A Cost Analysis of Home Care and Hospital Care according to Subject's Demographic Characteristics

초록

Purpose: This study was designed to compare direct cost and indirect cost between home care and hospital care according to subject's characteristics. Method: The subjects of this study were patients with cerebrovascular disease. They were 50 patients in six university hospitals and 49 in four home care centers. Data were collected by using two type of questionnaires and reviewing medical records, home care service records and medical-fee claims from April 4th to September 13th, 2001. Result: The results were as follows; 1) There was a statistically significant difference of direct cost between home care and hospital care, however, there was not a statistically significant difference of indirect cost. 2) According to subject's characteristics, six variables had statistically significant differences; sex, age, marital status, economy, job and diagnosis. Conclusion: With these findings, it was found that cost-saving effect of home care was affected by subject's characteristic factors. So these results will be used to develop a more detail selection criteria for home care subject.