KMID : 0607720160270030272
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Journal of Korean Community Nursing 2016 Volume.27 No. 3 p.272 ~ p.283
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Effects of Visiting Nursing Services in Long-term Care Insurance on Utilization of Health Care
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Lee Sang-Jin
Kwak Chan-Yeong
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Abstract
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Purpose: This is a comparative study using secondary data from the Korean national long term care (LTC) insurance.
Methods: Visiting nursing (VN) service users (n=666) and non-users (n=4,375) were extracted and compared in
terms of medical expenditures, length of hospitalization, and annual number of ambulatory care visits to investigate
effects of VN services in LTC.
Results: Total health care expenditures were compared between the two groups and it was found that VN service users spent about $ 1700 than non-users for their medical costs between 2009 and 2011. The average length of in-hospital stay for VN service users was 19.4 days shorter than that of non-users. However, using VN services did not significantly influence the annual number of ambulatory care visits.
Conclusion: The study has found that VN services are effective ways of providing community-based LTC services. We recommend LTC policy makers to further utilize VN services to deliver cost effective health care services.
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KEYWORD
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Long term care insurance, Nursing service, Medical care cost, Inpatient, Outpatient
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