요양원 입소자격Due to aging
As a result, the number of elderly people who have difficulty performing daily activities without help from others due to the aftereffects of acute/chronic diseases continues to increase. In the past, most care was provided by family, but
Recently, people often receive help from professional nursing facilities. This is partly because there are fewer family members who can take care of the elderly due to the increase in dual-income couples and nuclear families.
Because the disease is complex and presents a variety of physical and mental symptoms, it is difficult for untrained ordinary people to provide care, so professional caregivers may be necessary. this
In this case, you end up looking for a nursing hospital or nursing home. What is the difference between these two facilities?
first of all
There is a difference in the basis for establishment. Nursing hospitals are medical institutions established by the Medical Service Act, and their financial resources are covered by National Health Insurance. Nursing homes are governed by the Elderly Welfare Act.
It is a nursing facility being established, and its financial resources are covered by long-term care insurance for the elderly.
Nursing hospitals are medical institutions, so they must have full-time doctors and nurses and are not eligible for hospitalization.
In principle, there are no restrictions.
However, there is no obligation to directly hire caregivers (or nursing care workers), so they are mainly operated on a consignment basis. On the other hand, nursing homes only determine long-term care levels for patients aged 65 or older or those under 65 with geriatric diseases (dementia, cerebrovascular disease, Parkinson’s disease, etc.).
You must pass the exam to be eligible for admission. Since it is not a medical institution, there is no need for a full-time doctor, but there must be a full-time nurse. However, treatment by a contract doctor
and medication prescriptions are possible. And we directly hire nursing care workers to perform care work.
financial resources
As the method of burden is different, the composition of the burden paid by the patient’s guardian also differs. In the case of nursing hospitals, hospitalization expenses (including drug and medical expenses) and meals are provided.
It is covered by medical insurance, but unlike general hospitals’ fee-for-service system (a method in which costs are charged separately for each treatment and total treatment costs are calculated by adding them up), it is based on patient class.
Accordingly, a fixed fee system (the total amount required for treatment is determined in advance according to the patient’s disease or condition and treatment is provided within that range) is applied. caregiver to patient
If a caregiver (or a caregiver) is needed, a caregiver entrusted by the hospital will be in charge, and the entire cost must be borne by the guardian.
nursing home
In this case, admission fees and care costs from a caregiver are covered by long-term care insurance for the elderly, but meals must be borne by the individual himself. If you need medication or other treatment, visit an external medical institution.
You must visit and pay these costs yourself.
So, which is more advantageous for dementia patients: a nursing hospital or a nursing home? make decisions uniformly
It is difficult and must be decided based on the patient’s condition and accompanying diseases.
patient’s
If your medical condition is unstable and you are at risk of falling into an emergency situation at any time, or you need frequent medical examinations or examinations for concomitant diseases, and your medication needs to be adjusted frequently,
In this case, a nursing hospital is appropriate. In cases where abnormal behavior is severe and medication needs to be adjusted frequently, a nursing hospital may be advantageous. Also, by a rehabilitation medicine specialist,
Nursing hospitals are also suitable for cases where specialized rehabilitation is required.
In addition, if the patient’s condition is stable and can be maintained through outpatient treatment or medication, and the patient’s symptoms are persistent and professional rehabilitation is not necessary, a nursing home is considered appropriate. In addition, differences in patient or guardian preferences and out-of-pocket expenses are also selection criteria that cannot be ignored.
graph. Nursing homes and nursing hospitals
difference
division
nursing home
nursing hospital
concept
Provide convenience necessary for daily life to elderly people who need help due to geriatric diseases such as dementia, stroke, etc.
Accommodation facility for 30 or more people, long-term care
Medical purposes for hospitalized patients requiring
purpose
care
therapy
Hospitalization eligibility
Level 1~3 care required
doesn’t exist
Service provision personnel
Working as a doctor/oriental medical doctor is not required. On-site medical treatment available on request
Social worker, nurse, physical/occupational therapist, nursing care worker
Doctors, nurses, physical therapists, social workers
Applicable insurance
Elderly long-term care insurance
Health Insurance
basis law
Elderly Welfare Act
medical law
manpower standards
nursing care worker
center
doctor/nurse
Focusing on medical personnel, etc.
Hong Yoon-jeong / Information Committee of the Korean Dementia Association
2021.2
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