KMID : 0607720080190040660
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Journal of Korean Community Nursing 2008 Volume.19 No. 4 p.660 ~ p.672
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An Analysis of the Elderly Care and Management in Hospital-Based Home Care Agencies
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Song Chong-Rye
Kang Im-Ok Kim Yun-Ok Cho Hye-Sook Hwang Moon-Sook
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Abstract
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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 They expressed concern that home care services would be withdrawn once the insurance system is initiated.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.
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KEYWORD
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Hospital-Based Home Care Services, Insurance, Long term Care, Aged
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