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Cbapter6 Variable Costs of Nursing Care in Hospitals MARGARET D. SOVIE ScHOOL 01' NURSJNO UNJVERSrfY OJ' RocIlESTI!Il STkONG M£MOlUAl. HOSPITAL CONTENTS The Literature Search 133 Patient Care Hours and Cost Allocation Methodologies 134 Methodological Approaches, Inconsistencies, and Concerns 136 Results and Restrictions on Comparisons 144 Recommendations for Future Research 147 Each patient has unique and varying needs for nursing care. Yet the concept of variable costs of nursing care was not introduced in hospi tals until the early 19705 and then was implemented in only a few scattered institutions. Instead , the prevailing practice, continuing to day as the industry's norm , is that hospital nursing costs are assigned to occupied beds and fIxed. Nursing costs are included as a part of the established daily room rate , which varies with the patient's assignment to either a regular patient care unit or an intensive care unit. In each of The autllor gratefully ad:nowledges the CQntributions of Meg Johantllen, R.N., M.S., Surgical Clinician Il, Strong Memorial Ho~ph.al, University of Rochester Medical Center, RochestCT, NY, to the literature search. 131 132 RESEARCH ON NURSING CARE DELIVERY these locations the patient is charged a fixed daily room rate regardless of the amount
Annual Review of Nursing Research – Springer Publishing
Published: Sep 1, 1988
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