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KMID : 1004620080140010005
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Clinical Nursing Research
2008 Volume.14 No. 1 p.5 ~ p.14
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A Survey for Developing Strategies to Improve the Fees for Nursing Care
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Kim Yun-Mi
Nam Hye-Kyung
Sung Young-Hee
Park Kwang-Ok
Park Hye-Ok
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Abstract
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Purpose: To examine the current fees for nursing care and propose the strategies for improvement.
Methods: The number of subjects for this study was 86, including 36 chief executives of the nursing department, 14 of the health insurance department and 33 nursing managers. Data were analyzed by SPSS WIN 12.0 program. A researcherdeveloped questionnaire with 30 items was utilized.
Results: 61% hospital had improved the nursing management fee grade after adoption of the differentiated nursing management fee schedules. After grade improvement, the time for direct nursing care increased. Also, the patient health outcome, nurse’s job satisfaction were improved and more nurses were employed in general nursing units. Many subjects addressed that ICU and more nursing units were needed to adopt the differentiated nursing management fee schedules and “bed to nurse ratio” needed to be changed to “patients to nurse ratio” and specialized by the nursing units.
Conclusions: The health policy in reference to fees for nursing care needs to get improved further in order to provide the quality-assured nursing care.
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KEYWORD
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Nurse staffing, Hospital, Health insurance
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