|
KMID : 0379220090290020645
|
|
Journal of Korea Gerontological Society
2009 Volume.29 No. 2 p.645 ~ p.656
|
|
|
Hospital-based home care reinbursement and service use for the elderly
|
|
Chin Young-Ran
|
|
|
Abstract
|
|
|
The purpose of this study was to address the current status of hospital-based home care(HBHC). We analyzed the data on HBHC from national electronic data information of Health Insurance Review Agency. Beside, we surveyed 75 hospital-based home care agency.
In 2006, 20,343 elderly(64.0% from all HBHC user) used 333,889 visits(76.8%from all visits).
Medical diagnosis was composed of circulatory disease including cerebrovascular diseases 41.3%, endocrine system disease including Diabetes mellitus 10.4%, neoplasm 9.7%.
Some of subjects used HBHC in excess of maximum covered 8 visits a month by National Health Insurance, decubitus 7.0%, the cancer 5.4%, the diabetes 2.5%, the hypertension 1.1%, and the stroke 0.9%. This results will contribute to expand the coverage of hospital-based home care by National Health Insurance.
There was distribution difference in medical diagnosis and nursing intervention between HBHC and Public health center-based home care(PBHC) subjects. Therefore, HBHC subjects had more severe medical diagnosis, and were intervened more injections, examinations, than PBHC subjects. These differences must be considered to set up functional role among the three types of home visit care.
|
|
|
KEYWORD
|
|
|
elderly, home health nursing care
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|