임상간호연구 (Journal of Korean Clinical Nursing Research)
- 제14권1호
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- Pages.5-14
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- 2008
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- 1598-9186(pISSN)
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- 2287-3694(eISSN)
건강보험 간호관리료 수가체계 개선의견 조사분석
A Survey for Developing Strategies to Improve the Fees for Nursing Care
- 김윤미 (을지대학교 간호학과) ;
- 남혜경 (경원대학교 간호학과) ;
- 성영희 (성균관대학교 의과대학 삼성서울병원 임상간호학교실) ;
- 박광옥 (서울아산병원 간호본부) ;
- 박혜옥 (인하대병원 간호부)
- Kim, Yun Mi (Department of Nursing, Eulji University) ;
- Nam, Hye Kyung (Department of Nursing, Kyungwon University) ;
- Sung, Young Hee (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicne) ;
- Park, Kwang Ok (Seoul Asan Medical Center) ;
- Park, Hae Ok (Nursing administration, Inha University Hospital)
- 발행 : 2008.04.30
초록
Purpose: To examine the current fees for nursing care and propose the strategies for improvement. Method: The number of subjects for this study was 86, including 36 chief executives of the nursing department, 14 of the health insurance department and 33 nursing managers. Data were analyzed by SPSS WIN 12.0 program. A researcher-developed questionnaire with 30 items was utilized. Results: 61% hospital had improved the nursing management fee grade after adoption of the differentiated nursing management fee schedules. After grade improvement, the time for direct nursing care increased. Also, the patient health outcome, nurse's job satisfaction were improved and more nurses were employed in general nursing units. Many subjects addressed that ICU and more nursing units were needed to adopt the differentiated nursing management fee schedules and "bed to nurse ratio" needed to be changed to "patients to nurse ratio" and specialized by the nursing units. Conclusion: The health policy in reference to fees for nursing care needs to get improved further in order to provide the quality-assured nursing care.