노인대상 의료기관 가정간호사업의 운영실태

다국어 초록 (Multilingual Abstract)

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 They expressed concern that home care services would be withdrawn once the insurance system is initiated.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.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구 목적 2
• 3. 용어 정의 2
• 1) 노인 2
• 2) 의료기관 가정간호 2
• Ⅱ. 연구 방법 2
• 1. 연구 설계 2
• 2. 연구 대상 2
• 3. 연구 도구 3
• 4. 자료 수집 3
• 5. 자료 분석 3
• Ⅲ. 연구 결과 3
• 1. 의료기관 가정간호사업소의 운영현황 3
• 1) 사업운영 의료기관의 특성 3
• 2) 의료기관 가정간호사업소의 특성 4
• 3) 의료기관 가정간호사업 이요현황 4
• 2. 의료기관 가정간호 노인대상자의 간정간호서비스 5
• 1) 일반적 특성 5
• 2) 계통별 진단분류체계에 따른 방문건수 및 예상방문기간 5
• 3) 상위 질환별 방문건수 및 예상방문기간 6
• 4) 의료기관 가정간호서비스 내용 6
• 3. 의료기관 가정간호 노인대상자의 노인장기요양보험의 방문간호로의 이동가능성 7
• 4. 의료기관 가정간호의 발전방안 8
• Ⅴ. 논의 8
• Ⅵ. 결론 및 제언 10
• 1. 결론 11
• 2. 제언 11

참고문헌 (Reference)

1 Jang, H. S., "The role and function of home healthcare based on the public health care centers, hospital and long-term care insurance" Korea Health Industry Development Institute 2007

2 Ministry of Health and Welfare (MOHW), "Management guideline of Long-term Care Insurance services institution"

3 Ministry of Health and Welfare, "Long- term care insurance second demonstrative home visiting care implementation guideline" 2006

4 Ministry of Health and Welfare (MOHW), National Health Insurance Corporation (NHIC), "Guideline of insurance fee and cost claim of tertiary demonstrative Long-term Care Insurance services"

5 Ministry of Health and Welfare(MOHW), "Guide on the medical institute base home health agency management" 2001

6 Kyeonggi-do Home Care Nurses Association, "General assembly and scientific conference kits" Suwon, Kyeongg-do 2008

7 Kim, C. J., "Development on the instrument of quality evaluation for home visiting nursing services" Korea Nurses Association 2007

8 Jang, H. S., "Development of tool and evaluation system for quality improvement of hospital based home health care" Korea Health Industry Development Institute 2002

9 Korean Homecare Nurses Association, "Data book of the 15th regular general meeting" 2008

10 Ryu, H. S., "Current status of costs and utilizations of hospital based home health nursing care in Korea" 36 (36): 1193-1203, 2006