Journal of Korean Academy of Community Health Nursing  2008;19(4):660-672

An Analysis of the Elderly Care and Management in Hospital-Based Home Care Agencies.

Chong Rye SONG 1 ; Im Ok KANG ; Yun Ok KIM ; Hea Sook JO ; Moon Sook HWANG

Affiliations

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Keywords

Hospital-Based Home Care Services; Insurance; Long term Care; Aged

Country

Republic of Korea

Language

Korean

Abstract

PURPOSE: To analyze the home care services provided to the elderly aged 65 and older by a hospital-based home care agencies and to investigate the effects of long-term care insurance for the elderly. METHOD: The subjects were the home care service recipients aged 65 and older in 172 hospital-based, home care agencies registered in Health Insurance Review & Assessment Service in January, 2007. The data were collected using a questionnaire from March 16 to April 15, 2007. The questionnaire return rate was 43.8%. RESULT: The hospital-based home care agencies were able to visit 66.5% of the national administrative districts. Of the home care service recipients, over 50% were 65 years old and older. About 43% of the agencies reported that over 50% of their patients would be subject to the long-term care insurance. They expressed concern that home care services would be withdrawn once the insurance system is initiated. CONCLUSION: This study suggests that hospital-based home care agencies need to manage home care services with long-term care insurance. It also recommends developing guidelines for the use of services and referrals.