Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
권호 표지
DOI QR코드

DOI QR Code

Role of Hospital-based Home Health Nursing in Community Care

지역사회 통합돌봄에서의 의료기관 가정간호의 역할

  • 송종례 (아주대학교병원 가정간호센터)
  • Received : 2022.03.21
  • Accepted : 2022.04.23
  • Published : 2022.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to investigate the role of hospital-based home health nursing in community care by examining the institutional progress of hospital-based home health nursing and the current status of home health nursing in Korea. Methods: Korean research data, national statistical data, government press releases, and related laws were investigated to clarify the role of hospital-based home health nursing in community care. Results: Korean visiting medical care services, including hospital-based home health nursing, was not found to be sufficient nationwide. The supply of home health nursing did not increase due to the nature of the visiting services that required transportation time, poor profitability due to insufficient insurance fees, and increase in acute beds. Conclusion: The nature of the Korean medical environment and visiting medical care makes it challenging to establish a visiting medical supply system for community care. Therefore, hospital-based home health nursing is an important infrastructure for visiting medical care, and will be a valuable resource to link discharged patients returning to the community when moving health care services. Hence, laws and institutional supplementation to expand the role of home health nursing agencies nationwide are needed along with addressing the limitations in the supply of home health nurses.

Keywords

References

  1. Ministry of Health and Welfare. Health and welfare statistical year book 2021. Sejong: Ministry of Health and Welfare; 2021 December. Report No.: 66.11-1352000-000137-10.
  2. Ministry of Health and Welfare. Promote "Community Care" in earnest to provide social services centered on home and communities [Internet]. Sejong: Ministry of Health and Welfare; 2018 [cited 2018 April 14]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=344177&SEARCHKEY=TITLE&SEARCHVALUE=Community+Care
  3. Ministry of Health and Welfare. Announcement of the basic plan for community care(stage 1: community care for the elderly) [Internet]. Sejong: Ministry of Health and Welfare; 2018 [cited 2018 December 2]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=346683&SEARCHKEY
  4. Ministry of Health and Welfare. Community integrated care (community care) leading project promotion plan [Internet]. Sejong: Ministry of Health and Welfare; 2019 [cited 2019 April 19]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=347345
  5. Home Health Care History Compilation Committee. 20-year history and perspectives on home health care. Seoul: HN Science. 2014. p.15-215.
  6. National Cancer Center. Hospice palliative service [Internet]. Goyang: National Cancer Center; 2021 [cited 2022 March 12]. Available from: https://www.ncc.re.kr/main.ncc?uri=manage01_8
  7. Ministry of Health and Welfare. Health and welfare statistical year book 2016. Sejong: Ministry of Health and Welfare; 2016 December. Report No.: 11-1352000-000137-10.
  8. Ministry of Health and Welfare. Health and welfare statistical year book 2019. Sejong: Ministry of Health and Welfare; 2019 December. Report No.: 11-1352000-000137-10.
  9. Lee YS. Patient-centered visiting medical care for community care. Collection Academic Conference Papers of Korean Academy of Health Policy and Management. 2019;2019(1): 1-30.
  10. Lim JY, Kim JY. Home care nursing: an economic analysis. The Journal of Korean Academic Society of Home Care Nursing. 2013;20(2):141-151.
  11. Ministry of Health and Welfare. Designation of 45 tertiary hospitals(2021-2023) [Internet]. Sejong: Ministry of Health and Welfare; 2020 [cited 2022 March 1]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=362710
  12. Ministry of Health and Welfare. Second public offering for participating institutions in the pilot project for primary medical visits [Internet]. Sejong: Ministry of Health and Welfare; 2021 [cited 2022 March 26]. Available from: http://www.mohw.go.kr/react/al/sal0101vw.jsp?PAR_MENU_ID=04&MENU_ID=040101&page=1&CONT_SEQ=364322
  13. Ryu HS. Current status of costs and utilizations of hospital based home health nursing care in Korea. Journal of Korean Academy of Nursing. 2006;36(7):1193-1203. https://doi.org/10.4040/jkan.2006.36.7.1193
