J Korean Acad Community Health Nurs.  2008 Dec;19(4):673-683.

A Study for Evaluating the Performance of a Community-based Home Care Services Model

• Kim SY
• Park SA

Abstract

PURPOSE
This study was aimed to evaluate the performance of a community-based home care services model. METHOD: The subjects were 138 patients who have been enrolled during a 6 month's period, nursing records and nursing service bills. The data was collected by self report and chart review. The mean cost per visit was compared with those of hospitalization & clinic visit in the data from National Health Insurance Corporation. RESULT: A significant number of patients were bed ridden(63.8%) and unconscious(27.5%), and most of the patients had complex chronic diseases. Except nursing assessment, bed sore care was the most frequent nursing treatment(25.1%) in home care services. The mean cost per visit of home care services was 34,665 won, which was lower than those of hospitalization & clinic visit for medical aid. The patients were highly satisfied with the services by visiting nurse specialists.
CONCLUSION
Community-based home care services provided cost-effective and satisfied services. Community-based home care services needs systematic supports to expand it's domain for promoting community health.

Keyword

Community; Home Care Services; Performance

MeSH Terms

Ambulatory Care
Chronic Disease
Home Care Services*
Hospitalization
Humans
National Health Programs
Nurses, Community Health
Nursing
Nursing Assessment
Nursing Records
Nursing Services
Pressure Ulcer
Self Report
Specialization