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A Cost-Benefit Analysis on Home-Based Occupational Therapy for Stroke Patients

  • Korean Journal of Occupational Therapy
  • Abbr : Korean J of Occup Ther
  • 2007, 15(2), pp.13-24
  • Publisher : Korean Society Of Occupational Therapy
  • Research Area : Medicine and Pharmacy > Working Therapeutics

최혜숙 1,  Kang Hyung Gon 2,  JUNG, MINYE 3,  Jung, Woo-Sik 4,  Chae, Yoo-Mi 5,  Ji, Young-Geon 6

1동남보건대학교
2차의과학대학교
3연세대학교
4포천중문 의과대학교 보건행정정보학부
5단국대학교 의과대학 산업의학교실
6포천중문 의과대학교 예방의학교실

Candidate

ABSTRACT

Objective : To evaluate the relative benefits and costs associated with home-based occupational therapy (OT) compared to hospital-based OT in Korea. Methods : To obtain the cost data, patient and hospital surveys were performed during 2005 to 2006. In the evaluation of patient costs, both a cost-data analysis method and a willingness-to-pay (WTP) method were applied. Results : The benefit-cost ratio was 1.29 using the cost-data analysis method and 1.18 using the WTP method. The net benefit was estimated to be 20,830 to 34,530 won per case under the cost-data analysis method and 13,550 to 18,790 won per case under the WTP method. On the assumption that 20% of stroke patients in Korea were provided with home-based OT, the social net benefits were estimated to be about 940,645 thousand won per month using the cost-data analysis method and 583,864 thousand won per month using the WTP method. Conclusion : The results of this study suggest that implementing home-based OTs in Korea might be an efficient method from a social economic perspective.

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