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題名 | 病人分類系統與單項成本分析=Patient Classification Systems and Single-Item Cost Analysis |
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作者 | 徐南麗; 謝雅珠; | 書刊名 | 榮總護理 |
卷期 | 15:3 1998.09[民87.09] |
頁次 | 頁283-292 |
分類號 | 419.39 |
關鍵詞 | 病人分類系統; 單項成本分析; 成本分析; 全民健保給付; Patient classification systems; Cost analysis; Single-item cost analysis; National health insurance payment; |
語文 | 中文(Chinese) |
中文摘要 | 本研究係國科會補助之第五、六年研究,研究目的是以單項成本分析算出病人分 類量表中46項護理活動之單項成本,並與現有之全民健保給付比較差異。調查時間自84年 8月1日起至86年7月31日止。調查對象以臺北某醫學中心內外科所有病房之1,028位病 人次、520位護理人員為對象,調查46項護理活動的單項成本。研究工具採用某院成本會計 單位使用的「單項成本」會計公式及病人分類量表。研究結果顯示因素型病人分類量表46 項護理活動之單項成本,如:「入院護理」為519.79元,「局部用冷熱護理」為122.17元…。 每項護理活動單項總成本並與健保給付比較差異,如:「局部用冷熱護理」健保只給付25元, 彼此有97.17元差距。再以單項成本分析計算一、二、三、四類的護理成本分別為731,1790, 2765及3932元。單項成本與健保給付在四類病人成本上有顯著差異。研究貢獻除建立護理 活動單項成本分析、提供護理部做為申請保險給付護理費用及未來建立護理收益中心之參考 外,並可提供全民健康保險機構做為病人分類、護理給付及病人收費之參考。 |
英文摘要 | This is a five and six-year plan supported by the National Science Council. The main purpose of this study is to establish a single-item cost analysis of nursing activities, comparing it with other nursing costs and National Health Insurance payments. The study was conducted from Aug. 1, 1995, to July 31, 1997. All medical and surgical units, including 1,028 patients and 520 nurses were chosen as the sample group. The results showed 46 items' cost of nursing activities in Patient Classification Tool, for example, "admission nursing care" costed 519.79 NT dollars, and "hot and cold compression" costed 122.17 NT dollars. However, The National Health Insurance only paid 25 dollars for "hot and cold compression". There was 97.17 dollars gap between the actual single item total cost and the real health insurance payment. There were 731, 1790,2765 and 3932 dollars average for Types 1, 2, 3, and 4 patients using single-item costs calculation. There was significant difference between single-item costs and National Health Insurance payments on four types of patients' costs. The results not only provide the nursing department with a reference to calculate nursing costs and aid to establish nursing benefit centers in the future, but also push insurance company to use it as a reference for patient classification, nursing payment and patients' charges. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。