|
KMID : 0614820060120020225
|
|
Journal of Korean Academy of Nursing Administration
2006 Volume.12 No. 2 p.225 ~ p.232
|
|
|
Analysis on Home Care Services and Home Health Care Cost of CVA Patients in Korea
|
|
Kim Eun-Kyun
Hwang Jeong-Hae
Shin Suk-Youn
|
|
|
Abstract
|
|
|
Purpose: The purpose of this study was to analyze the services and cost of CVA patients in hospital-based home health care and compare the differences of home health care cost by hospital types.
Methods: The subjects of this study were 5,756 home care patients with cerebrovascular disease. Data were collected by using home health care medical expense claims from 127 hospitals in 2004.
Results: The home care service ’indewelling catheterization’ was the highest(19.28%), and then ’nasogastric tube insertion and change(16.72%)’, ’bladder irrigation(15.98)’, ’wound management(simple dressing)(10.42%)’ followed. Average home health care cost per visit was 39,943 won, and the highest 46,058 won in general hospitals and the lowest 33,922 won in tertiary hospitals, so there were statistically significant among the types of hospitals(F=1112.47, p<0.0001).
Conclusions: The number of home health care patients has been rapidly growing with the increase of aged population and demand for home care services is rising. So, it could be urgent to develop a reasonable cost reimbursement system for home health services and to expend scopes of the roles of home care specialist nurses. Amid the demand of more detail understanding the present status of home care, our study can be contributed to provide fundamental information of home care in Korea.
|
|
|
KEYWORD
|
|
|
Home care services, Home health care cost, CVA patients
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
 
|
|