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KMID : 0922320190260030253
Journal of Korean Academic Society of Home Care Nursing
2019 Volume.26 No. 3 p.253 ~ p.264
German Integrated Model for Home Care and Visiting Nursing
Park Jong-Duk

Abstract
The aim of this review is to present a German system of an outpatient care center under the German Health Insurance Act and home care (integration of medical care, basic care, bathing) under the Long-Term Care Insurance Act. This idea of a German integrated home care system should contribute to the development of a Korean home care model. Prior the introduction of long-term care insurance (1995), and with the of the health insurance law (1989), German outpatient care centers already provided medical and basic care services for patients with acute and chronic symptoms. Since 1995, patients with acute symptoms and rehabilitation periods under the Health Insurance Act have been eligible for home care. The Long-Term Care Insurance Act is intended for all citizens who are unable to carry out their daily activities for more than six months. In 2017, 13,657 (97%) of 14,050 outpatient care centers provided home care services after long-term care and health insurance. In other words, patients in Germany can use home care in both the acute and chronic phase at the same home care center, or ¡®integrated home-care center¡¯.
KEYWORD
Home health nursing, Nursing education, Government regulation
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