An Economic Evaluation of the Home Nursing Care Services: Public Health Center Versus Private Hospital.
10.11111/jkana.2010.16.4.409
- Author:
Jinhyun KIM
1
,
2
;
In Sook LEE
;
Mee Kyoung JOO
Author Information
1. College of Nursing
2. The Research Institute of Nursing Science, Seoul National University, Korea.
- Publication Type:Original Article
- Keywords:
Cost-benefit Analysis;
Home Nursing Care;
Public Health Center;
Home Health Care
- MeSH:
Cost-Benefit Analysis;
Home Nursing;
Hospitals, Private;
Humans;
Public Health
- From:Journal of Korean Academy of Nursing Administration
2010;16(4):409-418
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to compare the costs and benefits of home nursing care services between public health centers (PHC) and private hospitals. METHOD: Participants were 105 patients who had received home nursing care services from a private hospital or public health center. From a societal perspective, the researcher identified the costs and benefits of the services using performance data and calculated the net benefit and benefit/cost ratio. RESULT: The net benefit of the home nursing care service based in the PHC was 165.9 million won and benefit/cost ratio was 2.0, while the net benefit of the home nursing care services by the private hospital was 141.1 million won and benefit/cost ratio was 1.7. Both types of programs were economically validated. CONCLUSION: Home nursing care services were basically efficient as the results showed a positive net benefit. A cost-benefit analysis indicated that the PHC-based home nursing care services were more efficient than that of the private hospital. With limited human resources and management standards in public health centers, results suggest the need for a more systematic management of the home nursing care service to improve the health of this vulnerable community population.
