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일개 보건소의 가정간호사업 위탁운영에 관한 경제성 평가

 An Economic Evaluation of the Home Nursing Care Services: Public Health Center Versus Private Hospital

간호행정학회지 2010년 16권 4호 p.409 ~ 418
KMID : 0614820100160040409
김진현 ( Kim Jin-Hyun ) - 서울대학교 간호대학 간호과학연구소

이인숙 ( Lee In-Sook ) - 서울대학교 간호대학
주미경 ( Joo Mee-Kyoung ) - 경복대학 간호과

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.
KeyWords
비용-편익분석, 가정간호, 보건소
Cost-benefit Analysis, Home Nursing Care, Public Health Center, Home Health Care
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학술진흥재단(KCI) KoreaMed