Lee Tae-Wha
College of Nursing, Nursing Policy Research Institute, Yonsei University, Korea.
Taehan Kanho Hakhoe Chi. 2004 Feb;34(1):191-201. doi: 10.4040/jkan.2004.34.1.191.
This study aimed to evaluate economic viability of public health center visiting nurse services for the low-income elderly with long-term care needs.
The sample consisted of 252 community dwelling elderly who enrolled in public health center visiting nurse services for three months or more. Data was collected on physical (ADL and IADL) and cognitive impairments of the elderly, contents and frequency of visiting nurse services, cost per visit, and costs of alternative services for long-term care.
The mean score of ADL and IADL levels of the elderly was 2.80.4904, which indicated these patients were mostly independent. Eighty four percent of the elderly subjects were cognitively intact. Among visiting nurse services supplied, providing assessment was 34%, followed by education and counseling 26%, medication 22%, and referral. The mean cost per visit was 17,824.1 won, which transformed into a total cost per person per year of 161,130.2 won. Comparing the cost of a visiting nurse service with those of other long-term care alternatives, the visiting nurse service was the least costly alternative, followed by an outpatient clinic, hospital based home care, and nursing home.
Overall, the results of the study provide evidence of the economic viability of visiting nurse services for the low-income elderly among long-term care alternatives.
本研究旨在评估公共卫生中心访视护士服务对于有长期护理需求的低收入老年人的经济可行性。
样本包括252名居住在社区且参加公共卫生中心访视护士服务达三个月或更长时间的老年人。收集了老年人的身体（日常生活活动能力和工具性日常生活活动能力）和认知障碍数据、访视护士服务的内容和频率、每次访视的费用以及长期护理替代服务的费用。
老年人日常生活活动能力和工具性日常生活活动能力的平均得分是2.80.4904，这表明这些患者大多能够自理。84%的老年受试者认知功能完好。在提供的访视护士服务中，进行评估的占34%，其次是教育和咨询占26%，用药占22%，以及转诊。每次访视的平均费用为17,824.韩元，换算后每人每年的总费用为161,130.2韩元。将访视护士服务的费用与其他长期护理替代服务的费用进行比较，访视护士服务是成本最低的替代方案，其次是门诊诊所、医院居家护理和养老院。
总体而言，研究结果为访视护士服务在长期护理替代方案中对于低收入老年人的经济可行性提供了证据。
