地域福祉에 있어 家庭看護制度의 活性化 方案에 關한 硏究
(A) Study on the Activation of Home Nursing Program in Regional Wellfare
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Home nursing is a program that provides medical treatment and care after discharging from a hospital by visiting nurses. This system offers similar services to the patients after discharging. Home nursing extends the meaning of the medical treatment at hospital into one at home. In this study, two home nursing programs, hospital-centered and regional-centered home nursing programs would be looked at, and then, it would be presented how to support and to found the better home nursing system in Korea. The range of this study was limited to kinds of home nursing programs in hospital-centered and regional-centered home nursing systems. After looking at two programs, we found that there were five main problems in home nursing programs. First, there were definitely lack of visiting nurses and most of these nurses were not qualified professionally. Another was that there were restrictions for whom to provide this home nursing service. The rapports among public heath organizations were uncooperative. Last, a managing system for this service was found out to be inadequate. Based on these problems, we could provide five recommendations to improve our home nursing program. To increase the number of visiting nurses it would be needed to have a new system which would reduce the negative side of selecting only nurses needed for home nursing programs. Then, professionalism and team approach may be needed. Additionally, like other developed countries, a new working system which includes doctors, dieticians, physical therapists, vocational therapists, and social welfare workers in service providing may be required. Third, the range of whom to provide this home nursing needs expansion. It means that there is an urgent need for the elderly who do not enable to move around nor have enough economical support but need medical services. Another is to set up a cooperative relationship among public health provides. Especially, in rural areas, functions of public health centers are required to be expanded. Last, a system for distant-medical treatment should be introduced. After developing this distant medical treatment system, it will be possible to provide medical services at home for those who are unable to move and for local hospitals and public health centers. This distant medical treatment system can improve patients attitude toward medical institutions because it may go beyond limits of distance, time. and finance. Unfortunately, this study was unable to interview and survey the recipients how they responded to the service. there was no study done in depth on the relationship between hospital-centered and regional-centered home nursing programs.