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Original Articles
[English]
Effects of Visiting Nursing Services in Long-term Care Insurance on Utilization of Health Care
Sang Jin Lee, Chanyeong Kwak
J Korean Acad Community Health Nurs. 2016;27(3):272-283.   Published online September 30, 2016
DOI: https://doi.org/10.12799/jkachn.2016.27.3.272
  • 1,722 View
  • 22 Download
  • 17 Citations
AbstractAbstract PDF
PURPOSE
This is a comparative study using secondary data from the Korean national long term care (LTC) insurance.
METHODS
Visiting nursing (VN) service users (n=666) and non-users (n=4,375) were extracted and compared in terms of medical expenditures, length of hospitalization, and annual number of ambulatory care visits to investigate effects of VN services in LTC.
RESULTS
Total health care expenditures were compared between the two groups and it was found that VN service users spent about $ 1700 than non-users for their medical costs between 2009 and 2011. The average length of in-hospital stay for VN service users was 19.4 days shorter than that of non-users. However, using VN services did not significantly influence the annual number of ambulatory care visits.
CONCLUSION
The study has found that VN services are effective ways of providing community-based LTC services. We recommend LTC policy makers to further utilize VN services to deliver cost effective health care services.

Citations

Citations to this article as recorded by  
  • The influence of knowledge and self-efficacy on the performance of pressure injury care by home visit nursing workers in the long-term care insurance system
    Seungmi Park, Jiyeon Park, Ji Hyun Kim
    The Journal of Korean Academic Society of Nursing Education.2024; 30(4): 361.     CrossRef
  • Factors Associated With Medical Expenses Among Long‐Term Care Insurance Recipients Aged 65 Years or Older in Korea
    Ok Kyung Ham, Insook Cho, Dahye Kim, Minhee Suh
    Nursing & Health Sciences.2024;[Epub]     CrossRef
  • Impact of long-term care insurance on medical costs and utilization by patients with Parkinson's disease
    Seung Hoon Kim, Eun-Cheol Park, Suk-Yong Jang
    Social Science & Medicine.2023; 317: 115563.     CrossRef
  • A Study on Outcomes of the Utilization of Visiting Nursing Service at the Integrated Visiting Nursing Center in Bucheon-si
    Hyun-Kyung Park, Ae Jung Yoo, Ju Young Yoon, Jae Woo Choi
    Research in Community and Public Health Nursing.2023; 34: 127.     CrossRef
  • The Economic and Health Effects of Long-term Care Insurance: New Evidence from Korea
    Hoolda Kim, Sophie Mitra
    SSRN Electronic Journal.2023;[Epub]     CrossRef
  • Influencing factors of pressure injury healing in an acute care setting: A retrospective cohort study
    Chanyeong Kwak, Young Ko
    Journal of Tissue Viability.2022; 31(1): 152.     CrossRef
  • Comparison between the Aged Care Facilities Provided by the Long-Term Care Insurance (LTCI) and the Nursing Hospitals of the National Health Insurance (NHI) for Elderly Care in South Korea
    Hyeri Shin
    Healthcare.2022; 10(5): 779.     CrossRef
  • The Economic and Health Effects of Long-Term Care Insurance: New Evidence from Korea
    Hoolda Kim, Sophie Mitra
    The Journal of the Economics of Ageing.2022; 23: 100412.     CrossRef
  • Critical Thinking Disposition, Job Competency, and Educational Needs of Home Visiting Nurses in the Long-term Care Insurance
    Keunyoung Shin, Sujin Shin
    Journal of Korean Gerontological Nursing.2021; 23(1): 54.     CrossRef
