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Original Articles
Economic Evaluation of Visitng Nurse Services for the Low-income Elderly with Long-term Care Needs
Tae Wha Lee
Journal of Korean Academy of Nursing 2004;34(1):191-201.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.1.191
AbstractAbstract PDF
Purpose

This study aimed to evaluate economic viability of public health center visiting nurse services for the low-income elderly with long-term care needs.

Method

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.

Result

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.

Conclusion

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.

Citations

Citations to this article as recorded by  
  • Estimating need for Home Visiting Nurse from Public Health Centers
    Hyun-Ji Bae, Jinhyun Kim
    Perspectives in Nursing Science.2015; 12(1): 23.     CrossRef
  • The Relationship between Home-Visit Nursing Services and Health Care Utilization among Nursing Service Recommended Beneficiaries of the Public Long-Term Care Insurance
    Sae Bom Kang, Hongsoo Kim
    Health Policy and Management.2014; 24(3): 283.     CrossRef
  • Health-related Quality of Life and Its Related Factors in Urban Elderly Women
    Yoon Joo Na, Yeon Hee Choi
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(12): 7224.     CrossRef
  • Effects of community‐based case management by visiting nurses for low‐income patients with hypertension in South Korea
    Gwang Suk KIM, Il Sun KO, Taewha LEE, Eun Jung KIM
    Japan Journal of Nursing Science.2014; 11(1): 35.     CrossRef
  • Trends in Home-visit Nursing Care by Agencies' Characteristics under the National Long-term Care Insurance System
    Jung Suk Lee, Rah Il Hwang, Eun Jeong Han
    Journal of Korean Academy of Community Health Nursing.2012; 23(4): 415.     CrossRef
  • Evaluation of Efficiency of Community Visiting Health Service Units - A Demonstration of Using Data Envelopment Analysis (DEA) -
    Ji Young Lim, Mi Ja Kim, Chang Gi Park, Jung Yun Kim
    Journal of Korean Academy of Nursing Administration.2011; 17(1): 54.     CrossRef
  • Elders' Health Status, Quality of Life, and Satisfaction with Customized Home Visiting Health Service Depending on Connection to Volunteerism
    Ji Eun Park, Chungnam Kim, Yunhee Kwon
    Journal of Korean Academy of Community Health Nursing.2010; 21(4): 448.     CrossRef
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  • 7 Crossref
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A Workload Analysis of a Visiting Nursing Service based on a Health Center in Seoul
Ho Sihn Ryu, Eun Sook Park, Young Joo Park, Kuem Sun Han, Ji Young Lim
Journal of Korean Academy of Nursing 2003;33(7):1018-1027.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.7.1018
AbstractAbstract PDF
Purpose

This study focused on analysing the workload of visiting nurses based on a health center.

Method

A Prospective descriptive analysis of self-records for workload data from 115 visiting nurses during 4 weeks was done. In addition, a cross-sectional analysis of linked data to grasp the priority of visiting nursing services from 155 visiting nurses at the 25 health centers in Seoul.

Result

Time allocation that was performed on all nursing workload of visiting nurses was identified as follows: First, the inside workload of the health center took up 60% of all visiting nurse activities. Second, providing direct nursing care(caseload) took up 25%. Third, outside nursing activities excluding the caseload provided in the health center took up 15% of all working time. Fourth, the core works to have a high priority among visiting nursing activities were family health assessment, planning and evaluation of a visiting nursing program, personal health assessment, and so forth.

Conclusion

The workload of a visiting nurse suggests that the caseload of visiting nurses in a health center needs to be increased. Also, our results will contribute to baseline data used to establish a proper visiting nurses infrastructure based on the demand of visiting nursing services.

