|
|
|
|
김은경 ( Kim Eun-Kyun ) - 을지대학교 간호대학
황정해 ( Hwang Jeong-Hae ) - 건강보험심사평가원
신숙연 ( Shin Suk-Youn ) - 건강보험심사평가원
|
|
Abstract
|
|
|
|
|
Purpose: The purpose of this study was to analyze the services and cost of CVA patients in hospital-based home health care and compare the differences of home health care cost by hospital types.
Methods: The subjects of this study were 5,756 home care patients with cerebrovascular disease. Data were collected by using home health care medical expense claims from 127 hospitals in 2004.
Results: The home care service ’indewelling catheterization’ was the highest(19.28%), and then ’nasogastric tube insertion and change(16.72%)’, ’bladder irrigation(15.98)’, ’wound management(simple dressing)(10.42%)’ followed. Average home health care cost per visit was 39,943 won, and the highest 46,058 won in general hospitals and the lowest 33,922 won in tertiary hospitals, so there were statistically significant among the types of hospitals(F=1112.47, p<0.0001).
Conclusions: The number of home health care patients has been rapidly growing with the increase of aged population and demand for home care services is rising. So, it could be urgent to develop a reasonable cost reimbursement system for home health services and to expend scopes of the roles of home care specialist nurses. Amid the demand of more detail understanding the present status of home care, our study can be contributed to provide fundamental information of home care in Korea.
|
|
|
KeyWords
|
|
가정간호서비스, 가정간호비용, 뇌혈관질환자
Home care services, Home health care cost, CVA patients
|
|
|
원문 및 링크아웃 정보
|
|
 
|
|
|
등재저널 정보
|
|
 
|
|
|
|
|