Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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A Relationship of Care Time with Functional Status and Patients Characteristics among Patients in Long-term Care Hospitals

장기요양환자에서 환자 특징 및 기능상태와 환자돌봄 시간과의 관련성

  • Yi, Jee-Jeon (Graduate School of Public Health, Yonsei University) ;
  • Kim, Jeong-In (Graduate School of Public Health, Yonsei University) ;
  • Yu, Seung-Hm (Department of Preventive Medicine and Public Health, Yonsei University Medical College) ;
  • Yoo, Hyeong-Sik (Department of Health Administration, Kyungbuk College) ;
  • Yi, Sang-Wook (Department of Preventive Medicine and Public Health, Kwandong University Medical College)
  • 이지전 (연세대학교 보건대학원) ;
  • 김정인 (연세대학교 보건대학원) ;
  • 유승흠 (연세대학교 의과대학 예방의학교실) ;
  • 유형식 (경북대학 보건행정과) ;
  • 이상욱 (관동대학교 의과대학 예방의학교실)
  • Published : 2004.09.01
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Abstract

Objectives : The aim of this study was to investigate the functional status variables related to the care time of health professionals for patients in long-term care facilities. Methods : The functional stati of 1001 patients in 8 long-term care hospitals were examined by the Resident Assessment Instrument for Long-term Care Facility Version 2.0. The care time of health professionals for patients was calculated using data from a self-reported task survey by nurses, auxiliary nurses, private aides, doctors, physiotherapists and social workers. Results : The average care time per diem was 240.6 minutes. The care time by doctors, nurses and private aides were 11.0, 71.0 and 139.5 minutes, respectively. The lower the function of activities of daily living (ADL) and the greater the symptoms of extensive services, special care and clinical complexity, the more care time was served. On the contrary, the greater the symptoms of nursing rehabilitation, depression, cognitive disorder, behavior problem and psychiatry/mood disorder, the less care time was served. Age and gender were not significantly related to the care time. Conclusions : Developing a case mix classification system for elderly long term care patients may be helpful for both of patients and health care providers. The ADL, extensive services, special care and clinical complexity of variables should be considered in the development of a case mix system for the long term care of patients in Korea.

Keywords

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