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

• Lee JS
• Hwang RI
• Han EJ

• KMID: 2292785
• DOI: http://doi.org/10.12799/jkachn.2012.23.4.415

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

MeSH Terms

Delivery of Health Care
Home Nursing
Insurance, Long-Term Care
Long-Term Care
National Health Programs
Nursing Care

Reference

1. Bang EJ, Yun SY. Health needs of the elderly in long-term care facilities: Using RAI-MDS-FC. J Korean Acad Community Health Nurs. 2010. 21(2):263–272.

2. Jung YS. A study on home visiting nursing care and medical care utilization in the elderly patients with longterm care. 2012. Busan: Inje University;Unpublished doctoral dissertation.

3. Kim CJ, Kim YS, Kang HY, Park JH, Sun MS, Woo YJ, et al. Development of home care quality indicators( hcqis) at demonstration project of elderly care insurance program in Korea. J Korean Gerontol Soc. 2008. 28(2):377–394.

4. Kim CM, Lee JY, Ko RJ. Quality dimension of long term care hospital. J Korean Acad Community Health Nurs. 2009. 20(2):243–250.

5. Kim EK, Kim YM, Kim MA. Estimation of nursing costs based on nurse's visit time for long-term care services. J Korean Acad Nurs. 2010. 40(3):349–358.

6. Kim JH. Home-visit nursing care has been drifting along due to indifference of the insurer NHIC. 2012. 01. 26. Retrieved December 21, 2012. The Korean Doctors' Weekly;from http://www.koreahealthlog.com/news/newsview.php?newscd=2012012500026.

7. Kim KB, Lee HK, Sok SR. Activities of daily living and nursing needs of the elderly in nursing home. J Korean Acad Community Health Nurs. 2009. 20(1):1–11.

8. Kim MH. Roles of visiting nurses defined based on long-term care insurance regulation for the elderly. J Korean Acad Public Health Nurs. 2009. 23(2):232–250.

9. Kwon JH, Lee JS, Han EJ, Park CY. A study of policy development to prevent ill-health and improve well-being for the elderly (I). 2008. Seoul: National Health Insurance Corporation.

10. Kwon MY, Lim JY, Lee YH, Kim HS. A study of nurses' perception of the visiting nursing services of long-term care insurance. J Korean Acad Public Health Nurs. 2010. 24(1):5–18.

11. Lee JS, Han EJ, Kang IO. The characteristics and service utilization of home nursing care beneficiaries under the Korean long term care insurance. J Korean Acad Community Health Nurs. 2011. 22(1):33–44.

12. Lee TW. Economic evaluation of visiting nurse services for the low-income elderly with long-term care needs. J Korean Acad Nurs. 2004. 34(1):191–201.

13. Lee Y. Starting longterm in-home care agency by nurse. Korean Nurse. 2008. 47(1):42–45.

14. Lim JY, Kim EJ, Choi KW, Lee JS, Noh WJ. Analysis of barriers and activating factors of visiting nursing in long-term care insurance. J Korea Contents Assoc. 2012. 12(8):283–299.

15. Ministry of Health and Welfare. Notification No. 2011-72 of the MOHW about long-term care costs in National long-term care insurance. 2011. Seoul: Author.

16. Moon GJ. Current status and problems of home visit nursing service within long term care insurance. 2011. Seoul: Sungshin Women's University;Unpublished master's thesis.

17. National Evaluation Team. Interim report of progress briefing paper: Cost-effectiveness measuring effect: Emergency bed-day use. 2007. Hertfordshire, UK: University of Hertfordshire Press.

18. National Health Insurance Corporation. The collection of long-term care insurance laws. 2008. Seoul: Author.

19. National Health Insurance Corporation. The 2010 quality assessment reports of community-based or home-based long-term care agencies. 2011a. Seoul: Author.

20. National Health Insurance Corporation. 2010 Long-term care insurance statistical yearbook. 2011b. Seoul: Author.

21. OECD. The OECD health project: Long-term care for older people. 2005. Paris: OECD Publications.

22. Park CS. Visiting nurses' services under the long-term care insurance system for the elderly. Nurs Sci. 2009. 21(1):64–72.

23. Park MS, Kang SM. Demand prospect of professional workers in execution of the elderly's long-term care insurance -nurse, Social Welfare, care probation professional workers-. Korean Commun Stat. 2010. 17(3):423–440.

24. Sung MS. A study on policies for the vitalization of the visiting nursing services with the long term care insurance. 1st anniversary of policy discussion for vitalization of the visiting nursing services with the long term care insurance. 2009. Seoul: