重庆市等级护理成本与效益的现状研究及对策

Research and countermeasures on current situation grading nursing care costs and benefit of Chongqing

目的结合重庆市医院特点,进一步完善和调整重庆市护理服务收费项目与标准,为促进优质护理服务活动深入持久地开展提供有效保障。方法重庆医科大学附属第二医院专职人员根据卫生部关于《住院患者基础护理服务项目及基础护理服务工作规范》的条目,对重庆市卫生局确定的试点医院的等级护理中各项护理操作的耗费时间及操作中使用的不收费耗材进行统计,再与重庆市现行医疗服务价格相比较。结果目前重庆市等级护理收费标准偏低,护理劳动力成本被忽略,护理操作使用耗材收费项目不全。结论构建科学、合理、有效的等级护理收费标准迫在眉睫。

Objective The second affiliated hospital of Chongqing medical university determined to consummate, adjust fees and standards of nursing service in Chongqing, combination with the local hospital characteristics for providing effective promote to the city＇s high-quality nursing service activities at the same time. Methods According to the entry of ＂Inpatient Based Care Services and Basic Nursing Services Specification＂, staffs from the second affiliated hospital of Chongqing medical university would count the time spend on care operations and no-charge supplies during these operations. Then the datum were used to compare with the price of current price of medical services. Results The charges standard of nursing service in Chongqing is on the low side. The cost of labor force in nurse is neglected. Charge project during the care operation is incomplete. Conclusion It necessary to build a scientific,ration- al and effective standard of care charges.