An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis.
10.11111/jkana.2010.16.3.295
- Author:
Ji Young LIM
1
;
Jung Nam IM
;
In A KIM
;
Su Kyoung KO
Author Information
1. Department of Nursing, Inha University, Korea. lim20712@inha.ac.kr
- Publication Type:Original Article
- Keywords:
Cost-Benefit analysis;
Aged;
Community Health Nursing;
Hypertension;
Diabetes Mellitus
- MeSH:
Administrative Personnel;
Aged;
Community Health Nursing;
Cost-Benefit Analysis;
Delivery of Health Care;
Diabetes Mellitus;
Health Expenditures;
Hospital Charges;
Humans;
Hypertension;
Nursing Care;
Outpatients;
Pharmacy;
Transportation
- From:Journal of Korean Academy of Nursing Administration
2010;16(3):295-305
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
