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김진현 ( Kim Jin-Hyun ) - Seoul National University College of Nursing
고영 ( Ko Young ) - Gachon University College of Nursing
권현정 ( Kwon Hyun-Jeong ) - Seoul National University College of Nursing
임은실 ( Yim Eun-Shil ) - Daegu Health College Department of Nursing
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Abstract
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Purpose: This study aimed to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit among older people.
Methods: The target participants were enrolled in 2007 and they were classified into 1 year, 2 years, 3 years, and 4 years according to their service provision period. We analyzed health insurance claims data and entitlement data from the National Health Insurance Service databases between 2006 and 2010. This study examined the participants’ social-economic and health status factors related to total medical expense. Cost-benefit analysis was done using the net benefit and benefit/cost ratio.
Results: Based on the use of home visiting service, the effect was reduced by 223,914 won. The cost for 952,109 people aged 65 or older was 39,891,462,882 won and the benefit was 213,190,534,626 won. The net benefit was 173,299,071,744 won and the benefit/cost ratio was 5.34 times, which was very economical.
Conclusion: Home visiting health care should continue to expand as a means of economically effective health care for people aged 65 and older and to ensure health equity for vulnerable groups.
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KeyWords
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방문간호, 비용-편익분석, 총 진료비
Home visit, Cost-benefit analysis, Total medical expense
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원문 및 링크아웃 정보
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등재저널 정보
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