Abstract

• Purpose
  The objective of our study was to figure out costs of nursing services in ICU based on the PCS in order to determine an appropriate nursing fee schedule.
• Method
  Data was collected from 2 hospitals from April 15-16 to April 22-23, 2003. The costs of nursing services in the ICU were analyzed by nursing time based on the nursing intensity. The inpatients in the ICU were classified by a PCS tool developed by the Korean Clinical Nurses Association(2000).
• Results
  The distribution of patients by PCS in the ICU ranged from class IV to Class VI. The higher PCS in ICU consumed more nursing time. As a result, the higher nursing intensity, the more the daily average nursing costs in the ICU.
• Conclusion
  Our study provides evidence to refine the current nursing fee schedule that does not differentiate from the volume of nursing services based on nursing time. We strongly recommend that the current reimbursement system for nursing services should be applied not only to the general nursing units but also to the ICU or other special nursing units.
• Keywords: Nursing costs; Nursing time; Patient classification system; ICU

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by  

• Development of a patient classification system for critical care nursing based on nursing intensity
  Yukyung Ko, Bohyun Park, Hanju Lee, Donghwan Kim
  International Journal of Nursing Practice.2023;[Epub]     CrossRef
• Integrative literature review of patient classification tools for nursing intensity evaluation: Focusing on comparison of South Korean and international tools
  Yukyung Ko, Bohyun Park
  Nursing Open.2021; 8(5): 2105.     CrossRef
• Activity-Based Costing Analysis of Nursing Activities in General Hospital Wards
  Ho-Soon Yoon, Jinhyun Kim
  Journal of Korean Academy of Nursing Administration.2013; 19(4): 449.     CrossRef
• Development of Nursing Key Performance Indicators for an Intensive Care Unit by using a Balanced Scorecard
  Yun Jeong Choi, Ji Young Lim, Young Whee Lee, Hwa Soon Kim
  Journal of Korean Academy of Nursing.2008; 38(5): 656.     CrossRef