지역사회간호학회지 (Research in Community and Public Health Nursing)

  • 제26권2호
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  • Pages.89-99
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  • 2015
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  • 1225-9594(pISSN)
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  • 2288-4203(eISSN)
한국지역사회간호학회 (Korean Academy of Community Health Nursing)
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이중차이분석을 활용한 노인장기요양보험제도의 방문간호서비스 효과

The Effects of Visiting Nursing Services in Long-term Care Insurance: A Difference-in-Difference Analysis

  • Kim, Jieun (College of Nursing, Seoul National University) ;
  • Lee, Insook (College of Nursing, Seoul National University)
  • 투고 : 2015.02.06
  • 심사 : 2015.06.05
  • 발행 : 2015.06.30
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초록

Purpose: The purpose of this study was to demonstrate the effects of visiting nursing services in long-term care (LTC) insurance on changes in health status and physical functions among the elderly. Methods: We analyzed survey data on the living status and welfare needs of the elderly from 2008 and 2011 using the difference-in-difference method with propensity score matching. Results: The subjects were 76 elders including 38 visiting nursing service users(intervention group) and 38 home-based LTC service users (control group). Results from DID analysis confirmed that the subjective health status level of the intervention group was 2.2 points higher (p=.044) and the depression level was 0.3 point lower (p=.039) than the control group. In addition, the intervention group's ADL score was 1.9 (p=.027) and IADL 3.9 (p=.030), showing that their health was deteriorated less. Conclusion: Visiting nursing service in LTC insurance was associated with delayed deterioration of subjective health status, depression, ADL and IADL. These findings suggest the need of rebuilding visiting nursing service programs focusing on prevention services, which will be more contributive to elderly health care and the reduction of social costs.

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참고문헌

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  6. 노인장기요양인력 확보 방안: 간호사와 간호조무사 중심으로 vol.27, pp.1, 2020, https://doi.org/10.22705/jkashcn.2020.27.1.64
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  8. Examination of the Educational Needs of Home Visit Nurses: A Cross-Sectional Descriptive Study vol.18, pp.5, 2015, https://doi.org/10.3390/ijerph18052319
  9. 방문간호센터 경영효율성 개선 사례 분석: 경영 컨설팅 적용을 중심으로 vol.28, pp.2, 2021, https://doi.org/10.22705/jkashcn.2021.28.2.111