건강보험 자료를 이용한 전국 의료기관 가정간호 실시 및 이용 현황 분석: 2008년-2017년
Analysis of Hospital-based Home Care Service Utilization Using National Health Insurance Claim Data from 2008 to 2017
1
조회
0
다운로드
10
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study is to analyze the status quo of hospital-based home care utilization in Korea from 2008 to 2017. Methods: Data from a total of 1,396 medical institutions, 350,390 patients, and 3,563 home care nurses were analyzed using claim data from the Health Insurance Review & Assessment Service. Results: The number of hospital-based home care agencies decreased from 177 in 2008 to 115 in 2014. This number started to increase in 2015 and reached 179 in 2017. The number of hospital-based home care patients declined from 35,056 in 2008 to a low of 26,848 in 2013. This number started to increase in 2014 and reached 67,863 in 2017. Essential hypertension was the most common disease among hospital-based home care patients from 2008 to 2015. The number of hospital-based home care visits declined from about 500,000 in 2008 to a low of 362,000 in 2013. This number started to increase in 2014 and reached 658,000 in 2017. Conclusion: It is necessary to vigilantly monitor hospital-based home care agencies, patients, and the utilization of services. This may help establish platforms for providing community and home-based nursing services for the super-aged society in Korea.
Abstract
Purpose: The purpose of this study is to analyze the status quo of hospital-based home care utilization in Korea from 2008 to 2017. Methods: Data from a total of 1,396 medical institutions, 350,390 patients, and 3,563 home care nurses were analyzed using claim data from the Health Insurance Review & Assessment Service. Results: The number of hospital-based home care agencies decreased from 177 in 2008 to 115 in 2014. This number started to increase in 2015 and reached 179 in 2017. The number of hospital-based home care patients declined from 35,056 in 2008 to a low of 26,848 in 2013. This number started to increase in 2014 and reached 67,863 in 2017. Essential hypertension was the most common disease among hospital-based home care patients from 2008 to 2015. The number of hospital-based home care visits declined from about 500,000 in 2008 to a low of 362,000 in 2013. This number started to increase in 2014 and reached 658,000 in 2017. Conclusion: It is necessary to vigilantly monitor hospital-based home care agencies, patients, and the utilization of services. This may help establish platforms for providing community and home-based nursing services for the super-aged society in Korea.
참고문헌 (29)
- Ministry of Health and Welfare, "Medical institution Home nursing business Work manual", Ministry of Health and Welfare, ~ (2010)
- Pilot project of Primary medical Chronic disease Management manua, "Ministry of Health and Welfare", Sejong Special Self-governing City: Ministry of Health and Welfare, ~, pp.Report No.: 11-1352000-002363-10 (2019)
- 2017 National Health Insurance Statistical Yearbook, "National Health Insurance Service", Gangwon-do:Health Insurance Review & Assessment Service, ~, pp.Report No.: 11-B550928-000001-10 (2017)
- 2017 Elderly survey, "Jung KH", Korea Institute for Health and Social Affairs, ~, pp.Report No.: 11-1352000-000672-12 (2018)
- "Community care Promotion plan" (2018)[URL]
- Park JY, "Cost-benefit analysis of the community-based home health care program for cerebrovascular disease patients", Master, pp.2000
- Jun KJ, "Cost-Effectiveness Analysis of Home Health Care Program for Cerebrovascular Accident Patients", Journal of Korean Academy of Community Health Nursing, 12(10), pp.22~31 (2001)
- Lim JY, "Cost-Effectiveness Analysis of Home Care Service for Cerebrovascular Disease Patient", Journal of Korean Academy of Nursing Administration, 8(2), pp.323~334 (2002)
- 김은경, "뇌혈관질환자의 가정간호 서비스 및 진료비 분석", 간호행정학회지, 12(2), pp.225~232 (2006), 간호행정학회
- 황나미, "재가 말기 암환자 임종간호의 비용-편익 분석 : 입원 대안으로", 박사, 간호학, pp.2000
- 송종례, "당뇨병성 족부질환자에 대한 가정간호서비스의 비용-효과 분석", 간호행정학회지, 19(4), pp.437~448 (2013), 간호행정학회[DOI]
- 임지영, "QALY를 이용한 가정간호서비스의 비용효용분석", Journal of Korean Academy of Nursing, 34(3), pp.449~457 (2004), 한국간호과학회
- 정경애, "재가 암환자의 가정간호서비스 만족도 및 요구도 조사", 가정간호학회지, 19(2), pp.139~149 (2012), 한국가정간호학회
- I. M. Paul, "Cost-Effectiveness of Postnatal Home Nursing Visits for Prevention of Hospital Care for Jaundice and Dehydration", PEDIATRICS, 114(4), pp.1015~1022 (2004), American Academy of Pediatrics (AAP)[DOI]
- D. Nathwani, "Advisory group on Home-based and Outpatient Care (AdHOC): an international consensus statement on non-inpatient parenteral therapy", Clinical Microbiology and Infection, 6(9), pp.464~476 (2000), Elsevier BV[DOI]
- Chiu L, "A cost-effectiveness analysis of home care and community-based nursing homes for stroke patients and their families", Journal of Advanced Nursing, 26(5), pp.872~878 (1997)
- Chiu L, "Comparisons of the cost-effectiveness among hospital chronic care, nursing home placement, home nursing care and family care for severe stroke patients", Journal of Advanced Nursing, 33(3), pp.380~386 (2001)
- "Health Insurance Cost Revision History" (2017)[URL]
- Song CR, "Home care services : crisis and prospects", Perspectives in Nursing Science, 6(1), pp.55~65 (2009)
- 유호신, "전국 의료기관 가정간호이용 및 가정간호비용", Journal of Korean Academy of Nursing, 36(8), pp.1193~1203 (2006), 한국간호과학회
- 진영란, "노인장기요양보험제도 도입 후 의료기관 가정간호 이용실태 변화", 한국노년학, 31(2), pp.371~380 (2011), 한국노년학회
- "Status of Home Nursing Institution" (2018)[URL]
- 송종례, "의료기관 가정간호의 현황(2007-2012): 가정간호 급여청구자료 분석", 가정간호학회지, 21(2), pp.127~138 (2014), 한국가정간호학회
- "Medical Law Enforcement Regulations" (2018)[URL]
- "2010 Health and Welfare Project for the Elderly" (2010)[URL]
- "Health Insurance Cost Notification" (2019)[URL]
- "Precedent" (2019)[URL]
- 임지영, "뇌혈관질환자에서의 가정간호이용시와 병원입원시 비용 비교: 대상자의 인구학적 특성을 중심으로", Journal of Korean Academy of Nursing, 33(2), pp.246~255 (2003), 한국간호과학회
- 유호신, "가정간호수가 적정성 검증 및 수가체계 개선 방안", Journal of Korean Academy of Nursing, 36(4), pp.503~513 (2006), 한국간호과학회