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Ko and Lee: Cost-benefit Analysis of Home Visiting Care for Vulnerable Populations with Hypertension
Original Article

Journal of Korean Academy of Community Health Nursing 2011; 22(4): 438-450.

Published online: 4 April 2014

DOI: https://doi.org/10.12799/jkachn.2011.22.4.438

Cost-benefit Analysis of Home Visiting Care for Vulnerable Populations with Hypertension

Young Ko1, In Sook Lee2

1Full-time Lecturer, College of Nursing, Eulji University, Korea.

2Professor, College of Nursing, Seoul National University, Korea.

Address reprint requests to: Ko, Young, Department of Nursing, College of Nursing, 77, 771 Beon-gil, Gyeyoung-ro, Jung-gu, Deajeon 301-746, Korea. Tel: 82-42-259-1719, Fax: 82-42-259-1709, camassia@naver.com

Received 24 September 2011       Revised 15 December 2011       Accepted 15 December 2011

© 2011 Korean Academy of Community Health Nursing

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit perspective.

Methods

Target participants were enrolled in 2007~2008 for home visiting care and provided with a home visiting nursing service for more than 18 months in J Ward of S City. Of 391 participants, 244 who satisfied the inclusion criteria were used in the final analysis. Cost-benefit analysis was done using the net benefit and benefit/cost ratio.

Results

After providing the home care nursing service, the blood pressure control rate increased from 50.8% to 75.4%. Of the subjects, 39.8% maintained their blood pressure level within the target range. As a whole, the net benefit of home visiting care per person ranged from 434,964.86 to 447,112.43 won and the benefit/cost ratio ranged from 2.82 to 2.84.

Conclusion

Home visiting care for vulnerable populations with hypertension was effective in both maintaining blood pressure and reducing blood pressure to the target range. Therefore these results are especially useful for establishing the value of home visiting services for policy makers as well as for prioritizing vulnerable populations.

Keywords: Cost-benefit analysis, Visiting nurse, Home care service, Vulnerable population, Hypertension

Figures and Tables

Figure 1
Conceptual framework of the study.
jkachn-22-438-g001
Table 1
General Characteristics of Participants (N=244)
jkachn-22-438-i001

Elem.=elementary.

†Control=SBP<140 mmHg and DBP<90 mmHg.

Table 2
Cost per Person and Total Cost for Home Visiting Care (N=244)
jkachn-22-438-i002

†Five among 244 subjects didn't take other service (inpatient and outpatient visit) for hypertension treatment.

Table 3
Total Benefit per Person (Reduction of Admission Rate) (N=244)
jkachn-22-438-i003
Table 4
Cost-benefit Analysis
jkachn-22-438-i004

Notes

This article is revision of the first author's doctoral thesis from Seoul National University.

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