訪問看護ステーション運営において現場が直面している制度上の課題の抽出

抄録

<Background> We aimed to identify the present system issues faced in the operation of home-visit nursing stations in order to respond to the increasing severity, diversity, and complexity of home health care, and to prepare basic data for the revision of remuneration.

<Methods> Questionnaire surveys were filled out by the worker at home-visit nursing stations in Japan. The respondents were asked for free comments their issues with the system based on their experiences, which were categorized and analyzed by after-coding.

<Results> Seventy-seven workers answered the questionnaire (response ratio:15.4%). The issues were extracted into eight categories: “Personnel”, “Differences in Remuneration”, “Unscheduled Services”, “Non-compensable Services”, “Additional Fees”, “Non-service Operations”, “Collaboration”, and “Inservice Support”.

<Conclusions> The role of home-visit nursing stations should be expanded by fully examining the issues identified and reflecting them in today's revisions of medical and nursing care reimbursement.