Effects of Visiting Nursing Services in Long-term Care Insurance on Utilization of Health Care.
10.12799/jkachn.2016.27.3.272
- Author:
Sangjin LEE
1
;
Chanyeong KWAK
Author Information
1. Ministry of Health and Welfare, Sejong, Korea.
- Publication Type:Comparative Study ; Original Article
- Keywords:
Long term care insurance;
Nursing service;
Medical care cost;
Inpatient;
Outpatient
- MeSH:
Administrative Personnel;
Ambulatory Care;
Delivery of Health Care*;
Health Care Costs;
Health Expenditures;
Hospitalization;
Humans;
Inpatients;
Insurance;
Insurance, Long-Term Care*;
Long-Term Care*;
Nursing Services*;
Nursing*;
Outpatients
- From:Journal of Korean Academy of Community Health Nursing
2016;27(3):272-283
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This is a comparative study using secondary data from the Korean national long term care (LTC) insurance. METHODS: Visiting nursing (VN) service users (n=666) and non-users (n=4,375) were extracted and compared in terms of medical expenditures, length of hospitalization, and annual number of ambulatory care visits to investigate effects of VN services in LTC. RESULTS: Total health care expenditures were compared between the two groups and it was found that VN service users spent about $ 1700 than non-users for their medical costs between 2009 and 2011. The average length of in-hospital stay for VN service users was 19.4 days shorter than that of non-users. However, using VN services did not significantly influence the annual number of ambulatory care visits. CONCLUSION: The study has found that VN services are effective ways of providing community-based LTC services. We recommend LTC policy makers to further utilize VN services to deliver cost effective health care services.
