A Cost Analysis of Nursing Activities for COVID-19 Patient Screening at the Acute Respiratory Infection Clinic (ARI) in a Tertiary Hospital
Keywords:
Nursing activity, Cost analysis, COVID-19 patient screening, Respiratory infection clinicAbstract
The objective of this descriptive research was to analyze the cost of nursing activities for COVID-19 patient screening at the acute respiratory infection clinic in a tertiary hospital. The target population included all personnel cost reports, and the subject group was 30 COVID-19 patient screening cost reports selected using purposive sampling. Three research instruments were used: 1) cost records for nursing activities regarding COVID-19 patient screening, 2) a dictionary of nursing activities, and 3) records of nursing activity cost drivers. The content validity index of all the research instruments was 1, and the Inter-observer reliability was 0.8. Data were analyzed with descriptive statistics, including frequency, percentage, mean, and standard deviation.
It was found that the total cost of nursing activities was 73,877.55 baht with the highest cost of nursing care before screening (23,891.68 baht; 32.34%), followed by the cost of nursing administration and supporting activities (23,889.15 baht; 32.33%). When analyzing cost per activity, it was found that the activity of nursing care before screening had the highest cost at 108.60 baht, and the cost per case was 2,462.58 baht with the highest cost per case being nursing care before screening at 796.39 baht.
This research indicates that nursing activity cost analyses for COVID-19 patient screening is considered new, and the empirical data should be used by nursing administrators for the management of resources, manpower, time, and budget planning to achieve more efficiency and increase nursing care quality in preparation for future emerging infectious diseases.
References
AAchonu, C., Laporte, A., & Gardam, M. (2005). The financial impact of controlling a respiratory virus outbreak in a teaching hospital: Lessons learned from SARS. Canadian Journal of Public Health. 96(1). 52-54.
Bartsch, S. M., Ferguson, M. C., McKinnell, J. A., O'shea, K. J., Wedlock, P. T., Siegmund, S. S., … Lee, B. Y. (2020). The potential health care costs and resource use associated with COVID-19 in The United States. Health Affairs, 39(6), 927-935.
Bureau of Nursing, Department of Medical Services, Ministry of Public Health. (2008). Nursing standards books in hospitals (2nd ed.). Bangkok: The War Veterans' Organization. (in Thai)
Department of Disease Control. (2020). Guidelines for screening, surveillance and investigation of the novel coronavirus disease 2019 for medical personnel. Retrieved from https://ddc.moph.go.th/uploads/publish/1150920210610033910.pdf (in Thai)
Department of Medical Services. (2020). Handbook of risk management in hospitals. When epidemics of emerging/Re-emerging respiratory diseases B.E. 2021. Bangkok: Medical Academic Division, Department of Medical Services, Ministry of Public Health. (in Thai)
Department of Medical Services. (2022). Guidelines for medical practice, diagnosis, care and prevention of infections in hospitals for coronavirus disease 2019 (COVID-19). Retrieved from https://covid19.dms.go.th/Content/Select_ Landding_page?contentId=161 (in Thai)
Gupta, K. K., Attri, J. P., Singh, A., & Kaur, G. (2016). Basic concepts for sample size calculation: Critical step for any clinical trial. Saudi Journal of Anaesthesia, 10(3), 328-331.
Kaplan, R., & Cooper, R. (1998). Cost and effect: Using integrated systems to drive profitability and performance. Boston: Harvard Business School Press.
Khodadadzadeh, T. (2015). A state-of-art review on activity-based costing. Accounting, 1(2), 89-94.
Nguphimai, C., Singchungchai, P., & Pathumarak, N. (2021). Cost analysis of nursing service management activities for pediatric patients with respiratory disease at outpatient department in a private hospital. Thai Journal of Cardio-Thoracic Nursing, 32(2), 161-173. (in Thai)
Nursing Council. (2020). Guidelines for the control of coronavirus disease 2019 (COVID-19) for nursing and midwifery practitioners. Retrieved from https://www.tnmc.or.th/news/394. (in Thai)
Polit, D., & Hungler, B. (1995). Nursing research: Principles and methods (5th ed.). Philadelphia: J. B. Lippincott Williams & Wilkins.
Quesado, P., & Silva, R. (2021). Activity-Based Costing (ABC) and its implication for open innovation. Journal of Open Innovation: Technology, Market, and Complexity, 7(41), 1-20.
Rezapour, A., Souresrafil, A., Peighambari, M., Heidarali, M., & Tashakori-Miyanroudi, M. (2020). Economic evaluation of programs against COVID-19: A systematic review. International Journal of Surgery (London, England), 85, 10-18.
Singchungchai, P. (2016). Health economics for health services (5th ed.). Songkhla: Chanmuang Printing.
Sriratanaban, J., Witvorapong, N., Woratanarat, T., Ngamkiatphaisan, S., Wimuttichai, V., O-charot, L., … Khumloyfa, N. (2021). The preparedness and responses of the health services system to the COVID-19 crisis in Thailand: Hospital operation and economic and social impacts within the boundary of the health services system. Nonthaburi: Health Systems Research Institute (HSRI).
Suso-Martí, L., La Touche, R., Herranz-Gómez, A., Angulo-Díaz-Parreño, S., Paris-Alemany, A., & Cuenca-Martínez, F. (2021). Effectiveness of telerehabilitation in physical therapist practice: An umbrella and mapping review with meta–meta-analysis. Physical Therapy, 101(5), 1-9. doi: 10.1093/ptj/pzab075
Thailand Nursing and Midwifery council. (2020). Guidelines for the control of coronavirus disease 2019 (COVID-19) for nursing and midwifery practitioners. Retrieved from https://www.tnmc.or.th/news/394
Thongyaem, S. (2019). Unit cost of the in-patient service: Airborne infection isolation ward, Bamrasnaradura infectious diseases institute in the fiscal year 2015. Journal of Bamrasnaradura Infectious Diseases Institute, 13(1), 1-12. (in Thai)
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