PURPOSE
This study was done to evaluate the operating status of community-based home health center for revitalization of the centers.
METHOD
In this study performance data including organization plan and service utilization plan were evaluated according process theory. Target of evaluation was the community-based home health care center.
RESULTS
The vulnerable part of the organization was the information system and financial resources. The home health center introduced PDA (Personal Digital Assistants) in 2005, however home health care nurses did not make full use of it. This service received full support from Seoul city and local government and there were no other sources of income. The vulnerable part of service utilization was service expansion and standardization due to vulnerability of organizational aspects.
CONCLUSIONS
The home health care center provides high quality services to underprivileged people. In the future, these services should be provided with equity for continuous health care for this population.

Citations

• Identification of Nursing Diagnosis–Outcome–Intervention Linkages for Inpatients in the Obstetrics Department Nursing Unit in South Korea
  Min Ji Yang, Hye Young Kim, Eun Ko, Hyun Kyung Kim
  International Journal of Nursing Knowledge.2019; 30(1): 12.     CrossRef
• Factors Influencing Burnout in Primary Family Caregivers of Hospital-based Home Care Patients
  Ju Ok Yang, Hye Kyung Lee
  Journal of Korean Academy of Community Health Nursing.2018; 29(1): 54.     CrossRef
• Identification of Nursing Diagnosis-Outcome-Intervention Linkages for Inpatients in Gynecology Department Nursing Units
  Min Ji Yang, Hye Young Kim
  Korean Journal of Women Health Nursing.2016; 22(3): 170.     CrossRef
• Economic Effect of Home Health Care Services for Community-dwelling Vulnerable Populations
  Eunhee Lee, Jinhyun Kim
  Journal of Korean Academy of Nursing.2016; 46(4): 562.     CrossRef

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.

Citations

• Systematic Review and Quality Assessment of Health Economic Evaluation Studies (2007–2019) Conducted in South Korea
  Sunghyun Yi, Jihyung Hong, Haemin Yoon, You-na Lim, Eun-Young Bae
  Applied Health Economics and Health Policy.2022; 20(6): 819.     CrossRef