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조성현 ( Cho Sung-Hyun ) - 한양대학교 간호학과
전경자 ( June Kyung-Ja ) - 순천향대학교 간호학과
김윤미 ( Kim Yun-Mi ) - 을지대학교 간호대학
박보현 ( Park Bo-Hyun ) - 서울대학교 보건대학원
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Abstract
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Purpose: To examine the changes in nurse staffing in hospitals after implementing the policy of differentiating inpatient nursing fees by staffing grades.
Method: The study sample included 43 tertiary hospitals, 185 general hospitals, and 282 non-general hospitals that were operating in both 1999 and 2008. Nurse staffing grade was categorized from Grade 1 (highest) to 6 (lowest) in 1999 or Grade 7 in 2008, based on the nurse-to-bed ratio.
Results: Tertiary hospitals at Grade 3 and Grade 4 accounted for 49% and 35%, respectively, in 2008, whereas 63% were Grade 6 in 1999. General hospitals at Grade 6 decreased from 87% to 48%. In non-general hospitals, little change was found in the staffing distribution, in that 92% still remained in Grade 6 or 7 in 2008. Forty tertiary hospitals (93%) and 45% of general hospitals improved their staffing grades, while only 7% of non-general hospitals did. Greater likelihood of improvement in staffing grades was found in general hospitals located in metropolitan areas or having 250 or more beds.
Conclusion:Elaboration of the financial incentive system is needed to increase the policy impact on staffing improvement.
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KeyWords
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간호사, 간호관리료, 병원, 인력확보수준
Nurse staffing, Hospital, Financial incentive
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원문 및 링크아웃 정보
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등재저널 정보
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