Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지

A Cost Benefit Analysis of Individual Home Visiting Health Care

맞춤형 방문건강관리사업의 비용-편익분석

  • Kim, Jin-Hyun (College of Nursing, The Research Institute of Nursing Science, Seoul National University) ;
  • Lee, Tae-Jin (Graduate School of Public Health, Seoul National University) ;
  • Lee, Jin-Hee (Health Insurance Review Agency) ;
  • Shin, Sang-Jin (National Evidence-based Healthcare Collaborating Agency) ;
  • Lee, Eun-Hee (College of Nursing, Seoul National University)
  • 김진현 (서울대학교 간호대학.간호과학연구소) ;
  • 이태진 (서울대학교 보건대학원) ;
  • 이진희 (건강보험심사평가원) ;
  • 신상진 (한국보건의료연구원) ;
  • 이은희 (서울대학교 간호대학)
  • Received : 2010.08.02
  • Accepted : 2010.09.27
  • Published : 2010.09.30
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Abstract

Purpose: The purpose of this study is to evaluate the costs and benefits of individual home visiting health care using secondary data and literature review. Methods: The total number of subjects was 1,008,837. A specific program was classified into disease management, care of infant, child and women, or elderly care. The costs and effects of a program were identified from a societal perspective, and the effects were converted into monetary terms or benefits. The total cost was calculated in the way that medical expenses, travel costs and productivity losses were offset by the decrease in benefits and thus only the program budget was included in the total cost. Results: The total program cost was 47.6 billion won per year and the total annual benefit was estimated at 435.6 billion won. The benefits of arthritis management were the biggest among disease management programs. The net benefit was 388.0 billion won per year and the benefit/cost ratio was 9.16. Conclusion: Home visiting health care was validated to be economically effective. It made a positive contribution to improving the health status of vulnerable populations and reducing medical expenses. These results suggest that home visiting care should be extended more broadly to vulnerable populations.

Keywords

References

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