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KMID : 0614820130190040437
Journal of Korean Academy of Nursing Administration
2013 Volume.19 No. 4 p.437 ~ p.448
Cost-effectiveness Analysis of Home Care Services for Patients with Diabetic Foot
Song Chong-Rye

Kim Yong-Soon
Kim Jin-Hyun
Abstract
Purpose: This study was a retrospective survey to examine economic feasibility of home care services for patients with diabetic foot.

Methods: The participants were 33 patients in the home care services (HC) group and 27 in the non-home care services (non-HC) group, all of whom were discharged early after inpatient treatment. Data were collected from medical records. Direct medical costs were calculated using medical fee payment data. Cost-effectiveness ratio was calculated using direct medical costs paid by the patient and the insurer until complete cure of the diabetic foot. Effectiveness was the time required for a complete cure. Direct medical costs included fees for hospitalization, emergency care, home care, ambulatory fees, and hospitalization or ambulatory fees at other medical institutions.

Results: Mean for direct medical costs was 11,118,773 won per person in the HC group, and 16,005,883 won in the non-HC group. The difference between the groups was statistically significant (p=.042). Analysis of the results for cost-effectiveness ratio showed 91,891 won per day in the HC patients, and 109,629 won per day in the non-HC patients.
Conclusion: Result shows that the cost-effectiveness ratio is lower HC patients than non-HC patients, that indicates home care services are economically feasible.
KEYWORD
Diabetic foot, Home care services, Cost analysis
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