J Korean Acad Community Health Nurs.  2011 Mar;22(1):33-44. 10.12799/jkachn.2011.22.1.33.

The Characteristics and Service Utilization of Home Nursing Care Beneficiaries Under the Korean Long Term Care Insurance

Affiliations
  • 1Institute for Health Insurance Policy Research, National Health Insurance Corporation, Korea.
  • 2Department of Medical Law & Ethics, Yonsei University, Korea. imoak@yuhs.ac

Abstract

PURPOSE
This study examined the characteristics and service utilization of home nursing care beneficiaries under the Korean Long-Term Care Insurance (LTCI).
METHODS
We used assessment data and claim data of National Health Insurance Corporation from July to August 2008. Data were composed of subjects who were the beneficiaries of home nursing care.
RESULTS
A total of 634 subjects were analyzed. Of the subjects, 57.1% were 75 years and over. The average score of nursing care need was only 0.71 and the percentage of those whose nursing care need score was zero was 58.0%. More than half of the subjects had partially dependent musculoskeletal conditions, and 75.5% had two or more comorbidities. A third of them usedonly home nursing care, and another third used both home nursing care and general home care at the same time. Those who needed sore care used the largest home nursing care benefits.
CONCLUSION
Home nursing care of LTCI performs community-based healthcare services under LTCI. Throughout the past two years, however, it has not been active. Understanding the characteristics of its users is important in order to develop effective strategies for activating home nursing care.

Keyword

Home nursing; Aged; Long-term care insurance; Utilization
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