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Lee, Han, and Kang: The Characteristics and Service Utilization of Home Nursing Care Beneficiaries Under the Korean Long Term Care Insurance
Original Article

Journal of Korean Academy of Community Health Nursing 2011; 22(1): 33-44.

Published online: 4 April 2014

DOI: https://doi.org/10.12799/jkachn.2011.22.1.33

The Characteristics and Service Utilization of Home Nursing Care Beneficiaries Under the Korean Long Term Care Insurance

Jung-Suk Lee1, Eun-Jeong Han2, Im-Ok Kang3

1Senior Research Fellow, Institute for Health Insurance Policy Research, National Health Insurance Corporation, Korea.

2Researcher, Institute for Health Insurance Policy Research, National Health Insurance Corporation, Korea.

3Research Professor, Department of Medical Law & Ethics, Yonsei University, Korea.

Address reprint requests to: Kang, Im-Ok, Department of Medical Law & Ethics, Yonsei University, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, Korea. Tel: 82-2-2228-2534, Fax: 82-2-313-3292, imoak@yuhs.ac

Received 29 December 2010       Revised 18 March 2011       Accepted 18 March 2011

© 2011 Korean Academy of Community Health Nursing

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study examined the characteristics and service utilization of home nursing care beneficiaries under the Korean Long-Term Care Insurance (LTCI).

Methods

We used assessment data and claim data of National Health Insurance Corporation from July to August 2008. Data were composed of subjects who were the beneficiaries of home nursing care.

Results

A total of 634 subjects were analyzed. Of the subjects, 57.1% were 75 years and over. The average score of nursing care need was only 0.71 and the percentage of those whose nursing care need score was zero was 58.0%. More than half of the subjects had partially dependent musculoskeletal conditions, and 75.5% had two or more comorbidities. A third of them usedonly home nursing care, and another third used both home nursing care and general home care at the same time. Those who needed sore care used the largest home nursing care benefits.

Conclusion

Home nursing care of LTCI performs community-based healthcare services under LTCI. Throughout the past two years, however, it has not been active. Understanding the characteristics of its users is important in order to develop effective strategies for activating home nursing care.

Keywords: Home nursing, Aged, Long-term care insurance, Utilization

Figures and Tables

Table 1
Characteristics of the Study Population (N=634)
jkachn-22-33-i001

LTCI=Long-term care insurance; HN=home nursing; HB=home bathing; HC=home care.

†Others mean national medical aid and low income blanket. The persons in low income blanket were beneficiaries having a subsidy regularly from Korean government; ‡The region is classified according to the administrative district and region's population size. Small city means locations mixed urban area and rural area; §Persons in class 1 have worse functional conditions than class 3; ∥Sample size varies because participants of study have several diseases. The percentage means number of persons in each group among persons with the disease.

*p<.05.

Table 2
General Conditions according to Service Type
jkachn-22-33-i002

HN=home nursing; HB=home bathing; HC=home care.

†This value is number and percentage of fully dependent activity. Score range of activity of daily living items is 13~39. The higher score means worse conditions; ‡Score range of musculoskeletal conditions is 10~30. The higher score means worse conditions.

*p<.05.

Table 3
Nursing Care Needs according to Service Type
jkachn-22-33-i003

HN=home nursing; HB=home bathing; HC=home care.

†Sample size varies because participants of study have several diseases. The percentage is calculated as persons with the disease in each group is divided number of persons having each care; ‡Total score of nursing care needs is calculated as number of persons have nursing care needs. Score range is 0~10, The higher score means more nursing care needs(M±SD); §This is included tracheostomy care, suction, oxygen therapy, tube feeding, pain control, colostomy care and dialysis care.

*p<.05.

Table 4
Expenditure according to Nursing Care Type and Service Type (unit: won)
jkachn-22-33-i004

LTCI=Long-term care insurance; HN=home nursing; HB=home bathing; HC=home care.

†This means expenditure for each nursing care per month; ‡This is calculated as paid money for home nursing divided total charge; §This is included tracheostomy care, suction, oxygen therapy, tube feeding, pain control, colostomy care and dialysis care.

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