Estimating the Cost of Visiting Nursing Service by Visiting Nursing Model for Urban Public Health Center in Korea

우리나라 대도시 보건소 방문간호 사업유형별 방문간호원가 및 소요재정 추계 분석

  • Published : 2004.10.01

Abstract

Purpose: This study focused on analysing costs per visiting nursing care based on nursing activities in a public health center. Method: The Easley-Storfjell Instrument(1997) was used for a prospective descriptive analysis of self-records for workload data from 10 visiting nurses during 4 weeks on all nursing activities. In addition, analysis of the 478 visiting nursing records and cost data from 5 home visiting departments in public health centers during one year of 2003 was done. Result: The workload of visiting nurses by the type of model was identified as follows: Type I showed that caseloads made up 32.9 % of all nurse activities, and type II showed that the caseloads made up 45.8 %. Second, The cost per visit in type I was 33,088 won and 31,323 won in type II. Third, the estimated budgets were 1,902,436 won to 12,057,696 won for the type I model. and 4,151,316 won to 17,432,712 won for the type II model for one year. Conclusion: This study's results will contribute to baseline data used to establish on infrastructure for visiting nursing program and visiting nursing agencies based on the budget of visiting nursing services.

Keywords

References

  1. Christine, H. S., & Sandra, R. E. (1987). Nursing care costs for stroke patients in a rehabilitation setting. J of Nurs Administration, 17(6), 17-22
  2. Drummond, M. F., et al. (1997). Methods for the Economic Evaluation of Health Care Programmes: Oxford
  3. Ervin, N. E., Chang, W. Y., & White, J. (1998). A cost analysis of a nursing center's services. Nurs Economics, 16(6), 307-312
  4. Gardner, K., Allhusen, J., Kamm, J., & Tobin, J, (1997). Determining the cost of care through clinical pathways. Nurs Economics, 15(4), 213-217
  5. Gesture, B. D., Joan, D. P., Rosalie, A. K., Ira, S. M., & Eugene, C. R. (1991). Modeling the costs management in long-term care. Health Care Financing Rev, 13(I), 73-81
  6. Finkler, S. A. (1982). The distinction between cost and charges. Ann Intern Med, 96, 102-109
  7. Ikegami, N., & Campbell, J. C. (2002). Choices, policy logics and problems in the design of long-term care systems, Social Policy & Administration, 36(7), 719-734 https://doi.org/10.1111/1467-9515.t01-1-00313
  8. Korea Health Industry Development Institute. (2004). Development on Management System and Evaluation for Visiting Health Care of Urban Health Center in 2003
  9. Jo, S., & Park, J. (1993). Development of nursing fee shedule mdel. J Korean Acad Nurs, 23(1), 68-89
  10. Kang, K. (1999). Analysis of nursing activities and cost of nursing service based on the ABC system. J Korean Acad Nurs Administration, 5(2), 389-400
  11. Lee, S. (2003). Cost Analysis of Home Health Care with Activity-Based Costing (ABC), unpublished doctoral dissertation, University of Yonsei, Seoul
  12. Lee, T., Park, J., & Kim, I. (2000), Workload measurement of home health care nurses services using relative value units. J Korean Acad Nurs, 30(6), 1543-1555
  13. Ministry of Health and Welfare (2003). 2002 Annu Rep for Health and Welfare
  14. Ministry of Health and Welfare (2004). Final Report on the System of Long-Term Care Insurance for Elderly
  15. Headquarters for Planning the new Law for Long-Term Care Insurance
  16. Morris, S. (1988). Health Economics for Nurses: An Introductory Guide, Prentice Hall Europe
  17. Muenning, P. (2002). Designing and Conducting Cost-Effectiveness Analyses in Medicine and Health Care, Jossey-Bass, A Wiley Com
  18. Murashima, S., Nagata, S., Magilvy, J. K., Fukui, S., & Kayama, M. (2002). Home care nursing in Japan: A challenge for providing good care at home. Public Health Nurs, 19(2), 94-103
  19. Naomi E. E., Wen-Yin c, Jeannette W. (1998). A cost analysis of a nursing center's services, Nurs Economics, 16(6),307-311
  20. Park, J., Sung, Y., Kim, Y., Park, K., Park, J., Sung, I., Song, M., & Jo, M. (2002). Nursing cost of special area in nursing clinic - emergency center operational room, out patient clinic, J Korean Acad Nurs Administration, 8(2)
  21. Ryu, H. (1994), A study on development of a model and payment system for home health care nursing in Korea, Korea Institute Health And Social Affairs
  22. Ryu, H., Lee, S., Park, E., Park, Y., Choi, H., Hwang, R., Lim, 1., & An, H. (2003). Developing of visiting nursing service model on the management system for disabled and bed-ridden patients in the community
  23. Ryu, H., & Hwang R. (2004), A study on the status and issues of visiting nursing program at public health centers in urban area. The J of Korean Community Nurs. Vol.15(1), 67-75
  24. Storfjell, J. L., Allen, C. E., & Easley, C. E. (1997). Analysis and management of home health nursing caseloads and workloads. J of Nurs Administration, 27(9), 24-33
  25. Storfjell, J. L., & Jessup, S. (1996). Bridging the gap between finance and clinical operation with Activity-Based cast management. J of Nurs Administration, 26(12), 83-96
  26. Hwang, N., Park, S., Kim, Y., Moon, Y., Park, J., Ryu, H., & Rhee, K. (2003). A Study for the enhancement of accessibility to community home nursing care services. J. of Korea Acad. Soc. of Home Care Nursing, 10(1), 5-14