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Original Article

An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis

Ji Young Lim1, Jung Nam Im2, In A Kim3, Su Kyoung Ko4
Journal of Korean Academy of Nursing Administration 2010;16(3):295-305.
Published online: September 30, 2010

1Professor, Department of Nursing, Inha University, Korea.

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Correspondence: Lim, Ji Young. Department of Nursing, Inha University, #253, Younghyun-Dong, Nam-Gu, Incheon, Korea. Tel: 82-32-860-8210, Fax: 82-32-874-5880, lim20712@inha.ac.kr
• Received: July 15, 2010   • Revised: August 25, 2010   • Accepted: September 15, 2010

Copyright © 2010 Korean Academy of Nursing Administration

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  • Purpose
    This study was conducted to evaluate the economic efficiency of a community-based nursing care center to help policy makers determine whether or not to invest in similar facilities.
  • Methods
    The subjects were 101 elderly people over 65 years who participated in a health management program from February 1 to July 31, 2007. Direct cost was estimated with center operations cost, medical cost for out-patients and pharmacy cost. Indirect cost was measured by transportation cost. Direct benefit was calculated by saved medical cost for out-patients, saved pharmacy cost, saved transportation cost, and reducing hospital charges. Indirect benefit was estimated with prevention of severe complications. Economic efficiency was evaluated by cost-benefit ratio and net benefit.
  • Results
    Operating a community-based nursing care center was found to be cost-effective. Specifically, the cost of operating the center evaluated here was estimated at 135 million won while the benefit was estimated at 187 million won. Benefit-cost ratio was 1.38.
  • Conclusion
    The Community-based nursing care center that was described here could be a useful health care delivery system for reducing medical expenditures.
  • Key Words: Cost-Benefit analysis; Aged; Community Health Nursing; Hypertension; Diabetes Mellitus
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Table 1
Characteristics of subjects* (N=101)
jkana-16-295-i001.jpg

*Missing value excluded; †Multiple choice; ‡DM= Diabetes mellitus; §CVA=Cerebro vascular accident

∥SBP=Systolic blood pressure; DBP=Diastolic blood pressure

Table 2
Cost analysis of community based intensive nursing care center for elderly
jkana-16-295-i002.jpg

*OPC=Out patient clinic;

†Patient number of OPC visit per month × Average cost of OPC per visit × Average number of OPC visit per month;

‡Patient number of pharmacy visit per month × Average pharmacy cost of pharmacy per visit × Average number of pharmacy visit per month;

§Public transportation cost per one time

Table 3
Benefit analysis of community based intensive nursing care center for elderly
jkana-16-295-i003.jpg

*Number of reduced OPC visit per month; †Number of reduced pharmacy visit per month;

‡Number of managed hypertension patient per month × Hospital admission rate of hypertension × Average hospital charges of hypertension patient per year;

§ Number of managed DM patient per month × Hospital admission rate of DM × Average hospital charges of DM patient per year;

∥Number of managed hypertension patient per month × Severe complications rate of hypertension × Average hospital charges of severe hypertension complications per year;

Number of managed DM patient per month × Severe complications rate of DM × Average hospital charges of severe DM complications per year;

Table 4
Summary of cost-benefit analysis and sensitivity analysis
jkana-16-295-i004.jpg

*PAR=Population attributable risk

Figure & Data

References

    Citations

    Citations to this article as recorded by  
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      Journal of Korean Society of Occupational Therapy.2018; 26(2): 99.     CrossRef
    • Comparison of Benefit Estimation Models in Cost-Benefit Analysis: A Case of Chronic Hypertension Management Programs
      Ji Young Lim, Mi Ja Kim, Chang Gi Park, Jung Yun Kim
      Journal of Korean Academy of Nursing.2011; 41(6): 750.     CrossRef

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    An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis
    J Korean Acad Nurs Adm. 2010;16(3):295-305.   Published online September 30, 2010
    DOI: https://doi.org/10.11111/jkana.2010.16.3.295
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    An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis
    J Korean Acad Nurs Adm. 2010;16(3):295-305.   Published online September 30, 2010
    DOI: https://doi.org/10.11111/jkana.2010.16.3.295
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    An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis
    An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis

    Characteristics of subjects* (N=101)

    *Missing value excluded; †Multiple choice; ‡DM= Diabetes mellitus; §CVA=Cerebro vascular accident

    ∥SBP=Systolic blood pressure; DBP=Diastolic blood pressure

    Cost analysis of community based intensive nursing care center for elderly

    *OPC=Out patient clinic;

    †Patient number of OPC visit per month × Average cost of OPC per visit × Average number of OPC visit per month;

    ‡Patient number of pharmacy visit per month × Average pharmacy cost of pharmacy per visit × Average number of pharmacy visit per month;

    §Public transportation cost per one time

    Benefit analysis of community based intensive nursing care center for elderly

    *Number of reduced OPC visit per month; †Number of reduced pharmacy visit per month;

    ‡Number of managed hypertension patient per month × Hospital admission rate of hypertension × Average hospital charges of hypertension patient per year;

    § Number of managed DM patient per month × Hospital admission rate of DM × Average hospital charges of DM patient per year;

    ∥Number of managed hypertension patient per month × Severe complications rate of hypertension × Average hospital charges of severe hypertension complications per year;

    Number of managed DM patient per month × Severe complications rate of DM × Average hospital charges of severe DM complications per year;

    Summary of cost-benefit analysis and sensitivity analysis

    *PAR=Population attributable risk
    Table 1 Characteristics of subjects* (N=101)

    *Missing value excluded; †Multiple choice; ‡DM= Diabetes mellitus; §CVA=Cerebro vascular accident

    ∥SBP=Systolic blood pressure; DBP=Diastolic blood pressure

    Table 2 Cost analysis of community based intensive nursing care center for elderly

    *OPC=Out patient clinic;

    †Patient number of OPC visit per month × Average cost of OPC per visit × Average number of OPC visit per month;

    ‡Patient number of pharmacy visit per month × Average pharmacy cost of pharmacy per visit × Average number of pharmacy visit per month;

    §Public transportation cost per one time

    Table 3 Benefit analysis of community based intensive nursing care center for elderly

    *Number of reduced OPC visit per month; †Number of reduced pharmacy visit per month;

    ‡Number of managed hypertension patient per month × Hospital admission rate of hypertension × Average hospital charges of hypertension patient per year;

    § Number of managed DM patient per month × Hospital admission rate of DM × Average hospital charges of DM patient per year;

    ∥Number of managed hypertension patient per month × Severe complications rate of hypertension × Average hospital charges of severe hypertension complications per year;

    Number of managed DM patient per month × Severe complications rate of DM × Average hospital charges of severe DM complications per year;

    Table 4 Summary of cost-benefit analysis and sensitivity analysis

    *PAR=Population attributable risk

    Table 1

    Table 2

    Table 3

    Table 4

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