J Korean Acad Community Health Nurs.  2012 Dec;23(4):415-426. 10.12799/jkachn.2012.23.4.415.

Trends in Home-visit Nursing Care by Agencies' Characteristics under the National Long-term Care Insurance System

Affiliations
  • 1Institute for National Health Insurance Policy, Seoul, Korea.
  • 2Department of Nursing, Suwon Women's College, Suwon, Korea. hwangri@swc.ac.kr

Abstract

PURPOSE
This study aimed to investigate trends in home-visit nursing care by agencies' characteristics under the national long-term care insurance system.
METHODS
Cochran-Mantel-Haenzel tests were conducted, using data drawn from the nationwide long-term care insurance claim database of the Korean National Health Insurance Corporation from 2009 to 2011.
RESULTS
The number of home-visit nursing care agencies has decreased continuously since 2009. There were also similar trends in the total amount of service provided by home-visit nursing care agencies, the number of recipients, the number of employees, and payments. This study showed that there were statistically significant differences in the trends in home-visit nursing care by agencies' characteristics. Despite the overall downward trend, there were some increases in the percentage of home-visit nursing care provided by agencies which were established by individuals, located in large cities, and which combined home-visit care with home-visit bathing.
CONCLUSION
Home-visit nursing care agencies are responsible for providing community-based healthcare services. For past three years, however, they have not been utilized to their full potential. Understanding the trends in home-visit nursing care by agencies' characteristics is important to develop utilization strategies for home-visit nursing care.

Keyword

Home nursing; Long-term care insurance
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