한국형 노인요양병원 질 평가 도구 개발에 관한 고찰

초록

The paym ent system such as national long term care insurance for the elderly and per diem rate for geriatric hospitals introduced in 2008 has greatly changed the Korean m edical system for the elderly. Therefore, today it w ould be inevitable to discuss quality assessm ent of healthcare services provided by nursing facilities and geriatric hospitals in order to effectively establish and operate the introduced system s. Under these circum stances, in an effort to provide elderly people w ith high-quality m edical services w ith lim ited resources, it is believed that the quality indicators need to include the follow ing: ① provision and m anagem ent of m edical services for m ajor health problem s; ② assessm ent of quality of life for residents; ③ assessm ent of AD L and rehabilitation services so as to m aintain and im prove functions; ④ assessm ent of convenience of living facilities; and ⑤ assessm ent of rate of potential avoidable hospitalization in acute care hospitals. Moreover, along with an effort to define roles of nursing facilities and geriatric hospitals, it would be necessary to set up the feasible stepwise strategy through discussions with relevant institutions.

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