The purpose of this study was to estimate home care nursing cost for the patient with Cerebrovascular Disease based on a bundle of home care nursing services This study was conducted through four steps. The first step was to investigate home care nursing activities that were offered to the patient with Cerebrovascular Disease(CD) by home care nurse. The second step was to investigate the time spent on home care nursing service and to calculate labor and manufacturing cost. The third step was to calculate home care nursing cost per minute. And at the fourth step, home care nursing cost for a patient with Cerebrovascular Disease based on a bundle of home care nursing service was calculated. The results of the study were as follows: 1) The number of direct home care nursing activities for the patient with CD was 108, and the time of each activity was spent from 1 to 10 minutes. 2) Average time per visit was 51 minute, and the firs visit time were spent 1.6 times higher than 2nd visit time. 3) Nursing cost per minute(cost per visit ${\\}\;22,565\;\div\;$ 수식 이미지 average time per visit 51 minutes) was ${\\}\;442$ 수식 이미지. The cost per visit was calculated on Basic visiting cost(nurse's labor cost ${\\}\;15,760$ 수식 이미지 + management cost ${\\}\;6,805$ 수식 이미지) divided by average time per visit(51 minutes). 4) Home care nursing cost to the patient with CD based on bundle of home care nursing service was consisted of basic home care nursing cost, the cost of a bundle of service practiced on visit. and transportation fee. Basic home nursing cost(the time spent on basic home nursing service 20 minutes ${\times}$ 수식 이미지 nursing cost per minute ${\\}\;442$ 수식 이미지) was ${\\}\;8,840$ 수식 이미지. The cost of the bundle of home care nursing services to the patient with CD was calculated as self care ${\\}\;2.898$ 수식 이미지, Tracheostomy care ${\\}\;10,166$ 수식 이미지, immobility care ${\\}\;6,188$ 수식 이미지, sore care ${\\}\;6,188$ 수식 이미지. Foley care ${\\}\;6,630$ 수식 이미지, and Levin tube or Gastrostomy care ${\\}\;7.514$ 수식 이미지. Transportation fee which was composed of the labor cost for transportation(${\\}\;5,122$ 수식 이미지) and the car management cost(${\\}\;3.876$ 수식 이미지) was ${\\}\;8,998$ 수식 이미지. Home care nursing cost to the patient with CD based on bundle of home care nursing services consisted of basic home care nursing cost, the cost of a bundle of service practiced on visit, and transportation fee. It will contribute to improve quality of home care service, because of giving appreciate incentives to home care nurses. And it will be more efficient than current cost of hospital based home care. But it need to management than calculation of the current fee-for-services of home care.

• 뇌혈관질환 간호
• 가정간호행위
• 가정간호수가
• Home care nursing cost
• Cerebrovascular Disease
• Nursing activity
• Bundle of Home care nursing service