Purpose: The purpose of this study was to analyze the current state of home health nursing (HHN) for elders and
to provide basic data on policy alternatives for establishing home medical care in the advanced general hospital.
Methods: This study was conducted as a secondary data analysis, using electronic medical record (EMR) data of
older patients who received HHN more than once from the S advanced general hospital between January 2016
and December 2018. Results: A total of 1,790 patients received HHN visits, with 22,477 visits being made. The
mean age was 76.8±7.3 years old, 96.0% of elders had health insurance and 24.6% had orthopedics problems.
Of the 1,168 people who visited emergency rooms, the most frequent symptom was pain (23.4%) and all patients
visited the hospital at least once and at most 163 times outpatient care during HHN. Causative diseases were
degenerative knee joint osteoarthritis (0.6%), surgery for right knee replacement (4.0%), and for dressings (9.7%)
in the HHN service content analysis. Conclusion: The progress towards an aging society and the introduction of
community care are expected to further enhance the need for HHN which should be able to provide
comprehensive and continuous visiting health care services to the older patients. The results of this study are
expected to help doctors solve problems not solved by HHN, reduce unnecessary emergency room or outpatient
visits, and readmission, while at the same time contributing to the improvement of patient quality of life through
efficient patient health care.ope
