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KMID : 0614820040100010001
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Journal of Korean Academy of Nursing Administration
2004 Volume.10 No. 1 p.1 ~ p.9
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Development of the DRG Adjust Index for Nursing Care Quality Assurance
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Kim Yun-Mi
Kim Sea-Wha
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Abstract
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Purpose: Korean health insurance has adopted preliminary DRG payment system through 8 DRGs from 1997. But present DRG payment system gives economic incentives for hospitals to hire less nurse. This study was attempted to develope I)RG adjust index to differentiate DRG price by nurse staffing level for nursing care quality.
Methods: We analyzed inpatient care cost by medical institute and developed DRG adjust index to differentiate DRG price by nurse staffing level.
Results: Among same medical institute, in-patient care cost are very different according to hospital´s nurse staffing level. In the case of casarean section, in-patient care cost of the 1st grade general hospital are more expensive 85,732won than the 6th grade hospital. The cost difference zre 8.24% of total casarean section DRG price and 16.48% of I)RG variable price. We developed DRG adjust index-a to apply DRG variable price and index-b to apply DRG total price for compensation cost difference of hospitals.
Conclusions: DRG price adjust index will give economic incentive for hospitals to hire more nurse and improve nursling care quality.
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KEYWORD
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DRG, nursing cost, care quality assurance
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