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응급전문간호행위에 대한 건강보험 상대가치 수가개발 및 경제성 평가

 Economic Analysis and Fee Development by Relative Value Scale of Nursing Practices by Emergency Nurse Practitioner

성인간호학회지 2013년 25권 3호 p.275 ~ 288
KMID : 0367020130250030275
김진현 ( Kim Jin-Hyun ) - 서울대학교 간호대학

김경숙 ( Kim Kyung-Sook ) - 남서울대학교 간호학과
김미원 ( Kim Mi-Won ) - 상명대학교 간호학과
이경아 ( Lee Kyong-A ) - 서울대학교 간호대학

Abstract

Purpose: The purpose of this study was to perform an economic analysis and estimate the fee for the practices that carried out by Emergency Nurse Practitioner (ENP) using relative value scale (RVS) and its conversion factor.
Methods: First, we developed ENP’s RVS for 25 advanced nursing services based on ENP’s workload and its time spent by survey. A cost analysis was performed to evaluate the conversion factor of ENP’s RVS. The share of ENP’s contribution to fee-for-service in emergency setting was also analyzed.

Results: Calculation of the RVS of 25 advanced nursing practices showed a range of points from 73.4 to 296.3 and an average of 145.1 points. The relevant conversion factor for advanced nursing practices among ENP was estimated at 12.2~15.9 won. The contribution rate of ENP’s advanced nursing practices in the relative value scale of the national health insurance was estimated at 13.1~17.0%.

Conclusion: The practices of ENP are not compensated separately and its reimbursement is usually included in physician fee. An estimation of nursing fee and an independent fee related to ENP’s services shows the contribution rate to total revenue. It suggests that emergency nurse practitioners be considered as a revenue source the in emergency room
KeyWords
응급전문간호사, 상대가치수가, 환산지수, 응급전문간호행위
Nurse practitioner, Advanced nursing practice, Relative value scale, Nursing fee, Emergency nurse practitioner
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학술진흥재단(KCI) KoreaMed