敎會로서의 女子修道者와 그 役割

宋鐘禮(송종례) 광주가톨릭대학교 신학연구소 1995 神學展望 Vol.- No.109

노인대상 의료기관 가정간호사업의 운영실태

송종례,강임옥,김윤옥,조혜숙,황문숙 지역사회간호학회 2008 지역사회간호학회지 Vol.19 No.4

Purpose: To analyze the home care services provided to the elderly aged 65 and older by a hospital-based home care agencies and to investigate the effects of long-term care insurance for the elderly. Method: The subjects were the home care service recipients aged 65 and older in 172 hospital-based, home care agencies registered in Health Insurance Review & Assessment Service in January, 2007. The data were collected using a questionnaire from March 16 to April 15, 2007. The questionnaire return rate was 43.8%. Result: The hospital-based home care agencies were able to visit 66.5% of the national administrative districts. Of the home care service recipients, over 50% were 65 years old and older. About 43% of the agencies reported that over 50% of their patients would be subject to the long-term care insurance. They expressed concern that home care services would be withdrawn once the insurance system is initiated. Conclusion: This study suggests that hospital-based home care agencies need to manage home care services with long-term care insurance. It also recommends developing guidelines for the use of services and referrals.

당뇨병성 족부질환자에 대한 가정간호서비스의 비용-효과분석

송종례,김용순,김진현 한국간호과학회 간호행정학회 2013 간호행정학회지 Vol.19 No.4

Purpose: This study was a retrospective survey to examine economic feasibility of home care services for patients with diabetic foot. Methods: The participants were 33 patients in the home care services (HC) group and 27 in the non-home care services (non-HC) group, all of whom were discharged early after inpatient treatment. Data were collected from medical records. Direct medical costs were calculated using medical fee payment data. Cost-effectiveness ratio was calculated using direct medical costs paid by the patient and the insurer until complete cure of the diabetic foot. Effectiveness was the time required for a complete cure. Direct medical costs included fees for hospitalization, emergency care, home care, ambulatory fees, and hospitalization or ambulatory fees at other medical institutions. Results: Mean for direct medical costs was 11,118,773 won per person in the HC group, and 16,005,883 won in the non-HC group. The difference between the groups was statistically significant (p=.042). Analysis of the results for cost-effectiveness ratio showed 91,891 won per day in the HC patients, and 109,629 won per day in the non-HC patients. Conclusion: Result shows that the cost-effectiveness ratio is lower HC patients than non-HC patients, that indicates home care services are economically feasible.

의료기관 가정간호의 현황(2007-2012): 가정간호 급여청구자료 분석

송종례,이미경,황문숙,윤영미,Song, Chong Rye,Lee, Mi Kyoung,Hwang, Moon Sook,Yoon, Young Mi 한국가정간호학회 2014 가정간호학회지 Vol.21 No.2

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.

지역사회 통합돌봄에서의 의료기관 가정간호의 역할

송종례,Song, Chong Rye 한국가정간호학회 2022 가정간호학회지 Vol.29 No.1

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.

당뇨병성 족부궤양 환자의 치료형태 및 가정간호 연계

송종례,한승환,이영아,김미영,채선미,Song, Chong-Rye,Han, Seung-Hwan,Lee, Young-Ah,Kim, Mi-Young,Chae, Sun-Mi 한국가정간호학회 2011 가정간호학회지 Vol.18 No.1

Purpose: The purpose of this study was to investigate treatment types and the status of referral to home care services for patients with diabetic foot. Methods: A retrospective survey was conducted by reviewing medical records from January to December in 2008 at a university hospital. The subjects were 76 patients at the age of 20 years or older who were admitted, had home care services, or received outpatient care for diabetic foot. The data were analyzed using descriptive statistics. Results: Among the total of 9,317 patients diagnosed with diabetes, 5.03% (n=469) had diabetic foot. Admission (81.6%) was the most frequently used treatment type followed by outpatient care only (7.9%) and hemodialysis only (10.5%). Of the 76 admission cases, 44.9% received post-discharge care at outpatient clinics, 20.5% had both outpatient and home care services, and 16.7% were transferred to other hospitals. Readmission rate after discharge was 15.6% for one year. Conclusion: This study suggests referral to home care services should be encouraged to provide effective follow-up care to patients with diabetic foot after discharge from a hospital.

그리스도인 부부의 영성 : 받아들임과 내어 줌

송종례 가톨릭대학교 인간학연구소 2006 인간연구 Vol.- No.10

Christian married couples fulfill and complete the oath of matrimony through the life of loving union in personality and act in Christian faith. The relationship between husband and wife in married life is based not only on the union of body but also on the union of mine/spirit. It is 'the union of two whole beings', so to speak, which forms a 'special personality of marriage' and is the essence of matrimony. However, the Christians are not exceptional from the problem of divorce which is one of the serious problems in contemporary society in Korea. This paper intends to research the spirituality of married couple that motivates them to do, think, and act as the energy in their daily lifeas Christians. Thus, this study starts to define the identity of Christian married couple, and then it briefly discusses about sexuality of married couple and its spirituality exploring the misunderstanding of sexuality in society. Although sexual life of husband and wife is a blessing of God and a loving and creative act, sexuality has been misunderstood as vicious and wicked in dualism in Christian history and this negative thought has mainly affected society. This research seeks after the spiritual models for married couple and then brings up some efforts that they need to follow from these models as Christians. In order to help marriage life in the Catholic tradition, this study also discusses some precious spiritual ascetic aspects which will be a helpful guide for their relationship between God and them and between husband and wife. So far, they have lost many good points under the prejudice that asceticism is only practiced by the religious. Married life is the life to practice the foolishness of Jesus in their lives and the life to reveal the wisdom of God. Thus, marriage requires practicing Trinitarian spirituality, paschal spirituality and creative spirituality including some ascetic points in their daily life.

그리스도인의 가정과 영성

송종례 신학과사상학회 2005 가톨릭 신학과 사상 Vol.- No.51

역사에 가려진 조선 가톨릭 여성

송종례 광주가톨릭대학교 신학연구소 2003 神學展望 Vol.- No.141

당뇨병성 족부질환자의 직접의료비용 분석

송종례,이진우,한승환,Song, Chong-Rye,Lee, Jin-Woo,Han, Seung-Hwan 대한족부족관절학회 2011 대한족부족관절학회지 Vol.15 No.3

Purpose: The objective of this study was to analyze diabetic foot patients' direct service costs until the cure of the disease. Materials Methods: The subjects of this study were randomly sampled 60 patients who had been treated for diabetic foot at one of two tertiary hospitals and cured of the disease during from January 2008 to December 2009, and whose diagnostic code was E11.5 or E14.5. Data were collected from medical records and direct service costs were analyzed using data on the payments of individual service charges. Direct service costs spent at other medical institutions for the same disease were excluded. Collected data were analyzed using descriptive statistics. Results: The subjects' mean hospital stay was 29 days, and mean period until cure was 132 days. The inpatient cost per patient was 10,844,648 won, outpatient cost was 715,751 won, and home care services cost was 641,854 won, so total direct service cost per patient was 11,913,419 won. The total direct service cost in patients who had their foot amputated was 12,769,822 won, 1.3 times higher than without amputation, who had vascular intervention was 16,219,477 won, 1.9 times higher than non-vascular intervention, who had both infection and artery occlusion was 17,522,435 won, 2.0 times higher than either infection or artery occlusion. Conclusion: In diabetic foot patients, the direct service cost was highest as 17,522,435 won in patients accompanied with both infection and occlusion of lower extremity artery.