노인장기요양 방문간호 현황 및 추이
Status and Trend of Home Health Nursing for Long-Term Care Insurance Beneficiaries
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연구목적: 본 연구는 노인장기요양 재가급여 중 방문간호 현황 및 추이를 파악하여, 향후 방문간호 활성화 방안 마련을 위한 기초자료를 제공하는데 목적이 있다. 연구방법: 2010-2017년 노인장기요양보험 통계연보 자료와 국민건강보험공단의 장기요양 인력자료 등 이차자료를 활용하여 방문간호 제공 현황 및 추이를 산출하였다. 연구결과: 노인장기요양 방문간호 수급자, 급여비, 제공인력 및 제공기관은 재가급여 중 약 3%의 매우 작은 부분을 차지하고 있으며, 2010년 이후 지속적으로 감소 추세로 나타났다. 특히 노인인구 비율이 높은 농어촌 취약 지역의 경우 도시 지역 보다 방문간호기관 및 인력 등 인프라는 열악하지만 방문간호 수급자 이용률은 높은 것으로 나타났다. 결론: 방문간호 이용자 지원방안 마련과 함께 방문간호 인력 및 기관을 지원할 수 있는 정책방안이 필요할 것이다. 특히 농어촌 취약 지역 방문간호 활성화를 위한 방문간호사의 전문성 함양 및 서비스 질 관리를 위한 프로그램 개발이 모색되어야 할 것이다.
Abstract
Purpose: This study aims to provide basic data for the development of measures and promoting home health nursing by examining the current status and trends in home health nursing for long-term care (LTC) insurance beneficiaries. Methods: Secondary data, including annual LTC insurance statistics reports for 2010-2017 and LTC manpower data, were used to compute current status and trends in the provision of home health nursing. Results: Beneficiaries of home health nursing under LTC insurance, insurance-covered costs for home health nursing, home health nursing provider, and home health nursing providing institution only accounted for 3% of all insurance-covered home care services, and were on a consistent decline since 2010. In particular, vulnerable rural regions with high proportion of individuals had poor infrastructure in terms of home health nursing institutions and manpower, but had a higher home health nursing utilization rate compared to urban regions. Conclusion: In addition to measures to support home health nursing service beneficiaries, policy measures are needed to support home health nursing service personnel and institutions. Furthermore, programs to cultivate the expertise of home health nurses and improve quality of home health nursing services should be developed in order to promote home health nursing utilization in vulnerable rural regions.
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