J Korean Acad Community Health Nurs.  2011 Dec;22(4):438-450. 10.12799/jkachn.2011.22.4.438.

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

Affiliations
  • 1College of Nursing, Eulji University, Korea. camassia@naver.com
  • 2College of Nursing, Seoul National University, Korea.

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.

Keyword

Cost-benefit analysis; Visiting nurse; Home care service; Vulnerable population; Hypertension
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