학회지

Korean Academic Society of Home Health Care Nursing

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건강보험 자료를 이용한 전국 의료기관 가정간호 실시 및 이용 현황 분석: 2008년-2017년

Analysis of Hospital-based Home Care Service Utilization Using National Health Insurance Claim Data from 2008 to 2017

고정연 (서울대학교 간호대학), 윤주영 (서울대학교 간호과학연구소)

언어 :

권호 : v.26, no.1, 36-50,

발행일자 : 2019년 4월

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초록

Purpose: The purpose of this study is to analyze the status quo of hospital-based home care utilization in Korea from 2008 to 2017. Methods: Data from a total of 1,396 medical institutions, 350,390 patients, and 3,563 home care nurses were analyzed using claim data from the Health Insurance Review & Assessment Service. Results: The number of hospital-based home care agencies decreased from 177 in 2008 to 115 in 2014. This number started to increase in 2015 and reached 179 in 2017. The number of hospital-based home care patients declined from 35,056 in 2008 to a low of 26,848 in 2013. This number started to increase in 2014 and reached 67,863 in 2017. Essential hypertension was the most common disease among hospital-based home care patients from 2008 to 2015. The number of hospital-based home care visits declined from about 500,000 in 2008 to a low of 362,000 in 2013. This number started to increase in 2014 and reached 658,000 in 2017. Conclusion: It is necessary to vigilantly monitor hospital-based home care agencies, patients, and the utilization of services. This may help establish platforms for providing community and home-based nursing services for the super-aged society in Korea.

키워드

참고문헌 (29)

  • Ministry of Health and Welfare. Medical institution Home nursing business Work manual. Seoul Special City: Ministry of Health and Welfare, 2010 May.

  • Ministry of Health and Welfare. Pilot project of Primary medical Chronic disease Management manual. Sejong Special Self-governing City: Ministry of Health and Welfare, 2019 January. Report No.: 11-1352000-002363-10.

  • National Health Insurance Service. 2017 National Health Insurance Statistical Yearbook. Wonju City, Gangwon-do: Health Insurance Review & Assessment Service, 2018 September. Report No.: 11-B550928-000001-10.

  • Jung KH, Oh YH, Lee YK, Oh MA, Kang EN, Kim KR, et al. 2017 Elderly survey. Sejong Special Self-governing City: Korea Institute for Health and Social Affairs, 2018 May. Report No.: 11-1352000-000672-12.

  • Ministry of Health and Welfare. Community care Promotion plan [Internet]. Sejong Self-governing City: Ministry of Health and Welfare; 2018. [cited 2018 December 1]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jspPAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=346683&page=1

  • Park JY. Cost-benefit analysis of the community-based home health care program for cerebrovascular disease patients. [Master thesis]. Seoul: Seoul National University; 2000. 107 p.

  • Jun KJ, Park JY. Cost-Effectiveness Analysis of Home Health Care Program for Cerebrovascular Accident Patients. Journal of Korean Academy of Community Health Nursing. 2001;12(10):22-31.

  • Lim JY, Park YJ. Cost-Effectiveness Analysis of Home Care Service for Cerebrovascular Disease Patients. Journal of Korean Academy of Nursing Administration. 2002;8(2):323-334.

  • Kim EK, Hwang JH, Shin SY. Analysis on Home Care Services and Home Health Care Cost of CVA Patients in Korea. Journal of Korean Academy of Nursing Administration. 2006;12(2):225-232.

  • Hwang NM. Cost-benefit analysis of the hospital-based home health care program for terminal cancer patients. [dissertation]. Seoul: Seoul National University; 2000. 123 p.

  • Song JR, Kim YS, Kim JH. Cost-effectiveness Analysis of Home Care Services for Patients with Diabetic Foot. Journal of Korean Academy of Nursing Administration. 2013;19(4):437-448. https://doi.org/10.11111/jkana.2013.19.4.437

    http://dx.doi.org/10.11111/jkana.2013.19.4.437

    원문상세

  • Lim JY. A Cost-Utility Analysis of Home Care Services by using the QALY. Journal of Korean Academy of Nursing. 2004;34(3):449-457. https://doi.org/10.4040/jkan.2004.34.3.449

    http://dx.doi.org/10.4040/jkan.2004.34.3.449

    원문상세

  • Jung KA, Han SJ. Home Health Care Nursing Service Satisfaction and Needs in Cancer Patients. Journal of Korean Academy Society Home Care Nursing. 2012;19(2):139-149.

