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맞춤형 방문건강관리사업의 비용-편익분석

 A Cost Benefit Analysis of Individual Home Visiting Health Care

지역사회간호학회지 2010년 21권 3호 p.362 ~ 373
KMID : 0607720100210030362
김진현 ( Kim Jin-Hyun ) - 서울대학교 간호대학

이태진 ( Lee Tae-Jin ) - 서울대학교 보건대학원
이진희 ( Lee Jin-Hee ) - 건강보험심사평가원
신상진 ( Shin Sang-Jin ) - 한국보건의료연구원
이은희 ( Lee Eun-Hee ) - 서울대학교 간호대학

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

Home visit, Cost-benefit analysis
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학술진흥재단(KCI) KoreaMed