Reasearch on measuring the Value and Price Relationship of Nursing Services:An Empirical Study Using the RVU System
Wang Haiyin
Wang Meifeng
Fang Liang
Wang Ru
Zhang Chenxi
Jin Chunlin
Abstract：Objective:A standardized technical labor value measurement model for nursing service items was established using the Relative Value Units(RVU)framework to analyze price-value deviations and inter-item price relationships in Shanghai,informing evidence-based dynamic pricing reforms.Methods:Utilizing RVU values from National Technical Specifications for Medical Service Items(2023 Edition),current prices of nursing items and labor cost parameters in Shanghai,it calculated standardized values with Level Ⅲ Nursing as the baseline and assessed price rationality through deviation coefficients.Results:The mean price-value realization rate of 17 nursing items was 21.3％overall,dropping to 11.4％for specialized nursing,and the mean price-value realization rate for psychiatric nursing was 3.8％.Price relationships were significantly distorted,with 73.3％of items showing deviation coefficients＜0.5(e.g.,drainage tube care:0.05),RVU values demonstrated no correlation with realization rates(R=0.14,P=0.59).Conclusion:Nursing pricing fails to reflect technical labor value,urging prioritized correction for items with realization rates/deviation coefficients＜0.5,implementation of an RVU-driven dynamic adjustment mechanism,integration of risk-technical complexity dimensions into pricing.
Keywords：nursing service itemstandardized valueprice relationshipsrelative value units
Publication Date：2026-01-05
Online Publishing Date：2026-01-31(First online date of this platform, not the publication date of the document)
Pages：4( 80-83 )