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학술진흥재단(KCI) KoreaMed