Research in Community and Public Health Nursing

Original Articles

Economic Evaluation of Hospital-based Home Care Services for the Breast Cancer Surgery Patients: Jeong Yeon Ko, Ju Young Yoon; J Korean Acad Community Health Nurs. 2021;32(3):356-367. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.356

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Abstract PDF: Purpose
This study conducted an economic evaluation of hospital-based home care services for the patients who had undergone breast cancer surgery.
Methods
A total of 12,483 patients over 18 years of age who had received breast cancer surgery in 26 tertiary hospitals in 2018 were analyzed with the claim data from the Health Insurance Review & Assessment Service using cost-minimization analysis and societal perspectives.
Results
There were 156 patients who utilized hospital-based home care services within 30 days after breast cancer surgery, and they received 2.17 (SD=1.17) hospital-based home care service on average. The average total cost was 5,250,028 KRW (SD=1,905,428) for the group receiving continuous hospital-based home care and 6,113,402 KRW (SD=2,033,739) for the group not receiving continuous hospital-based home care (p＜.001). The results of the economic evaluation of continuous hospital-based home care services in patients who had undergone breast cancer surgery indicated a total benefit of 953,691,000 KRW, a total cost of 819,004,000 KRW, and a benefit-cost ratio of 1.16 in 2018.
Conclusion
Continuous hospital-based home care was considered economically feasible as the total costs for the group receiving continuous hospital-based home care were lower than those of the group not receiving continuous hospital-based home care. Therefore, policy modification and financial incentives are recommended to increase the utilization of hospital-based home care services for patients who had undergone breast cancer surgery.

Cost-benefit Analysis of Home Visiting Care for Vulnerable Populations with Hypertension: Young Ko, In Sook Lee; J Korean Acad Community Health Nurs. 2011;22(4):438-450. Published online December 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.4.438

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10 Citations

PURPOSE
This study was to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit perspective.
METHODS
Target participants were enrolled in 2007~2008 for home visiting care and provided with a home visiting nursing service for more than 18 months in J Ward of S City. Of 391 participants, 244 who satisfied the inclusion criteria were used in the final analysis. Cost-benefit analysis was done using the net benefit and benefit/cost ratio.
RESULTS
After providing the home care nursing service, the blood pressure control rate increased from 50.8% to 75.4%. Of the subjects, 39.8% maintained their blood pressure level within the target range. As a whole, the net benefit of home visiting care per person ranged from 434,964.86 to 447,112.43 won and the benefit/cost ratio ranged from 2.82 to 2.84.
CONCLUSION
Home visiting care for vulnerable populations with hypertension was effective in both maintaining blood pressure and reducing blood pressure to the target range. Therefore these results are especially useful for establishing the value of home visiting services for policy makers as well as for prioritizing vulnerable populations.

Citations

Citations to this article as recorded by

A Study on Outcomes of the Utilization of Visiting Nursing Service at the Integrated Visiting Nursing Center in Bucheon-si
Hyun-Kyung Park, Ae Jung Yoo, Ju Young Yoon, Jae Woo Choi
Research in Community and Public Health Nursing.2023; 34: 127. CrossRef
Types of Perception of Home Visiting Oral Health Care Services for Korean Older Persons: A Q Methodology Study
Sue-Hyang Lee, Soo-Myoung Bae, Bo-Mi Shin, Sun-Jung Shin
International Journal of Environmental Research and Public Health.2020; 18(1): 214. CrossRef
Nursing Students' Practice Experience on Community Visiting Nursing
Jae-Hyun Ha, Jeong-Hee Park
Journal of Korean Academy of Community Health Nursing.2020; 31(1): 43. CrossRef
Cost-Benefit Analysis of Occupational Therapy in Center for Dementia Based on Public Data
Seung-Hyun Cho, Kyung-Yoon Kam, Sung-Yoon Bae, Nam-Hoon Cho, Hye-Won Oh, Young-Ae Yang
Journal of Korean Society of Occupational Therapy.2018; 26(2): 99. CrossRef
Comparison of Working Conditions among Non-regular Visiting Nurses in Public Health Centers based on Their Employment Types
Hee Girl Kim, Ryoun-Sook Lee, Soong-Nang Jang, Kwang Byung Kim, Young Ran Chin
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 267. CrossRef
The Study for Improvement of Frailty and Depression in the Health Vulnerable Elderly of Home Visiting Health Care Service
Youngji Kim, Song-Nang Jang
Journal of the Korean Geriatrics Society.2016; 20(2): 85. CrossRef
The Cost-Benefit Analysis of the NutriPlus Program in Daejeon Dong-gu Health Center
Hyun Ju Kim, Sung Han Kim
The Korean Journal of Food And Nutrition.2015; 28(4): 717. CrossRef
Estimating need for Home Visiting Nurse from Public Health Centers
Hyun-Ji Bae, Jinhyun Kim
Perspectives in Nursing Science.2015; 12(1): 23. CrossRef
Development of the evaluation tool for the food safety and nutrition management education projects targeting the middle class elderly: Application of the balanced score card and the structure-process-outcome concept
Hyeja Chang, Hyoi Yoo, Harim Chung, Hyesang Lee, Minjune Lee, Kyungeun Lee, Changhee Yoo, Junghwa Choi, Nayoung Lee, Tongkyung Kwak
Journal of Nutrition and Health.2015; 48(6): 542. CrossRef
Effectiveness of Telemedicine: Videoconferencing for Low-Income Elderly with Hypertension
Hanna Choi, Jeongeun Kim
Telemedicine and e-Health.2014; 20(12): 1156. CrossRef

