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Study on the Cost-accounting of Home Health Care in Shanghai

Author: LiuJinDan
Tutor: WangZhiHong
School: Second Military Medical University
Course: Nursing
Keywords: Cost Home Care The cost of care Costing Project costing
CLC: R47
Type: Master's thesis
Year: 2010
Downloads: 185
Quote: 1
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Abstract


Purpose build the Shanghai home care project costing module , and the care projects have been carried out cost accounting, in order to provide the basis for the government to develop a reasonable price of services , improve community health service compensation policy . Modular theory literature , combined with field surveys carried out in Shanghai three community health service centers , the initial construction family care project costing module ; the application Delphi expert consultation method of accounting modules scientific , reasonable and to demonstrate the feasibility of , and by small sample experiments to further optimize the cost accounting module . On this basis , the use of self - recording method and a third party observation to collect 1161 people home care project cost data , using the built accounting modules accounted for the cost of home care project has been carried out in Shanghai . Result of ( 1 ) the formation of the Shanghai home care project costing module , labor costs ( A ) , the cost of materials ( B ) , equipment costs ( C ) , management costs ( D ) , the cost of education ( E ) and transport costs ( T ) 6 sub- modules, the costing formula : the the care project cost ( F ) = ABCDE ; single -site home care project costs = TF . ② Shanghai Home Care Home Care Services often carried out by intramuscular injection , intravenous injection, intravenous infusion , subcutaneous injection , medication, 9 bedsore care , catheter , oxygen, care guidance , individual service costs 2.73 yuan ( caregiver knowledge and skills guidance ) to 40.23 yuan ( catheterization ) . The ③ services costs , labor costs module between the proportion ranged from 40 % to 90% . Conclusion ( 1 ) Shanghai Home Care Project Costing module constructed in this study the feasibility of accounting results more comprehensively reflect the consumption of the service cost . ( 2 ) accounting results show that the cost of home care services is much higher than the existing charges , it is recommended that the Government Services pricing or compensation policies appropriate tilt, raise fees , rationalize the compensation mechanism . ( 3 ) labor costs are a major component of the cost of home care services prompted the community health service centers should follow the principle of care personnel classification , the rational allocation of home care staff .

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