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고정연 ( Ko Jeong-Yeon ) - Health Insurance Review & Assessment Service
윤주영 ( Yoon Ju-Young ) - Seoul National University College of Nursing Research Institute of Nursing Science
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Abstract
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Purpose: This study conducted an economic evaluation of hospital-based home care services for the patients who had undergone breast cancer surgery.
Methods: A total of 12,483 patients over 18 years of age who had received breast cancer surgery in 26 tertiary hospitals in 2018 were analyzed with the claim data from the Health Insurance Review & Assessment Service using cost-minimization analysis and societal perspectives.
Results: There were 156 patients who utilized hospital-based home care services within 30 days after breast cancer surgery, and they received 2.17 (SD=1.17) hospital-based home care service on average. The average total cost was 5,250,028 KRW (SD=1,905,428) for the group receiving continuous hospital-based home care and 6,113,402 KRW (SD=2,033,739) for the group not receiving continuous hospital-based home care (p＜.001). The results of the economic evaluation of continuous hospital-based home care services in patients who had undergone breast cancer surgery indicated a total benefit of 953,691,000 KRW, a total cost of 819,004,000 KRW, and a benefit-cost ratio of 1.16 in 2018.
Conclusion: Continuous hospital-based home care was considered economically feasible as the total costs for the group receiving continuous hospital-based home care were lower than those of the group not receiving continuous hospital-based home care. Therefore, policy modification and financial incentives are recommended to increase the utilization of hospital-based home care services for patients who had undergone breast cancer surgery.
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KeyWords
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유방암, 가정간호, 경제성 평가, 비용최소화 분석
Breast neoplasms, Home care services, Hospital-based, Cost-benefit analysis, Costs and cost analysis
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원문 및 링크아웃 정보
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등재저널 정보
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