• Title, Summary, Keyword: Visiting health management

Search Result 272, Processing Time 0.045 seconds

Past, Present, and Future of Home Visiting Healthcare Services based on Public Health Centers in Korea (우리나라 방문건강관리사업의 과거, 현재와 미래)

  • Lee, Guna;Yang, Sook-Ja;Woo, Eunhyo
    • Journal of Korean Public Health Nursing
    • /
    • v.32 no.1
    • /
    • pp.5-18
    • /
    • 2018
  • Purpose: We present improvements to the Korean home visiting healthcare service based on analysis of Korean home visiting healthcare services considering recent sociodemographic changes and demands for healthcare services. Methods: This is a review study in which the results are derived through a literature review and data analysis. We collected data through a search of electronic databases, Google Scholar, and governmental websites. Results: Changes in Korean home visiting healthcare services are classified into four stages: 'introduction (1990-2000)', 'pilot project (2003-2006)', 'nationwide expansion (2007-2012)', 'various types (2013-2018)'. Korean home visiting healthcare service based on public health centers has achieved outcomes such as improved health behavior and health management, increased health management ability, and establishment of comprehensive healthcare infrastructure. Conclusion: In the future, the demand for home visiting healthcare service will increase steadily because of deepening social polarization, rapid aging of the population, and increases in chronic diseases. To improve health management and health equity, we suggest that Korean home visiting healthcare service will expand to all the people as a core public health service. It is necessary to establish a management team for various types of home visiting healthcare service in the public health center.

A Study of Job Educational Satisfaction for Activating of Tailor Made Visiting Home Health Care (맞춤형 방문건강관리사업 활성화를 위한 직무교육 만족도)

  • Lim, Ji-Young;Kim, Ji-Yoon
    • Journal of Korean Academic Society of Home Health Care Nursing
    • /
    • v.14 no.1
    • /
    • pp.23-30
    • /
    • 2007
  • Purpose: The aim of this study was to establish basic data for developing education program of tailor made visiting home health care. Method: For this study, the subject was recruited in one directorial area among 14 nation-wide areas. The data collection was done using self-report questionnaire developed by Korea Health Industry Development Institute. Ninety one questionnaires were analyzed and response rare was 88.3%. Result: The major results were as follows. Aspect of education operations, the satisfaction of education space was revealed high. However, the satisfaction of education time, hour, and schedule were low. The overall satisfaction of education contents were revealed high. The most useful curriculums were found Chronic disease management, Infant & toddler health management, and Case management of tailor made visiting home health care. However the most unuseful curriculums were Nutritional management according to subject's health problem, Health promotion for poor family, and Understanding of visiting service in community health center. Conclusion: With these results, it was identified that the most needed contents of tailor made visiting home health care education program. So these results will be used to develop the more effective education program to activate tailor made visiting home health care service in community health center.

  • PDF

The Effect of Case Management for Clients with Hypertension in Home Visiting Health Services (일 보건소 방문건강관리사업 고혈압대상자의 사례관리 효과)

  • Jang, Hyo Soon
    • Journal of Korean Public Health Nursing
    • /
    • v.28 no.2
    • /
    • pp.258-269
    • /
    • 2014
  • Purpose: This study was conducted in order to present the effects of case management of a home visiting health service for clients with hypertension. Method: One-group pretest-posttest design was used. The subjects were 280 clients who received case management among the first and second registered group. The data were eight-week-case management results from January to December, 2010. In order to evaluate the effect of the visiting nursing service, biological indexes(blood pressure, total cholesterol, triglyceride, high density lipoprotein, low density lipoprotein, BMI) and self-care abilities(knowledge/attitude of hypertension, management of medication, nutritional care, confidence of self care) were measured. Result: Biological indexes and self-care abilities were improved, except total cholesterol, low density lipoprotein. Conclusion: The case management of home visiting health service by public health centers is considered to be an effective nursing service. Therefore, greater effort is needed for better maintenance of case management, and more research is needed in order to examine a variety of biological indexes.

