Abstract
The purpose of this study is to analyze the extra-pay information in the home visiting nursing system for persons with severe disabilities in Japan and to make suggestions in order to address the alienation issue in the service to care for persons with severe disabilities in Korea. As a study method, literature review was conducted. Based on previous studies and the website of Ministry of Health, Labour and Welfare of Japan, the extra-pay of home visiting nursing service for persons with severe disabilities, the extra-pay of specific office, the introduction background of home visiting staff treatment improvement extra-pay system, the content of extra-pay, and the results of the system were analyzed. According to the analysis, in the extra-pay of home visiting nursing service, service intensity and the effort of consideration for persons with severe disabilities were evaluated; in the extra-pay of office, the effort of the stable support system for persons with disabilities and service providers was evaluated; in the extra-pay of staff treatment improvement, a service provider’s effort to establish the environment for providing professional service was evaluated. As a result, it was found that more offices strived to secure users, rather than to avoid persons with severe disabilities. Given the result, it is necessary to, first, categorize services areas according to disability types and offer different services prices depending on service intensity; second, to evaluate service offering institutions’ efforts to secure persons with severe disabilities and give them incentives; third, to differentiate education content in each nursing service area and raise home visiting nursing staff.
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