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Original Article

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

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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

Copyright © 2010 Korean Academy of Nursing Administration

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  • 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
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Figure 1
Framework
jkana-16-409-g001.jpg
Table 1
List of costs and benefits of home nursing care services
jkana-16-409-i001.jpg
Table 2
General characteristics of subjects in public health center
jkana-16-409-i002.jpg
Table 3
Performance of home nursing care services (1,000 won)
jkana-16-409-i003.jpg

†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
jkana-16-409-i004.jpg
Table 5
Total benefits of home nursing care services
jkana-16-409-i005.jpg
Table 6
Cost-benefit analysis of home nursing care services in 2006
jkana-16-409-i006.jpg

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
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    An Economic Evaluation of the Home Nursing Care Services: Public Health Center Versus Private Hospital
    Image
    Figure 1 Framework

    Figure 1

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

    List of costs and benefits of home nursing care services

    General characteristics of subjects in public health center

    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.

    Total costs of home nursing care services

    Total benefits of home nursing care services

    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.

    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

    Table 2

    Table 3

    Table 4

    Table 5

    Table 6

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