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Effects on Long-Term Care Hospital Staff Mixing Level after Implementing Differentiated Inpatient Nursing Fees by Staffing Grades

간호등급제가 요양병원의 간호인력 확보수준에 미치는 영향

  • Kim, Donghwan (Health Insurance Review and Assessment Service) ;
  • Lee, Hanju (Department of Nursing, Sangmyung University)
  • Received : 2013.11.09
  • Accepted : 2014.01.07
  • Published : 2014.01.31

Abstract

Purpose: The purpose of this study was to examine trends in number of nursing staff and skill mix. Methods: Nursing staff and skill mix were measured using the number of nursing staff including nurse aids and registered nurses per bed. Descriptive and panel data regression analyses were conducted using data on long-term care hospitals which included yearly series data from 2006 to 2010 for 119 hospitals. Results: The number of nursing staff per bed increased significantly but percentage of registered nurses decreased significantly from 2007 to 2010. The regression model explained this variation as much as 34.9% and 43.8%. Conclusion: The results showed that in long-term care hospitals there were more nurse aids employed instead of registered nurses after the implemention of differentiated inpatient nursing fees. Thus clarifying the job descriptions for nurses and nurse aids is needed and appropriate hospital incentive policies should be implemented.

Keywords

References

  1. Anderson, R. A., Hsieh, P., & Su, H. (1998). Resource allocation and resident outcomes in nursing homes: Comparisons between the best and worst. Research in Nursing and Health, 21, 297-313. https://doi.org/10.1002/(SICI)1098-240X(199808)21:4<297::AID-NUR3>3.0.CO;2-A
  2. Bond, C. A., Raehl, C. L., Pitterle, M. E., & Franke, T. (1999). Health care professional staffing, hospital characteristics, and hospital mortality rates. Phamacotherapy, 19, 130-138. https://doi.org/10.1592/phco.19.3.130.30915
  3. Buchan, J., & Dal Poz, M. R. (2002). Skill mix in the health care workforce: Reviewing the evidence. Bulletin of World Health Organization, 80, 575-580.
  4. Chae, J. M. (2013). Quality review trend and implications of foreigner's long-term care facility. Health Insurance Review and Assessment Service Policy Brief, 7 (3), 45-51.
  5. Chin, Y., & Lee, H. Y. (2012). Comparing standards and guidelines of long-term care facilities based on physical environment and manpower in Korea, Japan, USA, and Australia. Korean Journal of Health Policy & Administration, 22 , 403- 426. http://dx.doi.org/10.4332/KJHPA.2012.22.3.403
  6. Hartz, A. J., Krakauer, H., Kuhn, E. M., Young, M., Jacobsen, S. J., & Gay, G., et al. (1989). Hospital characteristics and mor tality rate. New England Journal of Medicine, 321, 1720-1725. https://doi.org/10.1056/NEJM198912213212506
  7. Health Insurance Review & Assessment Service. (2010). Healthcare benefits. Seoul: Author.
  8. Health Insurance Review & Assessment Service. (2008). Healthcare benefits. Seoul: Author.
  9. Health Insurance Review & Assessment Service. (2007). Healthcare benefits. Seoul: Author.
  10. Holloway, K., & McConigley, R. (2009). Descriptive, exploratory study of the role of nursing assistants in Australian residential aged care facilities: The example of pain management. Australian Journal on Ageing, 28 (2), 70-74. http://dx. doi.org/10.1111/j.1741-6612.2009.00360.x
  11. Jeon, S. H., Kang, S. H., & Lim, B. I. (2004). A comparative study on the linear panel estimation method. Journal of the Korean Official Statistics, 9 (2), 1-24.
  12. Kim, D. H. (2013). Trend of number of patients and hospital days according to increase of bed in elderly hospital. Health Insurance Review and Assessment Service Policy Brief, 7 (3), 53-62.
  13. Kim, S. (2002). A study of improvement of geriatric hospital. Unpublished master's thesis, Chung-Ang University, Seoul, Korea.
  14. Kim, Y. M., Kim, J., June, K. J., & Ham, E. O. (2010). Changing trend in grade of nursing management fee by hospital Characteristics: 2008-2010. Journal of Korean Clinical Nursing Research, 16, 99-109.
  15. Kim, Y. M., Cho, S. H., Jun, K. J., & Go, S. K. (2007). The effects of institutional and market factors on nurse staffing in acute care hospitals. Korean Journal of Health Policy & Administration, 17 (2), 68-90.
  16. Kovner, C., & Gergen, P. J. (1998). Nurse staffing levels and adverse events following surgery in U. S. hospitals. Image: Journal of Nursing Scholarship, 30, 315-321. https://doi.org/10.1111/j.1547-5069.1998.tb01326.x
  17. Lee, J. S. (2010). A phenomenological study on the burnout experience for nurses in geriatric hospital. Unpublished master's thesis, Catholic University of Busan, Korea.
  18. Lin, I. C., Hou, Y. H., Huang, H .L., Chu, T. P., & Chang, R. E. (2010). Managing nursing assistants with a web-based system: An empirical investigation of the mixed-staff strategy. Journal of Medical Systems, 34, 341-348. http://dx.doi.org/ 10.1007/s10916-008-9246-5
  19. Manhein, L. M., Feinglass, J., & Shortell, S. M., & Hughes, E. F. X. (1992). Regional variation in medicare hospital mortality. Inquiry, 29, 55-66.
  20. Mark, B. A., Salyer, J., & Wan, T. T. H. (2000). Market, hospital and nursing unit characteristics as predictors of nursing unit skill-mix: A contextual analysis. Journal of Nursing Administration, 30, 552-560. https://doi.org/10.1097/00005110-200011000-00011
  21. McKee, M., & Healy, J. (2002). Hospitals in a changing Europe. Philadelphia: World Health Organization
  22. Min, I. S., & Choi, P. S. (2009). STATA panel data analysis . Seoul: The Korean Association of STATA.
  23. Oh, S. B. (2006). A study of improvement geriatric hospitals in Korea. Health and Welfare, 8, 195-221. https://doi.org/10.23948/kshw.2006.12.8.195
  24. Park, B. H., Lee, T. J., Park, H., Kim, C., Jeong, B., & Lee, S. (2012). Trend analysis of the number of nurses and evaluation of nursing staffs expansion policy in Korean hospitals. Korean Journal of Health Policy and Administration, 22 , 297-314. http://dx.doi.org/10.4332/KJHPA.2012.22.3.297
  25. Sim, M. R., & Kim, K. H. (2010). Job satisfaction, self-esteem, and nursing task performance among registered nurses and nurse assistants in long-term care hospitals. Journal of Korean Academy of Nursing Administration, 16, 446-454. https://doi.org/10.11111/jkana.2010.16.4.446
  26. Spetz, J. (1999). The effect of managed care and prospective payment on the demand for hospital nurse: Evidence from California. Health Service Research, 34, 993-1010.

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