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KMID : 0614820100160040409
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Journal of Korean Academy of Nursing Administration
2010 Volume.16 No. 4 p.409 ~ p.418
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An Economic Evaluation of the Home Nursing Care Services: Public Health Center Versus Private Hospital
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Kim Jin-Hyun
Lee In-Sook
Joo Mee-Kyoung
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Abstract
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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.
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KEYWORD
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Cost-benefit Analysis, Home Nursing Care, Public Health Center, Home Health Care
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