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학술저널
저자정보
김달숙 (충남대학교) 김수현 (인하대학교) 김광성 (가톨릭대학교서울성모병원) 전명희 (대전대학교) 김진현 (서울대학교) 이현주 (우송대학교)
저널정보
대한종양간호학회 Asian Oncology Nursing 종양간호학회지(Asian Oncology Nursing) 제11권 2호
발행연도
2011.8
수록면
155 - 162 (8page)

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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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UCI(KEPA) : I410-ECN-0101-2013-512-000311337