지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Purpose: Korean health insurance extended application of the Diagnosis Related Groups (DRG) payment system to tertiary and general hospitals from July, 2013. This study was done to develop a DRG fee adjustment mechanism applied to levels of nurse staffing to assure quality nursing service. Methods: Nurse stafffing grades among hospitals in Korea were analyzed. Differences and ratio of inpatient costs by nurse staffing grades in DRG fees and differences of DRG fee between tertiary and general hospitals were compared. Results: In 2013, nurse staffing grades in tertiary and general hospitals had improved, but other hospital nurse staffing grades remained at the 2001 level. Gaps of inpatient costs between first and seventh nurse staffing grades were over 10% in 4out of 7 DRG diagnosis; However differences of DRG fee between tertiary and general hospitals were only 4.51% and 4.72% respectively. A DRG fee adjustment mechanism was developed that included nurse staffing grades and hospitalization days as factors of the formula. Conclusion: Current DRG fees motivate hospitals to decrease nurse staffing grades because cost reduction is bigger than compensation. This DRG fee adjustment mechanism reflects nurse staffing supply to motivate hospitals to hire more nurses as a reasonable compensation system.
목차
등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
Aiken, L. H. / 2002 / Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction / The Journal of the American Medical Association 288 (16) : 1987
Aiken, L. H. / 2010 / Implications of the California nurse staffing mandate for other states / Health Service Research 45 (4) : 904 ~ 921
Buchan, J. / 1997 / Health sector reform and trends in the United Kingdom hospital workforce / Medical Care 35 (10 Suppl) : OS143 ~ OS150
Buerhaus, P. I. / 1997 / Future of the nurse labor market according to health executives in high managedcare areas of the United States / Journal of Nursing Scholarship 29 (4
Busse, R. / 2011 / Diagnosis-related groups in Europe : Moving towards transparency, efficiency and quality in hospitals / Open University Press
Aiken, L. H. / 2010 / Implications of the California nurse staffing mandate for other states / Health Service Research 45 (4) : 904 ~ 921
Buchan, J. / 1997 / Health sector reform and trends in the United Kingdom hospital workforce / Medical Care 35 (10 Suppl) : OS143 ~ OS150
Buerhaus, P. I. / 1997 / Future of the nurse labor market according to health executives in high managedcare areas of the United States / Journal of Nursing Scholarship 29 (4
Busse, R. / 2011 / Diagnosis-related groups in Europe : Moving towards transparency, efficiency and quality in hospitals / Open University Press
이 논문의 저자 정보
최근 본 자료
댓글(0)
0