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

Jinhyun Kim; In Sook Lee; Mee Kyoung Joo

doi:10.11111/jkana.2010.16.4.409

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

Jinhyun Kim¹, In Sook Lee², Mee Kyoung Joo³

Journal of Korean Academy of Nursing Administration 2010;16(4):409-418.
Published online: December 31, 2010

DOI: https://doi.org/10.11111/jkana.2010.16.4.409

¹Associate Professor, College of Nursing; The Research Institute of Nursing Sciences, Seoul National University, Korea.

²Professor, College of Nursing; The Research Institute of Nursing Science, Seoul National University, Korea.

³Associate Professor, Department of Nursing, Kyungbok College, Korea.

Correspondence: Joo, Mee Kyoung. Department of Nursing, Kyungbok College, 131, Sinpyeong-ri, Shinbuk-myeon, Pocheon-si, Gyeonggi-do 487-717, Korea. Tel: 82-31-539-5354, Fax: 82-31-539-5378, mkjoo@kyungbok.ac.kr

• Received: August 31, 2010 • Revised: November 22, 2010 • Accepted: November 26, 2010

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Abstract
REFERENCES

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.
Key Words: Cost-benefit Analysis; Home Nursing Care; Public Health Center; Home Health Care

REFERENCES

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Figure 1

Framework

Table 1

List of costs and benefits of home nursing care services

Table 2

General characteristics of subjects in public health center

Table 3

Performance of home nursing care services (1,000 won)

^†NHI: National Health Insurance; ^‡HNCS: Home Nursing Care Service; ^§Figures in parentheses indicate the costs of home nursing care service for long term care patients.

Table 4

Total costs of home nursing care services

Table 5

Total benefits of home nursing care services

Table 6

Cost-benefit analysis of home nursing care services in 2006

Figure & Data

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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

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

J Korean Acad Nurs Adm. 2010;16(4):409-418. Published online December 31, 2010

DOI: https://doi.org/10.11111/jkana.2010.16.4.409

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

J Korean Acad Nurs Adm. 2010;16(4):409-418. Published online December 31, 2010

DOI: https://doi.org/10.11111/jkana.2010.16.4.409

Figure

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

Figure 1 Framework

Figure 1

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

Table 1

List of costs and benefits of home nursing care services

Table 2

General characteristics of subjects in public health center

Table 3

Performance of home nursing care services (1,000 won)

^†NHI: National Health Insurance; ^‡HNCS: Home Nursing Care Service; ^§Figures in parentheses indicate the costs of home nursing care service for long term care patients.

Table 4

Total costs of home nursing care services

Table 5

Total benefits of home nursing care services

Table 6

Cost-benefit analysis of home nursing care services in 2006

Table 1 List of costs and benefits of home nursing care services

Table 2 General characteristics of subjects in public health center

Table 3 Performance of home nursing care services (1,000 won)

^†NHI: National Health Insurance; ^‡HNCS: Home Nursing Care Service; ^§Figures in parentheses indicate the costs of home nursing care service for long term care patients.

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

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