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Cost-related variables: a pilot study.

J C Howard, P H Wolff, J Perry

    Clinical Nurse Specialist CNS
    |January 1, 1989
    PubMed
    Summary
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    This study examined factors influencing healthcare costs for patients undergoing non-radical hysterectomy. Length of stay and previous admissions were key predictors of charge variance, offering insights for cost management in nursing care.

    Area of Science:

    • Nursing Economics
    • Healthcare Management
    • Clinical Quality Improvement

    Background:

    • Prospective payment systems necessitate cost-efficiency in healthcare delivery.
    • Nurses, particularly clinical nurse specialists, are pivotal in analyzing cost-influencing factors.
    • Quality care must be demonstrated alongside cost-effectiveness.

    Purpose of the Study:

    • To identify variables associated with charge variance in a specific patient group.
    • To examine demographic, illness/treatment, and discharge factors impacting costs.
    • To provide a model for cost analysis in nursing practice.

    Main Methods:

    • Retrospective chart audit of 142 women.
    • Focus on Diagnostic-related Group 355 (non-radical hysterectomy, <70 years, no comorbidities).

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  • Analysis of 14 variables including demographics, illness, treatment, and discharge data.
  • Main Results:

    • Length of stay was a significant independent predictor of charge variance (p < 0.001).
    • Previous admission was also identified as a predictor (p = 0.066).
    • Several other variables were analyzed for their impact on cost variance.

    Conclusions:

    • Length of stay is a critical factor in managing healthcare costs for this patient population.
    • Understanding predictors of charge variance aids in cost control and quality care demonstration.
    • The study offers a framework for nurses to analyze cost-related variables.