以质量求发展，以服务铸品牌

Journal of Nursing ›› 2020, Vol. 27 ›› Issue (21): 11-14.doi: 10.16460/j.issn1008-9969.2020.21.011

Previous Articles     Next Articles

Manpower Cost Accounting of Nursing Item Based on Resource-based Relative Value Scale

HAN Lin1a, MA Yu-xia2, WANG Jian-jun1b, LIU Jin-ping1c, WANG Chen-xia1d   

  1. 1a. Dept. of Nursing Administration; 1b. General Management Office; 1c. Dept. of Thoracic Surgery; 1d. Dept. of Outpatient, Gansu Provincial People's Hospital, Lanzhou 730000, China;
    2. School of Nursing, Lanzhou University, Lanzhou 730000, China
  • Received:2020-05-20 Online:2020-11-10 Published:2020-12-15

PDF (PC)

223

Like

Abstract: Objective To calculate the manpower cost of nursing item based on resource-based relative value scale(RBRVS), to calculate the total nursing cost, so as to provide evidence for pricing nursing service. Methods Through expert interview and Delphi method, the influence factors of nursing manpower cost and the weights were identified. The relative value unit (RVU) of nursing service item was calculated and the operation time of nursing item(T) was measured. The conversion factor(CF) of RVU was obtained by calculating the amount of nursing service and total cost of nursing service in a tertiary grade-A hospital. The nursing manpower cost was the result of RVU×T×CF. Results Among the top 20 frequently-operated nursing service items in clinical practice, the item with highest manpower cost was catheterization, and the lowest SPO2 measure. Conclusion Based on RBRVS, nursing manpower cost can be calculated reasonably and accurately, which fully reflect the labor value of nursing staff, and provide data support for pricing nursing service.

Key words: RBRVS, nursing service item, manpower cost

CLC Number: 

  • R47
[1] 马瑞英,李亚洁,张杰敏,等.护理服务劳动特性分析及人力成本核算定位[J].护理学报, 2012,19(9):18-21.DOI:10.3969/j.issn.1008-9969.2012.09.005.
[2] 朱先,向前.基于RBRVS与DRGs视角的按病种付费模式探讨[J].卫生经济研究,2020,37(1):32-34.DOI:10.14055/j.cnki.33-1056/f.2020.01.010.
[3] 李静,张国庆,姜华静,等. RBRVS-KPI绩效考核方案应用与评价[J].中国卫生质量管理, 2019,26(6):12-13.DOI:10.13912/j.cnki.chqm.2019.26.6.04.
[4] 夏培勇,童杨.以RBRVS为基础的分项点数成本法在手术项目成本核算中的应用[J].卫生经济研究, 2020, 37(3):42-45. DOI:10.14055/j.cnki.33-1056/f.2020.03.009.
[5] 张发明. 综合评价基础方法及应用[M].北京:科学出版社,2018.
[6] 黄蠲,李正芬.医院成本控制及对策分析[J].中国市场,2020(8):159-160.DOI:10.13939/j.cnki.zgsc.2020.08.159.
[7] 张培林,颜维华,高小玲,等.我国台湾地区RBRVS实践路径及其政策启示[J].卫生经济研究, 2020,37(1):28-32.DOI:10.14055/j.cnki.33-1056/f.2020.01.009.
[8] 齐晓燕,赖丽君,李辉,等.乌鲁木齐某医院临床护士护理成本核算知信行现状调查[J].护理学报,2018,25(10):50-53.DOI:10.16460/j.issn1008-9969.2018.10.050.
[9] 黄凤毛,肖佳,李映兰,等.湖南省三级医院护理项目成本核算及分析[J].护理研究,2018,32(16):41-44.
[1] . [J]. Journal of Nursing, 2020, 27(22): 1-3.
[2] SUN Dong-han, LI Li, WANG Shan-shan, TANG Shuang, ZHAO Guo-sen, WU Ling-na. Optimization of Practice Environment Based on Position Objective Management for Nurse Specialists [J]. Journal of Nursing, 2020, 27(22): 4-7.
[3] TENG Zhong-hua, YAN Shu-ting, BAI Su-fang. Effect of Medical and Nursing Integrated Management on Limbs Pain of CHD Patients after PCI [J]. Journal of Nursing, 2020, 27(22): 8-9.
[4] DU Jing, SONG Jie, LIU Yan-li. Visualization and Bibliometric Analysis of Dementia Nursing Based of Web of Science [J]. Journal of Nursing, 2020, 27(22): 10-15.
[5] TANG Wen-hao, LI Yan-ling, SUN Hong-yan, REN Jing, ZHENG Jin-long. Systematic Review of Maternal Experience of Perinatal Death [J]. Journal of Nursing, 2020, 27(22): 26-31.
[6] . [J]. Journal of Nursing, 2020, 27(22): 32-38.
[7] . [J]. Journal of Nursing, 2020, 27(22): 39-44.
[8] . [J]. Journal of Nursing, 2020, 27(22): 45-51.
[9] WANG Jiang-ning, SONG Mei. Emotion Management Difference between Breast Cancer Patients and Healthy Females in Community [J]. Journal of Nursing, 2020, 27(22): 52-56.
[10] HE Jun, LIU Qian-qian, YANG Yu-han, LI Xing-yan, ZHOU Yang-hui, WANG Dong-hua. Current Status of Health-related Perceived Control of Community-dwelled Elders and Its Influence Factors: A 281-case Study [J]. Journal of Nursing, 2020, 27(22): 57-61.
[11] ZHAO Xiu-fen, WU Cheng-we, LIANG Shi-yao, PIAO Bin-ru, SHI Ke-jian, LIN Chen-chan. Nursing of Mechanically Ventilated COVID-19 Patients with Nasointestinal Tube:A 10-case Study [J]. Journal of Nursing, 2020, 27(22): 62-63.
[12] . [J]. Journal of Nursing, 2020, 27(22): 64-66.
[13] WANG Hong-yu, ZENG Man-qin, ZENG Jie, YANG Ya. Nursing of Patient with Cardiac Edema Combined with Ulcer in both Lower Extremities Induced by Gout [J]. Journal of Nursing, 2020, 27(22): 67-68.
[14] . [J]. Journal of Nursing, 2020, 27(22): 73-76.
[15] . [J]. Journal of Nursing, 2020, 27(22): 77-78.
Viewed
Full text