Citations

Citations to this article as recorded by  
  • Estimating need for Home Visiting Nurse from Public Health Centers
    Hyun-Ji Bae, Jinhyun Kim
    Perspectives in Nursing Science.2015; 12(1): 23.     CrossRef
  • Job Performance and Self Confidence by Visiting Nurses who are engaged in the Consolidated Health Promotion Program in Gangwon-Province
    Myung Soon Kwon, Soon Ok Yang, Sun Ok Eom
    Journal of Korean Public Health Nursing.2015; 29(2): 190.     CrossRef
  • The Effects of a Mobile Computerized System for Individual Tailored Home Care Services in a City
    Nam Hee Park, Rang Jang, Jung Young Kim, Myoung Soo Kim
    Journal of Korean Academy of Community Health Nursing.2012; 23(1): 71.     CrossRef
  • Statistical Methods to Control Response Bias in Nursing Activity Surveys
    Ji Young Lim, Chang Gi Park
    Journal of Korean Academy of Nursing.2012; 42(1): 48.     CrossRef
  • Task Analysis of Managers in the Customized Visiting Health Services
    Young Ran Han, Young Rye Park, Young Hee Kim, Hee Chung Choi, Mi Ja Chung
    Journal of Korean Academy of Community Health Nursing.2012; 23(2): 165.     CrossRef
  • Relations among the Decision Making Style, Self Leadership and Communication Competence of Visiting Nurses
    Eun-Joo Kim, Ji-Young Lim, Kyung-Won Choi
    The Journal of the Korea Contents Association.2011; 11(10): 324.     CrossRef
  • Elders' Health Status, Quality of Life, and Satisfaction with Customized Home Visiting Health Service Depending on Connection to Volunteerism
    Ji Eun Park, Chungnam Kim, Yunhee Kwon
    Journal of Korean Academy of Community Health Nursing.2010; 21(4): 448.     CrossRef
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  • 7 Crossref
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A Study on Link of Health and Welfare Service and Barrier's Factors of Visiting Nurses and Social Welfare workers
In Young Yoo
Journal of Korean Academy of Nursing 2003;33(1):113-121.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.1.113
AbstractAbstract
Purpose

The purpose of this study was to explore the link between health and welfare service and barrier's factors by reviewing the connection between the public health center's visiting nurse and social welfare center's social workers

Method

A survey by mail or a face-to-face interview of 151 visiting nurses in 25 public health centers and 48 social welfare workers in general social welfare centers in Seoul, was preformed from Feb. 12, 2001 to Mar. 15, 2001. The data were analyzed with frequency, percentage, mean value, paired t-test and independent t-test using SPSS/WIN 7.5 program.

Result

1. ‘ The necessity and degree of cooperation with social welfare workers of visiting nurse’ scored average 4.49 and 3.19, and ‘ The necessity and degree of cooperation with visiting nurse and social welfare workers’ scored average 4.81 and 3.15 on the five-point scale ; there was a significant difference between the two variable in visiting nurse and social welfare workers. 2. In barrier's factors which health and welfare service offer to, visiting nurses showed statistically significant higher score than social welfare staff ; ‘ job factor’, ‘ resource factor’, ‘ clients factor’, ‘ individual ability factor’

Conclusion

In order to provide link system that hold clients in common in public health center and social welfare center, it is recommended a case management team should be constructed and educate visiting nurses for case manager.

Citations

Citations to this article as recorded by  
  • The Correlation between Nursing Professional Values and Job Satisfaction Depending on the Types of Visiting Nurses' Personality
    Hae In Park, Kyung Min Park, Kyung Hee Lee
    Korean Journal of Occupational Health Nursing.2012; 21(2): 77.     CrossRef
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  • 1 Crossref
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Evaluation of Cognitive Functions, Depression, Life Satisfaction among the Elderly Receiving Visiting Nursing Services
Jong-Soon Won, Kye-Ha Kim
Journal of Korean Academy of Nursing 2008;38(1):1-10.   Published online February 29, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.1.1
AbstractAbstract PDF
Purpose

The purpose of this study was to examine cognitive functions, depression, and life satisfaction among the elderly receiving visiting nursing services.

