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황나미 ( Hwang Na-Mi ) - 한국보건사회연구원
유호신 ( Ryu Ho-Shin ) - 고려대학교 간호대학
박성애 ( Park Sung-Ae ) - 서울대학교 간호대학 간호학과
김윤옥 ( Kim Youn-Ock ) - 울산대학교 의과대학 서울아산병원 간호부
문영임 ( Moon Young-Im ) - 대구가톨릭의과대학 예방의학
박정숙 ( Park Jeong-Sook ) - 연세대학교 의과대학 신촌세브란스병원
이계숙 ( Lee Kye-Sook ) - 영동세브란스병원
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Abstract
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Recently,therehasbeenanincreasingneedforlongtermcareandcomprehensivehealthcareservicesincommunitysettings.The
MinistryofHealthandWelfareintroducedtheHospitalBasedHomeNursingCareProgramin2000.Beforethisinitiative,therewasa
HomeNursingDemonstrationCenter, affiliatedwiththeSeoulNurseAssociation,hadofferedhomenursingserviceswiththefinancial supportfromthelocalgovernment.since1993,theCenter’’snursingstaffhasbeenengagedinageneralhospitalinanefforltoprovidehomenursingcareserviceswithinKorea’’shealthcaresystem.Thepurposeofthisstudywastoanalyzeandidentifycharacteristicsof community-basedhomenursingcaresuppliedbyacommunity-basedhomenursingteamengagedinageneralhospital.Also.visit nursingcarservicesprovidedbypublichealthcenterswereevaluated in terms of accessibility and supply versus demand, to enhance the accessibility of low-income patients living in Seoul to home nursing care services. Data were collected from home nursing insurance reimbursement claims submitted by the community-based home nursing care team from March 1 to October 30 in 2001 and a questionnaire survey on home-visit nursing services of 25 public health centers in Seoul. The subjects consisted of 197 patients and 12 public health centers. The result were as follows. First, medical institution’’s community-based home nursing care program was better in technical quality than health-center-based home-visit nursing care. In addition. the pattern of the subject patients was similar to that of hospital-based home nursing care program. Second, there was a high demand for community-based home nursing care while only a small number of home-visiting nurses served at public health centers in Seoul. As a result, many patients could not receive adequate care. Finally, we suggest that community-based home nursing care program should be introduced in the national health system to meet the at-home care needs of severely ill low-income patients. Furthermore, to better utilize home nursing and visit-nursing care resources and offer continued care for patients in community settings, an efficient referral network should be built among related institutions. This would require improvement of reimbursement system and amendment of the law related to health insurance system and community-based home nursing care services.
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KeyWords
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가정간호, 방문간호, 지역사회가정간호사업, 연계
Hospitalbasedhomenursingcare, Home-visitingnursing, Communitybasedhomenursingcare
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원문 및 링크아웃 정보
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등재저널 정보
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