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KMID : 0614820020080020323
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Journal of Korean Academy of Nursing Administration
2002 Volume.8 No. 2 p.323 ~ p.334
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Cost-Effectiveness Analysis of Home Care Service for Cerebrovascular Disease Patients
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Lim Ji-Young
Park Young-Joo
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Abstract
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Purpose: This study was designed to analyse economical efficiency of home care service by comparing a cost-effectiveness ratio (CER) between hospitalization and home care service.
Method: The analytic framework of this study was constructed in 5 stages; perspective of the analysis, measurement of costs, measurement of effects, analysis of CER, and sensitivity analysis. The SAS program was utilized for the general characteristics of the subjects, descriptive statistics, homogeneous test, normality test and difference test.
Result: The results were as follws; 1) CER was 35,248,256 of ADL, 7,996,026 of nursing satisfaction, 6,144,946,000 of QALY of patients in the hospital and 11,168,863 of ADL, 2,322,239 of nursing satisfaction, 3,674,556,000 of QALY of patients in the home care center. ICER was 438,067,932 of ADL, -190,044,176 of nursing satisfaction, 8,615,336,000 of QALY. 2) In the sensitivity analysis of sex, age and discount rate, the CER of pateints in the home care center was lower than the CER of patients in the hospital.
Conclusion: With these findings, it affirmed that home care service had an economical efficiency compared with hospitalization in cerebrovascular disease patients. Therefore, these results will be used to develop gevernmental policy or expansion of the home care service.
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KEYWORD
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cost-effectiveness analysis, home care service,
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