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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
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Abstract
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.
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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
- Estimating need for Home Visiting Nurse from Public Health Centers
- 183 View
- 2 Download
- 7 Crossref
- 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
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Abstract
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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.
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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
- Estimating need for Home Visiting Nurse from Public Health Centers
- 94 View
- 0 Download
- 7 Crossref
- 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
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Abstract
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.
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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
- The Correlation between Nursing Professional Values and Job Satisfaction Depending on the Types of Visiting Nurses' Personality
- 146 View
- 0 Download
- 1 Crossref
- 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
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Abstract
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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.
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Citations
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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
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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) -
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Journal of Korean Academy of Community Health Nursing.2011; 22(3): 241. CrossRef - Factors Affecting Depression in Elderly Vulnerable People Living Alone
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Journal of Korean Academy of Nursing.2010; 40(5): 724. CrossRef - Fall Risk in Low-Income Elderly People in One Urban Area
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Journal of Korean Academy of Nursing.2010; 40(4): 589. CrossRef - The Effects of Health Behavior-related Characteristics, Self-esteem, Activities of Daily Living, and Family Support on Depression in the Community-dwelling Elderly
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