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박정호 ( Park Jung-Ho ) - 서울대학교 간호학과
성영희 ( Sung Young-Hee ) - 삼성서울병원
김을순 ( Kim Eul-Soon ) - 임상간호사회
박광옥 ( Park Kwang-Ok ) - 서울아산병원
박정숙 ( Park Jeong-Sook ) - 세브란스병원
송미숙 ( Song Mi-Sook ) - 아주대학교 간호대학
조문수 ( Jo Moon-Su ) - 서울대학교병원
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Abstract
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Purpose: A cost analysis for nursing services in operative nursing unit, emergency nursing unit, and ambulatory nursing unit was performed using patient classification system by nursing intensity in order to determine an appropriate nursing fee schedule.
Method: The data were collected from 4 secondary hospitals and 5 tertiary hospitals from November 14th 2000 to January 15th 2001. The study was conducted through four phases as follows: 1) Nursing hours of each nursing service in special nursing units were measured using three kinds of pataient classification system by nursing intensity. 2) The nursing cost of nursing service in operative nursing unit, emergency nursing unit, and ambulatory nursing units was estimated based on patient classification system by nursing intensity.
Results: As a result, nursing hours by nursing intensity of each special nursing unit were measured, and every nursing cost by nursing intensity in operation room and mergency room was estimated, meanwhile, the cost of nursing services in ambulatory care units was estimated only per visit as shown in chapter 4.
Conclusion: Future research on nursing cost should be extended to otehr special nursing units such as various intensive nursing care units, delivery room, and so on. In addition, the patient classification system should be refined for its appropriateness to apply all levels of medical institutions.
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KeyWords
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환자분류, 간호강도, 간호행위, 간호원가
patient classification system, nursing cost, special nursing units,
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원문 및 링크아웃 정보
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등재저널 정보
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