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KMID : 0613620210410030210
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Health Social Welfare Review
2021 Volume.41 No. 3 p.210 ~ p.225
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Effects of Integrated Nursing Care and Service Scheme on Nurse Employment: An Input-Output Model Approach
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Kim Jin-Hyun
Kwon Hyun-Jeong
Jung Yoo-Mi
Lee Eun-Hee
Yeo Na-Geum
Choi Ha-Young
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Abstract
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The integrated nursing care and service scheme (INCS) is a new nurse staffing policy for inpatient nursing service in South Korea, which helped to reduce the ratio of nurse to patients from 1:14.0~16.0 to 1:9.9. As a result, the INCS has high job creation effects for nurses and other personnel. This study aims to estimate the employment effects of the INCS under the National Health Insurance Service (NHIS) and compare it with those in other industries. Study data was collected from the INCS database of the NHIS and the input-output table of the Bank of Korea. The INCS from 2015 to 2019 was analyzed by descriptive statistics. Both direct and indirect employment effects were analyzed by an input-output model based on the INCS demand in 2019. In 2019, a total of 534 hospitals and 49,067 beds have participated in the INCS, and a total of 24,308 nurses, 7,528 nursing assistants, 3,590 ward staffs, and 1,622 rehabilitation staffs were directly employed. The total nursing fee was KRW 1.5 trillion per year. During the last 5 years, an amount of KRW 1 billion in the INCS was estimated to have produced an employment impact of 25.1 nursing jobs, 19.7 other jobs, resulting in a total of 44.8 positions. The employment effect of the INCS was 3.5 to 6.1 times higher than those in other industries. The government should steadily expand the INCS, considering the enhanced quality of nursing services as well as high employment effects. It is recommended to expand the INCS, taking into account the availability of nursing personnel and the quality of employment.
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KEYWORD
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Integrated Nursing Care and Service, Nurse Employment, Input-Output Analysis, Nurse Staffing
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