요양기관별 한국노인의 기능상태와 장기요양등급 비교

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to compare functional status and the level of health care needs in elderly Koreans in health care institutions. Methods: Data were collected from 2,521 elderly patients admitted in 50 health care institutions (hospitals, oriental hospitals, geriatric hospitals, and health care facilities) selected through proportional stratified sampling in 2008. We used a long-term care (LTC) assessment tool developed by the government, which consists of 52 items with 5 subscales. Results: Statistically significant differences were detected in functional status and the level of health care needs among the subjects in different health care institutions. Of the sample population in geriatric hospitals, 48.9% were eligible for LTC Category 1, 20.9% for Category 2, and 17.2% for Category 3, and 13.1% of the subjects were not eligible for any of the categories. Of the sample population in health care facilities, 29.9% were eligible for LTC Category 1, 20.5% for Category 2, and 21.8% for Category 3, and 27.0% of the subjects were not eligible for any of the categories. Conclusion: The findings of this study indicate the necessity of the development of an evaluation system that helps determine whether a subject is eligible for LTC.

목차 (Table of Contents)

• 서론 1
• 1. 연구의 필요성 1
• 2. 연구목적 3
• 3. 용어정의 3
• 1) 요양기관 3
• 2) 기능상태 3
• 3) 장기요양등급 3
• 연구방법 3
• 1. 연구설계 3
• 2. 표본기관 및 연구대상 3
• 3. 자료수집 4
• 4. 연구도구 4
• 1) 일반적 특성 4
• 2) 기능상태 평가도구 4
• (1) 기본적 일상생활활동 5
• (2) 인지기능 및 행동변화 5
• (3) 간호처치 5
• (4) 재활 5
• 5. 자료분석 5
• 연구결과 6
• 1. 대상자의 일반적 특성 6
• 2. 요양기관별 노인의 기능상태 7
• 3. 요양기관별 노인의 장기요양등급 분포 7
• 논의 8
• 결과 및 논의 11

참고문헌 (Reference)

1 전경자, "재가노인 기능상태 평가도구를 이용한 재가노인 사례관리 프로그램의 효과 평가" 한국간호과학회 39 (39): 366-375, 2009

2 이태화, "장기요양시설 노인의 기능상태에 따른 간호서비스 필요도 예측" 한국간호과학회 39 (39): 95-106, 2009

3 이선희, "다수준 분석을 이용한 요양병원 서비스 질에 영향을 미치는 요인 분석" 한국간호과학회 39 (39): 409-421, 2009

4 이혜경, "노인요양시설 입소노인의 시설적응에 영향을 미치는 요인" 한국간호과학회 39 (39): 177-185, 2009

5 Goold,S.D, "Trust and the ethics of health care institutions" 31 (31): 26-33, 2001

6 Bliesmer, M. M, "The relationship between nursing staffing levels and nursing home outcomes" 10 : 351-371, 1998

7 Park, J. Y, "The 3rd pilot project evaluation of long-term care insurance"

8 Jung, K. H, "The 2004 survey on the living profile and welfare service needs of older persons"

9 Walker, L. O, "Strategies for theory construction in nursing(3rd ed.)" Appleton & Lange 1994

10 Sugai,Y, "Problems of integration of medical care and welfare service: Medical treatment under long-term insurance system" 6 : 139-144, 2006

11 Miller, E. A, "Predicting elderly people s risk for nursing home placement, hospitalization, functional impairment and mortality: A comparative review and analysis" 57 (57): 259-297, 2000

12 Hambleton, R. K, "Item response models for the analysis of educational and psychological test data in Handbook of Applied Multi-variate Statistics and Mathematic Modeling" Academic Press 553-585, 2000

13 Carpenter, I, "Identification of registered nursing care of residents in English nursing homes using the Minimum Data Set Resident Assessment Instrument(MDS/RAI) and Resource Utilization Groups version III (RUG-III)" 32 : 279-285, 2003

14 Health Insurance Review & Assessment Service, "Health insurance reimbursement fee" Aramedit 2008

15 Health Insurance Review & Assessment Service, "Geriatric hospital evaluation data http://www.hira.or.kr/rec_diag_serch.do? pgmid=HIRAA030102000000#1"

16 van Campen, C, "Eligibility for long-term care in the Netherlands:Development of a decision support system.Health & Social Care in the" 13 (13): 287-296, 2005

17 Korea National Statistical Office, "Census of elderly population in Korea on 2008 year"

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

19 Phillips, C. D, "Care provision in housing with supportive services: The importance of care type, individual characteristics, and care site" 24 (24): 55-67, 2005

20 Yi, J. J, "Application of RUG-Ⅲ for long-term care elderly patients" Yonsei University 2000

21 Roh, Y. K, "A study on the role of long-term care facility and geriatric hospital"

22 Lee, S. H, "A study on the optimal supply of long-term care beds and specialized hospital beds"

23 Korea Health Industry Development Institute, "A study on the optimal supply of acute care beds and long-term care beds"

24 Kim,S.R, "A study on the comparison of inpatients healthcare utilization between the Medicaid recipients and the insured" Yonsei University 2000

25 Lee, J. Y, "A study on revision of health insurance payment system in geriatric hospital"

26 Park, J. Y, "A study on operation management in long-term care insurance system"

27 Sunwoo,D, "A study on health system construction of the elderly in aging society"

28 National Long-Term Care Planning Committee, "A study on development of public long-term care system"

29 Kim, B, "A psychometric revision of the Asian values scale using the Rasch model" 37 : 15-27, 2004

30 Ministry of Health and Welfare, "2006 Elderly welfare facility data http://www.mw.go.kr/front/jb/sjb0602vw.jsp?"