[논문]지역별 노인 만성기 의료 및 요양·돌봄 공급체계 유형화

윤난희; 윤성훈; 서동민; 김윤; 김홍수

doi:10.4332/kjhpa.2023.33.4.479

Abstract ▼ AI-Helper

Background: By applying the suggested criteria for needs-based chronic medical care and long-term care delivery system for the elderly, the current status of delivery system was identified and regional delivery systems were categorized according to quantity and quality of delivery system. Methods: N...

Background: By applying the suggested criteria for needs-based chronic medical care and long-term care delivery system for the elderly, the current status of delivery system was identified and regional delivery systems were categorized according to quantity and quality of delivery system. Methods: National claims data were used for this study. All claims data of medical and long-term care uses by the elderly and all claims data from long-term care hospitals and nursing homes in 2016 were analyzed to categorize the regional medical and long-term care delivery system. The current status of the delivery system with a high possibility of transition to a needs-based appropriate delivery system was identified. The necessary and actual amount of regional supply was calculated based on their needs, and the structure of delivery systems was evaluated in terms of the needs-based quality of the system. Finally, all regions were categorized into 15 types of medical and care delivery systems for the elderly. Results: Of the total 55 regions, 89.1% of regions had an oversupply of elderly medical and care services compared to the necessary supply based on their needs. However, 69.1% of regions met the criteria for less than two types of needs groups, and 21.8% of regions were identified as regions where the numbers of institutions or regions with a high possibility of transition to an appropriate delivery system were below the average levels for all four needs groups. Conclusion: In order to establish an appropriate community-based integrated elderly care system, it is necessary to analyze the characteristics of the regional delivery system categories and to plan a needs-based delivery system regionally.

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표/그림 (5)

표 Table 1. Definitions of needs-based appropriate delivery system for the elderly in the study
표 Table 2. Categorization of regional supply structure (2016)
그림 Figure 1. Status of regional supply structure by the medical and care needs groups (2016). (A) Number of beds of long-term care hospitals with high possibility of transition per 1.000 elderly with higher medical and lower care needs. (B) Number of beds of long-term care hospitals with high possibility of transition per 1.000 elderly with higher medical and care needs. (C) Number of quotas of nursing homes with high possibility of transition per 1,000 elderly with lower medical and higher care needs. (D) Number of nursing staffs per 10,000 elderly with lower medical and care needs. (Continued on next page).
그림 Figure 1. (Continued; caption shown on previous page).
표 Table 3. Categorization of regional supply system for the elderly chronic health care and long-term care (2016)

참고문헌 (12)

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지역별 노인 만성기 의료 및 요양·돌봄 공급체계 유형화
Categorization of Regional Delivery System for the Elderly Chronic Health Care and Long-Term Care 원문보기

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지역별 노인 만성기 의료 및 요양·돌봄 공급체계 유형화 Categorization of Regional Delivery System for the Elderly Chronic Health Care and Long-Term Care 원문보기

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지역별 노인 만성기 의료 및 요양·돌봄 공급체계 유형화
Categorization of Regional Delivery System for the Elderly Chronic Health Care and Long-Term Care 원문보기

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