PURPOSE
The purpose of this study was to identify nursing service costs associated with all health care costs incurred by the institution.
METHODS
This study was an empirical case study research in which the nursing cost was separated from total medical cost. The nursing cost index was calculated through a cost allocation method after summarizing costs for personnel, raw materials and administration of each department in one public hospital. The 2014 budget plan, published in ‘Public Hospitals Alert’, was used as data and the data were analyzed using the Microsoft Office EXCEL 2013 program.
RESULTS
When comparing total medical costs and nursing costs, the nursing cost were 27.14% of the total medical cost. The nursing cost per nurse per hour was calculated as â‚©29,128 The nursing cost per inpatient per day was calculated as â‚©157,970, and the administration cost per patient was calculated as â‚©133,710.
CONCLUSION
The results of the research present the process of cost allocation of specific cost elements in the hospital and evidence for administrative costs which in the past have been only vaguely formulated. These are the significant implications of this study.

Citations

• Developing and testing a Korean patient classification system for general wards based on nursing intensity
  Yukyung Ko, Bohyun Park, Hanju Lee, Donghwan Kim
  Nursing Open.2021; 8(4): 1870.     CrossRef
• A Study on the Status of Application of Health Insurance Fees for Nursing Activities of Nurses in Rehabilitation Unit
  Oon Hee Yee, Sun-Houng Kim, Mihwa Cho, Kyung Hee Moon, Seungyoung Lee
  The Korean Journal of Rehabilitation Nursing.2021; 24(1): 1.     CrossRef

PURPOSE
The purpose of this study was to explore the relationship between cost and revenue for inpatient nursing activities in general wards.
METHODS
Data were collected from 12 medical-surgical wards in one general hospital from January 1 to December 31, 2010. The nursing activities were categorized into 2 groups according to nursing service payment type in terms of the Korea health insurance system. Descriptive statistics were used to identify nursing activities and nursing activity costs.
RESULTS
Of 140 nursing activities identified as performed in general wards, payment for 69 items was included in nursing management fees. The percentage of each cost for the nursing units was 90% for labor, 4% for materials, and 6% for operating expenses. The cost for medical support nursing service accounted for 38% of costs and nursing management fees, 62%. The average profit and loss was -237,257,000 won. The cost recovery rate for nursing service was only 44%.
CONCLUSION
The results indicate a need to measure the economic value of nursing activities performed in general wards and use it as a basis for establishing an adequate reimbursement system for nursing service.

Citations

• An exploratory study of nursing tasks that induce physical and mental stress among hospital nurses
  Younhee Kang, Aekyeong Jin
  Applied Nursing Research.2024; 80: 151853.     CrossRef
• Research Trends Review of Financial Performance in Hospitals
  Wonjung Noh, Ji Young Lim, Gyeong Ae Seomun, Miyoung Kim, Soyoung Yu, Yoomi Jung, Youngjin Lee
  Journal of Korean Academy of Nursing Administration.2023; 29(1): 76.     CrossRef
• A Study on the Status of Application of Health Insurance Fees for Nursing Activities of Nurses in Rehabilitation Unit
  Oon Hee Yee, Sun-Houng Kim, Mihwa Cho, Kyung Hee Moon, Seungyoung Lee
  The Korean Journal of Rehabilitation Nursing.2021; 24(1): 1.     CrossRef
• The Current and Future State of Academic Medicine in Korea: Education, Research, and Patient Care
  Dae Chul Jeong
  Korean Medical Education Review.2019; 21(2): 73.     CrossRef
• Association of nurse staffing grade and 30-day mortality in intensive care units among cardiovascular disease patients
  Jae-Hyun Kim
  Medicine.2018; 97(42): e12895.     CrossRef
• Analysis of Nurses’ Soothing Behaviors in Neonatal Intensive Care Unit: Focused on Babies with Bronchopulmonary Dysplasia
  Yu-Nah Lee, Hyunsook Shin
  Child Health Nursing Research.2017; 23(4): 494.     CrossRef
• Effect of nurse staffing variation and hospital resource utilization
  Yunmi Kim, Seon‐Ha Kim, Young Ko
  Nursing & Health Sciences.2016; 18(4): 473.     CrossRef

PURPOSE
This study was a retrospective survey to examine economic feasibility of home care services for patients with diabetic foot.
METHODS
The participants were 33 patients in the home care services (HC) group and 27 in the non-home care services (non-HC) group, all of whom were discharged early after inpatient treatment. Data were collected from medical records. Direct medical costs were calculated using medical fee payment data. Cost-effectiveness ratio was calculated using direct medical costs paid by the patient and the insurer until complete cure of the diabetic foot. Effectiveness was the time required for a complete cure. Direct medical costs included fees for hospitalization, emergency care, home care, ambulatory fees, and hospitalization or ambulatory fees at other medical institutions.
RESULTS
Mean for direct medical costs was 11,118,773 won per person in the HC group, and 16,005,883 won in the non-HC group. The difference between the groups was statistically significant (p=.042). Analysis of the results for cost-effectiveness ratio showed 91,891 won per day in the HC patients, and 109,629 won per day in the non-HC patients.
CONCLUSION
Result shows that the cost-effectiveness ratio is lower HC patients than non-HC patients, that indicates home care services are economically feasible.

PURPOSE
The purpose of this study was to compare the cost using different methods of costing nursing activities for patients with chronic otitis media having surgery.
METHOD
Data were collected from 30 patients who had mastoidectomy and tympanoplasty. To compare the cost, the researchers used three different costing methods; consumed time, resource based relative value scale (RBRVS), and critical pathway (CP).
RESULTS
Twenty-six nursing activities for surgical patients with chronic otitis media were found. Total cost was 83,843.7 won using RBRVS. The costliest activity was recording at 9,734.4 won, followed by confirmation of doctors' orders at 9,302.4 won, and injection with infusion pump at 9,072.0 won. There was a difference in nursing activities performed according to the length of hospital stay, and the cost was highest on the surgery day at 13,417.8 won. Comparatively, the total cost was 72,014.4 won using CP.
CONCLUSIONS
Nursing activities are performed in various forms according to the disease and patient's condition, and different nursing activities are executed according to the length of hospital stay. In order to measure the load of nursing activities and distribute it appropriately, it is necessary to analyze the cost of nursing activities by the process of nursing services performed.

Citations

• A Methodological Quality Evaluation of Nursing Cost Analysis Research based on Activity-based Costing in Korea
  Ji-Young Lim, Wonjung Noh, Jin-A Mo
  The Journal of the Korea Contents Association.2016; 16(7): 279.     CrossRef