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이은희 ( Lee Eun-Hee ) - 한림대학교 간호학부
김진현 ( Kim Jin-Hyun ) - 서울대학교 간호대학 간호과학연구소
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Abstract
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Purpose: In this study the costs and benefits of a home health care program were examined to evaluate the economic feasibility of the program.
Methods: The study participants included 349 patients in the community who had been registered at a home health care center for 5 years. The costs and benefits of the program were analyzed using performance data and health data. The benefits were classified as the effects of pressure ulcer care, skin wound care and catheters management. The program effect was evaluated on the change of progress using transition probability. Benefits were divided into direct benefit such as the savings in medical costs and transportation costs, and indirect benefits which included saving in productivity loss and lost future income.
Results: Participants had an average of 1.82 health problems. The input cost was KRW 36.8~153.3 million, the benefit was KRW 95.4~279.7 million. Direct benefits accounted for 53.4%~81.2%, and was higher than indirect benefits. The net benefit was greater than 0 from 2006 to 2009, and then dropped below 0 in 2010.
Conclusion: The average net benefit during 5 years was over 0 and the benefit cost ratoi was over 1.00, indicating that the home health care program is economical.
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KeyWords
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가정간호서비스, 비용-편익 분석, 욕창, 상처, 카테터
Home care services, Cost-benefit analysis, Pressure ulcer, Wounds and injuries, Catheters
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원문 및 링크아웃 정보
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등재저널 정보
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