당뇨병성 족부질환자에 대한 가정간호서비스의 비용-효과분석

• Published in: Kanho Haengjŏng Hakhoe chi = The journal of Korean Nursing Administration Academic Society Vol. 19; no. 4; pp. 437 - 448
• Main Authors: 송종례(Chong Rye Song), 김용순(Yong Soon Kim), 김진현(Jin Hyun Kim)
• Format: Journal Article
• Language: Korean
• Published: 한국간호행정학회 2013
• Subjects: 가정간호서비스; 비용 분석; Cost analysis; 당뇨병성 족부질환; Diabetic foot; Home care services
• ISSN: 1225-9330; 2288-4955

Purpose: This study was a retrospective survey to examine economic feasibility of home care services for patients with diabetic foot. Methods: The participants were 33 patients in the home care services (HC) group and 27 in the non-home care services (non-HC) group, all of whom were discharged early after inpatient treatment. Data were collected from medical records. Direct medical costs were calculated using medical fee payment data. Cost-effectiveness ratio was calculated using direct medical costs paid by the patient and the insurer until complete cure of the diabetic foot. Effectiveness was the time required for a complete cure. Direct medical costs included fees for hospitalization, emergency care, home care, ambulatory fees, and hospitalization or ambulatory fees at other medical institutions. Results: Mean for direct medical costs was 11,118,773 won per person in the HC group, and 16,005,883 won in the non-HC group. The difference between the groups was statistically significant (p=.042). Analysis of the results for cost-effectiveness ratio showed 91,891 won per day in the HC patients, and 109,629 won per day in the non-HC patients. Conclusion: Result shows that the cost-effectiveness ratio is lower HC patients than non-HC patients, that indicates home care services are economically feasible.