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A Comparative Study on the Care Services According to Care Levels in the Korean and German Home Care System

한국과 독일 방문요양의 등급별 급여 비교 연구

  • Received : 2016.11.03
  • Accepted : 2016.12.12
  • Published : 2016.12.31

Abstract

Purpose: This study aims to classify multiple forms of home care services from a service user's perspective. By comparing the German system to the Korean one, this study seeks to find better ways of enhancing client-centered care. Methods: The data of 121 home care users were collected from six home care centers that had under the management of nursing managers for more than five years. The researcher used a German instrument to estimate the level of care. Results: High correlation was found between German and Korean assessment criteria (r=0.81, p<.001). However, compared to their German counterparts, Korean home care providers allocated more time towards provision of domestic help per daily visit. German home care providers allocated more time towards services relating to provision of support for physical activities, including personal hygiene. It was confirmed that the level of care in Korea does not correlate with either the categories of home care services and duration. Conclusion: Therefore, care services should be offered according to long-term care needs. This study suggests a need for systematic care aimed at strengthening the client's autonomy which should be properly planned, implemented, and managed.

Keywords

References

  1. Bienstein, C. (2016, November). Basic stimulation - A supportive approach perceptually impaired people. Paper presented at the eulji international nursing conference 2016. Seoul.
  2. Bundesministerium fur Gesundheit, BMG. (2016-a). Groehe:More help for those in need of care and their relatives. Retrieved Mai 30, 2016, from http://www.bmg.bund.de/ministerium/meldungen/2015/pflegestaerkungsgesetz-ii.html
  3. Bundesministerium fur Gesundheit, BMG. (2016-b). Act to Strengthen Long-term Care II. Retrieved Mai 23, 2016, from http://www.bmg.bund.de/fileadmin/dateien/Publikationen/Pflege/Broschueren/PSGII-Das_Wichtigste_im_Ueberblick.pdf
  4. Bundesministerium fur Gesundheit, BMG. (2016-c). Long-term care insurance, facts and figures. Retrieved October 3, 2016, from http://www.bundesgesundheitsministerium.de/themen/pflege
  5. Bundesministerium fur Gesundheit, BMG. (2016-d). Quality and transparancy in nursing. Retrieved October 30, 2016, from https://www.bundesgesundheitsministerium.de/themen/pflege/online-ratgeber-pflege/qualitaet-und-transparenz-in-der-pflege.html
  6. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
  7. Kim, Y. E. (2016). A study of support policy for families having elderly dementia. The Journal of Long Term Care, 4(1), 79-99.
  8. Lee, S. G. (2015). A study on effect of the psychological empowerment and job satisfaction of caregivers of domiciliary care centers on the quality of long term care service. Korean Journal of Gerontological Social Welfare, 70(0), 9-30.
  9. Lee, M. H., Lee, J. J., & Seo, B. K. (2015). Improving delivery system of care services for older adults in South Korea:Support for aging in place. The Journal of Long Term Care, 3(1), 29-56.
  10. Lee, Y. K. (2015). Evaluation of validity for Korea's long-term care client selection method: A comparison to germany and japan's long-term care client selection method. Social Welfare Policy, 42(3), 271-292.
  11. Lim, J. Y., Kim, E. J., Choi, K. W., Park, J. D., & Noh, W. J. (2011). Activating measures of visiting nursing in long-term care insurance. NHIC, Seoul.
  12. Medizinischer Dienst des Spitzenverbandes Bund der Krankenkassen e. V., MDS. (2006). Guideline of the medical advisory service of the german social health insurance for the review processes of nursing care according to SGB XI (the german Social Code). asmuth druck, Koeln.
  13. Medizinischer Dienst des Spitzenverbandes Bund der Krankenkassen e. V., MDS. (2013). Guideline of the medical advisory service of the german social health Insurance for the review processes of nursing care according to SGB XI (the German Social Code). asmuth druck, Koeln.
  14. Medizinischer Dienst des Spitzenverbandes Bund der Krankenkassen e. V., MDS., & GKV-Spitzenverband Koerperschaft des oeffentlichen Rechts. (2016). Procedual guideline for identifying the need of care as well as for the related specification of the content of the assessment-tool according to SGB XI(Beobachtungs-Richtlinien-BRi). MDS, Essen; GKV-Spitzenverband des oeffentlichen Rechts, Berlin.
  15. Medizinischer Dienst der Krankenversicherung, MDK. (2016). Information on needs assessment. Retrieved Oct. 5, 2016, from http://www.mdk.de/324.htm
  16. Ministry of Health and Welfare, MOHW. (2016). Care insurance act for the elderly, enforcement decree of long-term careiInsurance for the elderly, enforcement rule of long-term care insurance for the elderly. MOHW, Seoul.
  17. National Health Insurance Service, NHIS. (2016-a). Guidance on the proper use of long - term care insurance for the elderly. NHIS, Seoul.
  18. National Health Insurance Service, NHIS. (2016-b). Long term care insurance statistical yearbook. NHIS, Seoul.
  19. Park, J. H. (2011). Influences of service quality on service satisfaction in the long-term care services at home: Centered on home help service. Social Welfare Policy, 38(1), 227-246. https://doi.org/10.15855/swp.2011.38.1.227
  20. Seo, D. M., Kim, U., Kim J. H., Mun, S. H., Lee, Y, J., & Ko, Y. (2013). A study on the development of detailed criteria for providing home-care services. Baekseok University, Cheonan.
  21. Seomun, J. H., & Jung, Y. J. (2011). A study on the determinants of care service type selection: Focused on the caregivers using home care service for the long-term care qualified elderly. Korean Journal of Social Welfare Research, 29(0), 29-56.
  22. Shin, S. Y. (2009). Home care service user's satisfaction. Korean Journal of Care Management, 4(0), 23-43.
  23. Wingenfeld, K., Buescher, A., Gansweid, B., Buecker, C., Meintrup, V., Menz, P. U., Horn, A., & Weber, J. (2011). The new assessment tool for the assessment of care needs. Edition 2 of the series "model program for the further development of the nursing care insurance". MDS, Essen.;GKV-Spitzenverband des oeffentlichen Rechts, Berlin.
  24. Yang, N. J., & Choi, I. H. (2013). The impact of the korean long-term care insurance system on its family caregivers:Focusing on family caregiving arrangement. Korean Journal of Social Welfare Studies, 44(3), 31-56.
  25. Yoon, J. L. (2013). A suggestion for Improvement of long-term care services: From the view of healthcare quality. The Journal of Long Term Care, 1(1). 31-61.