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김달숙 ( Kim Dal-Sook ) - 충남대학교 간호대학
김수현 ( Kim Soo-Hyun ) - 인하대학교 간호학과
김광성 ( Kim Kwang-Sung ) - 가톨릭대학교 성모병원
전명희 ( Jun Myung-Hee ) - 대전대학교 간호학과
김진현 ( Kim Jin-Hyun ) - 서울대학교 간호대학
이현주 ( Lee Hyun-Joo ) - 우송대학교 간호학과
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Abstract
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Purpose: The purpose of this study was to examine the actual care costs paid to Korean Oncology Advanced Practice Nurses (KOAPN).
Methods:We collected data using a group discussion and questionnaire identified 115 tasks from job descriptions developed by the Korean Accreditation Board of Nursing. Forty-two KOAPN working at three university hospitals in Seoul were asked to evaluate each task as to type and whether the cost is paid or not. They were also asked to indicate the tasks in urgent need of development of a care cost with high priority.
Results: Only five tasks (4.3%) related to treatment and complication related interventions or education were paid, and they were paid only once during the entire treatment period and were not covered by national health insurance. It was approved as a medical fee by health insurance review & assessment service. Furthermore, the names of the authority (doctor) and the actual provider (nurse) of the prescriptions were different for three of those tasks. Most of the suggested tasks needing development of care costs were actions specifically performed by nurses (physical-psychosocial-spiritual assessment, independent nursing interventions).
Conclusion:KOAPN are currently paid for few tasks. To maximize the utilization of KOAPN, the establishment of a clear rational payment system directly related to their actual activities is needed.
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KeyWords
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간호수가, 종양전문간호사, 종양간호 직무 분석
Costs and cost analysis, Neoplasm, Nurse practitioner, Task performance and analysis
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원문 및 링크아웃 정보
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등재저널 정보
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