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KMID : 0607720080190040660
Journal of Korean Community Nursing
2008 Volume.19 No. 4 p.660 ~ p.672
An Analysis of the Elderly Care and Management in Hospital-Based Home Care Agencies
Song Chong-Rye

Kang Im-Ok
Kim Yun-Ok
Cho Hye-Sook
Hwang Moon-Sook
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 They expressed concern that home care services would be withdrawn once the insurance system is initiated.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.
KEYWORD
Hospital-Based Home Care Services, Insurance, Long term Care, Aged
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