The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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A Study on the Introduction of Home-Based Physical Therapy for Patients with Cerebrovascular Disease

  • Kim, Gyu-Yong (Gangnam-gu Haengbok Hospital) ;
  • Ahn, Chang-Sik (Department of Physical Therapy, Faculty of Health Science, Eulji University) ;
  • Jeon, Hye-Won (Rebabilitation Research institue, Korea National Rebabilitation)
  • Received : 2015.03.24
  • Accepted : 2015.04.19
  • Published : 2015.04.25
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Abstract

Purpose: This study was conducted in order to present basic policy data for introduction of a home-based physical therapy (HBPT) policy. Methods: The study surveyed physical therapists and patients for six weeks, in order to identify satisfaction with physical therapy. The statistical significance of the management plan with regard to costs and cost estimation and payment methods was determined and managed according to the operating principals of HBPT, eligibility criteria, number of visits, treatment time, and team approach. Results: Through the survey all groups of patients and physical therapists recognized the need for HBPT. They felt that the most desirable methods for activation of physical therapy visits involve precise diagnosis and evaluation through a team approach. While making regular visits to the patient three times a week, an expert visiting physical therapist with 3 to 5 years of experience in the clinical field could provide central nerve developmental treatment in less than 60 minutes; this service could be provided at a reasonable cost, minimizing unnecessary hospital visits, reducing time, medical expenses and facilitating a quick recovery due to psychological satisfaction resulting from a decrease in the psychological anxiety patients often experience in medical institutions. Conclusion: Based on the study results provided above, if HBPT is to be introduced, appropriate pricing and programs should be based on the results of pilot projects.

Keywords

References

  1. The survey of living condition and welfare needs of Korean older persons. Ministry of health and welfare. 2011:285-297
  2. Yang DJ, Park SK, Kang JI, et al. Effects of changes in postural alignment on foot pressure and balance of patients with Stroke. J Kor Phys Ther. 2014;24(4):247-52.
  3. Jung JH, Kim JH. Correlation between bilateral reciprocal leg press test and the balance in chronic stroke patient. J Kor Phys Ther. 2013; 25(4):180-6.
  4. Verheyden G VL, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and functional ability. Clin Reha. 2006;20(5):451-8. https://doi.org/10.1191/0269215505cr955oa
  5. Jung BO, Lee CR, Kim KJ, et al. The analysis of need with homebound disabled persons in a country area. J Kor Phys Ther. 2006;13(4):43-62.
  6. Kim HJ, Lee KH, Lee, JS. Introduction of home rehabilitation services in long-term care insurance system for the elderly. KSOT. 2010;18(3): 23-35.
  7. Yang YA, An SJ, Park YH, et al. A study of visiting rehabilitation service and implementation method. J Kor Asso Occu The Poli for Aged Indu. 2011;3(1):59-70.
  8. Sunwoo D. A study on model development of integrated health and social service system to improve activities of daily living of older persons. Korea Institute for Health and Social Affairs. 2000.
  9. Duncan P, Richards L, Wallace D, et al. A randomized, controlled pilot study of a home-based exercise program for individuals with mild and moderate stroke. Stroke; j cerebral circulation. 1998;29(10):2055-60. https://doi.org/10.1161/01.STR.29.10.2055
  10. Yang YA. A Positive Study on Home-Visiting Physical Therapy System. Hanyang university. Dissertation of Master's Degree. 1997.
  11. Yang YA, Kim YS. A study on the needs about Nursing Home Care Physical Therapy System. Bulletin of the Institute of Environmental & Industrial Medicine. 2000;9(1):119-28.
  12. Moon TS. Research of the introduction of home physical therapist system. Yeonsei university. Dissertation of Master's Degree. 2001.
  13. Kim GY. A study on the introduction of home-based physical therapy rehabilitation services. Eulji University. Dissertation of Doctorate Degree. 2013.
  14. Kim DM.The Necessity to Introduce Home Visiting Physiotherapy. J Kor acad phys ther. 1996;3(2):163-75.
  15. Han DU. The degree of demand and features of service required for home visiting physical therapy. Chungnam National University. Dissertation of Master's Degree. 1999.
  16. Lee JB. The study of home-based physical therapy to patient's and doctor's cognitive map to demend. Gachon University. Dissertation of Master's Degree. 2004.
  17. Kwon HJ, Hwang SS. A review on the needs and understanding about the home physical therapy system. J Kor Soci heal Scie. 2005;2(2):83-99.
  18. Yoon TH. A study of the inclusion of home-based physical therapy services in the long term care insurance. Hanyang university. Dissertation of Doctorate Degree. 2009.
  19. Kim HJ. A study for the Introduction of home rehabilitation servicesin long-term care insurance system fot the elderly. Injae university. Dissertation of Doctorate Degree. 2010.
  20. Park JH Seong YH, Song MS, et al. The classification of standard nursing activities in Korea. J Kor Acad Nurs. 2000;30(6):1411-26. https://doi.org/10.4040/jkan.2000.30.6.1411
  21. Kim MS. The study of efficient way of home-based physical therapy. Samyook University. Dissertation of Master's Degree. 2011.
  22. Kim SJ. Historical study of home care service in a WonJu christian hospital. Seoul National University. Dissertation of Master's Degree. 1991.