노인요양병원과 신경과 의사의 역할
Long-Term Care Hospital and the Role of Neurologist
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Korea health care system and public welfare system have been changed slowly and developed step by step. It makesefforts to promote the welfare of the people, but does not provide good benefits for geriatric patients. In 2008, it wasincompletely set up the long term care system in Korea. And the Law on Long-Term Care Insurance for Elderly wasofficially announced in Nov. 2011 and the law for dementia, Dementia Management Act, was drafted in Feb. 2012. Though there were many laws, the concept of long-term care hospital and geriatric care facility is still obscure. Inlong-term care hospital, there are big expansion of the number of beds and institutions in Korea. Over a half of thepatients in long-term care hospitals are suffered from mixed neurological diseases. Especially, dementia is the comorbidstate with other chronic geriatric diseases. In view of the aging population, the role of neurologist will continue to grow. So neurologists need more special training for the needed skills and competencies, and the specific care settings programin long-term care hospital. In this review, the history and current state of long-term care hospital, related laws, and therole of neurologist will be discussed.
Abstract
Korea health care system and public welfare system have been changed slowly and developed step by step. It makesefforts to promote the welfare of the people, but does not provide good benefits for geriatric patients. In 2008, it wasincompletely set up the long term care system in Korea. And the Law on Long-Term Care Insurance for Elderly wasofficially announced in Nov. 2011 and the law for dementia, Dementia Management Act, was drafted in Feb. 2012. Though there were many laws, the concept of long-term care hospital and geriatric care facility is still obscure. Inlong-term care hospital, there are big expansion of the number of beds and institutions in Korea. Over a half of thepatients in long-term care hospitals are suffered from mixed neurological diseases. Especially, dementia is the comorbidstate with other chronic geriatric diseases. In view of the aging population, the role of neurologist will continue to grow. So neurologists need more special training for the needed skills and competencies, and the specific care settings programin long-term care hospital. In this review, the history and current state of long-term care hospital, related laws, and therole of neurologist will be discussed.
참고문헌 (23)
- Ko IS, "Textbook of Neirology", pp.175~201 (2012), Bum-Moon Education
- 제2차 국가치매관리 종합계획, "보건복지부", ~ (2012)
- Rowe JW, "Successful aging", Gerontologist, 37, pp.433~440 (1997)
- 노인 요양시설과 요양병원의 역할 정립 방안연구, "대한노인병학회", 보건복지부, ~ (2010)
- Park JC, "Principles of Geriatric Medicine", pp.1098~1114 (2011), Hankook Medical
- "노인복지법; 시행 2012.2.5. 법률 제 11013 호, 2011.8.4., 타법 개정", ~ (2012)
- "대한민국 의료법; 시행 2008.10.14. 법률 제 9135 호", ~ (2008)
- "의료법 시행 규칙; 시행 2012.4.29. 보건복지부령 제 121 호, 2012. 4.27., 일부 개정", ~ (2012)
- Liu K, "Long-term care hospitals under Medicare: facility-level characteristics", Health Care Financ Rev, 23, pp.1~18 (2001)
- 요양병원의 효율적 관리방안, "송현종", 건강보험심사평가원, ~ (2010)
- "노인장기요양보험법; 시행 2011.12.8. 법률 제 10785 호, 2011. 6.7., 타법 개정", ~ (2011)
- "노인장기요양보험법; 시행 2012.9.1. 법률 제 11141 호, 2012. 12.31., 타법 개정", ~ (2012)
- "노인장기요양보험법 시행령; 시행 2012.1.6. 대통령령 제 23488호, 20121.6 타법 개정", ~ (2012)
- "노인장기요양보험법 시행규칙; 시행 2011.8.19. 보건복지부령제 74 호, 2011.8.19. 일부개정", ~ (2011)
- 국민건강보험공단, "보도자료: 우후죽순 요양병원, 건보재정에심각한 부담", 2012.4.16, ~ (2012)
- "2012년 3/4분기 진료비 통계지표", 건강보험심사평가원 통계자료실[URL]
- "요양병원 개폐업 현황(2009-2012)", 건강보험심사평가원 통계자료실[URL]
- 건강보험심사평가원, "보도자료: 2012년도 요양병원별 적정성평가 결과 공개", 2013.2.27, ~ (2013)
- 지영건, "노인의료 질 향상을 위한 의료기관 평가에 대한 정책", 대한노인요양병원협회지, 춘계학술세미나 특집, pp.61~79 (2012)
- 김수연, "노인병원 입원 환자들의 임상적 특징 및 경과: 600명의 단일 병원 등록 환자 분석", Dementia and Neurocognitive Disorders(대한치매학회지), 8(1), pp.28~36 (2009), 대한치매학회
- 김동환, "요양병원 진료비 증가요인 : 건강보험입원진료비 중심으로" (2011), 건강보험심사평가원, 심사평가연구소
- Conroy S, "Medical services for older people in nursing homes-Comparing services in England and The Netherlands", J Nutr Health Aging, 13, pp.559~563 (2009)
- Hoek JF, "The role of the specialist physician in nursing home: The Netherlands' experience", Int J Geriatr Psychiatry, 18, pp.244~249 (2003)