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김윤미 ( Kim Yun-Mi ) - 을지대학교 간호대학 간호학과
김지윤 ( Kim Ji-Yun ) - 경원대학교 간호학과
전경자 ( June Kyung-Ja ) - 순천향대학교 간호학과
함은옥 ( Ham Eun-Ok ) - 제주한라대학 간호과
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Abstract
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Purpose: This study was aimed to examine changes of hospital nurse staffing by hospital characteristics during
2008-2010.
Methods: The study sample included 44 tertiary hospitals, 226 general hospitals, and 532 non-generalb hospitals that were operating during 2008-2010. Grade of nursing management fee was categorized from Grade 1(highest) to 6 (lowest) in tertiary hospitals, l or Grade 7 in general hospitals and non-general hospitals based on the nurse-to-bed ratio. For data analysis, χ2 and GEE were conducted.
Results: For three years, the number of tertiary hospitals below Grade 2 were increased from 8 to 12, the number of those above Grade 4 were decreased from 15 to 6. The number of general hospitals above Grade 6 decreased from 123 to 86. Tertiary hospitals and general hospitals had more possibilities to improve nurse staffing grade than general hospital (OR 79.69, 95% CI 50.77~125.09, OR 11.25, 95% CI 8.15~15.53, respectively). Greater likelihood of improvement in grade of nursing management fee was found in university hospital or hospitals with 300 or more beds than other types of hospitals.
Conclusion: Differentiating nurse staffing system by hospital type and increasing financial incentives according to the grades are needed to improve hospital nurse staffing.
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KeyWords
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의료기관, 간호사 확보, 진료비보상 기전
Hospitals, Nursing staff, Reimbursement mechanisms
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원문 및 링크아웃 정보
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등재저널 정보
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