간호행정학회지 16(3), 2010년 9월 Journal of Korean Academy of Nursing Administration J Korean Acad Nurs Admin, 2010, 16(3), 295-305 비용편익분석을 이용한 일 재가노인간호센터의 고혈압 및 당뇨관리 효과평가 임지영 1 ․ 임정남 2 ․ 김인아 3 ․ 고수경 4 1 인하대 간호학과 교수, 2 경기도 광주시 보건소장, 3 고려대학교 간호학과 강사, 4 한국화이자 제약 Market Access 부장 An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis Lim, Ji Young 1 ․ Im, Jung Nam 2 ․ Kim, In A 3 ․ Ko, Su Kyoung 4 1 Professor, Department of Nursing, Inha University 2 Director, Gwangju City Health Center, Gyeonggi-Do 3 Lecturer, College of Nursing, Korea University 4 Market Access Director, Pfizer Korea 주요어 비용편익분석, 노인, 재가노인간호센터, 고혈압, 당뇨 Key words Cost-Benefit analysis, Aged, Community Health Nursing, Hypertension, Diabetes Mellitus Correspondence Lim, Ji Young Department of Nursing, Inha University #253, Younghyun-Dong, Nam-Gu, Incheon, Korea Tel: 82-32-860-8210 Fax: 82-32-874-5880 E-mail: lim20712@inha.ac.kr 투 고 일: 2010년 7월 15일 수 정 일: 2010년 8월 25일 심사완료일: 2010년 9월 15일 Abstract Purpose: This study was conducted to evaluate the economic efficiency of a community-based nursing care center to help policy makers determine whether or not to invest in similar facilities. Methods: The subjects were 101 elderly people over 65 years who participated in a health management program from February 1 to July 31, 2007. Direct cost was estimated with center operations cost, medical cost for out-patients and pharmacy cost. Indirect cost was measured by transportation cost. Direct benefit was calculated by saved medical cost for out-patients, saved pharmacy cost, saved transportation cost, and reducing hospital charges. Indirect benefit was estimated with prevention of severe complications. Economic efficiency was evaluated by cost-benefit ratio and net benefit. Results: Operating a community-based nursing care center was found to be cost-effective. Specifically, the cost of operating the center evaluated here was estimated at 135 million won while the benefit was estimated at 187 million won. Benefit-cost ratio was 1.38. Conclusion: The Community-based nursing care center that was described here could be a useful health care delivery system for reducing medical expenditures. 서 론 1. 연구의 필요성 2008년 노인장기요양보험 제도가 도입된 것을 기점으로 현재 급증하는 노인인구에 대한 사회적 대비책을 마련하기 위한 각계 각층의 노력이 분주히 진행되고 있다. 노인장기요양보험에서는