Accession Number : ADA261878


Title :   Comparative Cost Analysis of Increasing Registered Nursing Staff on the Labor and Delivery Unit at the National Naval Medical Center.


Descriptive Note : Final rept. Jul 1990-Jul 1991,


Corporate Author : ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION


Personal Author(s) : Fierek, Rodney L


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a261878.pdf


Report Date : Jul 1991


Pagination or Media Count : 83


Abstract : This paper examines the comparative costs of increasing the number of Labor and Delivery registered nurses at the National Naval Medical Center (NNMC) with staff from one of three potential sources: contract personnel, federal civilians, and military nurses. Labor and delivery services are highly dependent upon the availability of professional registered nursing staff. Recently, NNMC has been augmenting baseline nursing staff with contract personnel to maintain desired levels of obstetrical services. Cost-benefit and cost-effectiveness analyses are reviewed, and the cost-effectiveness methodology was used to compare costs among the three alternatives. Results of the analysis using fiscal year 1991 salary and contract data suggest that federal civil service employees are the least costly source of augmenting the existing staff infrastructure to support direct patient care.


Descriptors :   *MILITARY FACILITIES , *COST ANALYSIS , *MEDICAL SERVICES , *NURSES , CONTRACTS , AVAILABILITY , NURSING , GOVERNMENT EMPLOYEES , BENEFITS , PATIENTS , SALARIES , COMPARISON , COST EFFECTIVENESS


Subject Categories : Economics and Cost Analysis
      Medicine and Medical Research
      Medical Facilities, Equipment and Supplies


Distribution Statement : APPROVED FOR PUBLIC RELEASE