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

임지영 (고려대학교 간호대학)
Publication Information
Journal of Korean Academy of Nursing / v.33, no.2, 2003 , pp. 246-255 More about this Journal
Abstract
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.
Keywords
Home Care; Cost;
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1 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
2 Stone, M. (1987). Multi-purpose home care. Nurs Times, 28-29
3 Yang, B. M. (1999). Health and Economy. Seoul: Nanamsinseo
4 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
5 Ellis, N. B. (1986). Nationality Speaking: The challenge of nursing home care. Am J Occup Ther, 40(1), 7-11
6 Kim, S. Y. (2000). Cost-effectiveness analysis of alternative medications in treating hypertension. Master thesis, Seoul University, Seoul
7 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
8 Hwang, N. M. (1996). An evaluation of Hospital-based Home Care. Korea Institute for Health and Social Affaires
9 Lee, I. S. (1996). Evaluative Research of Home Care Programme on Rheumatoid Arthritis Center. The Seoul Journal of Nursing, 10(2), 149-167
10 Park, J. Y. (2000). Cost-benefit analysis of the community-based home health care program for cerebrovascular disease patients. Master thesis, Seoul University, Seoul
11 Taylor, M. B. (1985). The effects of DRGs on home health care. Nurs Outlook, 33(6), 288-289
12 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
13 Hwang, N. M. (2000). Cost-benefit analysis of the hospital-based home health care program for terminal cancer patients. Doctoral dissertation, Seoul University, Seoul
14 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
15 Rice, D. (1967). Estimating the cost of illness. Am J Public Health, 57, 424-440   DOI
16 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
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 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
19 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
20 Kim, M. J. (2000). Cost analysis of community-based home health care versus hospital-based home health care. Master thesis, Yonsei University, Seoul
21 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