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독일의 가정간호와 통합 방문간호의 연계 모델

German Integrated Model for Home Care and Visiting Nursing

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초록

The aim of this review is to present a German system of an outpatient care center under the German Health Insurance Act and home care (integration of medical care, basic care, bathing) under the Long-Term Care Insurance Act. This idea of a German integrated home care system should contribute to the development of a Korean home care model. Prior the introduction of long-term care insurance (1995), and with the of the health insurance law (1989), German outpatient care centers already provided medical and basic care services for patients with acute and chronic symptoms. Since 1995, patients with acute symptoms and rehabilitation periods under the Health Insurance Act have been eligible for home care. The Long-Term Care Insurance Act is intended for all citizens who are unable to carry out their daily activities for more than six months. In 2017, 13,657 (97%) of 14,050 outpatient care centers provided home care services after long-term care and health insurance. In other words, patients in Germany can use home care in both the acute and chronic phase at the same home care center, or ‘integrated home-care center’.

Abstract

The aim of this review is to present a German system of an outpatient care center under the German Health Insurance Act and home care (integration of medical care, basic care, bathing) under the Long-Term Care Insurance Act. This idea of a German integrated home care system should contribute to the development of a Korean home care model. Prior the introduction of long-term care insurance (1995), and with the of the health insurance law (1989), German outpatient care centers already provided medical and basic care services for patients with acute and chronic symptoms. Since 1995, patients with acute symptoms and rehabilitation periods under the Health Insurance Act have been eligible for home care. The Long-Term Care Insurance Act is intended for all citizens who are unable to carry out their daily activities for more than six months. In 2017, 13,657 (97%) of 14,050 outpatient care centers provided home care services after long-term care and health insurance. In other words, patients in Germany can use home care in both the acute and chronic phase at the same home care center, or ‘integrated home-care center’.

참고문헌 (14)

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  2. "long-term care commission 2019" (2019)[URL]
  3. "2019 Sozialstation" (2019)[URL]
  4. "Gesundheitsberihterstattung des bundes" (1998)[URL]
  5. "Pflege im rahmen der pflegeversicherung deutschlandergebnisse" (2017)[URL]
  6. Heike Hoffer, "20 Jahre Gesetzliche Pflegeversicherung – Mythen und Fakten", Vierteljahrshefte zur Wirtschaftsforschung, 83(4), pp.21~41 (2014), Duncker & Humblot GmbH[DOI]
  7. Verlag CH, "Sozialgesetzbuch: SGB" (2016), Beck-Texte im
  8. "Rahmenempfehlungen nach § 132a Abs. 1 SGB V zur Versorgung mit Häuslicher Krankenpflege vom 10.12.2013 i. d. F. vom 30.08.2019" (2019)[URL]
  9. "Richtlinie des gemeinsamen bundesausschusses ueber die verordnung von haeuslicher krankenpflege (Haeusliche Krankenpflege Richtlinie)" (2019)[URL]
  10. "Pflege pflegeheime und ambulante pflegedienste" (2017)[URL]
  11. "Gesetz über den beruf der gesundheits und krankenpflegehelferin und des gesundheits und krankenpflegehelfers im land brandenburg (Brandenburgisches Krankenpflegehilfegesetz BbgKPHG)" (2018)[URL]
  12. "Gesetz zur reform der pflegeberufe (Pflegeberufereformgesetz PflBRefG)" (2018)[URL]
  13. "2018 Ausbildungs und pruefungsverordnung fuer die pflegeberufe (Pflegeberufe Ausbildungs und pruefungsverordnung PflAPrV)" (2018)[URL]
  14. Deutsches Netzwerk fuer Qualitaetsentwicklung in der Pflege, "2019 Expertenstandard entlassungmanagement in der Pflege" (2019)

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