J Korean Community Nurs.  2001 Mar;12(1):22-31.

Cost-Effectiveness Analysis of Home Health Care Program for Cerebrovascular Accident Patients

• June KJ
• Park JY

Abstract

Purpose
of this study is to compare the cost effectiveness of home care services for the cerebrovascular accident patients by the type of institution. The method is the secondary analysis using the patients' charts. 107 subjects and 1,417 visits were sampled from each type of home care institution such as one hospital based home care center, one KNA home care center, one urban health center, one rural health center and one health care post. Result: There were differences in the functional status of patients and the service contents and frequencies provided by the type of home care institution, The cost per visit for one unit of ADL by the hospital based home care was higher than by the community-based home care.
Conclusion
It was suggested that the referral system among the home care institutions would be developed to improve the cost-effectiveness.

MeSH Terms

Activities of Daily Living
Cost-Benefit Analysis
Delivery of Health Care*
Home Care Services
Home Care Services, Hospital-Based
Humans
Referral and Consultation
Rural Health Services
Stroke*
Urban Health