Journal List > J Korean Acad Community Health Nurs > v.23(4) > 1058281

Lee, Hwang, and Han: Trends in Home-visit Nursing Care by Agencies' Characteristics under the National Long-term Care Insurance System

Abstract

Purpose

This study aimed to investigate trends in home-visit nursing care by agencies' characteristics under the national long-term care insurance system.

Methods

Cochran-Mantel-Haenzel tests were conducted, using data drawn from the nationwide long-term care insurance claim database of the Korean National Health Insurance Corporation from 2009 to 2011.

Results

The number of home-visit nursing care agencies has decreased continuously since 2009. There were also similar trends in the total amount of service provided by home-visit nursing care agencies, the number of recipients, the number of employees, and payments. This study showed that there were statistically significant differences in the trends in home-visit nursing care by agencies' characteristics. Despite the overall downward trend, there were some increases in the percentage of home-visit nursing care provided by agencies which were established by individuals, located in large cities, and which combined home-visit care with home-visit bathing.

Conclusion

Home-visit nursing care agencies are responsible for providing community-based healthcare services. For past three years, however, they have not been utilized to their full potential. Understanding the trends in home-visit nursing care by agencies' characteristics is important to develop utilization strategies for home-visit nursing care.

Figures and Tables

Table 1
Change of the Number of Bill claimed Agencies, the Number of Beneficiaries, and Total Benefit Amount in In-home Long-term Care from 2009 to 2011 (Unit: Each, Person, 1,000 won)
jkachn-23-415-i001
Table 2
Change of the Number of Bill claimed Agencies, the Number of Beneficiaries, and Total Benefit Amount in Home-Visit Nursing Care from 2009 to 2011 (Unit: Each, Person, 1,000 won, %)
jkachn-23-415-i002

CHM=Cochran-Mantel-Haenzel test.

Table 3
Change of the Number of Care Workers in Home-Visit Nursing Care from 2009 to 2011 (Unit: Person, %)
jkachn-23-415-i003

CHM=Cochran-Mantel-Haenzel test.

Table 4
Change of Long-term Care Level, Care Time, and Frequency of Nursing Visiting for Beneficiaries from 2009 to 2011 (Unit: claim, %)
jkachn-23-415-i004

CHM=Cochran-Mantel-Haenzel test.

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