Study On Nursing Costs About Multiple Fibromyoma Uteri In-patients

Nowdays, the hospital reform deepen continually and the competition of medicalservice market become daily aggravation, the cost accounting has become the ingredient andan important method of the hospital and the public health organization management. Thenursing service is an indispensable ingredient of the medical service and the nursing costresearch also is an important component of hospital cost management. With the reform ofmedical service price system of disease categories in our country and the continualimprovement of Diagnosis Related Groups-Prospective Payment System overseas, theresearch of diseases nursing service cost and the price formulation of nursing service pricebecome the current main points. In order to definite the nursing service price compensationfrom the government and improve the price system and compensation mechanism aboutnursing service charge, it is important to carry out the cost accounting about nursing serviceitems. This topic is according to the international disease categorization system to chooseone common categories of the fibromyoma uteri-multiple fibromyoma uteri as theobjects. Through account the hospitalized nursing expense of the multiple fibromyoma uteri,we can know the actual consumption of manpower, physical resource and the financialresource clearly and provide the theoretical foundation for nursing manager to allocate thehuman resources reasonably and to formulate the reasonable nursing service price for thegovernment. It is not only helpful to improve the management and operation pattern ofnursing, but reduces the hospital overall cost, lessen the patient economic burden andenhance the economic efficiency and the social efficiency of the hospital.The research using Delphi method, on-the-spot investigation method to definite thenursing service items and the nursing workload about inpatients of multiple fibromyomauteri and using the historical review method, fee-for-service method and categorized-costcomparison method to account the nursing hospitalized expense and analyse the influencingfactors of the hospitalized nursing expense.The research results indicated that: 1. The nursing services of multiple fibromyoma utericontain 58 items, among them there are 32 items relating to preoperation, 13 items relatingto introperation and 31 relating to items postoperation. 2. Analyzed the condition ofworkload about nursing service items, inspect the patient consumed the most time among theall items. 3. The average hospitalized nursing expense was 1437.6 Renminbi; labor cost was the main component of nursing Cost; compared with the advance charge, the actual nursingcost was higher than the charge obviously. 4. The nursing hospitalizing expenses wasinfluenced by course of disease, patient's anemia condition and the way of anaesthesia.