맞춤형 방문건강관리사업의 비용

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study is to evaluate the costs and benefits of individual home visiting health care using secondary data and literature review. Methods: The total number of subjects was 1,008,837. A specific program was classified into disease management, care of infant, child and women, or elderly care. The costs and effects of a program were identified from a societal perspective, and the effects were converted into monetary terms or benefits. The total cost was calculated in the way that medical expenses, travel costs and productivity losses were offset by the decrease in benefits and thus only the program budget was included in the total cost. Results: The total program cost was 47.6 billion won per year and the total annual benefit was estimated at 435.6 billion won. The benefits of arthritis management were the biggest among disease management programs. The net benefit was 388.0 billion won per year and the benefit/cost ratio was 9.16. Conclusion: Home visiting health care was validated to be economically effective. It made a positive contribution to improving the health status of vulnerable populations and reducing medical expenses. These results suggest that home visiting care should be extended more broadly to vulnerable populations.

목차 (Table of Contents)

• 서론 1
• 연구방법 2
• 1. 연구설계 2
• 2. 연구대상 2
• 3. 연구의 개념적 모형 2
• 4. 연구방법 3
• 1) 비용 3
• 2) 편익 3
• (1) 고혈압 3
• ① 직접편익 3
• ② 간접편익 4
• (2) 당뇨병 4
• ① 직접편익 4
• ② 간접편익 4
• (3) 예방중심의 건강관리영역 4
• ① 암 4
• ② 뇌혈관 질환 5
• ③ 관절염 5
• ④ 요실금 5
• (4) 모자건강관리 5
• (5) 노인건강관리 5
• ① 치매관리 5
• ② 우울관리 6
• ③ 약물복용관리 6
• ④ 낙상예방관리 6
• 5. 자료수집 6
• 6. 자료분석 6
• 7. 민감도 분석 6
• 연구결과 6
• 1. 맞춤형 방문건강관리사업의 대상자 특성 6
• 2. 맞춤형 방문건강관리사업의 비용-편익분석 7
• 1) 맞춤형 방문건강관리사업의 비용 7
• 2) 맞춤형 방문건강관리사업의 편익 8
• 3) 맞춤형 방문건강관리사업의 비용-편익분석 8
• 4) 민감도 분석 8
• 논의 9
• 결론 및 제언 10

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