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 The Characteristics and Service Utilization of Home Nursing Care Beneficiaries Under the Korean Long Term Care Insurance

지역사회간호학회지 2011년 22권 1호 p.33 ~ 44
KMID : 0607720110220010033
이정석 ( Lee Jung-Suk ) - 국민건강보험공단 건강보험정책연구원

한은정 ( Han Eun-Jeong ) - 국민건강보험공단 건강보험정책연구원
강임옥 ( Kang Im-Ok ) - 연세대학교 의과대학 의료법윤리학과

Abstract

Purpose: This study examined the characteristics and service utilization of home nursing care beneficiaries under the Korean Long?Term Care Insurance (LTCI).

Methods: We used assessment data and claim data of National Health Insurance Corporation from July to August 2008. Data were composed of subjects who were the beneficiaries of home nursing care.

Results: A total of 634 subjects were analyzed. Of the subjects, 57.1% were 75 years and over. The average score of nursing care need was only 0.71 and the percentage of those whose nursing care need score was zero was 58.0%. More than half of the subjects had partially dependent musculoskeletal conditions, and 75.5% had two or more comorbidities. A third of them usedonly home nursing care, and another third used both home nursing care and general home care at the same time. Those who needed sore care used the largest home nursing care benefits.

Conclusion: Home nursing care of LTCI performs community?based healthcare services under LTCI. Throughout the past two years, however, it has not been active. Understanding the characteristics of its users is important in order to develop effective strategies for activating home nursing care.
KeyWords

Home nursing, Aged, Long-term care insurance, Utilization
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학술진흥재단(KCI) KoreaMed