Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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A Convergence Study on Feasibility of Expanding Establishment of Public Postpartum Care Centers: Benefit-Cost Analysis

공공산후조리원 확대의 타당성에 관한 융합 연구: 편익-비용 분석을 중심으로

  • Bae, Hyun-Ji (Department of Nursing, Andong National University) ;
  • Kim, Jin-Hyun (College of Nursing, Seoul National University)
  • 배현지 (국립안동대학교 간호학과) ;
  • 김진현 (서울대학교 간호학과)
  • Received : 2020.10.26
  • Accepted : 2020.12.20
  • Published : 2020.12.28
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Abstract

The purpose of this study is to analyze the economic feasibility of public postpartum care centers established for health care of low-income postpartum mothers. 6 of 8 public postpartum care centers were used to verify the economic feasibility and research data were collected through the centers. A sensitivity analysis was performed with the bed turnover rate, assuming that users in a postpartum care center will be decreased. As a result, B/C ratio was estimated to be 1.50 and the net benefit was estimated to be KRW 186,557 in million. A sensitivity analysis showed that B/C was 1.42 at 17.4 of bed turnover rate and 1.26 at 15.4 which indicates the lowest bed turnover rate among subjects. A public postpartum care center was evaluated as economically feasible as public works. Therefore it is necessary that the public postpartum care centers operated by local governments should be expanded through legal amendment.

본 연구는 저소득층 산모의 산후조리를 돕는 공공산후조리원의 경제성을 평가하여 향후 공공산후조리원 확대의 타당성을 제시하고자 하였다. 이를 위해 8개의 공공산후조리원 중 현재 운영 중인 6개를 대상으로 고정비용, 변동비용, 그리고 운영 현황에 대한 자료를 정보공개 포털을 이용하여 수집하였다. 분석방법으로는 순편익과 편익/비용 비로 분석하였고, 조리원 이용 산모수 감소에 따른 산모실 회전율을 지표로 민감도 분석을 하였다. 분석결과, 총비용은 37억 1,339만원, 총 편익은 55억7,896만원으로 추계되어, 편익/비용 비는 1.50로 1보다 큰 값을 나타냈고, 순편익은 18억 6,557만원으로 경제적 타당성이 있는 것으로 평가되었다. 민감도 분석에서는 산모실 회전율 17.4인/1실 경우 B/C는 1.42이고, 15.4인/1실 경우는 1.26으로 추계하였다. 따라서 지방자치단체가 준비 중인 공공산후조리원의 개원은 경제적으로 타당성이 있는 것으로 평가되었다. 이에, 공공산후조리원의 효과적인 확대 운영을 위한 다양한 지원방안과 민간산후조리원과의 협력 방안을 마련하기 위한 후속 연구를 제안한다.

Keywords

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