Browse > Article

Comparison of Nursing Activity Costs of Chronic Otitis Media Surgery Patients among Time, RBRVS, and CP  

Kim, Mi-Sun (Department of Nursing, Inha University)
Lim, Ji-Young (Department of Nursing, Inha University)
Publication Information
Journal of Korean Academy of Nursing Administration / v.16, no.4, 2010 , pp. 399-408 More about this Journal
Abstract
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.
Keywords
Otitis Media; Costs and Cost Analysis; Relative Value Scales;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Ahn, H. Y. (2005). Clinical otolaryngology head and neck surgery. Seoul: Koonja Publishing.
2 Jeong, S. (2003). Development of critical pathway for patients with lobectomy and pneumonectomy. Unpublished master's thesis, Yonsei University, Seoul.
3 Kim, I. S., Kang, K. H., Lee, H. J., Kim, M. J., Kang, S. J., & Joo, Y. M. (2002). Cost analysis of nursing services in the delivery room using activity-based costing. J Korean Acad Nurs Admin, 8(1), 17-29.   과학기술학회마을
4 Moinuddin, K., Collins, T., & Bansal, A. (2007). Process activity mapping-Activity-based costing for semiconductor enterprises. Cost Manag, 21(2), 29-33.
5 Moon, S. Y. (2006). Resource-based relative value for estimation of nursing behavior in neonatal intensive care units. J Korean Acad Child Health Nurs, 12(1), 15-24.   과학기술학회마을
6 Park J. H., Song, M. S., Sung, Y. H., Ham, M. L., & Yun, S .O. (1997). Estimation of nursing costs for hospitalized patients based on the KDRG classification. J Korean Acad Nurs Admin, 3(2), 151-165.
7 Zander, K. (1988). Nursing case management: Resolving the DRG paradox. Nurs Clin North Am, 23(3), 503-520.
8 Park J. H., Song, M. S., Sung, Y. H., Cho, J. S., & Sim, W. H. (1998). Estimation of nursing costs for hospitalized patients using the resource-based relative value scale. Seoul: Korean Nurses Association.
9 Park, Y. A. (2007). A development of a critical pathway of mastoidectomy and tympanoplasty. Unpublished master's thesis, Inha University of Korea, Incheon.
10 Watanabe, S., & Kaneda, S. (2004). Workflow analysis method using activity-based costing management with information allocation. Electron Commun Jpn, 87(8), 55-65.   DOI   ScienceOn
11 Kim, M. S., Lee, H. J., Kim, Y. H., & Kim, J. S. (2002). Nursing cost in operating room applying the resource-based relative value scale (RBRVS). J Korean Acad Nurs Admin, 8(2), 283-293.   과학기술학회마을
12 Lim, J. Y., & Yoo, S. W. (2007). The trends of cost analysis on nursing services. J Korean Acad Nurs Admin, 13(4), 407-420.   과학기술학회마을
13 Lee, S. J. (2004). Cost analysis of home care with activity-based costing. J Korean Acad Nurs, 34(6), 1117-1128.   과학기술학회마을
14 Lee, T. H., Park, J. S., & Kim, I. S. (2000). Workload measurement of home health care nurse's services using relative value units. J Korean Acad Nurs, 30(6), 1543-1555.
15 Lim, J. Y. (2008). An analysis of cost and profit of a nursing unit using performance-based costing: case of a general surgical ward in a general hospital. J Korean Acad Nurs, 38(1), 161-171.   과학기술학회마을   DOI