In the era of integrated care, strengthening medical care in nursing hospitals, and the government needs to realize medical fees
Aug 08, 2025
In order for nursing hospitals to respond to the era of integrated care, they need to strengthen medical functions, strengthen cooperation with local communities, and provide nursing expenses, and the government also needs to normalize medical fees, establish end-of-life wards, and allow home care to prevent nursing hospitals from dying due to the implementation of the system.
The Korea Nursing Hospital Association held a policy debate at the National Assembly on the 7th under the theme of 「In the era of integrated care, the role and direction of nursing hospitals—the role of integrated care for the realization of a welfare state without loneliness」. The policy debate was co-hosted by Lee Soo-jin, Kim Mi-ae, Kim Yoon, Seo Young-seok, Kim Ye-ji, Ahn Sang-hoon of the National Assembly's Health and Welfare Committee, and Moon Jung-bok of the Education Committee.
On the same day, Lim Sun-jae, chairman of the Korea Nursing Hospital Association, emphasized that `The nursing hospital has a specialized infrastructure that can provide medical care and care at the same time, and is a key institution that can carry out continuous care and comprehensive management of severely ill patients after discharge.'
Chairman Lim continued, "For the practical operation of integrated care, the role of nursing hospitals is a necessity, not an option, but there are problems such as unreasonable fee system and exclusion of visiting treatment pilot projects."The system should be improved so that nursing hospitals can fulfill their role." he said.
Ahn Byung-tae, vice chairman of the Nursing Hospital Association and chairman of the Medical Reform TFT, expressed concern that the Integrated Care Support Act, which will take effect in March next year, could lead to the death of nursing hospitals. Vice Chairman Ahn said "I am proud that the nursing hospital has been silently handling medical care for the elderly at a low cost, and has played a role in preventing a comfortable death from death, end-of-life loneliness, and relieving the parents of filial impiety."By the way, we are trying to introduce a system that allows us to choose nursing hospitals, nursing homes, and home care only from the perspective of care, ignoring the perspective of medical care."
At the same time, Vice Chairman Ahn Byung-tae said that in order for nursing hospitals not to be rejected in the era of integrated care, they need to redefine their role as medical institutions and restore professional medical care through strengthening medical functions.
They say that specialized facilities, manpower, and functions to care for severe patients, rehabilitation patients, dialysis patients, infectious isolation patients, and end-of-life patients should be established, and a virtuous cycle structure should be created in which they can be discharged from university hospitals or secondary hospitals and returned to nursing homes or community home care through nursing hospitals.
Vice Chairman Ahn also called for nursing hospitals to be able to participate in home medical care, and to come up with supplementary measures such as improving the quality of medical care and care through the provision of nursing expenses, normalizing medical fees, and establishing an end-of-life hospital.
At the same time, Vice Chairman Ahn Byung-tae said, "With the integrated judgment system, the incentive policy to forcibly assign the elderly and the disabled to nursing hospitals, nursing homes, and homes, or to curb admission to nursing hospitals is not appropriate, and the nursing hospital ward system and medical complex should be implemented, and the retirement of nursing hospitals should be supported." he urged.
In the subsequent designated discussion, Roh Moo-hoon, policy director of the Korean Medical Association, expressed the view that nursing hospitals should establish survival strategies in three directions ahead of the era of integrated care.
Policy Director Noh Dong-hoon "The start of the integrated care project calls for nursing hospitals to be reorganized into key members of the community care ecosystem"If we choose a strategy to strengthen community connections and serve as a transitional medical hub, provide multidisciplinary and comprehensive care services composed of various experts such as doctors and nurses, therapists, nutritionists, and social workers, and improve service quality, nursing hospitals will grow sustainably."
Park Sung-guk, chairman of the insurance committee of the Korea Nursing Hospital Association, argued that after the pilot project of integrated medical, nursing, and care support in 131 cities and counties nationwide, the main project of complete integrated care support should be applied in certain areas before a decision is made.
"The current pilot project is to implement the integrated care project in advance in a situation where the existing medical delivery system and care system are maintained, and there is no conflict of interest between carers," said Park Sung-guk, chairman of the insurance committee. "It is difficult to say that the data obtained in this situation reflects reality."I drew the line.
Han Eun-jung, head of the Long-Term Care Research Center at the Korea Institute of Health Insurance, promised, "The roles that nursing hospitals should play in the future are recovery medical type responsible for acute discharge, rehabilitation, dialysis, chronic medical type for severe long-term care and terminal cancer, regional visit medical treatment, home connection, and complex care type for discharge management. We will reorganize the institutional foundation so that nursing hospitals can function as the central axis of high-function complex care rather than reducing integrated care and cooperate closely with the field."
Koo Jae-kwan, an integrated medical, care, and care support team officer at the Ministry of Health and Welfare, predicted that it will take a considerable amount of time for integrated care to settle.
The district official said "I can tell you that integrated care is in the process of being created from now on"There are no home medical centers in 229 cities and counties nationwide, and there is a huge variation in local resources by local governments."
