Public Health Nursing Costs in Home Care


  • This paper was adapted from a talk presented at the American Public Health Association annual meeting on October 19, 1987. Funding for this work was provided under post doctoral fellowship 1F32HS00010-01 from the National Center for Health Services Research and Health Care Technology.

Address correspondence to Division of Nursing, New York University, 429 Shimkin Hall, Washington Square, New York, NY 10003.


This article discusses the measurement of costs, particularly the cost of public health nursing in the home health setting, and describes typical cost-accounting procedures. Alternatives are analyzed and four models for measuring costs are presented: per diem, acuity, hourly, and diagnoses. Since each model measures cost in a different way, selection of one over another will affect research results.