Eunhee Lee; Jinhyun Kim

doi:10.4040/jkan.2016.46.4.562

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Original Article
Economic Effect of Home Health Care Services for Community-dwelling Vulnerable Populations: Eunhee Lee, Jinhyun Kim; Journal of Korean Academy of Nursing 2016;46(4):562-571.
DOI: https://doi.org/10.4040/jkan.2016.46.4.562
Published online: August 31, 2016

¹Division of Nursing, Hallym University, Chuncheon, Korea.

²College of Nursing, The Resrarch Institute of Nursing Science, Seoul National University, Seoul, Korea.

Address reprint requests to: Kim, Jinhyun. College of Nursing, The Resrarch Institute of Nursing Science, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Korea. Tel: +82-2-740-8818, Fax: +82-2-766-1852, jinhyun@snu.ac.kr

• Received: August 25, 2015 • Revised: March 29, 2016 • Accepted: May 18, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
In this study the costs and benefits of a home health care program were examined to evaluate the economic feasibility of the program.
Methods
The study participants included 349 patients in the community who had been registered at a home health care center for 5 years. The costs and benefits of the program were analyzed using performance data and health data. The benefits were classified as the effects of pressure ulcer care, skin wound care and catheters management. The program effect was evaluated on the change of progress using transition probability. Benefits were divided into direct benefit such as the savings in medical costs and transportation costs, and indirect benefits which included saving in productivity loss and lost future income.
Results
Participants had an average of 1.82 health problems. The input cost was KRW 36.8~153.3 million, the benefit was KRW 95.4~279.7 million. Direct benefits accounted for 53.4%~81.2%, and was higher than indirect benefits. The net benefit was greater than 0 from 2006 to 2009, and then dropped below 0 in 2010.
Conclusion
The average net benefit during 5 years was over 0 and the benefit cost ratoi was over 1.00, indicating that the home health care program si economical.
Keywords: Home care services; Cost-benefit analysis; Pressure ulcer; Wounds and injuries; Catheters

This manuscript is a revision of the first author's doctoral dissertation from Seoul National University.

The study was funded by the Research Grant of Hallym University.

The authors declared no conflict of interest.

REFERENCES

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Table 1

Characteristics of Participants and Health Status at Initial Enrollment (N=349)

^*Multiple answers were allowed.

Table 2

Characteristics of Deaths (N=349)

Table 3

Characteristics of Participants' Health Problem

^*Multiple answers were allowed.

Table 4

Effectiveness of Home Health Care Service

^*Prevention=33.0% [15]–incidence rate;^†Maintenance effect=maintenance rate–64.5% [16];^‡Prevention of deterioration=35.5% [16]–deterioration rate; ^§Prevention of wound infection=19% [17]–Infection rate; ||Prevention of catheter infection=22.4% [18]–Catheter Infection rate.

Table 5

Cost–benefit Analysis of Home Care Service

Figure & Data

REFERENCES

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Economic Effect of Home Health Care Services for Community-dwelling Vulnerable Populations

J Korean Acad Nurs. 2016;46(4):562-571. Published online August 31, 2016

DOI: https://doi.org/10.4040/jkan.2016.46.4.562

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Economic Effect of Home Health Care Services for Community-dwelling Vulnerable Populations

Table 1

Characteristics of Participants and Health Status at Initial Enrollment (N=349)

^*Multiple answers were allowed.

Table 2

Characteristics of Deaths (N=349)

Table 3

Characteristics of Participants' Health Problem

^*Multiple answers were allowed.

Table 4

Effectiveness of Home Health Care Service

Table 5

Cost–benefit Analysis of Home Care Service

Table 1 Characteristics of Participants and Health Status at Initial Enrollment (N=349)

^*Multiple answers were allowed.

Table 2 Characteristics of Deaths (N=349)

Table 3 Characteristics of Participants' Health Problem

^*Multiple answers were allowed.

Table 4 Effectiveness of Home Health Care Service

Table 5 Cost–benefit Analysis of Home Care Service