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Bae and Kim: Estimating need for Home Visiting Nurse from Public Health Centers
Original Article

Perspectives in Nursing Science 2015;12(1):23-32.

Published online: 19 April 2015

DOI: https://doi.org/10.16952/pns.2015.12.1.23

Estimating need for Home Visiting Nurse from Public Health Centers

Hyun-Ji Bae1, Jinhyun Kim2,

1Graduate Student, College of Nursing, Seoul National University, Seoul

2Professor, College of Nursing, Seoul National University, Seoul, Korea

Corresponding author: Kim, Jinhyun College of Nursing, Seoul National University, 103 Daehak-ro, Jongro-gu, Seoul 110-799, Korea. Tel: +82-2-740-8818, Fax: +82-2-741-4375, E-mail: jinhyun@snu.ac.kr

Received 16 February 2015       Revised 2 April 2015       Accepted 21 April 2015

Copyright © 2015 The Research Institute of Nursing Science, Seoul National University

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 attempted to estimate the need for home visiting nurse at public health centers. Methods: A model was generated to estimate a community's home visiting health service needs in 16 regions and a workload analysis was adopted to estimate the number of required Nurses. Data were collected from 16 public health centers using the South Korean government's open-information systems. Subjects were divided into three groups: vulnerable social group, bottom 10% income group, and bottom 20% income group. Results: The analysis revealed that 2,158 and 6,667 nurses were needed to provide home visiting health service for the bottom 10% and 20% income groups, respectively. It was estimated that for the vulnerable social group, 10,336 nurses were needed to provide home visiting health service, implying that the need-based demand for nurses is well over 5 times the number currently employed. Conclusion: The results indicate that the number of currently employed nurses is insufficient for the health management of vulnerable social groups. The government should consider active employment policies to encourage nurses to apply for home visiting health service.

Keywords: Need-based demand, Home visiting health services, Home visiting nurse, Public health center

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Figure 1.
Estimation scheme of demand on home visiting nurses.
pns-12-23f1.tif
Table 1.
Needs for Home Visiting Health Services by Region in the Lower 10% Income Group
Region Intensive care (household) Regular care (household) Self-care (household) Total (A) (household) A/B∗(%)
Seoul 1,318 130,299 38,973 170,591 33.8
Busan 148 89,249 38,986 128,382 52.1
Daegu 52 54,910 14,333 69,295 40.6
Incheon 965 61,869 16,829 79,662 56.4
Gwangju - - - - 9.8
Daegeon - - - - 13.0
Ulsan 70 12,327 3,202 15,600 47.9
Gyeonggi 755 94,474 31,943 127,172 43.5
Gangwon - - - - 18.5
Chungbuk 293 28,587 11,317 40,198 71.0
Chungnam - - - - 47.3
Jeonbuk 10 725 321 1,056 60.8
Jeonnam 6 437 150 593 50.1
Gyeongbuk 549 15,786 6,199 22,533 40.8
Gyeongnam 564 37,107 8,539 46,210 43.7
Jeju - - - - 15.7
Total 4,017 470,120 151,892 626,029 49.0

∗ B: Vulnerable social group in each region.

Table 2.
Needs for Home Visiting Health Services by Region in the Lower 20% Income Group
Region Intensive care (household) Regular care (household) Self-care (household) Total (A) (household) A/B∗(%)
Seoul 3,830 378,529 113,220 495,579 70.0
Busan 322 194,659 85,031 280,012 87.2
Daegu 44 46,834 12,225 59,104 36.4
Incheon 2,284 146,495 39,848 188,627 106.0
Gwangju 594 11,884 4,681 17,159 29.4
Daegeon 4 40,838 11,206 52,048 58.4
Ulsan 124 21,758 5,652 27,534 63.8
Gyeonggi 2,748 343,681 116,205 462,634 85.9
Gangwon 273 29,645 9,063 38,982 46.9
Chungbuk 796 77,511 30,687 108,994 114.3
Chungnam 71 10,108 3,912 14,090 66.2
Jeonbuk 809 60,392 26,767 87,968 105.1
Jeonnam 1,142 83,262 28,565 112,969 100.3
Gyeongbuk 2,778 79,860 31,359 113,997 74.7
Gyeongnam 1,192 78,473 18,058 97,724 60.3
Jeju 122 8,669 2,976 11,768 31.5
Total 17,159 1,612,836 539,070 2,169,066 95.0

∗ B: Vulnerable social group in each region.

Table 3.
Needs for Home Visiting Health Services by Region in the Vulnerable Social Group
Region Intensive care (household) Regular care (household) Self-care (household) Total (A) (household) A/B∗ (%)
Seoul 5,917 584,838 174,929 765,684 100.0
Busan 385 233,115 101,830 335,330 100.0
Daegu 160 169,095 44,137 213,392 100.0
Incheon 2,125 136,291 37,073 175,489 100.0
Gwangju 3,936 78,736 31,010 113,682 100.0
Daegeon 9 83,844 23,006 106,859 100.0
Ulsan 246 43,117 11,201 54,563 100.0
Gyeonggi 3,411 426,689 144,272 574,372 100.0
Gangwon 1,185 128,477 39,278 168,939 100.0
Chungbuk 630 61,374 24,298 86,302 100.0
Chungnam 387 55,271 21,392 77,050 100.0
Jeonbuk 717 53,516 23,720 77,953 100.0
Jeonnam 1,136 82,838 28,420 112,394 100.0
Gyeongbuk 4,483 128,032 49,508 182,023 100.0
Gyeongnam 2,688 176,911 40,711 220,310 100.0
Jeju 905 64,328 22,084 87,318 100.0
Total 28,320 2,506,471 816,869 3,351,660 100.0

∗ B: Vulnerable social group in each region.

Table 4.
Demands for Home Visiting Nurse Practitioner by Region
Region 10%∗ 20%† Vulnerable‡ 2013y§
n n n n
Seoul 530 1,540 2,380 317
Busan 379 827 991 186
Daegu 216 184 666 63
Incheon 251 595 553 94
Gwangju - 54 355 46
Daegeon - 162 332 49
Ulsan 49 86 171 45
Gyeonggi 389 1,417 1,759 385
Gangwon - 121 523 138
Chungbuk 121 329 260 121
Chungnam - 42 232 120
Jeonbuk 3 262 232 108
Jeonnam 2 347 345 173
Gyeongbuk 69 352 563 176
Gyeongnam 148 313 705 38
Jeju - 36 268 47
Total 2,158 6,667 10,336 2,106

∗ 10%: the lower 10% income group;

† 20%: the lower 20% income group;

‡ Vulnerable: the vulnerable social group;

§ 2013y: the number of registered nurses employed for home visiting health services.

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