Trends in Home-visit Nursing Care by Agencies' Characteristics under the National Long-term Care Insurance System

Article information

Res Community Public Health Nurs. 2012;23(4):415-426
Publication date (electronic) : 2012 December 31
doi : https://doi.org/10.12799/jkachn.2012.23.4.415
1Institute for National Health Insurance Policy, Seoul, Korea.
2Department of Nursing, Suwon Women's College, Suwon, Korea.
Corresponding author: Hwang, Rah Il. Department of Nursing, Suwon Women's College, San 1-6, Omokchen-dong, Kwonsun-gu, Suwon 441-748, Korea. Tel: +82-31-290-8103, Fax: +82-31-290-8142, hwangri@swc.ac.kr
Received 2012 June 29; Accepted 2012 December 22.

Abstract

Purpose

This study aimed to investigate trends in home-visit nursing care by agencies' characteristics under the national long-term care insurance system.

Methods

Cochran-Mantel-Haenzel tests were conducted, using data drawn from the nationwide long-term care insurance claim database of the Korean National Health Insurance Corporation from 2009 to 2011.

Results

The number of home-visit nursing care agencies has decreased continuously since 2009. There were also similar trends in the total amount of service provided by home-visit nursing care agencies, the number of recipients, the number of employees, and payments. This study showed that there were statistically significant differences in the trends in home-visit nursing care by agencies' characteristics. Despite the overall downward trend, there were some increases in the percentage of home-visit nursing care provided by agencies which were established by individuals, located in large cities, and which combined home-visit care with home-visit bathing.

Conclusion

Home-visit nursing care agencies are responsible for providing community-based healthcare services. For past three years, however, they have not been utilized to their full potential. Understanding the trends in home-visit nursing care by agencies' characteristics is important to develop utilization strategies for home-visit nursing care.

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Article information Continued

Table 1

Change of the Number of Bill claimed Agencies, the Number of Beneficiaries, and Total Benefit Amount in In-home Long-term Care from 2009 to 2011 (Unit: Each, Person, 1,000 won)

Table 1

Table 2

Change of the Number of Bill claimed Agencies, the Number of Beneficiaries, and Total Benefit Amount in Home-Visit Nursing Care from 2009 to 2011 (Unit: Each, Person, 1,000 won, %)

Table 2

CHM=Cochran-Mantel-Haenzel test.

Table 3

Change of the Number of Care Workers in Home-Visit Nursing Care from 2009 to 2011 (Unit: Person, %)

Table 3

CHM=Cochran-Mantel-Haenzel test.

Table 4

Change of Long-term Care Level, Care Time, and Frequency of Nursing Visiting for Beneficiaries from 2009 to 2011 (Unit: claim, %)

Table 4

CHM=Cochran-Mantel-Haenzel test.