Ryu Hosihn, Jung Keysun, Lim Jiyoung
College of Nursing, Korea University, 126-1, 5-Ka, Anam-dong, Sungbuk-ku, Seoul, Korea.
Taehan Kanho Hakhoe Chi. 2006 Jun;36(3):503-13. doi: 10.4040/jkan.2006.36.3.503.
This study focused on analysing costs per home health care nursing visit based on home health care nursing activities in medical institutes.
The data was collected in three stages. First, the cost elements of home health care nursing services were collected and 31 home care nurses participated. Second, the workload and caseload of home care nursing activities were measured by the Easley-Storfjell Instrument(1997). Third, the opinions on improving the home health care nursing reimbursement system were collected by a nation-wide mailing survey from a total of 125 home care agencies.
The cost of home health care nursing per visit was calculated as 50,626 won. This was composed of a basic visiting fee of 35,090 won (about 35 $) and travel fee of 15,536 won (about 15 $). The major problems of the home care nursing payment system were the low level of the cost per visit, no distinction between first visit and revisits, and the limitations in health insurance coverage for home health care nursing services.
This study's results will contribute as a baseline for establishing policies for improvement of the home health care nursing cost and for applying a community-based visiting nursing service cost.
本研究着重基于医疗机构中的家庭医疗护理活动来分析每次家庭医疗护理访视的成本。
数据收集分三个阶段进行。首先，收集家庭医疗护理服务的成本要素，31名家庭护理护士参与其中。其次，使用伊兹利 - 斯托夫杰尔工具（1997年）测量家庭护理活动的工作量和病例量。第三，通过对全国125家家庭护理机构进行邮寄调查，收集关于改善家庭医疗护理报销制度的意见。
每次家庭医疗护理访视的成本计算为50,626韩元。这由35,090韩元（约35美元）的基本访视费和15,536韩元（约15美元）的差旅费组成。家庭护理支付系统的主要问题是每次访视成本水平低、首次访视和复诊无区分以及家庭医疗护理服务的医疗保险覆盖范围有限。
本研究结果将作为制定改善家庭医疗护理成本政策及应用社区访视护理服务成本的基线参考。
