A Study for Evaluating the Performance of a Community-based Home Care Services Model.
- Author:
Se Young KIM
1
;
Sung Ae PARK
Author Information
1. College of Nursing, Graduate School, Seoul National University, Korea.
- Publication Type:Original Article
- Keywords:
Community;
Home Care Services;
Performance
- MeSH:
Ambulatory Care;
Chronic Disease;
Home Care Services*;
Hospitalization;
Humans;
National Health Programs;
Nurses, Community Health;
Nursing;
Nursing Assessment;
Nursing Records;
Nursing Services;
Pressure Ulcer;
Self Report;
Specialization
- From:Journal of Korean Academy of Community Health Nursing
2008;19(4):673-683
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was aimed to evaluate the performance of a community-based home care services model. METHOD: The subjects were 138 patients who have been enrolled during a 6 month's period, nursing records and nursing service bills. The data was collected by self report and chart review. The mean cost per visit was compared with those of hospitalization & clinic visit in the data from National Health Insurance Corporation. RESULT: A significant number of patients were bed ridden(63.8%) and unconscious(27.5%), and most of the patients had complex chronic diseases. Except nursing assessment, bed sore care was the most frequent nursing treatment(25.1%) in home care services. The mean cost per visit of home care services was 34,665 won, which was lower than those of hospitalization & clinic visit for medical aid. The patients were highly satisfied with the services by visiting nurse specialists. CONCLUSION: Community-based home care services provided cost-effective and satisfied services. Community-based home care services needs systematic supports to expand it's domain for promoting community health.
