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Abstract
Purpose
The purpose of this study was to estimate nursing costs and to establish appropriate nursing fees for long-term care services for community elders.
Methods
Seven nurses participated in data collection related to visiting time by nurses for 1,100 elders. Data on material costs and management costs were collected from 5 visiting nursing agencies. The nursing costs were classified into 3 groups based on the nurse's visit time under the current reimbursement system of long-term care insurance.
Results
The average nursing cost per minute was 246 won. The material costs were 3,214 won, management costs, 10,707 won, transportation costs, 7,605 won, and capital costs, 5,635 won per visit. As a result, the average cost of nursing services per visit by classification of nursing time were 41,036 won (care time <30 min), 46,005 won (care time 30-59 min), and 57,321 won (care time over 60 min).
Conclusion
The results of the study indicate that the fees for nurse visits currently being charged for long-term care insurance should be increased. Also these results will contribute to baseline data for establishing appropriate nursing fees for long-term care services to maintain quality nursing and management in visiting nursing agencies.
Figures and Tables
References
1. Gesture BD, Joan DP, Rosalie AK, Ira SM, Eugene CR. Modeling the costs management in long-term care. Health Care Financing Review. 1991. 13:73–81.
2. Jung KH, Seok JE, SunWoo JD, Lee TW, Lee TJ, Lee YK, et al. Development of targeting and fee system for long-term care. 2005. Seoul: Korea Institute for Health and Social Affairs.
3. Kang SY. Estimation of home-visiting care costs for low-income elderly with chronic disease in a metropolitan city using the severity classification and ABC (active-based costing). Journal of Korean Academy of Nursing Administration. 2008. 14:118–130.
4. Kim YH, Seok JE, Shin JG, Ryu GS, Lee SS, Kim JM, et al. A model of financial estimation in long-term care insurance. 2008. Seoul: Korea Institute for Social Insurance.
5. Kim YI, Kang YG, Park JY, Lee GO, Kim KY, Choi SJ, et al. System development of long-term care elderly. 2004. Seoul: Ministry for Health, Welfare and Family Affairs.
6. Average and trend of the consumer prices in 2008. Korea National Statistical Office. 2008. 12. 31. Retrieved December 31, 2008. from http://kostat.go.kr/board_notice/BoardAction.do?method=view&board_id=73&seq=111&num=111&parent_num=0.
7. Kwon SM. The medical industry and cost regulation: Effectiveness and reform strategies. Korean Policy Studies Review. 1999. 8:255–271.
8. Lee SJ. Cost analysis of home health care with activity-based costing (ABC). 2003. Seoul: Yonsei University;Unpublished doctoral dissertation.
9. Murray R. Setting hospital rates to control costs and boost quality: The Maryland experience. Health Affairs. 2009. 28:1395–1405.
10. Long-term care insurance. National Health Insurance Corporation. 2008. 07. 01. Retrieved August 1, 2009. from
http://www.longtermcare.or.kr/portal/site/nydev/menuitem.6b1ad78dd7b58491cccdc3d584b310a0.
11. Park JH, Hwang NM, Yun SN, Kim MJ, Han KJ, Hong KJ, et al. Policy directions for establishment and expansion of home nursing care in Korea. 2001. Seoul: Seoul National University;Unpublished manuscript.
12. Park JH, Song MS, Sung YH, Ham ML, Yun SO. Estimation of nursing costs for hospitalized patients based on the KDRG classification. Journal of Korean Academy of Nursing Administration. 1997. 3:151–165.
13. Park JH, Song MS, Sung YH, Jo JS, Sim WH. Estimation of nursing cost for hospitalized patients using the resource-based relative value scale. Journal of Korean Academy of Nursing Administration. 1999. 5:253–279.
14. Ryu HS. Estimating the cost of visiting nursing service by visiting nursing model for urban public health center in Korea. Journal of Korean Academy of Nursing. 2004. 34:983–993.
15. Ryu HS. Current status of costs and utilizations of hospital based home health nursing care in Korea. Journal of Korean Academy of Nursing. 2006. 36:1193–1203.
16. Ryu HS, Jung KS, Lim JY. Test on the cost development on the payment system of home health care nursing. Journal of Korean Academy of Nursing. 2006. 36:503–513.
17. Ryu HS, Lee SJ, Moon HJ, Whang NM, Park SA, Park JS, et al. A preliminary study for evaluating on demonstration project of community-based home health care nursing services by the Seoul Nurses Association. Journal of Korean Academy of Nursing. 2000. 30:1488–1502.
18. Seok JE. The unit cost of long-term care service: Evaluation of lst demonstration project. Health and Welfare Policy Forum. 2006. 120:44–59.
19. Seok JE. Development of long-term care insurance: Characteristics and policy themes. Paper presented at the internationalmeeting of the Korean Gerontological Society. 2008. 11. Seoul.
20. Sung MS. Long-term care insurance 1 year-management and development strategy-. The Korean Nurses Association News. 2009. 07. 02. E3.
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