An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis

Ji Young Lim; Jung Nam Im; In A Kim; Su Kyoung Ko

doi:10.11111/jkana.2010.16.3.295

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An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis

Ji Young Lim¹, Jung Nam Im², In A Kim³, Su Kyoung Ko⁴

Journal of Korean Academy of Nursing Administration 2010;16(3):295-305.
Published online: September 30, 2010

DOI: https://doi.org/10.11111/jkana.2010.16.3.295

¹Professor, Department of Nursing, Inha University, Korea.

²Director, Gwangju City Health Center, Gyeonggi-Do, Korea.

³Lecturer, College of Nursing, Korea University, Korea.

⁴Market Access Director, Pfizer Korea, Korea.

Correspondence: Lim, Ji Young. Department of Nursing, Inha University, #253, Younghyun-Dong, Nam-Gu, Incheon, Korea. Tel: 82-32-860-8210, Fax: 82-32-874-5880, lim20712@inha.ac.kr

• Received: July 15, 2010 • Revised: August 25, 2010 • Accepted: September 15, 2010

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Abstract
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Abstract

Purpose
This study was conducted to evaluate the economic efficiency of a community-based nursing care center to help policy makers determine whether or not to invest in similar facilities.
Methods
The subjects were 101 elderly people over 65 years who participated in a health management program from February 1 to July 31, 2007. Direct cost was estimated with center operations cost, medical cost for out-patients and pharmacy cost. Indirect cost was measured by transportation cost. Direct benefit was calculated by saved medical cost for out-patients, saved pharmacy cost, saved transportation cost, and reducing hospital charges. Indirect benefit was estimated with prevention of severe complications. Economic efficiency was evaluated by cost-benefit ratio and net benefit.
Results
Operating a community-based nursing care center was found to be cost-effective. Specifically, the cost of operating the center evaluated here was estimated at 135 million won while the benefit was estimated at 187 million won. Benefit-cost ratio was 1.38.
Conclusion
The Community-based nursing care center that was described here could be a useful health care delivery system for reducing medical expenditures.
Key Words: Cost-Benefit analysis; Aged; Community Health Nursing; Hypertension; Diabetes Mellitus

REFERENCES

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Table 1

Characteristics of subjects^* (N=101)

^*Missing value excluded; ^†Multiple choice; ^‡DM= Diabetes mellitus; ^§CVA=Cerebro vascular accident

^∥SBP=Systolic blood pressure; ^¶DBP=Diastolic blood pressure

Table 2

Cost analysis of community based intensive nursing care center for elderly

^*OPC=Out patient clinic;

^†Patient number of OPC visit per month × Average cost of OPC per visit × Average number of OPC visit per month;

^‡Patient number of pharmacy visit per month × Average pharmacy cost of pharmacy per visit × Average number of pharmacy visit per month;

^§Public transportation cost per one time

Table 3

Benefit analysis of community based intensive nursing care center for elderly

^*Number of reduced OPC visit per month; ^†Number of reduced pharmacy visit per month;

^‡Number of managed hypertension patient per month × Hospital admission rate of hypertension × Average hospital charges of hypertension patient per year;

^§ Number of managed DM patient per month × Hospital admission rate of DM × Average hospital charges of DM patient per year;

^∥Number of managed hypertension patient per month × Severe complications rate of hypertension × Average hospital charges of severe hypertension complications per year;

^¶Number of managed DM patient per month × Severe complications rate of DM × Average hospital charges of severe DM complications per year;

Table 4

Summary of cost-benefit analysis and sensitivity analysis

^*PAR=Population attributable risk

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Journal of Korean Society of Occupational Therapy.2018; 26(2): 99. CrossRef
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An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis

J Korean Acad Nurs Adm. 2010;16(3):295-305. Published online September 30, 2010

DOI: https://doi.org/10.11111/jkana.2010.16.3.295

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An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis

J Korean Acad Nurs Adm. 2010;16(3):295-305. Published online September 30, 2010

DOI: https://doi.org/10.11111/jkana.2010.16.3.295

An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis

Table 1

Characteristics of subjects^* (N=101)

^*Missing value excluded; ^†Multiple choice; ^‡DM= Diabetes mellitus; ^§CVA=Cerebro vascular accident

^∥SBP=Systolic blood pressure; ^¶DBP=Diastolic blood pressure

Table 2

Cost analysis of community based intensive nursing care center for elderly

^*OPC=Out patient clinic;

^†Patient number of OPC visit per month × Average cost of OPC per visit × Average number of OPC visit per month;

^‡Patient number of pharmacy visit per month × Average pharmacy cost of pharmacy per visit × Average number of pharmacy visit per month;

^§Public transportation cost per one time

Table 3

Benefit analysis of community based intensive nursing care center for elderly

^*Number of reduced OPC visit per month; ^†Number of reduced pharmacy visit per month;

^‡Number of managed hypertension patient per month × Hospital admission rate of hypertension × Average hospital charges of hypertension patient per year;

^§ Number of managed DM patient per month × Hospital admission rate of DM × Average hospital charges of DM patient per year;

^∥Number of managed hypertension patient per month × Severe complications rate of hypertension × Average hospital charges of severe hypertension complications per year;

^¶Number of managed DM patient per month × Severe complications rate of DM × Average hospital charges of severe DM complications per year;

Table 4

Summary of cost-benefit analysis and sensitivity analysis

^*PAR=Population attributable risk

Table 1 Characteristics of subjects* (N=101)

^*Missing value excluded; ^†Multiple choice; ^‡DM= Diabetes mellitus; ^§CVA=Cerebro vascular accident

^∥SBP=Systolic blood pressure; ^¶DBP=Diastolic blood pressure

Table 2 Cost analysis of community based intensive nursing care center for elderly

^*OPC=Out patient clinic;

^†Patient number of OPC visit per month × Average cost of OPC per visit × Average number of OPC visit per month;

^‡Patient number of pharmacy visit per month × Average pharmacy cost of pharmacy per visit × Average number of pharmacy visit per month;

^§Public transportation cost per one time

Table 3 Benefit analysis of community based intensive nursing care center for elderly

^*Number of reduced OPC visit per month; ^†Number of reduced pharmacy visit per month;

^‡Number of managed hypertension patient per month × Hospital admission rate of hypertension × Average hospital charges of hypertension patient per year;

^§ Number of managed DM patient per month × Hospital admission rate of DM × Average hospital charges of DM patient per year;

^∥Number of managed hypertension patient per month × Severe complications rate of hypertension × Average hospital charges of severe hypertension complications per year;

^¶Number of managed DM patient per month × Severe complications rate of DM × Average hospital charges of severe DM complications per year;

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An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis

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