The purpose of this study is to find out the nursing coasts in accordance with Nursing Services with the total patient for in a hospital.
Two disease of diagnosed group, Normal Delivery and Cesarean Section have been chosen for this study they require relatively symple treatment and also less complications rather than other diseases.
Total 120 cases of patient´s records were selected among the number of discharged patients during the period of Jan.-Dec. in 1985 at a C National University Hospital. the followings are the results of the obtained data.
1. There were marked differences in an average patient fee for the same disease category according to the medical insurance scheme. In Normal Delivery case, the total expense of patient fee were 161,939 Won in an average non-insurance cases, while 101,931 Won in medical insurance ones. In Cesarean case, total expense of patient fee were 622,588 Won in an average non-insurance cases, while 418,923 Won in medical insurance ones.
2. The cost fluctuation rate of insurance case was 62.9% in Normal Delivery and 61.3% in Cesarean Section compare to the non-insurance coast were based on 100.
3. An Average hospital days of non-insurance case were 3. 1 days, while insurance case were 2.9 days in normal delivery. In Cesarean Section, it were 8.2 days in non-insurance case, while 8.4 days in insurance case.
4. Fee for drug and medication were 35.0-35.5% of the total charges of patient´s fee. One kind of antibiotics utilized for a case was 66.7% of the total in Normal Delivery cases. But, in Cesarean Section, three kinds of used antibiotics was 86.8-96.7% for a case.
5. Fee for doctor´s activities was 49.2%-61.6% of the total charges of patient´s fee in Normal Delivery cases and 55.0-82.9% in Cesarean Section.
Fee for Nursing Services were 5.7-15.2% in Normal Delivery cases and 1.7-8.4% in Cesearean Section.
The injection fee was separated as an item of charge in insurance cases as of 7.0%-11.3% of total patient fee, But in non-insurance case, the injection fee included in the item of fee for the drug and medication.
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