Methods

The subjects of this study consisted of 221 elderly individuals who were receiving visiting nursing services from public health center located in Gyeonggi-do. The Mini-mental State Examination Korea version (MMSE-K), Geriatric Depression Scale-short form-Korea version (GDS-K), and Life Satisfaction Scale were utilized to determine cognitive functions, depression, and life satisfaction. Collected data was analyzed by the SPSS PC Win 12.0 program.

Results

The prevalence of cognitive impairment (MMSE-K≤24) was 86.4%, and the proportion of severe depression (GDS-K≥10) was 22.6%. Older age, lower education, and low income were associated with cognitive impairment, and low education, no religion, and low income were associated with depression. Cognitive function negatively correlated with depression. Life satisfaction level was fairly low and was not associated with any variables.

Conclusion

The high prevalence of cognitive impairment and low life satisfaction status were determined among low-income elderly who were registered at a visiting health care center. Thus, in the future at visiting health care services, efficient and various programs for the elderly should be tried, to improve cognitive functions and reduce depression. Additionally, consistent evaluation studies for those programs will be required.

Citations

Citations to this article as recorded by  
  • Study on Life Satisfaction of the Elderly Based on Healthy Aging
    Hua Tian, Jie Chen, Prabadevi Boopathy
    Journal of Healthcare Engineering.2022; 2022: 1.     CrossRef
  • A Study on Social Support of the Elderly with Normal Hearing and Elderly Wearing Hearing Aids
    Do-Yun Kim, Junghwa Bahng
    Audiology and Speech Research.2022; 18(2): 102.     CrossRef
  • Validity and reliability of the Persian version of general practitioner assessment of cognition (P-GPCOG)
    Vahid Rashedi, Mahshid Foroughan, Heiman Nazari, Katrin Seeher, Henry Brodaty
    Aging & Mental Health.2019; 23(8): 961.     CrossRef
  • Effects of a Self-Care Reinforcement Program for Socially Vulnerable Elderly Women with Metabolic Syndrome in Korea
    Mikyung Park, Kiwol Sung
    Journal of Korean Academy of Community Health Nursing.2019; 30(3): 271.     CrossRef
  • Telephone Support and Telemonitoring for Low-Income Older Adults
    Suyong Jeong, Hanna Choi, Seok Hyun Gwon, Jeongeun Kim
    Research in Gerontological Nursing.2018; 11(4): 198.     CrossRef
  • The Effect of Vitamin D and Calcium on Cognitive Function and Depression in the Elderly Living in a City
    Yu-Jin Lee, Yun-Su Kim
    Journal of Korean Academy of Community Health Nursing.2017; 28(3): 251.     CrossRef
  • Effects of Multivitamin Supplements on Cognitive Function, Serum Homocysteine Level, and Depression of Korean Older Adults With Mild Cognitive Impairment in Care Facilities
    Hye Kyung Lee, So Young Kim, Sohyune R. Sok
    Journal of Nursing Scholarship.2016; 48(3): 223.     CrossRef
  • Depression and Cognitive Function of the Community-dwelling Elderly
    Seong Ok Seo, Ae Young So
    Journal of Korean Academy of Community Health Nursing.2016; 27(1): 1.     CrossRef
  • Health Perception and Family Support as Influencing Factors on Depression in Hospitalized Elderly Patients
    Sun-Ok Lee, Moon-Jeong Kim
    The Korean Journal of Health Service Management.2015; 9(4): 145.     CrossRef
  • Factors Affecting Activities of Daily Living, Depression and Life Satisfaction among Aged Women

