Cost-effectiveness Analysis of Home Care Services for Patients with Diabetic Foot.
10.11111/jkana.2013.19.4.437
- Author:
Chong Rye SONG
1
;
Yong Soon KIM
;
Jin Hyun KIM
Author Information
1. Department of Nursing, Ajou University Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Diabetic foot;
Home care services;
Cost analysis
- MeSH:
Costs and Cost Analysis;
Diabetic Foot;
Emergency Medical Services;
Fees and Charges;
Fees, Medical;
Home Care Services;
Hospitalization;
Humans;
Inpatients;
Insurance Carriers;
Medical Records;
Retrospective Studies
- From:Journal of Korean Academy of Nursing Administration
2013;19(4):437-448
- CountryRepublic of Korea
- Language:Korean
-
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.
