以連續直接觀察法估計護理之家各類住民照護成本－以某醫院附設護理之家為例

Consecutive Observations to Estimate the Costs of Residents' Attendance in Nursing Homes-Taking a Nursing Home in a Hospital as an Example

陳楚杰(Chu-Chieh Chen) ； 張睿詒(Ray-E Chang) ； 林壽惠(Shou-Hui Lin) ； 吳玲娟(Ling-Jiuan Wu)

《醫護科技學刊》 5卷1期 (2003/01) Pp. 1-11

https://doi.org/10.6563/TJHS.2003.5(1).2

摘要

目標：本文旨在探討護理之家各類住民的照護成本。方法：首先研究人員至台北市某醫院附設護理之家觀察、記錄及分析護理之家照護活動項目，據以設計「住民照護活動統計表」，以建立各項照護活動的標準工時及收集住民資源耗用情形，同時採用巴氏量表將住民分類，接著分析各類住民實際資源耗用情形，計算各類住民資源耗用成本的相對值，最後以個案護理之家民國九十年六月份的營運及成本資料為例，計算各類住民每日的平均照護成本。以上資料均使用Microsoft Excel軟體進行資料整理與分析。結果：完全依賴者每日照護成本為1516.82元，嚴重依賴者每日照護成本為1459.73元，中輕度依賴者每日照護成本為1179.93元，完全獨立者每日照護成本為743.56元。結論：住民照護成本隨著住民依賴程度的增加而增加。建議：對護理之家經營者的建議為1.收費標準的訂定，應以住民對照護需求的強度為主要的依據，其次再考量其入住病房的等級；2.對使用頻率多及人力成本高的照護項目應研發更有效率的工作方法，以降低人力成本。

關鍵字

護理之家 ； 照護活動 ； 成本

並列摘要

Objectives: This study aims to explore the costs of keeping various types of residents in a nursing home. Methods: A structured table, “attending activities of residents”, was developed based on on-site observations, recordings, and analyses of attendance at a nursing home in a university hospital. Then, the Barthel Index was used to classify residents of the nursing home based on their dependency to attendants. Finally, the daily costs of keeping the residents in the hospital were calculated on the basis of operational data for June 200 I. All data were collected and analyzed using Microsoft Excel. Results: The daily costs associated with fully dependent, severely dependent, moderately dependent, and fully independent residents were NT $ 1516.82, NT $ 1459.73, NT $ 1179.93, and NT $ 743.56, respectively. Conclusions: The costs for keeping residents in a nursing home increased with the extent of their dependency on attendants. Suggestions: Suggestions for managers of nursing homes are as follows: 1. charges should be based mainly on the needs of residents and the wards; 2. a more efficient method of management activities which use more expensive resources must be developed to reduce the costs of human resources.

並列關鍵字

nursing home ； attending activities ； costs

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