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J Korean Acad Community Health Nurs. 2016 Sep;27(3):272-283. Korean. Comparative Study. https://doi.org/10.12799/jkachn.2016.27.3.272
Lee S , Kwak C .
Ministry of Health and Welfare, Sejong, Korea.
Division of Nursing, Hallym University, Chuncheon, Korea. chanyeong@gmail.com
Abstract

PURPOSE: This is a comparative study using secondary data from the Korean national long term care (LTC) insurance. METHODS: Visiting nursing (VN) service users (n=666) and non-users (n=4,375) were extracted and compared in terms of medical expenditures, length of hospitalization, and annual number of ambulatory care visits to investigate effects of VN services in LTC. RESULTS: Total health care expenditures were compared between the two groups and it was found that VN service users spent about $ 1700 than non-users for their medical costs between 2009 and 2011. The average length of in-hospital stay for VN service users was 19.4 days shorter than that of non-users. However, using VN services did not significantly influence the annual number of ambulatory care visits. CONCLUSION: The study has found that VN services are effective ways of providing community-based LTC services. We recommend LTC policy makers to further utilize VN services to deliver cost effective health care services.

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