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      노인요양시설 거주자의 장기요양등급에 따른 요양서비스 및 자원이용량 분석 = Relationship between Resource Utilization and Long-term Care Classification Level for Residents in Nursing Homes

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      https://www.riss.kr/link?id=A104579152

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      다국어 초록 (Multilingual Abstract)

      Purpose: This study was conducted to examine whether the level of classification for long-term care service under longterm care insurance reflects resource utilization level for residents in nursing homes. Methods: From 2 long-term care facilities, the researchers selected 95 participants and identified description and time of care services provided by nurses,certified caregivers, physical therapists and social workers during a 24-hr-period. Results: Resource utilization level was:281.04 for level 1, 301.05 for level 2 and 270.87 for level 3. Resource utilization was not correlated with level. Differences in resource utilization within the same level were similar with the coefficient of variance, 22.7-27.1%. Physical function was the most influential factor on long-term care scores (r=.88, p<.001). The level for long-term care service did not reflect differences in resource utilization level of residents on long-term care insurance. Conclusion: The results of this study indicate that present grading for long-term care service needs to be reconsidered. Further study is needed to adjust the long-term care classification system to reflect the level of resource utilization for care recipients on the long-term care insurance.
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      Purpose: This study was conducted to examine whether the level of classification for long-term care service under longterm care insurance reflects resource utilization level for residents in nursing homes. Methods: From 2 long-term care facilities, th...

      Purpose: This study was conducted to examine whether the level of classification for long-term care service under longterm care insurance reflects resource utilization level for residents in nursing homes. Methods: From 2 long-term care facilities, the researchers selected 95 participants and identified description and time of care services provided by nurses,certified caregivers, physical therapists and social workers during a 24-hr-period. Results: Resource utilization level was:281.04 for level 1, 301.05 for level 2 and 270.87 for level 3. Resource utilization was not correlated with level. Differences in resource utilization within the same level were similar with the coefficient of variance, 22.7-27.1%. Physical function was the most influential factor on long-term care scores (r=.88, p<.001). The level for long-term care service did not reflect differences in resource utilization level of residents on long-term care insurance. Conclusion: The results of this study indicate that present grading for long-term care service needs to be reconsidered. Further study is needed to adjust the long-term care classification system to reflect the level of resource utilization for care recipients on the long-term care insurance.

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      참고문헌 (Reference)

      1 김은경, "한국의 장기요양서비스에 대한 RUG-III의 적용가능성" 한국간호과학회 34 (34): 8-289, 2004

      2 이지윤, "요양병원 환자분류체계 개발" 간호행정학회 14 (14): 229-240, 2008

      3 김조자, "방문간호서비스 질 평가도구 개발" 한국노년학회 28 (28): 377-394, 2008

      4 석재은, "노인장기요양보험 수가 개발의 특성과 평가" 한국사회복지연구회 39 (39): 253-286, 2008

      5 Yoon, J. L, "The condition and problem of evaluation system in long-term care insurance" 2008

      6 Kim, C. H, "The condition and problem of evaluation system in long-term care insurance"

      7 Bjorkgren, M. A, "Testing a RUG-III based case-mix system for home care" 19 (19): 106-125, 2000

      8 Schnelle, J. F, "Relationship of nursing home staffing to quality of care" 39 : 225-250, 2004

      9 Choi, J. H, "Prediction and application of data mining using answer tree 3.0" SPSS Academy 2002

      10 Kwon, S, "Population aging, medical expenditure and longterm care reform in Korea" 22 (22): 1-22, 2006

      1 김은경, "한국의 장기요양서비스에 대한 RUG-III의 적용가능성" 한국간호과학회 34 (34): 8-289, 2004

      2 이지윤, "요양병원 환자분류체계 개발" 간호행정학회 14 (14): 229-240, 2008

      3 김조자, "방문간호서비스 질 평가도구 개발" 한국노년학회 28 (28): 377-394, 2008

      4 석재은, "노인장기요양보험 수가 개발의 특성과 평가" 한국사회복지연구회 39 (39): 253-286, 2008

      5 Yoon, J. L, "The condition and problem of evaluation system in long-term care insurance" 2008

      6 Kim, C. H, "The condition and problem of evaluation system in long-term care insurance"

      7 Bjorkgren, M. A, "Testing a RUG-III based case-mix system for home care" 19 (19): 106-125, 2000

      8 Schnelle, J. F, "Relationship of nursing home staffing to quality of care" 39 : 225-250, 2004

      9 Choi, J. H, "Prediction and application of data mining using answer tree 3.0" SPSS Academy 2002

      10 Kwon, S, "Population aging, medical expenditure and longterm care reform in Korea" 22 (22): 1-22, 2006

      11 Zhang, X, "Nursing home staffing and quality under the nursing home reform act" 44 : 13-23, 2004

      12 Harrington, C, "Nursing facility staffing policy: A case study for political change" 2 : 117-127, 2001

      13 Harrington, C, "Nursing facilities, staffing, residents, and facility deficiencies"

      14 Ministry of Health, Welfare and Family Affairs, "Long-term care insurance after 1 year"

      15 National Health Insurance Corporation, "Long-term care insurance"

      16 Rothgang, H, "Long-term care in Germany: Projections on public long-term care insurance financing in Aging and social policy: A German-Japanese comparison" IUDICIUM 251-273, 2002

      17 Campbell, J, "Japan’s radical reform of longterm care" 37 (37): 21-34, 2003

      18 Choi, B. H, "Evaluation research of demonstration for longterm care insurance: Cost, standardized facilities' model & longterm care service, quality management part" Korea Institute for Health and Social Affairs 2007

      19 Jeong, K. H, "Development of evaluation and screening system and cost of long-term care insurance for elders" Korea Institute for Health and Social Affairs 2005

      20 Kang, I. O, "Development for relationship between assessment tools of long-term care insurance and evaluation indicators" National Health Insurance Corporation 2008

      21 Kang, I. O, "Comparison of long-term care services assessment instrument among countries" 8 : 159-181, 2009

      22 Kim, E. K, "Care time of elderly in long-term care facilities" 9 : 353-366, 2003

      23 Park, J. Y, "A study on the strategy for expansion of long-term care population and service" National Health Insurance Corporation 2008

      24 Lee, K. O, "A study on the level of demand for nursing service for the old people resident in the nursing home" 14 (14): 45-56, 2002

      25 Ministry of Health, Welfare and Family Affairs, "A study on the development for long-term care insurance system" Author 2004

      26 Lee, M. S, "A study about older people long-term care insurance:Focus on Germany, Japan and Korea: Comparative analysis" Han Yang University 2007

      27 Im, J. G, "A review on assessment and classification instrument in Korean long-term care system-focused on comparative analysis of foreign system-" 25 : 175-220, 2005

      28 Ministry of Health, "2009 the instruction of elderly welfare" Author 2009

      29 Korean National Statistical Office, "2008 statistics of old aged" Author 2008

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2008-11-07 학술지명변경 한글명 : 대한간호학회지 -> Journal of Korean Academy of Nursing KCI등재
      2008-01-01 평가 SSCI 등재 (등재후보2차) KCI등재
      2007-01-01 평가 등재후보로 하락 (등재유지) KCI등재후보
      2006-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2005-02-25 학회명변경 한글명 : 대한간호학회 -> 한국간호과학회
      영문명 : Korean Academy Of Nursing -> Korean Society of Nursing Science
      KCI등재
      2004-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2001-07-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      1999-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 1.45 1.24 1.62
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      1.52 1.55 2.24 0.21
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