Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Current Status of Costs and Utilizations of Hospital Based Home Health Nursing Care in Korea

전국 의료기관 가정간호이용 및 가정간호비용

  • Published : 2006.12.31
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Abstract

Purpose: The purpose of this study was to describe the current status of utilization and costs of home health nursing care by the levels of medical institutes in Korea. Method: A secondary analysis of existing data was used from the national electronic data information(EDI) of 148 home health agencies for 6 months from May to Oct 2005 in total. Result: The 148 agencies had multiple services in cerebral infaction, essential hypertension, sequoia of cerebrovascular disease, type 2 diabetes mellitus, etc.. The highest 10 rankings of 76 categories of home health nursing services were composed of 96.4% of the total services, such as simple treatment, inflammatory treatment, urethra & bladder irrigation, inserting indwelling catheter etc., in that order. The highest 20 rankings of 226 categories of home examination services were composed of 77.0% of the total home examination services. In addition, the average cost of home health care per visit was 46,088 Won (${\fallingdotseq}$ 48 $, 1 $=960 Won). The costs ranged from 74,523 Won (${\fallingdotseq}$78 $, loss of chronic kidney function, N18) to 32,270 Won (${\fallingdotseq}$34 $, other cerebrovascular diseases, 167). Conclusion: Results suggest that client characteristics of hospital based HHNC are not different from community based HHNC or visiting nursing services for elderly. The national results will contribute to baseline data used to establish a policy for the home health nursing care system and education.

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References

  1. Australian Government Department of Health and Aging (2004). Home and Community Care Program Minimum Data Set 2003-2004 Annual Bulletin
  2. Centers for Disease Control and Prevention (2000). National Home Care Survey
  3. Centers for Disease Control and Prevention (2006). http://www.cdc.gov
  4. Department of Health and Human Services (2001). Medicare home health care community beneficiaries. Office of Inspector General
  5. Harris, M. D. (2005). Handbook of home health care administration(4th ed.), Jones and Bartlett Publishers
  6. Health Insurance Review Agency (2005). http://www.hira.or.kr
  7. Hong, J. E. (2000). A study on fee for home care services on cerebro vascular disease patients. Unpublished master's thesis, Seoul National University, Seoul
  8. Kim, M. J. (2000). Cost analysis of community-based home health care versus hospital-based home health care. Unpublished master's thesis, Yonsei University, Seoul
  9. Lee, S. J. (2003). Cost analysis of home health care with activity-based costing(ABC). Published doctoral dissertation, Yonsei University, Seoul
  10. Ministry of Health and Welfare & Korea Health Industry Development Institute (2004). The evaluation of urban visiting health care in 2003-2004
  11. Ministry of Health and Welfare (2005). 2004 Annu Rep for Health and Welfare
  12. Ministry of Health and Welfare (2006). Medical law, Seoul
  13. Park, J. H., Hwang, N. M., Yun, S. N., Kim, M. J., Han, K. J., Hong, K. J., Park, S. A., Park, M. S., Park, Y. T., Jang, I. S., & Hue, J. S. (2001). Policy directions for establishment and expansion of home nursing care in Korea. Unpublished manuscript, Seoul National University, Seoul
  14. Ryu, H. S., Lee, S. J., Moon, H. J., Whang, N. M., Park, S. A., Park, J. S., Choi, H. J., Jung, K. S., Han, S. A., Lim, J. Y. (2000). A preliminary study for evaluating on demonstration project of community-based home health care nursing services by the Seoul nurses association. J Korean Acad Nurs, 30(6), 1488-1502 https://doi.org/10.4040/jkan.2000.30.6.1488
  15. Ryu, H. S., Lee, S. J., Park, E. S., Park, Y. J., Choi, H. J., Hwang, R. I., Lim, J. Y., & An, H. Y. (2003). Developing of visiting nursing service model on the management system for disabled and bed-ridden patients in the community. Unpublished manuscript, The Korea University, Seoul
  16. Ryu, H. S., Jo, H. S., Kim, Y. O., Yoon Y. M., Song, J. R., Lim, J. Y., Khim, S. Y., Kim, I. A. (2005). Working conditions in home health care nursing : A survey of home care nurses in hospitals in Korea. J Korean Acad Nurs, 35(7), 1229-1237 https://doi.org/10.4040/jkan.2005.35.7.1229
  17. Ryu, H. S., An, J. Y., & Koabyashi, M. (2005). Home health nursing care agenda based on health policy in Korea. Nurs Health Sci, 7(2), 92-98 https://doi.org/10.1111/j.1442-2018.2005.00215.x
  18. Ryu, H. S., Kim, G. O., Kusama, T., & Hiro, W. (2006). Policy Alternatives on Developing A Home Health Care System for Long-Term Health Care Insurance System in Korea. http://www.oita-nhs.ac.jpljournal. Internet J of Japan Nurs & Health Sci, 6(2), 45-54
  19. Ryu, H. S., Jung, K. S., & Lim, J. Y. (2006). A test on the home health care fee based on the cost and development of the payment system of home health care, J Korean Acad Nurs, 36(3), 503-513 https://doi.org/10.4040/jkan.2006.36.3.503
  20. Whang, N. M. (1998). Current status and policy agenda on home health care payment system, Health and Welfare Forum, 98(1)