Current Status of Costs and Utilizations of Hospital Based Home Health Nursing Care in Korea / 간호학회지

PURPOSE: The purpose of this study was to describe the current status of utilization and costs of home health nursing care by the levels of medical institutes in Korea. METHOD: A secondary analysis of existing data was used from the national electronic data information(EDI) of 148 home health agencies for 6 months from May to Oct 2005 in total. RESULT: The 148 agencies had multiple services in cerebral infaction, essential hypertension, sequela of cerebrovascular disease, type 2 diabetes mellitus, etc.. The highest 10 rankings of 76 categories of home health nursing services were composed of 96.4% of the total services, such as simple treatment, inflammatory treatment, urethra & bladder irrigation, inserting indwelling catheter etc., in that order. The highest 20 rankings of 226 categories of home examination services were composed of 77.0% of the total home examination services. In addition, the average cost of home health care per visit was 46,088 Won (approximately equal to 48 Dollars, 1 Dollar=960 Won). The costs ranged from 74,523 Won (approximately equal to 78 Dollars, loss of chronic kidney function, N18) to 32,270 Won (approximately equal to 34 Dollars, other cerebrovascular diseases, I67). CONCLUSION: Results suggest that client characteristics of hospital based HHNC are not different from community based HHNC or visiting nursing services for elderly. The national results will contribute to baseline data used to establish a policy for the home health nursing care system and education.

O home care e o cooperativismo médico / Home care and medical cooperation

No presente artigo, os autores buscaräo fazer uma síntese de toda a experiência e os conhecimentos acumulados por uma cooperativa médica que mantém, há quase quatro anos, um serviço de Home Care inédito em sua regiäo e que hoje certamente se constitui em uma iniciativa de sucesso. Partindo-se de uma visäo histórica que se inicia pelo surgimento das primeiras modalidades de assistência domiciliar na Inglaterra e nos EUA e chega a uma perspectiva da situaçäo do Home Care no Brasil dos dias atuais, passar-se á a uma delimitaçäo dos papéis desempenhados pelo médico e demais profissionais que compöem uma Equipe Multidisciplinar na assistência em domicílio. A seguir seräo abordadas as razöes pelas quais o Sistema Unimed, maior cooperativa de trabalho médico do mundo, vem investindo na criaçäo destes programas em muitas de suas Singulares, e porque tais serviços assumen uma configuraçäo própria quando florescem no ambiente fértil do cooperativismo. Em termos de experiência concreta, a parte mais ilustrativa deste trabalho será aquela que apresenta detalhadamente o funcionamento do Unimed Domiciliar de Juiz de Fora/MG...