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

장기요양방문간호 이용자의 특성 및 이용실태

  • Lee, Jung-Suk (Institute for Health Insurance Policy Research, National Health Insurance Corporation) ;
  • Han, Eun-Jeong (Institute for Health Insurance Policy Research, National Health Insurance Corporation) ;
  • Kang, Im-Ok (Department of Medical Law & Ethics, Yonsei University)
  • 이정석 (국민건강보험공단 건강보험정책연구원) ;
  • 한은정 (국민건강보험공단 건강보험정책연구원) ;
  • 강임옥 (연세대학교 의과대학 의료법윤리학과)
  • Received : 2010.12.29
  • Accepted : 2011.03.18
  • Published : 2011.03.31

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.

Keywords

References

  1. Bang, E. J., & Yun, S. Y. (2010). Health needs of the elderly in long-term care facilities: using RAI-MDS-FC. Journal of Korean Academy of Community Health Nursing, 21 (2), 263-272.
  2. Chang, H. S., Chin, Y. R., Kim, J. E., Hong, E. J., & Yu, J. S. (2007). The role and function of home healthcare based on the public health canters, hospitals, and long-term care insurance (06-75). Seoul: Korea Health Industry Development Institute, Management Center for Health Promotion.
  3. Jung, K. H., Oh, Y. H., Seok, J. E., Doh, S. R., Kim, C. W., & Lee, Y. K. (2005). 2004 Survey on use of welfare services and needs of welfare for the elderly among the aged in Korea (2005-03). Seoul: Korea Institute for Health and Social Affairs, Ministry of Health and Welfare.
  4. Kang, E. J., Kim, N. Y., Kim, D. J., Kim, H. R., Byun, Y. C., Suh, M. K., et al. (2007). In-depth analyses of the national health and nutrition examination survey: The health interview and health behavior survey part. Seoul: Korea Centers for Disease Control and Prevention, Korea Institute for Health and Social Affairs.
  5. Kim, M. H. (2009). Roles of visiting nurses defined based on long-term care insurance regulation for the elderly. Journal of Korean Academy of Public Health Nursing, 23 (2), 232-250.
  6. Kim, E. K., Kim, Y. M., & Kim, M. A. (2010). Estimation of nursing costs based on nurse's visit time for long-term care services. Journal of Korean Academy of Nursing, 40 (3), 349-358. https://doi.org/10.4040/jkan.2010.40.3.349
  7. Korea Statistics Office (2009). Population projections for Korea 2009. Daejeon: Author.
  8. Lee, J. S., Han, E. J., Kwon, J. H., & Kang, I. O. (2008). The correlation between standard long-term care plan and long-term care utilization under LTC insurance system (2008-33). Seoul: National Health Insurance Corporation.
  9. Lim, J. G. (2009). A study on factors of home and community care service utilization of elderly. Korea Social Policy Review, 16 (1), 193-234.
  10. Ministry of Health and Welfare & National Health Insurance Corporation (2008). The collection of long-term care insurance laws. Seoul: Author.
  11. National Health Insurance Corporation (2008). 2008 Manuals of working for long-term care insurance. Seoul: Author.
  12. National Health Insurance Corporation (2009). 2008 Long-term care insurance statistical yearbook. Seoul: Author.
  13. National Health Insurance Corporation (2010-a). 2009 National health insurance main statistics. Seoul: Author.
  14. National Health Insurance Corporation (2010-b). 2009 Longterm care insurance statistical yearbook. Seoul: Author.
  15. Park, C. S. (2009). Visiting nurses' services under the long-term care insurance system for the elderly. Nursing Science, 21 (1), 64-72.
  16. Sunwoo, D., Kim, C. W., Choi, J. S., Choi, H. J., Yeon, B. K., & Won, C. W. (2007). The assessments for the second pilot project of long-term care insurance-needs of long-term care, system of admission long-term care insurance and supporting system for use of long-term care (2007-22). Seoul: Ministry of Health and Welfare, Korea Institute for Health and Social Affairs.
  17. Song, C. R., Kang, I. O., Kim, Y. O., Jo, H. S., & Hwang, M. S. (2008). An analysis of the elderly care and management in hospital-based home care agencies. Journal of Korean Academy of Community Health Nursing, 19 (4), 660-672.
  18. Ryu, H. S., Park, C. S., & Kim, E. Y. (2007). A review on home health care in Korea-hospital, community, and public health center based home health care nursing. Journal of Korean Academic Society of Home Health Care Nursing, 14 (2), 65-75.
  19. Ryu, H. S. (2007). Home health care in Korea-home health care nursing, visiting health care nursing, visiting health care. Journal of Korean Academic Society of Home Health Care Nursing, 14 (2), 98-105.