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김윤미 ( Kim Yun-Mi ) - 을지대학교 간호대학 간호학과
남혜경 ( Nam Hye-Kyung ) - 경원대학교 간호대학
성영희 ( Sung Young-Hee ) - 성균관대학교 의과대학 삼성서울병원 임상간호학교실
박광옥 ( Park Kwang-Ok ) - 서울아산병원
박혜옥 ( Park Hye-Ok ) - 인하대학교병원
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Abstract
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Purpose: To examine the current fees for nursing care and propose the strategies for improvement.
Methods: 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 researcherdeveloped 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.
Conclusions: The health policy in reference to fees for nursing care needs to get improved further in order to provide the quality-assured nursing care.
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KeyWords
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간호사, 병원, 건강보험
Nurse staffing, Hospital, Health insurance
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원문 및 링크아웃 정보
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등재저널 정보
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