  14. Song CR. Home care services: crisis and perspectives. Perspectives in Nursing Science. 2009;6(1):55-65.
  15. Health Insurance Review & Assessment Service. Briefing session on insurance cost adjustment plan for selective medical care [Internet]. Wonju: Health Insurance Review & Assessment Service; 2014 [cited 2022 March 14]. Available from: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=8763
  16. Health Insurance Review & Assessment Service. Major revision details of insurance notification [Internet]. Wonju: Health Insurance Review &Assessment Service; 2022 [cited 2022 March 20]. Available from: http://www.hira.or.kr/dummy.do?pgmid=HIRAA020036000000&cmsurl=/cms/policy/02/01/1341854_27024.html&subject
  17. Ministry of Health and Welfare. Health Care in Korea based on OECD Health Statistics [Internet]. Sejong: Ministry of Health and Welfare; 2021 [cited 2022 March 1]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=366529
  18. Lee HJ, Kim YK, O EG. A systematic review on nurse-led transitional care programs for discharged patients from hospital to home. Journal of Korean Clinical Nursing Research. 2017;23(3):376-387. https://doi.org/10.22650/JKCNR.2017.23.3.376
  19. Hwang YH, Lee GE. Transition experiences of the elderly from long-term care hospital to home: focusing on the elderlyl living alone of community care project. Journal of Korean Academy of Community Health Nursing. 2021;32(3): 382-395. https://doi.org/10.12799/jkachn.2021.32.3.382
  20. Statistics Korea. e-Distribution of indicators by family type [Internet]. Daejeon: Statistics Korea; 2021 [cited 2022 March 7]. Available from: https://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1576¶m=001
  21. Suk JE. Community care: social service paradigm transformation and challenges. The Korean Social Security Association-papers published in a periodical presentation. 2019;2019(2):83-109.
  22. Jo IS, Lee JR, Lee HJ, Lee SJ, Lee DH. A study on the development and development of community care model in health care. Reasarch Report. Seoul: Korea Health Promotion Institute; 2020 December. Report No.: Research-04-2020-012-01.
  23. Lim JY, Kim JH. Expansion strategy of home visit nursing services of long-term care insurance. The Journal of Korean Academic Society of Home Care Nursing. 2020;27(3): 241-249. https://doi.org/10.22705/jkashcn.2020.27.3.241
  24. Health Insurance Review & Assessment Service. Search by detailed conditions - home health nursing institutions [Internet]. Wonju: Health Insurance Review & Assessment Service; 2021 [cited 2021 October 2]. Available from: https://www.hira.or.kr/rd/hosp/getHospList.do?pgmid=HIRAA030002020000
  25. Baek HC. Home health nurses and the adequacy of their supplies. Journal of Korean Academic Society of Home Care Nursing. 2020;27(2):137-145. https://doi.org/10.22705/jkashcn.2020.27.2.137
  26. Ko JY, Yoon JY. Analysis of hospital-based home care service utilization using national health insurance claim data from 2008 to 2017. Journal of Korean Academic Society of Home Care Nursing. 2019;26(1):36-50. https://doi.org/10.22705/jkashcn.2019.26.1.36
  27. National Health Insurance Service. Long term care insurance statistical yearbook [Internet]. Wonju: National Health Insurance Service; 2014-2021 [cited 2022 March 12]. Available from: https://www.nhis.or.kr/nhis/together/wbhaec07200m01.do
  28. Song CR, Lee MG, Hwang MS, Yoon YM. The current state of hospital-based home care services in korea: analysis of data on insurance claims for home care from 2007 to 2012. Journal of Korean Academy Society Home Care Nursing. 2014;21(2):127-138.
  29. Lee JS, Hwang RI, & Han EJ. Trends in home-visit nursing care by agencies' characteristics under the national long-term insurance system. Journal of Korean Academy of Community Health Nursing.2012;23(4):415-426. https://doi.org/10.12799/jkachn.2012.23.4.415
  30. Court of the Republic of Korea Precedent [Internet]. Seoul: The Court of the Republic of Korea; 2014 cited 2021 March 13]. Available from: https://glaw.scourt.go.kr/wsjo/panre/sjo100.do?contId=2144091&q=%EA%B0%80%EC%A0%95%EA%B0%84%ED%98%B8&nq=&w=panre§ion=panre_tot&subw=&subsection=&subId=1&csq=&groups=6,7,5,9&category=&outmax=1&msort=&onlycount=&sp=&d1=&d2=&d3=&d4=&d5=&pg=1&p1=&p2=&p3=&p4=&p5=&p6=&p7=&p8=&p9=&p10=&p11=&p12=&sysCd=WSJO&tabGbnCd=&saNo=&joNo=&lawNm=&hanjaYn=N&userSrchHistNo=&poption=&srch=&range=&daewbyn=N&smpryn=N&idgJyul=01&newsimyn=Y&trtyNm=&tabId=&save=Y&bubNm=