Officer Koo then asked that nursing hospitals prepare and participate in this matter because the structure in which patients discharged from nursing hospitals go to the region and are hospitalized again if necessary is also included in the integrated care policy.
The Korea Nursing Hospital Association held a policy debate at the National Assembly on the 7th under the theme of 「In the era of integrated care, the role and direction of nursing hospitals—the role of integrated care for the realization of a welfare state without loneliness」. The policy debate was co-hosted by Lee Soo-jin, Kim Mi-ae, Kim Yoon, Seo Young-seok, Kim Ye-ji, Ahn Sang-hoon of the National Assembly's Health and Welfare Committee, and Moon Jung-bok of the Education Committee.
On the same day, Lim Sun-jae, chairman of the Korea Nursing Hospital Association, emphasized that `The nursing hospital has a specialized infrastructure that can provide medical care and care at the same time, and is a key institution that can carry out continuous care and comprehensive management of severely ill patients after discharge.'
Chairman Lim continued, "For the practical operation of integrated care, the role of nursing hospitals is a necessity, not an option, but there are problems such as unreasonable fee system and exclusion of visiting treatment pilot projects."The system should be improved so that nursing hospitals can fulfill their role." he said.
Ahn Byung-tae, vice chairman of the Nursing Hospital Association and chairman of the Medical Reform TFT, expressed concern that the Integrated Care Support Act, which will take effect in March next year, could lead to the death of nursing hospitals. Vice Chairman Ahn said "I am proud that the nursing hospital has been silently handling medical care for the elderly at a low cost, and has played a role in preventing a comfortable death from death, end-of-life loneliness, and relieving the parents of filial impiety."By the way, we are trying to introduce a system that allows us to choose nursing hospitals, nursing homes, and home care only from the perspective of care, ignoring the perspective of medical care."
At the same time, Vice Chairman Ahn Byung-tae said that in order for nursing hospitals not to be rejected in the era of integrated care, they need to redefine their role as medical institutions and restore professional medical care through strengthening medical functions.
They say that specialized facilities, manpower, and functions to care for severe patients, rehabilitation patients, dialysis patients, infectious isolation patients, and end-of-life patients should be established, and a virtuous cycle structure should be created in which they can be discharged from university hospitals or secondary hospitals and returned to nursing homes or community home care through nursing hospitals.
Vice Chairman Ahn also called for nursing hospitals to be able to participate in home medical care, and to come up with supplementary measures such as improving the quality of medical care and care through the provision of nursing expenses, normalizing medical fees, and establishing an end-of-life hospital.
At the same time, Vice Chairman Ahn Byung-tae said, "With the integrated judgment system, the incentive policy to forcibly assign the elderly and the disabled to nursing hospitals, nursing homes, and homes, or to curb admission to nursing hospitals is not appropriate, and the nursing hospital ward system and medical complex should be implemented, and the retirement of nursing hospitals should be supported." he urged.
In the subsequent designated discussion, Roh Moo-hoon, policy director of the Korean Medical Association, expressed the view that nursing hospitals should establish survival strategies in three directions ahead of the era of integrated care.
Policy Director Noh Dong-hoon "The start of the integrated care project calls for nursing hospitals to be reorganized into key members of the community care ecosystem"If we choose a strategy to strengthen community connections and serve as a transitional medical hub, provide multidisciplinary and comprehensive care services composed of various experts such as doctors and nurses, therapists, nutritionists, and social workers, and improve service quality, nursing hospitals will grow sustainably."
Park Sung-guk, chairman of the insurance committee of the Korea Nursing Hospital Association, argued that after the pilot project of integrated medical, nursing, and care support in 131 cities and counties nationwide, the main project of complete integrated care support should be applied in certain areas before a decision is made.
"The current pilot project is to implement the integrated care project in advance in a situation where the existing medical delivery system and care system are maintained, and there is no conflict of interest between carers," said Park Sung-guk, chairman of the insurance committee. "It is difficult to say that the data obtained in this situation reflects reality."I drew the line.
Han Eun-jung, head of the Long-Term Care Research Center at the Korea Institute of Health Insurance, promised, "The roles that nursing hospitals should play in the future are recovery medical type responsible for acute discharge, rehabilitation, dialysis, chronic medical type for severe long-term care and terminal cancer, regional visit medical treatment, home connection, and complex care type for discharge management. We will reorganize the institutional foundation so that nursing hospitals can function as the central axis of high-function complex care rather than reducing integrated care and cooperate closely with the field."
Koo Jae-kwan, an integrated medical, care, and care support team officer at the Ministry of Health and Welfare, predicted that it will take a considerable amount of time for integrated care to settle.
The district official said "I can tell you that integrated care is in the process of being created from now on"There are no home medical centers in 229 cities and counties nationwide, and there is a huge variation in local resources by local governments."
Officer Koo then asked that nursing hospitals prepare and participate in this matter because the structure in which patients discharged from nursing hospitals go to the region and are hospitalized again if necessary is also included in the integrated care policy.
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This article was translated by Naver AI translator.