    Journal of East-West Nursing Research.2015; 21(2): 119.     CrossRef
  • Risk Factors Influencing Depression among Elderly with Arthritis in Korean
    Hye-Ryoung Kim, Hyun-Hee Im
    The Korean Journal of Health Service Management.2014; 8(1): 103.     CrossRef
  • A Survey on Visiting Nurses' Management for Elders with Cognitive Impairment Living in a Community: Focused on Health Centers in a Metropolitan and Medium-sized Cities
    Chong Mi Lee, Younkyoung Kim, Inhyae Park
    Korean Journal of Occupational Health Nursing.2014; 23(4): 197.     CrossRef
  • Factors associated with Cognitive Decline in the Elderly in Community
    Young-Sook Kwon, Kyung-Shin Paek
    Journal of Digital Convergence.2014; 12(2): 587.     CrossRef
  • Prevalence and Its Influencing Factors on Depression among Elderly Vulnerable People in Urban Community
    Hye-Ryoung Kim
    The Korean Journal of Health Service Management.2013; 7(3): 275.     CrossRef
  • Factors Influencing Depressive Symptoms in Community Dwelling Older People
    Jung Nam Sohn
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2013; 22(2): 107.     CrossRef
  • Association of Health Risk Behaviors with Mental Health among Elderly Koreans
    Ki Dong Ko M.D., Young Tae Cho Ph.D., Sung Il Cho M.D., PhD., Joo Hon Sung M.D., PhD., Be Long Cho M.D., PhD., Ki Young Son M.D., Ho Chun Choi M.D.
    Journal of the Korean Geriatrics Society.2012; 16(2): 66.     CrossRef
  • National Health Insurance program and life satisfaction of the elderly
    Pei-An Liao, Hung-Hao Chang, Lih-Chyun Sun
    Aging & Mental Health.2012; 16(8): 983.     CrossRef
  • Factors Influencing Depression of Elderly Women in a Metropolitan City
    Seung-Ae Yang
    Journal of Korean Public Health Nursing.2012; 26(1): 158.     CrossRef
  • Effects of perceived health status, leisure satisfaction and loneliness on life satisfaction for elderly people
    Kyu Eun Lee, Young-Hee Yom, Jung Hee Han
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(4): 483.     CrossRef
  • Evaluation of Efficiency of Community Visiting Health Service Units - A Demonstration of Using Data Envelopment Analysis (DEA) -
    Ji Young Lim, Mi Ja Kim, Chang Gi Park, Jung Yun Kim
    Journal of Korean Academy of Nursing Administration.2011; 17(1): 54.     CrossRef
  • The Relationship of Functional Health Status, Satisfaction of Customized Home Visiting Health Service, and Quality of Life in Vulnerable Elderly
    Yeong-Sook Park, Haw-Yean Lee, Yun-Hee Kwon
    Journal of the Korea Academia-Industrial cooperation Society.2011; 12(11): 5071.     CrossRef
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  • Factors Affecting Depression in Elderly Vulnerable People Living Alone
    Hyun Mi Kim, Yeon Hee Choi
    Journal of Korean Academy of Community Health Nursing.2011; 22(4): 355.     CrossRef
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    Yunhee Kwon, Chungnam Kim, Oh-Gye Kwag
    Journal of Korean Academy of Community Health Nursing.2011; 22(3): 262.     CrossRef
  • Life Satisfaction, Activities of Daily Living, Depression and Health Behavior of Low Income Elderly Living at Home
    Soon-Yi Seo
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  • The Effects of Chronic Musculoskeletal Pain and Depression on Health-related Quality of Life by Gender in Community-dwelling Older Adults
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  • Elders' Health Status, Quality of Life, and Satisfaction with Customized Home Visiting Health Service Depending on Connection to Volunteerism
    Ji Eun Park, Chungnam Kim, Yunhee Kwon
    Journal of Korean Academy of Community Health Nursing.2010; 21(4): 448.     CrossRef
  • The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders
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  • Cognitive Impairment, Behavioral Problems, and Mental Health in Institutionalized Korean Elders -An Eligibility Issue for Care Settings-
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  • 31 Crossref
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