Objective To confirm the deviation between the present
charge and real
cost of
nursing by comparing them between PICC and
jugular veins catheter,and the advantages and disadvantages were weighed between them in
tumor patients undergoing
chemotherapy.
Methods The
cost of
manpower,
financial resources or materials for 106
patients with PICC,68
patients with
jugular veins catheter were measured,accounted and statistically analyzed with the ladder sharing
method for project
cost.Comparing the
cost between calculation
cost and current charging standard,and the
cost and clinical application was studied.Results The real
cost of PICC was (2259.99±30.99)Yuan and current charging standard was 1532.79 Yuan,the deviation was -727.20 Yuan,and the real
cost of
jugular veins catheter was (393.86±33.93) Yuan,and current charging standard was 292.13 Yuan,the deviation was -101.73 Yuan.The complication rate was 12% in PICC,17% in
jugular veins catheter.The real
cost of
nursing on PICC and
jugular veins catheter was higher than current charging standard,and the real
cost of single
nursing on PICC was 5.74 times higher than
jugular veins catheter.The
cost remains unchanged with 4~6
course of
chemotherapy treatments in a year.Conclusions The advantages of PICC are more than
jugular veins catheter,so the preferred choice is PICC,and
jugular veins catheter comes
secondary.