J Korean Acad Community Health Nurs.  2008 Dec;19(4):660-672.

An Analysis of the Elderly Care and Management in Hospital-Based Home Care Agencies

  • 1Department of Nursing, Ajou University Hospital, Korea.
  • 2Research Institute for Health Insurance, National Health Insurance Corporation, Korea.
  • 3Department of Nursing, ASAN Medical Center, Korea.
  • 4Nursing Home Green Hill, Korea.
  • 5Graduate School of Clinical Nursing Science, Sungkyunkwan University Samsung Medical Center, Korea. msyellow45@hanmail.net


To analyze the home care services provided to the elderly aged 65 and older by a hospital-based home care agencies and to investigate the effects of long-term care insurance for the elderly. METHOD: The subjects were the home care service recipients aged 65 and older in 172 hospital-based, home care agencies registered in Health Insurance Review & Assessment Service in January, 2007. The data were collected using a questionnaire from March 16 to April 15, 2007. The questionnaire return rate was 43.8%. RESULT: The hospital-based home care agencies were able to visit 66.5% of the national administrative districts. Of the home care service recipients, over 50% were 65 years old and older. About 43% of the agencies reported that over 50% of their patients would be subject to the long-term care insurance. They expressed concern that home care services would be withdrawn once the insurance system is initiated.
This study suggests that hospital-based home care agencies need to manage home care services with long-term care insurance. It also recommends developing guidelines for the use of services and referrals.


Hospital-Based Home Care Services; Insurance; Long term Care; Aged
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