  • Examination of the Educational Needs of Home Visit Nurses: A Cross-Sectional Descriptive Study
    Kyuri Lee, Dukyoo Jung
    International Journal of Environmental Research and Public Health.2021; 18(5): 2319.     CrossRef
  • A Study on the Status of Application of Health Insurance Fees for Nursing Activities of Nurses in Rehabilitation Unit
    Oon Hee Yee, Sun-Houng Kim, Mihwa Cho, Kyung Hee Moon, Seungyoung Lee
    The Korean Journal of Rehabilitation Nursing.2021; 24(1): 1.     CrossRef
  • Demand and willing to pay for oral hygiene service in long-term care insurance of elderly
    Han-Nah Kim, Gi-Yon Kim, Hie-Jin Noh, Nam-Hee Kim
    Journal of Korean Academy of Oral Health.2018; 42(4): 204.     CrossRef
  • The Level of Performance, Frequency and Educational Needs of Nursing Activities in Long-term Care Hospital
    Sun-Sook Moon, Yeon Ok Suh, Kyung-Woo Lee, Jasung Gu
    The Korean Journal of Rehabilitation Nursing.2018; 21(2): 110.     CrossRef
  • Effects of home-visit nursing services on hospitalization in the elderly with pressure ulcers: a longitudinal study
    Hyo Jung Lee, Yeong Jun Ju, Eun-Cheol Park, Juyeong Kim, Sang Gyu Lee
    European Journal of Public Health.2017; 27(5): 822.     CrossRef
  • Performance, Delegation, Job Importance and Education Needs for Tasks of Rehabilitation Nurses
    Suh, Yeon Ok, Oon Hee Yee, Inja Kim
    The Korean Journal of Rehabilitation Nursing.2017; 20(2): 79.     CrossRef
  • Association between home-visit nursing utilization and all-cause hospitalization among long-term care insurance beneficiaries: A retrospective cohort study
    Yeong Jun Ju, Hyo Jung Lee, Woorim Kim, Sang Ah Lee, Kyu-Tae Han, Eun-Cheol Park
    International Journal of Nursing Studies.2017; 75: 93.     CrossRef
  • Factors Associated with the Changes in Activities of Daily Living in Older Adults with Stroke: A Comparison of Home Care and Institutional Care
    Woon-Sook Jung, Eun-Shil Yim
    Journal of Korean Academy of Community Health Nursing.2016; 27(4): 388.     CrossRef
[English]
The Effects of Visiting Nursing Services in Long-term Care Insurance: A Difference-in-Difference Analysis
Ji Eun Kim, In Sook Lee
J Korean Acad Community Health Nurs. 2015;26(2):89-99.   Published online June 30, 2015
DOI: https://doi.org/10.12799/jkachn.2015.26.2.89
  • 1,499 View
  • 4 Download
  • 6 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study was to demonstrate the effects of visiting nursing services in long-term care (LTC) insurance on changes in health status and physical functions among the elderly.
METHODS
We analyzed survey data on the living status and welfare needs of the elderly from 2008 and 2011 using the difference-in-difference method with propensity score matching.
RESULTS
The subjects were 76 elders including 38 visiting nursing service users(intervention group) and 38 home-based LTC service users (control group). Results from DID analysis confirmed that the subjective health status level of the intervention group was 2.2 points higher (p=.044) and the depression level was 0.3 point lower (p=.039) than the control group. In addition, the intervention group's ADL score was 1.9 (p=.027) and IADL 3.9 (p=.030), showing that their health was deteriorated less.
CONCLUSION
Visiting nursing service in LTC insurance was associated with delayed deterioration of subjective health status, depression, ADL and IADL. These findings suggest the need of rebuilding visiting nursing service programs focusing on prevention services, which will be more contributive to elderly health care and the reduction of social costs.