  • Paul IM, Phillips TA, Widome MD, Hollenbeak CS. Cost-effectiveness of postnatal home nursing visits for prevention of hospital care for jaundice and dehydration. Pediatrics. 2004;114(4):1015-1022. http://dx.doi.org/10.1542/peds.2003-0766-L

    http://dx.doi.org/10.1542/peds.2003-0766-L

    원문상세

  • Nathwani D, Zambrowski JJ. Advisory group on home based and outpatient care (AdHOC): An international consensus statement on non-inpatient parenteral therapy. Clinical Microbiology and Infection. 2000;6(9):464-476. http://dx.doi.org/10.1046/j.1469-0691.2000.00113.x

    http://dx.doi.org/10.1046/j.1469-0691.2000.00113.x

    원문상세

  • Chiu L, Shyu WC, Chen TRJ. A cost-effectiveness analysis of home care and community-based nursing homes for stroke patients and their families. Journal of Advanced Nursing. 1997;26(5):872-878.

    http://dx.doi.org/10.1046/j.1365-2648.1997.00410.x

    원문상세

  • Chiu L, Shyu WC, LIU YH. Comparisons of the cost-effectiveness among hospital chronic care, nursing home placement, home nursing care and family care for severe stroke patients. Journal of Advanced Nursing. 2001;33(3):380-386.

    http://dx.doi.org/10.1046/j.1365-2648.2001.01703.x

    원문상세

  • Health Insurance Review & Assessment Service. Health Insurance Cost Revision History [Internet]. Wonju City, Gangwon-do: Health Insurance Review & Assessment Service; 2017. [cited 2018 December 1]. Available from: http://www.hira.or.kr/dummy.do?pgmid=HIRAA020036000000&cmsurl=/cms/policy/02/01/1341854_27024.html&subject.

  • Song CR. Home care services: crisis and prospects. Perspectives in Nursing Science. 2009;6(1):55-65.

  • Ryu HS. Current Status of Costs and Utilizations of Hospital Based Home Health Nursing Care in Korea. Journal of Korean Academy of Nursing. 2006;36(7):1193-1203. https://doi.org/10.4040/jkan.2006.36.7.1193

    http://dx.doi.org/10.4040/jkan.2006.36.7.1193

    원문상세

  • Chin YR, Hong WL. Changed on Hospital-based Home Care Services Utilization After Long-term Care Insurance Launch. Journal of the Korean Gerontological Society. 2011;31(2):371-380.

  • Korean Home healthcare Nurses Association. Status of Home Nursing Institution [Internet]. Seoul Special City: Korean Home healthcare Nurses Association; 2018. [cited 2019 January 10]. Available from: http://www.hcna.or.kr/sub2/2_7.php

  • Song JR, Lee MG, Hwang MS, Yoon YM. The Current State of Hospital-based Home Care Services in Korea: Analysis of Data on Insurance Claims for Home Care from 2007 to 2012. Journal of Korean Academy Society Home Care Nursing. 2014;21(2):127-138.

  • Ministry of Government Legislation. Medical Law Enforcement Regulations [Internet]. Sejong Special Self-governing City: Ministry of Government Legislation; 2018. [cited 2019 February 1]. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=206266&efYd=20190101#0000.

  • Ministry of Health and Welfare. 2010 Health and Welfare Project for the Elderly [Internet]. Seoul Special City: Ministry of Health and Welfare; 2010. [cited 2019 February 1]. Available from: http://www.mohw.go.kr/react/jb/sjb0406vw.jsp?PAR_MENU_ID=03&MENU_ID=030406&BOARD_ID=5900&BOARD_FLAG=04&CONT_SEQ=320690&page=1

  • Health Insurance Review & Assessment Service. HealthInsurance Cost Notification [Internet]. Wonju City, Gangwon-do:Health Insurance Review & Assessment Service; 2019.[cited 2019 January 29]. Available from: http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020002000100&brdScnBltNo=4&brdBltNo=7194&pageIndex=1#none

  • The court of the Republic of Korea. Precedent [Internet]. Seoul Special City: The court of the Republic of Korea; 2019. [cited 2019 March 22]. Available from: https://glaw.scourt.go.kr/wsjo/panre/sjo050.do#//

  • Lim JY. A Comparison of Cost between Home Care and Hospital Care-According to Subject's General Characteristics. Journal of Korean Academy of Nursing. 2003;33(2):246-255. https://doi.org/10.4040/jkan.2003.33.2.246

    http://dx.doi.org/10.4040/jkan.2003.33.2.246

    원문상세

  • Ryu HS, Jung KS, Lim JY. Test on the Cost and Development on the Payment System of Home Health Care Nursing. Journal of Korean Academy of Nursing. 2006; 36(3):503-513. https://doi.org/10.4040/jkan.2006.36.3.503

    http://dx.doi.org/10.4040/jkan.2006.36.3.503

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