방문요양 행위 업무량의 상대적 가치 측정
Measuring Workload of Home Visit Care Activities Using Relative Values
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objectives : The purpose of this study was to measure the workload of home visit care activities and their relative values. This study examined also factors that affect the workload of home visit care activities. Methods : The participants of this study were 126 homehelpers of 50 home visit care agencies at the 2nd Longterm Care Insurance Demonstration Project. The workload of home visit care activities was divided into total work and four dimensions ; physical efforts, mental efforts, stress and time. Home visit care activities consisted of four categories with 24 items. We used magnitude estimation method to measure their relative values of the four dimensions. The participants answered the relative values of each activities based on the reference service. We used the activity for supporting their elderlyQs evacuation as the reference service. Results : Most of the respondents were over 40 years old female. They consumed most their time supporting elderlyQ s going out. They consumed their highest physical, mental efforts, and stress for activities of coping with emergency situation. The Pearson correlation coefficients showed significant relationships between workload and each dimensions. This study showed that all four dimensions are statistically significant predictors of workload of home visit care activities. Also, we found that the home-helperQs career affects the workload of home visit care activities. Conclusions : The workload of home visit care activities could be explained by physical efforts, mental efforts, stress and time.
Abstract
Objectives : The purpose of this study was to measure the workload of home visit care activities and their relative values. This study examined also factors that affect the workload of home visit care activities. Methods : The participants of this study were 126 homehelpers of 50 home visit care agencies at the 2nd Longterm Care Insurance Demonstration Project. The workload of home visit care activities was divided into total work and four dimensions ; physical efforts, mental efforts, stress and time. Home visit care activities consisted of four categories with 24 items. We used magnitude estimation method to measure their relative values of the four dimensions. The participants answered the relative values of each activities based on the reference service. We used the activity for supporting their elderlyQs evacuation as the reference service. Results : Most of the respondents were over 40 years old female. They consumed most their time supporting elderlyQ s going out. They consumed their highest physical, mental efforts, and stress for activities of coping with emergency situation. The Pearson correlation coefficients showed significant relationships between workload and each dimensions. This study showed that all four dimensions are statistically significant predictors of workload of home visit care activities. Also, we found that the home-helperQs career affects the workload of home visit care activities. Conclusions : The workload of home visit care activities could be explained by physical efforts, mental efforts, stress and time.
참고문헌 (16)
- Korea National Statistical Office, "Population Projections for Korea" (2006), Korea National Statistical Office
- Hsiao WC, "An overview of the development and refinement of the Resource-Based Relative Value Scale", Med Care, 30(11) (1992)
- Hur YJ, "Comparison of work measures for some physician services in Obstetrics & Gynecology", Korean J Prev Med, 28(3), pp.623~639 (1995)
- Cho WH, "Measurement and analysis of physician work", Korean J Health Policy Adm, 5(2), pp.213~229 (1995)
- Kwon HK, "The estimation on the dentist total work of resource-based relative value scale", J Korean Acad Dent Health, 25(2), pp.207~220 (2001)
- Kim MS, "Estimation of nursing cost for hemodialysis using RBRVS (resource-based relative value scale): Moderately intensive patients", J Korean Nurs Adm Acad Soc, 9(2), pp.205~216 (2003)
- 김문실, "자원기준 상대가치를 이용한 혈액투석실 간호원가 산정- 중증 대상자를 중심으로 -", 간호행정학회지, 11(1), pp.33~44 (2005), 간호행정학회
- Kim MS, "cost in operating room applying the resourcebased relative value scale (RBRVS)", J Korean Nurs Adm Acad Soc, 8(2), pp.283~293 (2002)
- 문선영, "신생아집중치료실 간호수가 산정을 위한 간호행위별 상대가치 산정", 대한아동간호학회지, 12(1), pp.15~24 (2006), 아동간호학회
- Lee TW, "Workload measurement of home health care nursesQ services using relative value units", J Korean Acad Nurs, 30(6), pp.1543~1555 (2000)
- "Noin Janggi Yoyang Boheom"[URL]
- Allison PD, "Fixed Effects Regression Methods for Longitudinal Data Using SAS" (2005), SAS Institute
- Kim HJ, "The Development of RBRVS for Restructuring Medical Insurnace Fee Schedule" (1997), University Institute for Health Services Research
- 이지전, "장기요양환자에서 환자 특징 및 기능상태와 환자돌봄시간과의 관련성", 예방의학회지, 37(3), pp.282~291 (2004), 대한예방의학회
- Sunwoo D, "Study for Evaluation of the 1st Long-Term Care Insurance Demonstration Project" (2006), Korea Institute for Health and Social Affairs
- Latimer EA, "Physician and practice characteristics, frequency of performance, and the Resource- Based Relative Value Scale", Med Care, 30(11), pp.40~49 (1992)