뇌혈관질환자에서의 가정간호이용시와 병원입원시 비용 비교 - 대상자의 인구학적 특성을 중심으로 -

A Comparison of Cost between Home Care and Hospital Care - According to Subject′s General Characteristics -

  • 발행 : 2003.04.01

초록

Purpose: This study was designed to compare direct cost and indirect cost between home care and hospital care according to subject's characteristics. Method: The subjects of this study were patients with cerebrovascular disease. They were 50 patients in six university hospitals and 49 in four home care centers. Data were collected by using two type of questionnaires and reviewing medical records, home care service records and medical-fee claims from April 4th to September 13th, 2001. Result: The results were as follows; First, there was a statistically significant difference of direct cost between home care and hospital care, however, there was not a statistically significant difference of indirect cost. Second, according to subject's characteristics, six variables had statistically significant differences; sex, age, marital status, economy, job and diagnosis. Conclusion: It was found that cost-saving effect of home care was affected by subject's characteristic factors. More study needs to be done to develop a more detailed selection criteria for home care subjects.

키워드

참고문헌

  1. Ancona-Berk, V. A., & Chalmers, T. C. (1986). An analysis of the costs of ambulatory and inpatient care. Am J Public Health, 76(9), 1102-1104
  2. Cho, W. J., Kim, Y. S., Kim, J. H., Kim, J. S., Yeun, K. S., Lee, K. O., & Han, K. J. (1991). A Study on Need Assessment and Model Development for Home Nursing Care. The Korea Nurses, 30(2), 54-75
  3. Ellis, N. B. (1986). Nationality Speaking: The challenge of nursing home care. Am J Occup Ther, 40(1), 7-11
  4. Hong, Y. S., Lee, E. O., Lee, S. W., Kim, M. J., Hong, K. J., Suh, M. J., Lee, Y. J., Park, J. H., Song, M. S. (1990). An Operations Study on a Home Health Nursing Demonstration Program for the Patients with Chronic Residual Health Care Problems, J Korean Acad Nurs, 220(2), 227-248
  5. Hwang, N. M. (1996). An evaluation of Hospital-based Home Care. Korea Institute for Health and Social Affaires
  6. Hwang, N. M. (2000). Cost-benefit analysis of the hospital-based home health care program for terminal cancer patients. Doctoral dissertation, Seoul University, Seoul
  7. Kim, M. J. (2000). Cost analysis of community-based home health care versus hospital-based home health care. Master thesis, Yonsei University, Seoul
  8. Kim, S. Y. (2000). Cost-effectiveness analysis of alternative medications in treating hypertension. Master thesis, Seoul University, Seoul
  9. Kwon, S., & Nam, C. H. (1998). A study on the statue and satisfaction of home care service. Journal of Korean Public Health Association, 24(2), 14-26
  10. Lee, I. S. (1996). Evaluative Research of Home Care Programme on Rheumatoid Arthritis Center. The Seoul Journal of Nursing, 10(2), 149-167
  11. Lee, S. W., Suh, M. J., Kim, K. S., Lee, I. S., Lee, E. S., & Kim, M. A. (1996). A Study on the Home Nursing Care Need Trajectory of the patients with chronic illnesses after discharged from Hospital. The Journal of Korean Academy Society of Home Care Nursing, 3, 86-97
  12. Lim, N. Y., Kim, S. Y., Lee, E. O., & Lee, I. S. (1996). Effects of Hospital-based Home Care Demonstration Project on Physical and Emotional Problems and Cost-effectiveness of Patients having Arthritis. The Journal of Rheumatology Health, 3(1), 4-22
  13. Marcus, J. H. (1999). Comparative cost analysis of home care and residental care services-preliminary findings. National Evaluation of the Cost-Effectiveness of Home Care
  14. Park, J. Y. (2000). Cost-benefit analysis of the community-based home health care program for cerebrovascular disease patients. Master thesis, Seoul University, Seoul
  15. Park, K. S., & Chung, Y. K. (1994). A study on effectiveness of the hospital-based home nursing care of the early discharged surgical patients and its cost analysis. J Korean Acad Nurs, 24(4), 545-556
  16. Rice, D. (1967). Estimating the cost of illness. Am J Public Health, 57, 424-440 https://doi.org/10.2105/AJPH.57.3.424
  17. Ryu, H. S., Lee, S. W., Moon, H. J., Hwang, N. M., Park, S. A., Park, J. S., Choi, H. J., lung, K. S., Han, S. A., & Lim, J. Y. (2000). A preliminary study for evaluating on demonstration project of community-based home health care nursing services by the Seoul Nurses Association. J Korean Acad Nurs, 30(6), 1488-1502
  18. Stone, M. (1987). Multi-purpose home care. Nurs Times, 28-29
  19. Suh, M. H., & Huh, H. K. (1996). An Analysis of Referrals, Nursing Diagnosis, and Nursing, Interventions in Home Care-Wonju Christian Hospital Community Health Nursing Service. The Journal of Korean Academy Society of Home Care Nursing, 3, 53-66
  20. Taylor, M. B. (1985). The effects of DRGs on home health care. Nurs Outlook, 33(6), 288-289
  21. Yang, B. M. (1999). Health and Economy. Seoul: Nanamsinseo