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KMID : 0614820100160030295
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Journal of Korean Academy of Nursing Administration
2010 Volume.16 No. 3 p.295 ~ p.305
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An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis
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Lim Ji-Young
Im Jung-Nam
Kim In-A
Ko Su-Kyoung
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Abstract
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Purpose: This study was conducted to evaluate the economic efficiency of a community-based nursing care center to help policy makers determine whether or not to invest in similar facilities.
Methods: The subjects were 101 elderly people over 65 years who participated in a health management program from February 1 to July 31, 2007. Direct cost was estimated with center operations cost, medical cost for out-patients and pharmacy cost. Indirect cost was measured by transportation cost. Direct benefit was calculated by saved medical cost for out-patients, saved pharmacy cost, saved transportation cost, and reducing hospital charges. Indirect benefit was estimated with prevention of severe complications. Economic efficiency was evaluated by cost-benefit ratio and net benefit.
Results: Operating a community-based nursing care center was found to be cost-effective. Specifically, the cost of operating the center evaluated here was estimated at 135 million won while the benefit was estimated at 187 million won. Benefit-cost ratio was 1.38.
Conclusion: The Community-based nursing care center that was described here could be a useful health care delivery system for reducing medical expenditures.
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KEYWORD
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Cost-Benefit analysis, Aged, Community Health Nursing, Hypertension, Diabetes Mellitus
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