|
KMID : 1004620100160030099
|
|
Clinical Nursing Research
2010 Volume.16 No. 3 p.99 ~ p.109
|
|
|
Changing Trend in Grade of Nursing Management Fee by Hospital Characteristics: 2008-2010
|
|
Kim Yun-Mi
Kim Ji-Yun
June Kyung-Ja
Ham Eun-Ok
|
|
|
Abstract
|
|
|
Purpose: This study was aimed to examine changes of hospital nurse staffing by hospital characteristics during
2008-2010.
Methods: The study sample included 44 tertiary hospitals, 226 general hospitals, and 532 non-generalb hospitals that were operating during 2008-2010. Grade of nursing management fee was categorized from Grade 1(highest) to 6 (lowest) in tertiary hospitals, l or Grade 7 in general hospitals and non-general hospitals based on the nurse-to-bed ratio. For data analysis, χ2 and GEE were conducted.
Results: For three years, the number of tertiary hospitals below Grade 2 were increased from 8 to 12, the number of those above Grade 4 were decreased from 15 to 6. The number of general hospitals above Grade 6 decreased from 123 to 86. Tertiary hospitals and general hospitals had more possibilities to improve nurse staffing grade than general hospital (OR 79.69, 95% CI 50.77~125.09, OR 11.25, 95% CI 8.15~15.53, respectively). Greater likelihood of improvement in grade of nursing management fee was found in university hospital or hospitals with 300 or more beds than other types of hospitals.
Conclusion: Differentiating nurse staffing system by hospital type and increasing financial incentives according to the grades are needed to improve hospital nurse staffing.
|
|
|
KEYWORD
|
|
|
Hospitals, Nursing staff, Reimbursement mechanisms
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|