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KMID : 0123520200270030238
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Journal of muscle and joint health
2020 Volume.27 No. 3 p.238 ~ p.246
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A Cost Benefit Analysis of Visiting Health Care for People 65 Years and Over Using Total Medical Expense from Health Insurance Claims Data
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Kim Jin-Hyun
Ko Young
Kwon Hyun-Jeong
Yim Eun-Shil
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Abstract
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Purpose: This study aimed to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit among older people.
Methods: The target participants were enrolled in 2007 and they were classified into 1 year, 2 years, 3 years, and 4 years according to their service provision period. We analyzed health insurance claims data and entitlement data from the National Health Insurance Service databases between 2006 and 2010. This study examined the participants’ social-economic and health status factors related to total medical expense. Cost-benefit analysis was done using the net benefit and benefit/cost ratio.
Results: Based on the use of home visiting service, the effect was reduced by 223,914 won. The cost for 952,109 people aged 65 or older was 39,891,462,882 won and the benefit was 213,190,534,626 won. The net benefit was 173,299,071,744 won and the benefit/cost ratio was 5.34 times, which was very economical.
Conclusion: Home visiting health care should continue to expand as a means of economically effective health care for people aged 65 and older and to ensure health equity for vulnerable groups.
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KEYWORD
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Home visit, Cost-benefit analysis, Total medical expense
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