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Abstract
Purpose
This study was conducted to evaluate the economic efficiency of a community-based nursing care center to help policy makers determine whether or not to invest in similar facilities.
Methods
The subjects were 101 elderly people over 65 years who participated in a health management program from February 1 to July 31, 2007. Direct cost was estimated with center operations cost, medical cost for out-patients and pharmacy cost. Indirect cost was measured by transportation cost. Direct benefit was calculated by saved medical cost for out-patients, saved pharmacy cost, saved transportation cost, and reducing hospital charges. Indirect benefit was estimated with prevention of severe complications. Economic efficiency was evaluated by cost-benefit ratio and net benefit.
Figures and Tables
Table 2
Cost analysis of community based intensive nursing care center for elderly
*OPC=Out patient clinic;
†Patient number of OPC visit per month × Average cost of OPC per visit × Average number of OPC visit per month;
‡Patient number of pharmacy visit per month × Average pharmacy cost of pharmacy per visit × Average number of pharmacy visit per month;
§Public transportation cost per one time
Table 3
Benefit analysis of community based intensive nursing care center for elderly
*Number of reduced OPC visit per month; †Number of reduced pharmacy visit per month;
‡Number of managed hypertension patient per month × Hospital admission rate of hypertension × Average hospital charges of hypertension patient per year;
§ Number of managed DM patient per month × Hospital admission rate of DM × Average hospital charges of DM patient per year;
∥Number of managed hypertension patient per month × Severe complications rate of hypertension × Average hospital charges of severe hypertension complications per year;
¶Number of managed DM patient per month × Severe complications rate of DM × Average hospital charges of severe DM complications per year;
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