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장기요양서비스의 질 평가 지표 개발
Development of the Quality Indicators in Long Term Care Service

이태화    (연세대학교   ); 조은희    (연세대학교   ); 고유경    (건양대학교 간호학과   ); 황윤선    (연세대학교   ); 김복남    (대구보건대학   ); 임은실    (대구보건대학   ); 이혜선    (연세대학교  );
  • 초록

    Purpose: This study was designed to develop quality outcome indicators for nursing homes and community-based home care that would contribute to an appropriate evaluation and improvement of quality of long term care in Korea. Methods: The preliminary quality indicators of long term care were developed from a literature review and clinical expert panel. A content validity testing was done using a panel of experts who were selected from academic and clinical field of long-term care. The final quality indicators were confirmed after application in four nursing homes and four home care agencies to test clinical validity. Results: The preliminary quality indicators consisted of 3 domains and 19 indicators. The final quality indicators were composed of 4 domains and 17 indicators. Conclusion: This study demonstrated the feasibility of outcome quality indicators in long term care. These quality indicators can be effectively used to evaluate the quality of nursing home and home care and to improve the quality of care in the Korean long-term care system.


  • 주제어

    장기요양 서비스 .   질 지표.  

  • 참고문헌 (17)

    1. National Health Insurance Corporation (2010). Future strategies for advancement of health care insurance. Technical Research Report, Seoul: Seo, Y.J et al. 
    2. Rantz, M. J., Hicks, L., Grando, V., Petroski, G. F., Madsen, R. W., Mehr, D. R., Conn, V., Zwygart-Staffacher, M., Scott, J., Flesner, M., Bostick, J., Porter, R., Maas, M. (2004). Nursing home quality, cost, staffing and staff mix. The Gerontologist, 44(1), 24-37. http://dx.doi.org/10.1093/geront/ 44.1.24 
    3. Rantz, M. J., Hicks, L., Petroski, G. F., Madsen, R. W., Mehr, D. R., Zwygart-Staffacher, M., et al. (2004). Stability and sensitivity of nursing home quality indicators. Journal of Gerontology, 59(1), 79-82. http://dx.doi.org/10.1093/gerona/ 59.1.M79 
    4. Thomson, R., Taber, S., Lally, J., & Kazandijan, V., (2004). UK Quality Indicator Project (UK QIP) and the UK independent health care sector: A new development. International Journal for Quality in Health Care, 16(1), 51-56. http://dx.doi.org/ 10.1093/intqhc/mzh011 
    5. Wagner, C., Klein Ikkink, K., van der Wal, G., Spreeuwenberg, P., de Bakker, D. H., & Groenewegen, P. P. (2006). Quality management systems and clinical outcomes in Dutch nursing homes. Health Policy, 75(2), 230-240. http://dx.doi.org/ 10.1016/j.healthpol.2005.03.010 
    6. Zimmerman, D. R. (2003). Improving nursing home quality of care through outcomes data: the MDS quality indicators. International Journal of Geriatric Psychiatry, 18(3), 250-257. http://dx.doi.org/10.1002/gps.820 
    7. Arling, G., Kane, R. L., Lewis, T., & Mueller, C. (2005). Future development of nursing home quality indicators. The Gerontologist, 45(2), 147-156. http://dx.doi.org/10.1093/geront/ 45.2.147 
    8. Bravo, G., De, W. P., Dubois, M., & Charpentier, M.(1999). Correlates of care quality in long-term care facilities: A multilevel analysis. Journals of Gerontology, 54(3), 180-188. http://dx.doi.org/10.1093/geronb/54B.3.P180 
    9. Bostick, J. E., Rantz, M. J., Flesner, M. K., & Riggs, C. J.(2006). Systematic review of studies of staffing and quality in nursing homes. Journal of the American Medical Directors Association, 7(6), 366-376. http://dx.doi.org/10.1016/j.jamda. 2006.01.024 
    10. Cho, H. S. (2005). Development of quality management index in Korean nursing homes. Unpublished doctoral dissertation, Korea University, Seoul. 
    11. Chung, J. (2005). Development of nursing service quality indicators in nursing homes. Unpublished master's thesis, Yonsei University, Seoul. 
    12. Donabedian, A. (1988). The quality of care how can it be assessed? Journal of the American Medical Association, 260(12), 1743-1748. http://dx.doi.org/10.1001/jama.260.12.1743 
    13. Health Insurance Review & Assessment Service (2008). Evaluation report of application of health insurance values in elderly long term care hospital: An operation study. Seoul: Lee, J. Y., Yoon, J. Y., Kim, A, R. & Kim, C. M. 
    14. Hirdes, J. P., Fries, B. E., Morris, J. N., Ikegami, N., Zimmerman, D., Dalby, D. M., et al. (2004). Home care quality indicators (HCQIs) based on the MDS-HC. The Gerontologist, 44(5), 665-679. http://dx.doi.org/10.1093/geront/ 44.5.665 
    15. Jones R. N., Hirdes, J. P., Poss, J. W., Kelly, M., Berg, K., Fries, B. E., et al. (2010). Adjustment of nursing home quality indicators. BMC Health Servicies Research, 10(96), 1-8. http://dx.doi.org/10.1186/1472-6963-10-96 
    16. Lee, Y. K. (2011). Evaluation report and review of long term care service. Issue & Focus, Korea Institute for Health and Social Affairs, 92, 1-8. 
    17. Muller, C., & Karon, S. L. (2004). ANA nurse sensitive quality indicators for long-term care facilities. Journal of Nursing Care Quality, 19(1), 39-47. http://dx.doi.org/10.1097/00001786-200401000-00009 
  • 이 논문을 인용한 문헌 (2)

    1. Jang, Yun-Jeong 2013. "Fuzzy Analysis of Consciousness Structure of Administrator for Determinative of Care Service Quality" 한국지능시스템학회 논문지 = Journal of Korean institute of intelligent systems, 23(3): 232~237     
    2. Park, Yeon-Hwan ; Bang, Hwal Lan ; Kim, Ga Hye ; Oh, Seieun ; Jung, Young-Il ; Kim, Hongsoo 2015. "Current Status and Barriers to Health Care Services for Nursing Home Residents: Perspectives of Staffs in Korean Nursing Homes" 성인간호학회지 = Korean Journal of Adult Nursing, 27(4): 418~427     

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