A cost benefit analysis of home-based physical therapy services

Gyu-Yong Kim, Seung-Hyeon Won
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Abstract

Objective: The purpose of this study is to present a basic data for policy which activate the introduction of the home based physical therapy services policy and the home based physical therapy in the visiting home care service on the basis of policy. Method: The design of this study is performed a home based physical therapy to the patients with cerebrovascular, the cost-benefit analysis of home based physical therapy with cerebrovascular patient which is analyzed on basis of survey data of the 51 rehabilitative care hospital medical institutions in nationwide and the number of nursing system, has analyzed the economic benefit in calculate the annual net social benefit through sensitivity analysis after calculated 1times per physical therapy. Results: This study are in the survey of the direct costs of the rehabilitation and convalescence hospital of visit’s cost-benefit analysis in patients with cerebrovascular disease, home based physical therapy way’s cost-benefit ratio more 1.8 times than medical center visit‘s way so that the net social benefit of home based physical therapy way has been analyzed to 18,028 million won. Conclusion: The business features of cheaper, home based physical therapy services has a more economical effect than medical center visit.
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家庭物理治疗服务的成本效益分析
目的:本研究的目的是为激活居家物理治疗服务政策的引入和居家物理治疗在政策基础上的上门护理服务提供基本的政策数据。方法:本研究的设计是对脑血管患者进行居家物理治疗,基于全国51家康复护理医院医疗机构的调查数据和护理系统的数量,分析了脑血管患者居家物理治疗的成本-效益分析,在每次物理治疗计算1次后,通过敏感性分析,分析了计算年净社会效益时的经济效益。结果:本研究在对脑血管疾病患者到康复医院就诊的直接费用进行成本效益分析的调查中,以家庭为基础的物理治疗方式的成本效益比为医疗中心就诊方式的1.8倍,从而分析出以家庭为基础的物理治疗方式的净社会效益为18028万韩元。结论:以家庭为基础的廉价物理治疗服务的业务特点比到医疗中心就诊更经济。
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