학회지보기

7개 포괄수가 질환군 대상 간호요구도 분석

Demand on Nursing Services in 7 Korean Diagnostic-Related Group

최윤정 (인하대학교 대학원), 이영진 (한국교통대학교 간호학과), 서영민 (인하대학교 대학원), 임지영 (인하대학교 간호학과)

언어 :

권호 : v.24, no.2, 151-159,

발행일자 : 2017년 8월

PDF 원문보기

초록

Purpose: The purpose of this study was to identify nursing demands according to general characteristics and diseases of inpatients to whom comprehensive payment systems apply. Methods: This study was designed as a retrospective research study using the electronic medical records of Hospital Information Systems (HIS). Participants were 836 subjects who received seven Diagnostic-Related Group diagnoses among inpatients of one tertiary hospital from January 1, 2015 to June 30, 2015. Data were analyzed using SPSS 23.0. Results: Nursing demand among inpatients'seven Diagnostic-Related Group diagnoses was relatively higher for appendectomy, cataract surgery, and hysterectomy, while there was a significant difference depending on the age, duration of admission, admission path, hospital entry method and Diagnostic-Related Group. Conclusion: The results can be utilized as basic data on accurate nursing demands that reflect various features of patients.

참고문헌 (21)

  • Bae, M. H. (2008). A study on nursing needs and satisfaction of inpatients. Unpublished master's thesis, Hallym University, Gangwon.

  • Bang, G.S. (2007). The comparison of the perceived nursing needs between hospitalized cancer patients and nurses. Unpublished master's thesis, Eulji University, Daejeon.

  • Cho, J. S. (1998). A study on the classification of ICU patients by KDRG and the nursing care hours and costs of craniotomy patients. Journal of Nursing Administration, 4(1), 229-246.

  • Health Insurance Review and Assessment Service. (2014). Detailed plan for the evaluation of the diagnosis related groups payment of 7 disease groups. Wonju: Health Insurance Review and Assessment Service.

  • Henderson, V. (1966). The Nature of Nursing: A Definition and its Implications for Practice, Research, and Education. New York, NY: Macmillan

  • Kang, J. M. (2016). A study on changes in the amount of behavior under Korea case payment system : focusing on I medical center. Unpublished Master's thesis, Yonsei University, Seoul.

  • Kim, M. Y. (2013). Analysis of nursing activity in hospital applying organizational input output model. Unpublished doctoral dissertation, Seoul National University, Seoul.

  • Kim, Y. (2012). A complete understanding of DRG. Welfare Trend, 165, 10-13.

  • Knauf, R. A., Ballard, K. Mossman, P. N., & Lichtig, L. K. (2006). Nursing cost by DRG nursing intensity weights. Policy, Politics, & Nursing Practice, 7(4), 281-289.

    https://journals.sagepub.com/doi/10.1177/1527154406297910

  • Korean Dictionary Research Group. (ed.). (2001). The great encyclopedia of nursing science. Seoul: .Korean Nurses Academic Society.

  • Lee, E. Y. (1999). Determination of nursing activities for estimation of nursing fees based on 9 KDRGs (Korean Diagnosis Related Groups). Journal of Nursing Administration, 5(3), 547-561.

  • Park, E. C., Yoo, K. B., Kim, J. H., Kwon J. A., Jang S. I., Choi J. W., Song, H. Y., & Han G. T. (2014). A study on the current state and direction of bundled payment. Seoul: Korean Medical Association Research Institute For Healthcare Policy

  • Park, J. (1988). A study on the determination of nursing cost for hospitalization based on Korean diagnosis related groups (K-DRGs) in Korea. Unpublished doctoral dissertation, Ewha Women University, Seoul.

  • Park, J. H., Song, M. S., Sung Y. H., Ham, M. L., & Yun, S. O. (1997). Estimation of nursing costs for hospitalized patients based on the KDRG classification. Journal of Korean Academy of Nursing Administration, 3(2), 151-165.

  • Park, J., Song, M. S., Sung, Y. H., & Sim, W. H. (2003). Estimation of nursing costs by Patient Classification System(PCS) in general nursing units. Journal of Nursing Administration, 9(3), 379-389.

  • Song, K. J., Kim, E. H., Yoo, C. S., Park, H. A., Song, M. S., & Park, K. O. (2010). Verification of reliability and validity of KPCS 1 and estimation of nursing time conversion index. Journal of Korean Clinical Nursing Research, 16(2), 127-140.

  • Song, K. J., Kim, E. H., Yoo, C. S., Park, H. O., & Park, K. O. (2009). Development of KPCS(Korean Patient Classification System for Nurses) based on nursing needs. Journal of Korean Clinical Nursing Research, 15(1), 5-17.

  • Song, K. J., Yoo, C. S., Kim, E. H., Kim, J. H., &Kim, M. A. (2012). A descriptive study for nursing care cost according to the level of care requirement. Journal of Korean Clinical Nursing Research, 18(2), 183-195.

    http://dx.doi.org/10.22650/JKCNR.2012.18.2.183

  • Welton, J. M., Fischer, M. H., DeGrace, S., & Zone Smith, L. (2006). Hospital nursing costs, billing, and reimbursement. Nursing Economics, 24(5), 239-262.

  • Yoo, C. S., Sim, M. Y., & Choi, E. H. (2015). Development of Korean patient classification system for critical care nurses. Journal of Korean Clinical Nursing Research, 21(3), 401-411.

    http://dx.doi.org/10.22650/JKCNR.2015.21.3.401

  • You, S. J., & Choi, Y. K. (2013). Institutionalization of a patient sitter program in acute care hospitals. The Journal of the Korea Contents Association, 13(6), 370-379.

    http://dx.doi.org/10.5392/JKCA.2013.13.06.370