Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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Economic Analysis and Fee Development by Relative Value Scale of Nursing Practices by Emergency Nurse Practitioner

응급전문간호행위에 대한 건강보험 상대가치 수가개발 및 경제성 평가

  • 김진현 (서울대학교 간호대학) ;
  • 김경숙 (남서울대학교 간호학과.고령사회보건복지연구소) ;
  • 김미원 (상명대학교 간호학과) ;
  • 이경아 (서울대학교 간호대학)
  • Received : 2013.01.17
  • Accepted : 2013.06.18
  • Published : 2013.06.30
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Abstract

Purpose: The purpose of this study was to perform an economic analysis and estimate the fee for the practices that carried out by Emergency Nurse Practitioner (ENP) using relative value scale (RVS) and its conversion factor. Methods: First, we developed ENP's RVS for 25 advanced nursing services based on ENP's workload and its time spent by survey. A cost analysis was performed to evaluate the conversion factor of ENP's RVS. The share of ENP's contribution to fee-for-service in emergency setting was also analyzed. Results: Calculation of the RVS of 25 advanced nursing practices showed a range of points from 73.4 to 296.3 and an average of 145.1 points. The relevant conversion factor for advanced nursing practices among ENP was estimated at 12.2~15.9 won. The contribution rate of ENP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 13.1~17.0%. Conclusion: The practices of ENP are not compensated separately and its reimbursement is usually included in physician fee. An estimation of nursing fee and an independent fee related to ENP's services shows the contribution rate to total revenue. It suggests that emergency nurse practitioners be considered as a revenue source the in emergency room.

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