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도시 저소득층 만성질환노인을 위한 보건소 방문간호서비스의 경제성 분석

Other Titles
 Economic Evaluation of Visitng Nurse Services for the Low-income Elderly with Long-term Care Needs 
Authors
 이태화 
Citation
 JOURNAL OF KOREAN ACADEMY OF NURSING, Vol.34(1) : 191-201, 2004 
Journal Title
 JOURNAL OF KOREAN ACADEMY OF NURSING 
ISSN
 2005-3673 
Issue Date
2004
MeSH
Aged ; Community Health Nursing/economics* ; Female ; Health Care Costs* ; Health Services for the Aged/economics* ; Humans ; Korea ; Long-Term Care/economics* ; Male ; Poverty*
Keywords
Low-income elderly ; Visiting nurse program ; Economic evaluation
Abstract
Purpose: This study aimed to evaluate economic viability of public health center visiting nurse services for the low-income elderly with long-term care needs. Method: The sample consisted of 252 community dwelling elderly who enrolled in public health center visiting nurse services for three months or more. Data was collected on physical (ADL and IADL) and cognitive impairments of the elderly, contents and frequency of visiting nurse services, cost per visit, and costs of alternative services for long-term care. Result: The mean score of ADL and IADL levels of the elderly was 2.80.4904, which indicated these patients were mostly independent. Eighty four percent of the elderly subjects were cognitively intact. Among visiting nurse services supplied, providing assessment was 34%, followed by education and counseling 26%, medication 22%, and referral. The mean cost per visit was 17,824.1 won, which transformed into a total cost per person per year of 161,130.2 won. Comparing the cost of a visiting nurse service with those of other long-term care alternatives, the visiting nurse service was the least costly alternative, followed by an outpatient clinic, hospital based home care, and nursing home. Conclusion: Overall, the results of the study provide evidence of the economic viability of visiting nurse services for the low-income elderly among long-term care alternatives.
Files in This Item:
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Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Lee, Tae Wha(이태화) ORCID logo https://orcid.org/0000-0003-2568-3074
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112624
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