A Cost Benefit Analysis of Individual Home Visiting Health Care: Jin Hyun Kim, Tae Jin Lee, Jin Hee Lee, Sang Jin Shin, Eun Hee Lee; J Korean Acad Community Health Nurs. 2010;21(3):362-373. Published online September 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.3.362

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13 Citations

Abstract PDF

PURPOSE
The purpose of this study is to evaluate the costs and benefits of individual home visiting health care using secondary data and literature review.
METHODS
The total number of subjects was 1,008,837. A specific program was classified into disease management, care of infant, child and women, or elderly care. The costs and effects of a program were identified from a societal perspective, and the effects were converted into monetary terms or benefits. The total cost was calculated in the way that medical expenses, travel costs and productivity losses were offset by the decrease in benefits and thus only the program budget was included in the total cost.
RESULTS
The total program cost was 47.6 billion won per year and the total annual benefit was estimated at 435.6 billion won. The benefits of arthritis management were the biggest among disease management programs. The net benefit was 388.0 billion won per year and the benefit/cost ratio was 9.16.
CONCLUSION
Home visiting health care was validated to be economically effective. It made a positive contribution to improving the health status of vulnerable populations and reducing medical expenses. These results suggest that home visiting care should be extended more broadly to vulnerable populations.

Citations

Citations to this article as recorded by

Effects of a nurse-led structured home visiting program on quality of life and adherence to treatment in hemodialysis patients
Mina Pooresmaeil, Sohrab Iranpour, Masoumeh Aghamohammadi
Frontiers in Public Health.2023;[Epub] CrossRef
A Study on Outcomes of the Utilization of Visiting Nursing Service at the Integrated Visiting Nursing Center in Bucheon-si
Hyun-Kyung Park, Ae Jung Yoo, Ju Young Yoon, Jae Woo Choi
Research in Community and Public Health Nursing.2023; 34: 127. CrossRef
Nursing Students' Practice Experience on Community Visiting Nursing
Jae-Hyun Ha, Jeong-Hee Park
Journal of Korean Academy of Community Health Nursing.2020; 31(1): 43. CrossRef
Types of Perception of Home Visiting Oral Health Care Services for Korean Older Persons: A Q Methodology Study
Sue-Hyang Lee, Soo-Myoung Bae, Bo-Mi Shin, Sun-Jung Shin
International Journal of Environmental Research and Public Health.2020; 18(1): 214. CrossRef
Benefit analysis of visiting healthcare in public health centers
Sukja Ko, Young-Ho Jung, Jae Yong Lee
Korean Journal of Health Education and Promotion.2018; 35(5): 69. CrossRef
Cost-Benefit Analysis of Occupational Therapy in Center for Dementia Based on Public Data
Seung-Hyun Cho, Kyung-Yoon Kam, Sung-Yoon Bae, Nam-Hoon Cho, Hye-Won Oh, Young-Ae Yang
Journal of Korean Society of Occupational Therapy.2018; 26(2): 99. CrossRef
Comparison of Working Conditions among Non-regular Visiting Nurses in Public Health Centers based on Their Employment Types
Hee Girl Kim, Ryoun-Sook Lee, Soong-Nang Jang, Kwang Byung Kim, Young Ran Chin
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 267. CrossRef
Economic Effect of Home Health Care Services for Community-dwelling Vulnerable Populations
Eunhee Lee, Jinhyun Kim
Journal of Korean Academy of Nursing.2016; 46(4): 562. CrossRef
Estimating need for Home Visiting Nurse from Public Health Centers
Hyun-Ji Bae, Jinhyun Kim
Perspectives in Nursing Science.2015; 12(1): 23. CrossRef
The Cost-Benefit Analysis of the NutriPlus Program in Daejeon Dong-gu Health Center
Hyun Ju Kim, Sung Han Kim
The Korean Journal of Food And Nutrition.2015; 28(4): 717. CrossRef
Ethical concerns of visiting nurses caring for older people in the community
Kwisoon Choe, Kisook Kim, Kyoung-Sook Lee
Nursing Ethics.2015; 22(6): 700. CrossRef
Job Stress, Job Satisfaction, and Organizational Commitment of Customized Home Health Care Nurse
Chan Gyeong Park, Ki Soo Park, Young Sil Kang
Journal of agricultural medicine and community health.2013; 38(1): 39. CrossRef
Factors influencing the number of remaining natural teeth in elderly people visiting dental care services
Hyun-Ju Lim, Eun-Kyoung Lee
Journal of Korean society of Dental Hygiene.2013; 13(4): 693. CrossRef

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