대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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경영수지분석을 통한 종합병원의 간호관리료 차등지급제 개선방안

A Proposal to Improve Nursing Fee Differentiation Policy for General Hospitals Using Profitability-Analysis in the National Health Insurance

  • 김성재 (서울대학교 간호대학.간호과학연구소) ;
  • 김진현 (서울대학교 간호대학.간호과학연구소)
  • Kim, Sung-Jae (Department of Nursing, Seoul National University, The Research Institute of Nursing Science) ;
  • Kim, Jin-Hyun (Department of Nursing, Seoul National University, The Research Institute of Nursing Science)
  • 투고 : 2011.10.07
  • 심사 : 2012.05.25
  • 발행 : 2012.06.30
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초록

Purpose: The purpose of this study was to propose optimal hospitalization fees for nurse staffing levels and to improve the current nursing fee policy. Methods: A break-even analysis was used to evaluate the impact of a nursing fee policy on hospital's financial performance. Variables considered included the number of beds, bed occupancy rate, annual total patient days, hospitalization fees for nurse staffing levels, the initial annual nurses' salary, and the ratio of overhead costs to nursing labor costs. Data were collected as secondary data from annual reports of the Hospital Nursing Association and national health insurance. Results: The hospitalization fees according to nurse staffing levels in general hospitals are required to sustain or decrease in grades 1, 2, 3, 4, and 7, and increase in grades 5 and 6. It is suggested that the range between grade 2 and 3 be sustained at the current level, the range between grade 4 and 5 be widen or merged into one, and the range between grade 6 and 7 be divided into several grades. Conclusion: Readjusting hospitalization fees for nurse staffing level will improve nurse-patient ratio and enhance the quality of nursing care in hospitals. Follow-up studies including tertiary hospitals and small hospitals are recommended.

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참고문헌

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