Workload Measurement of Home Health Care Nurses' Services using Relative Value Units

이태화,; 박정숙,; 김인숙,

doi:10.4040/jkan.2000.30.6.1543

Cited by 5 publications

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“…또 한 2001년부터는 의료서비스에 대한 수가를 책정하기 위해 자원기준 상대가치제도를 도입하여 시행하고 있지만 (Kim, Lee, Kim, & Kim, 2002;Moon, 2006), 의료행위 생산자에 대한 구분이 없이 주로 의사에 의해서 제공되는 진료행위만을 중심으로 개발되어 있어 간호중재로 인해 발생한 수익은 계산 되지 않고 무시되고 있다 (Kim, Moon, Kim, Shim, & Kim, 2003). (Kim, 2010;Kim et al, 2002;Kim, Kim, & Kim, 2010;Lee, Park, & Kim, 2000;Moon, 2006;Park et al, 2002) (Table 2). …”

Section: 우리나라의 건강보험 수가체계(Korean Reimbursementunclassified

Korean and United States: Comparison of Costs of Nursing Interventions

Hong¹,

Lee²

2012

Korean J Adult Nurs

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Purpose:This study was performed to compare the costs of nursing interventions implemented for the obstetrical and gynecological patients using Korean Reimbursement System and ABC codes system developed in the US for costing out interventions performed by health care professional. Methods: First, the narrative data on nursing interventions were extracted from electronic medical record system of a tertiary university and mapped with Nursing Intervention Classification (NIC) by two researchers until 100% consent was reached. Narrative nursing interventions mapped with NIC were then remapped with ABC codes system using the electronic program developed in the research. The mapping data were analyzed with real numbers, frequency, percentage, mean, and standard deviation. Results: More nursing interventions were mapped with ABC codes than Korean reimbursement system. Total of 97 different types of narrative interventions could be mapped with NIC, 43 NIC interventions could be reimbursed by ABC code but only 16 NIC interventions were reimbursed by Korea Reimbursement System. Conclusion: Korean medical insurance fee system needs amendment to include more comprehensively interventions performed by nurses which are very important to patient outcomes. Further study is needed to develop strategies to costing out nursing interventions.

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Section: 우리나라의 건강보험 수가체계(Korean Reimbursementunclassified

Korean and United States: Comparison of Costs of Nursing Interventions

Hong¹,

Lee²

2012

Korean J Adult Nurs

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“…이에 반해 가정간호수가는 구성요소 중 가장 큰 비중 을 차지하고 있는 기본방문료와 교통비가 개발 당시 책정된 비용 수준을 벗어나지 못하고 있는 실정이다. 당초 가정간호 수가는 Ryu(1994수가는 Ryu( , 1995 (Lee, 2000;Lee, 2003;Whang, 1998 (Whang, 1999;Lee et al, 2000;Lee, 2003 (Jung, 2003;Lee, Lee, & Seo, 2001 (Kim, 2000;Lee, 2003;Ryu, 2003) (Kim, 2000;Lee, 2003;Chiu, Shyu, & Liu, 2001;Chiu, Tang, Shyu, Huang, & Wang, 2000…”

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Test on the Cost and Development on the Payment System of Home Health Care Nursing

2006

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(KIHASA, 1994;Ryu, 1994). • 인건비 : 인건비산출을 위한 조사대상자는 해당 가정간호 사업소에 근무하고 있는 정규직 가정간호사만을 대상으로 하였다. 이러한 수가구조에서 개별행위료는 입원비 수가와 동일한 수유• • 지급임차료: 장비리스료는 가정간호사업소와 관련이 없으 므로 제외• 여비교통비: 가정간호 시 교통비 6천원을 별도로 받으므로 Purpose: This study focused on analysing costs per home health care nursing visit based on home health care nursing activities in medical institutes. Method: The data was collected in three stages. First, the cost elements of home health care nursing services were collected and 31 home care nurses participated. Second, the workload and caseload of home care nursing activities were measured by the Easley-Storfjell Instrument(1997). Third, the opinions on improving the home health care nursing reimbursement system were collected by a nation-wide mailing survey from a total of 125 home care agencies. Result: The cost of home health care nursing per visit was calculated as 50,626₩. This was composed of a basic visiting fee of 35,090₩(≒35$) and travel fee of 15,536 ₩(≒15$). The major problems of the home care nursing payment system were the low level of the cost per visit, no distinction between first visit and revisits, and the limitations in health insurance coverage for home health care nursing services. Conclusion: This study's results will contribute as a baseline for establishing policies for improvement of the home health care nursing cost and for applying a community-based visiting nursing service cost.

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Comparison of Nursing Activity Costs of Chronic Otitis Media Surgery Patients among Time, RBRVS, and CP

Kim

Lim

2010

J Korean Acad Nurs Adm

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Workload Measurement of Home Health Care Nurses' Services using Relative Value Units

Cited by 5 publications

References 0 publications

Korean and United States: Comparison of Costs of Nursing Interventions

Korean and United States: Comparison of Costs of Nursing Interventions

Test on the Cost and Development on the Payment System of Home Health Care Nursing

Comparison of Nursing Activity Costs of Chronic Otitis Media Surgery Patients among Time, RBRVS, and CP

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