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노인장기요양보험제도를 통한 방문재활 서비스 도입방안 -서비스 공급주체로서 OECD국가 가정방문물리치료의 고찰-

Inclusion of Home-based Rehabilitation Services in the Long-Term Care Insurance - Review on the Home-based Physical Therapy in the OECD -

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초록

The purpose of this study was to expand the home-based rehabilitation services in the long term care insurance. This study was reviewed on the home-based physical therapy in the OECD. The way of this study was literature search and review. This was to reviewed Proquest, Sciencedirect, SpingerLink, Pubmed. Kew word is "home-based therapy". This was collected 71 articles and final analyzed article was 49. The results were as follows; The article number is seven in Canada, fifteen in USA, five in UK, six in Australia, three in Sweden, five in New Zealand, two in Netherlands, one in Turkey, South Korea, Japan, France, Spain, Italy respectively. Randomized controlled trial is fifty, case-control study is eleven, interview is three, literature review is two, and case report, cost-analysis, cost-effectiveness, pilot study, single blinded parallel design, demonstrative study, survey is one respectively. Physical therapist played an important role in home-based rehabilitation among OECD than nurse. Therefore, we must introduce home-based physical therapy in long term care insurance in South Korea.

Abstract

The purpose of this study was to expand the home-based rehabilitation services in the long term care insurance. This study was reviewed on the home-based physical therapy in the OECD. The way of this study was literature search and review. This was to reviewed Proquest, Sciencedirect, SpingerLink, Pubmed. Kew word is "home-based therapy". This was collected 71 articles and final analyzed article was 49. The results were as follows; The article number is seven in Canada, fifteen in USA, five in UK, six in Australia, three in Sweden, five in New Zealand, two in Netherlands, one in Turkey, South Korea, Japan, France, Spain, Italy respectively. Randomized controlled trial is fifty, case-control study is eleven, interview is three, literature review is two, and case report, cost-analysis, cost-effectiveness, pilot study, single blinded parallel design, demonstrative study, survey is one respectively. Physical therapist played an important role in home-based rehabilitation among OECD than nurse. Therefore, we must introduce home-based physical therapy in long term care insurance in South Korea.

참고문헌 (15)

  1. Kizer K.W., "Establishing Health Care Performance Standards in an Era of Consumerism", JAMA, 286(10), pp.1213~1217 (2001)
  2. 이규식, "OECD를 중심으로 한 유럽의 의료개혁 동향과 교훈", 한국보건행정학회, 2002년 후기 학술대회, pp.5~59 (2002)
  3. Saltman R.B., "A Conceptual Overview of Recent Health Care Reform", European Journal of Public Health, 4(4), pp.287~293 (1994)
  4. 노인일상생활수행능력향상을 위한 보건복지서비스 연계모형 개발연구, "선우덕", 한국보건사회연구원, 5~54 (2000)
  5. 2004년도 전국 노인생활실태 및 복지욕구조사, "정경희", 한국보건사회연구원, 4~25 (2005)
  6. 노인장기요양보험제도 시행1주년! 그 간의 성과와 향후 발전방향, "국민건강보험공단", 국민건강보험공단 광주지역본부, 2~18 (2009)
  7. 노인장기요양보험제도의 시행과 품질관리의 과제, "김용득", 보건복지부 노인장기요양보험대회협력TF팀, 4~15 (2008)
  8. 석재은, "공급자 관점에서의 노인장기요양보험제도의 개선방안", 보건복지포럼, 168(10), pp.34~44 (2010)
  9. 김철수, "노인장기요양보험제도의 시설 및 인력 인프라 개선", 보건복지포럼, 168(10), pp.10~15 (2010)
  10. 최혜지, "노인장기요양보험법의 내용과 쟁점", 월간복지동향, 103(5), pp.20~23 (2007)
  11. 한성옥, "노인장기요양보험 요양급여 소개", 작업치료사를 위한 노인장기요양보험제도 세미나, pp.2~36 (2008)
  12. 석재은, "노인장기요양보험제도 수가 결정의 의미와 한계", 월간복지동향, 112(2), pp.48~52 (2008)
  13. 김영배, "요양병원형수가제 전환에 대한 요양병원의 평가 및 개선방안 연구", 보건의료산업학회지, 5(2), pp.105~117 (2011), 보건의료산업학회

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