Abstract

Cited
  Shared   
[1] LI Yuan, ZHANG Rui, LU Yan-yan, Ning Pei, LI Xue, MENG Qing-hui. Study Methods of Nursing Postgraduates of Critical Illness from Perspectives of Tutors and Postgraduates[J]. Journal of Nursing, 2020, 27(11): 1 -5 .
[2] ZHAO Di, ZHAO Meng-Lu, WANG Na, FU Ming-Jing, LIANG Feng, ZHANG Wei, WANG Ai-Min. Current Status of Social Isolation of Community-dwelling Elderly People in Qingdao and Its Influencing Factors[J]. Journal of Nursing, 2020, 27(11): 6 -10 .
[3] . [J]. Journal of Nursing, 2020, 27(11): 11 -15 .
[4] XIE Yan-zhen, LI Zhuang-miao, ZHANG Jia-yu, JI Qiu-lu, WU Yu-xin. Bibliometric Analysis of Moxibustion for Hemiplegia after Stroke[J]. Journal of Nursing, 2020, 27(11): 16 -20 .
[5] . [J]. Journal of Nursing, 2020, 27(11): 21 -25 .
[6] ZHANG Ai-qin, CHEN Jun-shan, YU Jin-tian. Guidelines on Non-pharmacological Management of Delirium in ICU Patients：A Systematic Review[J]. Journal of Nursing, 2020, 27(11): 26 -32 .
[7] YE Dong-ting, ZHANG Qin-lian, JING Shuang, GUO Jia, XING Yan-fen. Psychological Experience of Family Members of ICU Patients during ICU Transfer: A Meta-synthesis[J]. Journal of Nursing, 2020, 27(11): 33 -39 .
[8] LIU Min, LIU An-nuo, WU De-quan, GAO Yu, CHEN Guo-hong, ZHU Gui-yue, ZHANG Meng, MA Wen, DING Cui-lu. Effect of Exercise on Walking Function of Elderly Type 2 Diabetic Patients：A Meta-analysis[J]. Journal of Nursing, 2020, 27(11): 40 -45 .
[9] GUO Xiao-yu, SHI Dong-li, ZHANG Zheng-mei, LI Na, ZHANG Pei-feng, YANG Li-juan. Best Evidence Summary for Early Removal of Urinary Catheters in Male Patients after Lumbar Spine Surgery under General Anethesia[J]. Journal of Nursing, 2020, 27(11): 46 -51 .
[10] . [J]. Journal of Nursing, 2020, 27(11): 52 -56 .