A Study of Management and Satisfaction for Home Visiting Physical Therapy (가정 방문물리치료에 대한 운영방안 및 만족도 연구)

  • Ahn, Chang-Sik;Yu, Won-Jong
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.7 no.3
    • /
    • pp.241-250
    • /
    • 2012
  • Purpose : The this study was performed to purpose the data basis of medical law revision for home visiting physical therapy established as a legal system in hone visiting health care by researching the need, satisfaction, intention to use, management, expected effects. Methods : We were surveyed for 105 patients who was participated business from home visiting health care in community health center. We choose and modified the questionnaire that was used in previous study about home visiting physical therapy and home visiting program for nurses. The questionnaire was consisted of 4 questions of general characteristics of subject, 6 questions of satisfaction, 4 questions of satisfaction of service status, 2 questions of management. And frequency analysis, ANOVA were used for statically analysis. Results : In general satisfaction, satisfaction of service status, the result were very optimistic, but there were no difference by age. In management, participations of 64.8% was answered to within three years of clinical experence and trained in home visiting physical therapy ask on qualification criteria of physical therapists, and participations of 93.3% was answered to once a week ask on desired number of therapy. Conclusion : In our conclusion, home visiting physical therapy is very useful and effective health care system for satisfaction and need, so home visiting physical therapy expected to have great potential in home visiting health care. In addition, by train to home visiting physical therapist for provide professional physical therapy service provide an institutional base which can be expanded and invigorated home visiting physical therapy.

Home visiting oral health program of Longterm home care service and the change of some pathogenic microorganism counts in denture (재가장기요양기관의 방문구강보건교육 전·후 의치의 일부 병원성 미생물의 집락수 변화)

  • Han, Ji Hye;Bae, Sung Sook
    • The Journal of Korean Society for School & Community Health Education
    • /
    • v.20 no.3
    • /
    • pp.83-90
    • /
    • 2019
  • Purpose: This study is a repetitive comparative analysis of a qualitative case study that carried out a home visiting oral health education program. Method: This study conducted an interview survey through medical examination by interview before and after the home visiting oral health education and measured some pathogenic microorganism counts in the denture. Results: There was a positive change in the self oral care ability of the elderly at home after home visiting oral health education, including the behavior of self management of dentures, and some pathogenic microorganism counts in the dentures. Conclusion: The home visiting oral health education of home care service centers can improve oral health care for the elderly at home.

A Study on Evaluation of District Visiting Nursing Services of Urban Health Center (일 보건소 동단위 지역담당 방문간호서비스 성과)

  • Ryu, Ho-Shin;Hwang, Rah-Il;Chin, Dal-Lae;Suk, Min-Hyun
    • Journal of Korean Academy of Community Health Nursing
    • /
    • v.16 no.2
    • /
    • pp.127-136
    • /
    • 2005
  • Purpose: The purpose of this study was to present the outcomes of the district visiting nursing services. Method: We analyzed nursing records and inspected public health center data for evaluating nursing tasks. and conducted a telephone survey of 651 district inhabitants. Results: According to the result, the coverage of the district population, the rate of new registration and overall program activities increased. Meanwhile, accessibility of visiting health care, the level of health problem management, personal cognition and satisfaction concerning visiting nursing care increased, but there was little change in personal perception of health improvement. Furthermore, the status of client management was improved. In the analysis of participation in national cancer screening program, we found that there was twice higher participation in the district than others. Conclusion: We suggest that this district visiting nursing system takes responsibility for district inhabitant health management. Based on the study, we also suggest that the government and local autonomous entities should increase administrative and financial supports to execute the district-based visiting nursing system in wider areas.

  • PDF

A Preliminary Study on the Classification of Visiting Nursing Service Recipients and the Development of Standardized Visiting Nursing Service Pathways Based on Public Health Center (대도시 보건소 동단위 방문간호 대상자의 군분류 및 표준 방문간호서비스 경로 개발을 위한 기초연구)

  • Hwang, Rah-Il;Ryu, Ho-Shin;Suk, Min-Hyun;Chin, Dal-Lae
    • Journal of Korean Academy of Community Health Nursing
    • /
    • v.16 no.4
    • /
    • pp.381-391
    • /
    • 2005
  • Purpose: The purpose of this research is to develop and classify district visiting nursing standards and to standardize visiting nursing service pathways. Method: This research was conducted as a focus group study and analyzed visiting nursing records. We surveyed 201 recipients at urban health centers, who were selected through convenient sampling, from April 2003 to November 2003. Result: First, visiting nursing service recipients were classified into four groups according to household and financial characteristics, existence of disease, ability of self-care, and existence of home care service needs. Standardized pathways of the selected items were assessment. nursing care plan, disease management and promotion of self-care ability for Level I (mean=12.2 visits). For Level II (7.3 visits) were offered assessment. disease management. health education. and health promotion services. For Level III (5.2 visits) were offered assessment. disease management. health education and health promotion services, and for Level IV (2.7 visits) were offered thorough assessment, education for self-care and health promotion. Conclusion: The visiting nursing service pathways identified in this research need to be developed further as basic materials applicable to quality assurance and agency evaluation. For this, we suggest repeated research and test to apply the derived standardized visiting nursing services pathways in visiting nursing programs.

