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The Real Picture of the Care Costs Paid to Korean Oncology Advanced Practice Nurses

종양전문간호사 업무에 대한 수가 실태

  • Kim, Dal-Sook (College of Nursing, Chungnam National University) ;
  • Kim, Soo-Hyun (Department of Nursing, Inha University) ;
  • Kim, Kwang-Sung (Catholic University, Seoul St. Mary's Hospital) ;
  • Jun, Myung-Hee (Department of Nursing, Daejeon University) ;
  • Kim, Jin-Hyun (College of Nursing.The Research Institute of Nursing Science, Seoul National University) ;
  • Lee, Hyun-Joo (Department of Nursing, Woosong University)
  • 김달숙 (충남대학교 간호대학) ;
  • 김수현 (인하대학교 간호학과) ;
  • 김광성 (가톨릭대학교 서울성모병원 간호팀) ;
  • 전명희 (대전대학교 간호학과) ;
  • 김진현 (서울대학교 간호대학.간호과학연구소) ;
  • 이현주 (우송대학교 간호학과)
  • Received : 2011.07.15
  • Accepted : 2011.08.04
  • Published : 2011.08.31

Abstract

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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