Purpose: This study examined the characteristics and service utilization of home nursing care beneficiaries under the Korean Long-Term Care Insurance (LTCI). Methods: We used assessment data and claim data of National Health Insurance Corporation from July to August 2008. Data were composed of subjects who were the beneficiaries of home nursing care. Results; A total of 634 subjects were analyzed. Of the subjects, 57.1% were 75 years and over. The average score of nursing care need was only 0.71 and the percentage of those whose nursing care need score was zero was 58.0%. More than half of the subjects had partially dependent musculoskeletal conditions, and 75.5% had two or more comorbidities. A third of them usedonly home nursing care, and another third used both home nursing care and general home care at the same time. Those who needed sore care used the largest home nursing care benefits. Conclusion: Home nursing care of LTCI performs community-based healthcare services under LTCI. Throughout the past two years, however, it has not been active. Understanding the characteristics of its users is important in order to develop effective strategies for activating home nursing care.
환자의 담당의사로부터 지시를 받아 퇴원이후에도 추후적인 간호처치를 제공하기 때문에 의료기관가정간호는 의료기관에서의 의료적 처치와 강한 연계성을 갖는다는 장점이 있다.
두 번째는, 의료기관에 소속되어 있는 간호사가 해당 의료기관에서 퇴원한 환자를 방문하여 간호처치를 제공하는 가정간호(home nursing of general hospital) (이하, 의료기관가정간호)이다. 가정간호사는 환자의 담당의사로부터 지시를 받아 퇴원이후에도 추후적인 간호처치를 제공하기 때문에 의료기관가정간호는 의료기관에서의 의료적 처치와 강한 연계성을 갖는다는 장점이 있다. 세 번째는, 최근에 도입된 노인장기요양보험 제도 하에서의 방문간호(home nursing of long term care insurance) (이하, 장기요양방문간호)이다.
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이 논문을 인용한 문헌 (6)
김은영, 이가언, 김삼숙, 이춘이 2012. "노인장기요양보험제도에서의 가족수발자의 경험" 지역사회간호학회지 = Journal of korean academy of community health nursing, 23(4): 347~357
이정석, 황라일, 한은정 2012. "노인장기요양보험의 방문간호 제공기관 특성별 서비스 제공 추이" 지역사회간호학회지 = Journal of korean academy of community health nursing, 23(4): 415~426
임지영, 김은주, 최경원, 이정석, 노원정 2012. "노인장기요양보험 방문간호의 장애요인 및 활성화 방안" 한국콘텐츠학회논문지 = The Journal of the Korea Contents Association, 12(8): 283~299
변도화, 현혜진 2013. "노인장기요양보험 제도 하에 제공되는 방문간호 서비스의 중요도와 성과도" 지역사회간호학회지 = Journal of korean academy of community health nursing, 24(3): 332~345
강새봄, 김홍수 2014. "노인장기요양보험 방문간호 권고군의 방문간호 이용과 의료 이용의 관계" Health policy and management = 보건행정학회지, 24(3): 283~290
김지은, 이인숙 2015. "이중차이분석을 활용한 노인장기요양보험제도의 방문간호서비스 효과" 지역사회간호학회지 = Journal of korean academy of community health nursing, 26(2): 89~99
장기요양방문간호 이용자의 특성 및 이용실태
지역사회간호학회지 = Journal of korean academy of community health nursing
, 2011년, pp.33 - 44
(국민건강보험공단 건강보험정책연구원 )
( 국민건강보험공단 건강보험정책연구원 )
( 연세대학교 의과대학 의료법윤리학과)