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KMID : 0922320030100010005
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Journal of Korean Academic Society of Home Care Nursing
2003 Volume.10 No. 1 p.5 ~ p.14
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AStudyfortheEnhancementofAccessibilitytoCommunityHomeNursingCareServices-TheHomeNursingCareProgramofSeoulNurseAssociation
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Hwang Na-Mi
Ryu Ho-Shin
Park Sung-Ae
Kim Youn-Ock
Moon Young-Im
Park Jeong-Sook
Lee Kye-Sook
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Abstract
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Recently,therehasbeenanincreasingneedforlongtermcareandcomprehensivehealthcareservicesincommunitysettings.The
MinistryofHealthandWelfareintroducedtheHospitalBasedHomeNursingCareProgramin2000.Beforethisinitiative,therewasa
HomeNursingDemonstrationCenter, affiliatedwiththeSeoulNurseAssociation,hadofferedhomenursingserviceswiththefinancial supportfromthelocalgovernment.since1993,theCenter’’snursingstaffhasbeenengagedinageneralhospitalinanefforltoprovidehomenursingcareserviceswithinKorea’’shealthcaresystem.Thepurposeofthisstudywastoanalyzeandidentifycharacteristicsof community-basedhomenursingcaresuppliedbyacommunity-basedhomenursingteamengagedinageneralhospital.Also.visit nursingcarservicesprovidedbypublichealthcenterswereevaluated in terms of accessibility and supply versus demand, to enhance the accessibility of low-income patients living in Seoul to home nursing care services. Data were collected from home nursing insurance reimbursement claims submitted by the community-based home nursing care team from March 1 to October 30 in 2001 and a questionnaire survey on home-visit nursing services of 25 public health centers in Seoul. The subjects consisted of 197 patients and 12 public health centers. The result were as follows. First, medical institution’’s community-based home nursing care program was better in technical quality than health-center-based home-visit nursing care. In addition. the pattern of the subject patients was similar to that of hospital-based home nursing care program. Second, there was a high demand for community-based home nursing care while only a small number of home-visiting nurses served at public health centers in Seoul. As a result, many patients could not receive adequate care. Finally, we suggest that community-based home nursing care program should be introduced in the national health system to meet the at-home care needs of severely ill low-income patients. Furthermore, to better utilize home nursing and visit-nursing care resources and offer continued care for patients in community settings, an efficient referral network should be built among related institutions. This would require improvement of reimbursement system and amendment of the law related to health insurance system and community-based home nursing care services.
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KEYWORD
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Hospitalbasedhomenursingcare, Home-visitingnursing, Communitybasedhomenursingcare
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