Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of Benefit Estimation Models in Cost-Benefit Analysis: A Case of Chronic Hypertension Management Programs

  • Lim, Ji-Young (Department of Nursing, Inha University) ;
  • Kim, Mi-Ja (College of Nursing, University of Illinois at Chicago) ;
  • Park, Chang-Gi (College of Nursing, University of Illinois at Chicago) ;
  • Kim, Jung-Yun (Women's Policy Division, Incheon Metropolitan City Hall)
  • Received : 2011.03.31
  • Accepted : 2011.12.19
  • Published : 2011.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Cost-benefit analysis is one of the most commonly used economic evaluation methods, which helps to inform the economic value of a program to decision makers. However, the selection of a correct benefit estimation method remains critical for accurate cost-benefit analysis. This paper compared benefit estimations among three different benefit estimation models. Methods: Data from community-based chronic hypertension management programs in a city in South Korea were used. Three different benefit estimation methods were compared. The first was a standard deterministic estimation model; second, a repeated-measures deterministic estimation model; and third, a transitional probability estimation model. Results: The estimated net benefit of the three different methods were $1,273.01, $-3,749.42, and $-5,122.55 respectively. Conclusion: The transitional probability estimation model showed the most correct and realistic benefit estimation, as it traced possible paths of changing status between time points and it accounted for both positive and negative benefits.

Keywords

References

  1. Ahmed, F., Elbasha, E. E., Thompson, B. L., Harris, J. R., & Sneller, V. (2002). Cost-benefit analysis of a new HEDIS performance measure for pneumococcal vaccination. Medical Decision Making, 22(5), S58-S66. doi: 10.1177/027298902237711
  2. Ahn, Y. O. (1995). The strategy of enhancing effectiveness of health examination. Seoul: National Health Insurance Corporation.
  3. Alcocer, L., & Cueto, L. (2008). Hypertension, a health economics perspective. Therapeutic Advances in Cardiovascular Disease, 2, 147-155. doi: 10.1177/1753944708090572
  4. Chin, M. H., Zhang, J. X., & Rathouz, P. J. (2003). Transitions in health status in older patients with heart failure. Southern Medical Journal, 96, 1096-1106. https://doi.org/10.1097/01.SMJ.0000078680.44187.3D
  5. Diehr, P., & Patrick, D. L. (2001). Probabilities of transition among health states for older adults. Quality of Life Research, 10, 431-442. https://doi.org/10.1023/A:1012566130639
  6. Korea Centers for Disease Control & Prevention. (2007, May). Community-based hypertension and diabetes management model development for improving adherence and compliance. Seoul: Author.
  7. Lim, J. (2008). The cost-benefit analysis of newly married couple health care program. Unpublished doctoral dissertation, Chungnam National University, Daejeon.
  8. Lim, J. Y., Im, J. N., Kim, I. A., & Ko, S. (2010). An evaluation of effects on hypertension and diabetes mellitus management of a community-based nursing care center using cost-benefit analysis. Journal of Korean Academy of Nursing Administration, 16, 295-305. https://doi.org/10.11111/jkana.2010.16.3.295
  9. Newhouse, R. P. (2010). De we know how much the evidence-based intervention cost? The Journal of Nursing Administration, 40, 296-299. doi: 10.1097/NNA.0b013e3181e93760
  10. Pappas, S. H. (2008). The cost of nurse-sensitive adverse events. The Journal of Nursing Administration, 38, 230-236. doi: 10.1097/01.NNA.000031 2770.19481.ce
  11. Peng, R., Ling, L., & He, Q. (2010). Self-rated health status transition and long-term care need. Health Policy, 97, 259-266. doi: 10.1016/j.healthpol.2010.05.009
  12. Romo, R., & Gifford, L. (2007). A cost-benefit analysis of music therapy in a home hospice. Nursing Economics, 25, 353-358.
  13. Stephens, S. (2008). Hospital-based palliative care: Cost-effective care for patients with advanced disease. The Journal of Nursing Administration, 38, 143-145. doi: 10.1097/01.NNA.0000310724.20419.12
  14. Stevens, B., Guerriere, D., McKeever, P., Croxford, R., Miller, K. L., Watson-MacDonell, J., et al. (2006). Economics of home vs. hospital breastfeeding support for newborns. Journal of Advanced Nursing, 53, 233-243. https://doi.org/10.1111/j.1365-2648.2006.03720.x
  15. Yim, E. S. (2008). Cost-benefit analysis of the case management for the elderly patients with hypertension. Unpublished doctoral dissertation, Yonsei University, Seoul.

Cited by

  1. A Systematic Review of Economic Evidence on Community Hypertension Interventions vol.53, pp.6, 2011, https://doi.org/10.1016/j.amepre.2017.05.008