간호행정학회지 (Journal of Korean Academy of Nursing Administration)

  • 제16권4호
  • /
  • Pages.409-418
  • /
  • 2010
  • /
  • 1225-9330(pISSN)
  • /
  • 2288-4955(eISSN)
한국간호행정학회 (Korean Academy of Nursing Administration)
권호 표지

일개 보건소의 가정간호사업 위탁운영에 관한 경제성 평가

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

  • 김진현 (서울대학교 간호대학, 간호과학연구소) ;
  • 이인숙 (서울대학교 간호대학, 간호과학연구소) ;
  • 주미경 (경복대학 간호과)
  • Kim, Jin-Hyun (College of Nursing, The Research Institute of Nursing Sciences, Seoul National University) ;
  • Lee, In-Sook (College of Nursing, The Research Institute of Nursing Sciences, Seoul National University) ;
  • Joo, Mee-Kyoung (Department of Nursing, Kyungbok College)
  • 투고 : 2010.08.31
  • 심사 : 2010.11.26
  • 발행 : 2010.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Cha, J. E. (2009). Comparing long-term care costs of home care services and nursing home care for the elderly. Unpublished master's thesis, Seoul National University, Seoul.
  2. Cummings, J. E., & Weaver, F. M. (1991). Cost-effectiveness of home care. Clin Geriatr Med, 7(4), 865-874.
  3. Drummond, M. F. et al. (2005). Methods for the economic evaluation of health care programmes (3rd ed.). Oxford; Oxford University Press.
  4. Hwang, N. M. (2000). Cost-benefit analysis of the hospital-based home health care program for terminal cancer patients. Unpublished doctoral dissertation, Seoul National University, Seoul.
  5. Kang, S. W., Kwon, Y. D., Ko, S. K., & Ji, N. J. (2005). Effects of home health care on social cost containment: Evidence from the patients undergone by knee arthroplasty in Korea. Korean J Health Econ Policy, 11(2), 85-99.
  6. Kim, E. Y. (2002). Economic evaluation of long-term care service. Unpublished doctoral dissertation, Seoul National University, Seoul.
  7. Kim, J. H., Lee, I. S., Hwang, M. S., & Joo, M. K. (2007). Evaluation report on outsourcing management of the home nursing care service in Kangnam-gu public health center (1997-2006). Seoul National University, Seoul.
  8. Kim, J. S., Ko, Y. H., Kim, D. S., Kim, J. H., Shin, J. S., Lee, G. Z., Jeong, I. S., & Hwang, S. K. (2001). A study on the recognition and attitude on the home health care program by inpatients in Busan. J Korean Acad Soc Home Care Nurs, 12(3), 620-626.
  9. Korea Institute for Health and Social Affairs (2006). National health and nutrition examination survey in 2005. Retrieved October. 5, 2008, from http://knhanes.cdc.go.kr
  10. Leiby, S. A., & Shupe, D. R. (1992). Does home care lessen hospital readmissions for the elderly? Home Health Nurse, 10(1), 37-42. https://doi.org/10.1097/00004045-199201000-00009
  11. Lim, J. Y. (2001). Cost-effectiveness analysis of home care service for cerebrovascular disease patients. Unpublished doctoral dissertation, Korea University, Seoul.
  12. Merlin, A. L., Hakanson, S., & Bygren, L. (1993). The cost-effectiveness of rehabilitation in the home: A study of Swedish elderly. Am J public Health, 83(3), 356-362. https://doi.org/10.2105/AJPH.83.3.356
  13. National Health Insurance Corporation (2008). 2007 National health insurance statistical yearbook. Health Insurance Review & Assessment Service. National Health Insurance Corporation, Seoul.
  14. Park, H. S. (2007). Means of vitalizing visitation nursing programs of public health centers connected with local society home nursing. Unpublished master's thesis, Kyunghee University, Seoul.
  15. Park, K. S., & Chung, Y. K. (1994). A study on effectiveness of the hospital-based home nursing care of the early discharged surgical patients and its cost analysis. J Korean Acad Nurs, 24(4), 545-556.
  16. Park, J. H., Yun, S. Y., Kim, M. J., Han, K. J., Hong, K. J., Park, S. A., Whang, N. M., & Heo, J. S. (2002). Discussion on expansion and establishment of home nursing care. J Korean Acad Nurs, 32(6), 855-866.
  17. Park, J. Y., & Ko, S. K. (2000). Cost-benefit analysis of the community-based home health care program. Korean J Health Econ Policy, 6(2), 203-245.
  18. Ryu, H. S., Jung, K. S., & Lim, J. Y. (2006). Test on the Cost and Development on the Payment System of Home Health Care Nursing. J Korean Acad Nurs, 36(3), 503-513.
  19. Song, K. W., Kang, D. C., & Hur, N. S. (2003). Determinants of the public services contracting-out outcomes. Korea Inst Public Admin, 12(3), 121-143.
  20. Yoon, M. H. (2010). Cost and benefit analysis of the home care service for the terminal cancer patients. Unpublished master's thesis, Keimyung University, Daegu.