Cost-benefit Analysis of Home Visiting Care for Vulnerable Populations with Hypertension

Young Ko; In Sook Lee

doi:10.12799/jkachn.2011.22.4.438

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Original Article
Cost-benefit Analysis of Home Visiting Care for Vulnerable Populations with Hypertension: Young Ko, In Sook Lee; Journal of Korean Academy of Community Health Nursing 2011;22(4):438-450.
DOI: https://doi.org/10.12799/jkachn.2011.22.4.438
Published online: April 4, 2014

¹Full-time Lecturer, College of Nursing, Eulji University, Korea.

²Professor, College of Nursing, Seoul National University, Korea.

• Received: September 24, 2011 • Revised: December 15, 2011 • Accepted: December 15, 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract

Abstract

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.
Key Words: Cost-benefit analysis; Visiting nurse; Home care service; Vulnerable population; Hypertension

Figure 1

Conceptual framework of the study.

Table 1

General Characteristics of Participants (N=244)

Elem.=elementary.

^†Control=SBP<140 mmHg and DBP<90 mmHg.

Table 2

Cost per Person and Total Cost for Home Visiting Care (N=244)

^†Five among 244 subjects didn't take other service (inpatient and outpatient visit) for hypertension treatment.

Table 3

Total Benefit per Person (Reduction of Admission Rate) (N=244)

Table 4

Cost-benefit Analysis

This article is revision of the first author's doctoral thesis from Seoul National University.

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