  • PDF

An Evaluation of the Visiting Nursing Service Model Based on the District Management System - focused on stroke patients - (대도시지역 동단위 지역담당 방문간호소서비스 효과분석 - 뇌졸중 환자를 대상으로 -)

  • Ryu, Ho-Shin;Hwang, Rah-Il;Jin, Dal-Rae;Suk, Min-Hyun
    • Journal of Korean Academy of Community Health Nursing
    • /
    • v.16 no.1
    • /
    • pp.5-12
    • /
    • 2005
  • Purpose: This study was conducted to examine the effect of visiting nursing of the visiting nursing services based on the district management system on the subjects of stroke patients. Method: A nonequivalent control group pretest-posttest design was applied to 50 stroke patients (31 from the experimental group, 19 from the control group). To evaluate the effects of visiting nursing services. health status(SF-36) and activity daily living(ADL/IADL) were measured from June 2003 to November 2004. Result: Health condition and the activities of daily living (ADL/IADL) of the subjects who received visiting nursing service were shown to be improved. Conclusion: Visiting health service model based on the district management system in public health center is considered to be an effective measure of visiting nursing services in large cities.

  • PDF

The need assessment of visiting health services in a rural community (농촌지역의 방문보건서비스에 대한 요구조사)

  • Lee, Kun-Sei;Kim, Chang-Yup;Kim, Yong-Ik;Shin, Young-Soo
    • Journal of agricultural medicine and community health
    • /
    • v.19 no.1
    • /
    • pp.41-52
    • /
    • 1994
  • The aim of this study was to assess the people's need for visiting health services in a rural area. In recent years, the great concern for the visiting health services has aroused in Korea. Stratified cluster sample for a household survey was used to select 1,255(8.4%) Households from Yonchon county. This study was undertaken from July 26 to August 7 in 1993. Medically defined need, usually expressed by the prevalencies or rates of specific disease, was evaluated with the use of criteria established by medical and nursing professors and expressed by the percent of specific objects for the visiting health services. Perceived need represented by the acceptability for the visiting services and willingness to paying for it, also, evaluated. The major results were as follows : 1. Of the 348 patients with hypertension, 201 were the non-compliant patients, the rate of the non-compliant hypertension patients in 4,577 study population was 7.4%. 2. Of the 141 diabetic patients, 73 were the non-compliant patients, the rate of the non-compliant hypertension patients in 4,577 sample population was 2.7%. 3. The number of patients with severe musculo-skeletal disease was 24, the rate was 0.9% above the age 30. 4. Of the 514 elderly, 33 were the elderly without any family member, the rate was 8.4%. Those with severely decreased activity of daily living were 13. 5. Infants with high risks were 12, pregnant women and neonates were 5, patients discharged within 1 week and with special equipments such as peritoneal dialysis, stoma, TPN etc. were 17, and patients with cancer were 5. Total number of the objects needed visiting health services was 752(18.43%) of the 4,577 study population. Perceived need evaluated were as follows; The acceptance rate of visiting health services was 74.9%, The kinds of visiting health services such as family health protection and promotion, early detection of hypertension, physiotherapy, health education and counseling were needed in the order of high rate The price willing to pay for visiting health services per visit was about 3,000-5,000Won. In conclusion, Visiting health services programme to be developed should have priority to the prevention of complications of chronic disease such as hypertension, diabetes milletus, elderly disease and health promotion.

  • PDF

Analysis of Performance Requirement for Long-term Care Workers of Home Visit Care and Home Visit Bathing based on Korean Long-term Care Insurance System (방문요양.방문목욕 장기요양기관의 요양보호사 업무수행 요구도 분석)

  • Chang, Hyun-Sook
    • The Korean Journal of Health Service Management
    • /
    • v.5 no.3
    • /
    • pp.77-88
    • /
    • 2011
  • As same time of starting on the Korean Long-term Care Insurance System, the government developed a program to train new qualification of long-term care workers. The number of enrolled long-term care workers are 950,000 persons in 2010. Mostly they are working in home based care work places such as home visit care centers and home visit bathing centers covered insurance. The purpose of this study is to understand the difference of task performance requirement according to long-term care workers' responsibilities which divided into home visiting care and home visiting bathing. The comparison analysis was conducted to task performance requirement in basic management, safety management, administration management, practical services. Key result was found that task performance requirement of long-term care workers whose responsibilities are home visiting care were more higher than the home visiting bathing. Finally, To improve quality of home visiting care and home visiting bathing, it is necessary to provide the fields based continuing education and reflect new reimburse system.