J Korean Acad Nurs Adm.  2017 Mar;23(2):139-150. 10.11111/jkana.2017.23.2.139.

An Empirical Analysis of Costs related to Nursing Practice

• Ko YK
• Park BH

• KMID: 2408100
• DOI: http://doi.org/10.11111/jkana.2017.23.2.139

Abstract

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.

Keyword

Nursing; Practical; Costs and cost analysis; Hospital costs; Cost allocation; Indirect cost

MeSH Terms

Budgets
Cost Allocation
Costs and Cost Analysis
Health Care Costs
Hospital Costs
Hospitals, Public
Humans
Inpatients
Methods
Nursing Services
Nursing*

Figure

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  Fig. 1 Medical cost estimation model in medical department.

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