보건의료에서 간병비용 산출방법에 관한 쟁점

Abstract

Objectives: This study was conducted to explore the issues related the costing method of caregiving cost in healthcare. Methods: We reviewed literature on the definition and the valuation method of caregiver costs. After we have expert meeting with critical issues of methodology, we provided the feasible costing method in Korea. Results: There are a broad of spectrum of the definition of caregiver cost. It’s useful to separate into paid caregiver cost and informal care cost in Korea. In addition, it is necessary to identify whether the reason of caregiving is patient’s medical utilization or only morbidity without medical use. The valuation of paid caregiver is relatively explicit. However, that of informal care has a lot of issues and has several methods-opportunity cost method, proxy goods method, contingent valuation method and conjoint measurement. Conclusion: It is necessary for researchers to choose and specify their definition and the valuation for costing of caregiver cost with their research purpose.