말기 암환자에서의 호스피스 완화의료 비용효과 분석: 병원 기반 호스피스 완화의료 치료와 일반 병동 치료의 비교
Cost-Effectiveness Analysis of Hospice-Palliative Care for Adults with Terminal Cancer in South Korea
주영준, 김우림, 최윤수, 이주은, 이상아, 장지은, 박은철,
소속 상세정보
주영준 ( Ju Yeong-Jun )
연세대학교 대학원 보건학과
김우림 ( Kim Woo-Rim )
연세대학교 대학원 보건학과
최윤수 ( Choy Yoon-Soo )
연세대학교 대학원 보건학과
이주은 ( Lee Joo-Eun )
연세대학교 대학원 보건학과
이상아 ( Lee Sang-Ah )
연세대학교 대학원 보건학과
장지은 ( Jang Ji-Eun )
연세대학교 대학원 보건학과
박은철 ( Park Eun-Cheol )
연세대학교 보건정책 및 관리연구소
Abstract
Background/Aims: Although there is growing interest in hospice-palliative care, little information is available on the effects of such care in South Korea. Addressing this research gap, i.e., determining the cost-effectiveness of hospice-palliative care in South Korea, will help guide policy. Thus, the aim of this study was to evaluate the cost-effectiveness analysis of hospice-palliative care in adults diagnosed with terminal cancer.
Methods: We used a Markov model to construct a decision tree, for an analysis comparing the general ward with the hospice- palliative ward in terms of patient quality of life and cost-effectiveness. Cost and quality of life were estimated based on published Korean studies. Cost-effectiveness was calculated as the incremental cost relative to the incremental effect. Additionally, a one-way sensitivity analysis was performed to test the robustness of the results.
Results: Hospice-palliative ward care was more cost-effective than general ward care. The incremental cost was 290,401 Korean won (KRW) and the incremental effect was -0.25. The incremental cost-effectiveness ratio was -1,174,045 KRW. A similar pattern of results was obtained in the sensitivity analysis.
Conclusions: Our results suggest that hospice-palliative ward care is more cost-effective than general ward care.
키워드
Cost-benefit analysis; Hospice care; Korea
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