Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지
DOI QR코드

DOI QR Code

Measuring Workload of Home Visit Care Activities Using Relative Values

방문요양 행위 업무량의 상대적 가치 측정

  • Han, Seong-Ok (Graduate School of Public Health, Yonsei University) ;
  • Park, Eun-Cheol (National Cancer Center, National Cancer Control Research Institute) ;
  • Kang, Dae-Ryong (Clinical Trials Center Yonsei University Health System) ;
  • Kang, Im-Ok (Research Institute for Health Insurance, National Health Insurance Corporation)
  • 한성옥 (연세대학교 보건대학원) ;
  • 박은철 (국립암센터 국가암관리사업단) ;
  • 강대룡 (연세대학교 의료원 임상시험센터) ;
  • 강임옥 (국민건강보험공단 노인장기요양연구센터)
  • Published : 2008.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The purpose of this study was to measure the workload of home visit care activities and their relative values. This study examined also factors that affect the workload of home visit care activities. Methods : The participants of this study were 126 home-helpers of 50 home visit care agencies at the 2nd Long-term Care Insurance Demonstration Project. The workload of home visit care activities was divided into total work and four dimensions ; physical efforts, mental efforts, stress and time. Home visit care activities consisted of four categories with 24 items. We used magnitude estimation method to measure their relative values of the four dimensions. The participants answered the relative values of each activities based on the reference service. We used the activity for supporting their elderly's evacuation as the reference service. Results : Most of the respondents were over 40 years old female. They consumed most their time supporting elderly's going out. They consumed their highest physical, mental efforts, and stress for activities of coping with emergency situation. The Pearson correlation coefficients showed significant relationships between workload and each dimensions. This study showed that all four dimensions are statistically significant predictors of workload of home visit care activities. Also, we found that the home-helper's career affects the workload of home visit care activities. Conclusions : The workload of home visit care activities could be explained by physical efforts, mental efforts, stress and time.

Keywords

References

  1. Korea National Statistical Office. Population Projections for Korea. Daejeon: Korea National Statistical Office; 2006. (Korean)
  2. Hsiao WC, Braun P, Dunn DL, Becker ER, Yntema D, Verrilli DK, et al. An overview of the development and refinement of the Resource-Based Relative Value Scale. The foundation for reform of U.S. physician payment. Med Care 1992; 30(11 Suppl): NS1-12 https://doi.org/10.1097/00005650-199201000-00001
  3. Hur YJ, Sohn MS, Park EC, Kang HG, Kim HJ. Comparison of work measures for some physician services in Obstetrics & Gynecology. Korean J Prev Med 1995; 28(3): 623-639. (Korean)
  4. Cho WH, Sohn MS, Park EC, Kim HJ, Kim YK, Heo YJ, et al. Measurement and analysis of physician work. Korean J Health Policy Adm 1995; 5(2): 213-229. (Korean)
  5. Kwon HK, Kim BK, Lee YH, Kim KS, Cho BK, Choi CH. The estimation on the dentist total work of resource-based relative value scale. J Korean Acad Dent Health 2001; 25(2): 207-220. (Korean)
  6. Kim MS, Moon SY, Kim JA, Shim OS, Kim JH. Estimation of nursing cost for hemodialysis using RBRVS (resource-based relative value scale): Moderately intensive patients. J Korean Nurs Adm Acad Soc 2003; 9(2): 205-216. (Korean)
  7. Kim MS, Kim JH, Han SJ, Kim JA. Estimation of nursing cost for hemodialysis using RBRVS (resource-based relative value scale): Severe hemodialysis patients. J Korean Nurs Adm Acad Soc 2005; 11(1): 1-12. (Korean)
  8. Kim MS, Lee HJ, Kim YH, Kim JS. Nursing cost in operating room applying the resourcebased relative value scale (RBRVS). J Korean Nurs Adm Acad Soc 2002; 8(2): 283-293. (Korean)
  9. Moon SY. Resource-based relative value for estimation of nursing behavior in neonatal intensive care units. J Korean Acad Child Health Nurs 2006; 12(1): 15-24. (Korean)
  10. Lee TW, Park JS, Kim IS. Workload measurement of home health care nurses' services using relative value units. J Korean Acad Nurs 2000; 30(6): 1543-1555. (Korean) https://doi.org/10.4040/jkan.2000.30.6.1543
  11. National Health Insurance Corporation. Noin Janggi Yoyang Boheom. Seoul: National Health Insurance Corporation; c2006-2008. [cited 2008 August 5]. Available from: URL:http://www.longtermcare.or.kr. (Korean)
  12. Allison PD. Fixed Effects Regression Methods for Longitudinal Data Using SAS. Cary, NC: SAS Institute; 2005
  13. Kim HJ, Park EC, Sohn MS, Kim YS, Park HW, Park WS, et al. The Development of RBRVS for Restructuring Medical Insurnace Fee Schedule. Seoul: Yonsei University Institute for Health Services Research; 1997. (Korean)
  14. Yi JJ, Yi SW, Kim JI, Yu SH, Yoo HS. A relationship of care time with functional status and patients characteristics among patients in long-term care hospitals. Korean J Prev Med 2004; 37(3): 282-291. (Korean)
  15. Sunwoo D, Seok JE, Kim CW, Lee TW, Jeong HS. Study for Evaluation of the 1st Long-Term Care Insurance Demonstration Project. Seoul: Korea Institute for Health and Social Affairs; 2006. (Korean)
  16. Latimer EA, Yntema DB, Causino N. Physician and practice characteristics, frequency of performance, and the Resource- Based Relative Value Scale. Med Care 1992; 30(11 Suppl): NS40-49