Browse > Article

The Current State of Hospital-based Home Care Services in Korea: Analysis of Data on Insurance Claims for Home Care from 2007 to 2012  

Song, Chong Rye (Home Care Services Center, Ajou University Hospital)
Lee, Mi Kyoung (Graduate School of Clinical Nursing Science, Sungkyunkwan University)
Hwang, Moon Sook (Department of Nursing Science, Woosuk University)
Yoon, Young Mi (Home Care Services Center, Veterans Hospital Medical center)
Publication Information
Journal of Korean Academic Society of Home Health Care Nursing / v.21, no.2, 2014 , pp. 127-138 More about this Journal
Abstract
Purpose: The objectives of this study were to analyze the state of hospital-based home care (HC) services annually and to provide basic information for research and policy regarding home care. Methods: This study is a secondary analysis of the yearly state of HC services from the Health Insurance Review & Assessment Services from 2007 to 2012. Results: The decreased by 34.6%, from 214 agencies in 2007 to 140 in 2012. The annual average number of active home care nurses was 440, which included 6.7% of the licensed home care nurses until 2012. The annual average number of HC patients were 32,000, and this number decreased by 21% in 2012, compared to that of 2008. Of the HC patients, about 70% were over 60 years of age. The chronic diseases among HC patients have been decreasing steadily since 2007. Seventy to eighty percent of the home visits were made in general hospitals or higher level hospitals. The total medical cost for HC services was 21 billion won in 2007, which consisted of 0.06% of the national medical costs, and it was 22 billion won and 0.03% in 2012. Conclusion: Based on the results of this study, further research on HC services is necessary to frame policies for the expansion of HC agencies.
Keywords
Home care services; Home care agencies; Costs;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Baek, H. J., Song, C. R., & Kim, H. Y. (2003). An Analysis of Home Health Care Travel Cost. Journal of Korean Academy Society Home Care Nursing, 10(1), 52-57.
2 Chin, Y. R. (2009). Hospital-based Home Care reimbursement and service use for the elderly. Journal of the Korean Gerontological Society, 29(2), 645-656.
3 Chin, Y. R., & Hong, W. L. (2011). Changed on Hospital-based Home Care Services Utilization After Long-term Care Insurance Launch. Journal of the Korean Gerontological Society, 31(2), 371-380.
4 Health Insurance Review & Assessment Service (2014). Briefing of proposed adjustments to be medical fee associated selection medical fee. Briefings data sets.
5 Home Health Care History Compilation Committee (2014). 20-Year History and Perspectives on Home Health Care. Seoul : HN Science.
6 Hwang, N. M., Park, S. A., Kim, Y. O., Moon, Y. I., Park, J. S., Ryu, H. S., & Rhee, K. S. (2003). A Study for the Enhancement of Accessibility to Community Home Nursing Care Services - The Home Nursing Care Program of Seoul Nurse Association -. Journal of Korean Academy Society Home Care Nursing, 10(1), 5-14.
7 Jang, H. S., Kim, E. K., Ryu, S. J., Park, S. H., Kim, H. Y., Jo, H. S, Kim, Y. S., Han, S. S., & Hwang, M. S. (2002). Development of tool and evaluation system for quality improvement of hospital based home health care. Korea Health Industry Development Institute. Seoul : Hanhak munwha.
8 Kim, E. K., Hwang, J. H., & Shin, S. Y. (2006). Analysis on Home Care Services and Home Health Care Cost of CVA Patients in Korea. Journal of Korean Academy of Nursing Administration, 12(2), 225-232.
9 Lee, J. S., Hwang, R. I., & Han, E. J. (2012). Trends in Home-visit Nursing Care by Agencies' Characteristics under the National Long-term Insurance System. Journal of Korean Academy of Community Health Nursing, 23(4), 415-426.   DOI
10 Lee, S. H., Park, S. K., Park, S. B., Yeo, S. H., Han, D. H., Lee, Y. T., Joung, A. R., Myoung, H. B., Joa, H. K., & Lee, J. Y. (2011). Development of beds of resource management plan for the optimization of national health insurance medical expenses. Korea Health Industry Development Institute. Seoul : Hanhak munwha.
11 Lee, S. J. (2003). Cost analysis of home health care with activity-based costing(ABC). Unpublished doctoral dissertation, Yonsei University, Seoul.
12 Ministry of Health & Welfare (2001). Guide on the medical institute base home health agency management. Seoul : Leemunkyup.
13 Ministry of Health & Welfare (2002). Ministry of Health & Welfare Statistical Yearbook 2002. Seoul : Kyemunsa.
14 Ministry of Health & Welfare (2010). Ministry of Health & Welfare Statistical Yearbook 2010. Seoul : Daeseungsa.
15 Ministry of Health & Welfare (2013). Ministry of Health & Welfare Statistical Yearbook 2013. Seoul : Kyemunsa.
16 National Health Insurance Service, & Health Insurance Review & Assessment Service (2013). 2012 National Health Insurance Statistical Yearbook. Seoul : Sewon printing.
17 National Health Insurance Service, & Health Insurance Review & Assessment Service (2014). 2013 National Health Insurance Statistical Yearbook. Seoul : Jisung printing.
18 National Health Insurance Service (2010). 2009 Long Term Care Insurance Statistical Yearbook. Seoul : Sekwang design printing.
19 National Health Insurance Service (2013, September). 2012 Medical Aid Insurance Statistical Yearbook. Retrieved February 9, 2014, from NHIS Web site: http://www.nhis.or.kr /menu/boardRetriveMenuSet.xx?menuId=F3323
20 National Health Insurance Service (2014). 2013 Long Term Care Insurance Statistical Yearbook. Seoul : Sekwang design printing.
21 OECD Korea Policy Centre (2010). Health at a Glance 2009: OECD Indicators. Seoul : Ifreenet.
22 OECD Korea Policy Centre (2014). Health at a Glance 2013: OECD Indicators. Seoul : Ifreenet.
23 Park, J. H., Yun, S. Y., Kim, M. J., Han, K. J., Hong, K. J., Park, S. A., Whang, N. M., & Heo, J. S. (2002). Discussion on Expansion and Establishment of Home Nursing Care. Journal of Korean Academy, 32(6), 855-866.   DOI
24 Rice, R. (2006). Home care nursing practice: concepts and application. St. Louis : Mosby
25 Ryu, H. S. (2006). Current Status of Costs and Utilizations of Hospital Based Home Health Nursing Care in Korea. Journal of Korean Academy, 36(7), 1193-1203.   DOI
26 Ryu, H. S., Jung, K. S., & Lim, J. Y. (2006). Test on the Cost and Development on the Payment System of Home Health Care Nursing. Journal of Korean Academy, 36(3), 503-513.   DOI
27 Song, C. R., Kang, I. O., Kim, Y. O., Jo, H. S., & Hwang, M. S. (2008). An analysis of the Elderly Care and management in Hospital-based Home Care Agencies. Journal of Korean Academy of Community Health Nursing, 19(4), 660-672.
28 Song, C. R. (2009). Home care services: crisis and prospects. Perspectives in Nursing Science, 6(1), 55-65.
29 Statistics Korea (2011). Population Projections for Korea : 2010-2060(Based on the 2010 Census).