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김윤미 ( Kim Yun-Mi ) - 을지대학교 간호학과
김세영 ( Kim Se-Young ) - 목포대학교 간호학과
김지윤 ( Kim Ji-Yun ) - 가천대학교 간호학과
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Abstract
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Purpose: Korean health insurance extended application of the Diagnosis Related Groups (DRG) payment
system to tertiary and general hospitals from July, 2013. This study was done to develop a DRG fee adjustment
mechanism applied to levels of nurse staffing to assure quality nursing service.
Methods: Nurse stafffing grades among hospitals in Korea were analyzed. Differences and ratio of inpatient costs by nurse staffing grades in DRG fees and differences of DRG fee between tertiary and general hospitals were compared.
Results: In 2013, nurse staffing grades in tertiary and general hospitals had improved, but other hospital nurse staffing grades remained at the 2001 level. Gaps of inpatient costs between first and seventh nurse staffing grades were over 10% in 4 out of 7 DRG diagnosis; However differences of DRG fee between tertiary and general hospitals were only
4.51% and 4.72% respectively. A DRG fee adjustment mechanism was developed that included nurse staffing
grades and hospitalization days as factors of the formula.
Conclusion: Current DRG fees motivate hospitals to decrease nurse staffing grades because cost reduction is bigger than compensation. This DRG fee adjustment mechanism reflects nurse staffing supply to motivate hospitals to hire more nurses as a reasonable compensation system.
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KeyWords
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포괄수가제(DRG), 간호인력, 선지불제도, 병원비용
Diagnosis-Related Groups (DRG), Nursing staff, Prospective payment system, Hospital costs
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원문 및 링크아웃 정보
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등재저널 정보
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