PDF
ePub
Citation
Print
Abstract
Purpose
The purpose of this study was to compare the costs and benefits of home nursing care services between public health centers (PHC) and private hospitals.
Method
Participants were 105 patients who had received home nursing care services from a private hospital or public health center. From a societal perspective, the researcher identified the costs and benefits of the services using performance data and calculated the net benefit and benefit/cost ratio.
Result
The net benefit of the home nursing care service based in the PHC was 165.9 million won and benefit/cost ratio was 2.0, while the net benefit of the home nursing care services by the private hospital was 141.1 million won and benefit/cost ratio was 1.7. Both types of programs were economically validated.
Conclusion
Home nursing care services were basically efficient as the results showed a positive net benefit. A cost-benefit analysis indicated that the PHC-based home nursing care services were more efficient than that of the private hospital. With limited human resources and management standards in public health centers, results suggest the need for a more systematic management of the home nursing care service to improve the health of this vulnerable community population.
References
1. Cha JE. Comparing long-term care costs of home care services and nursing home care for the elderly. 2009. Seoul: Seoul National University;Unpublished master's thesis.
2. Cummings JE, Weaver FM. Cost-effectiveness of home care. Clin Geriatr Med. 1991. 7(4):865–874.
3. Drummond MF, et al. Methods for the economic evaluation of health care programmes. 2005. 3rd ed. Oxford: Oxford University Press.
4. Hwang NM. Cost-benefit analysis of the hospital-based home health care program for terminal cancer patients. 2000. Seoul: Seoul National University;Unpublished doctoral dissertation.
5. Kang SW, Kwon YD, Ko SK, Ji NJ. Effects of home health care on social cost containment: Evidence from the patients undergone by knee arthroplasty in Korea. Korean J Health Econ Policy. 2005. 11(2):85–99.
6. Kim EY. Economic evaluation of long-term care service. 2002. Seoul: Seoul National University;Unpublished doctoral dissertation.
7. Kim JH, Lee IS, Hwang MS, Joo MK. Evaluation report on outsourcing management of the home nursing care service in Kangnam-gu public health center (1997-2006). 2007. Seoul: Seoul National University.
8. Kim JS, Ko YH, Kim DS, Kim JH, Shin JS, Lee GZ, Jeong IS, Hwang SK. A study on the recognition and attitude on the home health care program by inpatients in Busan. J Korean Acad Soc Home Care Nurs. 2001. 12(3):620–626.
9. Korea Institute for Health and Social Affairs. National health and nutrition examination survey in 2005. 2006. Retrieved October. 5, 2008. from http://knhanes.cdc.go.kr.
10. Leiby SA, Shupe DR. Does home care lessen hospital readmissions for the elderly? Home Healthc Nurse. 1992. 10(1):37–42.
11. Lim JY. Cost-effectiveness analysis of home care service for cerebrovascular disease patients. 2001. Seoul: Korea University;Unpublished doctoral dissertation.
12. Melin AL, Hakanson S, Bygren L. The cost-effectiveness of rehabilitation in the home: A study of Swedish elderly. Am J Public Health. 1993. 83(3):356–362.
13. National Health Insurance Corporation. Health Insurance Review & Assessment Service. 2007 National health insurance statistical yearbook. 2008. Seoul: National Health Insurance Corporation.
14. Park HS. Means of vitalizing visitation nursing programs of public health centers connected with local society home nursing. 2007. Seoul: Kyunghee University;Unpublished master's thesis.
15. Park KS, Chung YK. A study on effectiveness of the hospital-based home nursing care of the early discharged surgical patients and its cost analysis. J Nurs Acad Soc. 1994. 24(4):545–556.
16. Park JH, Yun SY, Kim MJ, Han KJ, Hong KJ, Park SA, Whang NM, Heo JS. Discussion on expansion and establishment of home nursing care. J Korean Acad Nurs. 2002. 32(6):855–866.
17. Park JY, Ko SK. Cost-benefit analysis of the community-based home health care program. Korean J Health Econ Policy. 2000. 6(2):203–245.
18. Ryu H, Jung K, Lim J. Test on the Cost and Development on the Payment System of Home Health Care Nursing. J Korean Acad Nurs. 2006. 36(3):503–513.
19. Song KW, Kang DC, Hur NS. Determinants of the public services contracting-out outcomes. Korea Public Adm J. 2003. 12(3):121–143.
20. Yoon MH. Cost and benefit analysis of the home care service for the terminal cancer patients. 2010. Daegu: Keimyung University;Unpublished master's thesis.
XML Download