On the other hand, the rehabilitation-centered agencies
are distinct from other agency types. First of all, their services
are mainly provided by rehabilitation staff in the
home-visit nursing agency. These services were established
as an operating model of home-visit nursing agency, and
thus agencies of this type are increasing [7]. In this operating
model, a business corporation establishes the agency in a region of extremely high population density,
employs rehabilitation staff rather than nurses, and liaisons
with more physicians and care managers. Notably,
these agencies provided fewer 24-hour or emergency
services and end-of-life care, limiting their services
mainly to weekdays. With the rapid increase in elderly
patients especially in urban areas [13], the need for such
rehabilitation services will definitely increase in the future.
A previous study has shown that a large number of
total workers and nurses, which indicates the size of an
agency, has been associated with financial stability of
that agency [7]. However, our study showed that even if
urban-centered agencies maintained high numbers of
patients and home visits per worker (15.4 persons and
85.1 times, respectively), they still had lower financial
stability than nurse- and rehabilitation-centered agencies.
This suggests that the number and ratio of rehabilitation
staff in an agency are important for
maintaining the financial stability of the agency. Future
discussion is thus necessary regarding the rehabilitation
services component of home-visit nursing.
On the other hand, the rehabilitation-centered agenciesare distinct from other agency types. First of all, their servicesare mainly provided by rehabilitation staff in thehome-visit nursing agency. These services were establishedas an operating model of home-visit nursing agency, andthus agencies of this type are increasing [7]. In this operatingmodel, a business corporation establishes the agency in a region of extremely high population density,employs rehabilitation staff rather than nurses, and liaisonswith more physicians and care managers. Notably,these agencies provided fewer 24-hour or emergencyservices and end-of-life care, limiting their servicesmainly to weekdays. With the rapid increase in elderlypatients especially in urban areas [13], the need for suchrehabilitation services will definitely increase in the future.A previous study has shown that a large number oftotal workers and nurses, which indicates the size of anagency, has been associated with financial stability ofthat agency [7]. However, our study showed that even ifurban-centered agencies maintained high numbers ofpatients and home visits per worker (15.4 persons and85.1 times, respectively), they still had lower financialstability than nurse- and rehabilitation-centered agencies.This suggests that the number and ratio of rehabilitationstaff in an agency are important formaintaining the financial stability of the agency. Futurediscussion is thus necessary regarding the rehabilitationservices component of home-visit nursing.
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