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Original Article
Economic Evaluation of Visitng Nurse Services for the Low-income Elderly with Long-term Care Needs
Tae Wha Lee
Journal of Korean Academy of Nursing 2004;34(1):191-201.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.1.191
AbstractAbstract PDF
Purpose

This study aimed to evaluate economic viability of public health center visiting nurse services for the low-income elderly with long-term care needs.

Method

The sample consisted of 252 community dwelling elderly who enrolled in public health center visiting nurse services for three months or more. Data was collected on physical (ADL and IADL) and cognitive impairments of the elderly, contents and frequency of visiting nurse services, cost per visit, and costs of alternative services for long-term care.

Result

The mean score of ADL and IADL levels of the elderly was 2.80.4904, which indicated these patients were mostly independent. Eighty four percent of the elderly subjects were cognitively intact. Among visiting nurse services supplied, providing assessment was 34%, followed by education and counseling 26%, medication 22%, and referral. The mean cost per visit was 17,824.1 won, which transformed into a total cost per person per year of 161,130.2 won. Comparing the cost of a visiting nurse service with those of other long-term care alternatives, the visiting nurse service was the least costly alternative, followed by an outpatient clinic, hospital based home care, and nursing home.

Conclusion

Overall, the results of the study provide evidence of the economic viability of visiting nurse services for the low-income elderly among long-term care alternatives.

Citations

Citations to this article as recorded by  
  • Estimating need for Home Visiting Nurse from Public Health Centers
    Hyun-Ji Bae, Jinhyun Kim
    Perspectives in Nursing Science.2015; 12(1): 23.     CrossRef
  • The Relationship between Home-Visit Nursing Services and Health Care Utilization among Nursing Service Recommended Beneficiaries of the Public Long-Term Care Insurance
    Sae Bom Kang, Hongsoo Kim
    Health Policy and Management.2014; 24(3): 283.     CrossRef
  • Health-related Quality of Life and Its Related Factors in Urban Elderly Women
    Yoon Joo Na, Yeon Hee Choi
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(12): 7224.     CrossRef
  • Effects of community‐based case management by visiting nurses for low‐income patients with hypertension in South Korea
    Gwang Suk KIM, Il Sun KO, Taewha LEE, Eun Jung KIM
    Japan Journal of Nursing Science.2014; 11(1): 35.     CrossRef
  • Trends in Home-visit Nursing Care by Agencies' Characteristics under the National Long-term Care Insurance System
    Jung Suk Lee, Rah Il Hwang, Eun Jeong Han
    Journal of Korean Academy of Community Health Nursing.2012; 23(4): 415.     CrossRef
  • Evaluation of Efficiency of Community Visiting Health Service Units - A Demonstration of Using Data Envelopment Analysis (DEA) -
    Ji Young Lim, Mi Ja Kim, Chang Gi Park, Jung Yun Kim
    Journal of Korean Academy of Nursing Administration.2011; 17(1): 54.     CrossRef
  • Elders' Health Status, Quality of Life, and Satisfaction with Customized Home Visiting Health Service Depending on Connection to Volunteerism
    Ji Eun Park, Chungnam Kim, Yunhee Kwon
    Journal of Korean Academy of Community Health Nursing.2010; 21(4): 448.     CrossRef
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