보건행정학회지 (Health Policy and Management)

  • 제22권3호
  • /
  • Pages.297-314
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  • 2012
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  • 1225-4266(pISSN)
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  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
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시계열 자료를 이용한 병원 간호 인력의 변화 추이 및 병원 간호사 확보를 위한 정책의 효과 평가

Trend analysis of the number of nurses and evaluation of nursing staffs expansion policy in Korean hospitals

  • 박보현 (김천과학대학교 간호학과) ;
  • 이태진 (서울대학교 보건대학원) ;
  • 박형근 (제주대학교 의학전문대학원 의료관리학교실) ;
  • 김철웅 (충남대학교 의학전문대학원 예방의학교실) ;
  • 정백근 (경상대학교 의학전문대학원 예방의학교실) ;
  • 이상이 (제주대학교 의학전문대학원 의료관리학교실)
  • Park, Bo Hyun (Department of Nursing, Kimcheon Science college) ;
  • Lee, Tae Jin (Seoul National University, Graduate School of Public Health) ;
  • Park, Hyeung-Keun (Department of Health Policy and Management, School of Medicine, Jeju National University) ;
  • Kim, Chul-Woung (Department of Preventive Medicine, School of Medicine, Chungnam National University) ;
  • Jeong, Baek-Geun (Department of Preventive Medicine, School of Medicine, Gyeongsang National University) ;
  • Lee, Sang-Yi (Department of Health Policy and Management, School of Medicine, Jeju National University)
  • 투고 : 2012.03.22
  • 심사 : 2012.06.25
  • 발행 : 2012.09.28
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초록

Purpose : The purpose of this study was to analyze the trend of the number of nursing staffs and skill mix and to assess the effectiveness of hospital nurse expansion policies in Korea. Methods : The trend of the number of nursing staffs and skill mix were analyzed using time series data, which composed of yearly series data from 1975 to 2009. The impact of hospital nurse expansion policies was estimated by autoregressive integrated moving average(ARIMA) intervention model. Results : The number of general hospital and hospital nurses per 100 beds was decreased in late 1980s and late 1990s due to rapid growth of beds. As a result of the number of nurse aids per 100 beds decreased, skill mix became high in general hospital but nurse ratio among hospital nursing staffs was about 50%. Expansion of new nurse and revised differentiated inpatient fee were only effective in expansion of hospital nursing staffs. But they had no effect in general hospitals. Conclusion : In Korea, a few policies related to expansion of hospital nurses have an effect on increasing the number of hospital nurse. Nevertheless, level of hospital nursing staffs is inferior to that of general hospital.

키워드

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피인용 문헌

  1. Effects on Long-Term Care Hospital Staff Mixing Level after Implementing Differentiated Inpatient Nursing Fees by Staffing Grades vol.20, pp.1, 2014, https://doi.org/10.11111/jkana.2014.20.1.95