|
KMID : 0379220110310020371
|
|
Journal of Korea Gerontological Society
2011 Volume.31 No. 2 p.371 ~ p.380
|
|
|
Changes on Hospital-based Home Care Services Utilization After Long-term Care Insurance Launch
|
|
Chin Young-Ran
Hong Worl-Lan
|
|
|
Abstract
|
|
|
This study was to address changes on hospital-based home care utilization after long-term care insurance(LTCI) was launched. National electronic data information(EDI) on hospital-based home care from Health Insurance Review Agency in 2007.7～2008.6(prior to LTCI) and in 2009(posterior to LTCI) was analyzed. After the launch of long-term care insurance, 40 hospital-based home health care agencies(HHCA) were diminished and regions not having any HHCA were increased from 53% to 59%. Hospital-based home care utilization was decreased in the elderly(clients 13.4%, visits 20.9%) as well as non-elderly(clients 3.5%, visits 3.9%). It is presumed that diminished HHCAs result in decreased accessibility to hospital-based home health care for non-elderly. The clients, visits, and reimbursed cost per agency were not changed. It is presumed that small agencies were closed already. The total reimbursed cost per agency in 2009 was 121,850,000 won. Results suggest that the government has to give support to open more HHCA to increase the accessibility for non-elderly.
Also, hospital-based home care services utilization has to be monitoring regularly.
|
|
|
KEYWORD
|
|
|
Hospital-based home health care services, Health care costs
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|