Citations

Citations to this article as recorded by  
  • Comparison between the Aged Care Facilities Provided by the Long-Term Care Insurance (LTCI) and the Nursing Hospitals of the National Health Insurance (NHI) for Elderly Care in South Korea
    Hyeri Shin
    Healthcare.2022; 10(5): 779.     CrossRef
  • Examination of the Educational Needs of Home Visit Nurses: A Cross-Sectional Descriptive Study
    Kyuri Lee, Dukyoo Jung
    International Journal of Environmental Research and Public Health.2021; 18(5): 2319.     CrossRef
  • Development and Application of Cost Management Program for Visiting Nursing Centers Using Time-Driven Activity-Based Costing
    Juhang Kim, Ji Young Lim
    Journal of Korean Academy of Nursing.2019; 49(5): 586.     CrossRef
  • Demand and willing to pay for oral hygiene service in long-term care insurance of elderly
    Han-Nah Kim, Gi-Yon Kim, Hie-Jin Noh, Nam-Hee Kim
    Journal of Korean Academy of Oral Health.2018; 42(4): 204.     CrossRef
  • Association between home-visit nursing utilization and all-cause hospitalization among long-term care insurance beneficiaries: A retrospective cohort study
    Yeong Jun Ju, Hyo Jung Lee, Woorim Kim, Sang Ah Lee, Kyu-Tae Han, Eun-Cheol Park
    International Journal of Nursing Studies.2017; 75: 93.     CrossRef
  • Regional Comparison of Home Visiting Care Service Satisfaction among Elder Beneficiaries of the Long Term Care Insurance
    Chanyeong Kwak
    Journal of Korean Academy of Community Health Nursing.2016; 27(2): 114.     CrossRef
[English]
Counseling Elderly People in Long-term Care Service
Hung Sa Lee, Chun Mi Kim
J Korean Acad Community Health Nurs. 2011;22(2):141-150.   Published online June 30, 2011
DOI: https://doi.org/10.12799/jkachn.2011.22.2.141
  • 975 View
  • 0 Download
AbstractAbstract PDF
PURPOSE
The purpose of this study was to examine satisfaction with counseling in long-term care service, and to compare the scores of counseling satisfaction according to variables among beneficiaries of Korean long-term care services.
METHODS
Questionnaires were completed by 445 beneficiaries of long-term care insurance to measure satisfaction with counseling. Research design was cross-sectional descriptive design. Data were analyzed using descriptive statistics, t-test and ANOVA for evaluating differences in satisfaction with counseling according to variables including economic status, the level of long-term care insurance approval, duration of long term care service, and conditions of counseling.
RESULTS
The score of satisfaction with counseling was somewhat high as 71.67. The score of counselor's attitude was highest among the subcategories of satisfaction. The factors that influenced satisfaction with counseling were frequency and time of counseling (F=12.19, p<.001).
CONCLUSION
Home-based individual counseling is necessary for the elderly who need long-term care service. The National Long-term Care Insurance Corporation should offer counseling and assistance to elders and their caregivers about long term care insurance.
[English]
Quality Dimension of Long Term Care Hospital
Chun Mi Kim, Ji Yun Lee, Ryeo Jin Ko
J Korean Acad Community Health Nurs. 2009;20(2):243-250.   Published online June 30, 2009
  • 454 View
  • 0 Download
AbstractAbstract PDF
PURPOSE
This is a qualitative study to identify dimensions of long-term care hospital care quality that provide high-level medical services for long-term care patients in Korea.
METHODS
Service consumers and providers were interviewed, and collected data were analyzed into thesis, type and dimension. The focus group method was applied to two provider groups and individual interview was applied to two persons who had experienced a long-term care hospital.
RESULTS
The results of analyzing the comsumers and providers was integrated into 8 dimensions: physical environment, staff, clinical care and nursing, multiplicity of activity program, atmosphere, interaction with family, nutrition, and quality improvement system.
CONCLUSION
The dimensions of long-term care hospital care quality from this study can be used as a basis of quality indicators. Quantitative studies to test these dimensions are required for establishing quality management systems.
[English]
An Analysis of the Elderly Care and Management in Hospital-Based Home Care Agencies
Chong Rye Song, Im Ok Kang, Yun Ok Kim, Hea Sook Jo, Moon Sook Hwang
J Korean Acad Community Health Nurs. 2008;19(4):660-672.   Published online December 31, 2008
  • 340 View
  • 0 Download
AbstractAbstract PDF
PURPOSE
To analyze the home care services provided to the elderly aged 65 and older by a hospital-based home care agencies and to investigate the effects of long-term care insurance for the elderly.
METHOD
The subjects were the home care service recipients aged 65 and older in 172 hospital-based, home care agencies registered in Health Insurance Review & Assessment Service in January, 2007. The data were collected using a questionnaire from March 16 to April 15, 2007. The questionnaire return rate was 43.8%.
RESULT
The hospital-based home care agencies were able to visit 66.5% of the national administrative districts. Of the home care service recipients, over 50% were 65 years old and older. About 43% of the agencies reported that over 50% of their patients would be subject to the long-term care insurance. They expressed concern that home care services would be withdrawn once the insurance system is initiated.
CONCLUSION
This study suggests that hospital-based home care agencies need to manage home care services with long-term care insurance. It also recommends developing guidelines for the use of services and referrals.
[English]
A Study on Middle-Aged People's Preparation for Old Age Life and Their Perception of Long-term Care Facilities
Kwuy Bun Kim, Min Suk Park, Sohyune R Sok
J Korean Acad Community Health Nurs. 2008;19(3):480-494.   Published online September 30, 2008
  • 327 View
  • 0 Download
AbstractAbstract PDF
PURPOSE
The study was to get basic data on the well-being of middle-aged people concerning their preparation for their upcoming old age and their quality of life.
METHODS
The subjects were 440 people aged between 40 and 59 living in Seoul and Gyeonggi-do.
RESULTS
First, physical preparation for old age was affected by religion, children, health, monthly income, and economical status, and these factors were shown statistically significant. Emotional preparation and spiritual preparation were also related to the above-mentioned factors. Secondly, in the subjects' mental picture, a nursing home was a place for the aged without anyone who is going to take care of them and without abilities to care of themselves. Preference for nursing home was based on two factors, i.e., nursing and treatment care, and the cost was about one million won per month. Also they wanted that the government should pay a certain amount for private users.
CONCLUSION
Therefore, people should lead a life of good health-related habits along with economical preparation for their old age.
[English]
Factors Affecting of Long Term Care Hospital Patient's Intention of Transfer to a Nursing Home
Ji Yun Lee, Eun Gyung Park
J Korean Acad Community Health Nurs. 2008;19(2):196-204.   Published online June 30, 2008
  • 465 View
  • 1 Download
AbstractAbstract PDF
PURPOSE
To examine factors affecting long-term care hospital patients' intention of transfer to a nursing home.
METHOD
A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care hospitals. The survey aimed to assess the patients' health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2.
RESULT
Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home.
CONCLUSION
For appropriate service utilization, a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.

RCPHN : Research in Community and Public Health Nursing
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