慢性伤口专项护理服务成本的研究

Study on the cost of special nursing of chronic wound

目的对慢性伤口专项护理实际成本进行核算，与现行收费标准进行对比，证实其偏差，为卫生行政部门及物价部门制定合理收费价格提供客观依据。方法对慢性伤口护理服务各项成本构成进行测量、记录及归集，用项目成本阶梯分摊法进行核算。结果单次慢性伤口护理的实际成本为（29．42±9．29）元，是现行收费（12元）的2．5倍。结论慢性伤口专项护理收费标准严重偏离护理成本，不能体现护士进行专项护理的劳动价值。

Objective In order to provide information for the health administration and the price authorities to establish the reasonable price, the practical cost of special nursing of the chronic wound be analyzed, and be compared with the present charge, and the deviation be studied. Methods The cost of nursing care for all items was measured, recorded and collected, then calculating the special nursing cost for chronic wound using the method of ladder sharing the project cost. Rusults The true cost on a single special care for chronic wound was （29.42±9.29）yuan, and it reached 2.5 times of present charge （12 yuan）. Conclusions The present charge on the special care for chronic wound was seriously deviated from the practical cost, and the labor value of special care of nurses could not be embodied.