Ryu Hosihn, An Jiyoung, Koabyashi Mia
College of Nursing, Korea University, Anam-dong, Sungbuk-ku, Seoul, South Korea.
Nurs Health Sci. 2005 Jun;7(2):92-8. doi: 10.1111/j.1442-2018.2005.00215.x.
Home health nursing care (HHNC) in Korea has taken on an important role under the mandate of the national health care system since 2000. This program was developed to verify the possibility of early discharge of hospitalized patients and cost containment through a research and development project that was conducted with the government from 1994 to 1999. The process of development of HHNC provided an opportunity to realize the advancement and changes in the system into a consumer-focused structure. This is an important turning point for the Korean health care system that suggests certain possibilities for building a foundation for further changes in the service delivery structure. The structure, which had been limited to a supplier-oriented model, is moving to a consumer-oriented structure. Accordingly, the major function and role of nursing policy makers in Korea is to develop an agenda and alternatives for policy-making in a systematic manner and to present implementation strategies clearly.
自2000年以来,韩国的居家健康护理(HHNC)在国家医疗保健系统的授权下发挥了重要作用。该项目是通过1994年至1999年与政府合作开展的一项研发项目来验证住院患者提前出院的可能性和成本控制情况。HHNC的发展过程为实现系统向以消费者为中心的结构的进步和变革提供了契机。这对韩国医疗保健系统来说是一个重要的转折点,为服务提供结构的进一步变革奠定基础提供了一定可能性。过去局限于供应商导向模式的结构正在向消费者导向结构转变。因此,韩国护理政策制定者的主要职能和作用是以系统的方式制定政策议程和备选方案,并清晰地提出实施策略。