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 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