The Expenditure for Home Healthcare Nursing: Analysis from Ramathibodi Hospital, Bangkok
Keywords:Nursing intervention, Expenditure, Home healthcare nursing
The study of expenditure is significant to providers who will develop nursing care in home healthcare. This study aimed to explain expenditures and develop calculations for home healthcare nursing. This retrospective study analyzed secondary data of the Ramathibodi Home Healthcare Data Set (RHDS). A sample of 1,600 home healthcare cases was selected where complete data was available for those who had received home healthcare nursing from the Home Healthcare Unit, Faculty of Medicine, Ramathibodi Hospital between 2012 and2014. Primary data included nursing salaries of 24 registered nurses and driver salaries of 3 drivers during January-March 2016. Transportation expenses of the unit, and documentation of all other expenditures by the Faculty of Medicine, Ramathibodi Hospital were included. Data were analyzed with descriptive statistics.
The results showed that most patients who received home healthcare nursing were long-term patients with extreme disability (31.6%). Main nursing interventions were physical examination (100%), wound dressing (24.6%), and insertion of nasogastric tubes (8.9%). The expenditures for nursing interventions by patient type were 110 baht/visit for curable patients, 120 baht/visit for long-term chronic patients, 140 baht/visit for long-term patients with mild disability, and 170 baht/visit for long-term patients with extreme disability/ terminally ill patients. Results of this study show total nursing care costs and may be useful in calculating/projecting expenditures for other home healthcare nursing units.
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บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)