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김문실 ( Kim Moon-Sil ) - 이화여자대학교 간호과학대학
김지현 ( Kim Ji-Hyun ) - 이화여자대학교 간호과학과
한수정 ( Han Su-Jeong ) - 건양대학교 의과대학 간호학과
김정아 ( Kim Jung-A ) - 한양대학교 의과대학 간호학과
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Abstract
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Purpose : This study was aimed to estimate nursing cost for hemodialysis of tertiary hospitals using Resource Based Relative Value Scale(RVRBS).
Methods : First, we calculated nursing workload of the each hemodialysis-nursing behaviors compared with basic nursing behavior(check vital sign) for the most severe hemodialysis patients in general hospitals. Second, we measured each spent time according to each nursing behaviors. Third, we computed Resource Based Relative Value(RBRV) scores and nursing expenses of each 14 nursing behavior for hemodialysis. Finally, we estimated nursing cost of each hemodialysis-behavior for the most severe hemodialysis-patients in general hospitals.
Results : The mean RBRV scores for each nursing behaviors were from 218.9 to 383.9 points. The highest RBRV socres were 383.9(Complication during hemodialysis). The Nursing behavior that spent the most time was “access the vascular( 31.7 minutes)”. Nursing cost per hemodialysis for the patient with severe condition was estimated 63,455(won).
Conclusion : Total average workload was 347.6 points and total spent time was 306.5 minutes for 14 hemodialysis
nursing behaviors provided to severe patients. There were clear differences in nursing workload and cost according to
patient’s severity-mild, moderate and severe class.
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KeyWords
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혈액투석, 상대가치, 간호원가, 간호업무량, 중증도
Hemodialysis, Health Resource, Health Care Cost, Classification, Workload
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원문 및 링크아웃 정보
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등재저널 정보
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