Mun Hanbit, Cho Kyunghee, Lee Sanghyun, Choi Youngeun, Oh Seung-Jin, Kim Young-Sung, Seo Migyeung, Park Ji-Young, Pak Serng Bai
Department of Family Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Division of Cardiology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Int J Integr Care. 2023 Apr 11;23(2):6. doi: 10.5334/ijic.6576. eCollection 2023 Apr-Jun.
As South Korea is fast becoming an aging society, the need for integrated care of the elderly has increased. 'Community Integrated Care Initiatives' have been implemented by the Ministry of Health and Welfare. However, home healthcare is insufficient to meet this need.
The National Health Insurance Service (NHIS) launched the initiative, 'Patient-Centered Integrated model of Home Health Care Services in South Korea (PICS-K)'. Its purpose is to coordinate home healthcare providers by establishing a home health care support center (HHSC) in public hospitals starting in 2021. The PICS-K has six main features: integration of primary care-hospital-personal care-social services through a consortium, HHSC in hospitals with primary care collaboration, increased accessibility, interdisciplinary team (IDT), patient-centeredness, and education.
Integrating healthcare, personal care, and social services at multiple levels is necessary. Accordingly, platforms to share participant information and service records, and institutional payment system reforms are required.
In public hospitals, the HHSC supported primary care, which provides home healthcare. The model combined community healthcare and social services to accomplish the aging-in-place of the homebound population by focusing on their needs. This model will be applicable to other regions in Korea.
随着韩国迅速步入老龄化社会，对老年人综合护理的需求不断增加。韩国卫生与福利部已实施“社区综合护理倡议”。然而，家庭医疗保健不足以满足这一需求。
韩国国民健康保险服务（NHIS）发起了“韩国以患者为中心的家庭医疗服务综合模式（PICS-K）”倡议。其目的是从2021年起在公立医院设立家庭医疗保健支持中心（HHSC），以协调家庭医疗保健服务提供者。PICS-K有六个主要特点：通过一个财团整合初级保健、医院、个人护理和社会服务；医院中的HHSC与初级保健协作；提高可及性；跨学科团队（IDT）；以患者为中心；以及教育。
有必要在多个层面整合医疗保健、个人护理和社会服务。因此，需要共享参与者信息和服务记录的平台以及机构支付系统改革。
在公立医院中，HHSC支持提供家庭医疗保健的初级保健。该模式将社区医疗保健和社会服务相结合，通过关注居家人口的需求来实现他们的就地养老。这种模式将适用于韩国的其他地区。
