以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (21): 11-14.doi: 10.16460/j.issn1008-9969.2020.21.011

• 护理管理 • 上一篇    下一篇

基于资源消耗为基础的相对价值比率的单项目护理人力成本核算研究

韩琳1a, 马玉霞2, 王建军1b, 刘金萍1c, 王晨霞1d   

  1. 1.甘肃省人民医院 a.护理部;b.经管办;c.胸外科;d.门诊部,甘肃 兰州 730000;
    2.兰州大学 护理学院,甘肃 兰州 730000
  • 收稿日期:2020-05-20 出版日期:2020-11-10 发布日期:2020-12-15
  • 通讯作者: 王晨霞（1977-）,女,甘肃通渭人,硕士,副主任护师。E-mail:wang108abc@126.com
  • 作者简介:韩琳（1979-）,女,甘肃兰州人,博士后,主任护师。
  • 基金资助:
    国家自然科学基金（71663002）

Manpower Cost Accounting of Nursing Item Based on Resource-based Relative Value Scale

HAN Lin1a, MA Yu-xia2, WANG Jian-jun1b, LIU Jin-ping1c, WANG Chen-xia1d   

  1. 1a. Dept. of Nursing Administration; 1b. General Management Office; 1c. Dept. of Thoracic Surgery; 1d. Dept. of Outpatient, Gansu Provincial People's Hospital, Lanzhou 730000, China;
    2. School of Nursing, Lanzhou University, Lanzhou 730000, China
  • Received:2020-05-20 Online:2020-11-10 Published:2020-12-15

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摘要： 目的 基于资源消耗为基础的相对价值比率核算单项目护理人力成本,为单项目护理总成本核算奠定基础,从而为物价部门制定护理服务项目收费标准提供依据。方法 采用专家访谈法和Delphi法确定单项目护理人力成本的影响因素及其权重,计算得到护理单项目的相对价值比率值,同时测得单项目护理操作时间,然后通过核算某三级甲等医院护理服务量及服务费用的总预算,计算得出相对价值比率的货币转换系数,三者相乘即为单项目护理人力成本。结果 临床上操作频次排名前20的基础护理项目中,人力成本最高者为导尿术,最低者为测血氧饱和度。结论 基于资源消耗为基础的相对价值比率可以合理、准确地核算单项目护理人力成本,能充分体现护理人员的劳动价值,从而为物价部门制定护理服务价格提供数据支撑。

关键词: 相对价值比率, 单项目护理操作, 人力成本

Abstract: Objective To calculate the manpower cost of nursing item based on resource-based relative value scale(RBRVS), to calculate the total nursing cost, so as to provide evidence for pricing nursing service. Methods Through expert interview and Delphi method, the influence factors of nursing manpower cost and the weights were identified. The relative value unit (RVU) of nursing service item was calculated and the operation time of nursing item(T) was measured. The conversion factor(CF) of RVU was obtained by calculating the amount of nursing service and total cost of nursing service in a tertiary grade-A hospital. The nursing manpower cost was the result of RVU×T×CF. Results Among the top 20 frequently-operated nursing service items in clinical practice, the item with highest manpower cost was catheterization, and the lowest SPO2 measure. Conclusion Based on RBRVS, nursing manpower cost can be calculated reasonably and accurately, which fully reflect the labor value of nursing staff, and provide data support for pricing nursing service.

Key words: RBRVS, nursing service item, manpower cost

中图分类号: 

  • R47
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